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악관절증에서 과두위변화에 따른 골변화양상 분석 (Radiographic study of bone deformans on charged condylar head position in TMJ arthrosis)

  • 유동수
    • 치과방사선
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    • 제13권1호
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    • pp.151-162
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    • 1983
  • The author analyzed the morphologic changes of bone structure from 848 radiograph is (424 joints) of 212 patients with temporomandibular joint arthrosis, which were obtained by the oblque-Iateral transcranial projection and orthopantomography. The interelation of the bone changes and condylar head positions the results were as follows: 1. In the 212 patients with TMJ arthrosis, 210 patients(99.05%) show the condylar positional changes. Among them, 187 patients 989.05%) show the bone changes. 2. In TMJ arthrosis patients with bone changes, 10% patients(57.75%) show both the condylar positional changes and bone changes. 66 patients( %) show the condylar psoitional changes bilaterally and bone changes unilaterally. On the other hand, 11 patients (5.88%) show the condylar positional changes unilaterally and bone change bilaterally. 3. The bone changes in the TMJ arthrosis patients with the condylar positional changes were as follows: There were the flatlening of articular surface in 103 cases (26.55%) the erosion in 99cases 925.57%), and the erosion in 88 cases (22.68%). There were not much differences among the three types of bone changes. And the deformity in 70 cases (18.04%), the sclerosis in 22 cases(5.67%), the marginal protiferation in 6 cases(1.55%) were seen. 4. The regions of bone changes in TMJ arthrosis patients with condylar positional changes were as follows: They occurred at the condyle head(51.04%), the articular eminence(39.20%) and the articular fossa(9.60%) in that order. The condylar positional changes and bone changes according to the regions were as follows: a) In the bone changes at the condyle head, the flatteming (34.63%) was a most frequent finding and the deformity(27.63%) the erosion(24.32%) in the order. In the condylar positional changes, the downward positioning of condyle(41.44%) was a most frequent finding in the mouth closed state and the restricted movement within the articular fossa(35.46%) in the mouth open state. b) In the bone changes at the articular eminence, the eburnation(33.26%) was a most frequent finding and the flatteming(31.16%), the erosion(28.37%) in that order. In the condylar positional changes, the downward positionirg of condyle(39.81%) was a most frequent finding in the mouth closed state and the restricted movement within the articular fossa(24.77%) in the mouth open state. c) In the bone changes at the articular fossa, the eburnation(72.90%) was amost frequent finding and theerosion(17.76%), the sclerosis(9.35%) in that arder. In the condylar positional changes, the downward positionirg of condyle(41.5%) was a most frequent finding in the mouth closed state and the mormal positionirg of condyle(27.78%) in the mouth open state.

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교류 전기철도 시스템의 해석에 적합한 조류계산 기법 및 STATCOM을 적용한 전압 강하 개선 연구 (A Study on a New Power Flow Method for Analysis of AC Electric Railway System and Improvement of Voltage Drop Using a STATCOM)

  • 백정명;이병하
    • 전기학회논문지
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    • 제56권4호
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    • pp.669-676
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    • 2007
  • This paper presents a new power flow method to analyze the AC electric railway system effectively in both cases of traction and regenerative braking of the trains. The algorithm to easily solve the power flow of the AC electric railway system with the trains of regenerative braking from the system without a train of regenerative braking is derived. Using this new power flow method, the voltage characteristics of a typical AC electric railway system is easily analyzed in both cases of traction and regenerative braking of the trains. We show that the presented method can be applied effectively in order to analyze the AT-fed AC electric railway system in both cases of traction and regenerative braking of the trains. A STATCOM(Static Synchronous Compensator) is applied to the system in order to improve the voltage drop problem and this case is also analyzed to show the effect of STATCOM.

치아종의 X선학적 연구 (RADIOGRAPHIC STUDY OF THE ODONTOMA)

  • 안형규
    • 치과방사선
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    • 제13권1호
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    • pp.145-150
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    • 1983
  • The author studied clinically and radiologically 55 cases which had been diagnosed as odontoma in SNUDH. The obtained results were as follows: 1. In sex distribution, there was no prevalence in both sexes. And the incidence was the highest in the 2nd decade. (16 patients, 29%) 2. There were 42 cases of compound odontoma (76%) and 13 cases of complex odontoma (24%). In most cases, compound odontoma was located at the anterior portion (34 cases, 81%) and complex odontoma at the posterior portions (9 cases, 69%). 3. There was no apparent clinical symptom in compound odontoma (83%), but in complex odontoma, 80% of case show swelling. 4. The adjacent root resorption was not observed in any case. 5. Five cases radiographically diagnosed as cystic odontoma were not confirmed histopathologically.

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사례 위주로 본 공급자망을 중심으로 한 IT제품 보안 위험 (Case studies : Security issues of IT products in terms of supply chain)

  • 최웅철
    • 디지털산업정보학회논문지
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    • 제12권4호
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    • pp.89-96
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    • 2016
  • Before an IT product is used, there is a sequence of the process such as the components supply-demand of the product, their assembly and production, their logistics and delivery, and then finally, the product can be used by a user. During this sequence of the process, there can be many security exposures and risks. In this paper, we show, by examining security cases of various IT products, that there are many security exposures in the process of IT products from their production to their delivery to end users and in their use, and also show how critical the security exposures are. Even though there are various security theories, technologies and security controls, there is still weak link from the production of an IT product to its use, and this weak link can lead to security vulnerabilities and risks. This paper tries to call attention to the importance of the execution of the security control and the control components. We examine the practical cases to find out how the security control is paralyzed, and to show how it is compromised by asymmetric security resources. Lastly, from the cases, we examine and review the possible domestic security issues and their countermeasures.

광범위한 절제술 후 근위 비골 이식을 이용한 원위 요골 거대세포종의 치료 (Treatment of Giant Cell Tumor of Distal Radius with Wide Resection and Proximal Fibular Graft)

  • 김부환;이상훈;허무중;천상진;류총일;김용진
    • Archives of Reconstructive Microsurgery
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    • 제11권1호
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    • pp.67-72
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    • 2002
  • Purpose : Treatment of giant cell tumor of distal radius can be treated in several ways according to the agressiveness of the tumor. We treated 3 cases of widely involved giant cell tumor of distal radius with wide resection and proximal fibular graft and report the results with review of literatures. Material and Method : We have treated 3 cases of giant cell tumor of the distal radius since last 1990. Among 3 cases, two cases were grade III radiologically and treated by wide resection of distal radius and vascularized proximal fibular graft, and one case, grade II radiologically, treated by distal radial resection and non-vascularized proximal fibular graft. We followed up clinical results of above three cases 9 years, 12 years and 2 years. Result : In all three cases, tranplanted fibula graft showed solid union but grade III tumors recurred at 4 year and 6 year postoperatively. One of the case which recurred 4 year later was treated with secondary wide resection and wrist fusion with autogenous iliac bone graft, and didn't show any recurrent finding for these 5 years after re-operation. And another grade III, which recurred at 6th post-operative year, is under follow-up for 6 years after recur without 2nd operation. Grade II case didn't show any recurrent findings on 2 year follow-up. Conclusion : Grade III cases recurred at 4 year and 6 year follow-up. The cause of recurrence was thought to be invasion of remaining tumor cell in the soft tissue. To prevent recurrence, complete resection of primary tumor was necessary.

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대동맥판막 폐쇄부전증을 동반한 심실중격결손증 -7례 보고- (Ventricular Septal Defect with Aortic Insufficiency: A Report of 7 Cases)

  • 조대윤
    • Journal of Chest Surgery
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    • 제12권1호
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    • pp.50-55
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    • 1979
  • The development of aortic insufficiency radically alters the physical findings which are generally associated with ventricular septal defect that was not hemodynamically significant, and the combination of the two lesions produces a typical clinical picture, that may be serious and life-threatening when it is left untreated. Therefore, the selection of patients, type and timing of surgical treatment is considered to be important. Among 114 cases of ventricular septal defect treated surgically utilizing cardiopulmonary bypass in the Department of Thoracic Surgery, Seoul National University Hospital, 7 cases were associated with aortic insufficiency. 1. Five cases were male, and 2 cases were female. Ages were from 4 years to 24 years, and mean age was 11.9 years. 2. In all cases, ventricular septal defect was closed with Teflon patch. In a case, a aortic valvuloplasty and in another, a aortic valve replacement with Hancock valve 23 mm., 5 months after the closure of ventricular septal defect were done. 3. Four cases were type I ventricular septal defect by Kirklin`s classification, 3 cases were type II ventricular septal defect, and diameters of ventricular septal defect were from 3.5 cm. to 0.7 cm. A PDA. was combined to a type I ventricular septal defect. 4. In 5 cases, herniation of the aortic cusp through the ventricular septal defect and in a case, annulus dilatation on the aortic valve was noted. 5. Two cases with type I ventricular septal defect and severe pulmonary hypertension expired. A re-opened case with type II ventricular septal defect expired. 6. Four cases were alive, and all of them show decrease of pulse pressure and aortic insufficiency.

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갑상선엽절제 후 이차 근치엽절제술을 시행받은 분화성 갑상선암종 환자 23예에 대한 임상적 평가 (Clinical Analysis of Completion Thyroidectomy in Differentiated Thyroid Carcinoma)

  • 권순영
    • 대한두경부종양학회지
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    • 제17권1호
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    • pp.38-41
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    • 2001
  • Background and Objectives: Thyroid nodules can be diagnosed by FNAB, neck sonography, CT scan, or frozen section with relative accuracy. But some cases, which show no malignancy with those methods, are proved differentiated carcinomas on permanent sections. These false negative results of those diagnostic methods pose difficulties in the surgeon's decision-making process. We analyzed completion thyroidectomies retrospectively in order to make a treatment guideline for thyroid nodules. Materials and Methods: During the last six years, we performed 243 thyroid lobectomies, no evidence of malignancy with preoperative or intraoperative diagnostic methods at the Department of Otolaryngology-Head and Neck Surgery, Ansan and Anam Korea University Hospital. Among these cases, 23 patients (male 6, female 17, mean age 33.4 year old) were proved differentiated thyroid carcinomas on permanent section and we performed completion thyroidectomies. Results: Preoperative FNAB showed seven cases of nodular hyperplasia, 11 cases of follicular adenoma, and five cases of inadequate specimen. Among total 15 cases on frozen section, five cases were nodular hyperplasias, and 10 cases were follicular adenomas. Pathologic results of the permanent section were six cases of papillary cell carcinoma and 17 cases of follicular cell carcinoma. Completion thyroidectomy was performed on all these cases. Conclusion: FNAB and frozen section cannot be sufficient to make the diagnosis of thyroid nodule, we consider that completion thyroidectomy should be performed at the moment with malignant evidence on permanent section.

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Three cases meniscus injury treated with Shinbaro pharmacopuncture therapy

  • Lee, So Jin;Yoon, Tae Kyung;Shin, Soo Ji;Ahn, Sang Min;Lee, Seong Jin;Won, Jeong Yoon;Jang, Yeo Jin
    • Journal of Acupuncture Research
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    • 제34권3호
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    • pp.109-119
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    • 2017
  • Objectives : The purpose of this report was to show that oriental therapy, specifically Shinbaro pharmacopuncture is effective for improvement of symptoms and and range of motion (ROM) in patients diagnosed with meniscus tears in the knee. Methods : Three patients were treated with herbal medicine, acupuncture, cupping, Shinbaro pharmacopuncture. The efficacies of the treatments in the three cases were assessed and the progress of the three cases were measured Numerical Rating Scale (NRS), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), European Quality of Life five dimensions dimensions (EQ-5D), and range of motion (ROM) measurements. Results : After all the treatments, NRS, WOMAC, and EQ-5D decreased. Active and passive ROM of the knee increased. Conclusion : These reports show the effect of Shinbaro pharmacopucture on a meniscus tear. Due to the small number of cases in this study, further case reports are needed.

추모공원 설계기법에 관한 연구 -국내외 추모공원 사례를 중심으로- (A Study on Memorial Park Design Method)

  • 김도경;최우영
    • 한국조경학회지
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    • 제31권3호
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    • pp.17-33
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    • 2003
  • This study focuses on design method of the memorial park for the improvement of the funeral culture in Korea. Through the comparative analysis between domestic and overseas cases, this study articulates the issues that should be taken into consideration in the design of memorial park and categorizes such issues in accordance with their types. According to comparative analysis, the characteristics of domestic and overseas cases can be summed up as follows. Most of the overseas cases can be characterized with creative concepts and images in their designs because designs are not only based on the issues articulated in this study but also show a various patterns issue by issue. On the other hand, domestic cases do not show differentiated images from others, which results from the uniform design that disregards the issues articulated in this study. The memorial park for the future should be designed to play a significant role of citizens´ park under the new conceptual framework. Therefore, the issues articulated from this study should be reflected in the design of memorial park. In addition, various types by issue should be introduced to design of memorial park. The purpose of this study is to suggest basic criteria for the design of future pattern, not simply to compare the strength and weakness of different types. This study has a limitation in that it does not offer comprehensive information of what types of memorial park will coincide with the Korean's collective sentiment. Therefore, impending tasks of further researches should involve the opinion and preferences of citizens concerning the design of memorial park.

Meningeal Hemangiopericytoma : Study of 6 Cases and Review of the Literatures

  • Kim, Jong-Hyun;Kwon, Taek-Hyun;Kim, Joo-Han;Park, Youn-Kwan;Chung, Yong-Gu;Chung, Heung-Seob
    • Journal of Korean Neurosurgical Society
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    • 제39권1호
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    • pp.32-35
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    • 2006
  • Objective : Hemangiopericytoma is known as a malignant tumor originating from pericytes and rarely occurs in the central nervous system. We present 6 cases of pathologically confirmed meningeal hemangiopericytoma. Methods : Retrospective study was done based on patient's recordings including radiological studies. Each case of tumors was treated surgically and postoperative radiotherapy was done. Results : There were 5 cases of intracranial and 1 case of spinal hemangiopericytomas. Three of 5 intracranial hemangiopericytomas were located at tentorial region. Total tumor removal was done in 4 cases and postoperative local recurrence (or regrowth) was noted in 3 cases despite of postoperative external radiation therapy, 2 of which had died. Conclusion : Our cases show more frequent tentorial locations and poor clinical outcomes of hemangiopericytomas compared with meningiomas.