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노령의 대퇴 전자간 골절 치료에서 압박고 나사못의 안정성 및 유용성
김종오,노권재,윤여헌,고영도,유재두,정준모,방한천,정재학 대한골절학회 2003 대한골절학회지 Vol.16 No.2
목 적: 노령의 대퇴 전자간 골절에서 압박고 나사못의 안정성에 영향을 주는 인자들간의 상관 관계와 골절 양상에 따른 술후 고관절 기능을 평가 및 분석하였다. 대상 및 방법: 압박고 나사를 이용하여 수술적 치료를 시행한 231명의 환자 중 6개월 이상 추시가 가능하였던 60세 이상 84명의 환자들을 대상으로 했다. 방사선적 계측은 압박고 나사못의 활강 길이 및 내반각, 가압 나사 위치, 정복 상태, 원위 골편의 내측 전위를 측정하였으며 술후 기능은 Clawson의 기능 평가표로 하였고 골절 양상에 따라 방사선 계측과 기능 회복과의 상관 관계를 평가하였다. 결 과: 임상 결과는 불안정 골절에서 양호가 10례, 불량이 23례, 안정 골절에서는 양호 40례, 불량이 11례로 안정 골절에서 임상 결과가 좋았고(p<0.001), 압박고 나사 활강은 10 ㎜ 이상일 때 양호가 4례, 불량이 21례, 10 ㎜ 이하에서 양호가 46례, 불량이 13례로 10 ㎜ 이상 활강시에 술후 결과가 불량했다(p<0.001). 다르 방사선적 계측 요인은 결과에 의미있는 차이를 보이지 않았다. 또한, 불안정 골절 중에서 전위 양상 골절의 경우 10㎜ 이상 활강이 12례, 10㎜ 이하 활강이 8례, 분쇄 양상 골절의 경우는 10㎜ 이상이 11례, 10㎜ 이하가 2례로 분쇄 양상의 불안정 골절에서 10㎜ 이상 활강이 의미있게 많았다 (p<0.001). 결 론: 10㎜ 이상의 지연 나사 활강은 고관절 기능 회복 약화를 유발시킬 수 있으며 불안정 골절 분쇄 양상 골절은 이런 지연 나사의 활강이 과도하게 유발될 수 있으므로 불안정 분쇄 양상 골절에서 압박고 나사의 단독 사용은 재고해 보아야 할 것이다. Purpose: To evaluate the relationship between fracture stability and functional results, and analyze the correlation between stability factors and the outcome in intertrochanteric fracture of the elderly. Materials and Methods: Of the 231 patients, 84 patients with age above 60 were able to follow up for minimum 6 months. We measured the sliding length of the lag screw, varus degree, position of lag screw, reduction status and medialization of distal fragment radiologically. The functional outcome of the treatment was evaluated with the Clawson's result classification and we evaluated the correlation between the radiological results of measurement and the functional recovery depending on the Evans fracture classification. Results: There were good results in 40 cases out of 51 stable fractures, and in 10 cases out of 33 unstable fractures (p<0.001). In case of sliding of lag screw more than 10㎜, good results were obtained in 4 cases, and poor in 21. And in case of sliding less than 10㎜, good results were obtained in 46, and poor in 13. (p<0.001).But there was no relationship between other radiologic factors and clinical results. In unstable type, there were 12 cases with lag screw sliding more than 10㎜ and 10 cases with less than 10㎜. In comminuted type, there were 11 cases with lag screw sliding more than 10㎜ and 2 cases with less than 10㎜(p<0.001). Conclusion: The sliding of lag screw more than 10㎜ may result in poor outcome. As in comminuted unstable pattern, sliding of lag screw might be excessive, the use of compression hip screw alone is not good treatment option.
Roh, Sung-Woo,Ahn, Jae-Sung,Sung, Han-Yoo,Jung, Young-Jin,Kwun, Byung-Duk,Kim, Chang-Jin The Korean Neurosurgical Society 2011 Journal of Korean neurosurgical society Vol.50 No.3
Objective : To investigate the efficacy of extracranial-intracranial (EC-IC) bypass surgery using a radial artery interposition graft (RAIG) for surgical management of cerebrovascular diseases. Methods : The study involved a retrospective analysis of 13 patients who underwent EC-IC bypass surgery using RAIG at a single neurosurgical institute between 2003 and 2009. The diseases comprised intracranial aneurysm (n=10), carotid artery occlusive disease (n=2), and delayed stenosis in the donor superficial temporal artery (STA) following previous STA-middle cerebral artery bypass surgery (n=1). Patients were followed clinically and radiographically. Results : Bypass surgery was successful in all patients. At a mean follow-up of 53.4 months, the short-term patency rate was 100%, and the long-term rate was 92.3%. Twelve patients had an excellent clinical outcome of Glasgow Outcome Scale (GOS) 5, and one case had GOS 3. Procedure-related complications were a temporary dysthesia on the graft harvest hand (n=1) and a hematoma at the graft harvest site (n=1), and these were treated successfully with no permanent sequelae. In one case, spasm occurred which was relieved with the introduction of mechanical dilators. Conclusion : EC-IC bypass using a RAIG appears to be an effective treatment for a variety of cerebrovascular diseases requiring proximal occlusion or trapping of the parent artery.
Wrinkling control of inflatable booms using shape memory alloy wires
Yoo, Eun-Jung,Roh, Jin-Ho,Han, Jae-Hung Institute of Physics Publishing 2007 Smart materials & structures Vol.16 No.2
<P>An inflatable boom is a fundamental structural part of inflatable space structures maintaining the expected configuration of the whole system, supporting external loads and guaranteeing the efficiency of the membrane surface. The inflatable structure is a thin film structure compactly packaged and expanded to the desired configuration by the internal gas pressure. But the structures can be easily distorted and even collapsed by wrinkling. In this study, the behavior of an inflatable boom structure is investigated numerically and experimentally. To achieve a better bending strength, the methodology to control the wrinkling growth and the deformed configuration of the inflatable boom structure with a shape memory alloy (SMA) wire actuator is developed. To understand the nonlinear behavior of an inflatable boom due to wrinkling, the structure is numerically modeled using the ABAQUS finite element program with a wrinkling algorithm developed based on the Miller–Hedgepeth membrane theory. To verify the present analysis method, the inflatable boom made of Kapton film is examined by the bending tests with various internal pressures. To delay the growth of wrinkling that rapidly deteriorates the bending strength of the inflatable boom, a SMA wire actuator is applied. SMA wires are attached on the edge of the inflatable boom and generate a recovery force to remove wrinkling and restore the deformation of the boom. </P>
Yoo, Roh-Eul,Yun, Tae Jin,Rhim, Jung Hyo,Yoon, Byung-Woo,Kang, Koung Mi,Choi, Seung Hong,Kim, Ji-Hoon,Kim, Jeong Eun,Kang, Hyun-Seung,Sohn, Chul-Ho,Han, Moon Hee American Heart Association, Inc. 2015 Stroke Vol.46 No.2
<P><B>Background and Purpose—</B></P><P>The purpose of this study was to evaluate whether bright vessel appearance on arterial spin labeling (ASL) MRI can help localize arterial occlusion sites in patients with acute ischemic stroke.</P><P><B>Methods—</B></P><P>Patients who underwent MRI for suspected acute ischemic stroke, as identified by an area of restricted diffusion, were included. All images were visually analyzed for the presence or absence of (1) arterial occlusion on time-of-flight MR angiography, (2) bright vessel appearance on ASL images, and (3) susceptibility vessel sign. McNemar 2-tailed test was used to compare the sensitivities of ASL and susceptibility-weighted imaging for the detection of arterial occlusion, using MR angiography as the reference standard.</P><P><B>Results—</B></P><P>ASL bright vessel appearance was significantly more common in the group with occlusion than in the group without occlusion (94% [33 of 35] versus 21% [17 of 82], respectively; <I>P</I><0.001). The bright vessel appearance, when present, was seen proximal or distal to the occlusion site. The bright vessel appearance had a significantly higher sensitivity for the detection of occlusion than the susceptibility vessel sign (94% [33 of 35] versus 66% [23 of 35], respectively; <I>P</I>=0.002). In cases with negative MR angiography, the bright vessel appearance helped identify more additional arterial occlusions than the susceptibility vessel sign (21% [17 of 82] versus 10% [8 of 82], respectively; <I>P</I>=0.012).</P><P><B>Conclusions—</B></P><P>The bright vessel appearance on ASL imaging can provide an important diagnostic clue for the detection and localization of arterial occlusion sites in patients with acute ischemic stroke.</P>
일부 산업보건관련 기관의 분석실험실 안전보건에 관한 실태와 대책
노영만,원정일,한진구,유계묵 한국산업위생학회 2000 한국산업보건학회지 Vol.10 No.2
This study was conducted at occupational health laboratories in Seoul and Gyunggi district area from December, 1999 to January, 2000. The main purpose of this study was to survey the actual condition of safety and health by questionnaire and checklist and to assess the performance of fume hoods and the airborne exposures to chemicals in the laboratories. The chemicals in the cabinet were not classified by hazardous properties and the compressed gases ware not stored safely. The prevalences of laboratories having first aid kits, fire extinguishers, and safety showers were found to be 18%, 55%, and 9%, respectively. Most laboratory workers were not educated for safety and hearth. Also, there was no performance evaluation for hazards and risks. The fume hoods in laboratories had not been annually inspected by checklist and the face velocity had been checked more than one time in the previous year for only 18% of them. Five percent of fume hoods had the face velocity more than 4.0 m/sec and 17% had no capture performance. Detected organic solvents were methylenechloride, acetone, ethylbenzene, isopropanol, xylene, methylisobutylketone, trichloroethylene, and toluene. The concentrations of organic solvents were much less than the occupational exposure limits proposed by the Ministry of Labor in Korea. This study showed that the actual condition of safety and health was not appropriate for laboratory workers. It is recommended that laboratory workers should be educated for the treatment and storage of hazardous chemicals and compressed gases to improve the working environment of the occupational safety and health laboratories.