6. Impression: C5 complete dislocation & Quadriparalysis
7. 향후 Plan & 보호자에게 말해 줄 수 있는 Complication
Plan: 먼저 Gardner traction으로 decompression (하는 이유: further fracture의 방지 ), 척수 손상으로 호흡정지, 심정지 가능성이 높음. 수술의 필요성 설명.
수술:
Open reduction & Posterior cervical lateral mass screw fi
■ Physical examination
External wound(+): knee
Swelling : spine, hip, knee
Tenderness : spine, hip, knee, foot
Limitation of Motion due to pain : hip, knee, foot
■ Impression
Sacrum fracture
Patella fracture, right side
Base 5th MT, foot fracture, right side
Scaphoid fracture, right side
■ Plan
Bed rest
Operation: open reduction & internal fixation
Pre-Operatio
1.An Abstract
This week’s reading material emphasizethe importance of fiscal decentralization.
In this case analysis we will focus on problems which hinder the progression of fiscal decentralization.
So we chose the case of house acqusition tax reduction which threatens fiscal decentralization and local autonomy.
And to help student’s understanding, we briefly introduce the current
Reduction manufacturing process &
Improve of shipment efficiency
- Changing of Management Cycle in Quarter (of a year) Term
- Scenario management is possible
compilation of
the budget Lead time
Integration of sales & production Plan
Standard cost lead time
- Compilation of the budget
: Fixed Budget (Year base)→ Rolling System(Quarter ba