• Title/Summary/Keyword: 동시치료

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Development of Body-Weight-Support System for Walking Rehabilitation (보행 재활을 위한 신체 자중 보상용 모바일 로봇에 관한 연구)

  • Suh, Seung-Whan;Yu, Seung-Nam;Lee, Sang-Ho;Han, Chang-Soo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.11 no.10
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    • pp.3658-3665
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    • 2010
  • As the population of elderly people and disabled people are increased, various demands for human welfare using robot system are raised. Especially autonomous rehabilitation system using robot could reduce the human effort while maintaining the its intrinsic efficacy. This study deals with mobile gait rehabilitation system which combined with BWS (Body Weight Support) for training of elderly and handicapped people who suffer the muscle force weakness of lower extremity. BWS which is designed by kinematic analysis of body lifting characteristics and walking guide system are integrated with main control system and wheeled platform. This mobile platform is operated by UCS (User Command System) and autonomous trajectory planning algorithm. Finally, through the EMG (Electromyography) signal measuring and its analysis for subject, performance and feasibility of developed system is verified.

Congenital Cystic Adenomatoid Malformation Associated with Pectus Excavatum -1 case report (누두흉을 동반한 선천성 낭종성 선종양기형 -1례 보고-)

  • An, Byeong-Hui;Mun, Hyeong-Seon;Na, Guk-Ju
    • Journal of Chest Surgery
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    • v.30 no.2
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    • pp.231-235
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    • 1997
  • Congenital cystic adenomatoid malformation of the lung is a rare pulmonary malformation, Although it is one of the most common congenital anomalies which cause acute respiratory distress in the newborn infants, characterized by marked proliferation of terminal respiratory structures. We have experienced an unusual case of congenital cystic adenomatoid malformation associated with pectus excavatum. The patient was 3-year-old female who suffered from cough and high fever for 20 days, and antibiotic therapy was given in other hospital before transfer to our hospital. The findings on chest X-ray, chest CT, aortogram, and selective bronchial arteriogram showed cystic lesions in the right upper and middle lobe accompanied but severe pectus excavatum. Right bilobectomy for pulmonary lesion and costosternal elevation for pectus excavatum was performed simultaneously with successful result. The postoperative course was uneventful and the patient was discharged on the twentieth postoperative day.

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STABILITY OF SIMULTANEOUS IMPLANTATION WITH AUTOGENOUS ILIAC BONE GRAFT IN THE SEVERELY ATROPHIC MAXILLA (심하게 흡수된 상악골에서 자가 장골 이식술과 동시에 시행한 임프란트 치료의 안정성에 대한 연구)

  • Byun, June-Ho;Park, Bong-Wook;Jeong, Hee-Chan;Kim, Jong-Ryoul
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.28 no.6
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    • pp.570-578
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    • 2006
  • A severely atrophic maxilla may disturb the proper implant placement. The various bone graft techniques are required for simultaneous or delayed implantation in the cases of atrophic alveolar ridges. We present 11 consecutive patients treated with simultaneous implantation using the autogenous inlay and/or onlay bone grafts from iliac crest to the floor of the maxillary sinus and the alveolar crest. In the cases of atrophic maxilla, a total 69 implants were simultaneously placed with autogenous iliac bone graft. 40 fixtures were inserted in the sinus floor simultaneously with subantral block bone graft, the other 29 fixtures were placed in the anterior or premolar areas with block or particulate bone graft. The vertical alveolar bone height was measured with Dental CT at the preoperation and 6 months postoperation. Moreover, the implant stability quotients (ISQ) were measured by $Osstell^{TM}$ during second implant surgery at 6 months later of first implantation. All implants were obtained successful osseointegration with the grafted bone. The mean vertical increases were 3.9mm in the anterior ridges and 12.8mm in the posterior ridges. During the second implant surgery, mean ISQ were 62.95 in the anterior ridge and 61.32 in the posterior ridge. We concluded that the simultaneous implantation with autogenous iliac bone graft were stable and available methods for severely atrophic maxilla.

Picosecond Fluorescence Lifetimes of Hematoporphyrin Derivatives in Solutions and in vitro (용액 및 시험관 실험에서의 헤마토포르피린 유도체 분자의 피코초 형광수명시간 분석)

  • Kim, Hyun-Soo;Chu, Sung-Sil;Kim, Gwi-Eon;Lee, Won-Young;Kim, Ung
    • Progress in Medical Physics
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    • v.6 no.2
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    • pp.61-70
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    • 1995
  • The picosecond time resolved fluorescence spectra of Hematoporphyrin Derivative (HPD) in both solutions and cancer cell are measured by a time correlated single photon counting system with a synchronously mode locked dye laser. Two exoponential decay components in the fluorescence spectra were observed. The slow decay(6.3 ㎱)and the fast one(350 ㎰)are attributed to be originated from monomers and dimers, respectively. The absorption and fluorescence measurements in steady state also showed the presence of a monomeric and dimeric forms of HPD molecules. The monomer lifetime in the cancer cell was measured to be longer than that in solution, which was expected from the blue shift and narrowing of the absorption spectra for HPD-treated in vitro. The relative amplitude of the fast component was found to be enhanced in cancer cell, strongly indicating the higher affinity of the dimer for the cancer cell.

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Studies on Intestinal Trematodes in Korea XI. Two Cases of Human Infection by Heterphyes heterphyes nocens (한국의 간흡충에 관한 연구 XI. Heterophyes heterphyes nocens의 인체감염 2례)

  • 채종일;서병설이순형
    • Parasites, Hosts and Diseases
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    • v.22 no.1
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    • pp.37-42
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    • 1984
  • Two human cases of Heterophyes heterophyes nocens infection were proved by identifying adult worms after treatment with bithionol or praziquantel in 1983 in Korea. They are 37 (Case 1) and 24-year old (Case 2) males whose resi¬dence or native village is a southern coastal area in Kohiing-gun, Chollanam-do. The Case 1 had the gastrointestinal symptoms such as epigastric pain and indigestion, and the Case 2 heart problems such as arrhythmia and ventricular premature beat in EKG and digestive symptoms such as diarrhea and abdominal pain. After the treatments, 35 and 67 specimens of H. hetero¬phyes nocens respectively were collected from the diarrheal stools through stereomicroscopy. The Case 1 was concommitantly infected with Clonorchis sinensis and the Case 2 with 3 other kinds of heterophyid flukes and with Diphyllo¬bothrium latum. The cases said to have eaten raw brackish water fish such as mullets (Mugil cephalus), perches (Lateolabrax japonicus) and gobies (Acanthogobius flavimanus) which are the intermediate hosts of H. heterophyes nocens in Korea.

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Arthroscopic Treatment for Multidirectional Shoulder Instability - Comparison between Thermal Capsulorrhaphy and Transglenoid Suture with Thermal Capsulorrhaphy - (다방향 견관절 불안정성에 대한 관절경적 치료 - 경 관절와 봉합술과 관절낭 축화술을 동시에 사용한 군과 관절낭 축화술을 사용한 군의 비교 -)

  • Rhee, Kwang-Jin;Kim, Kyung-Cheon;Shin, Hyun-Dae;Kim, Young-Mo;Woo, Se-Min;Song, Ho-Sup;Kang, Tae-Hwan;Byun, Ki-Yong
    • Clinics in Shoulder and Elbow
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    • v.9 no.2
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    • pp.162-168
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    • 2006
  • Purpose: To compare the clinical results of arthroscopic transglenoid suture with thermal capsulorrhaphy and thermal capsulorrhaphy on multidirectional shoulder instability. Materials and Methods: From January 1993 to September 2001, 23 patients who received the artrhoscopic treatment were the subjects and follow up period were at least 2 years. Each were subdivided as Group A(7 cases), which took transglenoid suture with thermal capulorrhaphy and Group B(16 cases), who took only thermal capsulorrhaphy. Clinical results were evaluated by Rowe score before and after surgery. Results: After operation according to Rowe score 4(57.1%) were excellent, 1(14.3%) were good and 2(28.6%) were fair in the Group A. for Group B 6(37.5%) were excellent, 2(12.5%) were good, 5(31.3%) were fair and 3(18.8%) were poor. Shoulder instability was recurred in 1(14.2%) case of Group A and 8(50%) cases of Group B during follow up period. Conclusion: Thermal capsulorrhaphy is thought to be a good adjuvent method, if it done with anterior capsular shift by transglenoid suture in multidirectional shoulder instability.

The Current State of Total Shoulder Arthroplasty (견관절 전치환술의 현재)

  • Oh, Joo-Han;Song, Byung-Wook
    • Clinics in Shoulder and Elbow
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    • v.14 no.2
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    • pp.253-261
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    • 2011
  • Purpose: The purpose of the present article is to help orthopedic surgeons better understand the basic principles of unconstrained total shoulder arthroplasty, and to help them perform the best surgical technique for reconstruction. Materials and Methods: In this article, we reviewed in depth current biomechanics, indications & contraindications, surgical techniques, complications and outcomes of unconstrained total shoulder arthroplasty. Additionally, we discussed current issues relevant to total shoulder arthroplasty such as whether a keeled or a pegged glenoid should be used. Results and Conclusion: A thorough understanding of the biomechanics of total shoulder arthroplasty, and the technical details and problems in implantation, are critical to provide the best functional outcome and to avoid the risk of complications.

The Ewha Infant Develomental Screening Test (이화 영아 발달 선별 검사(Ewha Infant Development Screening Test)에 대한 연구)

  • Lee, Keun
    • Clinical and Experimental Pediatrics
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    • v.45 no.6
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    • pp.700-711
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    • 2002
  • Purpose : Early identification and treatment of developmental disabilities is of considerable importance in the health care of children. Screening of development is aimed at identifying infants who may need more comprehensive evaluations. Methods : A new test, the Ewha Infant Development Screening Test(EDST) has been created to screen the development of infants, 0-4 years of age. EDST was constructed so that results can be calculated into developmental ages and developmental quotients. The test consists of three sectors, e.g. language, social-adaptive and motor, and of 158 test items. A total of 104 infants, aged from one month to four years, including healthy infants as well as 10 with chief complaints of developmental delay, who visited the pediatric clinic of Ewha Womans University Dongdaemun Hospital, from June, 25 to November 30, 2001, were given the Bayley Scale of Infant Development as a base test and EDST. Results : The result showed the appropriate cut-off of EDST was 90 with better sensitivity and specificity, compared to cut-offs of 85 or 80. Conclusion : Further study with a large number of infants in the future is needed to make EDST more reliable and accurate.

A Case of ARCI Syndrome with Hypoplasia of Corpus Callosum and Heart Anomaly (뇌교량 형성 부전 및 심기형을 동반한 ARCI 증후군 1례)

  • Kim, Eo-Jin;Yoon, Young-Ran;Lee, Min-Hae;Kang, Ki-Su;Lim, Jae-Young;Choi, Myoung-Bum;Park, Chan-Hoo;Woo, Hyang-Ok;Youn, Hee-Shang
    • Clinical and Experimental Pediatrics
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    • v.46 no.8
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    • pp.826-830
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    • 2003
  • ARCI syndrome consists of arthrogryposis, renal tubular acidosis, cholestatic jaundice and icthyosis. We experienced an ARCI syndrome case with corpus callosum hypoplasia and atrial septal defect. This case had oral feeding difficulty, multiple joint contracture, renal tubular acidosis and neurogenic muscular atrophy at neonatal period. At two months of age, icthyosis and cholestatic jaundice were diagnosed. The case was hospitalized due to pneumonia at four months of age. Corpus callosum hypoplasia and atrial septal defect were detected. The case was treated with a mechanical ventilator because pneumonia was aggravated and respiratory failure occurred. The patient expired at five months of age.

The Necessity and the Characteristic of Picture Books for the Silver Generation (실버세대를 위한 그림동화책의 필요성과 특성)

  • Li, Shu;Oh, Chi-Gyu
    • The Journal of the Korea Contents Association
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    • v.16 no.2
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    • pp.387-397
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    • 2016
  • The purpose of this study is to suggest design characteristics of picture books for silver generation empirically through academic consideration of necessity and characteristics of picture books targeting silver generation. Through an analytical result of literature materials such as library and information science, pedagogy, and literature therapeutics, and aging phenomenon, picture books help mental and physical health of silver generation, but picture books for silver generation are insufficient in comparison with demand. Therefore, a theoretical basis of study and development of fairy tale books for silver generation is acutely needed. This study suggested that close attention for characteristics of silver generation is needed to solve a problem about dyslexia of silver generation in story, picture(expression, size, layout, structure, and color), and typography of characteristic factors of picture on designing fairy tale books for silver generation, suggesting needs to develop picture books reflecting characteristics such as visual organ, body function, and psychological factor of silver generation. In addition, design characteristics for composition of picture books for silver generation will be used as part of advanced data in a study on solid analytical data through an actual analysis on silver generation in the future.