• 구강회복응용과학지
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• 제17권3호
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• pp.145-154
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• 2001

In the past, many dentist were interested mainly in the mechanical aspects such as tooth preparation and retainer types for making dental restoration. But, these days, the concept of restorative treatment emphasizes the importarce of gnatic system and masticatory muscles in addition to oral cavity. So, the current considerations for the fixed prosthodontic treatment include the stabilization of temporomandibular joint and neuromuscualr system and the relationship of periodontal ligament and occlusion. To achieve the above objectives, occlusal splint has been used as one of the mouth preparations for restorative treatment. The objectives of occlusal splint are as follows; 1. To use as preliminary application for periodontal-occlusal treatment 2. To provide proper vertical dimension 3. To control abnormal habits and parafunction 4. To treat the temporomandibular disease and myofascial pain 5. To establish the new therapeutic position In some cases, the patients had improper vertical dimension and occlusal interferences caused by prostheses reconstucted using centric relation recorded without considering the health of TMJ and manticatory muscle. And these prosthesis act as primary source that cause pathologic phenomenon in periodontal ligament, muscles and TMJ. Physiologically, in order to make the treatment occlusion guided by proper centric relation method, the method should be guided after the use of occlusal splint for some period. The main objective of prosthetic treatment is to maintain the function and health of stomatognathic system. So, one of the most important things that have to be performed by clinicians is a clinical ability to do the correct diagnosis and treatment planning based on the stomatognatic function and occlusion.

• 구강회복응용과학지
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• 제20권2호
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• pp.71-81
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• 2004

The purpose of this study was to compare the distributing pattern of stress on the finite element models of two units implant prosthesis with one angulated placement of two implant fixtures. The two unit implant crowns simulated to mandibular first and second molars were made. The two kinds of finite element models were designed according to angulation of fixture ($4.0mm{\times}11.5mm$) : Model 1($15^{\circ}$ buccally angulated placement of one fixture on second molar area), Model 2($15^{\circ}$ lingually angulated placement of one fixture on second molar area). Axial loads of 200N were applied to the center of central fossa and to distance of 2mm and 4mm apart from the center of central fossa. Von-Mises stresses were recorded and compared in the fixtures, and buccolingual section of implants. The results were as follows: 1. Under axial loading at the central fossa, the stress was distributed along the straight fixture except apical portion, while on buccally or lingually angulated placement, the highest stresses were concentrated in the neck portion on the opposite side of the angulated fixture. 2. With offset distance increasing, the stresses were concentrated greater in buccal neck of lingually angulated fixture than in lingual neck of buccally angulated fixture. From the above results, in designing of the occlusal scheme for implant prosthesis with the angulated fixture, occlusal contacts should be placed to distribute stress axially in maximum intercuspation and to avoid offset force during eccentric movements.

• 구강회복응용과학지
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• 제23권1호
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• pp.43-53
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• 2007

The purpose of this experimental study was to examine the effect of the decontamination of carbon dioxide ($CO_2$) laser in treatment of ligature-induced peri-implantitis in dogs. A total 24 implants with a sandblasted with large-grit and acid-etched (SLA) surface were inserted in six mongrel dogs. After a 3-month healing period, experimental peri-implantitis characterized by a bone loss of about 3mm was established by inducing with wires. And then wires were removed and plaque control was implemented. Surgical treatment involving flap procedure + debridement of implants surface with chlorhexidine and saline (group 1), flap procedure + GBR with absorbable collagen membrane (Bio-Gide) and mineralized bone graft (Bio-Oss) (group 2), and flap procedure + $CO_2$ laser application + GBR (group 3) was performed. The animals were killed 8 weeks and 16 weeks after treatment, respectively. A histomorphometric analysis confirmed statistically considerable new bone formation within the limit of the 5 most coronal threads in group 3 compared with group 1 at 16 weeks (P<0.05). And intragroup analysis showed considerable increase of new bone formation in group 3 at 16 weeks compared with 8 weeks (P<0.05). The present study demonstrates considerable new bone formation after treatment of experimental peri-implantitis with flap procedure, $CO_2$ laser application and GBR.

• 대한예방한의학회지
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• 제18권2호
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• pp.69-80
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• 2014

Objective : The purpose of this study was to investigate the effects of Intensive management program of home visiting health service for community dwelling Clients with Arthralgia. Method : A nonequivalent control group pretest-posttest design was used for this study. Elderly people who agreed to participated in the study were assigned to an experimental group (n=30) or a control group (n=30). For an experimental group, The Intensive Management program was given as a home visiting health service once a week for 8 weeks. Study outcomes were measured by structured questionnaires from August, 2013 to october. For data analysis, Chi-square test, Fisher's exact probability test, independent t-test, and paired t-test were performed using SPSS version 17.0. Results : Changes in pain, fatigue, medical service utilization and self management compliance were significantly different between the two groups in pretest and posttest(t=-4.828, p < .001), (t=-4.944, p =.001), (t=2.176, p =.039), (t=3.141, p =.003). And there were significant difference between the two groups in left extension and flexion of knee(t=-2.241, p < .031), (t=2.166, p < .037). Conclusion : The intensive management program was effective on decreasing pain, fatigue, medical service utilization, and increasing flexibility of knee joint and self-management compliance of community dwelling clients with arthralgia.

• 한국운동역학회지
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• 제15권2호
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• pp.93-102
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• 2005

The purpose of this study was to examine the effect of step length on the joint moment. The subjects were 4 undergraduate and graduate students in their 20s with normal legs. The subjects were individually tested by the running timer at the walking speed of 0.67m/s, 134m/s, and 2.46m/s. The step length was regulated to -10% of normal, normal and +10% of normal step length using foot print. The walking performances of each subjects were filmed using a high speed video camera. The raw data were analyzed by LabVIEW Graphical Program and these data were analyzed by ANOVAs and Scheffe. The results of this study were as follows: The maximum dorsiflexion moment of the ankle joint increased as the step length increased only at the fast walking speed. Although there wasn't significant difference shown in the plantar flexion moment, regular pattern in the plantar flexion moment which increased as the step length increased was found. The first maximum extension moment of the knee joint increased only at the normal walking speed, but there appeared no significant difference in the maximum flexion and second extension moment. The maximum extension moment of the hip joint increased at the normal and fast walking speed. Although there wasn't significant difference, regular pattern in flexion moment which increased as the step length increased was found.

• 대한골관절종양학회지
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• 제17권2호
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• pp.106-110
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• 2011

요추부 척추관 협착증과 경막내 종양이 동반되어 있는 환자에서, 척추관 협착증에 대한 수술적 치료만 시행하였다가 수술 후 증상이 잔존할 수 있다. 본 증례는 척추 신경이 척추관 협착증으로 인한 외적인 압박과 함께, 종양의 공간 점유로 경막내 압박을 동반하였던 경우로, 신경 감압술과 경막내 종양의 제거를 동시에 시행하여 성공적으로 치료되었기에 문헌 고찰과 함께 보고하는 바이다. 71세 여자환자가 하부 요통 및 양측 하지로의 방사통을 주소로 내원하였다. 자기 공명 영상에서 제 4-5 요추부는 척추관 협착증 소견과 함께 제 5 요추-제 1 천추부에 경도의 척추 전방 전위증 소견이 관찰되었고, 제 4 요추체 부위에서 타원형의 경막내 공간의 대부분을 점유하는 종괴가 관찰되었다. 후방 도달법으로 감압술 및 유합술을 시행한 다음, 정중 경막 절개술을 통해 종괴를 제거하였다. 조직 검사상 신경초종으로 진단되었고, 수술 후 증상은 현저히 호전되었다.

• 구강회복응용과학지
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• 제19권2호
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• pp.115-124
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• 2003

One of the important things in the full mouth reconstruction is the determination of therapeutic position. Centric jaw relation is used as a therapeutic position for the full mouth reconstruction. There are several techniques associated with recording this position. Five clinically acceptable techniques are as follows: 1) Swallowing or free closure, 2) Chin point guidance, 3) Bimanual method 4) Myo-monitor technique, 5) Anterior deprogrammer. Centric relation obtained utilizing the anterior acrylic resin platform in this case. Another important thing in full mouth reconstruction is provisional restoration. Provisional restorations are an excellent diagnostic instrument, especially in full remain esthetics, phonetics, function, parafunction, and dysfunction after evaluation and acceptance through clinical trial with the provisional restorations should be accurately transferred to the final restorations to ensure the same clinical success. Especially, anterior guidance should be accurately transferred to the final restorations. An accurate anterior guidance is critical for optimal esthetics, phonetics, comfort, function, stress minimization, and longevity of teeth and restorations. To record optimum anterior guidance, customized anterior guide table is used in this case. Considering previously mentioned points, we did successive treatment. And it resulted in a better situation esthetically and functionally. Followings are what we cared in treating a patient in this case. 1) Accurate centric relation recording 2) Accurate transference of anterior guidance to the final restorations.

• Korean Journal of Acupuncture
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• 제23권4호
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• pp.111-122
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• 2006

본 증례에서는 후천성으로 나타난 경련성 사경증 2례에 대해 외래 진료로 각각 3개월(91일간 54회), 5개월 반(167일간 90회)동안 FCST의 음양균형장치를 주 치료수단으로 하고 침구치료, 도수치료, 약물치료를 보조 치료수단으로 하여 치료하였다. 2례 모두 시각적 상사 척도(VAS)를 적용하여 평가해보았을 때 완전한 호전이 이루어졌다고 판단되었고, 임상적 관찰과 환자의 주관적 구술에서도 모든 증상의 소실과 정상 회복을 확인하고 치료를 종료하였다. 이후 각각 5개월에서 10개월 간 추적 관찰한 결과 모두 정상적인 생활을 하고 있음을 확인하고 치료 효과의 정상 유지를 관찰했다. 이로써 아탈구된 상부경추와 뇌신경계 및 경락체계의 불균형과 경련성 사경의 유의한 관련성을 유추해볼 수 있었으며, 이의 회복에 음양균형장치를 활용하여 악관절의 다차원적인 이상적 음양중심균형위치를 찾아줌으로써 척추를 비롯해 뇌와 경락체계를 조절해줄 수 있다는 FCST의 치료원리가 유의한 결과로 입증된 경우라 사료된다.

• Parasites, Hosts and Diseases
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• 제31권1호
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• pp.1-6
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• 1993

현재 인체에는 기새하는 Taenia 조충으로는 돼지고기 유구낭미층(Cysticercus cellulosae)을 먹어서 감염되는 Taenia solium Linnaeus 1785과 쇠고기의 무구낭미층(Cysticercus bovis)을 먹어서 감염되는 Taenia saginata Goeze 1782 두 종이 알려져 있다. 한편 인체에 기생하는 제 3의 Taenia 조충으로 최근 타이완, 한국, 인도내시아, 태국, 필리핀 등 아시아국가를 중심으로 발견되는 Asian Taenia saginata 조충은 돼지나 소의 간 또는 내장에 있는 내장형낭미충을 먹어서 감염되는 것으로 추정된다. 그러나 이러한 생활사상의 구분에도 불구하고 형태하적으로는 본충이 Taenia saginate Groeze 1782와 유사하기 때문에 아직 신종으로 인정되지 않은 상태이다. 이에 연구자들은 Asian Taenia saginata 조충의 형태학적 구분점을 새로이 발견하고 학명으로서 Taenia asiatica sp.n.(한국명:아시아조총)을 제시하고자 한다. 감별적으로는 1.선충의 두절에 있는 액취의 존재, 2. 성충의 수태편절에서 관찰되는 자궁세지의 수, 3.성충의 수태관절에서 관찰되는 미돌기의 존재 및 4.유추의 낭벽표면에서 관찰되는 사마귀양 구조가 광학 및 전자현경적으로 관찰되었다. 이중 '자궁세지'와 '미돌기'는 새로이 관찰하여 기재하는 구조물로서 처음으로 Taeniid의 종감별에 사용하였다.

• 대한임상전기생리학회지
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• 제8권2호
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• pp.13-18
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• 2010

Purpose : This study investigates the effects on balanced ability and ankle joint muscle following balance pad and trampoline training periods in order to report a clinical directing about this matter. Methods : A total of nine members participated in a balance training program that put a balance pad and trampoline to use. Participants trained three times a week for thirty minutes in groups of six. Resting time was set for two minutes. EMG (median frequency and root mean square) was used to measure muscle activity at 3 weeks and 6 weeks, respectively. The tibialis anterior and gastrocnemius muscles were measured. Participants were measured with eyes open and closed. Results : The median frequency showed a significant difference according to the change in time in both muscles. Also, results showed a significant interaction between eyes open and closed in the gastrocnemius muscle. The root mean square only showed a significant difference according to the change in time in the gastrocnemius muscle. Conclusion : We suggest that the balance pad and trampoline training influence a decrease in the recruitment rate of slow twitch muscles through an improvement in balance ability; however, the training did not show a statistically significant difference with regards to eyes open and closed.