• Title/Summary/Keyword: 자가 손상 치료

Search Result 174, Processing Time 0.032 seconds

Autotransplantation of an impacted maxillary canine using Rapid Prototyping : A case report (Rapid Prototyping을 이용한 상악 매복 견치의 자가이식 치험례)

  • Cho, Nan-Ju;Lee, Nan-Young;Lee, Sang-Ho
    • Journal of the korean academy of Pediatric Dentistry
    • /
    • v.34 no.3
    • /
    • pp.498-505
    • /
    • 2007
  • Management options for impacted maxillary canines can include (1) continued observation, (2) extraction of the primary canine to aid spontaneous eruption, (3) uncovering and bonding of the impacted tooth and its eruption using orthodontic traction, (4) autotransplantation, and (5) extraction followed by prosthetic replacement. Autotransplantation should be considered when the degree of malposition is too severe to correct by orthodontic alignment. The present report describes the management of an ectopic eruption of the left maxillary canine in an 10-year-old girl. The treatment included the extraction of primary maxillary left canine and the autotransplantation using a Rapid Prototyping model. By using RP model to contour the recipient bone and check for fitting in the prepared socket, the extra-oral time can reduce. The autotransplanted canine showed mobility within normal limit, negative response to percussion and positive to electric pulp test after 6 months.

  • PDF

Legal-systematic alternative to domestic Violence: Therapeutic Jurisprudence (가정폭력에 대한 법제도적 대안: 치료적 사법이념의 관점)

  • Kwang-Bai Park;Hyung-KI Ji
    • Korean Journal of Culture and Social Issue
    • /
    • v.10 no.spc
    • /
    • pp.69-86
    • /
    • 2004
  • A review of literature revealed that damaged self-confidence of men as social agents may be the primary, if not proximal, cause of domestic violence. Accumulated damages in social confidence and self-assurance may be moderated by action repertoire acquired during childhood, and mediated by adulthood circumstances such as marital discords and the lack of social support to result in the typical cycle of violence and subsequent feeling of remorse. The present treatments for the domestically violent men in Korea seem to be ineffective to reduce the number of incidents in the society because the treatments are viewed as punishments by the men, damage their social confidence further by stigmatizing them in the community, and destroy their social resources and support systems. It was suggested in this paper to reduce the role of law enforcement and correctional administration to rehabilitate the currently violent men. At the same time, it was also suggested for the Korean court to implement the paradigm of Therapeutic Jurisprudence in handling domestic violence cases. It was argued that the court should take active roles as a healing and rehabilitating agent by cooperating with non-government community establishments such as hospitals, universities and self-help organizations. The reasons and implications of those suggestions were discussed in detail.

  • PDF

Subcutaneous Emphysema and Inflammation of the Neck after Tracheal Puncture by an Intubating Stylet

  • Jung, Gul;Byun, Woo-Mok;Lim, Hyung-Jun;Kim, Jong-Gyun;Kwak, Dong-Min;Lee, Deok-Hee;Kim, Sae-Yeon;Song, Sun-Ok;Seo, Il-Sook;Jee, Dae-Lim;Kim, Heung-Dae;Park, Dae-Pal
    • Journal of Yeungnam Medical Science
    • /
    • v.24 no.2
    • /
    • pp.344-350
    • /
    • 2007
  • Laryngo-tracheal perforation caused by the use of a stylet during tracheal intubation is a rare complication. We present a case of subcutaneous emphysema and connective tissue inflammation after tracheal intubation. The patient was a 41-year-old male undergoing general anesthesia for an appendectomy. The intubation was difficult during laryngoscopy (Cormack- Lehane Grade III). An assistant provided an endotracheal tube with a stylet inside while the laryngoscope was in place. During intubation, a short, dull sound was heard with a sudden loss of resistance after the distal tip of the endotracheal tube passed the rima glottis. A sonogram and computerized tomography revealed subcutaneous emphysema from the neck to the upper mediastinum and fluid collection between the trachea and the thyroid. This lesion appeared to have been caused by the protruded, loose stylet. Anesthesiologists should be aware of the damage a loose stylet protruding beyond the tip of the endotracheal tube can cause.

  • PDF

Current Update of Cartilage Regeneration Using Stem Cells in Osteoarthritis (골관절염에서 줄기세포를 이용한 연골 재생의 최신 지견)

  • Seon, Jong-Keun;Choi, Ik-Sun;Ko, Jee-Wook
    • Journal of the Korean Orthopaedic Association
    • /
    • v.54 no.6
    • /
    • pp.478-489
    • /
    • 2019
  • Osteoarthritis is a disease characterized by the progression of articular cartilage erosion, that increases pain during joint motion and reduces the ability to withstand mechanical stress, which in turn limits joint mobility and function. Damage to articular cartilage due to trauma or degenerative injury is considered a major cause of arthritis. Numerous studies and attempts have been made to regenerate articular cartilage. In the case of partial degenerative cartilage changes, microfracture and autologous chondrocyte implantation have been proposed as surgical treatment methods, but they have disadvantages such as insufficient mutual binding to the host cells, inaccurate cell delivery, and deterioration of healthy cartilage. Stem cell-based therapies have been developed to compensate for this. This review summarizes the drawbacks and consequences of various cartilage regeneration methods and describes the various attempts to treat cartilage damage. In addition, this review will discuss cartilage regeneration, particularly mesenchymal stem cell engineering-based therapies, and explore how to treat future cartilage regeneration using mesenchymal stem cells.

Effect of Blood Donation on the Donor's Hemorheological Properties (헌혈이 헌혈자의 혈유변학적 지표에 미치는 영향)

  • Lee, Byoung Kwon
    • The Korean Journal of Blood Transfusion
    • /
    • v.29 no.3
    • /
    • pp.229-239
    • /
    • 2018
  • The circulatory system is closely related to the inter-relationship between the anatomy of the heart and blood vessels, and the fluid dynamic properties of blood. The physical properties of blood, which affect blood flow, are called hemorheologic factors. Hemorheologic factors, such as blood viscosity and erythrocyte aggregation, are influenced mainly by hematocrit. A higher hematocrit level results in an increase in blood viscosity, erythrocyte aggregation, which impedes the circulation itself, and tissue oxygenation. An excess of serum ferritin causes injury to vascular endothelial cells and erythrocytes via oxygen free radicals. In addition, an excess of blood can aggravatee the adverse effects of the hemorheologic parameters and induce atherogenesis, microcirculatory disturbances, and major cardiovascular events. A preventive and therapeutic approach with a phlebotomy or blood donation has been stimulated by the knowledge that blood loss, such as regular donations, is associated with significant decreases in key hemorheologic variables, including blood viscosity, erythrocyte aggregation, hematocrit, and fibrinogen. Major cardiovascular events have been improved in regular blood donors by improving blood flow and microcirculation by decreasing the level of oxidative stress, improving the hemorheologic parameters, and reducing the serum ferritin level. Confirmation of the positive preventive and therapeutic effects of blood donations on cardiovascular disease by a well-designed and well-controlled Cohort study may be good news to patients with cardiovascular disease or at risk of these diseases, as well as patients who require a transfusion.

An Implementation of Intelligent Word Relay Game Considering Characteristics of Real World Langunge (언어생활을 반영한 지능적 끝말잇기 프로그램 구현)

  • Lim, Heui-Seok
    • Journal of the Korea Academia-Industrial cooperation Society
    • /
    • v.9 no.1
    • /
    • pp.122-128
    • /
    • 2008
  • An word relay game contributes to rehabilitation and treatment of language disorders such as aphasia. As a computer is better than human in memorizing very large vocabularies, the computer has much advantage over people in word relay game. Such the game result in decrease the motivation of players and patients in treatment of language disorders. To make people to continue word relay and to be effective to remedy language disorders, the game need to be intelligent and familar with a person. This paper proposes an implementation of intelligent Korean word relay game, which considers characteristics of Korean word usage patterns. The gaem is intelligent in constructing vocabulary database and choosing an answer considering the level of player.

각질세포와 섬유모세포가 배양된 고분자 미립구를 이용한 피부재생

  • Gwak, So-Jeong;Kim, Sang-Su;Jeon, Hyeon-Uk;Lee, Yeong-Mu;Park, Mun-Hyang;Song, Gang-Won;Choe, Cha-Yong;Kim, Byeong-Su
    • 한국생물공학회:학술대회논문집
    • /
    • 2003.04a
    • /
    • pp.92-94
    • /
    • 2003
  • The standard cultured sheet grafts for large full-thickness burn wound has been tempered by weak points such as long culture periods, difficulty in handling the fragile sheets, high costs and the detachment of the skin cells from the culture dishes by enzymatic digestion. Here we report on a new technique of using skin cells cultured on spherical microcarriers for skin regeneration. We cultured the human skin cells on biodegradable polymer microcarriers and transplanted onto wounds in the back of nude mice. After 21 days, histological examination showed the regeneration of epithelium. The technique developed in this study overcomes the drawbacks of the current artificial skin grafts, and could be utilized as an efficient skin wound regeneration therapy.

  • PDF

The Study of Depth of Local Acupuncture Points for Rotator Cuff Disorders (회전근개 질환에 사용되는 근위혈들의 자침 심도에 대한 연구)

  • Baek, Seung-Tae;Lee, Seung-Deok;Byun, Hyuk;Kim, Woo-Young;Jeong, Yong-Rae;Lee, A-Ram;Kim, Kap-Sung
    • Journal of Acupuncture Research
    • /
    • v.22 no.6
    • /
    • pp.165-171
    • /
    • 2005
  • 목적 : 견관절 질환의 대부분의 원인을 차지하는 극상근건과 견봉하 점액낭 질환 침치료에 있어서 근위취혈의 관점으로 접근했을 때 손상된 조직인 극상근건과 견봉하 점액낭에 자입하는 것이 중요하다. 어떻게 이 조직에 접근할 것인가에 대해 X선 촬영을 통해 확인해 보고자 한다. 방법 : 4명의 지원자를 받아서 견우혈(LI 15), 거골혈(巨骨穴)(LI 16), 노상혈(UE 57)의 혈자리에 투시촬영을 이용해 자침을 하였다. 투시촬영으로 원하는 조직에 침이 자입되었음을 확인한 후 X선 촬영을 하여 확인하는 방법으로 진행하였다. 결과 : 견우혈(LI 15) 자침시(刺針時) 5cm의 깊이로 직자(直刺)할 때 원하는 조직인 근상근건과 견봉하 점액낭에 도달하는 것을 확인할 수 있었다. 거골혈(巨骨穴)(LI 16) 자침시(刺針時) 5cm의 깊이로 노상혈 부위로 하사자(下斜刺) 했을 때, 노상혈(UE 57) 자침시(刺針時) 5cm의 깊이로 거골혈(巨骨穴) 부위로 상사자(上斜刺) 했을 때 극상근건과 견봉하 점액낭에 도달함을 확인할 수 있었다. 결론 : 극상근건과 견봉하 점액낭 질환을 근위취혈의 관점으로 치료하고자 할 때 견우혈, 거골혈(巨骨穴), 노상혈에 정확한 깊이와 방향으로 자입을 해야 원하는 조직인 극상근건과 견봉하 점액낭에 자입할 수 있음을 확인할 수 있었다.

  • PDF

ARREST OF ROOT DEVELOPMENT AFTER SURGICAL REPOSITIONING OF THE INVERTED MAXILLARY CENTRAL INCISOR : CASE REPORT (역위 매복된 상악 중절치의 외과적 재위치 후 치근 발육 정지)

  • Song, Je-Seon;Choi, Byung-Jai;Choi, Huung-Jun;Kim, Seong-Oh;Son, Heung-Gyu;Lee, Jae-Ho
    • Journal of the korean academy of Pediatric Dentistry
    • /
    • v.34 no.1
    • /
    • pp.162-168
    • /
    • 2007
  • Impaction of the maxillary central incisor may cause social, esthetic, and functional problems in children. There are various means of treatment for the inverted maxillary central incisor, such as extraction, surgical opening followed by orthodontic traction surgical repositioning or intra-alveolar autotransplantation prior to extraction. In this case, we surgically repositioned the inverted maxillary central incisor to normal semi-erupted position in a 5-year-old boy The developmental stage of the inverted tooth was Nolla's 6.5, which indicates formation of less than one third of the root. After surgical reposition, we did follow-up for 21 months, expecting spontaneous growth Unfortunately, poor prognosis was noted further root was not observed. Such failure seems to originate from possible injury on Hertwig's epithelial root sheath by surgical trauma. We performed surgical repositioning to retain the tooth instead of extraction. However, arrest of root development occurred which is one of the critical complications. In order to increase the success rate of the surgical reposition procedure, minimal surgical trauma is required as well as selection of adequate indication and decision of proper time of treatment considering the stage of root development.

  • PDF

Hitological Changes on the Wound Healing Process of Alkali Burned Mouse Cornea (알칼리 화상을 입은 마우스 각막에서 상처 치유과정 중 관찰된 조직학적 변화)

  • Lee, Ji-Young;Lee, Koon-Ja
    • Journal of Korean Ophthalmic Optics Society
    • /
    • v.13 no.4
    • /
    • pp.161-169
    • /
    • 2008
  • Purpose: To better understand the corneal regeneration after alkali burn regarding the initial clinical progression and the therapy, we investigated the changes of the multi factors following chemical injury in cornea. Methods: This study was performed to observation on the healing process of alkali burned cornea in aspect of immunohistochemistry by immunofluorescence or H-E staining and TUNEL assay. Results: The results showed that although a healing process occurred after alkali burn, apoptosis of epithelial, stromal and endothelial cells in the cornea was continuously observed. Neovascularization and expression of ${\alpha}$-smooth muscle actin (${\alpha}$-SMA) from limbus and from injured cornea, respectively, were observed after 3 days of alkali burn. Formation of collagen III in corneal stroma and increased expression of chondroitin sulfate are coincident with expression of ${\alpha}$-SMA and transforming growth factor-${\beta}$ (TGF-${\beta}$). Conclusions: These data suggest that medical treatment within 3 days of alkali burn will be effective to inhibit neovascularization and formation of collagen III and chondroitin sulfate. This study extends our immumohistochemical understanding of healing process in alkali burned cornea, and the results get in this study will be cornerstones in the development of therapeutic agent for accelerating renewal of chemical damaged cornea.

  • PDF