• Title/Summary/Keyword: 전두부

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Reflex seizures induced by micturition : A pediatric case and ictal EEG finding (배뇨 유발 반사 발작 : 소아에서 발작시 뇌파를 시행한 1예)

  • Rho, Young Il
    • Clinical and Experimental Pediatrics
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    • v.51 no.12
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    • pp.1346-1349
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    • 2008
  • Reflex seizures induced by micturition are rare, and there have been few reports on ictal electroencephalogram (EEG) findings. Here, we report a 7-year-old boy with secondarily generalized partial seizures induced by micturition. The seizures occurred every time he urinated. A few seconds after micturition begun, he toppled down with hand automatism followed by a secondarily generalized tonic posture and loss of consciousness. Ictal video-EEG recording during urination was performed. An ictal EEG demonstrated a polyspike wave discharge onset from the left frontotemporal region, with rapid spread to the right frontotemporal region. He was treated with the antiepileptic drug valproate sodium, which improved seizure control. He remained seizure-free until the last followup for a period of 2 years.

The effects of mandibular setback osteotomy on the oropharyngeal airway space in mandibular prognathic patients (하악전돌 환자에서 하악골 후퇴수술이 기도공간에 미치는 영향)

  • Kim, Hyo-Young;Choi, Hyun-Gue;Kim, Eun-Kyung;Kim, Jong-Ghee
    • The korean journal of orthodontics
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    • v.27 no.5 s.64
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    • pp.733-741
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    • 1997
  • As a result of surgical orthodontic treatment of mandibular prognathism, changes take place in the skeletal and soft orofacial components. Although some investigators had stated that permanent reduction of airway space was observed after mandibular setback surgery, it was not clear that this permanent reduction was sustained during long-term follow-up. The purpose of this study was to assess the changes in oropharyngeal airway space and soft tissue orofacial component following the mandibular setback surgery and during the follow-up period. The correlation between the changes of the oropharyngeal airway space and the changes of other soft tissue orofacial component was also assessed. The findings of this study were as follows ; 1. The oropharyngeal airway space area decreased following mandibular setback surgery for mandibular prognathism and continued to decrease during the follow-up period(p<0.05). 2. The pharyngeal depth at Xi point level and the 2nd cervical vertebra point level decreased after the surgery and remained during the follow-up period(p<0.05). The decrease of these pharyngeal depth was correlated with the decrease of oropharyngeal airway space area(p<0.01). 3. The decrease of pharyngeal depth at the 3rd and 4th cervical vertebra point level was not significant after the surgery and during the follow up period. 4. The hyoid bone moved downward after the surgery(p<0.05), but returned to its original position during the follow-up period. 5. The length & height of tongue and the Position of epiglottis base did not change significantly(p>0.05). 6. The soft palate was displaced posteriorly after the surgery and remained to its changed position during the follow-up period(p<0.05) due to posterior displacement of tongue. The changes of soft palate were significantly correlated with the decrease of oropharyngeal airway space area(p<0.01). 7. The narrowing of oropharyngeal airway space was due to the posterior displacement of tongue above the level of epiglottis tip. The posterior displacement of tongue following mandibular setback osteotomy remained during the follow-up period.

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Experimental study on vehicle-induced unsteady flow in tunnel (터널에서 차량의 운행에 의해 생성되는 비정상 유동에 대한 실험적 연구)

  • Kim, Jung-Yup;Shin, Hyun-Joon
    • Journal of Korean Tunnelling and Underground Space Association
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    • v.11 no.4
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    • pp.411-417
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    • 2009
  • The thermo-flow field in road tunnel is influenced by some facts such as piston effect of vehicle's move, operation of ventilation facilities, natural wind and buoyancy effect of fire plume. Among those, piston effect is one of primary causes for formation of air flow in road tunnel and has an effect on initial direction of smoke flow in tunnel fire. In this study to analyze the unsteady flow in the tunnel caused by the run of vehicle, the experimental study of vehicle-induced unsteady flow on a reduced-scale model tunnel is presented. While the three types of vehicle shape such as basic type of rectangular shape, diamond-head type and stair-tail type are changed, the pressure and air velocity variations with time are measured. The rising ratio of pressure and velocity are in order of "basic type of rectangular shape > stair-tail type > diamond-head type". The experimental results would be good data for development of a numerical method on the vehicle-induced unsteady tunnel flow.

Analysis of Rotatory Equilibrium Sense using Rotating Stimulator (회전 자극기를 이용한 회전평형 분석)

  • 기호성;김종윤;양길태;김동욱;송철규;김남균
    • Proceedings of the Korean Society for Emotion and Sensibility Conference
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    • 2000.11a
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    • pp.202-206
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    • 2000
  • 본 연구에서는 회전 자극기를 이용하여 성별에 따른 회전 평형감각 특성을 분석하였다. 피검자는 정상성인 남녀 각각 10명에 대해, 두부회전과 rotatory chair test(RCT)에 의한 회전자극 전과 후의 변화정도를 살펴보았고, COP, Flicker Test, 적외선 카메라를 이용한 체열 측정 등을 통해 전정자극 특성을 평가하였다. 그 결과 COP를 통한 신체동요도 측정 결과 회전자극 제시 후 두부회전의 경우 총 누적거리가 1.47배, RCT의 경우 1.78배까지 증가했고, 플리커 치는 여성(8.6%)이 남성(5%)보다 높게 나타났고, 여성이 남성보다 회전자극에 민감함을 알 수 있었다. 또한, 남녀 모두 회전 자극 후 눈 주위의 온도상승이 미소하게 일어남을 알 수 있었다.

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The Effect of an Interocclusal Appliance on Head and Neck Posture (교합장치물이 두경부 자세에 미치는 영향)

  • Eun-Ha Kim;Keum-Back Shin;Ik-Jun Lim
    • Journal of Oral Medicine and Pain
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    • v.19 no.2
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    • pp.81-97
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    • 1994
  • 두개하악장애는 환자의 신체적 소인, 관련조직의 구조적 변화, 정신적 스트레스 등의 복합적 요인에 의 발생하는 다인성 질환으로 최근 대두되는 원인중의 하나가 신체, 특히 두경부의 자세이상이다. 비정상적인 두경부자세는 하악의 위치변화를 수반하여 종종 두개하악장애를 야기시키게 되나 이를 설명할 수 있는 과학적 증거는 아직 부족한 실정이다. 저자는 두경부 자세가 교합장치물에 의해 변화되는지를 저작근의 근전도학적 측면에서 규명하고자 21세에서 26세의 치과대학생으로 치아상실 및 교합간섭이 없고 두 개하악장애의 증후 및 경부운동제한을 가지지 않은 정상인 20명을 대상으로 각도계를 사용하여 시상면상에서 인위적으로 유도한 세 가지의 두경부자세변화 (0$^{\circ}$, 30$^{\circ}$ 굴절, 45$^{\circ}$ 신전)에 따른 교합안정장치의 장착(1시 간) 전후 및 안정위와 근접촉위(초기치아접촉위)에서의 두경부 근육(측두근, 교근, 악이복근)의 근전도를 Bioelectric Microprocessor EM2ⓡ를 사용하여 측정한 후 통계학적으로 비교, 분석, 평가하여 다음과 같은 결과를 얻었다. 1. 교합안정장치 장착전 하악 안정위 및 근접촉위에서 두부의 30$^{\circ}$굴절은 악이복근의 근활성도를, 45$^{\circ}$신전은 교근 및 악이복근의 근활성도를 증가시켰다.(p<0.05) 2. 교합안정장치 장착후 하악 안정위에서 두부의 30$^{\circ}$굴절은 악이복근의 근활성도를, 45$^{\circ}$신전은 교근 및 악이복근의 근활성도를 증가시켰으며, 하악 근접촉위에서 두부의 45$^{\circ}$신전은 악이복근의 근활성도를 증가시켰다(p<0.05). 3. 교합안정장치 장착 전후 및 두부의 30$^{\circ}$굴절, 45$^{\circ}$신전에 따른 측두군 및 교근의 하악 근접촉위에서의 근활성도가 안정위에서의 근활성도에 비해 유의한 증가를 나타냈다(p<0.05).

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Characteristics of Skeletodental Pattern in High Angle Cases (수직적으로 긴 안모의 두부방사선계측학적 특징)

  • Kim, Sang-Cheol;Kang, Kyung-Wha;Lee, Kyung Whan
    • The korean journal of orthodontics
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    • v.28 no.6 s.71
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    • pp.937-946
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    • 1998
  • The patient with an anterior open bite has one of the most difficult orthodontic problem to correct. Previous studies have yielded different conclusions as to exactly where the morphologic problems associated with vertical dysplasia-high angle cases are located. In order to identify the cephalometric features of high angle cases and highlight the measurements that characterize high angle cases, 109 pretreatment cephalograms, 35 high angle, 37 average angle, and 37 low angle cases, were analyzed and compared statistically. As the mandibular plane was steeper, the anterior facial height, especially lower anterior facial height, became greater, and the posterior facial height became smaller. All the dentoalveolar vertical dimensions, especially in upper, increased. And all the skeletal angular measurements increased. Especially Lower genial angle had most positive correlation to mandibular Plane angle. Upper incisor was lingually inclined, and lower incisor was labially inclined in high angle cases.

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Technical Feasibility and Field Applicability Analysis of an All-in-one Attachment-based PHC Pile Head Cutting Robot (PHC 파일 원커팅 두부정리 자동화 로봇의 기술적 타당성 및 현장 적용성 분석)

  • Yeom, Dong-Jun;Kim, Jun-Sang;Kim, Young Suk
    • Korean Journal of Construction Engineering and Management
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    • v.21 no.2
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    • pp.98-106
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    • 2020
  • Conventional method of PHC pile head cutting work has several challenges with regard to safety, convenience, productivity, and quality. To address such problems, a prototype of the all-in-one attachment-based PHC pile cutting robot is developed(Yeom, 2018). The Primary objective of this study are to develop a final prototype of all-in-one attachment-based PHC pile cutting robot and to analyze technical feasibility and field applicability of final prototype. According to the technical feasibility and field applicability analysis result, at least 74.2% of the respondents are selected positive answer about technical feasibility of the final prototype, at least 66.6% of the respondents are selected positive answer about field applicability of the final prototype. It is expected that when deployed onsite, the final prototype can not only increase the practical use but also improvement the work safety and productivity of work at the PHC pile head cutting job site.

Functional-Magnetic Resonance Imaging and Transcranial Magnetic Stimulation in a Case of Schizencephaly (뇌열 1예의 기능적 자기공명영상과 경두부 자기자극)

  • 변우목;한봉수;이재교;장용민
    • Investigative Magnetic Resonance Imaging
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    • v.4 no.1
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    • pp.14-19
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    • 2000
  • Purpose : This study was to present the functional brain mapping of both functional magnetic resonance imaging(MRI) and transcranial magnetic stimulation(TMS) in a case of schizencephaly. Materials and methods : A 28-year-old man, who had left hemiplegia and schizencephaly in right cerebral hemisphere, was exacted with both functional MRI and TMS. Motor function of left hand was decreased whereas right hand was within normal limit. For functional MRI, gradient-echo echo planar imaging($TR/TE/{\alpha}$=1.2 sec/90 msec/90) was employed. The paradigm of motor task consisted of repetitive self-paseo hand flexion-extension exercises with 1-2 Hz periods. An image set of 10 slices was repetitively acquired with 15 seconds alternating periods of task performance and rest and total 6 cycles (three ON periods and three OFF periods) were performed. In brain mapping, TMS was performed with the round magnetic stimulator (mean diameter; 90mm). The magnetic stimulation was done with 80% of maximal output. The latency and amplitude of motor evoked potential(MEP)s were obtained from both abductor pollicis brevis(APB) muscles. Results : Functional MRI revealed activation of the left primary motor cortex with flexion-extension exercises of healthy right hand. On the other hand, the left primary motor cortex, left supplementary motor cortex, and left promoter areas were activated with flexion-extension exercises of left hand. In TMS, magnetic evoked potentials were induced in no areas of right cerebral hemisphere, but in 5 areas of left corebral hemisphere from both abductor pollicis brevis. Latency, amplitude, and contour of response of the magnetic evoked potentials in both hands were similar. Conclusion : Functional MRI and TMS in a patient with schizencephaly were successfully used to localize cortical motor function. Ipsilateral motor pathway is thought to be secondary to reinforcement of the corticospinal tract of the ipsilateral motor cortex.

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Comparison of analysis of the lateral cephalogram and analysis of lateral facial photograph (측모 두부방사선계측사진 분석과 측모 사진 분석의 비교)

  • Lim, Sung-Hoon;Cho, Ju-Young;Choi, Gab-Lim;Kim, Kwang-Won
    • The korean journal of orthodontics
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    • v.36 no.1 s.114
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    • pp.74-83
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    • 2006
  • Analysis of lateral cephalometric radiograph (cephalogram) has been used routinely to evaluate skeletal and dental relationships, but analysis of the lateral facial photograph has not been used frequently for evaluation of skeletal relationships. As concerns about harm of X-ray irradiation increases, this study was planned to evaluate the possibility of substituting analysis of the lateral cephalogram with analysis of the lateral facial photograph by comparing these two analyses. According to the ANB values from cephalometric analysis, subjects were divided into three groups: Class I malocclusion group (n=32). Class II malocclusion group (n=32), and Class III malocclusion group (n=31). After measurements of angles indicating horizontal and vertical relationships of the maxilla and mandible on the lateral cephalograms and photographs, differences between Class I, II and III groups were evaluated. To evaluate the similarity between two similar values in the cephalograms and photographs, t-test using standardized variable Z and correlation analysis were performed in the Class I malocclusion group. The results showed that 1) SnN'Pg' on the photograph can be used to evaluate the antero-posterior relationship of the maxilla and mandible (ANB), 2) N'-Sn/Sn-Pg' on the photograph can be used to evaluate facial convexity (NA/APg), 3) Sn-Tra-Me' on the photograph can be used as a measurement similar to FMA. In conclusion, partly substituting lateral cephalogram analysis with lateral facial photograph analysis was possible in the evaluation of the maxilla and mandible.

Correction of positional change of frontal cephalometric landmarks caused by vertical head rotation (두부의 수직회전 시 정모두부방사선사진상의 계측점 변화와 이의 보정)

  • Kim, Mi-Young;Lee, Kyung-Min;Cho, Jin-Hyoung;Hwang, Hyeon-Shik
    • The korean journal of orthodontics
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    • v.41 no.2
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    • pp.98-111
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    • 2011
  • Objective: Superimposition of frontal cephalograms cannot be performed when the cephalograms are taken with different vertical head rotations. The purpose of the present study was to evaluate the validity of correcting the positional change of frontal cephalometric landmarks caused by vertical head rotation. Methods: In 30 adult individuals, frontal and lateral cephalograms were taken at a $90^{\circ}$ angle. Geometric principles of radiography were used to calculate the possible vertical and horizontal landmark changes if the head should be rotated down $5^{\circ}$ about an ear rod axis. The calculated changes were then compared with cephalometric changes measured on frontal cephalogram actually taken with the head rotated down $5^{\circ}$. Results: When the frontal cephalograms were taken with the head rotated down $5^{\circ}$ about an ear rod axis, significant changes in the vertical position of the landmarks occurred, particularly in the landmarks located farther anteriorly from the ear rod axis. The comparison of calculated changes and real cephalometric changes showed that the differences were less than 0.4 mm in the vertical direction and less than 0.2 mm in the horizontal direction. The differences between calculated and real changes were smaller in the landmarks less affected by vertical head rotation. Conclusions: Even when frontal cephalograms are taken at different vertical head rotations, the concomitant changes in the position of the landmarks can be corrected through calculation using the geometric principle of radiography as long as frontal and lateral cephalograms are taken perpendicular to each other.