• Title/Summary/Keyword: 전신수직

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Immediate implant placement into extraction sites with periapical lesions in the esthetic zone: a case report (치근단 병소를 가진 치아의 발치 후 즉시 임플란트 식립 및 보철을 통한 심미성 회복)

  • Yi, Jae-Young;Kim, Jee-Hwan;Han, Dong-Hoo
    • The Journal of Korean Academy of Prosthodontics
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    • v.50 no.3
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    • pp.191-197
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    • 2012
  • Esthetics is important in restoring maxillary anterior area. Alveolar bone resorption and loss of interdental papilla may be minimized by immediate implantation. Previous studies showed successful results with the immediate implantation in healthy extraction socket, while many of these studies objected the immediate implantation into extraction sites with periapical lesions. Recent studies, however, reported successful results of the immediate implantation into extraction sites with periapical lesions with careful debridement of extraction sockets and general medication of antibiotics prior to implantation. A 73-year-old female visited the department of Prosthodontics in ${\bigcirc}{\bigcirc}$ University Dental Hospital with the chief complaint of fallen post-core and crown on left maxillary incisor. Although the incisor was with vertical root fracture and periapical lesion, the immediate implantation following the extraction of tooth was planned. Thorough socket debridement, irrigation with chlorhexidine, and tetracycline soaking were followed by immediate implantation. The general medication of antibiotics (Moxicle Tab.$^{(R)}$, 375 mg) was prescribed before and after the surgery. Immediate provisional restoration was delivered two days after the surgery, and the definitive metal-ceramic restoration was placed about six months later after reproducing the emergence profile from the provisional restoration. This case presents satisfying result esthetically and functionally upto two years after the placement of prosthesis with the harmonious gingival line and no loss of marginal bone.

THE ANTERIOR-POSTERIOR AND VERTICAL RELATIONSHIP OF THE GROWING CHILDREN WITH CLASS III MALOCCLUSION BY LATERAL CEPHALOMETRIC MEASUREMENT (측모두부방사선 사진을 이용한 성장기 III급 부정교합아동의 전후방적, 수직적 악골관계에 대한 연구)

  • Yang, Ku-Ho;Choi, Nam-Ki;Kim, Seong-Nam
    • Journal of the korean academy of Pediatric Dentistry
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    • v.30 no.2
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    • pp.291-297
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    • 2003
  • While making diagnosis and the treatment plan for the growing children who visited at Chonnam National University Hospital for orthodontic treatment, authors obtained 8 lateral cephalometric measurements in antero-posterior and vertical relationship such as APDI, WITS, ANB, SN-MP, ODI, PFH/AFH, Y-axis, SUM for children aged 7 to 9 with class III malocclusion and compared them with these of 73 children of elementary school aged 7 to 9 with proper profile and normal occlusion in Gwangju. The results were as follows: 1. Between normal occlusion and class III malocclusion, ANB, SN-MP, ODI, SUM, except PFH/AFH and Y-axis showed statistically significant differences(p<0.05). 2. Between mesurements to describe skeletal disorder of antero-posterior relationship such as APDI, WITS, ANB and skeletal disorder of vertical relationship such as SN-MP, ODI, PFH/AFH, Y-axis, SUM, all of them in both normal occlusion and Class III malocclusion showed significant correlation, except Y-axis, SUM correlation(p<0.01). 3. Wald' statistics of WITS, ANB and APDI expressing skeletal disorder of antero-posterior relationship showed 7.118, 5.148, 0.741, respectively and Wald' statistics of ODI, Y-axis, PFH/AFH, SN-MP, SUM were presented 28.348, 2.238, 1.376, 0.090, 0.089, respectively. Therefore, WITS and ODI could be considered as useful diagnotic measurements for class III malocclusion.

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EXPERIMENTAL RECONSTRUCTION OF LARYNX WITH STERNOMASTOID MYOPERIOSTEAL FLAP (흉유돌근골막 피판을 이용한 후두 재건)

  • 조재식;안병현;김선태;이종원
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1991.06a
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    • pp.28-28
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    • 1991
  • 후두암의 수직절제 수술후의 후두 재건 목적은 기관절개를 통하지 않고 후두를 통한 호흡이 가능하도록 하면서 연하시 기도흡인을 피하기 위한 sphincter 능력의 보존, 그리고 발성이 가능하도록 성대진동 mechanism을 재건하는데 있다. 오늘날 수많은 후두학자들에 의해서 고안 개발된 다양한 재건 방법이 있다. 연자는 광범위한 후두절제에 따른 큰 결손을 메우기 위해 bulky하면서도 점막 상피의 재생이 용이한 재건 피판으로 흉유돌근골막 피판을 이용하여 후두 결손부를 재건하여 보았다. 방법은 성견 3마리를 대상으로하여 thiopental sodium 정맥주사로 전신마취를 시행한 후 설골에서부터 흉골상까지 경부 정중앙의 피부를 절개하고 후두를 노출시켜 후두 수직절제술을 시행하였다. 흉유돌근과 흉골에 부착된 골막을 박리하여 흥유돌근골막 피판을 제작한 후 골막이 후두강 안쪽으로 되도록하여 골막연과 후두점막을 봉합하였다. 그리고 3, 5, 9개월에 후두적출술을 시행하여 병리조직학적 및 수술후 경과를 관찰하였다. 3실험견 모두 기관절개술 없이 후두를 통한 호흡이 가능하였고 흡입성 폐렴이나 피하기종등의 합병증없이 창상이 치유되었으며 발성도 양호하였다. 이식된 골막위로 신생혈관의 출현과 함께 점막재생이 잘되 있었다. 단지 봉합사 주위에 소량의 육아종이 관찰되었다. 조직학적으로는 섬유조직위로 편평상피가 재생되었으며 성문하부에서는 일부 섬모가 있는 호흡기 점막도 관찰되고 골막하부에 신생골 형성은 관찰할 수 없었다. 골막 피판은 그 유연성 때문에 결손부위의 점막연에 맞춰도 tension이 없고 공기 누출이 되지 않게 봉합이 가능할 뿐 아니라 점막이 재생할 수 있는 frame-work의 역할을 하는 것으로 사료되었다. 이상과 같은 사실로 미루어 흉유돌근 자체가 견실하고 골막에 혈류공급이 잘되어 창상치유에 좋을 뿐 아니라 큰 후두결손부의 재건이 가능하리라고 사료되었다.로서 몇가지 앞으로의 치료지침에 도움이 되는 결과를 얻었기에 보고하는 바이다. 1) 성별 분포는 남자 16(39 %), 여자 25 (61%)이었으며 1 : 1.5의 빈도를 보였다. 2) 연령 분포는 20대와 30대에서 남녀 모두 25명으로 대부분을 차지하였다. 3) 부식제의 종류는 빙초산이 26명 (63.4 %)으로 대부분을 차지하였고 염산 7 (17.1 %) Lye 3 (0.7 %) 의 순이었다. 4) 음독후 12시간내에 식도경술을 받은 환자가 3명(0.7 %) 12-24시간에 받은 환자가 17명(41.5 %), 24 - 48시간에 받은 환자가 11명(26. 8%)으로 48시간 내에 시행받은 환자가 전체의 75.6%를 차지하였다. 5) 식도경 검사상 나타난 식도화상은 Grade I 11명 (26.8%) G.ade II 18(43.9%) Grade III 7명(17.1%) 이었으며 Grade II 인 경우가 18명(43.9%)로 가장 많았으며 Grade I 11명(26.8 %), Grade III 7명 (17.1 %) Normal 5명 (12.2 %) 순이었다. 6) 조기 식도경 검사에서 41명중 oral cavity burn이 없었던 경우가 15명(36. 1 %) 이었으며, oral cavity burn이 있었던 26명중 5명(19 .2 %)에서 Esophageal burn이 없었다 특히 Esophageal burn의 Grade II, III 25명 중 9명(29.6 %)에서 oral cavity burn이 없었다. 7) 식도 부식중 환자의 치료 원칙으로 Grade I, II, III에서 항생제 및 보존적 치료를 하였으며 Grade I에선 oral feeding을 시켰고 Steroid는 경우에 따라 투여하였으며 Grade III에선 원칙적으로 사용치 않았다. 식도조영술은 Grade I II III에서 3주 후에 모두 시행하였다. 8) 3주 후 식도조영술을 실

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Effect of a Maepsi Exercise Program on the Ground Reaction Force Variables of middle-aged women during Gait (8주간의 맵시 운동 프로그램이 중년여성들의 보행 동작 시 지면반력 요인들에 미치는 영향)

  • Park, Hui-Jun;Kwon, Moon-Seok
    • Journal of the Korean Applied Science and Technology
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    • v.38 no.3
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    • pp.762-770
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    • 2021
  • The purpose of this study was to analyze the effect on the vertical ground reaction force, the elapsed time, and the center of pressure factors during gait by maepsi exercise program, which is a whole body exercise, to middle-aged women for 8 weeks. A total of 25 subjects participated in this study, 13 in the exercise group(age, 41±4.4 years; heigh, 162.5±5.8cm; weight, 57.8±6.7kg; body mass, 21.9±2.4kg/m2) and 12 in the control group(age, 41.1±5.6 years; height, 160.9±5.5 cm; weight, 576.2±8.1 kg; body mass, 21.7±2.9 kg/m2). In the exercise group, the maepsi exercise program consisting of 7 areas, 23 types and 77 movements, was conducted 3 times a week for 8 weeks. Two-way repeated measures ANOVA was performed to verify the ground reaction force factors during gait, and the post-test was analyzed with bonferroni adjustment(a=.05). In the exercise group, compared to the control group, the exercise group showed higher values than the control group in the elapsed time to FMWA and FPO, vertical ground reaction force at FMWA and FPO, and RMS factors of COP in the AP direction. Therefore, it was found that the 8-week maepsi exercise program improved the acceleration and deceleration exercise functions of middle-aged women who performed gait.

The differences of tear film for young Korean of a day indoor space (실내 공간 내에서 한국인 청년의 하루 중 눈물층 변화)

  • Oh, Hyun Jin;Lee, Ji-Young
    • Journal of Digital Convergence
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    • v.10 no.11
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    • pp.535-540
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    • 2012
  • This study is to research the differences of tear film for young people in of a day in a restricted indoor space. The subjects are 58 eyes volunteers for twice preliminary inspection and tear test of a day. 58 healthy individuals with no eye disease, no body disease, orthophoria, corrective visual acuity more than 0.8, binocular spherical equivalence difference over 0.50 diopter, the flattest corneal curvature in horizontal meridian and the steepest corneal curvature in vertical meridian were tested. The uncorrective visual acuity, refractive error, corneal curvature, schirmer test and tear break up test were performed in the morning and afternoon. Schirmer test were $16.0{\pm}7.0mm$ in the morning and $14.1{\pm}7.1mm$ in the afternoon. TBUT were $11.3{\pm}0.6$ sec in the morning and $12.1{\pm}0.9$ sec in the afternoon. They have no significant differences.

Relationship Between the Degree of Exophoria and Stereoacuity (외사위의 정도와 입체시의 관계)

  • Shin, Hoy-Sun;Lee, Sun-Haeng;Yun, Mi-Ok;Kim, Mi-Yeon;Bea, Hong-Sup;Park, Sang-Chul
    • Journal of Korean Ophthalmic Optics Society
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    • v.14 no.2
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    • pp.41-46
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    • 2009
  • Purpose: Stereopsis is one of primary characteristics for assessment of binocular function. The purpose of this study was to determine the possible relationship between the degree of exophoria and stereoacuity at near. Methods: 110 exophores (male n=71, female n=39, mean $age{\pm}SD=11.30{\pm}1.47$ years) without amblyopia, strabismus, and ocular and systemic pathology were studied. Subjects were also excluded if they had visual acuity poorer than 0.8 in either eye or vertical phoria greater than 1 prism diopter. Clinical tests were performed for near phorias by von Graefe technique using a Digital Refractor (CDR-3100, Huvitz, Korea) with chart (Predio CDC-4000, Huvitz, Korea), and for stereoacuity using the Titmus fly. Results: A one-way analysis of variance revealed that mean values of the stereoacuity classified according to the degrees of the exophoria were not significantly different (p>0.05). Conclusions: Based on the result of this study, it was found that there was no relationship between the degree of exophoria and stereoacuity.

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Behavior Interpretation and Secondary Degradation of the Standing Sculptured Buddha at the Yongamsa Temple, Ogcheon, Korea (옥천 용암사 마애불의 거동특성 해석과 이차적 훼손)

  • Lee, Chan Hee;Chung, Youn Sam;Kim, Ji Young;Yi, Jeong Eun
    • Journal of Conservation Science
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    • v.17 s.17
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    • pp.83-94
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    • 2005
  • Host rock or the standing sculptured Buddha in the Yongamsa temple is macular porphyritic biotite granite, which has gone through mechanical and chemical weathering. The rock around the Buddha statue is busily scattered with steep inclinations that are almost vertically discontinuous planes with the strikes of $N8^{\circ}E$. Especially the development of the joints that cross the major joints causes the structural instability of the rock. The rock of the Buddha statue is separated into several rock blocks because of many different discontinuity. Thus it is estimated that the bed rock has not only plane and toppling failure but also wedge failure in all the sides. Since the differential pressure is imposed on the body of the Buddha in the host rock, it is urgent to give a reinforce treatment of geotechnical engineering for the safe of its structural stability. Very contact area of joints have turned into soil, which promotes the growth of weeds and plant roots, then aggravates the mechanical weathering of the rock. Thus conservational treatments should also be considered to get rid of secondary contaminants and vegetation along the discontinuities and to prevent further damages.

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Conservational Treatment and Deterioration Assessment of the Sculptured Standing Buddha Named Taehwa 4 Year in the Jincheon, Korea (진천태화4년명 마애불의 풍화훼손도 평가와 보존처리)

  • Lee, Chan Hee;Kim, Sun Duk;Han, Byeong Il;Kim, Yeong Taek;Lee, Myeong Seong
    • Journal of Conservation Science
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    • v.16 s.16
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    • pp.39-51
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    • 2004
  • The standing Buddha named Taehwa 4 yew in the Jincheon were sculptured with rock cliff of the dark grey shale. Front of the Buddha statue shows $N40^{\circ}W$ strike with nearly vertical dip toward the back side. Rock blocks of the Buddha statue well developed with bedding and laminations whereas rock surface distributed into the various irregular discontinuities. Sculptured lines of the Buddha were uncertain because of degradation and exfoliations on the rock surface. The surface near the Buddha statue is highly contaminated with lichen and mosses, and accelerate physical and biological weathering owing to the roots of weed and bush along the fracture systems. For the conservational treatment, we treated with primary wet cleaning by air gun and secondary cleaning treatment using distilled water. Separated rock surface and fractured parts fasten and/or fill up the boundaries of the rock blocks using epoxy resin for conservation of rock properties. Some brittle surface was treatment with water repellent consolidant of ethyl silicates, and heterogeneous surface carried out color matching by acrylic pigments. Upper part of the Buddha statue dig out small ditch for rain water drainage, and near surface of the Buddha statue treat removal works for lichen, weeds and bush. The duration capacity of the Buddha constituting rocks are degraded by various weathering factors, therefore we suggest that this Buddha statue have need to do long term monitoring and synthetic conservation researches.

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Efficiency on the Field Edge Block which was used at Junction Field of Head & Neck Cancer in the Radiotherapy (두경부 종양의 방사선치료 시 접합 조사야에 사용된 조사면 끝단 차폐물의 유용성)

  • Lee, Jae-Seung;Kim, Jung-Nam
    • The Journal of the Korea Contents Association
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    • v.8 no.11
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    • pp.235-241
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    • 2008
  • If the target volume cannot be included with one field at head and neck cancer, we commonly used two or more field. It is very important to irradiate uniform dose at junction area of the fields. However, according to body shape of patient or general condition of patient, skin junction area can be matched incorrect, So overdose area or underdose area can be appeared in the junction area. This study researched therapy technique which can give uniform dose at skin junction owing to applying the edge block of lateral field at head and neck cancer. We measured the changed distance and rotational angle between central line of anterior supraclavicle lymph node and low margin of right lateral field on simulation process using the shielding block of variable rotation. As a result, the changed distance between central line of anterior supraclavicle lymph node and low margin of right lateral field was below 2mm to ${\pm}$10cm distance at central line of Y axis, changed angle was average 1.28 degree. But by using it the shielding block of variable rotation, the incorrect match at junction can be minimized. We think that this technique is very efficient one to apply this technique at head and neck cancered by the movement of organs can be not included, Therefore we have to pay attention on the process to imput MLC layer

Trochlear Nerve Palsy Caused by Quadrigeminal Cistern Lipoma (사구수조지방종에 의한 도르래신경마비 1예)

  • Choi, Nam Hyeon;Kim, Won Jae;Kim, Myung-Mi
    • Journal of The Korean Ophthalmological Society
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    • v.59 no.11
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    • pp.1087-1090
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    • 2018
  • Purpose: To report a case of trochlear nerve palsy caused by quadrigeminal cistern lipoma located in the dorsal midbrain. Case summary: A 65-year-old male visited our clinic for intermittent vertical diplopia over 2-year period. Symptoms of diplopia had worsened over the past two weeks. He had no previous medical history except having had diabetes for 1 month. The best-corrected visual acuity was 20/25 in the right eye and 20/20 in the left eye. Pupillary examination was not remarkable. Extraocular examination showed 4 prism diopters (PD) left hypertropia at distant gaze and 4 PD exotropia at near gaze, with adduction elevation of the left eye. The Bielschowsky head tilt test revealed 6 PD left hypertropia on the left gaze and orthotropia on the right tilt. Fundus examination showed excyclotorsion of the right eye and incyclotorsion of the left eye. Brain magnetic resonance imaging revealed quadrigeminal cistern lipoma. Prism glasses were prescribed to alleviate diplopia, and we followed up the lesions without further treatment. Conclusions: Trochlear nerve palsy can be caused by quadrigeminal cistern lipoma; however, it is uncommon for this condition to be caused by a compressive lesion. Prompt neuroimaging can be helpful to rule out the causes of this condition in patients with atypical symptoms.