• Title/Summary/Keyword: 조기 자극

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Early Treatment of a Class II Malocclusion with the Trainer for Kids (T4K): A Case Report (Class II 부정교합환자의 Trainer for Kids(T4K)를 이용한 조기치료 : 증례보고)

  • An, So-Youn;Kim, Ah-Hyeon;Shim, Youn-Soo;Kim, Min-Jeong
    • Journal of Dental Rehabilitation and Applied Science
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    • v.29 no.1
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    • pp.101-110
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    • 2013
  • $T4K^{TM}$(Myofunctional Research Co, Australia) is one of the myofunctional appliance developed to be used in children of mixed dentition. Myofuncitonal appliance stimulate the facial, masticatory and tongue muscle and help to balance the muscular force. Labial bow included in the device exerts strength in excessively labial inclineded upper jaw, Lip bumper blocks strength of the mouth to prevent abnormal strength exerted in lower jaw, Tongue tag secures proper position of tongue, and additional exercise is not required for child patients. For the more, simpler design and softer texture of device prmoted cooperation of patients during use. This case report is to present the satisfactory results gained by using $T4K^{TM}$ on Class II patients. Comment 1. $T4K^{TM}$ was applied in Class II malocclusion patients of mixed dentition with expected space insufficient to gain facial improvement. 2. Excessive overjet, overbite were improved. 3. Main effects are regarded to have been achieved by development of lingual slant of upper jaw, labial slant of lower jaw, and lower part of jawbone. 4. Bad habits, such as mouth breathing, can also be adjusted.

Thirteen-year Experience of Permanent Epicardial Pacing in Children (소아연령군에서의 영구 심외막 심박 조율 13년 경험)

  • 한국남;임홍국;김웅한;김용진;노준량;배은정;노정일;윤용수;안규리
    • Journal of Chest Surgery
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    • v.37 no.6
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    • pp.499-503
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    • 2004
  • Background: We investigated the longevity, thresholds of epicardial pacemaker and causes of reoperation in the pediatric patients who underwent epicardial pacemaker implantation performed during the last 13 years Material and Method: 121 operations were performed in 83 patients from January 1989 to July 2002. We analyzed the stimulation threshold, resistance, R-wave and P-wave, and sensitivity of pacemaker lead at initial implantation. Longevity and causes of reoperations were investigated. Result At implantation, epicardial ventricular mean stimula-tion threshold was 1.2$\pm$0.1 (0.1∼5) mV, mean resistance was 519.1$\pm$18.1 (319∼778) Ohm, and mean R-wave sensitivity was 8.9$\pm$0.7 (4∼20) mV, and mean P wave sensivity was 2.5$\pm$0.7 (0.4∼12) mV. The mean longe-vity of pacemaker generator was 64.7$\pm$3.7 (2∼196) months. The reoperation free rate was 94.6% for 1 year, 93.6% for 2 years, 80.8% for 5years, 63.7% for 7 years, and 45.5% for 10 years. The causes of reoperation were battery waste in 26 cases and lead malfunction in 9 cases. There was no postoperative death related to pacemaker malfunction. Conclusion: in the childrens, average longevity of epicardial pacemaker was within accep-table range. 19.1% of the patients required pacemaker related reoperation. However, recent developments, including steroid eluting lead, 6.7% of the patients required pacemaker related reoperation, look promising in expansion of pacemaker life span.

Thyroid dysfunction in premature infants (미숙아에서의 갑상선기능 장애)

  • Hong, Ki Bae;Park, Ji Yun;Chang, Young Pyo;Yu, Jeesuk
    • Clinical and Experimental Pediatrics
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    • v.52 no.9
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    • pp.991-998
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    • 2009
  • Purpose : Thyroid hormone is essential for development of the brain in early life. Thyroid dysfunction is more common in the first 2-4 postnatal weeks of life in premature infants than in term infants. This study aimed to identify the prevalence and clinical course of thyroid dysfunction in prematurity. Methods : Premature infants admitted to and given neonatal screenings at Dankook University Hospital between April 1999 and March 2008 were included in this study. We retrospectively reviewed medical records and categorized subjects into six groups: normal, hypothyroidism, hyperthyrotropinemia, hypothyroxinemia, delayed onset of hypothyroidism, and delayed onset of hyperthyrotropinemia. Results : Among 599 subjects, 136 (23%) had initially abnormal thyroid function test (TFT); transient hypothyroxinemia was the most frequent condition (118, 20%). In addition, 8 (17%) of 46 subjects with initially normal TFT levels showed delayed onset of hyperthyrotropinemia with or without low free thyroxine ($fT_4$). Thyroxine was prescribed for 10 patients (1.7%) due to low $fT_4$ levels but was discontinued in 9 patients during follow-up. Thyroid scan confirmed ectopic thyroid in one patient. Conclusion : Thyroid dysfunction was frequently seen in premature infants, but most of the conditions were transient. In addition, some infants showed delayed TSH elevation on routine follow-up. Therefore, a recheck of the thyroid function of premature infants at 3-4 weeks is recommended, even if normal thyroid function is initially seen, especially in prematurity of less than 33 weeks of gestational age or birth weight of less than 2,500 grams.

Corticotropin-Releasing Factor Down-Regulates Hair Growth-Related Cytokines in Cultured Human Dermal Papilla Cells (사람 모유두세포에서 코르티코트로핀분비인자에 의한 모발성장관련사이토카인의 발현 조절)

  • Lee, Eun Young;Jeon, Ji Hye;Lee, Min Ho;Lee, Sunghou;Kim, Young Ho;Kang, Sangjin
    • Journal of the Society of Cosmetic Scientists of Korea
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    • v.40 no.4
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    • pp.413-421
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    • 2014
  • Corticotropin-releasing factor (CRF) is involved in the stress response and there is increasing evidence that stress influences skin disease such as hair loss. In cultured human hair follicles, CRF inhibits hair shaft elongation, induces premature regression and promotes the apoptosis of hair matrix keratinocytes. We investigated whether CRF influences the dermal papilla cells (DPC) that play pivotal roles in hair growth and cycling. Human DPCs were treated with CRF, adrenocorticotropic hormone (ACTH) and cortisol, key stress hormones along the hypothalamic-pituitary -adrenal (HPA) axis for 1-24 h. Interestingly, CRF modulated the expression of cytokines related to hair growth (KGF, Wnt5a, $TGF{\beta}-2$, Nexin) and increased cAMP production in cultured DPCs. CRF receptors were down-regulated by negative feedback systems. Pretreatment of CRF receptor antagonists or protein kinase A (PKA) inhibitor prevented the CRF-induced modulation. Since the CRF induces proopiomelanocortin (POMC) expression through the cAMP/PKA pathway, we analyzed POMC mRNA. CRF stimulated POMC expression in cultured human DPCs, yet we were unable to detect ACTH levels by western blot. These results indicate that CRF operates within DPCs through CRF receptors along the classical CRF signaling pathway and CRF receptor antagonists could serve as potential therapeutic and cosmetic agents for stress-induced hair loss.

Development of early diagnosis system for the detection of diabetic foot using photoplethysmograph (PPG를 이용한 당뇨병 환자의 족부질환의 조기진단 시스템 개발)

  • Kim Jin-Tae;Kim Sung-Woo;Hong Hyun-Ki;Im Jae-Joong;Kim Deok-Won
    • Journal of the Institute of Electronics Engineers of Korea SC
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    • v.43 no.3 s.309
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    • pp.60-66
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    • 2006
  • The purpose of this study was to suggest a new detection method for early diagnosing diabetic neuropathic foot by obtaining a ratio of toe to finger blood flow using photoplethysmography(PPG) and Laser Doppler(LD). Nerve conduction velocity (NCV) has been routinely used for diagnosing neuropathic foot, but it applies strong electric stimulus to peripheries resulting in stress and pain. The blood flow ratio of 50 neuropathic diabetes($0.96{\pm}0.20$) was significantly higher than that of 64 normal person($0.46{\pm}0.15$)(p<0.000). It also showed that toe temperature of neuropathic diabetes($30.5{\pm}1.4^{\circ}C$) was significantly higher than that of normal group($29.3{\pm}2.0^{\circ}C$)(p<0.000). The optimal boundary value of the blood flow ratio was found to be 0.678 and the sensitivity and specificity of this proposed method resulted in 95.3% and 95.3% respectively. Lastly, there were no neuropathic diabetes whose temperature difference between finger and toe was higher than $4.5\;^{\circ}C$.

Artificial Insemination and Delivery Rate of Crossbred Goat using Frozen-Thawed Semen (동결정액을 활용한 교잡종 염소의 인공수정 효율 및 분만율 조사)

  • Kim, Kwan-Woo;Lee, Eun-Do;Lee, Jinwook;Kim, Dong-Kyo;Lee, Sung-Soo;Lee, Sang-Hoon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.10
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    • pp.181-186
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    • 2020
  • This study examined the artificial fertilization efficiency of crossbred goats from a farmhouse using frozen semen. Electrostimulation was used to ejaculate and collect semen to assess the artificial fertilization efficiency of crossbred goats. The sperm concentration, vitality, and vitality after melting were investigated. The sperm volume was within 2.5~3 ml, and the concentration was 21~25 × 108/ml for each male crossbred goat. The melted semen had high vitality (≥90%). An IDEXX Rapid Visual Pregnancy Test kit was used for an earlier diagnosis of the pregnancy and to determine the pregnancy rate of fertilization using frozen-thawed semen. The reproductive performance of the artificially fertilized crossbred goats had the highest delivery rate (68%) from Farm C and the lowest delivery rate (45%) from farm A. The delivery rate through artificial fertilization was equal to the fertilization rate according to early pregnancy diagnostic kits. The artificial insemination efficiency was 45~68%. These findings can be used as the basis for improvement and breeding goats in goat farms and livestock research institutes.

A new diagnostic method for diabetic neuropathy using $TcpO_2$ ($TcpO_2$ 이용한 당뇨병성 신경병증 환자의 조기진단)

  • Hong, Hyun-Ki;Kim, Sung-Woo;Nam, Ki-Chang;Cha, Eun-Jong;Kim, Deok-Won
    • Journal of the Institute of Electronics Engineers of Korea SC
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    • v.44 no.3
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    • pp.1-8
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    • 2007
  • PDiabetic neuropathy is one of the most common diabetes related complications including diabetic nephropathy and retinopahty. In clinical practices, nerve conduction velocity (NCV) has been used as a standard method for diagnosing diabetic neuropathy. However, it applies maximum current of 100mA to nerves causing stress and pain to patients. In this study, as a non-invasive method, $TcpO_2$ was utilized to investigate the difference and relationship between $TcpO_2$ and $SpO_2$ of normal and diabetic neuropathy subjects. In addition, a new method of diagnosing diabetic neuropathy using $TcpO_2$ is suggested. 50 normal subjects and 50 diabetic patients with neuropathy diagnosed by NCV participated in this study. Parameters used in this study were $TcpO_2$, $TcpCO_2$, and $SpO_2$. As a result of the $TcpO_2$ measurements, statistical significances were found from $TcpO_2$ of hands and feet from normal and patients group(p<0.01). $SpO_2$ measured from index finger of normal and patient groups showed no statistical significance(p>0.05). On the other hand, $SpO_2$ measured from great toes of normal and patient groups showed statistical significance(p<0.01). Correlation coefficient between $SpO_2$ of finger and $TcpO_2$ of hand was 0.400 (p<0.01) and $SpO_2$ of toe and $TcpO_2$ of foot was 0.471(p<0.01). Both correlation values were statistically significant. Sensitivities and specificities of the $TcpO_2$ method were found to be 66 % and 92 %, respectively. If the suggested $TcpO_2$ method is used periodically, prevention and early diagnosis of diabetic neuropathy would be possible.

A Case of Interpretation for Audiological Evaluation in Preschool Child with Mild-to-Moderately Severe Asymmetric Ski-Slop Sensorineural Hearing Loss (학령 전기 경도 및 중등고도 대칭성 고음급추형 감각신경성 난청의 청각학적 평가 해석 증례)

  • Kim, Na-Yeon;So, Won-Seop;Ha, Ji-Wan;Heo, Seung-Deok
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.11 no.1
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    • pp.9-14
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    • 2017
  • Preschool children to do production and acquisition of phonological system from birth to 8 years of age. If a child has hearing loss, he/she has a lot of difficulties to hear sound. The problem of auditory perception can causes limited speech acquisition, delayed language development, and communication disorders. It also affects learning, social and emotional development. Early detection and diagnosis of hearing loss are important for intervention. However, it may be difficult to detect if the degree of hearing loss are slight and/or it appears only on some frequencies. In cases of these kinds of hearing losses, it is often difficult to provide aural intervention. The goal of this study is to discuss the interpretation of audiological evaluation in case of mild-to-moderately severe asymmetric ski-slop sensorineural hearing loss, analyze communication problems, and concerning about audiological, and speech-language pathological rehabilitation.

The Aging Eye and World Blindness (노안과 세계적인 맹)

  • Cullen, Anthony P.;Kim, Douk Hoon
    • Journal of Korean Ophthalmic Optics Society
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    • v.9 no.1
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    • pp.105-115
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    • 2004
  • In developed and industrialized countries life expectancy has increased significantly over the past century. As a consequence, the proportion of elderly individuals in these countries has also enlarged with the resulting increased burden on health care providers. In many developing countries the problem of age related and other eye disorders has far outstripped the ability to manage them. Accordingly, the World Health Organization (WHO) has introduced an initiative: Vision 2020 - The Right to Sight, with the objective of eliminating preventable blindness by the year 2020. This paper reviews the broad range of conditions involving external and internal structures of the eye and also the effects of aging on visual functions. It is hoped that this will provide a stimulus for increased study of these disorders, improved clinical diagnosis, and an enhanced interest and role in contributing to the objectives of the WHO and the World Council of Optometry with respect to early diagnosis, prevention and management of the diseases and disorders of the eye that are more prevalent in old age.

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The Effect of Microcurrent Stimulation on Immediately Early Gene in Pain Induced Model (실험적 통증유발 모델에서 조기발현 유전자에 대한 미세전류자극의 효과)

  • Kim Gye-Yeop;Kim Tae-Youl;Oh Myung-Hwa;Kim Sun-Eun;Cheong Mee-Sun;Suh Young-Sook
    • The Journal of Korean Physical Therapy
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    • v.16 no.3
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    • pp.9-21
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    • 2004
  • The purpose of study is that we will observe the change of c-fos with the immunohistochemistry method and then we will study the effect of micro current stimulation following the frequency after inducing pain to rats with capsaicin. Rat were classified to SD and they have growed for 8 weeks. We classify to four groups, ordinal group is used in experiment I, the group which we induce pain is used in experiment II, the application group which we induce pain and then the high frequency micro current stimulation is used in experiment III, the application group which we induce pain and then the low frequency micro current stimulation is used in experiment IV, we get the following result. Compare with experiment II, experiment III, and experiment IV from acute pain modal in the immunohistochemistry experiment which has c-fos protein as an antigen, c-fos immunoreactive positive neurons significantly after induced pain for two hours(p<0.001). According to these results, from rats induced pain, micro current stimulation effect to reducing pain, but following frequency micro current stimulation theraphy isn't different from immunoreactive c-fos

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