• Title/Summary/Keyword: 척추부

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Clinical Study on 2 Cases of Patients of Common Peroneal Nerve Palsy(Foot Drop) Improved by Motion Style Treatment (Motion Style Treatment로 호전된 족하수 환자 2례 보고)

  • Lee, Jin-Ho;Park, Jong-Min;Jung, Sung-Yup;Kim, Sung-Yong;Shin, Joon-Shik;Park, Won-Sang
    • The Journal of Korea CHUNA Manual Medicine
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    • v.6 no.1
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    • pp.119-126
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    • 2005
  • The purpose of this study is to report the patients with common peroneal nerve palsy, who improved by motion style treatment.(M.S.T.) The clinical study on 2 case of patients with herniation of nucleus pulposus, L4-5, L5-S1 combined foot drop, who had been hospitalized in Ja-Seng Oriental Hospital. We checked the motor grade and subjective improvement at interval of 3days under the treatment of M.S.T. After 2-3 weeks of treatment, the movement and power of ankle joint improved to nearly normal range. The subjective improvement was 70% compared with Rt. ankle and range of active motion increased from Gr.1-2 to Gr.4

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Quantitative Analysis of 3D-CRT Radiotherapy Planning Factors with or without IR in Patients with High Density Artifacts (고밀도 인공물 환자에서 반복적 재구성 사용 유무에 따른 3차원 입체조형 방사선 치료 계획 인자의 정량분석)

  • Lee, Gyu-Wook;Choi, U-Hyeong;Jung, Yae-Hyun;Lee, Joo-Hee;Yun, In-Ha;Heo, Yeong-Cheol
    • Journal of the Korean Society of Radiology
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    • v.14 no.1
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    • pp.7-14
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    • 2020
  • The purpose of this study is to assess the usefulness of IR to compensate for uncertainties in inserting high density artificial objects in radiation treatment planning in the 3D-CRT treatment technique. CT images of the subjects with phantom and titanium inserted were obtained from images without IR and images with IR, and the dose evaluation factors HI, MU and volume evaluation factors Volume and PCI were compared. The results of the stainless steel and titanium phantom experiments showed that the volume of high density artificial material was reduced by 4.850% and 11.456% respectively when applying IR. MU decreased 0.924% and 1.181%. HI was down 0.106% and 0.272%. PCI decreased 0.358% and 0.867%. When IR was applied to CT images of subjects with vertebroplasty, Femur alignment pin and wrist alignment pin, the volume of artifacts decreased by 47.76%, 23.841%, and 49.339%. MU also decreased 0.924%, 0.294% and 1.675%, while HI decreased 1.232%, 0.412% and 1.695%. PCI decreases 4.022%, 0.512%, and 13.472%. In conclusion, When IR was applied to 3D-CRT treatment plan, both dose and volume in phantom and subject case with high density artificial insert were reduced.

Craniospinal Neurenteric Cysts: Various MR Imaging Features (뇌척수 신경장관 낭종: 다양한 자기공명영상소견)

  • Jeon, Se-Jeong;Sohn, Chul-Ho;Kim, Eun-Hee;Son, Kyu-Ri;Park, Sung-Hye;Chang, Kee-Hyun
    • Investigative Magnetic Resonance Imaging
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    • v.13 no.1
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    • pp.54-62
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    • 2009
  • Purpose : Craniospinal neurenteric (NE) cysts are rare developmental non-neoplastic cysts of the central nervous system with diverse MR imaging findings. The purpose of this study was to evaluate various MR imaging findings of intracranial and intraspinal NE cysts. Materials and Methods : We retrospectively reviewed the MR imaging findings of six NE cysts that were confirmed by pathology. We evaluated anatomic location, signal intensity, size and enhancement pattern of NE cysts. Results : Two intracranial lesions were located extra-axially in the cerebellopontine angle and quadrigeminal cisterns. Three spinal lesions were intraduralextramedullary cysts, located ventral to the spinal cord, but one thoracic lesion was an intramedullary cyst. The signal intensity of the cysts was hyperintense on T1-weighted images as compared with the cerebrospinal fluid (CSF) for two intracranial lesions and one cervical lesion. In addition, all intracranial lesions showed diffusion restriction. For the remaining three spinal lesions, the signal intensity was nearly the same as the signal intensity of the CSF as seen on both T1- and T2-weighted images. On contrast-enhanced studies, two intracranial cysts showed a small nodular enhancement and one thoracic spinal lesion showed rim enhancement. Conclusion : NE cysts have various locations, signal intensities, and possible focal nodular or rim enhancement. Therefore, NE cysts can be included in the differential diagnosis of various craniospinal cystic or tumorous cystic lesions.

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The Influence of Angle Change of the Forefoot's Adhesive Outsole Designs on the Electromyographic Activity of the Erector Spinae and Selected Lower Limb Muscles during Downhill Walking (내리막 보행시 발 전족부 부착형 아웃솔의 각도 변화가 척추기립근과 하지근의 근활성도에 미치는 영향)

  • Lee, Haeng-Seob;Chae, Woen-Sik;Jung, Jea-Hu;Kim, Dong-Soo;Lim, Young-Tae;Jang, Jea-Ik
    • Korean Journal of Applied Biomechanics
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    • v.24 no.2
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    • pp.139-149
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    • 2014
  • The purpose of this study was to evaluate the effect of angle change of forefoot's adhesive outsole on the electromyographic activity (EMG) of the erector spinae and selected lower limbs muscle during downhill walking over $-20^{\circ}$ ramp. Thirteen male university students (age: $25.4{\pm}3.9$ yrs, height: $176.2{\pm}5.1$ cm, weight: $717.4{\pm}105.0$ N) who have no musculoskeletal disorder were recruited as the subjects. To assess the myoelectric activities of selected muscles, six of surface EMG electrodes with on-site pre-amplification circuitry were attached to erector spinae (ES), rectus femoris (RF), biceps femoris (BF), tibialis anterior (TA), lateral gastrocnemius (LG), and medial gastrocnemius (MG). To obtain maximum EMG levels of the selected muscles for normalization, five maximum effort isometric contraction were performed before the experimental trials. Each subject walked over $0^{\circ}$ and $20^{\circ}$ ramp with three different forefeet's EVA outsole (0, 10, $20^{\circ}$) in random order at a speed of $1.2{\pm}0.1$ m/s. For each trial being analyzed, five critical instants and four phases were identified from the recording. The results of this study showed that the average muscle activities of MG and LG decreased in $20^{\circ}$ shoes compared to $0^{\circ}$ and $10^{\circ}$ ones in the initial double limb stance (IDLS). In initial single limb stance (ISLS) phase, the average muscle activities of ES increased with the angle of forefoot's adhesive outsole, indicating that the increment of shoes' angle induce upper body to flex anteriorly in order to maintain balance of trunk. In terminal double limb stance (TDLS) phase, average muscle activities of TA significantly increased in $20^{\circ}$ outsole compared to $0^{\circ}$ and $10^{\circ}$ ones. There was no external forces acting on the right foot other than the gravity during terminal single limb stance (TSLS) phase, all muscles maintained moderate levels of activity.

Percutaneous Polymethylmethacrylate Vertebroplasty in the Treatment of Osteoporotic Thoracic and Lumbar Vertebral Body Compression Fractures : Outcome of 159 Patients (159명의 골다공증성 흉추 및 요추부 골다공증성 추체 압박골절 환자에 대한 경피적 척추성형술 후 치료결과)

  • Lee, Jae-Un;Ryu, Kyeong-Sik;Park, Chun-Kun;Choi, Yeong-Kun;Park, Chun-Kun;Ji, Chul;Cho, Kyung-Suk;Kang, Joon-Ki
    • Journal of Korean Neurosurgical Society
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    • v.30 no.2
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    • pp.173-179
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    • 2001
  • Purpose : To assess therapeutic effects of percutaneous polymethylmethacrylate(PMMA) vertebroplasty on the pain caused by osteoporotic thoracic and lumbar vertebral body compression fractures in a large scale of a prospective clinical design, and to determine clinical factors influencing its therapeutic effects. Methods : A prospective clinical study was carried out in 349 vertebral levels of 159 patients between April 1998 and July 1999. The compression fractures were confirmed with bone scan and spine CT, and bone marrow density was measured. Visual analogue scale(VAS) score was used for pre- and post-operative assessments of the pain. All 159 patients were assessed immediately after surgery, and 140 patients of them were followed-up for about 6 months in average. Results : Partial and complete pain relief was sustained immediately after operation in 73%, through follow-up period in 88% of the patients. Pain relief was not proportional to the amount of PMMA or the rate of increase in the height of the compressed vertebral body. It appears that 3 to 6cc of PMMA was proper enough to sustain pain relief. Better clinical improvement was achieved in the patients treated within 6 months after occurrence of vertebral body fracture. The most frequent surgical complication was epidural leakage of PMMA, and the most serious complication was extravertebral leakage into the paravertebral muscles, which appeared to exert the worst influence on the outcome. However, surgery was not required in these patients. Conclusion : Therapeutic effects of PMMA percutaneous vertebroplasty on osteoporotic vertebral body compression fractures were confirmed in a relatively large scale of prospective clinical study. It appears that good outcome can be achieved in patients treated within 6 months after fracture, treated each level with 3 to 6cc of PMMA in amount. without serious complications.

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Development and Application of River Naturalness Assessment Method (하천자연도 평가방법 개발 및 적용)

  • Park, Jong Seok;Rhee, Kyung Hoon;Jin, Wan Kyu
    • Proceedings of the Korea Water Resources Association Conference
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    • 2018.05a
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    • pp.435-435
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    • 2018
  • 하천은 다양하게 분류되고 다양한 식물, 동물, 어류 등이 살아가고 있는 서식처이다. 이러한 하천의 환경 상태를 판단하고 진단하기 위해 올바르게 하천을 평가할 방법이 필요하다. 국내에서는 1910년대부터 1940년대 중반까지의 하천사업은 수력발전을 위한 대규모 댐 개발과 평야지대 관개를 위한 저수지 축조 등 이수사업에 치중하였다. 이후 1960년대부터 1970년대에는 도시와 공단의 개발, 교통, 수자원, 상하수도, 전력 등 사회간접자본의 집중적인 개발을 하였다. 여기서 하천에 초점을 맞추면 하천변의 치수를 위한 하천개수 사업, 그리고 도시화에 따른 도시 소하천의 복개를 들 수 있다. 그러나 이러한 도시화와 산업화는 하천의 오염과 함께 하천의 인공화라는 바람직하지 못한 결과를 가져왔다. 대부분의 도시하천은 직선화되고 높은 콘크리트제방과 콘크리트호안공, 무분별한 하천변의 개발 등으로 인한 황폐화되고 더 이상 하천을 이용할 수 없게 되었다. 국내 하천의 건강성을 평가하기 위한 수많은 하천평가방법들이 연구되었다. 대표적으로 '우리나라 중소하천 코리도의 자연성 평가기법 연구'(조용현, 1997), 생태환경복원을 위한 하천자연도평가 기준에 과한 연구(김동찬 박익수, 1999), 수생태계 건강성 조사 및 평가의 서식수변환경 평가(환경부, 2008) 등이 연구되어 왔으며, 몇몇 평가방법들은 많은 프로젝트에 사용되어 국내 하천의 자연성을 보여주고 있다. 많은 평가방법은 각각의 평가방법과 평가기준을 가지고 하천을 평가하고 있다. 하지만 이 많은 평가방법들의 평가기준, 평가결과 가 하천환경의 상태를 파악하고 진단할 수 있는지에 대한 연구가 전무한 상태이다. 우리나라에서 자연도 평가에 대해 연구를 시작한 것은 90년대 이후였다. 지금까지는 많은 연구와 프로젝트가 진행되어 왔지만 다양한 평가방법들에 대한 비교연구가 없었다. 다기능 하천실험사업(한국건설기술연구원, 2007, 2008)에서 LAWA를 이용해 하천의 물리적 평가를 하고 물리적 구조항목간의 상관분석, 저서성 대형 무척추 동물과 하천 물리적 구조의 상관분석, 식물과 하천 물리적 구조의 상관분석을 실시한 적은 있지만 서로 다른 하천의 물리적 평가방법을 가지고 비교연구를 실시한 적은 없다. 때문에 국내 하천의 물리적 평가 중 어떤 방법이 국내 하천의 현황을 잘 판단하고 있는지, 객관적으로 평가하는지, 복원계획을 수립할 때 효과적인 복원방안을 제시하는지 연구할 필요가 있다. 본 연구는 국내 하천 자연도 평가 방법을 살펴보고 평가항목의 적합성을 도출하고자 하였으며, 하천 자연도 평가항목의 중요도를 선정하여 하천 실무자들이 간편하게 사용할 수 있는 실용적인 방법을 제시하고자 하였다.

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Taxonomic Review of the Genus Saurida (Aulopiformes: Synodontidae) from Korea (한국산 매퉁이속(홍메치목, 매퉁이과) 어류의 분류학적 재검토)

  • Yeo, Minyu;Kim, JinKoo
    • Korean Journal of Ichthyology
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    • v.30 no.4
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    • pp.205-216
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    • 2018
  • Taxonomic review of the genus Saurida, belonging to the family Synodontidae, was conducted based on three species (S. macrolepis, S. microlepis and S. wanieso) collected from Korea between 1994 and 2017, and one species (S. elongata) loaned from Japan. S. wanieso can be readily distinguished from S. tumbil by following characteristics: outer palatine teeth (2 rows in S. wanieso vs. 3~4 rows in S. tumbil) and pectoral fin length (reaching to pelvic - dorsal line in S. wanieso vs. not reaching to pelvic - dorsal line in S. tumbil). In counts, the four Saurida spp. are well distinguished: number of lateral line scales (48~50 in S. macrolepis vs. 54~58 in S. wanieso vs. 61~62 in S. elongata vs. 63~70 in S. microlepis), vertebrae (47~49 in S. macrolepis vs. 51~53 in S. wanieso vs. 57~59 in S. elongata vs. 62~64 in S. microlepis). The present study suggests S. undosquamis and S. tumbil must be absent in Korean waters, and also S. elongata may be rare or absent in Korean waters. Here we use the Korean name, "tum-bil-mae-tung-i" for S. wanieso, following Yamada et al. (1995) who treated Korean S. tumbil as S. wanieso.

Physical Habitat Characteristics of the Endangered Macroinvertebrate Koreoleptoxis nodifila (Martens, 1886) (Mollusca, Gastropoda) in South Korea (한국산 멸종위기 무척추동물 염주알다슬기 (연체동물문, 복족강)의 물리적 서식처 특성 )

  • Jin-Young Kim;Ye ji Kim;Ah Reum Kim;In-Seong Yoo;Hwang Kim;Dongsoo Kong
    • Korean Journal of Ecology and Environment
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    • v.55 no.2
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    • pp.145-155
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    • 2022
  • Koreoleptoxis nodifila (Martens, 1886) is an endangered species only living in the central and north streams of South Korea. However, there is a lack of information on physical habitat characteristics of K. nodifila. We aimed to determine preference ranges for water depth, current velocity, streambed substrate of K. nodifila. The weibull model was used to estimate the habitat suitability based on distribution of individual abundance by physical factors. Optimal depth preferences ranged from 0.53~17.17 cm, current preferences ranged from 48.40~81.03 cm s-1 and substrate (𝜱m) preferences ranged from -4.36~ -2.26. Median values of central tendency were determined as follows: water depth 16.73 cm, current velocity 65.23 cm s-1, substrate -3.51. Mean values of central tendency were determined as follows: water depth 21.32 cm, current velocity 65.65 cm s-1, substrate -3.63. Mode values of central tendency were determined as follows: water depth 5.17 cm, current velocity 64.77 cm s-1, substrate -3.24. Based on the habitat suitability analysis, the microhabitat types of K. nodifila were determined as riffle and coarse-grained streambed.

Treatment of Osteoid Osteoma (유골 골종의 치료)

  • Han, Chung-Soo;Cho, Chang-Hyun;Cho, Young-Lin;Cho, Nam-Su;Lim, Chan-Teak
    • The Journal of the Korean bone and joint tumor society
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    • v.6 no.1
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    • pp.22-29
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    • 2000
  • Purpose : The purpose of the current study was to report the results of curettage and en bloc excision as well as to introduce how to excise the nidus percutaneously with Halo-mill. Material and Methods : Twenty patients(14 men and 6 women) were evaluated, who had operative treatments after diagnosed as osteoid osteoma from March 1990 to January 1998. These patients ranged in age from 7 to 42 years(average: 20.8 years). Locations were 9 femurs, 6 tibias, 2 vertebras, 1 ulna, 1 maxilla and 1 skull. Nine femoral lesions included 5 proximal metaphysis, 2 neck and 2 diaphysis, while 5 tibial lesions included 3 diaphysis, 1 proximal metaphysis and 1 distal metaphysis. We used simple radiography, bone scan, CT and MRI for the accurate diagnosis and localization. As for surgical treatments, while excision and curettage had to need open-exposure of lesion, the percutaneous excision of nidus did not need openexposure : guided Halo-mill into K-wire inserted to nidus under image intensifier. Results : Simple radiography showed that 10 cases had typical nidus and others had only cortical sclerosis. Bone scan was performed at 14 cases and all had hot uptake except one case. We used CT in 10 cases and MRI in 4 cases as diagnostic methods, of which 1 case didn't reveal nidus at CT. Surgical treatment consisted of 6 curettages, 11 excisions, 2 percutaneous excisions with halo-mill and 1 total elbow arthroplasty. We used 7mm sized Halo-mill. During the follow-up period, all patient relieved symptoms and there were no recurrences. All had histologically typical findings except one which had hyperostosis without nidus. Conclusion : Complete removal of the nidus is the most important factor in the treatment. We could excise the nidus percutaneously in 2 cases with the minimal injury to surrounding soft tissues. If we could evaluate the precise location, size of nidus and percutaneous acccesibility, the percutaneous excision of nidus with Halo-mill could be an alternative method as a treatment of osteoid osteoma.

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Morphological Study on the Epithelial Cells in the Gall Blader of Vertebrates (각급 척추동물의 담낭 상피세포에 대한 형태학적 연구)

  • 노용태
    • The Korean Journal of Zoology
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    • v.17 no.2
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    • pp.57-68
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    • 1974
  • These experiments were performed in order to study histologically and histochemically on the epithelial cells of gall bladder in Carassius carassius, Bufo bufo gargarizans, Natrix tigrina lateralis, Urloncha striata var. domesticus and Bos taurus var. domesticus. The results of the observation were as follows: 1. There were different cell types in the epithelium of gall bladder in each animal and it could not be supported histochemically that the epithelia cells of gall bladder were divided into two cell types of the rod-shaped and barrel-shaped ones. 2. The epithelium of gall bladder in Carassius carassius, Bufo bufo gargarizans, Natrix tigrina lateralis, Urloncha striata var. domesticus and Bos taurus var. domesticus was simple columnar epithelium. 3. The eosinophilities of cytoplasm in the epithelial cells of gall bladder were in uniform stronger in the upper portion of nucleus in Carassius carassius, Bufo bufo gargarizans and Natrix tigrina lateralis than its other portions, and in Urloncha striata var. domesticus and Lepus cuniculus var. domesticus existed uniformly in all portions, but there were many non-eosinophilic cells in Bufo bufo gargarizans and many cells that weakly eosinophilic around nucleus in Bos taurus var. domesticus. 4. The periodic acid Schiff's reactivities in the epithelial cells of gall bladder were different in each other and the epithelial cells in PAS reaction were divided into two cell types of the dark and light ones. There presented the light cells of 6.4%, 4.3% and 3.7% of epithelial cell of gall bladder in Carassius carassius, Bufo bufo gargarizans and Urloncha striata var. domesticus for each other, but were not presented in Natrix tigrina lateralis and Bos taurus var. domesticus. 5. The ninhydrin-Schiff-active proteins were much in the epithelial cells of gall bladder in Bos taurus var. domesticus, Carassius carassius, Urloncha striata var. domesticus and Natrix tigrina lateralis in order and were much in epithelial cells in the upper portion of mucosal folds in Carassius carassius, Urloncha striata var. domesticus and Natrix tigrina lateralis, and the ninhydrin-Schiff-active protein of the epithelium of gall bladder in Bufo bufo gargarizans was uniformly distributed. 6. The epithelial cells of gall bladder in Carassius carassius, Natrix tigrina lateralis, Urloncha striata var. domesticus and Bos taurus var. domesticus had no stain reactivity or weak stain reactivity to neutral fat and all epithelial cells in Bufo bufo gargarizans had strong stain reactivity, though they were different in quantity of epithelial cell portion. 7. The stain reactivities to RNA and DNA were stronger in the epithelial cells of the upper portion of mucosal fold than in those of other portions.

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