• Title/Summary/Keyword: 피질 두께

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Stabilization of Recurrent Medial Shoulder Luxation by Use of Three Bone Anchors in a Dog (재발성 내측 어깨 탈구를 보이는 개에서 본 앵커를 이용한 외과적 치료 증례)

  • Yoon, Hun-Young;Roh, Mi-Young;Jeong, Soon-Wuk
    • Journal of Veterinary Clinics
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    • v.30 no.1
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    • pp.45-48
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    • 2013
  • A 12-year-old male poodle weighing 2.0 kg presented for evaluation of right thoracic limb lameness. The owner reported that the dog showed recurrent bilateral shoulder joint luxation after a car accident for a year. Recently, the left shoulder joint appeared well maintained, but right shoulder joint luxation was exacerbated. On physical examination, the dog showed non-weight bearing lameness on the right thoracic limb. Craniocaudal radiographic views revealed medial displacement of the right humerus. Mediolateral radiographic views revealed overlap of the glenoid cavity and humeral head. Muscle atrophy of the right thoracic limb, reduced biceps brachii muscle tendon tone, a tear of the medial glenohumeral ligament, and a rupture of the subscapularis tendon were identified intraoperatively. Transposition of the biceps muscle tendon was performed. However, at 7 days, there was evidence of right shoulder reluxation on radiographs. The second surgery was performed with two $2mm{\times}6mm$ cortical bone anchors and a $4mm{\times}6mm$ cancellous bone anchor placed in the cortical bone of the distal scapula and the cancellous bone of the proximal humerus respectively. Two scapular bone anchors were then connected with a humeral bone anchor using heavy nylon suture to minimize shoulder abduction range of motion. On radiographs right after surgery and 6 weeks after surgery, the affected limb revealed no evidence of medial shoulder luxation. At 6 months, no evidence of lameness was noted on the right thoracic limb.

Brain Activity of Science High School Students and Foreign Language High School Students during the Intelligence Task (과학고학생과 외국어고학생의 지능과제 수행 시 뇌활동성 분석)

  • Cho, Sun-Hee;Choi, Yu-Yong;Lee, Kun-Ho
    • Journal of Gifted/Talented Education
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    • v.22 no.2
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    • pp.317-332
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    • 2012
  • We investigated brain activity during the performance of the intelligence task by a science high school student group (n=8) and a foreign language high school student group (n=5). Both groups scored in the top 1% on intelligence tests (science high school group: RAPM mean score=34.0, WAIS mean IQ=139.6; foreign language high school group: RAPM mean score=33.8, WAIS mean IQ=147.2). Analysis of brain activity during the performance of the intelligence task showed that both groups had brain activity in certain areas, including the left and right prefrontal cortex, parietal cortex, and anterior cingulate. The science high school group showed the highest activity in the right parietal cortex, which is related to visuo-spatial working memory, whereas the foreign language high school group showed the highest activity in the left prefrontal cortex, which is related to verbal working memory. The foreign language high school group showed higher brain activity than the science high school group in the left precentral gyrus which is related to the motion of the tongue and lips. These results show that the science high school group utilized the visuo-spatial area, whereas the foreign language high school group utilized the verbal area during the performance of the intelligence task. This suggests that the major thinking process differs depending on the gifted students' primary field of study, although they are doing the same task.

TIC DISORDER AND OBSESSIVE COMPULSIVE DISORDER IN CHILDHOOD (틱 장애 및 소아기 발병 강박 장애)

  • Hong, Hyun-Ju;Song, Dong-Ho
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.16 no.2
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    • pp.183-191
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    • 2005
  • Tic disorder including Tourette's disorder is a neurodevelopmental disorder that appears in childhood and characterized by the presence of motor and vocal tics. Childhood-onset obsessive-compulsive disorder (OCD) is suggested to be a phenomenologically and etiologically distinct subtype of OCD, bearing a close genetic relationship to tic-disorders. Tourette's disorder and OCD are comorbid in $40-75\%$ of patients initially diagnosed with either disorder. Basal ganglia and cortico-striato-thalamic circuits are implicated in the pathophysiology of both disorders and these disorders have similar clinical features. Over the past decades, the progress in research on Tourette's disorder and OCD has been extraordinary. This review describes some of important insights from these work, involving these areas : 1) clinical implication 2) genetics and epidemiology 3) brain imaging study 4) neuroche-mistry 5) pediatric autoimmune neuropsychiatric disorders associated with streptococcal infection (PANDAS).

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Electrocautery as Adjuvant Treatment of Giant Cell Tumor (거대세포종의 보조 요법으로의 전기소작술)

  • Han, Chung-Soo;Kim, Se-Dong;Park, Sung-Hyuk;Kim, Jung-Rae;Shin, Duk-Seop
    • The Journal of the Korean bone and joint tumor society
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    • v.12 no.1
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    • pp.15-22
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    • 2006
  • Purpose: This study was designed to investigate the clinical and oncological results of giant cell tumor, treated with electrocautery as an adjuvant. Materials and Methods: We evaluated 47 giant cell tumors treated in both institution from 1989 to 2004, retrospectively. We treated all 47 cases with intralesional curettage and speed burring and followed electrocautery as an local adjuvant. Results: The mean follow up periods was 44 months and ranged from 12 to 180 months. The local recurrence occurred in 8 patients (17%) and one case lung metastasis was found. There was one case complication (septic knee) associated with electrocautery as an adjuvant. Conclusions: We thought electrocautery was feasible adjuvant treatment method of giant cell tumor, because it is very convenient technique, and the local recurrence rate was similar to any other methods.

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Thalamic Syndrome with Related Cortical Hypoperfusion on $^{99m}Tc-HMPAO$ Brain SPECT (시상 증후군에 동반된 대뇌 피질 혈류 변화에 대한 $^{99m}Tc-HMPAO$ Brain SPECT)

  • Kim, Eun-Kyung;Chung, Tae-Sub;Suh, Jung-Ho;Kim, Dong-Ik;Lee, Jong-Doo;Park, Chang-Yoon;Hong, Yong-Kook;Lee, Myung-Sik
    • The Korean Journal of Nuclear Medicine
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    • v.26 no.1
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    • pp.33-39
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    • 1992
  • Spontaneous pain and painful overreaction to external stimuli resulting from lesion confined central nervous system (CNS) were named as thalamic syndrome. Thalamic lesion and decreased regional cortical perfusion thought to the pathogenesis of thalamic syndrome due to decreased function of thalamocortical tract. We performed $^{99m}Tc-HMPAO$ regional cerebral perfusion in 10 patients with clinical diagnosis of thalamic syndrome due to thalamic lesion or near the thalamic lesion at Yonsei University Hospital, from January 1989 to August 1991. In contrast to five patients with lesions near the thalamus who did not show secondarily decreased perfusion at cerebral cortex, four among the five patients with thalamic lesions revealed decreased cortical perfusion in the ipsilateral cerebral cortex on brain SPECT. These phenomena may suggest the loss of afferent activating stimuli from the thalamus led to decreased neuronal activity and the followitng hypoperfusion of cerebral cortex, and might be one of the indirect signs for suggesting presence of the thalamocortical tract. A causal relationship between cortical hypoperfusion and neuropsychological deficit is strongly suggested.

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The effect of added dotted line and surrounding stimulus on the caf$\grave{e}$ wall illusion (점선과 주변자극의 추가가 caf$\grave{e}$ wall 착시에 미치는 효과)

  • Jung, Woo-Hyun;Cha, Han-Nim
    • Science of Emotion and Sensibility
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    • v.14 no.4
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    • pp.663-674
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    • 2011
  • Two experiments were conducted to examine how additional dotted lines and peripheral stimulus to the caf$\grave{e}$ wall illusion affect on the degree of perceived tilt (amount of illusion) and confidency of illusionary perception. The experiment 1 tested the effects of adding mortar (solid line) and bright contrast dotted lines to the borderline of 3 layers of blocks, which are consisted of black and white blocks. On the experiment 2, effects of adding peripheral stimulus on caf$\grave{e}$ wall illusion were tested. The results of experiment 1 showed that adding dotted line on the borderline mortar between blocks has additive effects on confidency of illusory perception. However, no effect on perceived amount of illusion was noted. On the other hand according to the results of experiment 2, adding blocks did increase amount, but not confidency of illusory perception. These results imply that the perception of caf$\grave{e}$ wall illusion is related with response of orientation selective neurons.

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A Computerized Tomographic Study on the Location of the Mandibular Canal and the Cortical Thickness of the Mandible (전산화단층사진상을 이용한 하악관의 위치 및 하악골의 피질골 두께에 관한 연구)

  • Ha Ssang-Yong;Song Nam-Kyu;Koh Kwang-Joon
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.27 no.1
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    • pp.217-230
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    • 1997
  • The location of the mandibular canal and the cortical thickness of the mandible is important in the practice of dentistry. This study was performed on twenty chosen dry mandibles, which were of adults and included fully erupted premolars and molars. The purpose of this study was to evaluate the location of the mandibular canal and the cortical thickness of the mandible on computed tomograms and to aid in the surgical treatment plans. The obtained results were as follows; 1. The horizontal distance between the mandibular canal and the buccal external border was 6.6±0.9mm on Somesial root of the first molar), and it was increased posteriorly. The horiwntal distance between the mandibular canal and the lingual external border was 4.1±1.lmm on S/sub 0/, and it was decreased posteriorly. 2. The vertical distance between the alveolar crest and the mandibular canal was 16.9±1.6mm on S/sub 0/, and it was decreased posteriorly. The vertical distance between the inferior border of mandible and the mandibular canal was 8.8±1.3mm on S/sub 0/, and it was increased anteriorly and posteriorly. 3. The thickness of the buccal cortical plate was 2.2±0.4mm on S/sub 0/. and it was increased posteriorly. But, that of the lingual cortical plate was 2.0±0.6mm on S/sub 0/ and it was decreased posteriorly. 4. The area of the buccal cortical plate was 66.5±1.0mm² on S/sub 0/. and it was increased posteriorly. But, that of the lingual cortical plate was 65.8±0.9mm² on S/sub 0/ and it was decreased posteriorly.

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STUDY OF MAXILLARY CORTICAL BONE THICKNESS FOR SKELETAL ANCHORAGE SYSTEM IN KOREAN (Skeletal Anchorage System의 식립을 위한 한국인 악골의 피질골 두께에 대한 연구)

  • Kim, Ji-Hyuck;Joo, Jae-Yong;Park, Young-Wook;Cha, Bong-Kuen;Kim, Soung-Min
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.28 no.4
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    • pp.249-255
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    • 2002
  • Recently, Skeletal Anchorage System (SAS) has been focused clinically with the view point that it could provide the absolute intraoral anchorage. First, it began to be used for the patient of orthognathic surgery who had difficulty in taking intermaxillary fixation due to multiple loss of teeth. And then, its uses have been extended to many cases, the control of bone segments after orthognathic surgery, stable anchorage in orthodontic treatment, and anchorage for temporary prosthesis and so on. SAS has been developed as dental implants technique has been developed and also called in several names; mini-screw anchorage, micro-screw anchorage, mini-implant anchorage, micro-implant anchorage (MIA), and orthosystem implant etc. Now many clinicians use SAS, but the anatomical knowledges for the installed depth of intraosseous screws are totally dependent on general experiences. So we try to study for the cortical thickness of maxilla and mandible in Korean adults without any pathologic conditions with the use of Computed Tomography at the representative sites for the screw installation.

Evaluation of alveolar bone density by intraoral periapical radiography (구강 내 치근단 방사선 영상을 이용한 치조골 골밀도 측정의 유용성 평가)

  • Park, Eun-Jin;Kim, David-Hyungjin;Kim, Eun-Suk
    • The Journal of Korean Academy of Prosthodontics
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    • v.52 no.3
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    • pp.233-238
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    • 2014
  • Purpose: A method detecting change of jaw or alveolar bone density may be helpful in periodontal care, implant dentistry and evaluation of bone density of whole body. Materials and methods: In this study, bone density of intraoral periapical radiography using phantom-integrated XCP is compared with that of quantitative computed tomography (QCT). Results: Bone density of intraoral periapical radiography and the one measured by QCT showed high correlation (correlation coefficient = 0.92, P<.001) in alveolar bone, and relatively high correlation (0.73, P<.001) in cancellous bone. Conclusion: This study revealed possibility of scoring of bone density by intraoral periapical radiography.

A case of Posterior Cortical Atrophy Presenting with Features of Atypical Dementia (비전형적 치매양상을 보이는 후부대뇌피질위축 증례보고)

  • Park, Kee Hyung;Kim, Sung-Wan;Shin, Dong-Jin;Park, Hyun-Mi;Lee, Yeong-Bae;Seung, Young-Hee
    • Korean Journal of Biological Psychiatry
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    • v.15 no.1
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    • pp.46-53
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    • 2008
  • Posterior cortical atrophy(PCA) is a presenile dementia that presents primarily with signs and symptoms of cortical visual dysfunction, while memory is relatively preserved until the late stage of the disease. We report a patient with PCA, confirmed by brain magnetic resonance imaging (MRI) and $F^{18}$-fluorodeoxyglucose positron emission tomography(FDG PET). A 58-year-old right-handed woman presented initially with visual dimness and difficulty finding things around her. She had partial Balint's syndrome, partial Gerstmann syndrome, and idiomotor apraxia. She also had a mild memory disturbance, but preserved insight of her disease. Neuropsychological evaluation showed decreased parietal and left temporal functions bilaterally. Brain MRI and $F^{18}$-FDG PET revealed typical bilateral occipitoparietal atrophy and hypometabolism, which were slightly worse on the right side. Cholinesterase inhibitor administration for 6 months improved the memory impairment slightly, but not the cortical visual dysfunction. This is a typical case of PCA, confirmed by neurologic signs and imaging findings.

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