• 제목/요약/키워드: Anatomic study

검색결과 480건 처리시간 0.029초

상완골 과상부 골절후 발생한 내반주 변형에 대한 삼차원 교정 절골술 (Three-Dimensional Corrective Osteotomy for Treatment of Cubitus Varus after Supracondylar Fracture of the Humerus)

  • 김풍택;인주철;경희수;오승훈
    • Clinics in Shoulder and Elbow
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    • 제1권1호
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    • pp.58-65
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    • 1998
  • Cubitus varus deformity after supracondylar fracture of the humerus in children generally includes deformities of varus, hyperextension and internal rotation. Recently almost all corrective osteotomies for treatment of the varus deformity have been limited to correction of only the varus or of the varus and hyperextension deformity. Electromyographic study has revealed unphysiological joint motion and muscle activity around the joint in elbows with cubitus varus, hyperextension and internal rotation deformity. On this basis we have successfully attempted simultaneous correction of all three deformities. The end results in ] 3 elbows have been satisfactory without any complications such as delayed union, limitation of elbow motion or nerve palsy. In conclusion, we recommend simultaneous correction of the three elements of cubitus varus deformity to restore anatomic alignment of the elbow joint.

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자동유방초음파 장비의 액와부 평가를 위한 초음파 패드 물질의 타당성 (Feasibility for Ultrasound Pad Material for the Evaluation Axillary Region of Automated Breast Ultrasound Equipment)

  • 서은희;성열훈
    • 대한방사선기술학회지:방사선기술과학
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    • 제41권3호
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    • pp.231-240
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    • 2018
  • Automated breast ultrasound (ABUS) equipment is a new innovative technique for 3D automatic breast scanning, but limited for the examination in the concave axillary region. The purpose of this study was to determine feasible candidate materials for the ultrasonic wave propagation media in ABUS, enabling the evaluation of the axillary region. Ultrasonography was performed using an ABUS system ($Invenia^{TM}ABUS$, GE, USA) on the ultrasound-specific phantom (UC-551M-0.5, ATS Laboratories, USA) covered by different candidate materials. The validity of feasible candidate materials was evaluated by image quality. Three independent radiological technologists, with more than 10 years of experience, visually assessed on the images. The inter-observer agreements according to the candidate materials were tested using Cronbach's alpha. Unenveloped solidified carrageenan can be a feasible material for the use of ABUS with excellent test reliability. Therefore, the coverage of the axillary region with carrageenan may be effective for ABUS which was originally developed for the convex anatomic structure as female breast.

형광 안저 사진의 기하 왜곡 교정 (Geometric distortion correction of fluorescein ocular fundus photographs)

  • 권갑현;하영호;김수중
    • 한국의학물리학회지:의학물리
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    • 제2권2호
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    • pp.183-192
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    • 1991
  • 형광 안저 사진은 형광 물질을 정맥에 주사한 후 안저를 연속 촬영한 것으로 이로부터 망막 및 맥락막의 혈관 상태를 관찰하여 안과계 질환 뿐만아니라, 당뇨병, 고혈압 등 내과계 질병도 진단한다. 순차적으로 안저 사진을 촬영할 때 안구의 불규칙적인 운동으로 인하여 프레임마다 특정 영역의 위치가 달라질 수 있으며, 조명 상태의 변동에 의해 프레임마다 배경 명암이 달라질 수 있다. 이러한 형광 안저 사진에서 프레임간 변화분을 검출하기 위해 직접 두 프레임을 빼는 것은 부적합하다. 본 논문에서는 형광 안저 사진의 프레임간 변화분을 정확하게 검출할 수 있도록 형광안저 사진의 기하 왜곡을 교정하는 방법을 제안한다. 먼저 안저 사진으로부터 혈관을 검출하고 이를 세선화하여 제어점의 좌표를 정한다. 제어점을 이용하여 기하 변환함수를 구하고 각 프레임을 맵핑하므로써 기하 왜곡을 교정한다. 기하 왜곡을 교정한 두 프레임을 화소별로 빼어 차영상을 구한 결과 프레임간 변화를 정확하게 검출할 수 있었다.

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활로 4 징증에서 술전 폐동맥 크기에 대한 연구 (A study on surgical significance of angiographic pulmonary arterial size in tetralogy)

  • 조재일;김종환
    • Journal of Chest Surgery
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    • 제16권1호
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    • pp.40-48
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    • 1983
  • Tetralogy of Fallot is characterized by the interventricular septal defect associated with obstruction of the right ventricular outflow. The importance of the latter anatomic malformation was clinically evaluated according to the angiographic measurements of the pulmonary arteries along with the pulmonary valve annulus. Seventy of a total 76 patients operated on during a whole year of 1981 were the patients for clinical evaluation. Fifteen patients died within 1 month after operation with the operative mortality of 21.4%. The young age and the severity of pulmonary arterial hypoplasia were ones among the surgical risk factors at a total corrective surgery of tetralogy. Preoperative angiographic measurements of the pulmonary arteries to speculate the expected postoperative ratio between the left ventricular and the right ventricular pressures were retrospectively calculated according to the formula. The predicted values of P RV/LV greater than 0.5 carried apparenliy higher complication and mortality rates than the group of P RV/LV less then 0.5. The selection of the candidates for either a total correction or the staged operation In tetralogy of Fallot can be evaluated on the preoperative angiographic measurements and the expected Improvements of the clinical results were discussed.

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Role of Recombinant PnTx2-6 Protein as a Mediator of Vasodilation in Blood Vessels

  • Park, Seung-Won;Kim, Seong Ryul;Goo, Tae-Won;Choi, Kwang-Ho
    • International Journal of Industrial Entomology and Biomaterials
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    • 제35권1호
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    • pp.39-44
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    • 2017
  • The venome of Phoneutria nigriventer spider has been shown to have side effects including severe painful erections that last for hours. PnTx2-6, a toxin from P. nigriventer spider venom, modulates voltage gated $Na^+$ channels and activation of nitric oxide (NO) production. NO is essential for the regulation of blood flow and pressure. Therefore, PnTx2-6 is expected to be effective not only for erectile dysfunction but also for cardiovascular diseases. A previously has reported cDNA clone for PnTx2-6 toxin, which was expressed in E. coli cytoplasm. We created the same clone and expressed it in a bacterial expression system. PnTx2-6 increased the genes expression of superoxide dismutase 1, glutathione peroxidase 1, and sulfiredoxin 1. We hypothesized that recombinant PnTx2-6 may indirectly regulate blood flow and pressure, resulting in NO production in human umbilical vein endothelial cells (HUVEC). These data suggest differential regulation of the vascular ageing process, which may contribute to the anatomic heterogeneity of atherosclerosis. The results of this study may be used for the emergency treatment of sudden cardiovascular disease caused by ageing.

A method for mandibular dental arch superimposition using 3D cone beam CT and orthodontic 3D digital model

  • Park, Tae-Joon;Lee, Sang-Hyun;Lee, Ki-Soo
    • 대한치과교정학회지
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    • 제42권4호
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    • pp.169-181
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    • 2012
  • Objective: The purpose of this study was to develop superimposition method on the lower arch using 3-dimensional (3D) cone beam computed tomography (CBCT) images and orthodontic 3D digital modeling. Methods: Integrated 3D CBCT images were acquired by substituting the dental portion of 3D CBCT images with precise dental images of an orthodontic 3D digital model. Images were acquired before and after treatment. For the superimposition, 2 superimposition methods were designed. Surface superimposition was based on the basal bone structure of the mandible by surface-to-surface matching (best-fit method). Plane superimposition was based on anatomical structures (mental and lingual foramen). For the evaluation, 10 landmarks including teeth and anatomic structures were assigned, and 30 times of superimpositions and measurements were performed to determine the more reproducible and reliable method. Results: All landmarks demonstrated that the surface superimposition method produced relatively more consistent coordinate values. The mean distances of measured landmarks values from the means were statistically significantly lower with the surface superimpositions method. Conclusions: Between the 2 superimposition methods designed for the evaluation of 3D changes in the lower arch, surface superimposition was the simpler, more reproducible, reliable method.

Scoring System and Management Algorithm Assessing the Role of Survivin Expression in Predicting Progressivity of HPV Infections in Precancerous Cervical Lesions

  • Indarti, Junita;Aziz, M. Farid;Suryawati, Bethy;Fernando, Darrell
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권3호
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    • pp.1643-1647
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    • 2013
  • Background: To identify the risk factors and assess the role of survivin in predicting progessivity precancerous cervical lesions. Materials and Methods: This case-control study was conducted from October 2009 until May 2010. We obtained 74 samples, classified according to the degree of cervical intraepithelial neoplasia (CIN): 19 samples for CIN 1, 18 samples for CIN 2, 18 samples for CIN 3, and 19 samples as controls. Demographic profiles and risk factors assesment, histopathologic examination, HPV DNA tests, immunocytochemistry (ICC) and immunohistochemistry (IHC) staining for survivin expression were performed on all samples. Data was analyzed with bivariate and multivariate analysis. Results: Multivariate analysis revealed significant risk factors for developing precancerous cervical lesions are age <41 years, women with ${\geq}2$ sexual partners, course of education ${\geq}13$ years, use of oral contraceptives, positive high-risk HPV DNA, and high survivin expression by ICC or IHC staining. These factors were fit to a prediction model and we obtained a scoring system to predict the progressivity of CIN lesions. Conclusions: Determination of survivin expression by immunocytochemistry staining, along with other significant risk factors, can be used in a scoring system to predict the progressivity of CIN lesions. Application of this scoring system may be beneficial in determining the action of therapy towards the patient.

횡안열 환자의 치험례 (Lateral facial cleft : Cases Report)

  • 최주석;조상기;백진아;고승오;신효근
    • 대한구순구개열학회지
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    • 제6권1호
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    • pp.53-58
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    • 2003
  • Lateral facial cleft is a rare congenital craniofacial anomaly. Their incidence is about 1 in 60,000 births and early treatment with closure in layers is important. Surgical treatment must reconstruct an anatomic and functional situation which give a good esthetic result. This study reports two cases of male at 31 months and 9 months suffered from esthetic problems due to lateral displacement of the oral commisure on the right side. Surgical treatment; the mucosa is closed in with a Z-plasty to avoid intraoral band contracture, the orbicularis oris muscle is closed after interfiber reorientation, and the skin is closed with multiple Z-plasty. So we report two cases of unilateral lateral facial cleft and review of etiopathogenesis in children with lateral facial cleft.

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측두근 보툴리눔 독소 주사 시 고려해야 할 해부학 (The anatomy of temporal muscle in botulinum toxin injection)

  • 이원강;최영찬;홍정훈;김성택
    • 구강회복응용과학지
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    • 제30권3호
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    • pp.231-237
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    • 2014
  • 만성 편두통 치료법으로 보툴리눔 독소가 2010년 미국 FDA에 승인된 이후 임상에서 널리 사용되고 있다. 그럼에도 불구하고 각 주사점에 관한 확실한 정의와 주의사항에 관한 지침이 없는 것이 현실이다. 따라서 본 연구는 측두근 주사시 주의해야 할 해부학적 구조물에 대해 정확한 해부학적 지식과 안전하게 주사할 수 있는 영역에 관해 지금까지 보고된 문헌들을 토대로 자세히 고찰하고자 한다.

류마티스 관절염과 운동 (Rheumatoid Arthritis and Exercise)

  • 김은희;임난영;이은옥
    • 근관절건강학회지
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    • 제5권1호
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    • pp.110-119
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    • 1998
  • In an effort to obtain preventive, diagnostic and therpeutic medical and exercise training information of rheumatoid arthritis as well as to provide pertinent data to be used in development of exercise program for the management of rheumatoid arthritis, this study was conducted by using literature review. Because RA is a disease that involves both joints and muscles, its activity in the different functional classes influences the patient's ability to exercise. A patient in Functional Class 1 may perform any type of exercise because the disease involvement has not yet reached major importance. Exceptions may include hard physical exercise, running, and individual racket sports. In almost all cases, bicycle exercise is possible. Patients in Functional Class 2 and a few in Class 3 can perform most types of exercise (especially cycling, walking, heated pool exercise and even jogging) in low activity phases of RA. Although a few patients in Functional Class 3 can walk, jog, and perform similar types of exercise, most persons in this class can swim or exercise on a bicycle if the type of exercise, its intensity, and its range of motion are modified according to the patient's anatomic and pathologic conditions. Most patients in Functional Class 4 are not able to carry out complicated movements. We conclude that physical training for persons with RA has physical, psychological, and social consequences that are clearly beneficial. We recommend training be one part of the many involved in the complicated treatment of RA.

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