• Title/Summary/Keyword: Articulation Treatment

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Normal Variation and Incidence of Coincided Alignment on Lisfranc Joint on Normal Foot Radiography (정상 성인 족부 방사선 사진에서 족근 중족 관절 선열 형성 빈도 및 정상 변이)

  • Kang, Chung-Nam;Kim, Jong-Oh;Ko, Sang-Hoon
    • Journal of Korean Foot and Ankle Society
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    • v.1 no.1
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    • pp.43-50
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    • 1997
  • The tarsometatarsal joint complex is formed by articulation of the five metatarsal bases with the three cuneiform bones and the cuboid bone. Fracture-dislocation of tarsometatarsal area are difficult to recognize on standard radiographs. The exact diagnosis is occasionally delayed. As a result, improper treatment and late sequelae remains. We decided to make a study of patients with normal foot radiographs on 200 cases. Standard radiographic evaluation was used to study the normal variants of the foot and to evaluate the coincided alignment of the lisfranc joint. Accurate accessment on AP & lateral & $30^{\circ}$ oblique projection of radiographs are very adventageous & important, and next final outcome was detected. : 1. Coincided alignment below 1mm and unfolded lisfranc joint on AP projection was well visalized on 1st cuneiform-metatarsal lateral border and 2nd cuneiform-metatarsal medial border. 2. Coincided alignment below 1mm and unfolded lisfranc joint on oblique projection was well visualized on 2nd cuneiform-metatarsal lateral border and 3rd cuneiform-metatarsal medial border and 3rd cuneform-metatarsal lateral border. 3. More proximal location of 2nd lisfranc joint compared to another joint was 196 cases (98%). It is due to inceleration of 2nd metatarsal base between 3rd & 1st cuneiform. 4. 3rd lisfranc joint was volarward position compared to 2nd listranc on lateral projection at 191 cases (95.5%). It's due to anterior covexity of lisfranc joint. 5. Wide dorsal sided 2nd lisfranc is investigated at 189 cases (94.5%). Because of it. 2nd & 3rd lisfrances are mainly volar dislocated usually. 6. Notching on 5th metatarsal base is visible on 171 cases (85.5%). 7. 4th lisfranc joint had offset normally within $2\sim3mm$ at 98 cases (49%). 8. 5th Lisfranc joint had normally offset within $2\sim3mm$ at 99 cases (49.5%). 9. On lateral projection, slight dorsal location of cuneiform to metatarsal base is investigated at 82 cases (41%).

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AN EXPERIMENTAL STUDY ON THE ACCURACY OF INTEROCCLUSAL RECORDING MATERIALS (교합관계 기록 재료의 정확성에 관한 임상적 비교 연구)

  • Park, Hong Yul;Chang, Ik Tae;Kim, Kwang Nam
    • The Journal of Korean Academy of Prosthodontics
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    • v.28 no.2
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    • pp.91-108
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    • 1990
  • The purpose of this study was to compare the maganitude of the discrepancies of the mounting errors in according to the states of dentitions, and to the superoinferior, anteroposterior, and rightleft driecetions. GROUP I. : Fourteen patients 22 to 26 years of age with a full complement of teeth, were used in the study. The criteria fro patient selection were a complete dentition, sparse restorarive treatment, and adequate posterior and anterior occlusan stops. And they had no sign and sympton at TMG area. GROUPII. : Eigth patients 37 to 62 years of age with bilateral free ends. The criteria for patient selection were Kennedy classification class 1 cases, and adequate posterior and anterior stops. And the opposite dentitions were a full complement of teeth. Irreversible hydrocolloid impresiion of each arch was taken of each patient. These were immediatel poured in stone and mounted on a Denar Mark II. Articulator with the arbitrary slidematic face-bow. With hand articulation th e mandibular cast was mounted to the maxillary cast in centric occlusion. Five types of interocclusal records were taken of each patient : (1) aluwax (2) baseplate wax; (3) znic oxide-eugenol pasts; (4) polyether (Ramitec); (5) modeling compound. All measurement of the five selected recording materials were compared with those of the hand-articulated full arch models in centric occlusion or maximum interdigitation. The results were as follows; 1. There were statistical differences in amount of devitation in according to the materials and the states of dentition. The amount of deviation of compound was the largest. 2. There were statistical differences in amount of deviation in complete dentition at all directions. The amount of diviation of compound was the largest. And at the right-left direction the amount of znic oxide-eugenol paste was larger than that of baseplate wax. 3. There was a statistical difference in amount of diviations in partial edentulous dentition at the superoinferior direction. The amount of deviation of compound was larger than that of znic oxide-eugenol paste. 4. There was as statistical difference in amount of deviations in partial edentulous dentition at the right-left direction. The amount of deviation of baseplate wax was larger that tnat of polyether. 5. There was not a statistical difference in amount of diviation in partial edentulous dentition at the anteroposterior direction.

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Applications of Prescriptions Containing Ginseng Radix and Aconiti Lateralis Preparata Radix in Dongeuibogam (인삼(人蔘)과 부자(附子)의 배합에 관한 고찰(考察)(동의보감(東醫寶鑑)을 중심(中心)으로))

  • Lee, Joo-Young;Kook, Yoon-Bum;Huh, Yeul
    • Herbal Formula Science
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    • v.19 no.2
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    • pp.135-149
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    • 2011
  • Objectives : This study was performed to investigate the applications of 47 prescriptions containing Ginseng Radix and Aconiti Lateralis Preparata Radix in Dongeuibogam. Methods : 47 prescriptions containing Ginseng Radix and Aconiti Lateralis Preparata Radix which have been used separately or concurrently in Oriental Medicine for a long time as a treatment for various disease in Dongeuibogam were studied through order of frequency, symptoms, dosages, etc. Results : 1. 17.02 % prescriptions are used in cold chapter with the 8 frequency, 14.89% in fatigue chapter with the 7 frequency, 10.64% in stool and wind chapter each with the 5 frequency, and 6.38% in children chapter with the 3 frequency. 2. Cold-diarrhea, Yang deficiency treating herbs, General fatigue treating herbs are most used chapters and articulation pain, severe cold, convulsion chapters are following frequency among 38 symptoms in prescriptions including Ginseng Radix and Aconiti Iateralis Preparata Radix. 3. In the prescriptons which has used more Ginseng Radix than Aconiti Lateralis Preparata Radix, the dosage ratio between Ginseng Radix and Aconiti Lateralis Preparata is ranged from 2.5 puns:1.5 puns ~ 1 jeon:7 puns. Among the range, 1 jeon:5 puns is recorded 2 times(33.33%), the rests are 1 time(16.67%). 4. In the prescriptons which has used same amount Ginseng Radix and Aconiti Lateralis Preparata Radix, the dosage ratio Ginseng Radix and Aconiti Lateralis Preparata is ranged from 2 puns ~ 1 nyangs each. Among the range, 1 jeon is recorded 12 times(41.38%), 1.25 jeon and 5 jeons are 3 times(10.34%) each, 0.5 jeon, 0.7 jeons and 3 jeons each are recorded 2 times (6.90%), the rests are 1 time(3.45%). 5. In the prescriptons which has used less Ginseng Radix than Aconiti Lateralis Preparata Radix, the dosage ratio between Ginseng Radix and Aconiti Lateralis Preparata is ranged from 3 puns:1 jeon ~ 1 nyang:3 nyangs. Among the range, 5 jeons:1 nyang is recorded 2 times(25.00%), the rests are 1 time(12.50%). 6. 5 jeons:1 piece are used 2 times(50.00%), the rests are 1 time(25.00%) each used among 3 prescriptions including Ginseng Radix and Aconiti Lateralis Preparata Radix. Conclusions : The 47 prescriptions including Ginseng Radix and Aconiti Iateralis Preparata Radix in Dongeuibogam are mainly composed of Samboo-tang, Sayeok-tang, Eejoong-tang, Samool-tang, Sagoonja-tang and Gobangpoong-tang, Bowon-tang, etc.

Increase of Spoken Number of Syllables Using MIT(Melody Intonation Therapy) : Case Studies on older adult with stroke and aphasia (MIT(Melodic Intonation Therapy) 중심의 음악활동을 이용한 실어증을 가진 뇌졸중 노인의 음절 수 증가에 대한 사례 연구)

  • Hong, Do Kyoung
    • Journal of Music and Human Behavior
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    • v.2 no.2
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    • pp.57-67
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    • 2005
  • Most of stroke patients have not only physical difficulty but speech and neurological disorder because of hemiplegia and such unexpected changes cause psychologic disadaptability and absent-mindedness. Particularly, lowering of physical ability can lead to serious emotional problem from failure or frustration in daily life. Generally, treatment of patient with stroke put emphasis on physical rehabilitation but actually this patient had considerable speech disorder such as aphasia or articulation disorder. Moreover, failing of recognition function, mental disorder as hypochondria, and even visual and auditory disorder are represented. So it is effective to integrate verbal remediation and other treatments in medical care environment. In particular, patients with language disorder very often wither psychologically therefore it is efficient to use of music therapy that gives opulent emotion to aphasia patients. And primarily to investigate the effects of 10 sessions treatments; change in spoken total number of syllables, to confirm their own value by success of given task and reassure about themselves ability. All of 10 sessions stages were scored by MIT manual and its improvement were measured, that is, accomplishment was analyzed within each level in order to prove detail change of spoken total number of syllables. The result of this program organized from 2 syllables to 4 syllables is summarized as follows. Subject A completed in preliminary stage Level I, in 2 syllables case advanced to Level III in fifth session and to Level IV in seventh session, in 3 syllables case advanced to Level III in seventh session and to Level IV in ninth session, and in 4 syllables case showed 8% low success rate in first session but after repeated practice increased considerably in sixth session and in advanced to Level III in eighth session to Level IV in tenth session. Subject B also completed in preliminary stage Level I, in 2 syllables case advanced to Level III in forth session and to Level IV in sixth session, in 3 syllables case advanced to Level III in fifth session and to Level IV in seventh session, and in 4 syllables case showed 10% low success rate in first session and increased considerably in fifth session and in advanced to Level III in seventh session but could not reach to Level IV until tenth session. As a result, it was shown that music therapy using MIT was not statistically meaningful but improved spoken total number of syllables and success rate of task had improved as a whole. Therefore, music intervention using MIT it has positive affect on verbal ability of patients with Broca's Aphasia and their language rehabilitation.

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