• Title/Summary/Keyword: Bilateral

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Effect of One Leg Bridge Exercise with Abdominal Pressure Control on the Trunk Muscle Activation in Healthy Adults

  • Jeong, Seunghoon;Chung, Yijung
    • Physical Therapy Rehabilitation Science
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    • v.11 no.2
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    • pp.253-258
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    • 2022
  • Objective: This study aimed to determine the effect of internal abdominis pressure(normal, hollowing and bracing) on trunk muscle activity during one leg bridge exercise. Design: Cross-sectional study. Methods: Thirteen healthy adults (9 men and 4 women) were instructed to perform Internal abdominal pressure(IAP) control(Normal, Hollowing, Bracing) during one leg bridge. Electromyography (EMG) data (% Maximum Voluntary Isometric Contraction, MVIC) were recorded three times on both sides of the participant's Internal Oblique(IO), Effector Spinae(ES), and Multifidus(MF) muscles and the average value was analyzed. Results: As a result, Abdominal bracing one leg bridge (BOLB) group and Abdominal hollowing one leg bridge (HOLB) group showed significantly increased muscle activation of bilateral internal oblique, erector spinae and multifidus activation compared to the Normal one leg bridge (NOLB) group (p<0.05). Abdominal hollowing one leg bridge (HOLB) group had a significant difference in bilateral Internal oblique muscle activation in compared to the NOLB group (p<0.05). Conclusions: Bilateral internal oblique, erector spinae, and multifidus muscles activation in healthy adults at one leg bridge exercise showed greater activation at abdominal bracing. Therefore, in this study, IAP control can be used as an indicator of choice to the dysfunction with trunk muscle weakness and corrective exercise subject's situation when the goal is to activate the trunk muscles by performing one leg bridge.

Maxillo-mandibular Defect Reconstruction with Bilateral Free Fibula Flaps with Dental Implant Placement and Immediate Loading: A Case Report of the Three-team Approach

  • Nazarian, David;Dikarev, Aleksei;Mokhirev, Mikhail;Zakharov, Georgy;Fedosov, Alexander;Potapov, Maksim;Chernenkiy, Mikhail;Vasilev, Yuriy;Kyalov, Grigoriy;Chausheva, Saniyat;Khachatryan, Arbak;Tevosyan, Artur;Arakelyan, Gevorg
    • Archives of Plastic Surgery
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    • v.49 no.5
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    • pp.652-655
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    • 2022
  • Patients with advanced malignant tumors, including both jaws, is a challenging task for a head and neck surgeon. Current treatment landscape demonstrates good functional, anatomical, and aesthetic results in patients who could previously receive only palliative care. The extensive tissue defects resulting from oncological resections in the head and neck region require immediate reconstruction due to the exposure of vital structures and their contact with the external environment. A patient was operated using a three-team multidisciplinary approach involving simultaneous work of three specialized teams of maxillofacial and reconstructive microsurgeons, as well as an implantologist and a prosthodontist. This approach allowed simultaneous tumor resection with subsequent reconstruction of the intraoperative defect involving bilateral harvesting of two revascularized free fibular osteomusculocutaneous flaps with dental implantation and simultaneous rehabilitation of dentition with crowns.

A Case of Bilateral Tension Pneumothorax after the Successful CO2 Laser-assisted Removal of a Bronchial Foreign Body in a Child

  • Mun, In Kwon;Ju, Yeo Rim;Lee, Sang Joon;Woo, Seung Hoon
    • Medical Lasers
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    • v.9 no.1
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    • pp.65-70
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    • 2020
  • Bronchial foreign body aspiration (BFA) is a common but emergent condition in infants and children. Furthermore, it can result in various complications such as atelectasis, pneumonia, bronchiectasis, and pneumothorax. Among these, pneumothorax is a very rare complication. However, it can be fatal without the swift implementation of appropriate treatment. We experienced a case of 16-month-old girl with an aspirated peanut. The foreign body was fixed in her left main bronchus. A CO2 laser was used to safely cut and break the foreign body. Removal was successful after breaking it. But after the process, inflammatory tissue of the tracheal mucosa was ruptured. Bilateral tension pneumothorax followed after the rupture. The patient was treated with bilateral chest tube insertion. Here we present this BFA case with a rare and unexpected complication. We also review the appropriate literature.

Effects of Unilateral or Bilateral Ankle Immobilization on Postural Balance During Quiet Standing (정적 서기 동안 한쪽 또는 양쪽 발목관절 고정이 자세균형에 미치는 영향)

  • Han, Jin Tae
    • Journal of Korean Physical Therapy Science
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    • v.29 no.3
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    • pp.56-62
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    • 2022
  • Background: The purpose of this study was to investigate the effects of ankle joint immobilization on postural balance during quiet standing. Design: Cross-sectional study Methods: Twenty-seven healthy subject participated in this study. The subjects performed to stand quietly for 30s in eyes open on the platform with three different conditions. The sway length, sway area and sway velocity of center of gravity (COG) displacement and limit of stability (LOS) was measured using the balance platform. Repeated measured ANOVA was used to compare the postural balance parameters depending on three different ankle immobilized conditions. Results: Sway length, sway area and sway velocity of the COG displacement with bilateral ankle immobilized condition was significantly increased compared to those of the other two conditions(p<0.05). All directions of LOS with bilateral ankle immobilized condition were significantly decreased compared to those of the other two conditions. Conclusion: These findings suggest that ankle joint immobilization could be one of the factors that interfere the maintaining of the postural balance in quiet standing.

Bilateral supernumerary maxillary fourth and fifth molars: A clinical case report and literature review

  • Adib Al-Haj, Husain;Daphne, Schonegg;Fabienne Andrina, Bosshard;Silvio, Valdec
    • Imaging Science in Dentistry
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    • v.52 no.4
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    • pp.429-434
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    • 2022
  • Supernumerary teeth that are present in the molar region may be evident based on crowding and impaction, but most cases are asymptomatic and discovered as incidental findings during routine radiological examinations. This article reports the case of a 29-year-old woman who presented with a severe feeling of pressure in the region of the maxillary third molars that had been increasing in intensity for weeks. A clinical examination revealed crowding of the maxillary anterior teeth despite the completion of orthodontic treatment and an erupted third molar with localized gingivitis in the second quadrant. A radiographic examination revealed bilateral supernumerary maxillary fourth and fifth molars, so cone-beam computed tomography was performed to locate the supernumerary teeth precisely for a preoperative diagnosis and comprehensive treatment planning. This report presents the radiological and surgical case management of a rare case of bilateral supernumerary molars and reviews the literature regarding epidemiology and treatment options.

Effects of Bilateral Arm Motor Coordination Exercises Conducted on Unstable Support Surfaces on Leg Muscle Activity and Balance in Stroke Patients (불안정한 지지면에서 양측성 과제운동이 뇌졸중 환자의 다리 근활성도와 균형에 미치는 영향)

  • Jeong-Il Kang;Dae-Keun Jeong;Seung-Yun Baek
    • Journal of the Korean Society of Physical Medicine
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    • v.18 no.3
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    • pp.65-72
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    • 2023
  • PURPOSE: This study assessed the influence of bilateral coordination exercises on unstable support surfaces on leg muscle activation and balance in stroke patients. METHODS: Two groups were recruited for comparison: an experimental group of 10 individuals who performed bilateral coordination exercises on unstable surfaces and a control group of 10 individuals who performed the same exercises on stable surfaces. All participants were assigned randomly. Pre-tests were conducted to measure the leg muscle activation and balance levels of the participants prior to the experiment. The intervention was comprised of three 30-minute weekly sessions for four weeks, followed by a post-test after the four-week period. RESULTS: Significant differences were identified within the experimental group in relation to all muscles (p < .01) and balance (p < .05). Within the control group, significant differences were identified in relation to the rectus femoris muscle, biceps femoris muscle, and balance (p < .05). Significant differences between the two groups were only observed in relation to the tibialis anterior and soleus muscles (p < .05). CONCLUSION: Only the tibialis anterior and soleus muscles showed significant differences between the two groups. This effectiveness may be attributed to using an ankle strategy to maintain body balance during exercise on unstable surfaces.

Serous tubal intraepithelial carcinoma detected during benign gynecologic surgery: a case report

  • Eun Seo Shin;Sung Yob Kim
    • Journal of Medicine and Life Science
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    • v.20 no.1
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    • pp.48-52
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    • 2023
  • High-grade serous carcinoma (HGSC) is the most common type of pelvic cancer among women. Serous tubal intraepithelial carcinoma (STIC) is a precursor lesion of HGSC. Herein, we report a rare occurrence of STIC in patients undergoing surgery for benign indications without a family history of ovarian cancer. A 77-year-old woman underwent total laparoscopic hysterectomy and bilateral salpingo-oophorectomy for uterine prolapse. Pathological examination revealed bilateral STIC without ovarian abnormalities, and no other abnormal findings were noted. Another patient, a 49-year-old woman, underwent laparoscopic total hysterectomy and bilateral salpingectomy for uterine fibroids. STIC lesions were observed in both fallopian tubes. Subsequently, a staging was performed. No additional lesions were found, and the patient was followedup through imaging and blood tests. As reports of STIC lesions are rare, data on their clinical outcomes and management strategies are limited. In this report, we present cases of incidental STIC in benign surgery and discuss its proper interpretation and management. Through the early detection of STIC lesions, patients with risk factors can be identified in advance, which will allow prevention and early detection of ovarian cancer. Opportunistic salpingectomy was also actively discussed in this regard.

Hemostatic Dysfunction in a Dog with Mammary Gland Carcinoma

  • Rankyung Jung;Hyeona Bae;ARom Cho;Young Ju Kim;Yeseul Jun;Minji Kim;Sumin Cha;Min-Jeong Kang;Tae-Sung Hwang;Hee-Chun Lee;Kyu-Woan Cho;Dong-In Jung;Dae Young Kim;DoHyeon Yu
    • Journal of Veterinary Clinics
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    • v.39 no.6
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    • pp.373-377
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    • 2022
  • Hypercoagulability is the most common coagulopathy seen in dogs with neoplasia, whereas a hypocoagulable state is relatively rare. A 16-year-old spayed female miniature Schnauzer presented with bilateral epistaxis, bilateral hindlimb swelling, and lameness. Previously, the dog was diagnosed with intermediate grade solid carcinoma after mastectomy, and then showed generalized ecchymoses on the abdomen and bilateral hindlimbs on presentation. Laboratory tests revealed a hypocoagulable state, including thrombocytopenia, hypofibrinogenemia, and delayed prothrombin and activated partial thromboplastin time. Thromboelastography demonstrated a prolonged K time with a decreased alpha angle and low maximal amplitude, reflecting a decrease in clot strength. The hypocoagulable state of disseminated intravascular coagulopathy was speculated based on the presence of an underlying tumor, clinical symptoms, and laboratory results of the hypocoagulable state. This case shows the incidence of hemostatic dysfunction as a paraneoplastic syndrome in a dog with mammary gland carcinoma.

Economic Impacts of a Possible South Korea-Malaysia FTA on Trade

  • Kim, Yoomi
    • SUVANNABHUMI
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    • v.15 no.1
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    • pp.255-275
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    • 2023
  • Trade between South Korea and Malaysia has been steadily increasing since the conclusion of the multilateral Free Trade Agreement (FTA) between the Association of Southeast Asian Nations (ASEAN) and South Korea. Bilateral FTAs such as Singapore-South Korea, Vietnam-South Korea, and Indonesia-South Korea came into effect to enhance the economic cooperation between South Korea and major ASEAN countries. However, the bilateral FTA between South Korea and Malaysia, known as Republic of Korea-Malaysia FTA, is still under negotiation. Therefore, this study aims to analyze the economic impact of a possible FTA between these two countries. To examine the economic effects of bilateral FTAs, this study analyzes the trade structure and change in the value of trade between Malaysia and South Korea using panel data analysis. Two significant findings were identified by the analysis. First, the Republic of Korea-Malaysia FTA is expected to promote trade and have a positive effect on the Gross Domestic Product (GDP) of South Korea. Second, the result of the calculated price elasticity based on substituting figures such as tariff, demand elasticity, and export value is that the value of manufacturing exports is expected to considerably get an increase. Therefore, an early FTA between South Korea and Malaysia would be beneficial for both national economies.

Lymphaticovenular anastomosis for Morbihan disease: a case report

  • Jung Hyun Hong;Changryul Claud Yi;Jae Woo Lee;Yong Chan Bae;Ryuck Seong Kim;Joo Hyoung Kim
    • Archives of Craniofacial Surgery
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    • v.24 no.3
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    • pp.124-128
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    • 2023
  • Morbihan disease (MD) is a very rare condition characterized by rosaceous or erythematous lymphedema on the upper two-thirds of the face. A definitive management strategy for MD is lacking, and treatment is challenging. Herein, we present a case of persistent bilateral eyelid edema treated by lymphaticovenular anastomosis (LVA) and lymph node-vein bypass surgery. The patient experienced persistent bilateral eyelid edema. Indocyanine green lymphography was performed, and the diagnosis of bilateral facial lymphedema was confirmed. On the right side, a preauricular lymphatic vessel was anastomosed to a vein. On the left side, lymphostomy on the preauricular lymph node was done, with anastomosis to the transected proximal end of the concomitant vein of the transverse facial artery. Furthermore, a preauricular lymphatic vessel was anastomosed to a vein. Eyelid edema decreased and progressively improved on both sides. The outcome of this case suggests that LVA and lymph node-vein bypass surgery are appropriate for treating persistent eyelid edema related to MD.