• 제목/요약/키워드: Change in occlusion

검색결과 323건 처리시간 0.027초

Augmentation of the Patency of an Extracranial-Intracranial Bypass Accompanied by the Occlusion of an Intracranial Stenotic Lesion

  • Lee, Jae-Hyun;Joo, Sung-Pil;Lee, Jung-Kil;Kim, Tae-Sun
    • Journal of Korean Neurosurgical Society
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    • 제41권3호
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    • pp.200-203
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    • 2007
  • We describe a case that showed augmention of the superficial temporal artery [STA] pedicle's patency 15 months after extracranial to intracranial [EC-IC] bypass surgery for a carotid artery occlusion with contralateral intracranial internal carotid artery stenosis. It is rare that meager patency of the STA pedicle in the early postoperative angiogram can be become well augmented with time where most branches of the middle cerebral artery [MCA] are robustly filled with blood from the STA. A 28-year-old woman with a history of a previous left hemispheric stroke presented with slurred speech after several bouts of seizure. Magnetic resonance imaging showed a new infarct on the right hemisphere in addition to an old infarct on the left hemisphere. Carotid angiography revealed stenosis of the right carotid siphon and occlusion of the left carotid artery. The patient underwent EC-IC bypass on the right side. Even though the early postoperative angiogram showed meager filling of MCA with no significant stenotic lesion change, a subsequent angiogram taken 15 months later, demonstrated a widely patent STA pedicle with occlusion of the previous intracranial stenotic lesion. Selected cases with an inaccessible intracranial stenotic lesion can benefit from EC-IC bypass surgery; however, its clear indication should first be established.

총의치 교합양식에 따른 응력 분포 양상 비교연구 (Comparison of the Strain on the Alveolar Ridge According to the Occlusal Scheme of Complete Dentures)

  • 최원준;임영준;김창회;김명주
    • 구강회복응용과학지
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    • 제26권1호
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    • pp.1-12
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    • 2010
  • 총의치가 잔존치조제에 가하는 응력은 지지골의 흡수를 야기할 수 있으며, 이는 하악골에서 더 흔히 발생한다. 이러한 응력은 측방력과 관련이 있고, 이는 총의치의 교합력에 따라 차이를 보이게 된다. 그러므로 본 연구의 목적은 총의치의 교합양식(양측성 균형교합-33도 해부학적 치아, C군 ; 무교두교합-0도 비해부학적 치아, M군 ; 설측교두교합,-상악은 33도 해부학적 치아와 하악은 0도 비해부학적 치아, L군)에 따른 하악잔존치조제에 미치는 응력의 크기를 중심위, 측방위, 전방위 상태에서 비교하는 것이다. 기성 아크릴릭 무치악 모델을 이용하여 양측성 균형교합, 무교두교합, 설측교두교합 양식을 갖는 총의치를 제작하여 이를 T-ScanII(Tekscan, Boston, U.S.A)를 이용해 기록했다. 하악 무치악 아크릴 모형을 1.5 mm 일정하게 삭제한 뒤 실리콘으로 점막을 재현하여 제1소구치와 제1대구치 부위에 각각 $4{\times}6$의 linear strain gauge를 부착했다. 교합기에 모형을 부착한 상태에서 Universal Testing Machine(instron$^{(R)}$ 5567, Bluehill 2.0 software ,U.S.A.)으로 50 N과 150 N의 힘을 중심위, 측방위, 전방위 상태에서 일정하게 가하여 교합양식에 따른 응력값을 측정했다. 중심위와 전방위 상태에서는 전방과 후방의 응력값을 교합양식에 따라 비교하고, 측방위에서는 작업측과 비작업측에서의 응력값을 비교하였다. 이상과 같은 실험으로 양측성 균형교합에서의 응력값이 비작업측을 제외하고는 모든 위치에 서 설측교두교합과 무교두교합보다 더 컸으며, 비작업측과의 차이값과 비작업측에서의 응력 변화율도 가장 컸다. 그러나, 측방운동시 비작업측의 응력은 양측성 균형교합에서 가장 작은 것으로 나타났다.

전산화 단층 촬영법을 이용한 하악과두의 위치에 관한 연구 (A STUDY ON THE POSITION OF CONDYLAR HEAD ON COMPUTED TOMOGRAM)

  • 이종복;김재덕
    • 치과방사선
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    • 제17권1호
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    • pp.151-162
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    • 1987
  • The author obtained the computed tomograms around the condylar head from 10 normal subjects and 5 patients having clicking condylar head from 10 normal subjects and 5 patients having clicking sound or limitation of mouth opening by using a Hitachi-W 500. And then. the author had the axial analysis of condyle position and sagittal analysis of that after sagittal reformation on centric occlusion and 18㎜ interincisal opening. Transcranial view and submentovertex view were taken and compared with computed tomographic view. The obtained results were as follows: 1. Median angle of long axis of condylar head was 17 degrees on centric occlusion and the angles of long axis of both condylar heads were reduced symmetrically on 18㎜ interincisal opening in normal group. however. in the patient group, the affected side of condyle heads showed greater change in the angle on 18㎜ interincisal opening. 2. In the patient group, the condyle head of affected side was located superiorly to that of normal side on centric occlusion and the discrepancy of condular positional height was increased after 18㎜ interincisal opening. 3. The distances from medial pole of condylar head to triangular fossa of temporal bone were same on both right and left side in normal group, however, in the patient group, the distance of affected side was wider than that of opposite side on centric occusion and became narrower than the opposite side on 18㎜ interincisal opening. 4. The distances of posterior joint space were same on both right and left side. The distance t lateral pole 1/3 of condyle head was similar to that on transcranial view on centric occlusion in normal group. 5. The distances of posterior joint space were narrower in patient group than in normal group. 6. Conclusively, the affected condylar head of patient showed postero-latero-superior displacement on centric occlusion and larger range of rotational movement on 18㎜ interincisal opening.

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전악 고정성 보철 수복 환자에서 T-Scan 분석을 이용해 전-측방유도를 부여한 상악 임플란트 보철 수복 (Maxillary anterior implant restoration with appropriate anterior guidance using T-Scan in a patient with full fixed prostheses)

  • 남래경;방은경;조영은;박은진
    • 대한치과보철학회지
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    • 제55권4호
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    • pp.419-426
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    • 2017
  • 임플란트는 자각증상을 느끼기 어렵고, 완충역이 없으므로 응력 분포를 고려하지 않는 경우 기계적 실패를 야기할 수 있다. 다수의 상악 전치부 임플란트 수복의 경우 하악의 기능 운동 시 유도를 담당함으로써, 임플란트에 가해지는 측방력의 분산에 중요한 역할을 하므로, 적절한 가이드의 설정이 중요하다. T-scan system을 이용하는 방법은 교합지나 shimstock을 사용하는 기존의 정성적인 방법에 비해, 시간에 따른 교합의 변화와 기능 운동시 접촉되는 치아의 기여정도 및 육안으로 관찰하기 어려운 후방 구치나 반대편 치아의 접촉을 파악하는 등 동적인 교합평가에 유리하다. 본 논문에서는 다수의 상악 임플란트 보철물에 조화로운 전방유도를 부여하기 위하여 T-scan 분석을 활용하는 방법에 관하여 증례를 통해 살펴보고자 한다.

Evaluation of postoperative complications according to treatment of third molars in mandibular angle fracture

  • Lim, Hye-Youn;Jung, Tae-Young;Park, Sang-Jun
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제43권1호
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    • pp.37-41
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    • 2017
  • Objectives: The aim of this study was to evaluate the implication of third molars in postoperative complications of mandibular angle fracture with open reduction and internal fixation (ORIF). Materials and Methods: Data were collected on patients who presented with mandibular angle fracture at our Department of Oral and Maxillofacial Surgery between January 2011 and December 2015. Of the 63 total patients who underwent ORIF and perioperative intermaxillary fixation (IMF) with an arch bar, 49 patients were identified as having third molars in the fracture line and were followed up with until plate removal. The complications of postoperative infection, postoperative nerve injury, bone healing, and changes in occlusion and temporomandibular joint were evaluated and analyzed using statistical methods. Results: In total, 49 patients had third molars in the fracture line and underwent ORIF surgery and perioperative IMF with an arch bar. The third molar in the fracture line was retained during ORIF in 39 patients. Several patients complained of nerve injury, temporomandibular disorder (TMD), change of occlusion, and postoperative infection around the retained third molar. The third molars were removed during ORIF surgery in 10 patients. Some of these patients complained of nerve injury, but no other complications, such as TMD, change in occlusion, or postoperative infection, were observed. There was no delayed union or nonunion in either of the groups. No statistically significant difference was found between the non-extraction group and the retained teeth group regarding complications after ORIF. Conclusion: If the third molar is partially impacted or completely nonfunctional, likely to be involved in pathologic conditions later in life, or possible to remove with the plate simultaneously, extraction of the third molar in the fracture line should be considered during ORIF surgery of the mandible angle fracture.

흰쥐의 중대뇌동맥 결찰로 유발된 뇌허혈에서 성향정기산과 곽향정기산이 신경세포에 미치는 효과 (The Effects of Sunghyangjunggi-san and Gwackhyangjunggi-san Extracts on Cerebral Ischemia Following the MCA Occlusion in Rat)

  • 김선영;이원철
    • 대한한의학회지
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    • 제22권4호
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    • pp.142-150
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    • 2001
  • Objectives : The purpose of this investigation is to evaluate and compare the effects of Sunghyangjunggi-san (SH) and Gwackhyangjunggi-san (GH) extracts on reperfusion following the MCA occlusion in rats. Methods : To evaluate the effect of Sunghyangjunggi-san (SH) and Gwackhyangjunggi-san (GH) extracts on reperfusion following the MCA occlusion, the volume of cerebral infarction and edema were measured and the change of the CA1 pyramidal neurons in the hippocampus were investigated by light microscopy. Results : 1. The infarction volume of the control group was 23.6%, that of the GH group was 23.7%, and that of the SH group was 18.5%. 2. The brain edema volume of the control group increased by 16% compared with that of the normal group, that of the GH group increased by 14%, and that of the SH group increased by 9%. 3. The number of surviving pyramidal neurons in the CAI area of the hippocampus was investigated under light microscopy. In the control group, few surviving pyramidal neurons excisted (mean 6.4) and similarly in the GH group (mean 8.5), but in the SH group, the number of surviving pyramidal neurons was significantly higher, to the mean 18.4. Conclusions : According to the above results, in regard to the damage of neurons following cerebral ischemia, the GH group has little effect of the protection of neurons compared to the control group, but the SH group has a remarkable effect.

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사향(麝香)·우황(牛黃)·삼칠근(三七根) 복합방(複合方)이 고지혈증(高脂血症) 및 뇌손상(腦損傷)에 미치는 영향(影響) (The Effects of SWS(Sahyang·Woohwang·Samchilkeun) on Hyperlipidemia and Brain Damage)

  • 박중양;김병탁
    • 혜화의학회지
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    • 제8권1호
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    • pp.425-449
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    • 1999
  • For the evaluation of the effect on SWS, experiments were made on hyperlipidemia induced by hypercholesterol diet, inhibitory reaction to human platelet aggregation, Pulmonary thrombosis induced by collagen and epinephrine, global cerebral ischemia induced by KCN, brain ischemia induced by MCA occlusion, cytotoxicity of PC12 cells induced by amyloid ${\beta}$ protein(25-35), and NO production in RAW cells stimulated by lipopolysaccharide. The results were obtained as follows : 1. In the experiment on hyperlipidemia, the level of serum total cholesterol, phospholipid, and LDL-cholesterol were significantly decreased while the level of triglyceride, VLDL-cholesterol, and HDL-cholesterol had no significant change. 2. In the experiment on inhibitory reaction to platelet aggregation, SWS inhibited platelet aggregation induced by ADP(36.05%), by collagen(20.4%), and by thrombin(0.6%). 3. In the experiment on pulmonary thrombosis induced by collagen and epinephrine, the protective effect was found(37%). 4. In the experiment on global cerebral ischemia, coma duration induced by KCN changed insignificantly. 5. In the experiment on MCA occlusion, the change of neurologic grades on hind limb was significant only after the operation. Besides brain ischemic area and edema ratio were significantly decreased. 6. In the experiment on cytotoxicity of PC 12 cells induced by amyloid ${\beta}$ protein, the significant protective effect was found as concentration increases. 7. In the experiment on NO production in RAW cells stimulated by lipopolysaccharide, NO was significantly decreased. According to the results, it is expected that SWS might be effective on hyperlipidemia and brain damage.

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적절한 정맥 재혈류 시점의 판단을 위한 조직산소분압의 유효성 (The Usefulness of Transcutaneous Tissue Oxygen Pressure ($TcpO_2$) for Determination of the Point of Time at Venous Revascularization)

  • 이은상;정종필;박승하;이병일
    • Archives of Plastic Surgery
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    • 제37권5호
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    • pp.547-554
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    • 2010
  • Purpose: The purpose of this study is to delineate the optimal time of venous revascularization for preventing the flap necrosis due to venous occlusion, and to clarify the usefulness of tissue oxygen pressure ($TcpO_2$) in the determination of the point of time for venous revascularization. Methods: Thirty-six, $3{\times}3\;cm$ sized epigastric island flap was elevated in left abdomen of male Sprague-Dawley rat weighing 250 gram. Flaps were randomly assigned to six groups of six flaps according to the duration of venous occlusion with microvascular clamp; 10 minutes in the group I as the control, 60 minutes in the group II, 2 hours in the group III, 3 hours in the group IV, 4 hours in the group V, and 6 hours in the group VI, respectively. Just before removal of clamp after flap was reposed in situ, the ratio of $TcpO_2$ (tissue oxygen pressure) of the island flap to that of right abdomen was calculated in each group, and tissue specimen was harvested from the distal area of the flap for histological evaluation of vascular change. Five days later, survival area of the flap was estimated, and evaluated the correlation between the tissue oxygen pressure and the rate of flap survival. Results: The $TcpO_2$ and the survival rate of flap were decreased proportionally with the duration of venous occlusion. The ratio of the $TcpO_2$ of the flap is decreased abruptly to below sixty percentile compared to the $TcpO_2$ of normal tissue, and the survived area of the flap is decreased to nine-tenth of the designed size after three hours of total venous occlusion. Histologically, the number of congested vessels was increased according to venous occluded time, and proportionally increased after 3-hours of occlusion significantly. Conclusion: There is a close correlation between the $TcpO_2$ and the survival rate of flaps according to the duration of venous occlusion. Therefore, the $TcpO_2$ represents the hemodynamic changes within the flap, and thought to be an alternative effective tool in the flap monitoring for venous revascularization.

FRS-OCC: Face Recognition System for Surveillance Based on Occlusion Invariant Technique

  • Abbas, Qaisar
    • International Journal of Computer Science & Network Security
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    • 제21권8호
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    • pp.288-296
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    • 2021
  • Automated face recognition in a runtime environment is gaining more and more important in the fields of surveillance and urban security. This is a difficult task keeping in mind the constantly volatile image landscape with varying features and attributes. For a system to be beneficial in industrial settings, it is pertinent that its efficiency isn't compromised when running on roads, intersections, and busy streets. However, recognition in such uncontrolled circumstances is a major problem in real-life applications. In this paper, the main problem of face recognition in which full face is not visible (Occlusion). This is a common occurrence as any person can change his features by wearing a scarf, sunglass or by merely growing a mustache or beard. Such types of discrepancies in facial appearance are frequently stumbled upon in an uncontrolled circumstance and possibly will be a reason to the security systems which are based upon face recognition. These types of variations are very common in a real-life environment. It has been analyzed that it has been studied less in literature but now researchers have a major focus on this type of variation. Existing state-of-the-art techniques suffer from several limitations. Most significant amongst them are low level of usability and poor response time in case of any calamity. In this paper, an improved face recognition system is developed to solve the problem of occlusion known as FRS-OCC. To build the FRS-OCC system, the color and texture features are used and then an incremental learning algorithm (Learn++) to select more informative features. Afterward, the trained stack-based autoencoder (SAE) deep learning algorithm is used to recognize a human face. Overall, the FRS-OCC system is used to introduce such algorithms which enhance the response time to guarantee a benchmark quality of service in any situation. To test and evaluate the performance of the proposed FRS-OCC system, the AR face dataset is utilized. On average, the FRS-OCC system is outperformed and achieved SE of 98.82%, SP of 98.49%, AC of 98.76% and AUC of 0.9995 compared to other state-of-the-art methods. The obtained results indicate that the FRS-OCC system can be used in any surveillance application.

복잡한 환경에서 파티클 필터를 이용한 자율이동로봇의 사람추적방법 (Person Tracking with a Mobile Robot using Particle Filters in Complex Environment)

  • 권호상;김영중;임모택
    • 대한전기학회:학술대회논문집
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    • 대한전기학회 2005년도 제36회 하계학술대회 논문집 D
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    • pp.2796-2798
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    • 2005
  • This Paper presents a method that a mobile robot can track persons in complex environment using particle filters. The topic of person following using mobile robot is researched in many different areas. The main problems of following a person are real time constraint, motion change of person during the tracking and occlusion with other objects. We present appearance adaptive models in a particle filter to realize robust visual tracking algorithm. Adaptive appearance model can handle occlusion with other people while target is moving.

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