• Title/Summary/Keyword: Disc Change

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THE EFFECTS OF CHANCES OF MANDIBULAR POSITION ON TEMPOROMANDIBULAR JOINT IN ADULT RABBITS WHOSE RETRODISCAL TISSUES WERE INCISED (성숙가토의 관절원판후조직 절단 후 하악골의 위치변화가 악관절에 미치는 영향에 관한 연구)

  • Hwang, Hyeon-Shik;Sohn, Byung-Wha
    • The korean journal of orthodontics
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    • v.22 no.2 s.37
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    • pp.345-372
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    • 1992
  • The purpose of this experiment was to study the effects of changes of mandibular position on temporomandibular joint in internal derangement patients Twenty-four female New Zealand White Rabbits, weighing over 3.5kg, were utilized in this study . Bilateral temporomandibular joint surgery was performed in twenty-one of the rabbits to displace disc anteriorly through incising the retrodiscal tissue 1-2mm posterior to the disc, thus inducing internal derangement. They were divided into three groups nine were left untreated after surgery, six were fitted with functional protrusive appliances 4 weeks after surgery, and six wore collar appliances to apply 4 ounces of mandibular refractive force per side 4 weeks after surgery. The remaining three served as the control group. Histologic examinations were performed after sacrificing them by threes at 4-week intervals. The results were as follows. 1. Histologic findings similar to internal derangement were observed in the rabbits whose retrodiscal tissues had been incised. 2. In the rabbits untreated after surgery, articular surface on condylar process and articular eminence showed severe erosion and deformation, and displaced disc manifested changes in both shape and internal architecture. 3. Functional protrusion after surgery resulted in progressive remodeling on postero-superior portion of condyle and glenoid fossa, while it also brought about erosion on articular eminence and anterior portion of condyle. 4. Mandibular retraction after surgery resulted in compression of retrodiscal tissue and regressive remodeling of posterior portion of condyle.

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Novel Genetic Variants Associated with Lumbar Spondylosis in Koreans : A Genome-Wide Association Study

  • Kim, Hyun Ah;Heo, Seong Gu;Park, Ji Wan;Jung, Young Ok
    • Journal of Korean Neurosurgical Society
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    • v.61 no.1
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    • pp.66-74
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    • 2018
  • Objective : The aim of this study was to identify the susceptibility genes responsible for lumbar spondylosis (LS) in Korean patients. Methods : Data from 1427 subjects were made available for radiographic grading and genome wide association studies (GWAS) analysis. Lateral lumbar spine radiographs were obtained and the various degrees of degenerative change were semi-quantitatively scored. A pilot GWAS was performed using the AffymetrixGenome-Wide Human single-nucleotide polymorphisms (SNPs), 500K array. A total of 352228 SNPs were analyzed and the association between the SNPs and case-control status was analyzed by stepwise logistic regression analyses. Results : The top 100 SNPs with a cutoff p-value of less than $3.7{\times}10^{-4}$ were selected for joint space narrowing, while a cutoff p-value of $6.0{\times}10^{-4}$ was applied to osteophytes and the Kellgren-Lawrence (K-L) osteoarthritis grade. The SNPs with the strongest effect on disc space narrowing, osteophytes, and K-L grade were serine incorporator 1 (rs155467, odds ratio [OR]=17.58, $p=1.6{\times}10^{-4}$), stromal interaction molecule 2 (STIM1, rs210781, OR=5.53, $p=5{\times}10^{-4}$), and transient receptor potential cation channel, subfamily C (rs11224760, OR=3.99, $p=4.8{\times}10^{-4}$), respectively. Leucine-rich repeat-containing G protein-coupled receptor 4 was significantly associated with both disc space narrowing and osteophytes (rs1979400, OR=2.01, $p=1.1{\times}10^{-4}$ for disc space narrowing, OR=1.79, $p=3{\times}10^{-4}$ for osteophytes), while zinc finger and BTB domain containing 7C was significantly and negatively associated with both osteophytes and a K-L grade >2 (rs12457004,OR=0.25, $p=5.8{\times}10^{-4}$ and OR=0.27, $p=5.3{\times}10^{-4}$, respectively). Conclusion : We identified SNPs that potentially contribute to the pathogenesis of LS. This is the first report of a GWAS in an Asian population.

Postoperative Flat Back : Contribution of Posterior Accessed Lumbar Interbody Fusion and Spinopelvic Parameters

  • Kim, Jin Kwon;Moon, Byung Gwan;Kim, Deok Ryeng;Kim, Joo Seung
    • Journal of Korean Neurosurgical Society
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    • v.56 no.4
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    • pp.315-322
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    • 2014
  • Objective : Posterior accessed lumbar interbody fusion (PALIF) has a clear objective to restore disc height and spinal alignment but surgeons may occasionally face the converse situation and lose lumbar lordosis. We analyzed retrospective data for factors contributing to a postoperative flat back. Methods : A total of 105 patients who underwent PALIF for spondylolisthesis and stenosis were enrolled. The patients were divided according to surgical type [posterior lumbar inter body fusion (PLIF) vs. unilateral transforaminal lumbar interbody fusion (TLIF)], number of levels (single vs. multiple), and diagnosis (spondylolisthesis vs. stenosis). We measured perioperative index level lordosis, lumbar lordosis, pelvic tilt, sacral slope, pelvic incidence, and disc height in standing lateral radiographs. The change and variance in each parameter and comparative group were analyzed with the paired and Student t-test (p<0.05), correlation coefficient, and regression analysis. Results : A significant perioperative reduction was observed in index-level lordosis following TLIF at the single level and in patients with spondylolisthesis (p=0.002, p=0.005). Pelvic tilt and sacral slope were significantly restored following PLIF multilevel surgery (p=0.009, p=0.003). Sacral slope variance was highly sensitive to perioperative variance of index level lordosis in high sacral sloped pelvis. Perioperative variance of index level lordosis was positively correlated with disc height variance ($R^2=0.286$, p=0.0005). Conclusion : Unilateral TLIF has the potential to cause postoperative flat back. PLIF is more reliable than unilateral TLIF to restore spinopelvic parameters following multilevel surgery and spondylolisthesis. A high sacral sloped pelvis is more vulnerable to PALIF in terms of a postoperative flat back.

Taxonomic Review of a Rare Butterfly Ray Gymnura japonica (Gymnuridae, Chondrichthyes), in Korea (한국의 희귀 나비가오리[Gymnura japonica (나비가오리과, 연골어강)]의 분류학적 재검토)

  • Kim, Jin-Koo;Ryu, Jung-Hwa;Jang, Seo-Ha;Han, Kyeong-Ho;Kim, Byeong-Yeob
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.55 no.1
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    • pp.30-36
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    • 2022
  • We collected a total of four butterfly ray specimens (Gymnura japonica, 213.4-695.0 mm in total length) in Korea from 2016 to 2021 and investigated their morphological and molecular characteristics in order to clarify their taxonomic status. These features are summarized as follows. Disc lozenge-shaped, 1.8-2.0 times broader than long. Tail very short, post-cloaca length 23.9-28.2% in disc width. Snout short, no rostral cartilage. Clasper short, no hook. Dorsal surface uniform yellow or brownish grey, with or without rounded light yellow spots. An analysis of 434 base-pair sequences of mitochondrial DNA cytochrome c oxidase subunit I showed that all four specimens corresponded to G. japonica from Japan (Kimura-2-parameter distance = 0-0.2%), suggesting that the color patterns found may be due to intraspecific color variation. G. japonica resembles Gymnura poecilura but differs in that it has a shorter tail length to disc width (23.9-28.2% in G. japonica vs. 40.1-48.3% in G. poecilura). This study revealed that G. japonica occurred in areas affected by the Tsushima Warm Current, tentatively suggesting that G. japonica may be an indicator species for monitoring marine ecosystem changes due to climate change.

A fundamental study on velocity restoration for tidal farm

  • Hoang, A.D.;Yang, C.J.
    • Journal of Advanced Marine Engineering and Technology
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    • v.37 no.3
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    • pp.266-273
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    • 2013
  • With the worldwide trend of controlling the utilization of fossil fuels inducing global climate change, many efforts will have to be made on securing a sustainable energy supply. Tidal current is a concentrated form of gravitational energy, its resource is significant, but limited locations. To effectively capture tidal current energy from the sea, a group of tidal turbines should be formed and positioned with optimal size and spacing for absorbing from multiple points. Thus, the flow field including turbines becomes a huge domain, a so-called tidal farm. It can be very convenient technically and economically if a whole turbine farm is simulated by means of actuator disc thoery. So, the analysis method using actuator discs coupled with a solution of Reynolds Averaged Navier-Stokes (RANS) equations is adopted for actual tidal turbines. Actuator discs have regions where similar forces imposed by actual turbines are applied to a flow. As working in group formation, turbines naturally have interaction effects on one another. Therefore, the present paper investigate the evaluation on the operating performance of tidal farm in terms of the mutual influence among turbine units with various lateral and longitudinal spacing. Authors expect that results of the present study contribute to the development of tidal farm for the future potential energy.

Additive Manufacturing of TMJ Device used in Temporomandibular Joint MRI Scan by using 3D Printer (3D 프린터를 이용하여 턱관절 MRI검사에 사용되는 TMJ device제작)

  • Jang, Hye-Won
    • The Journal of the Korea Contents Association
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    • v.18 no.7
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    • pp.628-634
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    • 2018
  • In an examination of the temporomandibular joint disc, MRI(Magnetic Resonance Imaging) is a useful method, and it is necessary to conduct an examination with one's mouth open for a long time to observe the accurate position change of the disc. Thus, this study would produce a TMJ device, using the 3-D printing technology, which would maintain the state of opening the mouth and would evaluate its usefulness as compared to the existing fixed device. As compared to the image using the existing TMJ device, the image taken with the self-produced TMJ device with a 3-D printer showed a somewhat lower SNR, but there was no defect for a clinical use. It is judged that benefits to costs would increase, since it can be customized for the individual patient and can contribute to the production of similar tools by utilizing the 3-D printing technology.

CLINICAL STUDY OF TEMPOROMANDIBULAR JOINT OPEN SURGERY (측두하악관절 관혈적 수술에 관한 임상적 연구)

  • Shim, Cheong-Hwan;Kim, Young-Kyun;Yun, Pil-Young
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.27 no.1
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    • pp.55-65
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    • 2005
  • Most patients with temporomandibular disorder can be treated conservatively. However, open TMJ surgery can be needed in some patients. We analysed the patients with TMD which open surgery has performed since 1998. Open surgery was carried out in 8 patients. Age ranged from 22 to 61 years, with a mean of 42.8years. All patients were male. Final diagnosis was obtained based upon clinical, radiographic and operative finding as follows; habitual luxation, bony ankylosis, traumatic arthritis, disc displacement with destructive change, disc displacement and adhesion. Etiologic factors included trauma(4), infection(2), and unknown(2). Open surgery included arthroplasty with either of condylectomy, eminectomy, meniscoplasty, capsurrohaphy. All patients were recovered uneventfully without severe complications. Some mouth opening limitation and mouth opening deviation remained. Postoperative aggressive physical therapy and careful follow up were performed. In conclusion, open TMJ surgery must be considered in organic disease such as ankylosis, tumor and TMD without favorable recovery after long-term conservative therapy.

Disturbance estimation of optical disc by closed loop output estimator (페루프 외란 검출기를 통한 광디스크 외란 측정)

  • Park, Jin-Young;Chun, Chan-Ho;Jun, Hong-Gul;Lee, Moon-Noh;Hyunseok Yang;Park, Young-Pil
    • Proceedings of the Korean Society for Noise and Vibration Engineering Conference
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    • 2001.11b
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    • pp.1166-1171
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    • 2001
  • The method for output disturbance estimation is proposed. In this method, output disturbance is estimated from the closed loop system dynamics using the output and control input signals. In the closed-loop output-disturbance estimator, precise system identification is required to reduce estimation error. The realization of estimator was done by the DSP board (DSPl103), and disturbance estimation in various environments was performed: change of rotation speed, media feature and spindle motor with (or without) auto-ball balancing system (ABS). From these experiments, the disturbance characteristics of ODD under various conditions are analyzed, and the desirable servo loop configuration based these results is proposed.

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EXPRESSION OF ESTROGEN RECEPTORS IN RETRODISCAL TISSUE OF THE TEMPOROMANDIBULAR JOINT DISORDER PATIENTS (측두하악관절 장애 환자에서 관절원판후조직의 에스트로겐 수용체(ER)의 단백 발현)

  • Kim, Jong-Yun;Lim, Jae-Hyung;Park, Kwang-Ho;Kim, Hyung-Gon;Huh, Jong-Ki
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.35 no.6
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    • pp.403-410
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    • 2009
  • Those composing temporomandibular joint (TMJ) complex such as the temporal bone, the disc and the mandibular condyle perform their own functions with organic relation. The retrodiscal tissue is the main area of pain induction and contributes to compositional change of synovial fluid. If displacement of the disc lasts long time, not only adaptive changes, but also destructive or degenerative changes may happen. It was reported that these changes and symptoms appear mostly to female rather than male and especially, in the case of patients suffering from TMJ disorder, a large quantity of female sex hormone is found in the joint synovium. And that may play a role in bone resorption and inflammation. Also, the frequency and the intensity of pain perception for female is reported to be much more than for male. In this study, we investigated the expression extents of estrogen receptors (ER) and progesteron receptors (PR) in retrodiscal tissue with immunohistochemistry among the patients received TMJ surgery and compared with MRI findings and surgical findings. We report the relations between the expression of ER in retrodiscal tissue and the pathological change in TMJ, such as inflammation, internal derangement and osteoarthritis.

The Effect of spinal manipulation on the Lumbar Spine with LBP patients (척추도수교정이 요통에 미치는 영향)

  • Oh, Kang-o;Kim, Chi-hyok;Choi, Su-hong
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.22 no.2
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    • pp.9-14
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    • 2016
  • Purpose: Many people are suffering from Low back pain due to HIVD and muscular problems, lack of joint functions on lumbar spine. In this study we compared the change of the herniation index, Oswestry LBP disability index (OLDI), visual analog scale (VAS), lumbar flexion range of motion (ROM) between the pre-experiment and after 4 weeks treatment by maitland manual therapy. Method: we selected and managed both the 15 people. They are $46.80{\pm}15.46$ years old people with HIVD and Stenosis. We treated for the people with HIVD and Stenosis by manual therapy(maitland manipulation method) during 4 weeks. And then we compared with pre-experiment and after 12 weeks through measuring the herniation index change by using computor themograpy (CT), LBP OLDI, VAS, lumbar flexion ROM. Results: The changes in the herniation index, Oswestry lumbar Disability Index, VAS, lumbar flexion ROM between the pre-experiment and after 4 weeks treatment by maitland manual therapy, there was a statistically significant difference. Although there was a significant difference after 4 weeks in OLDI, VAS, lumbar flexion ROM. But disc herniation index was no significant difference. Conclusion: Manual therapy is very effective for Lumbago due to the HIVD and spinap stenosis patients. OLDI, VAS and lumbar flexion ROM were increased. But disc herniation index was no significant difference. We suggest the combination treatment between manual exercise and spinal traction.

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