• 제목/요약/키워드: First-onset

검색결과 708건 처리시간 0.027초

외상성 intrusion 치아의 교정적 견인시기에 관한 실험적 연구 (THE ONSET OF ANKYLOSIS FOLLOWING INTRUSIVE LUXATION INJURIES)

  • 정규림
    • 대한치과교정학회지
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    • 제21권2호
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    • pp.259-272
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    • 1991
  • Orthodontic traction has been suggested as the treatment of choice for intrusive luxation injuries. Prior research has shown orthodontic forces to be ineffective in the presence of ankylosis or in cases with zero mobility following the injury. If orthodontic traction is to be effective, it must be initiated prior to the onset of ankylosis. The purpose of this study was to describe the effects of intrusive luxation at various times following the injury, and to determine the time of the onset of ankylosis, and to examine what effect immediate partial luxation has on the onset of ankylosis. Eight young mongrel dogs were utilized for this study. Intrusive luxation was produced with an axial impact using a gravity hammer and a specially designed holding device on 4 teeth (2 max. and 2 man. first premolars) in each dog. The teeth were intruded approximately 3-4mm in an axial direction. One maxillary and one mandibular premolars were partially luxated with the other two teeth being untouched. Pre and posttrauma tooth position was documented with plaster models and radiographs taken with an individualized X-ray jig. Dogs were sacrificed immediately following the injury and at 1, 2, 4, 7, 10, 14 and 21 days respectively. Tetracycline was administered as a vital bone marker 24 hours before sacrifice. Block sections of the tooth and alveolus were prepared for decalcified and non decalcified histologic sections. The effects of traumatic intrusion were analyzed by means of model casts, radiographs, tetracycline bone marking and histologic preparations. The results obtained were as follows: 1. The animal sacrificed immediately following the injury displayed alveolar fractures, torn periodontal ligaments, and areas of direct tooth-bone contact. 2. The odontoblastic layer of the pulp was disorganized as early as 24 hours after the injury. 3. Bony remodeling was noted at 4 days along with active surface resorption. 4. Ankylosis was first seen 7 days after the injury. 5. Osteogenesis in the dentin (thick tetracycline bands) was observed 7 days after the injury. 6. There was no progressive root resorption and ankylosis where the periodontal ligament has been healed. 7. The Luxated group showed significantly more root resolution and ankylosis than the Nonluxated group with increased observation periods. The results suggest that ankylosis may occur within the first week following the injury, and hence orthodontic traction should be initiated as soon after the injury as possible.

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춘천한방병원에 내원한 이비인후과 및 호흡기계 질환 외래 환자의 통계적 고찰 (The Statistical Analysis on Outpatients Who Had Visited Chuncheon Oriental Medical Hospital with Otolaryngology and Respiratory Diseases)

  • 허은정;김지현;강다혜;권강
    • 한방안이비인후피부과학회지
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    • 제23권3호
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    • pp.202-215
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    • 2010
  • Objective : This study was performed to investigate the prevalence of otolaryngology and respiratory diseases and characteristics of the outpatients who had visited Chuncheon oriental medical hospital which located in Gangwon province with the diseases. Methods : We analyzed data from 627 patients, who had visited to the Department of ophthalmology & otolaryngology & dermatology of Chuncheon oriental medical hospital from November 1st, 2007 to May 31th, 2010. The data were analyzed and demonstrated by age, gender, season, period between the onset of disease and the first examination, times of treatment, and treatment methods. Results : The results of this study are summarized as follows. 1. Among the 627 outpatients, male patients outnumbered female patients, and the most frequent age group was 0-10 year-old group(24.9%) and it is followed by 31-40 and 41-50 year-old groups. The majority of outpatients, 79.7% of them were from Chuncheon, and Hongcheon and Gapyeong residents were respectively 4.7% and 3.8% of the patients. 2. The shares of outpatients by department were 47.4% in Rhinology disease, 29.8% in respiratory disease, 14.5% in Otology disease, and 8.3% in Laryngology disease. The seasons with the most frequent prevalence by department were spring and winter for otology group, autumn and spring for rhinology group, summer and spring for laryngology group, and winter and spring for respiratory disease group. Overall, most outpatients had visited the hospital for 1-5 times or 6-10 times. Acupuncture and herbal medicine were the most frequent treatment methods that these patients received. 3. The most prevalent diseases were rhinitis, common cold, tinnitus, and sinusitis. The most frequently visited age groups for tinnitus and hearing loss were 41-50 and 51-60 year-old groups, and for rhinitis and sinusitis 0-10 and 11-20 year-old groups. Irritation in larynx was almost evenly prevalent among 31-40, 41-50 and 51-60 age groups. Regarding the period between the onset of disease and the first medical examination, outpatients with tinnitus, rhinitis, sinusitis, and irritation in larynx came to the hospital after one year since the onset and outpatients with common cold first visited the hospital within one week since the onset of disease. Conclusions : This study shows that the most frequent diseases were rhinitis, common cold, sinusitis, tinnitus, and cough. In order to do better treatment for these diseases in the future, there is a need to investigate long-term, multifaceted studies, connected studies with other hospital in Gangwon province.

The Onset of Tayler-Görtler Vortices in Impulsively Decelerating Circular Flow

  • Cho, Eun Su;Kim, Min Chan
    • Korean Chemical Engineering Research
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    • 제53권5호
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    • pp.609-613
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    • 2015
  • The onset of instability induced by impulsive spin-down of the rigid-body flow placed in the gap between two coaxial cylinders is analyzed by using the energy method. In the present stability analysis the growth rate of the kinetic energy of the base state and also that of disturbances are taken into consideration. In the present system the primary flow is a transient, laminar one. But for the Reynolds number equal or larger than a certain one, i.e. $Re{\geq}Re_G$ secondary motion sets in, starting at a certain time. For $Re{\geq}Re_G$ the dimensionless critical time to mark the onset of vortex instabilities, ${\tau}_c$, is here presented as a function of the Reynolds number Re and the radius ratio ${\eta}$. For the wide gap case of small ${\eta}$, the transient instability is possible in the range of $Re_G{\leq}Re{\leq}Re_S$. It is found that the predicted ${\tau}_c$-value is much smaller than experimental detection time of first observable secondary motion. It seems evident that small disturbances initiated at ${\tau}_c$ require some growth period until they are detected experimentally.

Pathogenesis and clinical manifestations of juvenile rheumatoid arthritis

  • Hahn, Youn-Soo;Kim, Joong-Gon
    • Clinical and Experimental Pediatrics
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    • 제53권11호
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    • pp.921-930
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    • 2010
  • Juvenile rheumatoid arthritis (JRA) is the most common rheumatic childhood disease; its onset is before 16 years of age and it persists for at least 6 weeks. JRA encompasses a heterogeneous group of diseases that is classified according to 3 major presentations: oligoarthritis, polyarthritis, and systemic onset diseases. These presentations may originate from the same or different causes that involve interaction with specific immunogenetic predispositions, and result in heterogeneous clinical manifestations. An arthritic joint exhibits cardinal signs of joint inflammation, such as swelling, pain, heat, and loss of function; any joint can be arthritic, but large joints are more frequently affected. Extra-articular manifestations include high fever, skin rash, serositis, and uveitis. The first 2 types of JRA are regarded as T helper 1 (Th1) cell-mediated inflammatory disorders, mainly based on the abundance of activated Th1 cells in the inflamed synovium and the pathogenetic role of proinflammatory cytokines that are mainly produced by Th1 cell-stimulated monocytes. In contrast, the pathogenesis of systemic onset disease differs from that of other types of JRA in several respects, including the lack of association with human leukocyte antigen type and the absence of autoantibodies or autoreactive T cells. Although the precise mechanism that leads to JRA remains unclear, proinflammatory cytokines are thought to be responsible for at least part of the clinical symptoms in all JRA types. The effectiveness of biologic therapy in blocking the action of these cytokines in JRA patients provides strong evidence that they play a fundamental role in JRA inflammation.

An Acoustic and Aerodynamic Study of Consonants in Cheju

  • Cho, Tae-Hong;Jun, Sun-Ah;Ladefoged, Peter
    • 음성과학
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    • 제7권1호
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    • pp.109-141
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    • 2000
  • Acoustic and aerodynamic characteristics of Cheju consonants were examined with the focus on the well-known three-way distinction among stops (i.e., lenis, fortis, aspirated) and the two-way distinction between sand s*. Acoustic parameters examined for the stops included VOT, relative stop burst energy, Fo at the vowel onset, H1-H2, and H1-F2 at the vowel onset. For the fricatives s and s*, acoustic parameters were fricative duration, Fo, centroid of the fricative noise, RMS energy of the frication, H1-H2 and Hl-F2 at the onset of the following vowel. In investigating aerodynamics, intraoral pressure and oral flow were included for the bilabial stops. Results indicate that, although Cheju and Korean are not mutually intelligible, acoustic and aerodynamic properties of Cheju consonants are very similar in every respect to those of the standard Korean. Among other findings there are three crucial points worth recapitulating. First, stops are systematically differentiated by the voice quality of the following vowel. Second, stops are also differentiated by aerodynamic mechanisms. The aspirated and fortis stops are similar in supralaryngeal articulation, but employ a different relation between intraoral pressure and flow. Finally, our study suggests that the fricative s is better categorized as 'lenis' than as 'aspirated' in terms of its phonetic realization.

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대전지역 영유아의 수유 및 이유실태 조사 (A Study on Infant Feeding and Weaning Practice in Taejon)

  • 왕수경;김지현
    • 대한지역사회영양학회지
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    • 제4권4호
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    • pp.489-495
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    • 1999
  • This study was conducted to investigate the weaning practice of 198 infants in Taejon city in October, 1998. Information on infant feeding and weaning practices were obtained by interviewing mothers in gynecologist and pediatric clinics located in Taejon. The results obtained were as follows : In the survey 37.4% of the infants were breast-feeding, while 31.3% of them were bottle-feeding and 29.3% of them were mixed-feeding. The reason for bottled-feeding was due either to the lack of breast-milk secretion or motner’s job. The educational level of the mother and maternal job affected the feeding methods before weaning. Lower rates of breast-feeding were found among mothers witn a lover level of education. The breast-feeding rate was lower in full-time and part-time job worker groups than in housewife. There was no significant difference in the feeding methods according to family income. Among the subjects, 71.5% of infants began to be weaned within 7 months. The onset of weaning was delayed in the full-time worker group. There was no significant difference in the onset time of weaning according to feeding method, the educational level of the mother, and family income. 60.6% of infants received fruit juice and 29.6% of them received cereals for first-given-supplementary food. ‘For baby’s nutritional status’ was the most common motivation for the onset of weaning. Commercially prepared foods were used more than home-made food for supplementary food.

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Patterns of Depressive Symptoms on Cognitive Function Decline: An Investigation in Middle-Aged Koreans Based on the Korean Longitudinal Study of Aging (KLoSA)

  • Seungyeon Kim
    • 한국임상약학회지
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    • 제34권2호
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    • pp.118-125
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    • 2024
  • Background: Numerous studies have consistently demonstrated that depression can be associated with cognitive function decline, primarily focusing on older adults due to the neurodegenerative characteristics of dementia. With persistent depression frequently reported in patients with early-onset or young-onset dementia, this study aimed to assess the impact of depression, specifically the changes in depressive symptoms over time, on the risk of cognitive function decline in middle-aged adults in Korea. Methods: This retrospective study utilized data from the first four waves (2006-2012) of the Korean Longitudinal Study of Aging (KLoSA), focusing on middle-aged adults with normal cognitive function at baseline. Changes in depressive symptoms were categorized into four groups based on the CES-D score, and their association with cognitive function decline was evaluated using a multivariate logistic regression model. Results: Of the initial 10,254 participants, 3,400 were included in the analysis. Depressive status, particularly newly onset (adjusted odds ratio [aOR] 1.96; 95% confidence interval [CI] 1.32-2.93) and persistent depression groups (aOR 5.59; 95% CI 2.90-10.78), were significantly associated with cognitive function decline. In contrast, recovery from depressive symptoms was not significantly associated with cognitive function decline (p=0.809). Conclusions: Our study showed a significant association between changes in depressive symptoms and cognitive function decline in middle-aged Korean adults. This suggests that management of depressive symptoms could be crucial for the prevention of cognitive function decline in this population.

A perception-based analysis of voice onset time (VOT) dissimilation in Korean

  • Hijo Kang;Mira Oh
    • 말소리와 음성과학
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    • 제16권1호
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    • pp.25-31
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    • 2024
  • This study examines the perceptual motivation behind dissimilation. Consistent with previous arguments suggesting that dissimilation originates from perception rather than production (Coetzee, 2005; Kiparsky, 2003; Scheer, 2013), we hypothesized that an oral stop with short of voice onset time (VOT) would be recognized as non-aspirated more often when it is followed by an aspirated stop with a long VOT. This hypothesis was tested through a perception experiment in which 32 Korean listeners made judgments on the first consonant of C1VC2V words manipulated with C1 VOT and C2 types. The results revealed that aspirated-based C1 was recognized as aspirated or tense depending on the duration of VOT, while lenis-based C1 was consistently recognized as lenis. The dissimilatory effect of aspirated C2 was confirmed as anticipated, and furthermore, tense C2 increased the ratio of tense responses more than aspirated C2. These results provide evidence of a perceptual bias against recurrent aspirated stops, which may play a role in activating a dissimilatory rule or constraint in a language. The assimilatory effect of tense C2 is in consistent with findings indicating that word-initial tensification is facilitated by the following tense stop in Korean (Kang & Oh, 2016; H. Kim, 2016).

BRCA1 Gene Exon 11 Mutations in Uighur and Han Women with Early-onset Sporadic Breast Cancer in the Northwest Region of China

  • Cao, Yu-Wen;Fu, Xin-Ge;Wan, Guo-Xing;Yu, Shi-Ying;Cui, Xiao-Bin;Li, Li;Jiang, Jin-Fang;Zheng, Yu-Qin;Zhang, Wen-Jie;Li, Feng
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권11호
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    • pp.4513-4518
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    • 2014
  • The prevalence of BRCA1 gene mutations in breast cancer differs between diverse ethnic groups. Relatively little information is known about patterns of BRCA1 mutations in early-onset breast cancer in women of Uighur or Han descent, the major ethnic populations of the Xinjiang region in China. The aim of this study was to identify BRCA1 mutations in Uighur and Han patients with early-onset (age <35 years), and sporadic breast cancer for genetic predisposition to breast cancer. For detection of BRCA1 mutations, we used a polymerase chain reaction single-stranded conformation polymorphism approach, followed by direct DNA sequencing in 22 Uighur and 13 Han women with early-onset sporadic breast cancer, and 32 women with benign breast diseases. The prevalence of BRCA1 mutations in this population was 22.9% (8/35) among early-onset sporadic breast cancer cases. Of these, 31.8% (7/22) of Uighur patients and 7.69% (1/13) of Han patients were found to have BRCA1 mutations. In 7 Uighur patients with BRCA1 mutations, there were 11 unique sequence alterations in the BRCA1 gene, including 4 clearly disease-associated mutations on exon 11 and 3 variants of uncertain clinical significance on exon 11, meanwhile 4 neutral variants on intron 20 or 2. None of the 11 BRCA1 mutations identified have been previously reported in the Breast Cancer Information Core database. These findings reflect the prevalence of BRCA1 mutations in Uighur women with early-onset and sporadic breast cancer, which will allow for provision of appropriate genetic counseling and treatment for Uighur patients in the Xinjiang region.

시력·청력제한이 노년기 장애 발생에 미치는 영향 연구: 사회참여와 우울을 중심으로 (The Effect of Vision and Hearing Limitation on the Onset of Disability among Korean Elderly with the Consideration of Social Participation and Depression)

  • 구본미
    • 한국노년학
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    • 제37권1호
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    • pp.1-14
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    • 2017
  • 본 연구는 노인들이 경험하는 시력 청력기능 제한이 사회참여와 우울 수준에 따라 노년기 장애 발생에 어떠한 영향을 미치고 있는지 분석하는 것을 목적으로 하였다. 이를 위해 한국고령화연구패널(Korean Longitudinal Study of Aging: KLoSA) 1차(2006년)와 2차(2008년) 기본조사 데이터를 사용하였다. 연구대상은 1차 조사와 2차 조사를 모두 완료한 65세 이상 노인 3,511명 중 2006년을 기준으로 ADL 및 IADL장애를 경험하지 않은 노인 2,670명이다. 연구 결과를 살펴보면, 첫째, 시력제한, 청력제한, 사회참여, 우울은 각각 2년 후 IADL장애 발생에 유의미한 영향을 미치는 것으로 나타났다. 시력제한을 경험하고 있는 노인은 그렇지 않은 노인에 비해 2년 후 노년기 장애가 발생할 확률이 1.7배 높았으며, 청력제한을 경험한 노인은 1.9배 높은 것으로 나타났다. 통제변수를 투입한 분석에서는 시력제한을 경험한 노인들에게 2년 후 장애가 발생할 확률이 시력제한이 없는 노인에 비해 유의미하게 높은 것을 알 수 있다. 둘째, 시력 청력제한과 사회참여 유무, 시력 청력제한과 우울증 유무를 4가지로 범주화하여 2년 후 노년기 장애 발생을 분석한 연구 결과에서는, 시력과 청력제한 모두 사회참여 수준에 따라 노년기 장애 발생에 유의미한 영향을 미치는 것으로 나타났다. 시력 또는 청력 기능이 좋지 않으면서 사회참여 수준도 낮은 노인들은 2년 후 노년기 장애를 경험할 확률이 그렇지 않는 노인에 비해 약 1.7배 정도 증가하는 것을 알 수 있다. 하지만 우울 수준은 시력 청력제한을 경험하는 노인들의 2년 후 장애 발생에 통계적으로 유의미한 영향을 미치지 않았다. 본 연구결과를 통해 노년기 장애 발생을 예방 지연시키기 위해서는 시력 청력제한 원인에 대한 조기발견 치료뿐만 아니라, 시력 청력제한으로 인해 사회적으로 고립되는 것을 미연에 방지하는 개입방안의 마련이 필요함을 제시하고 있다.