• 제목/요약/키워드: Functional Anatomy

검색결과 243건 처리시간 0.027초

Lymphaticovenular Anastomosis: Superficial Venous Anatomical Approach

  • Winaikosol, Kengkart;Surakunprapha, Palakorn
    • Archives of Plastic Surgery
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    • 제49권5호
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    • pp.689-695
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    • 2022
  • Background Lymphaticovenular anastomosis (LVA) is an effective, functional treatment for limb lymphedema. This study reports an alternative surgical approach to lymphedema treatment without the use of indocyanine green mapping. Methods A retrospective analysis was performed on 29 consecutive lymphedema patients who underwent LVAs from January 2015 to December 2020, whereby incisions were made along the anatomy of the superficial venous systems in both upper and lower extremities around the joint areas. The evaluation included qualitative assessments and quantitative volumetric analyses. Result The mean number of anastomoses was 3.07, and the operative time was 159.55 minutes. Symptom improvement was recorded in 86.21% of the patients, with a mean volume reduction of 32.39%. The lymphangitis episodes decreased from 55.17% before surgery to 13.79% after surgery, and the median number of lymphangitis episodes per year decreased from 1 before surgery to 0 after surgery. Conclusions The superficial venous anatomical approach is an easy way to start a lymphedema practice using LVA without other advanced surgical equipment. With this reliable technique, microsurgeons can perform LVA procedures and achieve good results.

Patient-specific implants for maxillofacial defects: challenges and solutions

  • Alasseri, Nasser;Alasraj, Ahmed
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제42권
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    • pp.15.1-15.8
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    • 2020
  • Background: Reconstructing maxillofacial defects is quite challenging for most surgeons due to the region's complex anatomy and cosmetic and functional effects on patients. The use of pre-made alloplastic implants and autogenous grafts is often associated with resorption, infection, and displacement. Recent technological advances have led to the use of custom computer-designed patient-specific implants (PSIs) in reconstructive surgery. This study describes our experience with PSI, details the complications we faced, how to overcome them, and finally, evaluates patient satisfaction. Case presentation: Six patients underwent reconstruction of various maxillofacial defects arising due to different etiologies using PSI. A combined total of 10 implants was used. PEEK was used to fabricate 8, while titanium was used to fabricate 2. No complications were seen in any patient both immediately post-op and in subsequent follow-ups. All patients reported a high level of satisfaction with the final result both functionally and cosmetically. Conclusion: The use of computer-designed PSI enables a more accurate reconstruction of maxillofacial defects, eliminating the usual complications seen in preformed implants and resulting in higher patient satisfaction. Its main drawback is its high cost.

Current concepts in the treatment of midshaft clavicle fractures in adults

  • Song, Hyun Seok;Kim, Hyungsuk
    • Clinics in Shoulder and Elbow
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    • 제24권3호
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    • pp.189-198
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    • 2021
  • Midshaft clavicle fractures are the most common fracture of the clavicle accounting for 80% of all clavicle fractures. Traditionally, midshaft clavicle fractures are treated with conservative treatment even when prominent displacement is observed; however, recent studies revealed that nonunion or malunion rate may be higher with conservative treatment. Moreover, recent studies have shown better functional results and patient satisfaction with surgical treatment. This review article provides a review of clavicle anatomy, describes the current clavicle fracture classification system, and outlines various treatment options including current surgical options for clavicle fracture in adults.

천마의 증포 횟수에 따른 기능 성분과 항산화활성 및 관능적 특성연구 (A study of functional components antioxidant activity and sensory characteristics of Gastrodiae Rhizoma by steaming-drying cycles)

  • 박장필;추한나;김정상;김경옥;이숭인;정종길
    • 대한본초학회지
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    • 제29권6호
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    • pp.55-62
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    • 2014
  • Objectives : The objective of this study is to determine the best numbers of steaming-drying cycles of Gastrodiae Rhizoma for both efficacy and taste. We investigated various characteristics among Gastrodiae Rhizoma samples (GSD1, GSD3, GSD5 and GSD7) through the number of steaming-drying cycles increased. Methods : Gastrodiae Rhizoma were steamed and dried at different repeated numbers. They were divided into samples (GSD1; steamed and dried once, GSD3; steamed and dried three times, GSD5; steamed and dried five times, GSD7; steamed and dried seven times) for experiment. They were extracted using water, freeze dried and powdered to analyze proximate composition, free sugar amount, functional components, antioxidant activity and sensory evaluation. Results : Proximate composition and the amount of free sugars of Gastrodiae Rhizoma did not have meaningful differences among samples. Phenolic and flavonoid content of samples were increased by increasing steaming-drying numbers. Gastrodin content had different values and GSD7 was the highest in comparison with others. Increasing steaming-drying numbers led to a increasing in radical and nitrate scavenging activity in samples. Regarding to sensory evaluation, GSD5 was selected as the best sample according to its highest hedonic score mean (5.54/7) among all samples for appearance, color, taste and overall acceptability. Conclusions : The results indicated that 5th-cycling sample was effective in views of functional components, antioxidant activity and sensory characteristics. Moreover, it was suggested that steaming-drying process improved remarkably the effects of Gastrodiae Rhizoma.

A Reproducible and Reliable Method for Measuring Masseter Muscle Thickness in Maximal Bite Force Using Ultrasonography

  • Hyun-Jeong Park;Sun-Kyoung Yu;Yo-Seob Seo;Ji-Won Ryu
    • Journal of Oral Medicine and Pain
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    • 제47권4호
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    • pp.206-211
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    • 2022
  • Purpose: The purpose of this study is to develop a reproducible and reliable method for evaluating the masseter's functional state by measuring the masseter muscle with ultrasonography (US). Methods: Nineteen healthy adults (9 males, 10 females) were the subjects of this study. During US scanning, the image was taken from the thickest part of the masseter muscle in the image. To evaluate changes in thickness during masseter function, US images were taken of the participant's masseter muscle at rest and during clenching. In this study, US scanning was conducted using two approaches to compare the difference in masseter muscle thickness determined when inducing maximum bite force (MBF). Results: All 19 subjects completed US scanning of the masseter muscle at rest and during clenching under the conventional method and the articulation paper method. There was no difference in masseter muscle thickness measured at rest. However, the thickness of the masseter muscles determined by the articulation paper during jaw clenching was greater than that measured by the conventional method. Conclusions: In conclusion, using the US for masseter muscle evaluation can offer objective and functional information on the masseter muscle. A standardized US scanning method needs to be developed to obtain reproducible and reliable information on the masseter muscle at rest and during clenching. In particular, generating MBF using an articulation paper can be a reproducible and reliable method of measuring the functional state of the masseter muscle.

파킨슨씨병 모델 흰쥐에서 줄무늬체 도파민 수용체의 발현에 대한 연구 (Experimental Study on the Expression of Striatal Dopamine Receptors in the Rat Model of Parkinsonism)

  • 오창완;한대희;정천기;조사선;박경한;김용식;박찬웅
    • Journal of Korean Neurosurgical Society
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    • 제29권2호
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    • pp.155-166
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    • 2000
  • This study was designed to investigate the underlying mechanisms for the temporal changes of the striatal dopamine D2 receptors in the rat model of parkinsonism. After injection of the 6-hydroxydopamine into the substantia nigra of adult rats, we measured the receptor binding capacity(Bmax), mRNA and protein of the D2 receptor at 2, 4 and 8 weeks. Following the lesion, mRNA and protein were elevated simultaneously on both sides of the striata. They showed more increase on the normal side at 2 and 4 weeks, and then they were almost equally abundant on both sides at 8 weeks. We also observed their increased production in the diffuse cortical and subcortical regions. The Bmax value also increased bilaterally in both striata, and was higher on the normal side at 2 weeks and then on the lesioned side at 4 and 8 weeks. These findings suggest that production of the striatal D2 receptor is regulated at the transcriptional level in this animal model. They also imply that this control may be mediated through a pathway which can have influence on the whole brain, rather than the local control of the dopamine content alone. The measured functional activity(Bmax) of the D2 receptor was not proportional to the amount of the receptor mRNA and proteins produced. This difference may be explained by the post-translational modification of the receptor proteins, which may be controlled by such factor as the local concentration of dopamine.

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섬진자가사리 Liobagrus somjienesis(Siluriformes, Adrianichthyidae) 후각기관의 기능 해부학적 구조 (Functional Anatomy of the Olfactory Organ in the Torrent Catfish, Liobagrus somjinensis(Siluriformes, Amblycipitidae))

  • 김현태;박종영
    • 한국어류학회지
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    • 제30권1호
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    • pp.65-68
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    • 2018
  • 섬진자가사리 Liobagrus somjinensis 후각기관과 서식처 환경 및 생태적 습성의 연관성을 규명하기 위해 실체현미경과 디지털카메라를 이용하여 해부학적 특징을 묘사하였다. 후각기관은 주둥이 위에 좌우 한 쌍으로 존재하였으며, 전비공, 후비공, 비강으로 크게 구성되어 있었다. 전비공은 튜브형의 형태로 코수염과 윗입술 끝 사이에 위치하였다. 후비공은 표면과 평평한 유출공으로써 코수염의 기부 바로 아래에 위치해 있었다. 비강은 가로와 방사형으로 배열된 혀 모양의 22~24개의 판으로 구성된 로제트 구조를 보유하고 있었다. 결과적으로 섬진자가사리의 후각기관의 기능 해부학적 구조는 여울에서의 은신, 섭식, 야행성의 생활패턴에 연관된 높은 후각의존도를 반영하는 것으로 생각된다.

해양심층수의 해마신경세포 연접형성 촉진 효과 (Promotion of Synaptic Maturation by Deep Seawater in Cultured Rat Hippocampal Neurons)

  • 김성호;이현숙;손윤희;남경수;문일수
    • 생명과학회지
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    • 제18권11호
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    • pp.1479-1484
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    • 2008
  • 해양심층수(deep seawater, DSW)는 청정성, 풍부한 무기물질 및 필수미량원소의 함유로 음료를 포함한 여러 분야에 응용하기 위하여 최근 많은 관심을 받고 있다. 본 연구실에서는 동해 양양 부근의 해저 1,100 m에서 취수하여 역삼투압 시스템으로 탈염과 농축을 한 심층수가 경도 600-1,000에서 배양한 흰쥐해마신경세포의 형태적 분화에 도움을 줌을 보고한 바 있다. 좀 더 구체적인 영향을 조사하기 위하여 본 연구에서는 경도 800 및 1,000 심층수가 25%(v/v) 포함된 minimal essential media에서 배양한 해마신경세포에서의 연접형성을 대조군(증류수 첨가)과 비교하였다. 경도 800 및 1000에서 자란 신경세포는 흥분성 연접후세포막의 신호전달복합체인 NRC/MASC 크러스터의 형성을 촉진하였다. 또한 연접전/후 구조가 밀접히 짝을 이룬 연접이 매우 현저히(p<0.01) 증가하였다. 이 결과는 심층수가 연접의 형성을 촉진하여 신경세포의 건강에 도움을 주는 것으로 해석된다.

LOADED IMPLANT와 UNLOADED IMPLANT의 조직학적 비교 연구 (A HISTOLOGIC COMPARATIVE STUDY OF LOADED AND UNLOADED TITANIUM IMPLANTS)

  • 김영수;고재승;황성명
    • 대한치과보철학회지
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    • 제29권2호
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    • pp.1-16
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    • 1991
  • In order to see the possible effect of the functional load-bearing after osseointegration of the titanium root form implant in dog a histologic study was conducted. One side of lower jaw was surgically prepared edentulousness and titanium implants were inserted. Some implants were functionally loaded through fixed detachable prosthesis and some are isolated and unloaded. The dog was sacrificed four months later and bone sections with implants were processed for histologic evaluation and the results were as follows ; (1) The bone to implant interface after four months of load bearing presented no mobility and no marginal bone loss radiographically and histologically. (2) The interface zone between compact bone and implant revealed a direct bone to implant contact and in some areas marrow tissue contacts were examined at the light microscopic level. (3) At the ultrastructural level the interface of surrounding compact bone matrix and implant, three types of superficial layers were found ; one with moderate electron dense amorphous granular substance layer, other with high electron dense fine granular substance layer, and another type of amorphous granular substance covered with high electron dense line of minute granules. (4) The osteoblasts in the marrow tissue neighboring implants and osteocytes in compact bone showed typical normal characteristics and in the marrow tissues some of lymphocytes and mast cells were observed. (5) The abscence of abnormal tissue reactions at a cellular level indicates a high degree of biocompatibility for the experimental titanium implant and basically no difference was found between functionally loaded and unloaded implants.

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경추부 장애와 신경근 조절 활동 변화와의 관련성에 대한 고찰 (Literature Review on the Association Between a Cervical Dysfunction and the Change of Neuromuscular Control Activity)

  • 김선엽;이혜정
    • 대한정형도수물리치료학회지
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    • 제12권1호
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    • pp.57-67
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    • 2006
  • Musculoskeletal neck dysfunction syndromes are common in outpatient musculoskeletal pain practice. The underlying musculoskeletal and neurologic causes of pain are variable. In the management of these patients, it is important to accurately identify and treat these pain generators to optimize patient outcome. It is the purpose of this review to discuss three main categories of functional anatomy, the role of superficial/deep muscular system and the scientific evidence for optimal physical therapy intervention for cervical dysfunction. Specifically there is evidence of lowered microcirculation in the upper trapezius muscle, morphological signs of disturbed mitochondrial function which appears to be limited to type I fibers and an increased cross-sectional area of type I muscle fibers despite a lower capillary to fiber area ratio. In acute neck pain syndrome, changes in muscle activity of painful muscles may result from segmental and supraspinal inhibitory effects. Muscle activation is closely related to the control of joint movements and postures and it is difficult to separate the influence of the two components. Both the altered muscle recruitment patterns and altered kinematics appear to be a poor adaptation for pain of the head - neck region, as they are likely to result in increased compressive loading in the cervical spine, affecting muscles, articular structures such as zygapophyseal joints, connective tissues and neural tissues which are all peripheral generators of referred pain. The rectus capitus posterior minor muscle shows that it is one of the most important muscles of the suboccipital region. In this article, i reviewed the anatomy, neurophysiology, function and dysfunction as well as the treatment of cervical dysfunction.

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