• 제목/요약/키워드: Functional impression

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뇌졸중 환자의 기능평가에 대한 연구 -Modified Barthel Index 및 PULSES Profile에 의한 평가성적을 중심으로- (A Study of Functional Evaluation in Stroke Patients)

  • 안중국;임혜현;안소윤
    • The Journal of Korean Physical Therapy
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    • 제4권1호
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    • pp.43-57
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    • 1992
  • This study was conducted from August, 1980 to March, 9991 to the 40 subjects who were admitted to Kosin Medical Center and received rehabilitation treatment and discharged under the impression of stroke. The objectives are to evaluate the function of the activites of daily living and comprehensive function and find the status of rehabilitation treatment by Modified Barthel Index and PULSES Profile when first requested or rehabilitation treatment(T1), at 2 weeks after rehabilitation treatment(T2), at discharge(T3) and at the time of ambulatory treatment after 2 weeks(T4). The study materials were clinical charts and functional evaluation sheets, and the results are as follows : 21 subject$(52.5\%)$ were male, 19 subjects$(47.5\%)$ were female, and the age distribution was from 19 to 70 in age, the average age was 52.7. By the classification of diagnosis, 21 subjects$(52.5\%)$ were cerebral hemorrhage, 8 subjects$(20.2\%)$ were cerebral thrombosis, 6 subjects$(15.0\%)$ were cerebral embolism, and 5 subjects$(12.5\%)$ were cerebral infarction. The Barthel Index scores were 35.7, 54.5, 71.8, 88.7 on the average at T1, T2, T3, T4 respectively. The PULSES scores were 16.4, 13.7, 11.4, 8.7 on the average at T1, T2, T3, T4 respectively. Regarding the Pearson's correlation coefficient between the Barthel Index scores and the PULSES scores, it was -0.7991(P>0.001) at T1 and -0.8986(P>0.001) at T3, then beth of correlations were very high.

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암 환자의 삶의 질, 식욕 부진과 악액질에 대한 복합 한의 치료 프로그램의 효과: 후향적 차트 리뷰 (Effectiveness of comprehensive traditional Korean Medicine treatment on quality of life, anorexia and cachexia of cancer patients : Retrospective chart review)

  • 한원주;이은지;한가진;윤상훈;한가진;임정태
    • 대한한의학회지
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    • 제40권2호
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    • pp.119-132
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    • 2019
  • Purpose: This study was conducted to collect and analyze real world data to evaluate the effectiveness and safety of comprehensive traditional Korean Medicine treatment on quality of life, anorexia and cachexia of cancer patients. Methods: We analyzed medical records of 62 cancer patients admitted to O-I Dang Korean Medicine Hospital from February 2018 to February 2019. The primary outcome was a change score in the Anorexia/Cachexia Subscale of Functional Assessment of Anorexia/Cachexia Therapy (FAACT). The secondary outcomes were Functional Assessment of Cancer Therapy-General (FACT-G), Trial Outcome Index(TOI) of FAACT, 11 point Pain Intensity Numeric Rating Score (11 PI-NRS) and Patient Global Impression of Change (PGIC) and adverse event. Results: Cachexia and quality of life in cancer patients assessed by FAACT, increased by $5.59{\pm}14.83$ (p=0.004) after treatment. PI-NRS was reduced by $2.10{\pm}1.81$ (p<0.001) and TOI and FACT-G total scores were increased by $5.17{\pm}11.70$ (p=0.001) and $3.59{\pm}10.94$ (p=0.012), respectively. These results were also clinically meaningful assessed via minimal clinically important difference (MCID). There was no severe adverse event. Conclusion: These findings suggest that comprehensive traditional Korean Medicine treatment might be effective and safe strategy for improving quality of life, anorexia, cachexia and pain of cancer patients. Further advanced studies with controlled group and more participants with rigorous design are needed to ensure these findings.

나노구조 단분자막의 전기적 특성 (Electrical Characteristics of Nano-Structural Monolayer)

  • 최용성;조장훈;송진원;이경섭
    • 한국전기전자재료학회:학술대회논문집
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    • 한국전기전자재료학회 2006년도 추계학술대회 논문집 Vol.19
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    • pp.166-167
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    • 2006
  • Dendrimers represent a new class of synthetic macromolecules characterized by a regularly branched treelike structure. Multiple branching yields a large number of chain ends that distinguish dendrimers from conventional star-like polymers and microgels. The azobenzene dendrimer is one of the dendrimeric macromolecules that include the azo-group exhibiting a photochromic character. Due to the presence of the charge transfer element of the azo-group and its rod-shaped structure, these compounds are expected to have potential interest in electronics and photoelectronics, especially in nonlinear optics. In the present paper, we give pressure stimulation to organic thin films and detect the induced displacement current. Functional photoisometrization organic molecular the photo-stimulus to organic monomolecular L-films and LB films of dendrimer and 8A5H were performed. The 8A5H organic monolayer in case of pressure stimulus occurred that positive course but in case of the photo-stimulus compared positive and negative. It is assumed that generation forms of displacement current were measured when photo-stimulus for Impression.

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뇌손상 후 발생한 이갈이증과 근육긴장이상에 대한 보튤리눔 독소 A와 교합안정장치를 이용한 치료 증례 -증례 보고- (Bruxism and Oromandibular Dystonia after Brain Injury Treated with Botulinum Toxin A and Occlusal Appliance -A Case Report-)

  • 김태완;백광우;송승일
    • 대한치과마취과학회지
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    • 제10권1호
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    • pp.13-19
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    • 2010
  • Bruxism is nonfunctional jaw movement that includes clenching, grinding and gnashing of teeth. It usually occurs during sleep, but with functional abnormality of brain, it can be seen during consciousness. Oromandibular dystonia (OMD) can involve the masticatory, lower facial, and tongue muscles and may result in trismus, bruxism, involuntary jaw opening or closure, and involuntary tongue movement. Its prevalence in the general population is 21%, but its incidence after brain injury is unknown, Untreated, bruxism and OMD cause masseter hypertrophy, headache, temporomandibular joint destruction and total dental wear. We report a case of successful treatment of bruxism and OMD after brain injury treated with botulinum toxin A and occlusal appliance. The patient was a 59-year-old man with operation history of frontal craniotomy and removal of malformed vessel secondary to cerebral arteriovenous malfomation. We injected with a total 60 units of botulinum toxin A each masseteric muscle and took impression for occlusal appliance fabrication under general anesthesia. On follow up 2 weeks and 2 months, the patient remained almost free of bruxism. We propose that botulinum toxin A and occlusal appliances be considered as a treatment for bruxism and OMD after brain injury.

THE EFFORT OF VARIOUS MIXING METHODS ON DYNAMIC VISCOELASTICITY OF A TEMPORARY SOFT LINING MATERIAL; COE-COMFORT

  • Ryu Hyun-Ju;Bae Hanna-Eun-Kyong;Shim June-Sung;Lee Seok-Hyung;Moon Hong-Suk;Chung Mun-Kyu
    • 대한치과보철학회지
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    • 제42권6호
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    • pp.641-646
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    • 2004
  • Statement of Problem. Temporary soft relining materials are used in a diverse clinical situations such as tissue conditioner, relining material, functional impression by varying its viscoelasticity. However, reproduction of consistent viscoelasticity has been not possible. Materials and methods. Considering setting mechanism of this material, this study has measured the effect of varying amount of void in dynamic viscoelasticity of soft relining material, with three different mixing methods. In each methods 10 specimens were made and subjected to dynamic viscoelastic test which were measured at specific times over period of 72 hours. Results. The analysis of the result shown that there was no statistically significant differences between different mixing methods. Conclusion. Different mixing methods had no effect over control of viscoelasticity of soft lining material. Further research is recommended for under similar oral environmental condition.

구강내 종양환자의 방사선 치료시의 Patient Care (The Patient Care During Before Radiotherapy in Oral Cavity Cancer)

  • 전병철;박재일
    • 대한방사선치료학회지
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    • 제7권1호
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    • pp.92-96
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    • 1995
  • All patients who will Undergo irraidiation of the oral cavity cancer will need dental before and during Radiotherapy. The extent of the region and the presence of numerous critical normal tissues(mucosa, gingiva, teeth and the alveolar ridge, alveolar bony structure, etc) in the oral cavity area, injury to which could result in serious functional impairment. Therefore I evaluate the Usefulness of custom-made intraoral shielding device before and during Radiotherapy in oral cavity cancer. Materials and Methods(1) : Manufacture process of Custom-made intraoral shielding device Containing Cerroband. A. Acquisition of impression B. Matrix Constitution C. Separation by Separator D. Sprincle on method E. Trimming F. Spacing G. Fill with Cerroband Materials and Methods (2) A. Preannealing B. TLD Set up C. Annealing D. TLD Reading = Results = Therefore dosimetric characteristics in oral cavity by TLD Compared to isodose curve dose distribution Ipsilateral oral mucosa, Contralateral oral mucosa, alveolar ridge, tongue, dose was reduced by intraoral shielding device containning Cerroband technique Compard to isodose plan = Conclusions = The custom-made intra-oral shielding device containing Cerroband was useful in reducing the Contralateral oral mucosa dose and Volume irradiated.

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나노구조 단분자막의 전기적 특성 연구 (A Study of Electrical Characteristics of Nano-Structural Monolayers)

  • 송진원;신훈규;이경섭;최용성
    • 대한전기학회논문지:전기물성ㆍ응용부문C
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    • 제55권12호
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    • pp.586-590
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    • 2006
  • Dendrimers represent a new class of synthetic macromoleculcs characterized by a regularly branched treelike structure. Multiple branching yields a large number of chain ends that distinguish dendrimers from conventional star-like polymers and microgels. The azobenzene dendrimer is one of the dendrimeric macromolecules that include the azo-group exhibiting a photochromic character. Due to the presence of the charge transfer element of the azo-group and its rod-shaped structure, these compounds are expected to have potential interest in electronics and photoelectronics, especially in nonlinear optics. In the present paper, we give pressure stimulation to organic thin films and detect the induced displacement current. Functional photoisometrization organic molecular the photo-stimulus to organic monomolecular L films and LB films of dendrimer and 8A5H were performed. The 8A5H organic monolayer in case of pressure stimulus occurred that positive course but in case of the photo-stimulus compared positive and negative. It is assumed that generation forms of displacement current were measured when photo-stimulus for impression.

Selective Laser Melting을 이용한 코발트-크롬 가철성 국소의치의 수복 증례 (Cr-Co removable partial denture treatment fabricated by selective laser melting: a case report)

  • 임지훈;신수연
    • 구강회복응용과학지
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    • 제37권1호
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    • pp.39-47
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    • 2021
  • 의치의 금속구조물을 selective laser melting을 통하여 제작하는 경우 기존의 제작 방식에 비해 여러 기공 과정이 생략되어 시간이 절약되고 간편해진다. 또한 균질한 밀도의 금속구조물을 얻을 수 있어 우수한 기계적 성질, 특히 피로 파절에 대한 높은 저항성을 기대할 수 있다. 본 증례에서는 부분 무치악 환자에서 기존의 방식으로 최종인상을 채득하여 주모형을 제작하였고 이를 스캔하여 데이터화 하였다. 스캔 데이터 상에서 금속구조물을 디자인한 뒤 selective laser melting 방식으로 가철성 국소의치를 제작하였으며 기능적 및 심미적으로 만족스러운 결과를 보였기에 이를 보고하는 바이다.

수복 공간이 부족한 환자에서의 완전구강회복 (Full Mouth Rehabilitation in a Patient with Limited Restorable Space)

  • 임광길;김대곤;조리라;박찬진
    • 구강회복응용과학지
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    • 제26권2호
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    • pp.145-156
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    • 2010
  • 치아 우식, 치주 질환, 치아 파절 등으로 다수의 구치가 상실된 환자의 경우 대합치의 정출, 잔존 치아의 과도한 교합 하중으로 인한 교합 외상의 문제가 발생된다. 대합치 정출이 발생된 경우 인접 조직의 성장도 이와 동시에 발생되고 보철을 위한 악간 공간의 상실을 동반하게 되며 교합 외상으로 인한 치아에 동요도 증가 및 교모에 의한 마모도 증가하게 된다. 이러한 구치의 다수 상실, 대합치 정출 및 잔존치의 교모 증가를 동반한 환자에 있어서는 적절한 치주 수술(치관 연장술, 골 절제술 등) 및 수직 교합 고경의 회복을 통한 잔존 치아와 상실된 치아의 수복이 필요하게 된다. 본 증례의 환자는 상실된 구치의 수복을 주소로 내원한 환자로 구치부 상실 및 잔존치의 마모된 치열을 지녀보철 수복을 위한 공간을 위해 수직고경을 증가시켜 치료한 치험예를 문헌 고찰과 함께 보고하고자 한다.

성공적인 전치부 심미 임플란트를 위한 3가지 요소 (Three key factors for successful esthetic anterior implant restoration)

  • 임필
    • 대한심미치과학회지
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    • 제25권1호
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    • pp.35-49
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    • 2016
  • 최근 심미성에 대한 요구가 점점 증가함에 따라, 이제는 임플란트 수복에 있어서도 기능적인 면 뿐만 아니라 심미적인 면이 더욱 강조되고 있다. 상악 전치부 임플란트 수복은 임상가들에게 항상 도전적인 과제로 다가오는데 그 이유는 다음의 세 가지 요소를 모두 필요로 하기 때문이다. 첫째, 충분한 경조직이 필요하고 둘째, 충분한 연조직이 필요하며 그리고 셋째, 심미적인 수복물이 필요하다. 연조직의 심미성은 그 하부에 있는 경조직에 의존하게 되는데 그 이유는 하부의 경조직의 골격적인 지지가 있어야만 그것을 바탕으로 그 위에 건강하고 심미적인 연조직이 안정적으로 유지될 수 있기 때문이다. 그러므로, 경조직 재건은 심미적인 임플란트 수복에 있어서 첫번째 단계이며, 특히 3차원적으로 적절한 임플란트의 식립 위치 설정은 심미성 있는 최종 수복물을 얻기 위해서 가장 중요한 단계라고 할 수 있다. 그 다음으로 두번째 단계가 순측으로 충분한 두께의 연조직을 얻기 위한 수술 기법이며, 마지막 세번쨰 단계가 적절한 출현외곽을 갖는 임시 수복물을 통해서 얻어진 심미적인 최종 수복물이다. 본 임상 증례 보고는 순측의 골 열개 결손에서의 골 증대술 과정과 전치부 영역에 주로 사용되는 VIP-CT 라고 일컫는 유경 판막술을 이용한 연조직 증대술, 그리고 임시 수복물을 통한 연조직 형태 만들기와 맞춤형 인상 코핑을 이용한 인상채득법 등을 소개함으로써 경조직, 연조직, 수복물의 세 가지 요소가 심미적인 최종 수복물을 위해 서로 어떻게 조화를 이루어내는지 알아보고자 한다.