• Title/Summary/Keyword: Injury area

검색결과 776건 처리시간 0.03초

제3대구치 발치시 단계별 생체징후(vital sign)의 변화에 대한 연구 (THE CHANGE OF VITAL SIGNS IN STEPS WHEN IT IS EXTRACTED A THIRD MOLOR OF MANDIBLE)

  • 오해수;강희인;최빈;박준우;신성수;최제원;이선근;김미자
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제32권2호
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    • pp.142-150
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    • 2006
  • PURPOSE : The 3rd molar extraction of mandible is common in out-patient office of oral and maxillofacial surgery. And it is dynamic minor operation with changes of vital signs. most of patients are already sensitive about their dental treatment. The changes of emotion are reached to the highest level when patients is laid down to be treated on unit chair. It can be induced to undesirable accidents as to this fear. The undesirable complications are nausea, vomiting, hyperventilation, dyspnea, syncope, shock and so on. The severe changes of vital signs may influence their behavior and make serious medical malpractice or suit such as fracture of dental instruments and injury of proximal area. METHOD AND PATIENTS : A total of 99 selected normal patients were reviewed. Among this, 70 patients(43 men, 27 women with statistical significance) were included in this study. Each steps(pre-anesthesis, 5 minutes after anesthesis, just after mucogingival incision, just after tooth section, just after suture and gauze biting) were investigated for a change of a vital signs. It is analyzed to 2 categories,"Means" and "Tendency". The "Means" is the amount of vital signs changed in comparison with pre-step during operation. That means is the amount of vital changes by each step operation. Next, " Tendency" is changes of vital signs in comparison with step1 during operation. RESULT : This is the changing tendency of vital signs with time. That is active effect of fear and pain. Thus this "Means" and "Tendency" will present a sudden changes of vital signs and it can lead to more safe treatment. CONCLUSION : Thus, the purpose of this study is, through careful operation in each step, to less on patients' complication and increase trust between patient and OMFS. This study is a first article shown with the amount of "Means" and "Tendency" in vital signs, when a third molar of mandible is extracted. This study will be base study of patients with general diseases, because it selected only patients without general diseases.

초음파에 의한 전완 국소 온도와 정중 운동 신경전도 속도의 변화 (Alteration of Forearm Local Temperature and Median Nerve Conduction Velocity by Therapeutic Ultrasound in Healthy Adult Subjects)

  • 전차선;김택연
    • 대한정형도수물리치료학회지
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    • 제12권1호
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    • pp.37-43
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    • 2006
  • PURPOSE: Previous studies have documented the lack of ultrasound's non-thermal effects on nerve conduction using frequencies of 1 MHz and 870 kHz. The purpose of this study was to determine the biophysical effects of continuous ultrasound on median local forearm temperature and motor nerve conduction velocities using frequencies of 3.0 MHz. SUBJECTS: Twelve healthy subjects (6 males, 6 females, age $22.30{\pm}2.41$ yrs, weight $61.33{\pm}10.16$ kg, height $167.58{\pm}8.04$ cm) without a history of neurological or musculoskeletal injury to their dominant arm volunteered for this study. METHODS AND MATERIALS: Each subject received a total of five treatments, one each at .0, 0.5, 1.0, 1.5, 2.0 W/$cm^2$ of 3 MHz continuous ultrasound on the anterior surface of the middle area of dominant forearm for 10 minutes. Dependent measures for forearm local temperature and median motor nerve conduction velocity (MNCV) were taken pretreatment and immediately post-treatment. One-way ANOVA were used for each dependent measure. RESULTS: The posttreatment forearm local temperature were differed significantly (p<0.001) between intensities of ultrasound. The posttreatment forearm local temperature of the ultrasound treated with 1.0 w/$cm^2$, 1.5 w/$cm^2$ and 2.0 w/$cm^2$ were significantly higher than 0.5 w/$cm^2$ and 0.0 w/$cm^2$ of ultrasound (p<0.05). The posttreatment median MNCV were differed significantly from the respective pretreatment velocities (p<0.001). The MNCV of the ultrasound treated with 0.0 w/$cm^2$ and 0.5 w/$cm^2$ were significantly (p<0.05) slower than that observed pretreatment, while the three ultrasound intensities produced significantly increased posttreatment MNCV: 1.0 w/$cm^2$ and 1.5 w/$cm^2$ and 2.0 W/$cm^2$. The posttreatment MNCV at 2.0 w/$cm^2$ and 1.5 w/$cm^2$ was significantly faster than that at 0 w/$cm^2$, 0.5 w/$cm^2$ and 1.0 w/$cm^2$ (p<0.05), the MNCV at 1.0 w/$cm^2$ was significantly faster than that associated with 0 w/$cm^2$ and 0.5 w/$cm^2$ of ultrasound (p<0.05). CONCLUSIONS: The decreased median motor forearm local temperature and MNCV of the ultrasound treated with 0.0 w/$cm^2$ and 0.5 w/$cm^2$ were attributed to the cooling effect by ultrasound transmission gel. Local forearm temperature and nerve conduction velocity were directly related to the intensity of ultrasound. Alterations in MNCV from ultrasound on healthy nerves appeared to be related to temperature changes induced by thermal effects of ultrasound.

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상악 유전치부에 발생한 삼중치 : 증례보고 (TRIPLE TOOTH IN MAXILLARY PRIMARY INCISORS : CASE REPORT)

  • 이제우;라지영;이광희;안소연;김윤희;이혜림
    • 대한소아치과학회지
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    • 제40권1호
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    • pp.60-65
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    • 2013
  • 삼중치는 치아의 형태이상 중 희소한 경우로서 세 개의 치아가 결합된 양상을 보이는 것을 가리키는 용어이다. 그 동안 유치의 결합에 대한 문헌은 많이 보고된 바 있으나 대부분 두 개 치아의 결합에 대한 것이고 세 개 치아에 대한 보고는 드물었다. 삼중치는 치아 우식, 심미적인 문제, 부정 교합, 치주 문제 등을 동반할 수 있어 여러 전문 분야의 협진을 필요로 한다. 이 증례는 1세 11개월 여아의 상악 유전치부에 발생한 드문 증례인 삼중치에 대한 보고이다. 환아는 상악 우측 전치부 순측 치은 종창을 주소로 내원하였으며 3주전 해당 부위에 치아 외상을 입은 병력을 가지고 있었다. 환아의 구강 내 검사 시 상악 우측 유전치부위에 유중절치, 유측절치, 과잉치가 합쳐진 삼중치가 발견되었고 주변으로 누공과 농양이 관찰되었으며 방사선 사진에서 상악 우측 측절치가 결손된 것으로 판단되었다. 해당 치아에 대해 근관치료를 시행하였으며 복합레진을 이용하여 치관부위를 수복하였다.

제2형 당뇨 마우스에서 십조탕(十棗湯)에 의한 혈당 및 신기능 부전 개선효과 (Improvement Effect of Sibjotang on Blood Glucose and Renal Dysfunction in Type II Diabetic Mice)

  • 윤정주;이윤정;김혜윰;안유미;김현준;홍미현;황진석;이호섭;강대길
    • 대한본초학회지
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    • 제32권1호
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    • pp.15-23
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    • 2017
  • Objectives : It is well known that Sibjotang (Shizaotang), traditional herbal medicine formula, regulates the body fluid blood pressure homeostasis. This study is to investigate whether Sibjotang improves diabetic renal dysfunction in type II diabetes mellitus animal model, db/db mice. Methods : The animals model were divided into three groups at the age of 8 weeks; control group (C57BLKS/J-db/m mice), diabetic group [(C57BLKS/J+Lepr)-db/db mice], and Sibjotang group [(C57BLKS/J+Lepr)-db/db mice + Sibjotang 100 mg/kg/day]. During 8 weeks of treatment, blood glucose and urinary albumin excretion were checked in metabolic chamber at 8, 12, and 16 weeks of age, respectively. Results : Body weight and food intake of diabetic group were significantly higher than control group after 8 weeks administration. However, there were not significant different between the diabetic group and Sibjotang group. Urinary albumin excretion was significantly decreased in the Sibjotang group than the diabetic group. In addition, supplementation with Sibjotang significantly lowered levels of blood glucose, insulin, and homeostatic model assessment-insulin resistance (HOMA-IR), suggesting reduced insulin resistance. The ratio of mesangial matrix/glomerular area was markedly larger in diabetic group than control group, whereas Sibjotang significantly reduced this expansion. Moreover, immunohistological study revealed that Sibjotang attenuated the increase of transforming growth $factor(TGF)-{\beta}$ expression in kidney. Conclusion : Sibjotang ameliorates diabetes-associated renal injury through the improvement of the blood glucose and insulin sensitivity, and inhibiting the $TGF-{\beta}1$ expression. Therefore, Sibjotang may be a new therapeutic formula for the treatment of diabetic-associated renal dysfunction.

가토대퇴정맥에서 미세혈관문합시 Argatroban의 국소세척 및 전신투여가 혈전형성에 미치는 영향 (EFFECTS OF LOCAL IRRIGATION AND/OR INTRAVENOUS ADMINISTRATION OF ARGATROBAN ON THROMBOSIS IN MICROVASCULAR ANASTOMOSES OF FEMORAL VEIN OF RABBIT)

  • 국민석;박홍주;오희균
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제31권4호
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    • pp.300-305
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    • 2005
  • Purpose: For the reconstruction of maxillofacial defect created by trauma, infection, or tumor etc, the role of microvascular anastomosis or vessel graft has been increased. Many methods has been tried to increase the success rate of microvascular anastomosis. Various anticoagulants and thrombolytic agents have been used to reduce the failure rate of microvascular anastomosis and avoid re-operation. Many drugs, however, have been used in the limited cases because most of these drugs may cause complications, such as allergy, fever or systemic bleeding. This study was performed to evaluate the influence of the Argatroban on patency and thrombosis in microvascular anastomosis when it is used for local irrigation or general administration. Materials & methods: Eight mature rabbits, weighing 2kg, were used. After exposing both femoral veins, the artificial thrombotic model was made by crushing injury using a smooth needle holder, and the transverse incision were made on femoral vein. The animals were divided into 4 groups according to Argatroban administration methods; control group (n=4), topical irrigation of lumen with saline solution; experimental group 1 (n=4), topical irrigation of lumen with Argatroban saline solution; experimental group 2 (n=4), topical irrigation of lumen with heparin followed by intravenous injection of Argatroban; experimental group 3 (n=4), topical irrigation of lumen with Argatroban followed by IV of Argatroban. Microvascular anastomosis was done with 10-0 Ethilon. The patency was evaluated by empty-and-refill test 30 minutes and 3 days after microanastomosis. The thrombus formation was examined 3 days after microanastomosis by surgical microscope. The histologic findings were also examined. Results: 1. Thirty minutes after microvascular anastomosis, the patency of all experimental groups was better than that of control group, but there was no significant difference among groups. 2. Three days after microvascular anastomosis, the patency of all experimental groups was more improved than that of control group (p<0.05). There was no significant difference among experimental groups. 3. Three days after microvascular anastomosis, the amount of thrombus in all experimental groups was less than that of control group (p<0.05). There was no significant difference among experimental groups. 4. Histologically, a lot of luminal thrombus was observed around sutured area in control group. Few luminal thrombus was observed in all experimental groups. The necrotic changes were observed on the sutured vein wall in all specimens. Conclusion: These results indicate that topical irrigation and/or intravenous administration of Argatroban is effective in improving patency and preventing thrombus formation after microvascular anastomosis.

구강외과 수술용 스텐트 기반 영상유도 수술 시스템의 개발 (Development and application of stent-based image guided navigation system for oral and maxillofacial surgery)

  • 이우진;김대승;이원진;이삼선;최순철;허민석;허경회;김명진;이지호
    • Imaging Science in Dentistry
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    • 제39권3호
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    • pp.149-156
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    • 2009
  • Purpose : The purpose of this study was to develop a stent-based image guided surgery system and to apply it to oral and maxillofacial surgeries for anatomically complex sites. Materials and Methods : We devised a patient-specific stent for patient-to-image registration and navigation. Three-dimensional positions of the reference probe and the tool probe were tracked by an optical camera system and the relative position of the handpiece drill tip to the reference probe was monitored continuously on the monitor of a PC. Using 8 landmarks for measuring accuracy, the spatial discrepancy between CT image coordinate and physical coordinate was calculated for testing the normality. Results : The accuracy over 8 anatomical landmarks showed an overall mean of $0.56{\pm}0.16\;mm$. The developed system was applied to a surgery for a vertical alveolar bone augmentation in right mandibular posterior area and possible interior alveolar nerve injury case of an impacted third molar. The developed system provided continuous monitoring of invisible anatomical structures during operation and 3D information for operation sites. The clinical challenge showed sufficient accuracy and availability of anatomically complex operation sites. Conclusion : The developed system showed sufficient accuracy and availability in oral and maxillofacial surgeries for anatomically complex sites.

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측백하늘소의 생태 및 가해특성에 관한 연구 (Studies on Ecology and Injury Characteristics of Japanese Suniperus Bark Borer, Semanotus bifasciatus Mostschulsky)

  • 김규진;박종대
    • 한국응용곤충학회지
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    • 제23권2호
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    • pp.109-115
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    • 1984
  • 최근 향나무과 유통에 피해가 확대되고 있는 측백하늘소의 상태와 기주식물의 범위 및 피해상에 대한 시험을 시도하여 다음과 같은 결과를 얻었다. 1. 측백하늘소의 기생식물은 향나무, 측백나무, 핀백나무, 연필향나무, 서양측백나무, 나한백나무 가이스가 향나무등으로 본 조사에서 가이스가 향나무가 새로 조사 확인되었다. 2. 지역별 측백하늘소에 의한 피해율을 보면 광주 $16.5\%$, 담장 $4.25\%$, 화순 $6.5\%$이었다. 3. 측백하늘소는 년 1회 발생하며 성충발생최성기는 3월 하순에서 4월 상순경이었다. 4. 일중 성충의 탈출은 년후 1시에서 3시 사이가 가장 많았다. 5. 수간내 침입한 유충의 가해방향은 침입구로부터 기부로 향하는 것이 $62\%$, 선단쪽 $22\%$, 수평방향이 $17\%$였고 수령에 따른 피해는 흉고직경 $30\~40mm$(15-16년생)에서 가장 컸다. 6. 각 태별 기간을 보면, 난기 $15.8\~19.7$일, 유충 $112\~126$일, 용 $15\~21$일이었으며 용실에서 탈출한 성충의 수명은 자충 19일, 웅충 16일이었다.

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콩 포장에서 집합페로몬 트랩을 이용한 톱다리개미허리노린재 (Riptortus pedestris) 유인거리 및 피해 경감 효과 (Damage Reduction Effect and Attracted Distance by Aggregation Pheromone Trap of the Bean Bug, Riptortus pedestris (Fabricius), (Hemiptera: Alydidae) in Soybean Fields)

  • 박창규;염기홍;정진교
    • 한국응용곤충학회지
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    • 제51권4호
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    • pp.411-419
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    • 2012
  • 톱다리개미허리노린재 (Riptortus pedestris) 상용 집합페로몬을 이용하여 포획할 때 유인되어지는 거리를 규명하고 이를 이용한 대량포획으로 콩 피해 경감 효과를 조사하였다. 집합페로몬 트랩의 재포획 비율은 최초 방사 지점에서 40 m 이내의 트랩에서는 전체 재포획 개체의 76.1%, 80 m 이내에서는 89.0%가 포획 되었으며, 트랩 설치 방위 간에 재포획 개체수는 큰 차이가 없었다. 대량 포획을 통한 피해 경감 효과를 알아보기 위해 집합페로몬 트랩을 농가 포장에 설치한 결과, 트랩수가 증가 할수록 톱다리개미허리노린재 총 포획수는 직선적으로 증가하였다. 페로몬 트랩 당 포획 할당 면적이 $770m^2$인 포장에서 10주당 수량이 261.8 g 으로 가장 높았으나, 트랩 당 할당 면적과 수량과의 관계에는 일정한 경향이 없었다. 트랩 당 포획 할당 면적에 따른 종자 형태 비율은 트랩 당 포획 할당 면적이 $385m^2$$770m^2$인 포장에서 건전한 A형 종자의 비율이 62% 근처로 높았고 약한 피해립인 B형 종자의 비율이 27% 근처로 가장 낮았다. 톱다리개미허리노린재 집합페로몬 트랩을 이용한 피해 경감 효과는 포장 면적 $385{\sim}770m^2$ 당 1개를 포장 주변에 적절히 설치 운용 한다면 건전립의 비율을 높이고 약한 피해립의 비율을 어느 정도 감소시킬 수 있는 수단으로 사용할 수 있을 것으로 판단된다.

진동시험에 의한 참외의 진동특성 (Vibration Characteristics of the Oriental Melon by Vibration Test)

  • 김만수;정현모;김기석;박정길
    • 농업과학연구
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    • 제32권1호
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    • pp.29-42
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    • 2005
  • 본 연구에서는 청과물 포장설계 시 중요한 자료가 되는 참외의 공진 주파수 및 정점가속도 등과 같은 진동특성을 분석하기 위하여 실험 장치를 구성하고 진동시험장치의 제어 및 계측을 위한 컴퓨터 프로그램을 개발하였다. 이를 이용하여 참외의 진동 특성을 측정하였으며 이들과 참외의 기본적인 물성 값인 질량, 체적 및 장 단축과의 관계를 구명하였던 주요 연구결과를 요약하면 다음과 같다. 1. 참외의 진동특성을 분석할 수 있는 실험 장치를 구성하였으며, 장치의 제어와 계측을 위한 컴퓨터 프로그램을 개발하였다. 2. 공시 참외의 공진 진동수는 약물결 50.8~72.6 Hz 범위로 나타났으며, 점점 가속도는 약1.24~1.92G-rms범위로 나타났다. 3. 참외의 공진 주파수 및 정점 가속도는 참외의 질량, 체적 및 장 단축이 증가함에 따라 감소 하였으며 참외의 질량과 공진 주파수 및 정점 가속도와의 상관관계가 가장 높게 나타났다. 4. 참외의 공진주파수 및 정점가속도를 추정할수 있는 회귀모형을 참외의 질량 및 장 단축을 독립변수로 하여 개발하였으며 회귀모형을 평가한 결과 참외의 질량과 장 단축을 측정하면 참외의 공진 주파수와 정점 가속도를 추정할 수 있을 것으로 판단되었다.

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피복처리가 월동배추 동해 발생에 미치는 영향 (Influence of covering treatment on the incidence of frost injury in chinese cabbage during winter season)

  • 이상규;최장선;이희주;장윤아;도경란
    • 농업과학연구
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    • 제41권3호
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    • pp.163-167
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    • 2014
  • The average temperatures for year and winter season have been risen by $0.7{\circ}C$ and $1.4{\circ}C$, respectively, during the last 30 years. Recently abnormal climate phenomena occurred frequently results in severe loss of vegetable crops grown in Korea. Specially, Chinese cabbages grown in the southern area of Korea are often significantly affected by sudden cold waves during winter season before harvest. This experiment was conducted to find out a potential role of covering materials on the protection of frost damage of 'Bularm' chinese cabbage in the winter season. The lowest temperature was $-15.8^{\circ}C$ in non-covering, $-8.1^{\circ}C$ in the PE film covering and $-4.6^{\circ}C$ in the non-woven fabric covering with PE film, respectively. The cumulative times below $4.0^{\circ}C$ were 145.5 hours for the non-covering treatment, 94 hours in the PE film covering and 14.5 hours in the non-woven fabric covering with PE film, respectively. The symptoms of frost damage were severe at non-covering chinese cabbages compared to polyethylene film (PE) non-woven fabric with PE covering ones. Microscopic studies showed the normal anatomical structure of palisade and spongy tissue of cabbage leaves covered with non-woven fabric with PE film. Leaf cells, however, were slightly damaged in cabbages covered with PE film alone, and both palisade and spongy cells were were completely collapsed in uncovered cabbages. The result of this study suggests that chinese cabbages is required to be covered with non-woven fabric with PE film to minimize the frost damage by sudden cold wave below $-7^{\circ}C$.