• Investigative Magnetic Resonance Imaging
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• 제10권2호
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• pp.63-69
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• 2006

목적 : 고관절주위 대퇴골 및 절구뼈에 질병이 이환되었을 때는 골수 변성이나 부종이 발생하지만 연령에 따른 정상 골수전환이나 재전환을 감별하지 못하면 진단이 어려워진다. 이에 정상 골수 전환 양상을 연령군으로 분류하여 분석해 보았다. 대상 및 방법 : 자기공명영상에서 고관절 및 고관절주위 대퇴골와 절구뼈에 이상소견이 없고 혈청검사에서 골수이상을 초래할 만한 자가면역질환이나 혈액질환이 없는 144명 288개 고관절을 대상으로 하였다. T1강조영상으로 고관절주위 대퇴골 및 절구뼈의 골수를 관찰하였으며 골수 신호강도가 근육 신호강도에 가까우면 적색골수, 지방 신호강도에 가까우면 황색골수로 간주하였다. 대퇴골 골수는 머리, 목, 그리고 큰돌기, 작은돌기 그리고 돌기사이를 포함한 돌기 부위로 나누었고 절구뼈 골수는 황색골수 전환 절반이상과 이하로 나누었다. 연령은 10년 단위로 나누었고 또한 태생부터 10살까지는 1년 단위로 나누었다. 결과 : 절구뼈 절반이하 골수전환 되고, 대퇴골 머리 목 그리고 돌기가 골수전환 된 경우가 226례 78.5%, 대퇴골 머리와 돌기만 골수전환 된 경우는 44예 15.3% 였다. 연령별 골수전환 범위는 만2세전후부터 커지기 시작하여 만20세전후에서 끝나는 양상을 보였다. 결론 : 고관절주위 대퇴골 및 절구뼈의 연령별 정상 골수전환 양상을 이해함으로써 질병으로 인한 골수 변성이나 부종을 감별하고 드물지 않게 고관절 통증을 호소하는 전이암이나 백혈병 같은 골수대체성 질환을 진단 할 수 있을 것으로 사료된다.

• 대한치과교정학회지
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• 제23권4호
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• pp.455-474
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• 1993

Degenerative joint disease(DJD) has hun known as one of the diseases which affect the middleor old-aged people. But as orthodontists are getting interested in the adult orthodontics, it is not rare for them to meet the open-bite patients with the TMJ DJD in their clinics. The purpose of this article is to investigate the cephalometric characteristics of the open-bite cases with TMJ DJD. Twelve TMJ DJD patients($15.1\~39.5$ years old) were selected from the patients who visited Department of Orthodontics, Seoul National University Hospital. Cephalograms were taken and means from 60 measurements were compared by t-test with those of the fifty four healthy adults($20.0\~26.7$ years old) who have normal occlusion and TMJ. In this study male and female are compared respectively, for in the normal samples 26 measurements showed significant differences between the male and the female. The results and conclusions axe as follows: 1 In DJD group, ANB and Angle of convexity decreased, which means the retruding of the mandible. The interincisal angle was smaller than that of the normal group. The means of the overbite were -2.1mm in male and -3.0mm in female, and the means of the overjet were 5.6mm in male and 6.7mm in female. The profile was similar to that of Angle's Class II div.1 open-bite. 2. SN-GoMe and FMA increased in DJD but SN-PP and FH-PP did not show any significant difference. In TMJ DJD open-bite cases, the bony structure lower than the palatal plane seemed to play an important role in developing open-bite. 3. In DJD group, PH-ArGo, SArGo and Y-sxis angle increased significantly, but genial angle showed no significant difference. The means of hか were 50.1mm in male and 40.2mm in female, which were significantly smaller than those of the normal(56.5mm in male, 50.9mm in female). These findings seemed to indicate the posterior rotation of mandible resulted from the shortening of the ramus height. 4. Anterior faical height(AFH), upper anterior facial height(UAFH) and lower anterior facial height (LAEH) of DJD showed no significant increase as compared with those of the noraml group. There was no significant difference in the ratio of upper anterior facial height to lower anterior facial height(UAFH/LAFH). But, lower posterior facial height(LPFH) was significantly smaller than that of the normal group. 5. It was thought that the peculiar profile of the TMJ DJD open-bite was resulted from the posterior rotation of mandible as the ramus became short following the degerative destruction of of the condylar head and neck.

• 대한치과보철학회지
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• 제31권2호
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• pp.249-270
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• 1993

For understanding of anatomy, physiology, and diseases of human TMJ, it is required to evaluate quantitatively the movement of the disc and condyle head of mandible. The histologic section of cadaver TMJ were examined, and the magnification of the MR image and its details of anatomy were evaluated. And then a quantitative analytic method, by comparing the Sectograph and the MR image of vital human TMJ, was proposed. For this study, 15 subjects(Male, 24~35years) were selected from a prosthodontic examination randomly, and each subject’s five interocclusal rubber registration records were made on the ICP, and 5, 10, 15, and 20mmjaw opening positions. All subjects were radiographed with a Denar Quint Sectograph Image System(Denar Corp., USA), and imaged with a MRP-20EX MR Image System(0.2T, Permanent Magnet Type, Hitachi Medical Corp., Japan) using an 100mm diameter bilateral type surface coil. These images were traced on the acetate tracing paper, and analyzed In this study, the findings led to the following conclusions. 1. In comparison of the histologic section of autopsy specimen with the MR image at the same section, the size(dimension) of MR image was 70% of the real one. It was possible to recognize the shape of articular disc, anterior and posterior attachments, and adjacent soft tissues, because of the excellent reproducibility of anatomical structure. 2. When we compared the amount of joint space on MR image with that of joint space on sectograph, the amount of joint space on sectograph was significantly greater than that of joint space on MR image, except at the top of condylar head. 3. The position of minimum joint space on sectograph at intercuspal position didn't coincide with the middle position of articular disc on MR image, and was approximately in the anterior third of posterior band of articular disc. 4. The amount of condylar movement on MR image at opening movement was greater than that of articular disc movement. From Intercuspal position to 5mm jaw-opening movement, the condylar movement showed hinge one, and over the range 5mm jaw-opening it suggested hinge & translatory one. 5. In terms of area variation of articular disc measured on MR image in sagittal plane, the area of posterior band increased with increasing the amount of Jaw opening, but the area of anterior band decreased conversely.

• 셀메드
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• 제6권3호
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• pp.21.1-21.15
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• 2016

In Kenya, traditional knowledge on herbal medicine has remained a mainstream source of maintaining wellbeing for generations in many communities. However, the knowledge has been eroded in the course of time due to sociocultural dynamics virtually advanced by Christianity and formal education especially in the Kikuyu community. The study documented current ethnobotanical knowledge and threat to the traditional knowledge on medicinal plants among the Kikuyu community. A survey was carried out in Mathira, Tetu, Kieni, Othaya, Mukurweini, and Nyeri Town constituencies. Thirty practicing herbalists were purposively sampled; 5 per constituency. Data was obtained through semi - structured questionnaires and analyzed both qualitatively and quantitatively. A total of 80 ailments treated using 111 medicinal plant species distributed within 98 genera and 56 families were documented. Prevalent communicable diseases treated using herbal medicine included; gonorrhea (17.5%), malaria (15%), respiratory infections (12%), colds (10%) and amoebiasis (10%). Non-communicable diseases were; joint pains (11.1%), ulcers/hyperacidity (8.7%), high blood pressure (8.7%), intestinal worms (11.1%) and arthritis/gout (10%). Frequently harvested plant materials were; roots, barks and leaves. The study concluded that, traditional medicine practitioners in Nyeri County possessed wide knowledge of herbal medicine but this knowledge was on the verge of disappearing as it was largely a preserve of the aged generation. The study recommended massive campaign about the benefits of using herbal medicine in the study area. Further pharmacological studies are recommended on the mentioned plant species aimed at establishing their efficacy and safety as well as standardization as potential drugs.

• 한방재활의학과학회지
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• 제27권4호
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• pp.55-65
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• 2017

Objectives The purpose of this review is to analyze results of case studies and controlled studies about Carthmi-Flos pharmacopuncture. Based on the review, authors desire to suggest the study model including precise information and evident the effect of Carthmi-Flos pharmacopuncture objectively in treating clinical disorders. Methods We search 44 studies about Carthmi-Flos pharmacopuncture from 6 Korean web databases, using words 'Carthmi-Flos pharmacopuncture' in Korean alphabet. This study had been conducted throughout 1 month (July, 2017). We selected case studies and controlled trials in investigated 44 thesis, excluding experimental research and thesis not using the Carthmi-Flos pharmacopuncture for major treatment. Results We analyze 13 case reports and 7 controlled trials. As a result, Carthmi-Flos Pharmacopuncture was used mostly in musculoskeletal, neurological diseases. But this can be applied to internal diseases. Disorders reported effectively were carpal tunnel syndrome, degenerative knee joint arthritis, posterior neck pain, low back pain, radial nerve palsy, shoulder pain, lumbar compression fracture, alopecia areata, chronic daily headache, duverney fracture, oligomenorrhea, cervical disc herniation, rheumatoid arthritis and cervical headache. Conclusions As we analyzed, Carthmi-Flos pharmacopuncture is specifically effective in musculoskeletal and neurologic diseases. But there are various problems in study design. To design accurately, the study design should include much more specific information. And the result can be more precise by excluding other methods.

• Pediatric Infection and Vaccine
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• 제12권2호
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• pp.149-156
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• 2005

목 적 : 소아기 급성 화농성 관절염과 급성 골수염은 흔한 질환은 아니지만 진단과 치료가 지연되거나 부적절한 경우 성장하는 소아기의 골격과 관절을 손상시켜 영구적인 장애를 초래할 수 있는 질환이다. 따라서 본 연구는 두 질환의 발생연령, 임상증상, 검사결과, 호발부위, 원인균 및 항생제 감수성 등을 조사, 분석하여 진단과 치료에 도움이 되고자 한다. 방 법 : 1992년 1월부터 2002년 5월까지 한림의료원 소아과 및 정형외과에 급성 화농성 관절염 또는 급성 골수염으로 진단받고 입원한 환아 중 혈액 또는 감염부위 배양검사에서 균이 검출된 34례를 대상으로, 입원기록을 통하여 발병연령 및 성별, 임상증상 및 징후, 이환부위, 선행질환, 진단까지의 기간, 검사 소견, 원인균, 치료 등을 후향적으로 조사, 분석하였다. 결 과 : 1) 총 34례 중 급성 화농성 관절염이 19례, 급성 골수염이 15례로 각기 학령기 연령이 가장 많았고, 다음으로 신생아기 순서였다. 2) 이환부위는 급성 화농성 관절염에서 고관절이 15례(78.9%)로 대부분을 차지했고, 급성 골수염에서는 경골이 5례(33.4%), 대퇴골, 종골 각각 3례(20.0%) 순이었다. 3) 임상양상으로 급성 화농성 관절염은 발열, 압통, 관절운동제한, 국소종창, 통증 순으로 나타났고, 급성 골수염은 발열, 국소종창, 압통, 국소열감, 통증 순이었다. 4) 선행 또는 기저질환으로 급성 화농성 관절염 13례(68%), 급성 골수염 8례(53.3%)에서 모두 선행 질환이 없었다. 5) 입원 당시 백혈구 수의 평균값은 급성 화농성 관절염 $15,140/mm^3$, 급성 골수염 $11,620/mm^3$였고, 적혈구 침강속도 평균값은 급성 화농성 관절염 48 mm/hr, 급성 골수염 45 mm/hr, C-반응 단백 평균값은 급성 화농성 관절염 76 mg/L, 급성 골수염 49 mg/L였다. Alkaline phosphatase의 평균값은 급성 화농성 관절염 415 IU/L, 급성 골수염 478 IU/L였다. 6) 방사선 소견상 입원당시 단순 X-선 촬영에서 급성 화농성 관절염 17례 중 6례(36%)에서 이상소견을 보였고, 급성 골수염 14례 중 7례(50%)에서 골파괴 소견을 보였다. 골 동위원소 검사는 급성 화농성 관절염 7례 중 4례(57.1%), 급성 골수염에서 9례 중 7례(77.8%)에서 섭취증가를 보였다. 7) 급성 화농성 관절염의 경우 혈액배양에서 7례, 관절액에서 14례 균이 검출되었고 2례의 경우 혈액과 관절액 모두 검출되었다. 관절액의 경우 14례 중 S. aureus가 12례(86%)로 가장 흔했다. 급성 골수염의 경우 혈액배양에서 4례, 수술로 배농된 농양에서 13례 균이 검출되었고 이중 2례는 혈액과 농양 모두에서 검출되었다. 급성 골수염 감염부위의 경우 13례 중 S. aureus가 6례(46%), coagulase-negative staphylococcus가 3례였다. 대상 환아 34례 중 MRSA도 4례나 되었다. 결 론 : 소아에 있어서 발열, 종창, 압통, 관절운동제한 등의 증상이 있을 경우 감별 진단해야 할 질환들이 많으나, 급성 화농성 관절염과 골수염은 초기증상만으로는 두 질환이 임상적으로 구분이 안되었으며, 균배양 검사에서는 S. aureus가 두 질환 모두 가장 흔한 원인균이었다.

• 대한물리치료과학회지
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• 제14권1_4호
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• pp.25-36
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• 2007

The results of researching on duties of physical therapist, understanding of elderly diseases and policies related with elderly welfare came out from the survey before beginning of education to physical therapists who attended National Elderly Welfare Physical Therapist Workshop during Sep. 11th to 14th, 2007. They have already understood about long-term elderly care insurance from the policy, and responded that those policies will bring more advantage to elders. On contrary, negative response had reason of low service quality. About elderly care system, there were positive answer of appropriate alternatives to support them, but also other critics had opinion of inevitable choice for living conservation. About understanding of elderly diseases, there were more comprehension of diseases as age gets higher, but most did not understand dementia and paralysis. Past experience and process of medical treatment for their disease were such arthritis, paralysis, broken bone, and dislocation of joint. Prognosis of technical training was mostly answered positively, but linking with other related disease programs were not welcomed. Most respondents thought that professional training were needed. The results of understanding diseases during senescent had high percentage of understanding as age and education was high, and it had eye upon statistics of the survey (p < 0.05) Most of those questioned responded that it is appropriate to have six working days per week and eight hours of daily work, however, present wage is not reasonable. Most of those questioned had negative response of work independence, and had an-swered that there should be certificates needed in related fields. For difficulties during work period, they had hardship instituting direction of treatment by lack of program, level of wage, and physical difficulties. Physical therapists averagely wished to have fewer than thirty patients per therapist. After the research, physical therapists who work in those facilities of elderly care systems agreed on policies, though it should not lower service quality. In addition, they were pros to have elderly care system, yet they are still inevitable option to maintain living. For work environment, the period of work was appropriate, but had different opinions for work independence and regular number of patients. Therefore, there should be more organized treatment program that also should be linked to other practical programs at this beginning point of the policy enforcement and the time that many therapists hope to work in elderly care system.

• Investigative Magnetic Resonance Imaging
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• 제24권1호
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• pp.55-60
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• 2020

Tietze's syndrome is an inflammatory condition associated with painful swelling of the costochondral, costosternal, and sternoclavicular joints. Tietze's syndrome has been mostly attributed to microtrauma until now; however, this etiology is currently disputed. The diagnosis is based on clinical findings, although a few studies suggest the advantages of imaging. We report a case of Tietze's syndrome with a review of radiological findings, especially magnetic resonance imaging (MRI) with dynamic contrast enhancement.

• 대한근관절건강학회:학술대회논문집
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• 대한근관절건강학회 1997년도 제6회 춘계학술대회
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• pp.134-146
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• 1997

Sixty-nine articles were reviewed to understand the depression in patients with rheumatoid arthritis. Among these articles, forty seven were the studies that dealt with depression in rheumatoid disease, nineteen studied the depression in patients with other chronic disease or in normals, and three were the studies that compared the depression in the patients with rheumatic disease and in the other subjects. Specifically, the articles were analyzed (1) to determine whether the patients with rheumatic arthritis were more depressed than normal population or subjects with other chronic diseases ; (2) to test whether the measurement problems exit ; (3) to identify the disease related, personal, psychologic, and demographic variables to affect the depression and (4) to identify the nursing interventions which improve the depression in rheumatoid arthritis. Based upon these results, some suggestion were made for future research and practice.

• 대한약침학회지
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• 제9권3호통권21호
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• pp.161-166
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• 2006

Objective : The aim of this study was to find out the therapeutic effect of the Korean Bee Venom theraphy in the treatment of patient with De Quervain's disease. Methods : As the effect of Bee Venom acupuncture about various articulation diseases observed, we tried to treat a case that was diagnosed De Quervain's disease by using Korean Bee Venom theraphy. Results : After Korean Bee Venom theraphy, 'VNRS' value decreased quite noticeably, and other symptoms have improved as well. Conclusions : Korean BeeVenom theraphy have shown fairly effective to De Quervain's disease. Furthermore, it shows considerable potential in its effectiveness to be utilized other fields of medicine practices.