• Title/Summary/Keyword: Joint condition

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CLINICAL STUDY ON THE ETIOLOGY, DIFFERENTIAL DIAGNOSIS AND TREATMENT OF TRISMUS (개구장애 환자의 병인, 감별진단 및 치료방식에 대한 임상연구)

  • Kang, Hee-Jea;Hwang, Dae-Seok;Kim, Yong-Deok;Shin, Sang-Hun;Kim, Uk-Kyu;Kim, Jong-Ryoul;Chung, In-Kyo
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.32 no.6
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    • pp.544-558
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    • 2006
  • Trismus is a common problem to most people experiencing at once in his or her life and to most dental practitioners experiencing frequently. It has a number of potential causes which are single factor or complex factors. Its treatment will depend on the cause. The purpose of this study was to discuss the causes of trismus condition and the various treatments available. This study was made by reviewing of collected data from 86 patients complained of trismus among patients who were diagnosed by TMD, tumor, infection including tetanus, soft tissue anomalies, bony fracture and ankylosis from Jan 2002 to Dec 2004 on department of oral and maxillofacial surgery at Pusan National University Hospital, South Korea. The clinical reviews regarding chief complaints, clinical characteristics, diagnostic examination, treatments and the results on the patients were given as follows. 1. The etiology of trismus commonly were derived from temporomandibular joint(TMJ) disorder, TMJ ankylosis, TMJ tumor, odontogenic maxillofacial infection, mandibular condylar fracture, tetanus. 2. The chief complaints of trismus patients were progressive mouth opening limitation, TMJ pain, malocclusion, facial asymmetry, retrognathic state. 3. Especially, for the differential diagnosis between the fibrous ankylosis and true bony ankylosis, computed tomogram (CT) was useful. Surgical gap arthroplasty on bony ankylosis patients was applied and the gain of mouth opening after operation was average 35.8 mm during 19 months. 4. The tetanus, rarely, also induced the trismus with the range of mouth opening less than 10 mm. The average serum level of tetanus anti-toxin was 0.02-0.04 IU/mL. The limitation of mouth opening was improved into average 38 mm on 4 weeks after injection of 10,000 units of tetanus immune globulin. 5. In the treatment of osteochondroma, TMD, odontogenic infection and fracture, and the others inducing trismus, to obtian the maximum result and decreased inadequate time and effort, it is important to finding the causes from the exact clinical examination and diagnosis.

Structural Behavior of Steel Wire Truss Deck with Continuous Lattices to the Longitudinal Direction (길이방향으로 연속된 래티스를 가지는 철선 트러스데크의 구조 거동)

  • Lee, Sung Ho;Park, Hyung Chul;Oh, Bo Hwan;Cho, Soon Bo
    • Journal of Korean Society of Steel Construction
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    • v.21 no.1
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    • pp.37-44
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    • 2009
  • A truss deck system that has replaced the slab form conventional method has become widely used in the construction of reinforced concrete structures as well as steel structures. The current commercial products, however, have some problems. The discontinuity between the lattice wires on the joint of the bottom wire induces vierendeel behavior, which increases the deflection of the system. In this research, a new truss deck system with continuous lattice wires on the level of the bottom wire was developed to reduce the system's vierendeel behavior and to improve its deformation capacity. To investigate the system's structural behavior, an experimental test and an analysis were performed. The main parameters of the test and analysis were the longitudinal shape and spacing of the lattices. To simulate the loading condition in the construction field, uniform construction loads were directly applied on the deck plates of the analysis model and the test specimens. The results of such analysis and test revealed that the longitudinal shape of the lattice wires is a major factor affecting the structural behavior of a steel wire truss deck. Thus, continuous lattice wires could result in decreased vierendeel behavior in the steel wire truss deck. It was also found that the truss deck system with lattices spaced longer than in the conventional products could be effectively used without increasing the member stresses.

Evaluation on the Behavior of Slip Critical Joints with TS High Strength Bolts Subjected to a Size of Bolt Holes (볼트 구멍 크기에 따른 TS 고력볼트 접합부 거동 평가)

  • Lee, Hyeon Ju;Kim, Kang Seok;Nah, Hwan Seon;Lee, Kang Min;Kim, Hyun Chul
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.15 no.2
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    • pp.136-143
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    • 2011
  • The oversized and slotted holes are frequently required for the built-up in construction sites. The foreign provisions specify the reduction of the slip load subjected to the size of bolt holes and the direction of load. There are no domestic building codes and researches on the bolt holes. Therefore, it is necessary to evaluate a change of joint strength quantitatively according to the bolt-hole size and surface condition by means of experiment. This study was conducted to evaluate the slip load subjected to the size of bolt holes, and measured on a change of clamping force of high strength bolts during 168 and 800 hours to analyze the trend of relaxation after fastening bolts. Torque shear bolts defined on KS B 2819 was used for the specimen. Test results exhibit that the variation on the slip load of the others was below 10% by contrast with the standard hole and the highest rate of relaxation was 2.66% of the initial clamping force at the case of the long-slotted hole of 2.5D.

A STUDY ON THE RE-QUANTIZATION METHOD FOR PREVENTING DISTORTION OF CORRELATION RESULT (상관결과의 왜곡 방지를 위한 재양자화 방법에 관한 연구)

  • Yeom, Jae-Hwan;Oh, Se-Jin;Roh, Duk-Gyoo;Oh, Chung-Sik;Jung, Jin-Seung;Chung, Dong-Kyu;Oyama, Tomoaki;Kawaguchi, Noriyuki;Kobayashi, Hideyuki;Kawakami, Kazuyuki;Onuki, Hirofumi;Ozeki, Kensuke
    • Publications of The Korean Astronomical Society
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    • v.27 no.5
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    • pp.419-429
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    • 2012
  • In this paper, we propose a new re-quantization method after FFT processing to prevent the distortion of correlation result of VCS (VLBI Correlation Subsystem). The re-quantization is used to rearrange the data bit so as to reduce the data rate processed as 16-bit of FFT result of VCS. Having done this procedure, we found that the distorted spectrum of correlation result occurred in the delay tracking experiments by the re-quantization method introduced for initial design of VCS. In order to solve this, two kinds of re-quantization method, that is, the comparison and selection-type, are proposed. The first is to re-quantize the FFT result as a valid-bit by comparing with the input data after determining the adequate threshold. The second is manually to select the valid-bit of FFT result after finding the valid-field of data according to the bit-distribution of input data. We confirmed that the second is more effective compared with the first through the experimental result, and it will be implemented without so much modification of applied method in the condition of the limited resource of FPGA. The re-quantization is, however, carried out with 4-bit in the proposed second method for FFT result, and then the distortion of correlation result is also appeared. To fix this problem, the bit for re-quantization is extended to 8-bit. The proposed 8-bit selection-type is effectively verified so that the distortion of correlation result disappeared by applying to VCS in consequence of the simulation and correlation experiments.

A Case of Systemic Lupus Erythematosus in a Dog (개에 있어서 전신성 홍반성 낭창 일례)

  • 김주향;김기홍;고인경;이금종;나기정;양만표
    • Journal of Veterinary Clinics
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    • v.17 no.2
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    • pp.443-449
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    • 2000
  • A three-year-old male jindo with generalized skin lesions (including seborrhea, hyperk- eratosis, alopecia, papules, and ecchymoses), pruritus lymph node enlargement, and fever was brought to Veterinary Teaching Hospital, College of Veterinary Medicine, Chungbuk National Uni- versity. There were no laboratory findings for parasites and fungi in the hair and skin But, the com- plete blood counts (CBC) showed leukocytosis and severe cosinophilia, It was suspected to be an inflammatory and allergic dermatitis. Thus, prednisoIone (0.5 mg/kg PO, BID for 1 week) and ampi- cillin (10 mg/kg PO, BID for 1 week given. One week later, pruritus and ecchymoses were reduced. These treatments were repeated for 7 day again. Three months later, the dog was presented again due to the relapse and exacerbation of the clinical signs. The signs were as follows; severe pru- ritus, vesicobullous skin lesions, anorexia, emaciation, lameness, and welling of carpal joints that showed inflammatory skin lesion and draining of synovia-like fluid. The values of WBC counts were returned to normal ranges. In contrast, eosinophilia was still observed. Coombs test for patient RBC and serum were negative. Hypoalbuminemia (2.5g/dl) was shown by serum chemistry. The uri- nalysis revealed and presence of leukocytes. Luxation finding of right radial carpal joint by polyarthritis was shown in radiography of affected joints.Lupus eryhematosus(LE) cells also appeared in peripheral blood and synovial fluid of affected joints. Definitely, antinuclear antibody (ANA) of patient serum using feline peripheral blood mononuclear cells was detected by all immu- nofluorescence. Based on these findings such as sedum ANA-Positive. major signs (skin disease, non- erosive polyarthritis with soft tissue swelling. and proteinuria), minor signs (fever), and LE cell-pos- itive, a diagnosis of systemic lupus crythematosus (SLE) was mad\ulcorner in this dog. The dog with SLE was administered with Pre(2.0 mg/kg PO, BID for first 4 week and then QOD) to inhibit the production of autoantibodies and with ampicillin (10 mg/kg PO, BID for first 4 weeks and then QOD) to prevent the secondary infection. The condition of this dog was monitored every 2 weeks by physical examinations, radiography, CBC, serum chemistry and urinalyais. At 8th week of treat- ment, the state of SLE evaluated by physical examinations and laboratory findings was markedly improved except for proteinura.

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The Comparative Analysis of Wearing Roller Shoes and Jogging Shoes on Kinematic Characteristics in the Lower Extremity during Walking (롤러 신발과 조깅 신발 착용 후 보행 시 하지 분절의 운동학적 특성 비교 분석)

  • Jang, Jae-Ik;Chae, Woen-Sik;Kang, Nyeon-Ju;Yoon, Chang-Jin
    • Korean Journal of Applied Biomechanics
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    • v.19 no.2
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    • pp.399-406
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    • 2009
  • The purpose of this study was to compare the effect of wearing roller shoes and jogging shoes on kinematic characteristics in lower extremity during walking. Eight male middle school students(age: $15.0{\pm}0.0^{\circ}$ yrs, height $175.9{\pm}6.6cm$, weight: $616.3{\pm}84.9$ N) who have no musculoskeletal disorder were recruited as the subjects. Temporal parameters, step length, stride length, center of mass, velocity of CM, angle of segment, angular velocity and range of motion were determined for each trial. For each dependent variable, paired t-test was performed to test if significant difference existed between shoe conditions(p < .05). The results showed that stride length and velocity of CM in wearing roller shoes were significantly less than those found in wearing jogging shoes. These indicated that walking patterns may be changed by different shoe conditions and unstable braking condition because of wheel. Angle of ankle joint at LHC1 and LHC2 in wearing roller shoes was greater than the corresponding value for wearing jogging shoes. It seems that the ankle joints are locked in an awkward fashion at the heel contact to compensate for imbalance. Otherwise, dorsi flexion was not produced at the heel contact point in wearing roller shoes.

Local Behavior of Structural Details for Orthotropic Steel Deck Bridge with Longitudinal Rib of Open Section and Retrofitting Method of Fatigue Cracks (개단면리브를 갖는 강바닥판 교량의 국부거동 분석 및 피로균열 보강방안)

  • Lee, Sung Jin;Kyung, Kab Soo;Lee, Hee Hyun;Jeon, Jun Chang
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.17 no.2
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    • pp.33-44
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    • 2013
  • Although many studies have been performed for the structural details of orthotropic steel deck, most of them were focused on the trough rib of standard type, but not for orthotropic steel deck with longitudinal rib of open section used at beginning of the deck. In order to investigate the cause of fatigue crack for orthotropic steel deck bridge serviced 31 years with longitudinal rib of open section, in this study, the behavior characteristics of target structural details were analyzed based on measurement data under real traffic condition. Also the typical loading truck passing the target bridges was estimated with the structural analysis detailed, and the stresses and deformation patterns of target structural details were analyzed by performing the detailed structural analysis. Based upon the analysis, retrofitting methods of the fatigue crack were suggested and its validation was examined. From this study, it was clarified that fatigue crack of longitudinal rib with open section were affected with the stress increment by shear deformation in the rib and the occurrence of alternative stress due to moving vehicle. In addition, it was known that it is important to perform fatigue design reflected the local behavior of the structural details.

The effect of steroid for fibrous dysplasia of the humerus combined with multiple cystic lesion (낭종성 병변을 동반한 상완골의 섬유성 골이형성증에서 steroid의 효과 - 증례 보고 -)

  • Hahn, Soo-Bong;Shin, Kyoo-Ho;Kim, Bo-Hyun;Won, Jung-Hoon
    • The Journal of the Korean bone and joint tumor society
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    • v.8 no.1
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    • pp.20-26
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    • 2002
  • Fibrous dysplasia is a benign pathologic condition in which the normal cancellous bone is replaced by the fibro-osseous tissue. It is found mostly in the femur, tibia, skull, rib, and humerus. Clinically it may develops pain, progressive deformity, and pathologic fracture. Curettage with bone graft has been the most popular treatment method thesedays. A 17-year-old female who had fibrous dysplasia of the humerus combined with multiple cystic lesion was treated by intralesional steroid injection into the lesion total 2 times. The follow-up plain X-ray which was taken 11 months after steroid injection reveals decrease in size and increase in bone density and cortex thickness. The follow-up MRI reveals significant decrease in size and signal intensity. The signal intensity was decreased to that of normal bone marrow in T2 weighted image. She complains no pain and lives symptom free in last follow-up at 2 years and 8 months after steroid injection.

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Distal Radius Osteosarcoma (원위 요골 골육종)

  • Song, Won-Seok;Won, Ho-Hyun;Lee, Jeong-Dong;Jeon, Dae-Geun
    • The Journal of the Korean bone and joint tumor society
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    • v.16 no.2
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    • pp.55-61
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    • 2010
  • Purpose: We analyzed the clinical outcome of osteosarcoma developed in distal radius and the effect of delayed treatment on prognosis. Materials and Methods: Twelve patients with distal radius osteosarcoma were analysed. We categorized patients into two groups of standard treatment or non-standard treatment. The patients of standard treatment group are all stage IIB and non-standard treatment group includes five stage IIB and one stage III. Results: Five-year overall survival and disease-free survival rates of standard treatment group were 100% and 83%. Five-year overall survival rate of non-standard treatment group was 44%. Between two group, there are differences in age, tumor size, surgery type, symptom duration. Conclusion: Distal radius osteosarcoma have good prognosis than other extremity osteosarcoma. Survival rate of non-standard treatment group were lower than standard treatment group. Although the prognosis of non standard treatment group is poorer, the duration till death was longer than that of other sites with similar condition. Further multi-institutional study should be needed.

Occlusal Analysis in the Policemen with Temporomandibular Disorders Using T-scan II System (경찰 종사자의 측두하악장애환자에서 T-scan II System을 이용한 교합분석)

  • Lim, Hyun-Dae;Jung, Seung-Ah;Lee, You-Mee
    • Journal of Oral Medicine and Pain
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    • v.31 no.4
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    • pp.365-373
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    • 2006
  • This study suggested correction of excessive mouth opening or maximum occlusal contact to analyse occlusal contact time, occlusal contact number and force through evaluation of occlusal pattern in policemen with temporomandibular disorders. The community of policemen influence on temporomandibular disorder's development and progress due to other condition of mouth opening and maximal occlusal contact. Repeated training or changes of usual life style may cause imbalance of stomatognathic system including the masticatory muscle, then develop or aggravate pain of temporomandibular joints and associated structures. This study uses T-scan II system(Tekscan Co., USA) for evaluation on occlusal pattern may influence temporomandibular disorders, and then the subjects take a sensor at 20 mm opening for maximal occlusal contact force. The policemen with temporomandibualr disorders get more long time on maximum contact timing, more short on end contact timing, and more force on end contact force than general society's. So they get closure of mouth with more short time and more force, then transfer remaining load to temporomandibular joint. There are no statistically significances between affected side and occlusal pattern of occlusal contact time and force. There are Left -right dental arch imbalances seems on Rt. dental arch if affected side is right and Lt. dental arch if affected side is left. In above results, It's worth due consideration that policemen with temporomandibular disorders get more smooth mandibualr movement and less force on maximal occlusal contact position.