• Title/Summary/Keyword: Rotation year

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Efficacy of the Subclavian Portal Approach in Arthroscopic Repair of Isolated Subscapularis Tendon Tear

  • Chae, Seung Bum;Choi, Chang Hyuk;Jung, Suk-Han
    • Clinics in Shoulder and Elbow
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    • v.17 no.1
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    • pp.18-24
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    • 2014
  • Background: To evaluate the efficacy of the subclavian portal approach for the arthroscopic repair of isolated subscapularis tendon tear. Methods: We used the subclavian portal to carry out arthroscopic repair of the isolated subscapularis tendon tear. The surgery was carried out in 18 cases (average age of 53) from May 2006 to December 2009 with a mean follow-up period of 35 months. Of these cases, 13 patients had the tear in their dominant arms, 16 were male, and 12 were from traumatic ruptures with on average 7.6 months of symptom period to operation. Additional surgery, acromioplasty and subacromial debridement, were carried out on 4 cases each during the subscapularis repair. The integrity of cuff status was assessed by ultrasonographic examination at 6 months and at 1 year after operation. Results: The initial average range of motion in forward flexion, external rotation, and internal rotation were $160^{\circ}$, $50^{\circ}$ and L4, respectively. At the 1 year follow-up period, these improved to $160^{\circ}$, $52^{\circ}$ and T12, respectively. The initial average functional scores were assessed by KSS, ASES, UCLA, and Constant scoring systems, which were 67, 60, 26, and 65, respectively. These scores improved progressively with time. At 3 months after operation, the scores were 74, 67, 27, and 74; at 6 months, 83, 77, 31, and 75; at 1 year, 88, 86, 32, and 79; and at the final follow-up of 35 months, 84, 92, 34, and 84. Conclusions: In the repair of isolated subscapularis tendon tear, the subclavian portal approach provided a good angle for anchor insertion and sufficient space to manage the upper portion of the tendon tear. In turn, these provisions resulted in satisfactory clinical results.

Minimum Presurgical Orthodontic Treatment with Two Jaw Surgery Combined with Anterior Segmental Osteotmy in Skeletal Class II Malocclusion: A Case Report

  • Chae, Jong-Moon;Paeng, Jun-Young
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.35 no.5
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    • pp.316-324
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    • 2013
  • This case report describes the treatment of a 23-year-old woman who had lip protrusion with gummy smile and mentalis muscle strain. Orthognathic surgery was performed in conjunction with orthodontics. Minimum dental decompensation was performed with presurgical orthodontics followed by an anterior segmental osteotomy for the majority of dental decompensation. Counterclockwise rotation of the maxillomandibular complex was applied by LeFort I osteotomy, and bilateral sagittal split ramus osteotomies with anterior segmental osteotomy to achieve overall facial balance. The active treatment period was 15 months. Stable occlusion and skeletal relationship were observed after a 10-month follow-up period.

A Case of Microtia (선천성 외이기형)

  • 김세훈;원상희;황명순;한주호;김선우
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1981.05a
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    • pp.40.2-40
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    • 1981
  • The deformities of the auricle is rare and classified roughly into two categories as "Hyperplasia and Hypoplasia". Microtia occurs about once in every 6000 births and is twice as frequent in males as in females and the unilateral to bilateral ratio is roughly 8 : 1. Significant malformation of the auricle frequently involves the external auditory canal and the contents of the middle ear. Recently, the authors experienced a case of hypoplasia of the superior third of the right auricle of 24 year old male, with neither hearing impairment nor any other associated defect, who was surgically corrected by rotation flaps through post-auricular incision.

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Effects of Angular Joint Mobilization on the Pain, Range of Motion, and Functional Improvement in a Patient with Shoulder Adhesive Capsulitis -A Case Report- (각 관절 가동술(Angular Joint Mobilization)이 어깨 유착성 관절주머니염 환자의 통증, 관절 가동 범위, 기능 향상에 미치는 영향 -사례 보고-)

  • Lee, Seung-Hoo;Yun, Ji-Hyeon;Kim, Young-Hoon;Lee, Gyu-Chang
    • PNF and Movement
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    • v.16 no.2
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    • pp.169-178
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    • 2018
  • Purpose: This study aimed to investigate the effect of angular joint mobilization (AJM) on the shoulder pain, range of motion, and functional improvement in a patient with shoulder adhesive capsulitis. Methods: The patient diagnosed with right shoulder adhesive capsulitis by an orthopedic surgeon was a 60-year-old male, right hand/arm dominant, with a height of 175 cm and weight of 75 kg. The patient received 12 sessions of AJM once or twice per week for eight weeks. AJM was applied for 5 min each of flexion, abduction, external rotation, internal rotation, for a total of 20 min per session. The visual analog scale, the goniometer, and the Oxford shoulder score were used to measure pain, range of motion, and shoulder pain & disability index, respectively. Results: After all the treatments, the pain decreased from 6 to 2 points. The range of motion increased in flexion by $54.3^{\circ}$ from $125^{\circ}$ to $179.3^{\circ}$, abduction by $38^{\circ}$ from $140^{\circ}$ to $178^{\circ}$, external rotation by $54.4^{\circ}$ from $30.3^{\circ}$ to $84.7^{\circ}$, and internal rotation by $25^{\circ}$ from $45^{\circ}$ to $70^{\circ}$. The shoulder disability index decreased from 33 points to 17 points. Conclusion: This study found that AJM has a positive effect on the improvement of shoulder pain, range of motion, and function in a patient with shoulder adhesive capsulitis. Further studies on AJM are needed in the future.

ARATIVE STUDY OF MAXILLARY SUPERIMPOSITION METHODS ON A LATERAL R NTGENOGRAPHIC CEPHALOMETRY (측모두부방사선사진을 이용한 상악 중첩 방법의 비교연구)

  • Jean, Young-Yim
    • Journal of the korean academy of Pediatric Dentistry
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    • v.25 no.1
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    • pp.197-208
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    • 1998
  • This study was carried out to compare the amount of the maxillary bone remodeling and tooth displacement in each three maxillary superimposition methods, Ricketts, Best-fit, Structural method. Forty cases of the lateral cephalometric radiographs from 27 boys and 13 girls who had been treated to correct anterior cross-bite were selected for the study. The initial radiographs were taken at about 8-year-old and the second radiographs were taken in about 3.3 years later. Followings were the results: 1. With the Structural method, backward movement was shown in PNS, while forward movement was observed in ANS and point A. With the Ricketts method, however, all structures were shown significant backward movement comparing with Structural method(P<0.05). With the Best-fit method, the amount of horizontal movement was similar to that of the Structural method(P>0.05). 2. The palate seemed to be moved downward with Structural method, but there was no measured downward remodeling on nasal floor with Ricketts and Best-fit method(P<0.05). 3. Comparing with Structural method, Ricketts and Best-fit method significantly underestimated the eruption of the teeth by 20% to 30% (P<0.05). 4. The Structural method showed the anteroinferior rotation (43%) and posteroinferior rotation(57%) of the palatal plane, while the Best-fit method showed mostly anterosuperior rotation(87%), but no change was found in the Ricketts method. 5. With the Structural method, there was a statistically significant correlation between the amount of the rotation of the palatal plane and that of N-S line(r=0.86). 6. The measured angles of the long axis of the incisors and molars showed no significant difference in each 3 methods(P>0.05).

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A CASE REPORT OF MANDIBULAR PROGNATHISM TREATED WITH ACTIVATIOR (Activator를 이용한 하악전돌 치험예)

  • Lim, Jin Hwan;Nahm, Dong Seok;Yang, Won Sik;Suh, Cheong Hoon
    • The korean journal of orthodontics
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    • v.6 no.1
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    • pp.65-69
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    • 1976
  • A patient (Hellman dental age IIIA) who had anterior cross bite due to functional factor was treated with activator. Following results were obtained: 1) Anterior cross bite was crorrected 3 months after the initial application of the appliance. 2) Comparing pretreatment records with posttreatment, the main effects were labioversion of upper incisors, increase of upper arch length and downward-backward rotation of the mandible. 3) There was no damage on teeth and periodontal tissues and the patient had normal occlusion 1 year after the treatment.

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Probabilistic Analysis for Longitudinal Displacement due to Skew Angle of Bridges under Scenario Earthquakes (모의 지진하중에 의한 교량의 사가에 따른 축방향변위에 대한 확률론적 해석)

  • 전환석;이대형;정영수
    • Proceedings of the Korea Concrete Institute Conference
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    • 1998.10a
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    • pp.553-558
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    • 1998
  • Since the mid of the 20th century in the world, it has been observed that the number of minor or moderate earthquake motions tend to be increased year by year. Owing to the topographical condition, moreover, large numbers of skew bridges have been constructed for the requirements of more than DB18 ton bridge in Korea. It has been also observed from foreign countries that lots of superstructures collapse in bridge were occurred in previous earthquakes, inclusive of 1995 Kobe earthquake. This is caused by a relative displacement between the upper and lower structure of bridge by the earthquake and the rotation with respect to the vertical axis of skew bridges, which were subjected to and earthquake motion. In this study, the probabilistic analysis of unseating failure of skew bridges under scenario earthquake has been carried out by evaluating the longitudinal displacement of skew bridges.

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Development of a Scale for Identification of Mental Health and Developmental Disorders in Newborn- to Three-Year-Old Children (0-3세 영유아의 정신건강 및 발달장애 조기진단을 위한 척도제작 연구)

  • Jang, Mikyung
    • Korean Journal of Child Studies
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    • v.26 no.1
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    • pp.47-59
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    • 2005
  • The Early Life Problems Scale consisting of 5-point rating for each item was prepared from the results of a questionnaire of 163 items with two sub scales constructed on the basis of Diagnostic Classification: 0-3. Respondents were 361 parents with newborn to 3-year-old children (197 boys and 164 girls). Hypothetical constructs of mental and developmental problems were identified by exploratory factor analysis. The resulting 22 factors explained 58.5% and 72.9% of the common variance for scales I and II, respectively. The rotation procedure yielded 134 items of which 118 had factor loadings of more than .30. Face validity was obtained on the basis of 18 items. The coefficients of correlation between and within factors suggest that there are interrelationships. The reliability of total scales by Cronbach's Alpha was relatively high.

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Problems and Solutions of Soil Fertility Enhancement in Korean Organic Farming (한국 토착유기농업의 토양비옥도 증진책의 문제점과 대안)

  • 손상목
    • Korean Journal of Organic Agriculture
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    • v.8 no.2
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    • pp.53-77
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    • 2000
  • This paper aims to point out the problems and solutions of soil fertility enhancement in Korean organic farming which does not harmonize with internationally recognized standard of organic agriculture such as Basic Standard of IFOAM, EU regulations, and guidelines of FAO/WHO codex alimentarius. The necessity of rotation, legume, green manure to enhance the soil fertility or organic farming system was discussed, and the reasons why salt accumulation including nitrate and phosphate in the rooted soil profiles was frequently occurred in Korean organic farmer's field also discussed. Soil testing for correct handling of organic fertilization was introduced to void the salt accumulation just applying the huge amount of organic fertilizer year to year to reach a maximum crop yield. In the conclusion it was suggested for Korean organic agriculture to make an effort to coincide it's regulation with internationally recognized standards for organic farming.

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A Case Study of a 53-year-old Female Patient with Frozen Shoulder for Effect of Scapular Stabilizing Exercise on Shoulder Pain, Active Range of Motion and Position of Shoulder Blade (오십견이 있는 53세 여성환자에게 견갑골 안정화 운동 적용 후 견부 통증, 능동관절가동범위, 견갑골의 위치 변화에 미치는 영향-사례연구)

  • Jung, Min-Keun
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.18 no.1
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    • pp.83-86
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    • 2012
  • Background: The research examined the effect of a scapular stabilizing exercise on shoulder pain, active range of motion (AROM) and changes in the position of the shoulder blade of patients with frozen shoulder. Methods: General physical therapy and a scapular stabilizing exercise were applied to a 53-year-old female patient with frozen shoulder three times a week for four weeks. Before and after the therapy, measurements were made on the visual analog scale (VAS) and of the AROM, and a lateral scapular slide test was conducted. Results: Following the therapy, VAS fell from 7 to 3. Before therapy, flexion, abduction, internal rotation, and external rotation recorded $133^{\circ}$, $102^{\circ}$, $45^{\circ}$, and $53^{\circ}$ respectively; after the therapy they increased to $150^{\circ}$, $123^{\circ}$, $55^{\circ}$, and $65^{\circ}$ respectively. The lateral scapular slide test showed sliding distances before therapy of 8.5cm at $0^{\circ}$, 9.2cm at $45^{\circ}$, and 11.3cm at $90^{\circ}$; after therapy, the distances decreased to 6.8 cm at $0^{\circ}$, 8.2 cm at $45^{\circ}$, and 9cm at $90^{\circ}$. Conclusion: The scapular stabilizing exercise was effective in alleviating shoulder pain, increasing AROM, and reducing changes in the position of the shoulder blade of frozen shoulder patients.

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