• Title/Summary/Keyword: Spine appearance

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Effect of Coordinative Locomotor Training on Spine Appearance and Quality of Life in Patients with Idiopathic Scoliosis: Single Subject Study (협응이동훈련이 특발성 측만증 환자의 척추 외형과 삶의 질에 미치는 효과 : 단일사례연구)

  • Kim, Jin-Cheol;Oh, Eun-Ju
    • Journal of the Korean Society of Physical Medicine
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    • v.16 no.3
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    • pp.89-97
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    • 2021
  • PURPOSE: This study examined the effects of coordinative locomotor training on the spine appearance and quality of life of patients with idiopathic scoliosis. METHODS: This study included two patients with idiopathic scoliosis: one with a thoracic and lumbar type scoliosis and the other with thoracic type scoliosis. The study design was a single case study (A-B-A'), with a baseline-intervention/phase-post-intervention. The baseline (A) was designed and measured five times, intervention phase (B) ten times, and post-intervention (A') five times. The coordinative locomotor training program was divided into 10 minutes of warm-up exercise, 30 minutes of the main exercise, and 10 minutes of the finishing exercise, for 50 minutes each time. The primary outcome measurements were measured using the Cobb's angle, Adam's test, and Gait view pro 2.0 to determine the changes in the spine appearance. The secondary outcome measurements were compared before and after using the SRS-22 questionnaire to determine the quality of life of the scoliosis patients. A statistical test analyzed the mean and standard deviation, and the rate of change was presented by a visual analysis method using descriptive statistics and graphs. RESULTS: The findings showed that the spine appearance and quality of life of the two subjects were improved compared to the baseline measurements during the intervention phase, and the improved state was maintained during the post-intervention period. CONCLUSION: These findings indicate that coordinative locomotor training may help improve the spine appearance and quality of life of patients with idiopathic scoliosis.

Cytohistologic Features of Chordoma Arising in Thoracic Spine - A Case Report - (흉추에서 발생한 척삭종의 세포학적 및 조직학적 소견 - 1예 보고 -)

  • Ha, Seung-Yeon;Kim, In-Sun;Park, Sung-Hye;Park, Heum-Rye
    • The Korean Journal of Cytopathology
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    • v.6 no.2
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    • pp.199-203
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    • 1995
  • Chordoma is relatively uncommon tumor comprising $1\sim4%$ of primary malignant bone tumors, and believed to arise from the remnants of notochordal tissue. Because of its rare occurrence in the thoracic spine, we report a case of chordoma involving the thoracic spine. A 45-year-old male was sufferred from chest pain radiating to the back. Chest CT showed a well marginated, round huge mass with multiseptated enhancement at the thoracic spine from T5 to T8 level. After percutaneous needle aspiration, piecemeal resection of the tumor was done. On cytologic smears, two types of neoplastic cells were arranged in sheets and cords in mucinous background. One type of cells consisted of medium sized cells with pink cytoplasm and round nuclei. The other type had voluminous bubbly or clear cytoplasm divided by intracytoplasmic septae imparting a feathery or basket-like appearance. Histologically, the tumor showed lobulated feature divided by fibrous septae and the tumor cells were pink eosinophilic or physaliphorous in morphology. Immunohistochemically, the tumor cells revealed strong positivity for low(AE1) and high (AE3) molecular weight cytokeratins.

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Clinical impact of spine magnetic resonance imaging as a valuable prognostic tool for patients with multiple myeloma: a retrospective study

  • Lee, Jung Min;Cho, Hee Jeong;Moon, Joon-Ho;Sohn, Sang Kyun;Park, Byunggeon;Baek, Dong Won
    • Journal of Yeungnam Medical Science
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    • v.39 no.4
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    • pp.300-308
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    • 2022
  • Background: This study investigated the prognostic impact of spine magnetic resonance imaging (MRI) in patients newly diagnosed with multiple myeloma (MM). Methods: We retrospectively evaluated 214 patients who were newly diagnosed with MM between March 2015 and December 2019. The patients were classified into five different infiltration patterns based on spine MRI as follows: (1) normal appearance, (2) focal, (3) diffuse, (4) combined focal and diffuse infiltration, and (5) "salt-and-pepper." Results: Forty patients (18.7%) showed a normal appearance, whereas focal, diffuse, combined focal and diffuse infiltration, and "salt-and-pepper" patterns were identified in 68 (31.8%), 40 (18.7%), 52 (24.3%), and 14 patients (6.5%), respectively. The patients with normal and "salt-and-pepper" patterns were younger than patients with other patterns (median age, 61.6 vs. 66.8 years; p=0.001). Moreover, 63% and 59.3% of patients with normal and "salt-and-pepper" patterns were scored International Staging System (ISS) stage I and revised ISS (R-ISS) stage I, respectively, whereas only 12.5% of patients with other patterns were scored ISS stage I and R-ISS stage I. Patients with normal and "salt-and-pepper" patterns had a better prognosis than those with other patterns, whereas relapse and death rates were significantly higher in patients with focal, diffuse, and combined MRI patterns. Conclusion: Characteristic MRI findings have a significant prognostic value for long-term survival in patients newly diagnosed with MM. In particular, focal, diffuse, and combined focal and diffuse infiltration patterns are unfavorable prognostic factors.

Disc and underwriting - A proposal of life underwriter in terms of insurance benefits - (디스크질환과 언더라이팅 -보장급부를 중심으로 고찰한 생명보험 언더라이터의 제안-)

  • Byun, Hye-Jin
    • The Journal of the Korean life insurance medical association
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    • v.27 no.2
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    • pp.96-106
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    • 2008
  • Herniate disc disease is one of the biggest problem in claim of insurance as well as in medical. Herniate disc disease have recently increased, and it is ranked 8th in claim reasons recently. As an underwriter and physical therapist, I want to study interrelationship of insurance and disc disease. I think it is necessary to know about knowledge of medical, so this study is given some space to structure of spine, cause of herniated disc disease, role of disc, methods of classification of disable (McBride method and AMA method), and spine disability stage. disc surgery is divided laparoscope disc surgery and spine surgery. I analysis it some factors- gender, age, occupation, re-surgery, and state of after surgery - through searching medical papers. I suggest below conclusion to underwriter because it can be useful to make questionnaire, and underwriter can expect prognosis. conclusion The negative factors of disc surgery (compare to other cases) were as follows: 1. endoscope disc surgery: $20{\sim}40year$ old man, hospitalization period more than 5 days. 2. spine surgery: $45{\sim}70year$ old woman, hospitalization period more than 15 days. 3. re-surgery experience: exist 4. working condition: a person who draws a small income, non-regular worker, working period is less than 1 year. 5. method of surgery: pedicle screw fixation. spine fusion surgery, artificial disc surgery. 6. post surgery condition: appearance of muscle weakness, paralysis, reference pain, lordosis, kyphosis, and complication. smoker or take a drink.

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Factors of Variation in Diagrams and Location of Kidney (신장도(腎臟圖)의 형태요소와 그 변이(變異)에 대한 연구)

  • Jo, Hak-Jun
    • The Journal of Korean Medical History
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    • v.31 no.1
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    • pp.23-42
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    • 2018
  • This study examines the variation in diagrams of the kidney, and the effects on location of the Life Gate as a result. My study analyzes diagrams of kidney form and location, such as appearance, the vertebral spine, ShenXi, and "Life Gate", and also explores the causes for such variations. The kidney is commonly described as having the shape of a bean, which throughout medical history has showed almost no variation. The spine was initially described with a total of 21 vertebrae, and later with a range of 19-25 vertebrae. Regarding the height of kidney in relationship to the spine, it was initially described as beginning at the 14th vertebrae, and later changed to the 15th or 17th vertebrae. However, there have been no changes in the perception of the height of kidney. Initially, the location of the Life Gate could not be identified. Three different suggestions of its location were found throughout historical literature, including: (1) at or within the right kidney; (2) between two kidneys; and (3) between 14th-15th spine. There were also variations noted in the process of copying diagrams of kidney in many books not only because the work of copying was not precise, but also because each medical practitioner had a different interpretation of the kidney's form and function in Traditional Korean and Chinese Medicine. It appears that some practitioners may have been influenced by their understandings of theory of Life Gate.

Study on Long-Term Preservation of Hwangnyunhaedok-Tang Pharmacopuncture (황련해독탕 약침의 장기보존시험에 관한 연구)

  • Lee, Jin-Ho;Ha, In-Hyuk;Kim, Me-Riong;Chung, Hwa-Jin;Lee, Jae-Woong;Kim, Min-Jeong;Kim, Eun-Jee;Lee, In-Hee
    • Journal of Korean Medicine Rehabilitation
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    • v.26 no.2
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    • pp.51-59
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    • 2016
  • Objectives We studied long-term preservation in stability of a mixed preparation of distilled and 70% alcohol extracted Hwangnyunhaedok-tang pharmacopuncture to establish standards for expiration date and quality control. Methods Three lots of consecutively prepared Hwangnyunhaedok-tang pharmacopuncture were each tested in triplicate to a total 5 tests at 3 month intervals over a period of 12 months for analysis of appearance, pH, specific gravity, index component content, endotoxins, microbial sterility, residual organic solvents, heavy metals, and pesticides. Items with no difference by elapsed time were tested at the initial and final timepoints, and data of items with potential difference by elapsed time were analyzed for trends to establish individual quality control standards. Results All tested items were stable over the study period, and therefore the expiration date was set as 12 months. pH quality control standards were set as 3.66~5.69, and that of specific gravity as 0.802~1.203, respectively. In index component content standards, berberine was set at $4.96{\sim}8.98{\mu}g/vial$, baicalin at $6.47{\sim}10.31{\mu}g/vial$, and geniposide at $116.03{\sim}189.55{\mu}g/vial$, respectively. Standards for other items with no difference by elapsed time were set according to general Korean herbal medicine standards in the Korean Pharmacopoeia. Conclusions Manageable expiration date and quality control standards were established through long-term preservation testing of Hwangnyunhaedok-tang pharmacopuncture, furthering standardization of Korean medicine pharmacopuncture.

Early Osteological Development of Larvae and Juveniles in the Korean Spotted Sleeper Odontobutis interrupta from Korea (한국산 얼록동사리(Odontobutis interrupta) 자치어의 골격발달)

  • Park, Jae Min;Han, Ji Hyeong;Yun, Seong Min;Han, Kyeong Ho
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.50 no.4
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    • pp.396-405
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    • 2017
  • We observed the osteological development in larvae and juveniles of Korean spotted sleeper Odontobutis interrupta bred in the laboratory in April 2014. Immediately after hatching, the prelarvae, which were about 4.27 mm long, showed ossification of the premaxillary bones in the upper jaw and the dentary and articular bones in the lower jaw. At 7.11 mm, the larvae showed complete fusion of the post-cleithra and ossification of the scapulae with the appearance of one hole. At 8.65 mm, the larvae showed ossification of seven ribs from the third abdominal vertebra and an increase in the length of the neural spine and hemal spine. The number of caudal fin rays increased to 19. At 11.9 mm, the juveniles showed ossification of three procurrent rays on the side of the parhypural bone as well as ossification of two procurrent rays on the side of the epural bone, indicating the complete ossification of all spicules.

0Does Unilateral Mastectomy Cause Scoliosis? (일측성 유방절제술이 척추측만증을 일으키는가?)

  • Lee, Sung Wook;Lee, Taik Jong;Lee, Sung Wo
    • Archives of Plastic Surgery
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    • v.35 no.3
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    • pp.279-282
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    • 2008
  • Purpose: It is known that the chronic absence of unilateral breast can cause spine curvature. The artificial breast manufactures take up the position of that possibility. This study was designed to evaluate the influence of the mastectomy on the spine and appearance of scoliosis among women who wanted delayed breast reconstruction. ted delayed breast reconstruction. Methods: The study population consisted of 47 women who underwent delayed breast reconstruction at our Department of Plastic Surgery from April 2001 to May 2007. The whole spine anteroposterior and lateral X-ray was taken to evaluate the Cobb's angle. As a general rule a Cobb angle of 10 is regarded as a minimum angulation to define scoliosis. We evaluated Cobb's angle and drew a correlation between the duration of the mastectomy state and the weight of the mastectomy specimen. Results: There were no family history of scoliosis, and no numbness or weakness in the upper or lower extremities. They had normal reflex and experienced no tenderness of the perispinal area. The Spearman Correlation Coefficient between Cobb's angle and the period that took time from the mastectomy to the X-rays and analysis between Cobb's angle and specimen weight was 0.032 and-0.115. there were no correlation between Cobb's angle and time, or between Cobb's angle and specimen weight. Conclusion: lthough the patients attribute their back pain and distorted posture to having received an one-sided mastectomy, it is unlikely that one-sided mastectomy causes spinal deformity and scoliosis.

A Study on the Crotch Length for Dance Movement (무용동작을 위한 밑위길이에 관한 연구)

  • Yoon, Sung-Hwa;Lee, Young-Ju
    • Korean Journal of Human Ecology
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    • v.11 no.1
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    • pp.45-58
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    • 2002
  • The purpose of this study was to offer a more functional slacks by analyzing its crotch length. The result of the study were as follows : Regarding the feeling of wearing and appearance, the P2 b style which measures the crotch length starting from the waist line passing around the iliac spine was the most highly evaluated. This suggested that the functionality of dance movement was more influenced by the position of the waist line not by the crotch length measurement. Since the front and rear center lines of the crotch could not be flown if the waist line of slacks was positioned high, both the crotch and abdominal part might be clogged or tightened when dancers made large dance movements or bended their upper bodies forward. In conclusion, slacks for more functional dance movement should be manufactured focusing on the location of the waist line rather than on the crotch length.

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Congenital Defect of the Posterior Arch of Cervical Spine : Report of Three Cases and Review of the Current Literature

  • Song, Kyo-Chang;Cho, Kyoung-Suok;Lee, Sang-Bok
    • Journal of Korean Neurosurgical Society
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    • v.48 no.3
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    • pp.294-297
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    • 2010
  • Abnormalities of the posterior arch, including congenitally absent cervical pedicle and cervical spondylolysis, are rare entities that are usually found incidentally on neck radiographs. It is important to recognize these characteristic radiological features because their radiographic appearance may cause them to be confused with more serious entities such as fractures, locked facets, and tumor-induced bony erosions. Also, it is important to distinguish these abnormalities from similar pathologies to prevent the use of inappropriate treatment We report the relevant clinical and radiological findings seen in three cases of posterior arch defect after trauma with review of pertinent literature.