• 제목/요약/키워드: UCLA

검색결과 349건 처리시간 0.03초

Short-term Low-dose Oral Corticosteroid Therapy of Impingement Syndrome of the Shoulder: A Comparison of the Clinical Outcomes to Intra-articular Corticosteroid Injection

  • Kim, Young Bok;Kim, Young Chang;Kim, Ji Wan;Lee, Sang Jin;Lee, Sang Won;Choi, Hong Joon;Lee, Dong Hyun;Kim, Joo Young
    • Clinics in Shoulder and Elbow
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    • 제17권2호
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    • pp.50-56
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    • 2014
  • Background: To assess the clinical outcomes of short-term oral corticosteroid therapy for impingement syndrome of the shoulder and determine whether it can be substituted as an alternative to the intra-articular injection. Methods: The clinical outcomes of the 173 patients, the oral steroid group (n=88) and the injection group (n=85), were measured at 3 weeks, 2, 4, and 6 months postoperatively. The clinical outcomes were assessed by measuring the the University of California at Los Angeles (UCLA) score, visual analog scale (VAS) and range of motion (ROM) at every follow-up. Any complications and recurrence rate were noted. A relationship between the treatment outcomes and factors such as demographic factors, clinical symptoms and radiographic findings were determined. Results: No difference was observed in VAS and UCLA scores between the two groups, but forward flexion and internal rotation of ROM were significantly improved in the injection group at the 2nd and 4th postoperative month (p < 0.05). At 6th postoperative month, recurrence rate of symptoms was 26% in the oral steroid group and 22% in the injection group. No major adverse effects were observed. When the clinical outcomes of the oral steroid group were compared to either demographic, clinical symptoms, or radiographic findings, UCLA score was found to be significantly low (p < 0.05) in patients with joint stiffness and UCLA score, whereas VAS score was significantly improved in patients with night pain (p < 0.05). Conclusions: Short-term low-dose oral corticosteroid therapy of impingement syndrome showed comparable clinical outcomes to intra-articular injection without any remarkable adverse effects. Low-dose oral steroids can be regarded as a partial alternative to intra-articular injection for the initial therapy of impingement syndrome of the shoulder.

EMD-based output-only identification of mode shapes of linear structures

  • Ramezani, Soheil;Bahar, Omid
    • Smart Structures and Systems
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    • 제16권5호
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    • pp.919-935
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    • 2015
  • The Hilbert-Huang transform (HHT) consists of empirical mode decomposition (EMD) and Hilbert spectral analysis. EMD has been successfully applied for identification of mode shapes of structures based on input-output approaches. This paper aims to extend application of EMD for output-only identification of mode shapes of linear structures. In this regard, a new simple and efficient method based on band-pass filtering and EMD is proposed. Having rather accurate estimates of modal frequencies from measured responses, the proposed method is capable to extract the corresponding mode shapes. In order to evaluate the accuracy and performance of the proposed identification method, two case studies are considered. In the first case, the performance of the method is validated through the analysis of simulated responses obtained from an analytical structural model with known dynamical properties. The low-amplitude responses recorded from the UCLA Factor Building during the 2004 Parkfield earthquake are used in the second case to identify the first three mode shapes of the building in three different directions. The results demonstrate the remarkable ability of the proposed method in correct estimation of mode shapes of the linear structures based on rather accurate modal frequencies.

치과 임플랜트 보철 수복시 각 상부구조의 형태에 따라 발생되는 응력의 광탄성학적 분석 (PHOTOELASTIC ANALYSIS OF STRESSES INDUCED BY VARIOUS SUPERSTRUCTURES ON THE ENDOSTEAL IMPLANT)

  • 최영희;조인호
    • 대한치과보철학회지
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    • 제31권4호
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    • pp.679-686
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    • 1993
  • The osseointegrated implant conducts the stress directly to the bone due to lack of cushoning effect of periodontal ligament. So, the design and material quality of superstructure plays an important role in resolution and diffusion of stress. Recently, the various superstructures have been developed to improve esthetics and resolve various complicated conditions. The purpose of this study was to evaluate the stress induced by various system on the osseointegrated implant using UCLA abutment, EsthetiCone abutment, Anatomic abutment as well as Branemark conventional abutment. The stress distribution was evaluated by the photoelastic method which can simultaneously observe all around stress distribution. The superstructures embedded in epoxy resin specimen were loaded at various angle with a force of 15Kg to analyse the stress distribution of the fixture. The results of this study were obtained as follows : 1. Under vertical loading, the large and broad stress was distributed below the fixture in all systems. 2. The fringe order of the stress was increased in proportion to tillting the specimen. The largest stress was shown in 25 angled degree tilting case. 3. The Branemark conventional abutment showed the lowest value, and EsthetiCone abutment, Anatomic abutment and UCLA abutment showed the stress value in accending order.

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견관절 석회화 건염으로 진단된 견비통환자(肩臂痛患者) 치험(治驗) 1례(例) 보고(報告) - 단순 방사선 영상의 변화를 중심으로 - (A Case of Calcific Tendinitis)

  • 이세연;이경민;서정철;임성철;정태영;한상원
    • Korean Journal of Acupuncture
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    • 제21권4호
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    • pp.125-132
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    • 2004
  • Objective : The purpose of this study is to report the patient diagnosed as calcific tendinitis located at supraspinatus, who improved by Oriental medical treatment, through analysis of radiograph. Methods : The patient was managed by acupuncture, moxibustion and cupping without medication and physical therapy. We measured the shoulder state by radiograph and evaluated with UCLA shoulder rating scale. Results : After 5 week treatment, the pain of patient and The UCLA functional average score was improved. Also we found that the deposits of calcific tendinitis was almost disappeared in radiograph. Conclusions : The results suggest that acupuncture, moxibustion and cupping can be effective in reducing the pain and the deposits of calcific tendinitis. We think that it need the further study and clinical trial for calcific tendinitis.

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