• 제목/요약/키워드: bell

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말초성(末梢性) 안면신경마비(顔面神經麻痺)에 대한 한방(韓方) 치료(治療) 및 한(韓)·양방(洋方) 협진치료(協診治療)의 임상적(臨床的) 고찰(考察) (Comparative Clinical Study between Oriental Medicine and Oriental-Western Medicine Treatment on Bell's palsy)

  • 박인범;김상우;이채우;김홍기;허성웅;윤현민;장경전;안창범
    • Journal of Acupuncture Research
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    • 제21권5호
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    • pp.191-203
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    • 2004
  • Objectives : The purpose of this study is comparison of clinical treatment outcome between oriental medicine group and oriental-western medicine group about Bell's palsy. Methods : We measured the facial palsy changes of the patients who were admitted for Bell's palsy in the Oriental Medical hospital of Dong-eui medical center from 07-01-2003 to 07-12-2004. Bell's palsy patients were divided into two groups. One group(A group) was treated by Oriental medicine treatment. The other group(B group) was treated by Oriental-Western medicine treatment. The effects of these treatment was evaluated by Yanagihara's unweighted grading system. Results : B group was marked more higher than A group in treatment outcome. We discovered that it is significant differences between two groups after 1 week and after 2 week in treatment stage. Conclusion : These results provided that B group was more effective than A group in treatment of Bell's palsy. For clearly comparing the effect of Oriental medicine treatment and Oriental-Western medicine treatment on Bell's palsy, more numbers of sample and longer duration of treatment are needed.

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벨 버텀 팬츠(Bell Bottom Pants)의 시각적 평가 (A Study on the Visual Evaluation of Bell Bottom Pants)

  • 이정순
    • 한국의상디자인학회지
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    • 제16권1호
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    • pp.15-25
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    • 2014
  • The purpose of this study is to recognize the differences of visual evaluation by variations in width of hem line and waistline position of the bell buttom pants. The stimuli are 9 samples: One control group, 3 variations of the width of hem line and 3 variations of the waistline position. The data has been obtained from 56 fashion students. The data has been analyzed by Factor Analysis, Anova, Scheffe's Test and the MCA method. The results of the study are as follows: The visual evaluation by the width of hem line and waistline position of bell buttom pants are composed of 5 factors : comfort, personality, physical characteristics, stiffness and modern. Among these factors, the comfort is evaluated to be the most important factor. As a visual evaluation result of changes in the width of hern line, 62cm in width (the narrowest width) was highly evaluated in comfort and stiffness factors, 78cm in width (the widest width) was highly evaluated in personality and physical characteristics factors. For the result of changes in the waistline position, high-waisted bell buttom pants were was highly evaluated in personality and stiffness factors, low-waisted bell buttom pants were was highly evaluated in comfort, physical characteristics and modern factors. The width of hem line and waistline position of the bell buttom pants interacted to the comfort factor. The width of hem line had more influence on visual evaluation in personality factors while physical characteristics, stiffness and modern factors were affected by the waistline position.

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Bell's Palsy 환자의 건측-환측 안면부 피부온도차이에 관한 연구 (Differences Between Facial Skin Temperature of the Paralyzed Side and Those of the Normal Side in Bell's Palsy Patients)

  • 남동현;고형균;박영배
    • 대한한의학회지
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    • 제28권1호통권69호
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    • pp.126-136
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    • 2007
  • Objectives : Bell's palsy in an acute peripheral facial nerve paralysis that usually affects only one side of the face. The seventh cranial nerve carries predominantly motor fibers, but also supplies some autonomic innervation, sensation to park of the ear, and taste to the anterior two thirds of the tongue. The aim of this study is to provide evidence of differences between facial skin temperature of the paralyzed side and normal side in Bell's palsy patients. Methods : the author studied 68 patients with Bell's palsy whose facial nerve function had been documented by the House-Brackmann grading system. We measured skin temperature of the forehead, zygoma, lower lip, temple and lower jaw area of the paralyzed side and those of the normal side. Results : there were significant facial skin temperature differences between the forehead area of paralyzed side and that of normal side of GrII(P<0.05) and III(P<0.05). The result also showed that the facial skin temperature difference according to the aflection period vanished when air temperature was calibrated (F=1.700, P=0.178). Conclusions : Thermography is a useful diagnostic tool in Bell's palsy if the air temperature is low enough to cool the facial skin temperature and the forehead area is evaluated as the sampling zone.

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DITI를 이용한 Bell's palsy환자의 증상 중등도 및 안면과 상지에 분포한 경혈의 관계에 대한 고찰 (Study on the Severity Measurement and the Correlation between Acupoints on the Face and the Upper limb in Bell's Palsy Patients by using of DITI)

  • 이원희;임호제;송수철;김정욱;배기태;문성일
    • Journal of Acupuncture Research
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    • 제23권5호
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    • pp.93-103
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    • 2006
  • Objectives : To Investigate Severity Measurement and the Correlation between Acupoints on the Face and the Upper limb in Bell's Palsy Patients by Using of DITI. Methods : By using of DITI, thermal differences between abnormal and normal site in acupoints on the face and the upper limbs of 21 Bell's palsy patients who visited department of Acupuncture & Moxibustion in National Medical Center from 1st February 2004 to 31th December 2005 were measured around 7days after the onset in standardized Environment. The patients were classified by severity scale. Results : The means of thermal difference of the facial acupoints were significantly distributed at each grade. The thermal difference of GB14 was significantly correlated with thermal difference of TE4, the thermal difference of S4 was significantly correlated with thermal difference of L6 and SI4, the thermal difference of STI18 was significantly correlated with thermal difference of LI11 and the thermal difference of LI20 was significantly correlated with thermal difference of LI11 and LI4. The thermal differences of acupoints in Large intestine meridian were more closely correlated with thermal difference of the facial acupoints than thermal difference of acupoints in the other meridians. Conclusion : Severity of Bell's palsy can be presumed through DITI image. And the theory of meridian was confirmed by DITI in Bell's palsy patients.

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불안 및 우울이 급성기 벨마비 환자의 안면근 운동기능 회복에 미치는 영향 (A Study of Psychological Distress, Anxiety and Depression on Motor Recovery of Acute Bell's Palsy Patients' Facial Muscle)

  • 김은석;이상훈;남상수;김용석
    • Journal of Acupuncture Research
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    • 제31권1호
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    • pp.149-158
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    • 2014
  • Objectives : The aim of this study is to investigate the influence of anxiety and depression on motor recovery of acute Bell's palsy to estimate how much psychological factors affect the clinical prognosis. Methods : A total of 20 inpatients with acute unilateral Bell's palsy within 1 week of onset participated in this study. The severity of participants' facial palsy was measured by Yanagihara(Y-system) score, FDI and House-Brackmann scale at the time of 1 week and 3 weeks from the onset. The motor recovery of acute Bell's palsy is defined as ${\Delta}Y$-system during 2 weeks. Beck anxiety scale(BAI) and the center for epidermiologic studies depression scale(CES-D) were adopted to assess anxiety and depression, respectively. Correlation analysis and linear regression analysis were conducted between ${\Delta}Y$-system and prognostic factors including anxiety and depression. Results : Significant associations were found between ${\Delta}Y$-system and depression(CES-D) but no significant associations were found between ${\Delta}Y$-system and other prognostic factors, hypertension, diabetes, postauricular pain, disgeusia, age, degree of initial palsy and anxiety(BAI). And a regression equation with 0.295 for coefficient of determination was obtained. Through this analysis, the ${\Delta}Y$-system can be predicted using regression equation which cover 29.5 % of depression index(CES-D). Conclusion : Depression is a significant clinical prognostic factor on motor recovery of acute Bell's palsy. So, Bell's palsy treatment should be combined with psychological care and support.

컴퓨터 적외선(赤外線) 전신체열촬영(全身體熱撮影)을 통해 살펴본 Bell' palsy에 대한 한방적 치료의 임상적(臨床的) 고찰(考察) (Clinical evaluation of Acupuncture and Herb-Medication on Bell's palsy by DITI)

  • 조은희;조남근;허태영;천미나
    • Journal of Acupuncture Research
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    • 제17권2호
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    • pp.19-30
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    • 2000
  • Object : This study is designed to evaluate effects of acupuncture and herb-medication by the data of DITI(Digital Infrared Thermographic Imaging) examination and the changes of clinical symptoms after the therapy of acupuncture and herb-medication in the patients with Bell's palsy. Contents : The conservative therapy with acupuncture and herb-medication was performed during 1-8weeks. The acupuncture points of S4, S6, G14, S2, BL2, SI18, TE23, LI4 and S36 was used. In the pre- and post therapy, DITI examinations were performed in patients who had Bell's palsy and were treated by acupuncture simultaneously, and then tried to correlate the results of clinical symptoms with the difference of thermographic findings at pre-and post acupuncture. Setting : The standard routine themographic examinations were performed with thermography (DITI) in the 16 patients with Bell's palsy at pre- and post acupuncture. patients : Thermographic imaging of 16cases was analyzed. They had diagnosed Bell's palsy. They were treated by acupuncture and moxibustion therapy in Wonkwang Oriental Hospital from Jauary, 1999 to February, 2000. Results : The results of treatment showes that 56.25% of patients achieved excellent recovery and 31.25% achieved good recovery. After compairing the DITI results before and after treatment, we found 43.75% of patients achieved excellent recovery and 43.75% achieved good recovery. Conclusion :Acupuncture showed good results over 87.5% in clinical evaluation and 87.5% in DITI. Thermographic examination showes terapeutic effect of acupuncture treatment.

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발병초기 Bell's Palsy 환자의 안면부 피부전기활동성 차이에 관한 연구 (Differences Between Facial Electrodermal Activities of Paralyzed Side and Those of Normal Side in Acute Stage of Bell's Palsy Patients)

  • 한경숙;남동현;고형균;박영배
    • 대한한의진단학회지
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    • 제9권2호
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    • pp.72-82
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    • 2005
  • Background and purpose: Bell‘s Palsy is a condition that causes the facial muscles to weaken or become paralyzed. It's caused by trauma to the 7th cranial nerve, and is not permanent. The aim of this study is to be convinced of differences between facial electrodermal activities of paralyzed side and those of normal side in acute stage of Bell's Palsy patients Methods: Electrodermal activity (EDA) was performed within 1 week after the onset of facial palsy and facial nerve electromyography (EMG) at 2 weeks after the onset. The recovery of facial nerve function was documented by House and Brackmann grading. All the patients were followed up weekly until recovery or up to 6 weeks. Results: There was significant differences (conductivity A: t=3.319, p=0.002; conductivity C: t=2.699, p=0.010) between facial electrodermal conductivities of paralyzed side and those of normal side in acute stage of Bell's Palsy patients (N=45). And the result showed that logarithmic scale of electrodermal conductivity A value ratio obviousely decreased with logarithmic scale of EMG zygomatic branch amplitude ratio (r=-0.472, p=0.143); logarithmic scale of capacitance B, logarithmic scale of EMG temporal branch amplitude ratio (r=-0.422, p=0.133); logarithmic scale of conductivity C, logarithmic scale of EMG buccal branch amplitude ratio (r=-0.545, p=0.083) (N=12). Conclusion: Electrodermal conductivities increased in paralyzed facial side in acute stage of Bell's Palsy patients.

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다수성 분홍색 스탠다드 장미 'Pink Bell' 육성 (Breeding of Standard Pink Rose Cultivar, 'Pink Bell' with High Yield)

  • 김성태;김원희;김영진;허건양;이은경;박필만
    • 한국육종학회지
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    • 제43권6호
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    • pp.564-567
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    • 2011
  • 2003년도에 분홍색의 스탠다드 'Sweet Pink' 품종을 모본으로 수량이 많은 분홍색 스탠다드 'Pink Pearl' 품종을 부본으로 인공교배하였다. 2004년에 116개체의 실생을 획득하여 이들을 대상으로 2006-2008년까지 3차에 거쳐 특성검정을 실시한 후 최종 선발 된 '원교 D1-126'를 'Pink Bell'로 명명하였다. 'Pink Bell'의 화색은 진분홍색으로 RHS 칼라챠트번호 57A이며 화형은 고심형이며 향기는 'Nobless'와 비슷하며, 가시는 매우 적으며, 꽃잎수는 44.5개로써 'Nobless'의 69.0개보다 적었으며, 화폭은 10.4 cm로 'Nobless'보다 약간 컸다. 평방미터당 년간 절화수량은 162본으로 'Nobless'보다 많았으며, 절화장은 69.8 cm 절화경경은 6.8 mm로 'Nobless'와 비슷한 절화형태를 보였다. 또한 절화수명은 12.0일로 'Nobless'보다 우수하였으며, 기호도 평가에서도 'Nobless'보다 우수한 경향을 나타내었으며, 개화소요일수도 'Nobless'에 비하여 매우 빠른 것으로 나타났다.

Comparison of conservative therapy and steroid therapy for Bell's palsy in children

  • Yoo, Hye Won;Yoon, Lira;Kim, Hye Young;Kwak, Min Jung;Park, Kyung Hee;Bae, Mi Hye;Lee, Yunjin;Nam, Sang Ook;Kim, Young Mi
    • Clinical and Experimental Pediatrics
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    • 제61권10호
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    • pp.332-337
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    • 2018
  • Purpose: Bell's palsy is characterized by sudden onset of unilateral facial weakness. The use of corticosteroids for childhood Bell's palsy is controversial. This study aimed to identify clinical characteristics, etiology, and laboratory findings in childhood Bell's palsy, and to evaluate the efficacy of corticosteroid treatment. Methods: We conducted a retrospective analysis of children under 19 years of age treated for Bell's palsy between January 2009 and June 2017, and followed up for over 1 month. Clinical characteristics, neuroimaging data, laboratory findings, treatments, and outcomes were reviewed. Patients with Bell's palsy were divided into groups with (group 1) and without (group 2) corticosteroid treatment. Differences in onset age, sex, laterality, infection and vaccination history, degree of facial nerve palsy, and prognosis after treatment between the groups were analyzed. Results: One hundred patients were included. Mean age at presentation was $7.4{\pm}5.62years$. A total of 73 patients (73%) received corticosteroids with or without intravenous antiviral agents, and 27 (27%) received only supportive treatment. There was no significant difference in the severity, laboratory findings, or neuroimaging findings between the groups. Significant improvement was observed in 68 (93.2%) and 26 patients (96.3%) in groups 1 and 2, respectively; this rate was not significantly different between the groups (P=0.48). Conclusion: Childhood Bell's palsy showed good prognosis with or without corticosteroid treatment; there was no difference in prognosis between treated and untreated groups. Steroid therapy in childhood Bell's palsy may not significantly improve outcomes.

얼굴마비에서 얼굴근육의 전기생리학적 양상 (Electrophysiologic Pattern of Facial Muscles in Bell's Palsy)

  • 이상수;신동익
    • Annals of Clinical Neurophysiology
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    • 제6권2호
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    • pp.75-79
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    • 2004
  • Backgrounds: Electrodiagnostic tests have been developed to estimate the degree of facial nerve injury during the acute phase. Side-to-side amplitude comparison with the affected side expressed as a percentage of the nonaffected side has been one of the most valuable electrophysiologic methods of assessing facial nerve functioning. This study was designed to know whether there is any difference in the side-to-side comparison of amplitudes and terminal latencies of the compound muscle action potentials (CMAP) of the facial muscles in the patients with Bell's palsy. Methods: Electroneurographic recordings with surface electrodes on the frontalis, orbicularis oculi, nasalis, and orbicularis oris muscles were made within 2 weeks post-onset (mean, day 7) in 39 patients. Results: Of the 39 Bell's palsy patients, 38 patients (97.4%) recovered satisfactorily within 6 months. The amplitude of CMAP in all patients was not reduced to 10% or less of that of the contralateral healthy muscle. The correlation of amplitude change between four facial muscles was relatively strong, but the correlation of latency change was weak. When the electroneurographic values were compared in the four muscle groups, the general linear models procedure did not show any significant difference for CMAP amplitude and latency changes (p=0.62-0.63). Conclusions: This study did not show any significant clinical advantage of electroneurographic recordings in more than one facial muscle at the early stage of Bell's palsy.

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