• 제목/요약/키워드: conservative control

검색결과 786건 처리시간 0.025초

대퇴골두 무혈성 괴사에 속발한 대퇴경부 피로골절 환자에서의 보존적 치료 치험 1례 (A Case Report of Conservative Treatment of Femoral Neck Stress Fracture Developed in Avascular Necrosis of the Femoral Head)

  • 노해린;박소현;김정원;조태영
    • 척추신경추나의학회지
    • /
    • 제6권2호
    • /
    • pp.79-85
    • /
    • 2011
  • Objectives : The Purpose of this study is to investigate the clinical application of conservative treatment for femoral neck stress fracture developed in avascular necrosis of the femoral head. Methods : Patient is hospitalized at Dept. of Oriental Rehabilitation Medicine, Bu-Chun Jaseng Oriental Medicine Hospital, diagnosed as femoral neck stress fracture developed in avascular necrosis of the femoral head and treated by herbal medicine, acupuncture and moxibustion. This study was measured by Visual Analogue Scale(VAS) score, range of motion and walking time. Results : After conservative treatment, the patient's pain was controlled and VAS score was decreased. Range of motion and walking time were improved. Conclusions : As seen in this one case, Oriental conservative treatment has a positive effect to control pain with femoral neck stress fracture developed in avascular necrosis of the femoral head.

  • PDF

근긴장도 조절기법을 병행한 트레드밀 보행훈련이 만성 뇌졸중 환자의 보행능력에 미치는 영향 (Effects of Treadmill Gait Training Combined with Muscle Tone Control Technique on Gait Ability in Patient with Chronic Stroke)

  • 김동훈;김경훈
    • 대한통합의학회지
    • /
    • 제11권3호
    • /
    • pp.147-157
    • /
    • 2023
  • Purpose : Stroke patients exhibit considerable variations in gait patterns. Stroke patients generally show abnormal muscle tone and gait. This study was performed to evaluate the effects of treadmill gait training combined with muscle tone control technique (TM) on gait ability in patient with chronic stroke. Methods : A single-blind, randomized controlled trial was conducted with 36 patient with chronic stroke. They were randomly allocated 2 groups; treadmill gait training combined with muscle tone control technique group (TM group; n=18) and conservative treatment group (CG group; n=18). The TM group received 15 minutes muscle tone control technique and 15 minute treadmill gait training. In the conservative treatment group received 30 minutes conservative physical therapy. Each group performed 30 minutes a day 3 times a week for 8 weeks. The primary outcome gait ability were measured by gait measurement system (Optogait, Microgate, Italy) and 10 m walking test (10MWT). An independent t-test was used to statistically analyze the pre-test and pos-ttest gait ability results. Results : Both groups demonstrated significant improvement of outcome in gait ability during intervention period. TM group showed significant differences in gait ability as compared to the CG groups (p<.05). TM group showed significant differences in 10MWT as compared to the CG groups (p<.05). Our results showed that TM was more effective on gait ability in patients with chronic stroke. Conclusion : Our findings of this study confirmed that the treadmill gait training combined with muscle tone control technique provided significant improvements on gait ability in patient with chronic stroke. Therefore treadmill gait training combined with muscle tone control technique may positive influenced gait ability. This study will be able to be used as an intervention data for recovering gait ability in patients with chronic stroke.

운동시의 습관적인 이 악물기가 치경부 수복물에 가해지는 스트레스를 분산하기 위한 마우스가드의 사용 (MOUTHGUARD FOR RELIEF OF REPEATED CLENCHING STRESS TO CERVICAL RESTORATIONS DURING EXERCISES)

  • 윤성영;송창규;박세희;김진우;조경모
    • Restorative Dentistry and Endodontics
    • /
    • 제35권1호
    • /
    • pp.20-23
    • /
    • 2010
  • 마우스가드는 19세기 복싱선수들의 구강내 열상과 연조직의 외상을 막기 위해 사용되었다. 최근에는 치과영역에서 다양하게 사용되고 있으며, 운동 보호 장치, 미백용 장치물, 교정용 유지 장치, 수술용 가이드 장치, 턱관절 안정 장치물 등에 쓰이고 있다. 습관적인 이 악물기에 의한 반복적인 5급 수복물의 탈락은 우선 이 악물기에 의한 스트레스를 조절한 후 수복이 이루어져야 한다. 마우스가드는 이 악물기에 의한 스트레스를 조절하는 장치물로 사용할 수 있다. 본 증례에서는 마우스가드로 치아에 가해지는 스트레스는 감소시키는 것에 대해 논의 할 것이다. 마우스가드를 사용함으로써 반복적인 탈락을 나타내는 5급 수복물의 유지에 단기적으로 만족스러운 결과를 얻을 수 있었다. 만약 환자 및 치과의사가 이 악물기로 반복적인 탈락을 나타내는 수복물로 고생하고 있다면, 마우스가드의 보조적인 사용이 치경부 수복물의 유지에 도움을 줄 수 있을 것이다.

A comparative evaluation of cytotoxicity of root canal sealers: an in vitro study

  • Badole, Gautam Pyarelal;Warhadpande, Manjusha Madhukar;Meshram, Ganesh Kothiramji;Bahadure, Rakesh Namdeoraoji;Tawani, Shubha Gopal;Tawani, Gopal;Badole, Shital Gautam
    • Restorative Dentistry and Endodontics
    • /
    • 제38권4호
    • /
    • pp.204-209
    • /
    • 2013
  • Objectives: The objective of this in vitro study was to evaluate and compare the cytotoxicity of four different root canal sealers i.e. Apexit Plus (Ivoclar Vivadent), Endomethasone N (Septodont), AH-26 (Dentsply) and Pulpdent Root Canal Sealer (Pulpdent), on a mouse fibroblast cell line (L929). Materials and Methods: Thirty two discs for each sealer (5 mm in diameter and 2 mm in height) were fabricated in Teflon mould. The sealer extraction was made in cell culture medium (Dulbecco's Modified Eagle's Medium, DMEM) using the ratio 1.25 $cm^2/mL$ between the surface of the sealer samples and the volume of medium in a shaker incubator. Extraction of each sealer was obtained at 24 hr, 7th day, 14th day, and one month of interval. These extracts were incubated with L929 cell line and 3-(4,5-dimethylthiazol-2yl)-2,5-diphenyltetrazolium bromide (MTT) assay was done. Two-way ANOVA for interaction effects between sealer and time and Post-hoc multiple comparison using Tukey's test across all the 16 different groups were used for statistical analysis. Results: Apexit Plus root canal sealer was significantly less toxic than other sealers (p < 0.05) and showed higher cellular growth than control. Endomethasone N showed mild cytotoxicity. AH-26 showed severe toxicity which became mild after one month while Pulpdent Root Canal Sealer showed severe to moderate toxicity. Conclusions: Apexit Plus was relatively biocompatible sealer as compared to other three sealers which were cytotoxic at their initial stages, however, they became biocompatible with time.

The effect of red and white wine on color changes of nanofilled and nanohybrid resin composites

  • Tanthanuch, Saijai;Kukiattrakoon, Boonlert;Peerasukprasert, Thanwalee;Chanmanee, Nilobon;Chaisomboonphun, Parnchanok;Rodklai, Apisara
    • Restorative Dentistry and Endodontics
    • /
    • 제41권2호
    • /
    • pp.130-136
    • /
    • 2016
  • Objectives: This study investigated the effect of red and white wine on color changes of nanofilled and nanohybrid resin composite. Materials and Methods: Sixty specimens of each resin composite were prepared. Baseline data color values were recorded using a spectrophotometer. Three groups of discs (n = 20) were then alternately immersed in red, white wine, and deionized water (as a control) for twenty five minutes and artificial saliva for five minutes for four cycles. Specimens were then stored in artificial saliva for twenty two hours. This process was repeated for five days following immersion in artificial saliva for two days. Subsequently, the process was repeated again. Data were analyzed by two-way repeated ANOVA, one-way ANOVA, and Tukey's HSD. Results: Red wine caused significantly higher color change (${\Delta}E^*$ > 3.3) than did white wine and deionized water (p < 0.05). Nanohybrid resin composites had significantly more color changes than nanofilled resin composite (p < 0.05). Conclusions: The effect of red and white wine on the color changes of resin composite restorative materials depended upon the physical and chemical composition of the restorative materials and the types of wine.

한국 대중의 이념 정향이 포퓰리즘 성향에 미치는 영향 (Impact of Ideological Orientation on Populist Attitude in Korea)

  • 도묘연
    • 의정연구
    • /
    • 제27권1호
    • /
    • pp.117-155
    • /
    • 2021
  • 이 연구의 목적은 포퓰리즘 수요측면에서 대중의 이념 정향과 포퓰리즘 성향의 관련성을 규명하는 것이다. 구체적으로 주관적 이념평가와 정당지지가 포퓰리즘 성향, 즉 반엘리트주의, 인민 중심주의, 반다원주의에 미친 영향을 분석하였다. 이를 위해 사회경제적 요인과 민주주의 인식 및 정치참여 방식 등을 통제변수로 설정하고, 독립변수 중 이념은 극보수·보수·중도·진보·극진보로 세분화하였다. 자료는 전국 단위의 온라인 설문조사를 통해 수집하였다. 분석결과, 첫째, 이념 정향과 포퓰리즘 성향 간의 강력한 친화성을 확인하였다. 보수 이념(특히 극보수)과 보수정당 지지는 반엘리트주의와 반다원주의에, 그리고 극진보 이념과 진보정당 지지는 인민 중심주의와 반다원주의를 추동하였다. 그리고 세 가지 성향을 종합한 결과에서는 보수(특히 극보수)와 극진보 이념이 포퓰리즘 성향을 결정하는 요인이었다. 둘째, 성별(여성)과 연령을 제외한 사회경제적 변수의 영향력은 나타나지 않았다. 셋째, 포퓰리즘 성향은 민주주의 만족도, 정부 신뢰, 외적 효능감, 투표 및 비투표 활동에 의해서 결정되는 다차원적 성격을 가졌다.

15% 과산화수소 함유 전문가용 치아 미백제의 광활성화 여부에 따른 미백효과 및 안전성에 관한 임상평가 (Clinical assessment of whitening efficacy and safety of in-office tooth whitening system containing 15% hydrogen peroxide with or without light activation)

  • 노영석;노영지;유연지;이향옥;임상민;권현정;김예은;박성연;윤희영;이정현;이찬희;오소람;금기연
    • Restorative Dentistry and Endodontics
    • /
    • 제36권4호
    • /
    • pp.306-312
    • /
    • 2011
  • 연구목적: 본 임상 연구의 목적은 15% 과산화수소를 함유한 전문가용 치아 미백제의 광활성화 여부에 따른 미백효과와 안전성에 관해 평가하는 것이다. 연구 재료 및 방법: 33명의 지원자를 광조사를 하는 실험군(n = 17)과 광조사를 하지 않는 대조군(n = 16)으로 무작위로 나누고 Zoom2 미백제(15% $H_2O_2$, Discus Dental)로 총 45분간 치료하였다. Vitapan Classical shade guide와 Shadepilot (DeguDent)을 이용해 스크리닝 검사 시, 미백직후, 미백 종료 1달 및 3달 후 색조측정을 시행하였다. 통계분석을 위해 t-test, repeated measure ANOVA 와 카이제곱 검정을 시행하였다. 결과: Zoom2 미백제는 미백 전후를 비교할 때 실험군과 대조군 모두에서 뚜렷한 색조 변화를 가져왔다. 하지만, 두 군 사이의 색조 변화량을 비교했을 때 통계학적으로 유의성 있는 차이는 관찰되지 않았다(p > 0.05). 또한 미백 종료 3달 후에도 치아의 색조 회귀는 관찰되지 않았다. 미백 후 일시적인 지각과민증은 전체 환자의 39.4%에서 보고되었지만, 두 군간의 차이는 보이지 않았다(p > 0.05). 결론: 광조사로 인해 부가적인 미백효과의 증가는 물론 어떠한 부작용 증가도 관찰되지 않았다.

Nd:YAG 레이저 조사에 의한 근관벽의 색소 침투도 및 표면 변화에 관한 연구 (DYE PENETRATION AND SURFACE CHANGE OF ROOT CANAL WALL BY Nd : YAG LASER IRRADIATION)

  • 이경범;신동훈
    • Restorative Dentistry and Endodontics
    • /
    • 제21권1호
    • /
    • pp.300-310
    • /
    • 1996
  • Recently, there have been attempts to obstruct the dentinal tubules and remove the smear layer by way of laser irradiation in the root canal during endodontic treatment. This treatment was designed to make the root canal to be nonporous. Using 33 extracted single rooted teeth, 30 teeth were divided into 3 groups (10 each), and 3 teeth were used as samples for SEM. Using Nd : YAG laser, the control group was not irradiated, experimental group l(1W group) was irradiated with 1W, 15pps, 15sec., 3 times, 6.7mJ and experimental group 2(3W group) was irradiated with 3W, 15pps, 15sec., 3 times 20mJ. Thereafter the roots were immersed in methylene blue for 8 hours, and the dye infiltration pattern was observed under stereomicroscope and canal wall surface change was observed under SEM. The results are as following ; 1. As a result of evaluating the dye infiltration rate of the apical and middle 1/3, there was significant difference between control group and 1W group, control group and 3W group and there was no significant difference between 1 W group and 3W group. 2. In each group, as a result of comparing the dye infiltration rate of the apical and middle 1/3, there was no significant difference in control and 1W group but significant difference in 3W group. 3. In the control group smear layer was scarecely found and many dentinal tubules were found to be open. 4. In the 1W group, the number of dentinal tubules were decreased and gradual changes of the dentin surface could be seen and 3W group, almost no dentinal tubules could be found and the dentin surface was changed a little more and showed signs of partial fusion.

  • PDF

Interoperative Radiotherapy of Seventy-two Cases of Early Breast Cancer Patients During Breast-conserving Surgery

  • Zhou, Shi-Fu;Shi, Wei-Feng;Meng, Dong;Sun, Chun-Lei;Jin, Jian-Rong;Zhao, Yu-Tian
    • Asian Pacific Journal of Cancer Prevention
    • /
    • 제13권4호
    • /
    • pp.1131-1135
    • /
    • 2012
  • Objective: To evaluate interoperative radiotherapy after breast conservative surgery in early breast cancer patients in terms of postoperative complications, cosmetic outcome and recurrence events. Methods: From June 2007 to Dec 2011, 143 early breast cancer patients received breast conservative surgery. Seventy-two (study group) received interoperative radiotherapy, compared with 71 patients (control group) given routine radiotherapy. Postoperative complications were evaluated 1 month after surgery; cosmetic outcome was evaluated 1 year postoperatively; recurrence and death events were followed up. Results: The average wound healing time was 13~22 d in the study group and 9~14 d in the control group. In the study group, 2 patients developed lyponecrosis, 16 patients showed wound edema while no such side effects were found in the control group. No infection or hematomas were found in either group. In the study group (59 cases), overall cosmetic outcome in 53 patients was graded as excellent or good, and in 6 as fair or poor. Meanwhile in the control group (56 cases), 42 patients were graded as excellent or good, and 14 as fair or poor (P=0.032). After a follow-up from 3 to 54 months (median: 32 months), two patients (2.78%) in study group developed local relapses, one of them (1.39%) died, 2 patients (2.78%) developed bone metastases. In control group, one patient (1.41%) developed local relapse, 2 patients (2.82%) developed bone metastases, and no one died. Conclusion: Intraoperative radiotherapy is safe and reliable with good cosmetic outcome.

치근단 낭종환자의 혈청 및 낭종내의 항체수준에 관한 연구 (A STUDY ON SYSTEMIC AND LOCAL PRODUCTION OF IMMUNOGLOBULINS IN HUMAN PERIAPICAL CYSTS)

  • 박계양;임성삼
    • Restorative Dentistry and Endodontics
    • /
    • 제17권1호
    • /
    • pp.222-234
    • /
    • 1992
  • The purpose of this study was to evaluate the systemic and local production of immunoglobulins and their levels in patients with periapical cysts using Enzyme - Linked Immunosorbent Assay. Streptococcus sanguis, Bacteroides gingivalis, and Bacteroides intermedius were grown for use as antigen and they were harvested by centrifugation. The patients were divided into two groups: patients of periapical cysts and normal control. 5 patients of each group were selected and their blood were obtained via intravenous puncture prior to surgical operation. Sera were prepared by centrifugation of each blood samples. Cyst fluid were aspirated from cystic cavity and cyst wall were excised at operation. Control tissue were also excised at extraction site of impacted wisdom teeth from normal control. Each tissue was prepared by homogenization and centrifugation. Then antibodies of each sample were measured by modified ELISA. The following results were obtained: 1. Serum IgG and IgM levels were not significantly different between patients with periapical cyst and normal control. 2. IgG and IgM levels of cyst fluid to Bacteroides gingivalis and Bacteroides intermedius were significantly higher than those of serum of patients with periapical cyst, but there was no significant difference to Streptococcus sanguis. 3. IgG and IgM levels of cyst wall to Bacteroides gingivalis and Bacteroides intermedius were significantly higher than those of control tissue, but there was no significant difference to Streptococcus sanguis. 4. IgG and IgM levels in cyst fluid and IgG levels in cyst wall were highest to Bacteroides gingivalis, and IgM levels in cyst wall were highest to Bacteroides intermedius.

  • PDF