• Title/Summary/Keyword: disc

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The relationship between the TMJ internal derangement state including rotational displacement and perforation and the clinical characteristics (회전변위와 천공을 포함한 측두하악관절 내장증 상태와 임상적 특징간의 상호관계)

  • Jeong Hwan-Seok;You Dong-Soo
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.28 no.1
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    • pp.205-213
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    • 1998
  • This study was designed to reveal the correlationship between the internal derangement state of TMJ and clinical characteristics including pain and mandibular dysfunction. One hundred and twenty five subjects with TMJ signs and symptoms were chosen for two years. The level of pain and madibular dysfunction were evaluated by Visual Analog Scale(VAS) and Craniomandibular Index(CMI). The diagnostic categories of TMJ internal derangement were determined by arthrography and they included normal disc position, anterior disc displacement with reduction(ADDR), rotational disc displacement with reduction (RDDR), anterior disc displacement without reduction(ADDNR), and rotational disc displacement without reduction(RDDNR). Also disc perforation was used as a criteria to divide the diagnostic subgroups. The obtained results were as follows; 1. The patient distribution of each group was 5 in normal disc position(4%), 40 in ADDR(32%), 30 in RDDR(24%), 34 in ADDNR(27%), and 16 in RDDNR(13%). 2. Perforation was observed in 8% of ADDR, 10% of RDDR, 32% of ADDNR, and 19% of RDDNR. 3. CMI of non-reduction group was higher than that of reduction or normal group(p<0.05), but V AS showed no significant difference.4. CMI of perforation group was higher than that of non-perforation group in reduction group (p<0.05). 5. There were no significant differences of CMI and VAS between anterior disc displacement group and rotational disc displacement group in both reduction and non-reduction group. 6. CMI of RDDNR group was higher than that of RDDR group(p<0.05). 7. There were no significant difference of CMI and VAS between bilateral involvement group and unilateral involvement group(p<0.05).

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Method for C-arm Based Guide Needle Insertion Assistant System for Endoscopic Disc Surgery (C-arm 영상 기반 척추 디스크 내시경 수술을 위한 가이드 바늘 삽입 보조 시스템)

  • Yoon, Hyon Min;Cho, Hyunchul;Park, Kyusic;Shin, Sangkyun;Lee, Deukhee
    • Korean Journal of Computational Design and Engineering
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    • v.20 no.3
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    • pp.263-268
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    • 2015
  • Due to an increased sitting time in work, lumbar disc disease is one of the most frequent diseases in modern days, and this occasionally requires surgery for treatment. Endoscopic disc surgery, one of the common disc surgeries, requires a process of inserting a guide needle to the target disc for which the insertion path is manually planned by drawing lines on the patient's skin while monitoring the fluoroscopic view of the lumbar. Such procedure inevitably exposes both surgeon and patient to the fluoroscopy radiation emitted from the c-arm for a long time. To reduce the radiation exposure time, this study proposes a computer assisted method of calculating the 3D guide needle path by using 2D c-arm images of the disc in 3 different angles. Additionally, a method of the guide robot control based on the 3D needle path was developed by implementing the Hand-eye Calibration method to calculate the transformation matrix between the c-arm and robot base coordinate systems. The proposed system was then tested for its accuracy.

Automatic Detection of Optic Disc Boundary on Fundus Image (안저 영상에서 시신경유두의 윤곽선 자동 검출)

  • 김필운;홍승표;원철호;조진호;김명남
    • Journal of Biomedical Engineering Research
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    • v.24 no.2
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    • pp.91-97
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    • 2003
  • The Propose of this paper is hierarchical detection method for the optic disc in fundus image. We detected the optic disc boundary by using the Prior information. It is based on the anatomical knowledge of fundus which are the vessel information. the image complexity. and etc. The whole method can be divided into three stages . First, we selected the region of interest(ROI) which included optic disc region. This is used to calculate location and size of the optic disc which are prior knowledge to simplify image preprocessing. And then. we divided the fundus image into numberous regions with watershed algorithm and detected intial boundary of the optic disc by reducing the number of the separated regions in ROI. Finally, we have searching the defective parts of boundary as a result of serious vessel interference in order to detect the accurate boundary of optic disc and we have removing and interpolating them.

Temperature Field and Thermal Stress Simulation of Solid Brake Disc Based on Three-dimensional Model (3차원 브레이크 디스크 모델의 온도 분포와 열응력 시뮬레이션에 관한 연구)

  • Hwang, Pyung;Seo, Hee-Chang;Wu, Xuan
    • Tribology and Lubricants
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    • v.26 no.1
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    • pp.31-36
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    • 2010
  • The brake system is an important part of the automobile safety system. The disc brake system is divided into two parts: a rotating axi-symmetrical disc, and the stationary pads. The frictional heat, which is generated on the interface of the disc and pads, can cause high temperatures during the braking process. The frictional heat source (the pads) is moving on the disc and the location is time-dependent. Our study applies a moving heat source, which is defined by the time and space variable on the frictional surface, in order to simulate the frictional heat behavior accurately during the braking process. The object of the present work is the determination of the temperature distribution and thermal stress in the solid disc by non-axisymmetric 3D modeling for repeated braking.

The influence of disc wear on the behavior of the temporomandibular joint: a finite element analysis in a specific case

  • Duarte, Ricardo J.;Ramos, Antonio;Mesnard, Michel
    • Advances in biomechanics and applications
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    • v.1 no.3
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    • pp.159-167
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    • 2014
  • The aim of this study was to evaluate the influence of disc thickness on the normal behavior of the temporomandibular joint. Based on a specific patient case, CT scan images showing accentuated wear in the right disc were reconstructed and the geometrical and finite element model of the temporomandibular joint structures (cranium, mandible, articular cartilages and articular discs) was developed. The loads applied in this study were referent to the five most relevant muscular forces acting on the temporomandibular joint during daily tasks such as talking or eating. We observed that the left side structures of the temporomandibular joint (cranium, mandible and articular disc) were the most affected as a consequence of the wear on the opposite articular disc (right side). From these results, it was possible to evaluate the differences in the two sides of the joint and understand how a damaged articular disc influences the behavior of this joint and the possible consequences that can arise without treatment.

A comparative study on the TBM disc cutter wear prediction model (TBM 디스크 커터 마모 예측 모델 비교 연구)

  • Ko, Tae Young;Yoon, Hyun Jin;Son, Young Jin
    • Journal of Korean Tunnelling and Underground Space Association
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    • v.16 no.6
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    • pp.533-542
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    • 2014
  • In this study TBM disc cutter prediction models including Gehring, CSM and NTNU models were investigated and the characteristics of the models were examined. The influence of penetration, uniaxial compressive strength and abrasiveness index on the models was analyzed. The life of disc cutter linearly increases with penetration per revolution and decreases with increasing uniaxial compressive strength of rocks. As the abrasiveness index, CAI, increases, the life of disc cutter in Gehring and CSM model decreases. On the contrary, the life of disc cutter life in NTNU model decreases with increasing CLI. Also, comparisons of predicted disc life were made between models using actual job site data.

Prevalence of Disc Degeneration in Asymptomatic Korean Subjects. Part 1 : Lumbar Spine

  • Kim, Sang Jin;Lee, Tae Hoon;Lim, Soo Mee
    • Journal of Korean Neurosurgical Society
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    • v.53 no.1
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    • pp.31-38
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    • 2013
  • Objective : Asymptomatic patients show high degeneration prevalence at lumbar disc in previous literatures. Unfortunately, there are few Korean data, so the authors attempted to analyze the prevalence of disc degeneration in highly selective asymptomatic Korean subjects using MRI. Methods : We performed 3 T MRI sagittal scans from T12 to S1 on 102 asymptomatic subjects (50 men and 52 women) who visited our hospital between the ages of 14 and 82 years (mean age 46.3 years). All images were read independently by three observers (two neurosurgeons and one neuroradiologist) who were not given any information about the subjects. We classified grading for lumbar disc herniation (HN), annular fissure (AF), and nucleus degeneration (ND), using disc degeneration classification. Results : The prevalence of HN, AF, and ND were 81.4%, 76.1%, and 75.8% respectively. Almost all levels showed an age-related proportional tendency with some exceptions. Conclusion : In asymptomatic Korean subjects, the abnormal findings showed high prevalence of AF, ND, and extrusion. Especially in young ages, the authors found that bulging, protrusion, and AF showed high prevalence at L4/5 and L5/S1. And ND showed high prevalence at L5/S1. So, all lumbar disc degenerations are not pathologic, especially in children and adolescents.

Changes in the Cross-Sectional Area of Multifidus and Psoas in Unilateral Sciatica Caused by Lumbar Disc Herniation

  • Kim, Wook-Ha;Lee, Sang-Ho;Lee, Dong-Yeob
    • Journal of Korean Neurosurgical Society
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    • v.50 no.3
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    • pp.201-204
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    • 2011
  • Objective : To quantitatively evaluate the asymmetry of the multifidus and psoas muscles in unilateral sciatica caused by lumbar disc herniation using magnetic resonance imaging (MRI). Methods : Seventy-six patients who underwent open microdiscectomy for unilateral L5 radiculopathy caused by disc herniation at the L4-5 level were enrolled, of which 39 patients (51.3%) had a symptom duration of 1 month or less (group A), and 37 (48.7%) had a symptom duration of 3 months or more (group B). The cross-sectional areas (CSAs) of the multifidus and psoas muscles were measured at the mid-portion of the L4-5 disc level on axial MRI, and compared between the diseased and normal sides in each group. Results : The mean symptom duration was $0.6{\pm}0.4$ months and $5.4{\pm}2.7$ months for groups A and B, respectively (p<0.001). There were no differences in the demographics between the 2 groups. There was a significant difference in the CSA of the multifidus muscle between the diseased and normal sides (p<0.01) in group B. In contrast, no significant multifidus muscle asymmetry was found in group A. The CSA of the psoas muscle was not affected by disc herniation in either group. Conclusion : The CSA of the multifidus muscle was reduced by lumbar disc herniation when symptom duration was 3 months or more.

Impact of DISC Behavioral Styles on Job Satisfaction and Clinical Competencies among Newly Hired Nurses (신규간호사의 DISC 행동유형이 직무만족과 업무수행능력에 미치는 영향)

  • Mun, Mi Yeong;Hwang, Seon Young
    • Journal of Korean Academy of Nursing Administration
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    • v.21 no.1
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    • pp.43-52
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    • 2015
  • Purpose: In this study, behavioral styles of Dominance, Influence, Steadiness, and Conscientiousness (DISC) were examined and differences in job satisfaction and clinical competence among newly hired nurses were explored. Methods: For this explanatory correlational research, 176 newly hired clinical nurses were recruited from three university hospitals and one general hospital located in Seoul and Gyeonggi province. Data were collected in August, 2013 though self-report questionnaires. Results: The distribution of behavioral styles was 11.4%, 42%, 29% and 17.6% for Dominance, Influence, Steadiness, and Conscientiousness respectively. DISC behavioral styles were associated with sub-areas of job satisfaction such as professional position and doctor-nurse relationship. DISC behavioral styles were significantly associated with the total score for clinical competence and sub-areas of data collection, basic nursing skills, critical thinking, education and leadership, and attitudes toward professional development and practical skills. Multiple linear regression analysis showed that DISC behavioral styles predicted clinical competence (Adj. $R^2$=.14, F=9.42, p<.001). Conclusion: A focus on cultivating influential and steady behavioral styles among newly hired nurses can be helpful in improving job satisfaction and clinical competence. There is a need to improve interpersonal relationships through a deeper understanding of each person's behavioral style based on the analysis of DISC behavioral styles.

Study on the development of preventive agent of dental caries from biological active materials Development of disc PAHA for an artificial tooth and preventive effect on dental caries from plant extracts (생물학적 활성물질에서 치아우식 예방제 개발에 관한 연구 I. 인조치아 disc PAHA의 제조 및 식물추출물들의 치아우식 예방효과)

  • 이기용;조효상윤정원허태련
    • KSBB Journal
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    • v.8 no.2
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    • pp.126-132
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    • 1993
  • The objective of this study was to develop an artificial dentin for easy handle and accurate observation of the mechanism on dental caries and to screen biologically active materials from the extracts of traditional plants and fruits for prevention of early dental cares. In order to produce disc PAHA (artificial dentin), the powdered hydroxylapatite was immobilized in a 20% polyacrylamide gel. The characteristics of disc PAHA was very similar to the surface, figure and lattice of human enamel. After decalcification in 0.1M citric acid based on observation with SEM. The critical point of decalcification of disc PAHA by acids was found to be pH 5.0-5.5, which was hi agreement with human enamel. The degree of decalcification from disc PAHA in 0.1M citric acid solution was sixfold higher than that of human enamel. This result suggested that disc PAHA would be useful as a substitute of human enamel for in vitro experiment. The extracts of garlic and Flower Apple A, B seemed to inhibit growth of S. mutans. Especially, when the 300$\mu\ell$ of its extracts added to the medium to incubate S. mutans, F. apple B showed strongly an inhibitory effect in both the growth of S. mutans and the synthesis of insoluble glucan.

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