• 제목/요약/키워드: joint opening

검색결과 341건 처리시간 0.024초

비인두암종에 의한 측두하악장애 (Temporomandibular Disorder Caused by Nasopharyngeal Cancer)

  • 변영섭;김기서;안형준;최종훈;권정승
    • Journal of Oral Medicine and Pain
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    • 제33권4호
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    • pp.395-399
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    • 2008
  • 측두하악장애 증상으로 나타나는 구강안면부의 통증 및 개구제한 증상은 대부분 관련 구조물 자체의 구조적이거나 기능적인 변화에 의해 유발되지만, 드물게 다른 병적인 상태로 인하여 발생할 수도 있으므로 진단 및 치료에 있어서 주의가 요구된다. 특히 통증 양상 및 임상 소견, 전신적 동반 증상, 치료에 대한 반응 등에 대한 평가에서 두경부 종양과 같이 다른 질환에 의한 측두하악장애 증상이 의심되거나 일반적인 측두하악장애와 다른 소견이 나타나는 경우에는 전산화단층촬영 또는 자기공명영상 등의 부가적인 방사선학적 검사를 적극적으로 시행하여 부가적인 정보를 얻는 것이 필요하다. 본 증례에서는 측두하악장애 증상으로 내원하였던 비인두암종 환자의 진단 및 치료 과정을 통해, 측두하악장애의 진단 및 치료에 있어서 비인두암종 등 두경부 종양의 가능성을 고려해야 할 임상적 소견에 대해 고찰하고자 한다.

원양어업 전용부두 개설 앞두고;-원양업 거듭나기 구상 - (The Revitalization of Deep-sea Fishery Through the Construction of Fish-Pier)

  • 유충열
    • 수산경영론집
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    • 제24권2호
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    • pp.17-53
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    • 1993
  • Pusan is the largest fishing port in Korea, and deals with more than I million ton of fish catches annually, including catches of coastal and off-shore fisheries as well as those of deep-sea fishery. However, it hen had no fishing port facilities specialized fer deep-sea fishery since it started 30 years ago. Economic and physical losses resulting from this have teen enormous. Although fishing port facilities are a part of infra-structures built by Governments, the construction of them has been delayed due to financial difficulties of Central or local governments. To overcome this harsh situation to which deep-sea fishery cooperations faced, some cooperations have decided to construct fishing port facilities including fish-pier specialized for deep-sea fishery in Gamcheon port. The construction expenses of these facilities were financed by private funds to which they themselves jointly contributed. As a result, a fish-[pier, which has the capacity of serving one fishing vessel of 10, 000 ton or four of 5, 000 ton or four of 1, 000 ton at the same time, will be opened in here by 1994. The paper examines the master plan to revitalize the deep-sea fisheries industry in a deep depression with the opening of these physical facilities. The framwork of the plan is pursued in two different aspects, which are both hardware and software. In a hardware aspect, the plan in to develop Pusan into a city which is suitable for one of the best fishing ports in the world. That is, it is to develop the city into a place famous for sightseeing as well as the distribution and processing of fish-products centering around fish-piers. On the other hand, in a software aspet, it is regarding improvement of the distribution system of fish-products. One way to do that is to make up some deficiencies of the current system of a producers' joint sale. And the other is to establish an exchange of fish-products futures. Through these institutions, we could abrsorb speculative funds, which would otherwise be invested in speculation on fish-products, into productive investment opportunities, We believe that if the plan is realized, the deep-sea fishery in Korea will revive from a long-tasted depression and make progress to become one of the mai industries of Korea.

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관절원판의 손상과 관련된 하악과두 골절의 관혈적 정복술의 치험례 (OPEN REDUCTION OF MANDIBULAR CONDYLE FRACTURES WITH AND WITHOUT DISCAL INJURY : A CASE REPORT)

  • 송선철;강석기;강정훈;김진;김경욱;임창준
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제13권3호
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    • pp.300-304
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    • 1991
  • This is case report of open reduction of condylar fractures with or without discal injury. Many articles described open reduction and internal fixation of condylar fractures emphasize the method of bony reduction and fixation without mention of the position of the disc. So we like to present our cases of open reduction of condylar fractures in conjunction with reconstruction of the disc and associated structures. The pupose of this presentation is to emphasize several well - established principles of trauma management and management of temporomandibular joint injuries, such as 1) in situations of traumatic injury, anatomic restoration is the goal of treatment and, 2) anatomic alignment of the TMJ disc over the condyle is preferable to disc subluxation because the latter may lead to chronic pain, limitation of opening and degenerative arthritis. Although our case is small with short term follow up, we believe that open reduction and internal fixation of condylar fractures in conjunction with disc repair is a biologically sound approach to those fractures indicated for open surgery. Long term follow up will allow better judge the validity of this treatment approach to us.

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악관절증에서의 골형태이상과 과두위변화와의 상호관계에 관한 방사선학적 연구 (RADIOGRAPHIC STUDY ON THE INTERRELATION BETWEEN BONE DEF ORMANS AND CONDYLAR HEAD POSITION IN THE TMJ ARTHROSIS)

  • 유동수
    • 치과방사선
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    • 제11권1호
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    • pp.79-87
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    • 1981
  • The author analysed the interrelation between the morphologic changes of bone Structures and the position of condylar head from the routine radiographs of 134 cases of the temporomandibular joint arthrosis. The frequencies of coincidence between the site of bone defrmity and condylar head positional change were examined. Also, the positional changes of condylar head and the direction of condylar movement in relation to the kind of bone deformities were observed. The results obtained were as follows; 1. In 52.65 per cent of total cases, the site, of positional change of condylar head was coincided with the site of bone deformans. The frequencies of the coincidence between these in the five items among seven items examined were above 53 per cent. From the results, it seems that the positional changes of condylar head were related with the morphological change of bone structure. 2. Eburnation and erosion. revealed frequently positional changes in the opening and closing position of the mouth, although in the early stages of the TMJ arthrosis. 3. In the bone deformans, during opene position of the mough 44.81 per cent of total cases revealed backword movement and 37.74 per cent showed forward movement. In closed position of the mouth, downward movement was revealed in 35.23 per cent of total cases and upward movement 28.41 per ,cent of total cases. 4. In the cases showing eburnation, the frequencies of coincidence between the site of positional change and bone deformans were 58.57 per cent of the total cases. that means it was high in the early stages of the TMJ arthrosis.

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비탈면에 적용된 식생공법의 사례연구 (A Case Study on Vegetation System Applied on Cutting Slope)

  • 이처근;배우석;김상수;한주희
    • 한국지반환경공학회 논문집
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    • 제6권2호
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    • pp.21-30
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    • 2005
  • 본 연구의 목적은 식생공법이 적용된 전국의 비탈면에 대한 식생의 공학적 효과를 평가하는데 있다. 대상사면의 공학적 특성은 지표지질조사와 물리실험결과를 이용하여 평가하였다. 통계적 분석결과, 지층조건과 피복도가 상호 독립적인 관계를 보이므로 일률적인 지층분류보다 절리의 발달여부, 절리의 방향성, 개구폭, 표토층 상태와 같은 식생의 조건이 더욱 중요한 인자로 평가될 수 있을 것이다. 시공초기의 음각부의 형성상태와 절리현황, 사면의 기하적 형상과 같은 공학적 조건들과 함께 주변 자생종에 대한 검토 등 생태학적 조건들이 고려됨으로써 비탈면의 조기 녹화에 좀 더 합리적인 접근이 이루어질 수 있을 것으로 판단된다.

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하악과두에 생긴 박리성 뼈연골증의 조직학적 관찰 (Histological Observation of Osteochondrosis Dissecans Occurred in Mandibular Condyle)

  • 정필훈;김성민;이석근
    • 대한구강악안면병리학회지
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    • 제42권5호
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    • pp.145-152
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    • 2018
  • A 57 years old female complained of severe pain on the right temporomandibular joint (TMJ) area. Her right condyle had been partly resected under surgical operation 13 years ago due to condyle hypertrophy, thereafter she felt dull pain on TMJ area and recently the lesion became severely swelled and painful leading to cancer phobia. The present radiological views showed slightly enlarged and sclerosed condyle with increased radiopacity, but its articular sliding function was almost disable during mouth opening. The patient's TMJ lesion was carefully managed with conservative physiotherapy and pain treatment. The microsection of condyle head obtained from the previous operation was re-evaluated histologically, and it was finally diagnosed as osteochondrosis dissecans (OCD), exhibiting hyperplastic proliferation of cartilage in condyle head and marked vascular dilatation in epiphyseal zone. This abnormal cartilage tissue was distinguishable from normal cartilage tissue found in the peripheral cartilaginous cap of the same microsection. The involved cartilage cap showed thick hypertrophic chondrocyte zone with horizontal and vertical clefts accompanying diffuse hyaline degeneration. The superficial fibrous zone of cartilage cap was thickened and frequently peeled off, while lower hypertrophic zone of cartilage cap was highly cellular and proliferative. Consequently, the endochondral ossification became aberrant and resulted pre-mature apoptosis of many hypertrophic chondrocytes, followed by diffuse and mild inflammatory reaction in the underlying marrow tissue. Therefore, it was suggested that this hypertrophic condyle lesion, OCD, be differentiated depending on radiological and histological features from ordinary condyle hyperplasia, osteochondroma, and osteoarthritis, and that the pathological confirmation of OCD may provide a reliable modality for dental and medical treatment of chronic and painful TMJ lesion.

인간공학적 육군 비행재킷의 개발 및 평가 (Development and Evaluation of the Korean Army's Ergonomic Flight Jacket)

  • 최희은;최경미
    • 한국의류산업학회지
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    • 제23권1호
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    • pp.118-128
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    • 2021
  • This study used a preliminary survey to help develop an ergonomic flight jacket that is suitable for the working environment and mission performance. The results are as follows. The ergonomic sleeve pattern was designed with a forward 165° incline that considers a shoulder joint direction suitable for the motion; in addition, a closely design opening provided warmth and safety from fire. As a result of the dimensional suitability, pilots evaluated that sleeve length and total length of the developed flight jacket were a little long (p<.01), while flight engineers and crew evaluated that those of the developed flight jacket were appropriate (p<.01). Pilots evaluated that chest circumference and waist circumference were large (p<.05), while flight engineers and crews evaluated that those of the developed flight jacket were appropriate. The evaluation of the motion suitability indicated that pilots, flight engineers and crew found the developed flight jacket more comfortable than the current flight jacket (p<.05, p<.01, p<.001). The evaluation of the usability of pockets and penholders indicated that pilots, flight engineers and crew found the developed jacket easier to use (p<.01). The flight engineers and crew evaluated that the appearance of the developed flight jacket was better than the current flight jacket (p<.05). The results of this study show that the difference of environment and mission performance has a significant influence on evaluation; therefore, it is necessary to develop separate military uniforms that included a winter flight jacket to reflect the needs of each group.

A 10-year overview of chronic orofacial pain in patients at an oral medicine center in Iran

  • Taheri, Jamile Bigom;Anbari, Fahimeh;Sani, Sahba Khosousi;Mirmoezi, Seyed Mohammad;Khalighi, Hamid Reza
    • Journal of Dental Anesthesia and Pain Medicine
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    • 제22권4호
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    • pp.289-294
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    • 2022
  • Background: Orofacial pain is defined as pain felt in the soft or hard tissues of the head, face, mouth, and neck. Chronic orofacial pain is often challenging to diagnose and difficult to treat. Due to the lack of available information about the prevalence and clinical form of orofacial pain, this study aimed to evaluate the characteristics of chronic orofacial pain in patients presenting at the Department of Oral Medicine of Shahid Beheshti Dental School between 2012 and 2022. Methods: In this retrospective study, we evaluated the files of 121 patients at the Department of Oral and Maxillofacial Diseases of Shahid Beheshti Dental School, which were completed during 2012-2022. We extracted the required information from these files. Results: In total, 121 files were included in the study (30 male, 91 female). The mean age of the patients was 43.68 ± 16.79 years. The most common diagnosis in patients with chronic orofacial pain was temporomandibular disorders (TMD) (55.3%). Among pain-related factors, psychological factors showed the highest frequency (30.5%). Opening and closing (43.8%) had the highest frequency among factors that increased pain, and the rest (6.6%) had the highest frequency among the factors that reduced pain. Most patients experienced unilateral pain over the masseter area. Most patients reported their pain intensity to be greater than 7 in the verbal analog scale (VAS). The most common symptom associated with pain was joint noise (37.1%). Conclusion: A ten-year retrospective evaluation of patient files showed that more than half of the patients with chronic orofacial pain had TMD.

Strain energy release rates in the curved spar wingskin joints with pre-embedded delaminations

  • P.K. Mishra;A.K. Pradhan;M.K. Pandit ;S.K. Panda
    • Structural Engineering and Mechanics
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    • 제87권1호
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    • pp.47-56
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    • 2023
  • Any pre-existed delamination defect present during manufacturing or induce during service loading conditions in the wingskin adherend invariably shows a greater loss of structural integrity of the spar wingskin joint (SWJ). In the present study, inter-laminar delamination propagation at the critical location of the SWJ has been carried out using contact and multi-point constraint finite elements available with commercial FE software (ANSYS APDL). Strain energy release rates (SERR) based on virtual crack closure technique have been computed for evaluation of the opening (Mode-I), sliding (Mode-II) and cross sliding (Mode-III) modes of delamination by sequential release of multi point constraint elements. The variations of different modes of SERR are observed to be significant by considering varied delamination lengths, material properties of adherends and radius of curvature of the SWJ panel. The SERR rates are seen to be much different at the two pre-embedded delamination ends. This shows dissimilar delamination propagation rates. The maximum is seen to occur in the delamination front in the unstiffened region of the wingskin. The curvature geometry and material anisotropy of SWJ adherends significantly influences the SERR values. Increase in the SERR values are observed with decrease in the radius of curvature of wingskin panel, keeping its width unchanged. SWJs made with flat FRP composite adherends have superior resistance to delamination damage propagation than curved composite laminated SWJ panels. SWJ made with Boron/Epoxy (B/E) material shows greater resistance to the delamination propagation.

휨연결재에 의해 횡방향으로 보강된 분절 프리스트레스트 거더의 정적거동에 관한 실험적 연구 (Experimental Study on Static Behavior of Laterally Strengthened Spliced Prestressed Concrete Girder using Bending Moment Connector)

  • 김재흥;김장호;김성배;이나현
    • 대한토목학회논문집
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    • 제30권3A호
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    • pp.287-295
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    • 2010
  • 본 연구는 휨연결재와 횡방향 프리스트레스력으로 보강된 분절 PSC(Prestressed Concrete) 거더의 정적거동 성능을 검증하는데 목적이 있다. 정적거동 성능을 검증하기 위하여 4개의 분절거더와 1개의 일체거더를 제작하여 실험하였다. 분절거더와 일체거더는 동일 제원 및 재료를 적용하여 4.8 m 길이로 제작하여 실험하였다. 3개의 횡방향으로 보강된 분절거더의 정적거동 성능을 검증하기 위해 일체거더와 횡방향으로 보강되지 않은 분절거더가 기준이 되는 실험체로 실험을 수행하였다. 거더 중앙 경간에서 처짐을 측정하였으며 중앙 경간과 연결부에서 변형률을 측정하였다. 극한하중상태에서 횡방향으로 보강된 분절거더는 일체거더와 비교하여 극한강도가 동등이상의 성능을 나타내며 강성측면에서는 다소 불리하게 거동함을 알 수 있었다. 하지만, 횡방향으로 보강된 분절거더는 보강되지 않은 분절거더에 비하여 강도 및 강성측면에서 모두 우수한 성능을 나타내었다.