• Title/Summary/Keyword: middle ear

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Effects of Passive Scapular Alignment on Electromyographic Activity of Trapezius in People With Shortness of Pectoralis Minor Muscle (수동적 어깨뼈 정렬이 작은가슴근 단축된 사람의 등세모근 근활성도에 미치는 영향)

  • Choi, Ji-Young;Jang, Jun-Hyeok;Oh, Jae-Seop
    • Physical Therapy Korea
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    • v.19 no.2
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    • pp.12-19
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    • 2012
  • The purpose of this study was to assess the influence of scapular alignment on the electromyographic (EMG) activity of the trapezius in people with a short pectoralis minor muscle. For the study, we recruited 15 volunteers who had positive results for short on a pectoralis minor muscle length test. We measured the EMG activity of the upper, middle and lower trapezius muscles. The participants lifted their dominant arm to ear level with the thumb up toward the ceiling in the prone position on a table with the shoulder at a flexion angle of 180 degrees and a horizontal abduction angle of 120 degrees. Scapula was manually aligned by an experienced physical therapist prior to arm lift for the scapular alignment condition. A paired t-test was used to compare the effects of scapular alignment on the EMG activity of the trapezius muscles. The EMG activity of the lower trapezius muscle was significantly increased during the test with the scapular alignment compared to that without scapular alignment (p<.05), while the upper trapezius and middle trapezius exhibited no significant difference between the two conditions (p>.05). The findings of this study suggest that a scapular alignment may alter the recruitment of the lower trapezius muscle during arm lifting in the prone position in people with a short pectoralis minor muscle.

Cortical Deafness Due to Ischaemic Strokes in Both Temporal Lobes

  • Lachowska, Magdalena;Pastuszka, Agnieszka;Sokolowski, Jacek;Szczudlik, Piotr;Niemczyk, Kazimierz
    • Journal of Audiology & Otology
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    • v.25 no.3
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    • pp.163-170
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    • 2021
  • Cortical deafness is a clinical rarity whereby a patient is unresponsive to all types of sounds despite the preserved integrity of the peripheral hearing organs. In this study, we present a patient who suddenly lost his hearing following ischaemic infarcts in both temporal lobes with no other neurological deficits. The CT confirmed damage to the primary auditory cortex (Heschl's gyrus) of both hemispheres. Initially, the patient was unresponsive to all sounds, however, he regained some of the auditory abilities during 10 months follow up. Pure tone threshold improvement from complete deafness to the level of moderate hearing loss in the right ear and severe in the left was observed in pure tone audiometry. Otoacoustic emissions, auditory brainstem responses, and acoustic reflex findings showed normal results. The middle and late latency potential results confirmed objectively the improvement of the patient's hearing, however, after 10 months still, they were somewhat compromised on both sides. In speech audiometry, there was no comprehension of spoken words neither at 3 nor at 10 months. The absent mismatch negativity confirmed above mentioned comprehension deficit. The extensive auditory electrophysiological testing presented in this study contributes to the understanding of the neural and functional changes in cortical deafness. It presents the evolution of changes after ischaemic cerebrovascular event expressed as auditory evoked potentials starting from short through middle and long latency and ending with event-related potentials and supported by neuroimaging.

Cortical Deafness Due to Ischaemic Strokes in Both Temporal Lobes

  • Lachowska, Magdalena;Pastuszka, Agnieszka;Sokolowski, Jacek;Szczudlik, Piotr;Niemczyk, Kazimierz
    • Korean Journal of Audiology
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    • v.25 no.3
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    • pp.163-170
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    • 2021
  • Cortical deafness is a clinical rarity whereby a patient is unresponsive to all types of sounds despite the preserved integrity of the peripheral hearing organs. In this study, we present a patient who suddenly lost his hearing following ischaemic infarcts in both temporal lobes with no other neurological deficits. The CT confirmed damage to the primary auditory cortex (Heschl's gyrus) of both hemispheres. Initially, the patient was unresponsive to all sounds, however, he regained some of the auditory abilities during 10 months follow up. Pure tone threshold improvement from complete deafness to the level of moderate hearing loss in the right ear and severe in the left was observed in pure tone audiometry. Otoacoustic emissions, auditory brainstem responses, and acoustic reflex findings showed normal results. The middle and late latency potential results confirmed objectively the improvement of the patient's hearing, however, after 10 months still, they were somewhat compromised on both sides. In speech audiometry, there was no comprehension of spoken words neither at 3 nor at 10 months. The absent mismatch negativity confirmed above mentioned comprehension deficit. The extensive auditory electrophysiological testing presented in this study contributes to the understanding of the neural and functional changes in cortical deafness. It presents the evolution of changes after ischaemic cerebrovascular event expressed as auditory evoked potentials starting from short through middle and long latency and ending with event-related potentials and supported by neuroimaging.

Three cases of cholesterol granuloma in the mandible

  • Shin, Min-Jung;Shin, Jae-Myung;Huh, Kyung-Hoe;Yi, Won-Jin;Moon, Je-Woon;Choi, Soon-Chul
    • Imaging Science in Dentistry
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    • v.37 no.4
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    • pp.225-230
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    • 2007
  • Cholesterol granuloma is an unusual clinical entity described as an inflammatory granulation in response to the deposit of cholesterol crystals. It can develop in any portion of air cells within the temporal bone as a result of a lack of aeration and inadequate drainage, especially in the middle ear cavity. Here, we report very unusual three cases of cholesterol granuloma developed in mandible. In the first case a 68-year-old male with a large mass arising from the mandible was observed. Panoramic radiograph and computed tomography scans revealed a huge expanding lesion in the mandible. In the second case a 47-year-old female with a cystic lesion in the mandible was observed. And in the third case a 19-year-old male complaining atypical facial pain had a large lesion in the mandibular ramus. The histopathologic examinations of the cases showed numerous cholesterol crystals surrounded by multinucleated foreign body giant cells.

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External Morphology and Environment of Foraging Site in Asian parti-coloured Bat Vespertilio sinensis in Naejangsan National Park (내장산국립공원내 서식하는 안주애기박쥐(Vespertilio sinensis)의 외부형태 및 채식지 환경특성)

  • Chung, Chul-Un;Kim, Tae-Geun;Kim, Sung-Chul;Lim, Chun-Woo;Han, Sang-Hoon
    • Journal of Environmental Science International
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    • v.24 no.2
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    • pp.261-266
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    • 2015
  • We have analyzed the external morphology and the environment of the foraging site of Vespertilio sinensis. The external morphology was analyzed by twelve parameters and the environment characteristics of the foraging site was analyzed using GIS 10.1 program. The wing membrane was inserted into the ankle of the hind foot and the wing ratio was 1.42, the middle type between broad-short wing type and long-narrow wing type. The fur color was blackish brown but the guard hair color was whitish. The shape of the ear was a rounded triangle and tragus was a fan shape. This study showed that V. sinensis preferred the deciduous forest of the upper forest zone, where human interference was less. We believed that abundance of insects, depending on water system, was closely related to the use of the foraging site. This result showed that the environment characteristics was very similar to the nature preservation zone including Baekyang valley and Keumsun valley in Naejangsan National Park.

Miniaturization and Optimization of Electromagnetic Actuators for Implantable Hearing Device Based on MEMS Technology (MEMS 기술 기반 이식형 청각 장치용 전자기 엑츄에이터의 소형화 및 최적화)

  • Kim, Min-Kyu;Jung, Yong Sub;Cho, Jin-Ho
    • Journal of Sensor Science and Technology
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    • v.27 no.2
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    • pp.99-104
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    • 2018
  • A micro electromagnetic actuator with high vibration efficiency is proposed for use in an implantable hearing device. The actuator, which can be implanted in the middle ear, consists of membranes based on the stainless steel 304 (SUS-304), and other components. In conventional actuators, in which a thick membrane and a silicone elastomer are used, the size reduction was difficult. In order to miniaturize the size of the actuator, it is necessary to reduce the size of the actuation potion that generates the driving force, resulting in reduction of the electromagnetic force. In this paper, the electromagnetic actuator is further miniaturized by the metal membrane and the vibration amplitude is also optimized. The actuator designed according to the simulation results was fabricated by using micro-electro-mechanical systems (MEMS) technology. In particular, a $20{\mu}m$ thick metal membrane was fabricated using the erosion process, which reduced the length of the actuator by more than $400{\mu}m$. In the experiments, the vibration displacement characteristics of the optimized actuator were above 400 nm within the range of 0.1 to 1 kHz when a current of $1mA_{rms}$ was applied to the coil.

Treatment of Benign Paroxysmal Positional Vertigo (양성돌발성 체위현훈의 치료)

  • Kim, Chul-Seung
    • Korean Journal of Clinical Laboratory Science
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    • v.40 no.2
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    • pp.135-141
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    • 2008
  • Benign paroxysmal positional vertigo (BPPV) is one of the most common clinical entities encountered in a dizziness clinic. Treatment of this disease, canalith repositioning procedures, have been reported to be successful in 44-90%. Treatment requires only one treatment visit in most patients. However, there are significant numbers of patients who require multiple treatment visits for relief. The goal of this study is to identify variables that may be associated with these difficult to treat cases. Retrospective review was performed for the patients diagnosed as BPPV at St. Carollo dizziness center. Variables for statistical analysis included age, sex, involved canal, presence of bilateral disease, presence of recent head trauma, presence of chronic otitis media, history of middle ear surgery, history of otologic surgery, unilateral vestibular loss, underlying disease such as hypertension or diabetes, change of involved canal during treatment course and number of treatment visits. Two hundred patients with BPPV who received treatment were identified from JAN. 2006 to JUN. 2007. 87% required one treatment visit, 5% required second treatment visit, and 95% were successfully treated after three treatment visits. Variables such as bilateral disease, post-traumatic BPPV, duration of symptom before treatment and change of involved canal during treatment were significantly related with number of treatments. Patient's with bilateral BPPV or with recent head trauma or longer duration of symptom are more likely to require multiple visits for canalith repositioning.

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Effect of Kami-Hyunggyeyungyotang on Immunoglobulin-G Subtypes in Middle Ear Effusion for Pediatric Recurrent Otitis Media with Effusion (소아(小兒) 재발성(再發性) 삼출성(?出性) 중이염(中耳炎)에 가미형개연교탕(加味荊芥蓮翹湯)이 중이강(中耳腔) 삼출성(?出性) 내(內) Immunoglobulin-G 아형(亞型)에 미치는 영향(影響))

  • Park Eun-Jeong;Lee Yun-Sim
    • The Journal of Pediatrics of Korean Medicine
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    • v.15 no.1
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    • pp.131-153
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    • 2001
  • The author measured IgG1, IgG2, IgG3 and IgG4 levels of 22 ears-11 ears of them had treated by antibiotics, 11 of them by Kami-hyunggyeyungyotang-of pediatric recurrent otitis media with effusion using ELISA assay, and compared them. The results were obtained as follows. 1. The level of IgG1 in Kami-hyunggyeyungyotang group was significantly higher than that in antibiotics group(P=0.002). 2. The level of IgG2 in Kami-hyunggyeyungyotang group was higher than that in antibiotics group(P=0.178). 3. The level of IgG3 in Kami-hyunggyeyungyotang group was higher than that in antibiotics group(P=0.215). 4. The level of IgG4 in Kami-hyunggyeyungyotang group was higher than that in antibiotics group(P=0.198). According to above results, Kami-hyunggyeyungyotang is considered to be used for treatment 'recurrent otitis media with effusion' by controlling the production of immunoglobulins.

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Literal Study on the Effect of Acupuncture and Moxibustion Treatment on the Bungru (붕루(崩漏)의 침구치료(鍼灸治療)에 대한 문헌적(文獻的) 고찰(考察))

  • Lee, Hye-Kyung;Ryu, Dong-Ryul
    • Journal of Haehwa Medicine
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    • v.9 no.2
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    • pp.197-209
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    • 2001
  • In the Literal Study on the Effect of Acupuncture and Moxibustion Treatment on the Bungru, the results were as follows. 1. The Bungru means an abnormal bleeding of femail genetalia. and is devided to Bungjung and Bungha. 2. The etiological factors of Bungru are heat of blood, asthenic coldness. asthenia of chong and ren channels. deficiency of blood, deficiency of vital energy, stagnated blood. and asthenia of spleen & stomach. 3. In the frequency of practical use in Acupuncture treatment, the order was Ren channel, Bladder meridian. Liver meridian, Spleen meridian and Kidney meridian. 4. In the frequency of practical use in Moxibustion treatment, the order was Extra Points, Ren channel, Bladder meridian, Spleen meridian, Liver meridian and Kidney meridian. 5. The most using points of Acupuncture and Moxibustion Treatment on the Bungru were Samumgyo(Sp6), Taechung(Liv3), Hyoihae(Sp10), Umgok(B10), Kihae(CV6), Chung-guk(CV3), Kwanwon(CV4), Unbaek(Spl) and etc. 6. The charicteristics of the most used points were nourishing the spleen, regulating the middle warmer, cleaning the blood, promoting blood circulation, activating blood circulation, promoting the vital energy, regulating the obstruction of vital energy, nourishing the kidney and so on. 7. In the new Acupuncture therapy, Ear-acupuncture, Head-acupuncture, Foot-acupuncture and Skin-acupuncture were used.

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Development of Secretory Element in Murine Trachea and Larynx (백서 기관 및 후두에서 분비조직의 발생)

  • 조정일;박기현;김광문
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1993.05a
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    • pp.67-67
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    • 1993
  • Mucosal surface of the trachea and larynx is protected by several complex defense mechanism, namely mucociliary clearance, immunoglobulin, antibacterial secretory enzyme, which have also been demonstrated in the middle ear mucosa and eustachian tube. The morphologgy of secretory glands and cells of the trachea and larynx is well-known, but knowledge concerning their development related to secretory activity is still sketchy. The secretory element of the murine trachea and larynx, aging from gestational day 16 to postnatal day 21, was studied using hematoxylin & eosin and alcian blue/periodic acid-Schiff staining including lysozyme immunohistochemistry to investigate the development of secretory element of the murine trachea and larynx and to provide with basis of the future study for developmental morphology of the trachea and larynx. The results of this study suggest that the secretory activity starts to be established immediately after birth with the aeration of the lung.

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