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Comparative Study of Multimodal Therapy in Facial Palsy Patients

  • Neville, Catriona;Gwynn, Tamsin;Young, Karen;Jordan, Elizabeth;Malhotra, Raman;Nduka, Charles;Kannan, Ruben Yap
    • Archives of Plastic Surgery
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    • v.49 no.5
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    • pp.633-641
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    • 2022
  • Introduction In chronic facial palsy, synkinetic muscle overactivity and shortening causes muscle stiffness resulting in reduced movement and functional activity. This article studies the role of multimodal therapy in improving outcomes. Methods Seventy-five facial palsy patients completed facial rehabilitation before being successfully discharged by the facial therapy team. The cohort was divided into four subgroups depending on the time of initial attendance post-onset. The requirement for facial therapy, chemodenervation, or surgery was assessed with East Grinstead Grade of Stiffness (EGGS). Outcomes were measured using the Facial Grading Scale (FGS), Facial Disability Index, House-Brackmann scores, and the Facial Clinimetric Evaluation scale. Results FGS composite scores significantly improved posttherapy (mean-standard deviation, 60.13 ± 23.24 vs. 79.9 ± 13.01; confidence interval, -24.51 to -14.66, p < 0.0001). Analysis of FGS subsets showed that synkinesis also reduced significantly (p < 0.0001). Increasingly, late clinical presentations were associated with patients requiring longer durations of chemodenervation treatment (p < 0.01), more chemodenervation episodes (p < 0.01), increased doses of botulinum toxin (p < 0.001), and having higher EGGS score (p < 0.001). Conclusions This study shows that multimodal facial rehabilitation in the management of facial palsy is effective, even in patients with chronically neglected synkinesis. In terms of the latency periods between facial palsy onset and treatment initiation, patients presenting later than 2 years were still responsive to multimodal treatment albeit to a lesser extent, which we postulate is due to increasing muscle contracture within their facial muscles.

Triple Negative Status is a Poor Prognostic Indicator in Chinese Women with Breast Cancer: a Ten Year Review

  • Ma, K.K.;Chau, Wai Wang;Wong, Connie H.N.;Wong, Kerry;Fung, Nicholas;Lee, J.T. Andrea;Choi, L.Y. Catherine;Suen, Dacita T.K.;Kwong, Ava
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.5
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    • pp.2109-2114
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    • 2012
  • Background: Ethnic variation in tumor characteristics and clinical presentation of breast cancer is increasingly being emphasized. We studied the tumor characteristics and factors which may influence the presentation and prognosis of triple negative breast cancers (TNC) in a cohort of Chinese women. Methods: A prospective cohort of 1800 Chinese women with breast cancer was recruited in a tertiary referral unit in Hong Kong between 1995 and 2006 and was followed up with a median duration of 7.2 years. Of the total, 216 (12.0%) had TNC and 1584 (88.0%) had non-TNC. Their clinicopathological variables, epidemiological variables and clinical outcomes were evaluated. Results: Patients with TNC had similar age of presentation as those with non-TNC, while presenting at earlier stages (82.4% were stage 1-2, compared to 78.4% in non-TNC, p=0.035). They were likely to be associated with grade 3 cancer (Hazard Ratio(HR)=5.8, p<0.001). TNC showed higher chance of visceral relapse (HR=2.69, p<0.001), liver metastasis (HR=1.7, p=0.003) and brain metastasis (HR=1.8, p=0.003). Compared with non-TNC group, TNC had similar 10-year disease-free survival (82% vs 84%, p=0.148), overall survival (78% vs 79%, p=0.238) and breast cancer-specific mortality (18% vs 16%, p=0.095). However, TNC showed poorer 10-year stage 3 and 4 specific survival (stage 3: 53% vs. 67%, p=0.010; stage 4: 0% vs. 40%, p=0.035). Conclusions: Chinese women with triple negative breast cancer do not have less aggressive biological behavior compared to the West and presentation at a later stage results in worse prognosis compared with those with non triple negative breast cancer.

Mix & Match Fashion Trend Expressed in the Ready to Wear Collection - Focused on Alexander McQueen, Jean Paul Gaultier, Comme des Garçonson - (Ready to Wear 컬렉션에 나타난 Mix & Match 패션 경향 -Alexander McQueen, Jean Paul Gaultier, Comme des Garçons을 중심으로-)

  • Kim, Sun-Ah
    • Korean Journal of Human Ecology
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    • v.20 no.1
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    • pp.155-168
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    • 2011
  • This study aims at analyzing the Mix & Match fashion trend expressed in the Ready to Wear collections shown in 27 collections of 3 designers(Alexander McQueen, Jean Paul Gaultier, Comme des Gar$\c{c}$ons) over the past five years from 2007S/S to 2011S/S, and the results are as follows. 1) The characteristics were a combination of past and modern, the past and past prominent fashions combined at a different time, these styles and details were seen in Alexander McQueen's collection. 2) The properties of combination were expressed as a clash of cultures, such as East and West or African and European. 3) The characteristics of the combinations were expressed by differences in purpose, such as outer garments or underwear. 4) Artistic combinations of Mixing & Matching happen through a component confusion of art and garments. 5) The characteristics of Mixing & Matching fashion were expressed in images, especially in the case of Jean Paul Gaultier.

The Expressive Effects of Queen Marie Antoinette's Costumes in the Movies

  • Kim, Ju-Ae;Trout, Barbara L.
    • Journal of the Korean Society of Clothing and Textiles
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    • v.34 no.12
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    • pp.2039-2050
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    • 2010
  • This study examines Queen Marie Antoinette's costumes in her portraits according to symbolic meanings and analyzes the expressive effects of Queen Marie Antoinette's costumes in the movies. The symbolic meanings through the costumes of Marie Antoinette expressed in the portraits shows the strong historical power of France in Europe along with the majestic appearance of the queen. A new perception of Marie Antoinette's taste can be found as she wore simple robe $\`{a}$ la l$\'{e}$vite in addition to extravagant costumes that demonstrated convention and position. The benevolent, extravagant, and splendid side of Marie Antoinette in history was emphasized; however, it also emphasized that she was a fashion leader with adventurous thinking and a liberal mind who accepted new things that transcend the era through this costume. The results of studying the expressive effects of Marie Antoinette's costumes as presented in the movies through the formative analysis of DeLong are as follows. The costumes expressed like this were observed through definer and the priority of observation, and it could be classified and analyzed in 4 expressive effects of excitement, calmness, strength, and delicacy; in addition, it induced the visual maximization according to the flow of the movie. After the study analyzed movies about the queen through four expressive effects, the costumes were shown as excitement, calmness, strength, and delicacy according to the flow of play.

A Study on Hybrid Trend upon Alexander McQueen's Work (Alexander McQueen의 패션작품에 나타난 하이브리드(Hybrid) 경향 분석)

  • Lee Hyo-Jin;Kim Ju-Yeon
    • The Research Journal of the Costume Culture
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    • v.13 no.2 s.55
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    • pp.300-313
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    • 2005
  • Hybrid trend of the 21st century is an important basis to express fashion Alexander McQueen is a representative designer of Hybrid trend which combines heterogeneous elements into oneconcept. Accordingly, this study distributed and analyzed Hybrid trend which was in Alexander McQueen's work like below. First, there was a racial Hybrid trend which combined different local culture in shared space of the world in his fashion work and he challenged to Westernized ideal beauty with new recognition and knowledge about beside countries of Western Europe which were considered as not important culture due to perceiving relative value of a pluralist society and created new way aesthetic consciousness. Second, he expressed a historical character of a combination of tradition and modern by his fashion work based on wide historical knowledge of a dress. He created a new line in contrast to the past with a perfect design through combination of the style from the tradition with the parody and displayed his own design world. Third, he treated instability and disorder from the interior essential dissolution, thus he had a cultural character which broke down the boundary of cultural genre and style. This attitude showed transformation of constructivism and deconstruction view, secession and distortion, mixture, duplication, secession and insert by his fashion work.

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Study for the Direction of Dining Space in the Age of Queen Victoria (빅토리아 시대의 식문화와 테이블 세팅 요소에 관한 연구)

  • Ryu, Moo-Hee;Kim, Ji-Young
    • Journal of the Korean Society of Food Culture
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    • v.19 no.2
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    • pp.139-149
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    • 2004
  • The age of Queen Victoria, so called nearly 64 years from 1837 to 1901 that Queen Victoria was on the throne. It was the time that ceramicwares and silverwares were mass-produced thanks to the Industrial Revolution and then diverse directions of dining space could be possible in middle class. At the same time, it was the time that the production of bone china, which is main current in modem times, became established, ironstone china began to be developed, and white ceramic wares were accomplished. In addition, factors for the direction of dining space were mass-produced and Gothic style, Classic style, Majolica style, Renaissance, and Neo-rococo style had come back into fashion. Therefore, diverse designs coexisted and had great effect on dining space in this times. This study purposed to establish the decoration theory of dining space following historic flow through researching the designs and the direct factors for dining space in the age of Queen Victoria.

A Study on Clinical Records of Queen Inmok (조선 인목왕후의 진료 기록 연구 - 『조선왕조실록』과 『승정원일기』를 중심으로 -)

  • Kim, Minseon;Ha, Donglim;Kim, Namil
    • The Journal of Korean Medical History
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    • v.32 no.2
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    • pp.91-104
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    • 2019
  • In this paper, the clinical records of Queen Inmok has been studied and the impact of historical events on her life has been analyzed. This paper has extracted her medical records during King Seonjo's and King Injo's period from the Annals and the Daily Records of Royal Secretariat of Joseon Dynasty, and then contemplated their medical implications consulting Donguibogam as a primary reference. Queen Inmok had been yang deficiency after national mourning. But suffering a series of misfortunes, she was ill with fire-heat (火熱) syndrome and finally passed away suffering from high fever, frequent diarrhea and profuse sweating. At that time, practitioners abused cold therapy following Jin Yuan Sia Jia (金元四大家), so they missed Queen Inmok's yang deficiency.

A Study on the Architectural forms of Chimjun(寢殿) in InKyungGung (인경궁 침전의 건축 형태에 관한 연구)

  • 홍석주
    • Korean Institute of Interior Design Journal
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    • no.38
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    • pp.30-37
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    • 2003
  • During the years of KwangHaeGun, an active public services of building large scale palaces such as reconstruction of ChangDukGung and ChangKyungGung and new construction of InKyungGung and KyungFukGung were carried out. And palaces of Chosun dynasty didn't go much different from those of KwangHaeGun years. By analyzing historical records, ancient maps, palace drawings, architectural forms of ChimJun(寢殿) in InKyungGung(仁慶宮) are examined. ChimJun is sleeping rooms of king and queen. The results are followings: Since Sejong dynasty, functions of king and queen were starting to differentiate, that during the years of KwangHaeGun, two Chimjun(寢殿) were made. ChungWaJun(靑瓦殿) is king's sleeping rooms, located in the west among two, and have a blue tiled roof. KyungSooJun(慶壽澱) is queen's sleeping rooms, located in the east among two. King's ChimJun built on stone pillars, and queen's ChimJun on a wide base as it called Waldae(月臺).

A Study of Queen Inhyun's death through the Clinical Records in Seungjeongwon Ilgi (인현왕후의 발병에서 사망까지 "승정원일기"의 기록 연구)

  • Pahng, Sung-Hye;Cha, Wung-Seok
    • Korean Journal of Oriental Medicine
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    • v.18 no.1
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    • pp.1-11
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    • 2012
  • The objective of this article is to investigate from what kind of disease Queen Inhyun(仁顯王后) died through the clinical records written in Seungjeongwon Ilgi("承政院日記"). The method to do this study was to search the records of Seungjeongwon Ilgi("承政院日記") from Sukjong 26th year to 27th year on the website databased and serviced by National Institute of Korean History. The results was as follows. According to the website search, Queen Inhyun(仁顯王后) suffered from purulent coxarthritis for one and a half year. As time passed by, the lesion of disease spread to her abdomen and heart. Finally, she died of difficulty in breathing.

Visual Tactility in Alexander McQueen's design (알렉산더 맥퀸 디자인에 나타난 시각적 촉각)

  • Kim, Jiye;Suh, Seunhee
    • Journal of the Korean Society of Costume
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    • v.65 no.8
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    • pp.77-94
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    • 2015
  • Much western philosophical thinking is constrained by ocularcentrism. Hence, multi-sensory experiences hold the most prominent position in contemporary art, and visual tactility, where feelings of touch through sight, become a powerful medium of expression in fashion. This study analyzes visual tactility in Alexander McQueen's design, where design elements are in focus. This investigation aims to bring the concept of visual tactility in fashion, and by doing so, enhance valuable aesthetic possibility. The result of the study is as follows: First, Creative silhouette is something that is constructed by his impeccable cutting and tailoring skills. In fabrics, he often suggests unconventional materials by uncompromising approach to fashion. Color contrasts refer to color sensibility, which reminds of grotesque image. McQueen's aggressive aesthetic awareness results in visual tactility in fashion.