• 제목/요약/키워드: ribs

검색결과 814건 처리시간 0.021초

대상포진에 대한 한양방 병행치료 치험 1례 (A Case Report of Herpes Zoster Patient Improved by the East-west Medical Combined Treatment)

  • 조예은;이승민;윤강현;임지석;김지혜;최도영;이재동
    • Journal of Acupuncture Research
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    • 제31권1호
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    • pp.177-186
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    • 2014
  • Objectives : The aim of this study is to report a case of a 51-year-old patient with Herpes zoster, whose symptoms were relieved within five weeks after the East-west medical combined treatment. Methods : A Herpes zoster patient with extreme pain around the right lower ribs and lower back was admitted into the Korean medicine hospital. Bee venom acupuncture was applied directly onto the site of pain and electroacupuncture was applied on $GV_6-BL_{20}$, inferior site of spinous process of the 12th thoracic vertebra-$BL_{21}$, $GV_5-BL_{22}$, $GV_4-BL_{23}$ six times a week. Moxibustion was applied on $BL_{49}$, $BL_{50}$, $BL_{51}$, $BL_{52}$, $GB_{25}$, $LR_{13}$ six times a week, and the patient took daily doses of herbal medicine and western medicines such as anticonvulsants, analgesics, antiepileptics. The patient's symptoms were evaluated with numeric rating scale(NRS) and neuropathic pain scale(NPS). Results : The results were as follows: 1. After the East-west medical combined treatment, the NRS grade decreased from 8 to 1. 2. On the neuropathic pain scale, the patient's symptoms changed from deep sharp pain and burning sensation to superficial dull pain and coldness. Sensitivity to touch, discomfort, and itchiness also decreased. Sudden attacks of pain appeared 14 to 21 days after onset, but disappeared after final treatment. Conclusions : The results of the above patient suggests that the East-west medical combined treatment may be effective for total remission of herpes zoster. Further research is needed to confirm such effects.

수종 임플랜트의 표면 거칠기와 초기안정성에 관한 연구 (A Study on the Surface Roughness and Initial Stability of Various Dental Implants)

  • 조동훈;임주환
    • 구강회복응용과학지
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    • 제16권3호
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    • pp.197-210
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    • 2000
  • Surface roughness is one of implant surface topography and it's found that surface roughness characterizations, such as surface energy, oxide layer thickness and its chemical composition, are closely correlated if the roughness is changed. Several studies showed the importance of analyzing surface structure so the surface structure of thread implant was analyzed to measure the implant quality exactly. In this study, surface roughness of 4 implants - MK $II^{(R)}$(Nobel Biocare), $RBM^{(R)}$(Life-Core, USA), $Osseotite^{(R)}$(3i, USA), $TPS^{(R)}$(Life-Core, USA) - were measured using $Accura^{(R)}$ and 40 implants were installed into 4 sets of ten bovine ribs based on the parameters from the measurements. From this test, the following conclusions for the initial stability were drawn by measuring and comparing RFA, Periotest Value (PTV), Removal Torgue Value (RTV). 1. $R_a$ value in surface roughness measurement was increasing by the order of $MKII^{(R)}$, $Osseotite^{(R)}$, $RBM^{(R)}$, $TPS^{(R)}$ and $R_q$ value was the same order. 2. $R_q$ value in each section was observed to increase by the order of $MKII^{(R)}$, $Osseotite^{(R)}$, $RBM^{(R)}$, $TPS^{(R)}$ in top and $MKII^{(R)}$, $RBM^{(R)}$, $Osseotite^{(R)}$, $TPS^{(R)}$ in mid-section but the value of $MKII^{(R)}$ bottom was the lowest, followed by $Osseotite^{(R)}$, $RBM^{(R)}$ and $TPS^{(R)}$. 3. RFA increased by the order of $RBM^{(R)}$(7042Hz), $MKII^{(R)}$(7047Hz), $Osseotite^{(R)}$(7076Hz), $TPS^{(R)}$(7168Hz) and there was no significance between each group. 4. PTV was increasing by the order of $MKII^{(R)}$(-1.62), $TPS^{(R)}$(-1.92), $Osseotite^{(R)}$ & $RBM^{(R)}$(-2.08) and there was no significance, either. 5. Removal torque in RTV measurement showed the increasing order of $MKII^{(R)}(5.31kgf{\cdot}cm)$, $Oeeotite^{(R)}(5.71kgf{\cdot}cm)$, $TPS^{(R)}(5.92kgf{\cdot}cm)$ and $RBM^{(R)}(7.24kgf{\cdot}cm)$ and there was no significance among groups. Above observations explains that surface roughness does not make any impact on the initial stability of implants installation.

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흉골늑골 쇄골간 과골증의 장기추시결과 (Long-term Follow-up Study of Sternocostoclavicular Hyperostosis)

  • 김정일;서근택
    • 대한골관절종양학회지
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    • 제12권2호
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    • pp.103-111
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    • 2006
  • 목적: 흉골늑골 쇄골간 과골증은 흉골, 쇄골, 상부 늑골 및 주변 연부조직의 골화와 골막반응이 특징적으로 나타나는 질환으로 골종양과의 감별이 요구되고 있다. 이질환은 비교적 잘 알려져 있으나 병인이 불분명하고 흔하게 나타나지는 않기 때문에 장기관찰에 대한 보고는 거의 없다. 저자들은 이 질환을 가진 환자들의 장기간 추적관찰을 통해 이질환의 치료 경과를 보고하고자 한다. 대상 및 방법: 1986년 6월부터 2000년 6월까지 본원 정형외과에서 흉골늑골 쇄골간 과골증으로 진단되어 치료 받은 환자 중 2년 이상 추시관찰이 가능하였던 17명의 환자에 대해서 이학적 검사, 방사선 소견, 조직학적 소견, 치료에 대한 반응 등을 분석하였다. 결과: 성별분포는 남자가 4례, 여자가 13례로 여자가 더 많았다. 이환된 시기의 환자의 나이는 17세부터 60까지로 평균나이는 48.7세였다. 전례에서 흉쇄골 관절 및 흉골, 늑골 주위의 흉골, 쇄골, 상부 늑골에 과골화 소견을 보였고 이것은 시간 경과후에도 변화 없거나 증가되는 양상을 보였다. 피부과 질환을 동반한 경우가 5례가 있었다. 치료에 대한 반응은 대부분의 환자에서 소염진통제에 반응을 하였지만 2년 이상의 소염진통제 및 항상제의 치료에도 반응하지 않은 경우가 3례가 있었다. 결론: 흉골 늑골 쇄골간 과골증은 골주사와 전산화 단층촬영으로 진단이 되어질 수 있는 비교적 드문 양성 질환으로 비교적 항염증 약물, 항생제, 항류마치스약물등의 보존적인 치료에 잘 반응하나 동통이 지속되는 경우에서 비스포스포네이트 같은 약제의 사용이 추천되어진다. 장기간 추시관찰시 동통은 대부분 소실되나 방사선학적 검사에서 골화부분은 변화 없거나 더욱 커지는 양상을 보였다. 대부분의 경우 수술적 치료가 필요하지 않으나 연부조직의 침범이 있거나 악성종양과의 감별이 어려운 경우 조직검사가 필요할 수 있고 외형상문제로 수술적 치료가 요하는 경우가 있다.

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광주와 전라남도의 음식문화 연구(II) - 특별음식 - (Food culture research of Gwangju and Chollanamdo area(II) - In Particular Food -)

  • 김경애;정난희;전은례
    • 대한가정학회지
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    • 제41권3호
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    • pp.181-196
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    • 2003
  • Investigated kinds and utilization frequency for traditional food and Particular food to systematize Gwangju city and Chollanamdo area traditional food culture. Awareness for traditional food had pride because taste is various, and did that must use much when was festive day. Investigation subject were feeling necessity about accession, development of traditional food, and manufacture of traditional food, succession did that must take charge in home. Characteristic of taste for Gwangju city, Chollanamdo food was deep taste. Difference between variable was significant that age, religion that have pride about traditional food, attainments in scholarship, monthly income that used time much traditional food, degree that give from traditional food to snack is age, attainments in scholarship, years of married life, religion, reason that give snack to traditional food is daughter-in-law order, kind of traditional food that give to snack is age, monthly income mouth, opinion about accession and development of traditional food is age, religion, daughter-in-law order, reason that must inherit and develop traditional food is attainments in scholarship, time that eat much traditional food is attainments in scholarship, a person, medium that learn cuisine of traditional food is age, opportunity that is been interested to traditional food is age, attainments in scholarship, years of married life. By utilization rate of food-tasting food subdivisions of the season, used much by rice-cake soup, fermented rice punch, order of cake made from glutinous rice New Year's Day, by herbs, Gimgui, Ogokbap's order January Full Moon Day on the lunar calendar. By a cake made in the shape of a flower, azalea honeyed juice mixed with fruits as a punch order to Samjitnal, by beans panbroiling, dropwort raw order Buddha's Birthday, Tano Festival uses Charyunbyeong and used Tteoksudan in Yudu and used much by young chicken soup with ginseng and other fruits, watermelon order period of midsummer heat. Used songpyon and fermented rice punch in Full-moon Harvest Day, and Junggujeol used Chrysanthemum griddle cakes made in flower Pattern, and red-bean gruel taken on the winter solstice, and Nappyeongjeolsik was utilizing Goldongban. Pyebaek food utilization ratio was high the utilization rate by chestnut, jujube, chicken, wine order. The contributiveness food utilization rate was high the utilization rate by rice cake, dried croaker, fruit, oil-and-honey pastry order. The large table food utilization rate was high the utilization rate by fermented rice punch, fruit, steamed short-ribs order.

사물탕의 용량별 투여가 임신 랫드와 태자에 미치는 독성학적 연구 (Toxicological Effect of Samultang (Herbal Medicine) Administration in the Pregnant Rats and Fetuses - Focusing on dose-response Relationship -)

  • 전성진;신헌태;김경태;박해모;이선동
    • 대한예방한의학회지
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    • 제14권3호
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    • pp.1-12
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    • 2010
  • Objective : Samulatang (herbal description) is much used for women's disease in Korean Traditional Medicine. The aim of this study is to evaluate reproductive toxic effect by Samultang in pregnant rats and fetuses, and ascertain a dose-response relationship Method : Pregnant Sprague-Dawley rats were administered with the Samultang at single, double and quadruple dose for 20 days, orally. Pregnant rats were sacrificed at 20th day of gestation, and observed internal and reproductive organs. Live fetuses of gestation were randomly selected and fixed in 95% ethanol. Fetuses were stained with alcian blue and alizarin red S. We observe maternal body weight,, index associated pregnancy, and skeletal malformations in fetus Result : Maternal body weight of Samultang treated group has increased, side effect was not found in maternal body compared to that of control group. There were no significant difference in internal and reproductive organs. Double concentration administered group had lowest value in number of implantation, live fetuses, implantation rate and delivery rate, Also double concentration administered group showed higher early and late resorption rate than the other group. But, these are not significant. In the sex ratio, number of females, bigger than number of males in all Samultang administered groups. The fetuses of dams treated with Samultang didn't showed external and skeletal malformation. Vertebral and sternal variations were observed in single, double and quadruple concentration administered group but, compared to the control, those variations were insignificant. There were no significant changes in number of ribs, cervical, thoracic, lumber, sacral and caudal vertebrae Conclusion : Samultang is not expected to affect on pregnant rats and fetus about maternal body weight and number of live fetuses. There were no significant changes in organ weight, reproductive organs. Although skeletal variations were showed in vertebrae and sternum, treated groups were shown insignificant changes in skeletal variation

CT 영상에서의 간 영역과 간 종양 추출 및 분석 (Detection and Analysis of the Liver Area and Liver Tumors in CT Scans)

  • 김광백
    • 지능정보연구
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    • 제13권1호
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    • pp.15-27
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    • 2007
  • 간암은 우리나라에서 전체 암 사망자 중 17.2%로 3번째의 흔한 사망 원인이며, 간암에 의한 사망률은 인구 10만 명당 약 21명에 이른다. 본 논문에서는 간 내부에서 발생하는 간 세포암을 CT 영상에서 자동으로 추출하는 방법을 제안하여 간 세포암의 보조진단으로서의 유용성에 대해 알아보고자 한다. 간 내부의 종양을 추출하기 위해 흉부의 윗부분에서 시작하여 2.5mm의 간격으로 약 $45{\sim}50$장 정도를 촬영한 CT 영상들을 대상으로 간 영역을 추출한다. 간 영역 추출은 관심이 없는 외부 영역을 갈비뼈를 중심으로 제거한 후, 영상의 자기 정보를 이용하여 각 기관의 영역을 분할한다. 분할된 영역들은 위 아래로 인접한 영상에서의 분할 영역들과 자기 값을 비교하여 적절하게 병합하는 3차원적 접근방법을 적용한다. 간 영역은 여러 개의 영역들 중에서 간 영역의 구조 및 위치 등의 정보를 활용하여 추출한다. 추출된 간 영역에서 종양 판별과 추출을 위해 종양이 가지는 특징을 분석하여 종양을 추출한다. 전형적인 간 세포암은 과혈관성 종양이므로 조영증강 CT 영상에서는 주위보다 밝은 색으로 나타나며, 팽창형 성장을 보일 경우에는 구형으로 나타나는 특징이 있다. 이에, 주위 보다 밝은 색을 가지고 둥근 형태를 가지는 영역을 종양의 후보 영역으로 선정한 후, 그 영상의 위와 아래로 연결되는 영상에서도 같은 위치에서 같은 특징을 보이는 영역이 있으면 간 내부의 종양으로 판별하여 추출한다. 제안된 간 영역 및 간 종양 추출 방법의 정확성을 판별하기 위하여 CT 영상을 대상으로 실험하여 영상의학 전문의가 판단한 결과와 비교하였다. 간 영역 추출은 정확히 모두 추출되었으며, 간 종양 추출 및 판별은 전문의의 보조 진단 도구로 활용할 수 있는 가능성이 매우 높다는 것을 확인할 수 있었다.

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종간교잡 신품종 주황색 비모란 '여명' (A New Gymnocalycium × hyrida 'Yeomyeong' with Orange Color)

  • 정명일;정봉남;박필만
    • 화훼연구
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    • 제17권4호
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    • pp.320-323
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    • 2009
  • 주황색 접목선인장 '여명'은 G. marsoneri 와 G. mihanovichu 간의 종간교잡품종으로 2005년 농촌진흥청 국립원예특작과학원에서 육성되었다. 1999년 G. marsoneri ${\times}$ G. mihanovichii 'IG-112'를 교배하여 2001년 주황색 종간교잡종 '9922012' 계통을 선발하였다. '9922012' 계통을 모본으로 G. mihanovichii 'IG-l77'을 부본으로 교배하여 2002년 주황색 계통들을 선발하였다. 선발된 계통을 대상으로 2003년부터 3년간 3차의 특성검정 후 주황색 '원교G1-159'을 육성하였다. '원교G1-159'은 2005년 농촌진흥청 직무육성 신품종 선정위원회에서 '여명'으로 명명되었다. '여명'은 구색이 모구와 지구가 주황색이다. 구의 모양은 편원형으로 7~9개의 결각을 가졌으며, 가시는 회갈색으로 길이가 짧고 직립한다. 정식 10개월 후에 직경이 41.8~47.7 mm로 대비품종에 비하여 생육이 빠르고, 지구수도 6.9~12개로 많았다. 여명'은 미국과 네덜란드 수출용으로 선발되었으며 품종의 특성은 영양번식에 의하여 유지된다.

Comparison of Drying Yield, Meat Quality, Oxidation Stability and Sensory Properties of Bone-in Shell Loin Cut by Different Dry-aging Conditions

  • Cho, Soohyun;Kang, Sun-Moon;Kim, Yun-Seok;Kim, Young-Chun;Ba, Hoa Van;Seo, Hyun-Woo;Lee, Eun-Mi;Seong, Pil-Nam;Kim, Jin-Hyoung
    • 한국축산식품학회지
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    • 제38권6호
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    • pp.1131-1143
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    • 2018
  • This study aimed to investigate the drying yield, meat quality, oxidation stability and sensory properties of Hanwoo beef loin subjected to different dry-aging conditions. A total of 54 Hanwoo beef loins (bone-in, $6^{th}-13^{th}$ ribs) with fat cover at 2 d postmortem were assigned to four groups and hung in a dry-aging room at a controlled temperature ($2^{\circ}C-4^{\circ}C$), humidity (65%-85%) and air velocity (3 m/s). Four treatment conditions were tested; the respective temperature, humidity and treatment duration are as follows: T1, $2^{\circ}C$, 85%, 60 d; T2, $2^{\circ}C$, 65%, $20d+2^{\circ}C$, 75%, $20d+4^{\circ}C$, 85%, 20 d; T3, $2^{\circ}C$, 75%, $20d+4^{\circ}C$, 85%, 40 d; T4, $4^{\circ}C$, 85%, 60 d. The drying yield, total aerobic counts and fat contents increased, whereas the moisture content, meat color (CIE $L^*$, $a^*$, and $b^*$), and Warner-Bratzler shear force values decreased significantly during the aging period for all treatments (p<0.05). The cooking loss (%) did not change significantly until 40 d, and it was significantly higher in T1 and T4 than in T2 and T3 at 60 d (p<0.05). The water-holding capacity, pH and lipid oxidation [thiobarbituric acid reactive substance (TBARS) values] increased during aging (p<0.05). The sensory scores for tenderness, juiciness, flavor, and overall acceptability of dry-aged loin muscles increased as the aging period increased. T2 and T3 had significantly higher sensory scores and T1 had significantly lower scores for tenderness, juiciness, flavor, and overall acceptability at 20, 40, and 60 d for loin muscles (p<0.05).

늑골 골절 환자에서 초음파 유도하 흉추 주위 공간(TPVS) 소염약침 치료를 시행한 한방치료군과 촉지하 소염약침 치료를 시행한 한방치료군의 통증 및 치료만족도 비교 연구: 후향적 연구 (A Comparative Study on the Pain and Treatment Satisfaction between Korean Medical Treatment Combined with Ultrasound Guided Soyeom Pharmacopuncture Therapy in Thoracic Paravertebral Space and Non-Guided Soyeom Pharmacopuncture Therapy on Patients with Ribs Fracture: A Retrospective Study)

  • 김연희;오태영;이은정;오민석
    • 한방재활의학과학회지
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    • 제29권3호
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    • pp.103-112
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    • 2019
  • Objectives The purpose of this study is to investigate pain reduction and treatment satisfaction of patients with rib fracrture treated with Soyeom pharmacopuncture therapy under ultrasonic guided - thoracic paravertebral space (TPVS), and also compare to the patients with non-guided pharmacoacupuncture. Methods We studied medical records of 6 patients hospitalized with rib fractures were analyzed retrospectively at department of Korean Medicine Rehabilitation from March 1, 2019 to May 31, 2019, The 3 patients had performed the treatment of Soyeom pharmacopuncture therapy on TPVS under ultrasonic guidance with Korean Medicine treatment (such as herbal medicine, acupuncture, moxabustion, etc) and the other 3 patients had performed the treatment of Soyeom pharmacopuncture therapy on TPVS through non-guided. We used numeric rating scale to assess improvements in pain and the five-point likert scale was used to assess treatment satisfaction. Statistical analysis was carried out using the IBM SPSS Statistics 24 program. Results The purpose of this study is to investigate pain reduction and treatment satisfaction of patients with rib fracrture treated with Soyeom pharmacopuncture therapy under ultrasonic guided - TPVS, and also compare to the patients with non-guided pharmacoacupuncture. Conclusions After analyzing 6 studies, we could imply that the treatment of Soyeom pharmacopuncture therapy on TPVS under ultrasonic guidance could be more effective on pain reduction and improvement of treatment satisfaction with rib fracture compared to those who were treated with non-guided pharmacoacupuncture.

복합소재를 활용한 B필러 강화재의 구조해석 및 설계 (Structural Analysis and Design of B-pillar Reinforcement using Composite Materials)

  • 강지헌;김건우;장진석;김지욱;양민석;구윤식;안태민;권순덕;이재욱
    • Composites Research
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    • 제34권1호
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    • pp.35-46
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    • 2021
  • 본 논문은 차량에 사용되는 B필러의 강화재를 기존의 스틸 소재에서 CFRP(Carbon Fiber Reinforced Plastics)와 GFRP(Glass Fiber Reinforced Plastics)로 대체하여 경량화하는 것이 목표다. 이를 위해서는 무게는 감소시키면서 기존 B필러를 대체할 수 있는 구조안정성을 확보해야 한다. 기존 B필러는 스틸 아우터(outer)를 포함하여 다양한 형상의 스틸 강화재로 구성되며, 이와 같은 스틸 강화재 중 2가지의 스틸 강화재를 복합재로 대체하고자 한다. 이와 같은 스틸 강화재는 강화재 각각을 따로 제작하여 용접을 통해 결합되지만, 복합재 강화재는 패치(patch) 형태의 CFRP와 리브(rib) 구조의 GFRP를 활용하여 압축과 사출 공정을 통해 한번에 제작된다. CFRP는 B필러의 고강도부에 부착되어 측면 하중에 저항하도록 하였으며, GFRP 리브는 위상 최적화(Topology optimization) 기법을 통해 비틀림과 측면 하중을 저항하도록 설계하였다. 구조해석을 통해 기존 스틸 강화재와 비교 분석을 수행하였고, 경량화율을 산출하였다.