• 제목/요약/키워드: sensory function

검색결과 543건 처리시간 0.032초

Preoperative imaging of the inferior alveolar nerve canal by cone-beam computed tomography and 1-year neurosensory recovery following mandibular setback through bilateral sagittal split ramus osteotomy: a randomized clinical trial

  • Hassani, Ali;Rakhshan, Vahid;Hassani, Mohammad;Aghdam, Hamidreza Mahaseni
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제46권1호
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    • pp.41-48
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    • 2020
  • Objectives: One of the most common complications of bilateral sagittal split ramus osteotomy (BSSRO) is neurosensory impairment of the inferior alveolar nerve (IAN). Accurate preoperative determination of the position of the IAN canal within the mandible using cone-beam computed tomography (CBCT) is recommended to prevent IAN dysfunction during BSSRO and facilitate neurosensory improvement after BSSRO. Materials and Methods: This randomized clinical trial consisted of 86 surgical sites in 43 patients (30 females and 13 males), including 21 cases (42 sides) and 22 controls (44 sides). Panoramic and lateral cephalographs were obtained from all patients. In the experimental group, CBCT was also performed from both sides of the ramus and mandibular body. Neurosensory function of the IAN was subjectively assessed using a 5-point scale preoperatively and 7 days, 1 month, 3 months, 6 months, and 12 months post-surgery. Data were analyzed using Fisher's test, Spearman's test, t-test, linear mixed-model regression, and repeated-measures ANCOVA (α=0.05, 0.01). Results: Mean sensory scores in the control group were 1.57, 2.61, 3.34, 3.73, and 4.20 over one year and were 1.69, 3.00, 3.60, 4.19, and 4.48 in the CBCT group. Significant effects were detected for CBCT intervention (P=0.002) and jaw side (P=0.003) but not for age (P=0.617) or displacement extent (P=0.122). Conclusion: Preoperative use of CBCT may help surgeons to practice more conservative surgery. Neurosensory deficits might heal faster on the right side.

간병인을 위한 기능적 유니폼 개발 -노인의료복지시설 간병인을 대상으로- (Development of Functional Uniform for Caregivers)

  • 이은영;최혜선;김은경
    • 한국의류학회지
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    • 제31권5호
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    • pp.788-800
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    • 2007
  • The purpose of this study was to develop a caregiver's uniform that is appropriate for nursing and to improve movement adaptability as well as having a pleasing appearance. Based on the results of preliminary study, I investigated the inconvenience and problems with the existing uniforms and made a sample uniform taking into consideration the design, the material, and the pattern. We carried out a sensory assessment and quantitative assessment in order to compare the sample uniform with existing uniforms. Following are the results of this research. The top is a short-sleeved blouse with a round neckline having no collar and with armpit gussets. The armpit gussets are semicircles and the inverted pleats in the back are an improvement designed for activity. The pants are long reaching to the ankles with elastic in the waist so that the waist measurement may be adjusted. The length of the pants can be adjusted with strings and the pants have a funnel-shaped pocket for adjustment of length. We used a mix of polyurethane and polyester for the outer cloth of the uniform in order to improve activity function and used $Coolever^{TM}$, the sanitary textile that absorbs moisture well and dries in a short time, for gussets in the armpits, which is the heavy sweat area. The appearance assessment and movement adaptability assessment were performed with 5 subjects and 9 experts. For the results of the assessment, the sample uniform was appraised to be better than the existing uniforms in every item of an appearance comparison assessment except for the neckline assessment by the experts. As for the assessment of movement appropriateness and wearing assessment, the same subjects were used for analysis. As the results of the assessment, the sample uniform was rated higher than the existing uniforms in movement adaptability and pleasing appearance.

Pharmacological Evidence that Calcitonin Gene-Related Peptide is Implicated in Cerebral Autoregulation

  • Hong, Ki-Whan;Pyo, Kwang-Min;Yu, Sung-Sook;Rhim, Byung-Yong
    • 한국응용약물학회:학술대회논문집
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    • 한국응용약물학회 1994년도 춘계학술대회 and 제3회 신약개발 연구발표회
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    • pp.287-287
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    • 1994
  • In the present study, it was aimed to asses the possibility that calcitonin gene-related peptide (CGRP) released in response to transient hypotension may contribute to the reflex autoregulation of cerebral blood flow as a putative modulator. Changes in pial arterial diameter (mean, 33.0 ${\pm}$ 1.1 $\mu\textrm{m}$) with changes in systemic arterial blood pressure (mean, 101.9 ${\pm}$ 2.7 mmHg) were observed directly through a closed cranial window in anesthetized normotensive rats. Image of the pial vessels was captured with a stereoscope connected to a CCD video camera and the diameter was measured with a microscaler. In the capsaicin-treated rats (one day prior to experiment, 50 nmol capsaicin injected intracisternally), both vasodilater and vasoconstrictor responses evoked by a transient hypotension and the reverse of blood pressure were markedly attenuated or almost abolished. When changes in pial arterial diameter were plotted as a function of changes in blood pressure, the slopes of both regression lines (for vasodilators and vasoconstrictors ) were markedly reduced. Similar reductions were evidenced under treatment wi th the CGRP antibody serum (1:1,000) and following CGRP receptor desensitization. However, the autoregulatory mechanics were neither affected by treatment wi th spantide (1 ${\mu}$M), substance P antagonist, nor by substance P receptor desensitization. Suffusion wi th mock cerebrospinal fluid containing CGRP and cromakalim caused a vasodilatation in a concentration-dependent manner, respectively and their effects were antagonized by glibenclamide. Substance P produced a vasodilatation, which was, however, little affected by glibenclamide. These observations indicate that the CGRP released from the perivascular sensory fibers in response to a hypotension is implicated in the modulation of the autoregulation of cerebral blood flow.

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조선 허리띠와 패물(佩物)의 원류에 대한 연구 (Study on Origin of Belt and Trinkets of the Joseon Dynasty)

  • 이영재
    • 한국생활과학회지
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    • 제23권5호
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    • pp.905-917
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    • 2014
  • This study clarifies that Scytian waistband had flowed into the Jeoseon Dynasty, and it was settled down to saezodae(which is male belt) and norigae(which is female accessory) and pocket in the Joseon Dynasty. Historical records and relic materials are examined and analyzed by quality assessment. 5 experts performs sensory evaluation for 17 pictures of Scytian waistband, and 42 of norigae, 24 of pocket, 6 of small knife, 11 of belt in the Joseon Dynasty, and finally similarity in form and purpose of use between both of them are come out. Research results are summarized as follows: First, Scytian waistband made with leather and metal was carried in the girdle. Men in the Joseon Dynasty carried various forms of belts as position and jobs such as saezodae, kwangdahae, dongdahae, doa. Trinkets of hopae, jangdo, pocket, etc. are put on belt or separately attached. Belt was not put on the women dress, but more various trinkets were used than those on men dress. Norigae, pocket, and jangdo were used practically and decoratively. Second, The types of Scytian waistband were excavated from the tumulus in the age of three states in Korea, and their form and function are same. Belt of the Joseon Dynasty carried below their chest and up navel, of which the wearing position went upper than before. As women jeogori was shorter, their belt is not necessary and various trinkets were put in their skirt. Finally, this study conclude that Korean traditional belt and trinkets come down from Scythian waistband.

기능성과 보온성 향상을 위한 공군 정비파카 개발 및 평가 (Development and Evaluation of Air Force Mechanic Parka to Enhance the Functions and Insulation)

  • 이성지;최영림;남윤자
    • 한국의류산업학회지
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    • 제14권2호
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    • pp.294-303
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    • 2012
  • This study was designed to develop air force mechanic parka, evaluate it, and ultimately provide functionally superior parka to the air force. The development process was 1) conducting a survey, 2) identifying problems and shortcomings of currently-supplied parkas, and 3) improving the design, pattern and materials. The newly-developed parkas were evaluated in terms of their ease of fit, clothing mobility, and insulation. Ease of fit was evaluated by subjects' sensory tests, and clothing mobility was by fitness-for-motion tests and range-of-motion tests using a Goniometer. Evaluation on insulation was conducted by thermal manikins. Findings of this study were as follows: 1. In the subjective evaluation on clothing mobility, new parkas were considered to have sufficient ease of fit while previous ones scored much lower, confirming the improvement of the new version. 2. Both subjective tests and ROM measurements on fitness for motion verified the superiority of the new parkas. 3. Insulation tests found that although insulation capability of newly-developed parkas was at a similar level to those of the previous ones, their insulation capability per unit weight was superior, demonstrating that new parkas were better at blocking heat conduction. When making changes in parka patterns and designs to enhance the mobility, it was necessary to maintain the insulation function. The new parkas developed by this study was verified to be superior to the previous ones in their insulation and clothing mobility.

퍼지이론을 응용한 조리법에 관한 연구 -비빔밥을 중심으로- (Study on the Recipe Using Fuzzy Theory)

  • 권경순
    • 한국식품영양학회지
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    • 제13권4호
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    • pp.353-359
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    • 2000
  • 본 논문은 퍼지이론을 조리법에 적용함으로써 지금까지 자료조사를 근거로 하여 관능검사를 토대로 제시된 한국요리의 표준화 방법을 체계화하고 쉽게 응용할 수 있도록 하는 방법을 제시하였다. 본 논문에서는 비빔밥을 중심으로 퍼지 이론을 적용하였으며 식품 조리법의 판정기준인 관능지수를 퍼지 이론에 적용하여 추론하는 방법을 제시하였다. 이 방법은 재료의 분량에 따른 관능지수의 변화에 대한 매우 제한적인 경우에 대해서 제시를 했지만 더 많은 재료의 분량 및 조리방법 등을 고려하면 더욱 정확하고 보편적인 관능지수를 직접 조리를 하지 않고 시뮬레이션에 의하여 추론할 수 있다. 본 논문에서는 그 기초적인 연구로 퍼지 이론을 소개하고 비빔밥을 중심으로 기본적인 방법을 제시하였는데 이 퍼지이론의 도입은 조리법의 과학화 및 전산화를 용이하게 하며, 환자의 체계적인 영양관리와 어린이, 노약자 등 식이요법이 필요한 사람들과 조리법이 한정적인 특정지역에 적용하여 다양한 방법을 모색할 수 있을 것으로 생각된다.

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Sensory Inputs to Upper Cervical Spinal Neurons Projecting to Midbrain in Cats

  • Kim, Jong-Ho;Jeong, Han-Seong;Park, Jong-Seong;Kim, Jong-Keun;Park, Sah-Hoon
    • The Korean Journal of Physiology and Pharmacology
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    • 제2권1호
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    • pp.9-19
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    • 1998
  • The present study was primarily carried out to characterize the properties of the spinomesencephalic tract (SMT) neurons that project from the upper cervical spinal segments to the midbrain. It was also investigated whether these neurons received convergent afferent inputs from other sources in addition to cervical inputs. Extracellular single unit recordings were made from neurons antidromically activated by stimulation of midbrain. Recording sites were located in lamina $I{\sim}VIII\;of\;C1{\sim}C3$ segments of spinal cord. Receptive field (RF) and response properties to mechanical stimulation were studied in 71 SMT neurons. Response profiles were classified into six groups: complex (Comp, n=9), wide dynamic range (WDR, n=16), low threshold (LT, n=5), high threshold (HT, n=6), deep/tap (Deep, n=10), and non- responsive (NR, n=25). Distributions of stimulation and recording sites were not significantly different between SMT groups classified upon their locations and/or response profiles. Mean conduction velocity of SMT neurons was $16.7{\pm}1.28\;m/sec$. Conduction velocities of SMTs recorded in superficial dorsal horn (SDH, n=15) were significantly slower than those of SMTs recorded in deep dorsal horn (DDH, n=18), lateral reticulated area (LRA, n=21), and intermediate zone and ventral horn (IZ/VH, n=15). Somatic RFs for SMTs in LRA and IZ/VH were significantly larger than those in SDH and DDH. Five SMT units (4 Comps and 1 HT) had inhibitory somatic RFs. About half (25/46) of SMT units have their RFs over trigeminal dermatome. Excitabilities of 5/12 cells and 9/13 cells were modulated by stimulation of ipsilateral phrenic nerve and vagus nerve, respectively. These results suggest that upper cervical SMT neurons are heterogenous in their function by showing a wide range of variety in location within the spinal gray matter, in response profile, and in convergent afferent input.

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안정상태 시각유발전위 기반의 기능적 전기자극 재활훈련 시스템 (Steady-State Visual Evoked Potential (SSVEP)-based Rehabilitation Training System with Functional Electrical Stimulation)

  • 손량희;손종상;황한정;임창환;김영호
    • 대한의용생체공학회:의공학회지
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    • 제31권5호
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    • pp.359-364
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    • 2010
  • The purpose of the brain-computer (machine) interface (BCI or BMI) is to provide a method for people with damaged sensory and motor functions to use their brain to control artificial devices and restore lost ability via the devices. Functional electrical stimulation (FES) is a method of applying low level electrical currents to the body to restore or to improve motor function. The purpose of this study was to develop a SSVEP-based BCI rehabilitation training system with FES for spinal cord injured individuals. Six electrodes were attached on the subjects' scalp ($PO_Z$, $PO_3$, $PO_4$, $O_z$, $O_1$ and $O_2$) according to the extended international 10-20 system, and reference electrodes placed at A1 and A2. EEG signals were recorded at the sampling rate of 256Hz with 10-bit resolution using a BIOPAC system. Fast Fourier transform(FFT) based spectrum estimation method was applied to control the rehabilitation system. FES control signals were digitized and transferred from PC to the microcontroller using Bluetooth communication. This study showed that a rehabilitation training system based on BCI technique could make successfully muscle movements, inducing electrical stimulation of forearm muscles in healthy volunteers.

정적서기 상태에서 지지면 회전 인지능력의 방향별 차이 (Direction Dependence of the Perception of the Support Rotation While Quiet Standing)

  • 전희준;허재훈;전형민;윤주석;권유리;엄광문
    • 대한의용생체공학회:의공학회지
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    • 제38권2호
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    • pp.57-61
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    • 2017
  • The purpose of this study was to investigate the effect of direction (pitch and roll) on the perception of support surface rotation while standing. Thirty young healthy subjects participated in this study. Support surface was rotated at an unexpected instant in a very slow speed (0.2 deg/s). The direction of support surface rotation was randomly chosen among pitch (forward and backward) and roll (right and left) directions. The experiment was performed with eyes open and closed. Perception performance was evaluated by the perception threshold, defined as the rotation angle of the surface at the instant when a subject recognized that the support surface was moving. Results showed that the perception threshold was smaller for roll directions than pitch directions irrespective of vision and gender (p < 0.01). This indicates that the perception of support surface rotation is more sensitive in roll direction than in pitch direction. Among three sensory functions related to postural perception, the effect of vestibular and visual functions on the direction difference of the perception should be little because of the very slow surface rotation and independence on visual conditions. Therefore, the direction dependence of perception would have been affected mainly by the somatosensory function.

하악골 및 관골궁 절단술을 이용한 측두하와와 인두주위간극에 발생한 종양적출술 1례 (SURGICAL MANAGEMENT OF THE TUMOR IN THE PARAPHARYNGEAL SPACE AND INFRATEMPORAL FOSSA USING ZYGOMATIC ARCH AND MANDIBULAR OSTEOTOMY)

  • 이봉서;남정순;구명숙;김신유;권대현;이용규;권대근;김종배
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제27권6호
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    • pp.565-569
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    • 2001
  • A new surgical approach to the area of the infratemporal fossa and parapharyngeal space is described. This approach results in a wide-field exposure of the infratemporal fossa, pterygomaxillary space and parapharyngeal space. We used two osteotomies on the patient's mandible and temporary resection of zygomatic arch for superior margin of tumor. Lower lip splitting was not needed because the incision was started in the frontal scalp, curved in front of and below the external auditary canal, and extended anteriorly to the greater horn of hyoid bone on the neck along a skin crease. We had good results without sacrifice of the facial nerve, mandibular function and sensory supply of the face and oral cavity.

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