• Title/Summary/Keyword: unilateral

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Clinical Assessment of Patients with Mandibular Condyle hypoplasia (하악 과두저형성증 환자의 임상적 평가)

  • Yi, Young-Chul;Cho, Bong-Hae;Ok, Soo-Min;Heo, Jun-Young;Kim, Kyung-Hee;Ahn, Young-Woo;Ko, Myung-Yun;Jeong, Sung-Hee
    • Journal of Oral Medicine and Pain
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    • v.38 no.2
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    • pp.175-185
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    • 2013
  • Objective : Condyle hypoplasia in temporomandibular joint(TMJ) is often observed in several radiographic views. Mandibular Condyle hypoplasia is frequently confused with osteoarthritis with bony changes in TMJ. This paper investigated clinical characteristics of mandibular condyle hypoplasia as compared with TMJ osteoarthritis. Material and method : 276 patients with TMD were taken clinical and radiological examination and were divided into study group, 189 patients diagnosed with mandibular condyle hypoplasia, and control group, 87 patients diagnosed with TMJ osteoarthritis. And clinical features(Onset, Overjet, Overbite, Noise, Locking, NAS of noise, LOM, pain, MCO, and site of diagnosis and pain)of the two groups were compared. Results : 1. Mandibular condyle hypoplasia and TMJ osteoarthritis were similar in many of the clinical features. 2. Mandibular condyle hypoplasia concordance rates of the radiographic diagnosis site and the pain site was significantly lower than TMJ osteoarthritis. 3. Bilateral mandibular condyle hypoplasia group had more occlusal discomfort, and clenching habits than unilateral mandibular condyle hypoplasia group. 4. Unilateral mandibular condyle hypoplasia group had more unilateral chewing habits and LOM than unilateral TMJ osteoarthritis group. Unilateral TMJ osteoarthritis group had more morning stiffness and higher concordance rates of the radiographic diagnosis site and the click sound site than unilateral mandibular condyle hypoplasia group. 5. Bilateral mandibular condyle hypoplasia group had more usual headaches and overjet than bilateral TMJ osteoarthritis group. Conclusion : Mandibular condyle hypoplasia has somewhat distinguishing clinical characteristics as compared with TMJ osteoarthritis.

Reduction of long-term potentiation at Schaffer collateral-CA1 synapses in the rat hippocampus at the acute stage of vestibular compensation

  • Lee, Gyoung Wan;Kim, Jae Hyo;Kim, Min Sun
    • The Korean Journal of Physiology and Pharmacology
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    • v.21 no.4
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    • pp.423-428
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    • 2017
  • Vestibular compensation is a recovery process from vestibular symptoms over time after unilateral loss of peripheral vestibular end organs. The aim of the present study was to observe time-dependent changes in long-term potentiation (LTP) at Schaffer collateral-CA1 synapses in the CA1 area of the hippocampus during vestibular compensation. The input-output (I/O) relationships of fEPSP amplitudes and LTP induced by theta burst stimulation to Schaffer's collateral commissural fibers were evaluated from the CA1 area of hippocampal slices at 1 day, 1 week, and 1 month after unilateral labyrinthectomy (UL). The I/O relationships of fEPSPs in the CA1 area was significantly reduced within 1 week post-op and then showed a non-significant reduction at 1 month after UL. Compared with sham-operated animals, there was a significant reduction of LTP induction in the hippocampus at 1 day and 1 week after UL. However, LTP induction levels in the CA1 area of the hippocampus also returned to those of sham-operated animals 1 month following UL. These data suggest that unilateral injury of the peripheral vestibular end organs results in a transient deficit in synaptic plasticity in the CA1 hippocampal area at acute stages of vestibular compensation.

A Study on the Effects of Chewing Side Preference on the Pattern of Occlusal Contacts (저작습관에 따른 교합접촉의 변화양태에 관한 연구)

  • Sun-Oh Kwon;Kyung-Soo Han
    • Journal of Oral Medicine and Pain
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    • v.15 no.1
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    • pp.117-124
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    • 1991
  • The purpose of his study was to investigate the variations of occlusal contact pattern according to chewing side preference. The author selected 59 dental students (mean age 23.6 years) who had no signs and symptoms of masticatory disorders and divided into two groups, that is, bilateral chewing side group and unilateral chewing side group, respectively. For recording, T-Scan System(Teksan Inc., USA) was used and the recorded occlusal contacts were examined as to the number of occlusal contacts, points distribution in dental arch, time sequence and force snapshot. The obtained results were as follow s: 1. Total number of occlusal contacts were more in unilateral chewing side group and there were significant difference in number between right and left side or between chewing and less-chewing side in all two groups. 2. All items related to time sequence showed no statistical significant difference between two groups in any case. 3. Unilateral chewing side group had more occlusal contact force than bilateral group, especially in chewing side. From the above finding, the author considered that there was occlusal unbalance in unilateral chewing side group. 4. Chewing side preference would possibly have more effects on the occurrence rate of anterior tooth contact that the rate of prolonged their contact but proved.

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Ipsilateral Motor Deficit during Three Different Specific Task Following Unilateral Brain Damage (편측 뇌손상 환자에서 특정 과제에 한정된 동측 상지의 운동 결함 분석)

  • Kwon, Yong-Hyun;Kim, Chung-Sun
    • The Journal of Korean Physical Therapy
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    • v.17 no.2
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    • pp.67-87
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    • 2005
  • Impaired sensorimotor function of the hand ipsilateral to a unilateral brain damage has been reported in a variety of motor task. however, it is still the controversial issue because of the difficulty of detection in clinical situation, patients' variability(time after onset, contralateral upper extremity severity, other cognitive functions including apraxia), and the performed various motor task. The purpose of this study is to determine the presence of ipsilateral motor deficit following unilateral brain damage in three different specific tasks(hand tapping, visual tracking and coin rotation) compared with healthy age-sex matched control group using the same hand and to investigate the lateralized motor control in each hemispheric function. Findings revealed that stroke patients with unilateral brain damage experienced difficulties with rapid-simple repetitive movement, visuomotor coordination, complex sequencing movement on ipsilateral side. Also, Comparison of the left-hemispheric stroke groups and the right-hemispheric stroke groups revealed that patients with a left-hemisphere damage tended to be more variable in performing all of the three tasks. These results show that stroke patient with left hemisphere damage has more ipsilateral motor deficit, and the left hemisphere contributes to the processing of motor control that necessary for the executing actions with ipsilateral hand.

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A Case Study of Contralateral Occurrence after Unilateral Repair of Hydrocele in Children (소아의 일측 음낭수종 교정술 후 반대측 발생의 치험 1례)

  • Kim, Eun Jin;Min, Sang Yeon;Kim, Jang Hyun
    • The Journal of Pediatrics of Korean Medicine
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    • v.29 no.1
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    • pp.44-49
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    • 2015
  • Objectives Hydrocele is a common disease found in pediatrics and is usually treated by hydrocelectomy, and even after the unilateral repair of hydrocele, it has been reported that the contralateral hydrocele still occurs in 5.4-12.5%. Therefore, the purpose of this study is to conduct a case study of contralateral hydrocele treated by Oryeong-san and Bangkeehwangkee-tang (五苓散 合 防己黃芪湯). Methods A patient diagnosed with San Syndrome (Su-San) (水疝) was administered Oryeong-san and Bangkeehwangkee-tang (五苓散 合 防己黃芪湯). Results The sizes of hydrocele and symptoms were reduced. Conclusions In the case of contralateral occurrence after unilateral repair of hydrocele in children, it is better to select a safer treatment than operation considering other possible complications. In this report, we have proven that Oryeong-san and Bangkeehwangkee-tang (五苓散 合 防己黃芪湯) can be very effective in reducing the size of hydrocele, improving symptoms and preventing recurrence.

Modeling of unilateral effect in brittle materials by a mesoscopic scale approach

  • Pituba, Jose J.C.;Neto, Eduardo A. Souza
    • Computers and Concrete
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    • v.15 no.5
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    • pp.735-758
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    • 2015
  • This work deals with unilateral effect of quasi-brittle materials, such as concrete. For this propose, a two-dimensional meso-scale model is presented. The material is considered as a three-phase material consisting of interface zone, matrix and inclusions - each constituent modeled by an appropriate constitutive model. The Representative Volume Element (RVE) consists of inclusions idealized as circular shapes randomly placed into the specimen. The interface zone is modeled by means of cohesive contact finite elements developed here in order to capture the effects of phase debonding and interface crack closure/opening. As an initial approximation, the inclusion is modeled as linear elastic as well as the matrix. Our main goal here is to show a computational homogenization-based approach as an alternative to complex macroscopic constitutive models for the mechanical behavior of the quasi-brittle materials using a finite element procedure within a purely kinematical multi-scale framework. A set of numerical examples, involving the microcracking processes, is provided. It illustrates the performance of the proposed model. In summary, the proposed homogenization-based model is found to be a suitable tool for the identification of macroscopic mechanical behavior of quasi-brittle materials dealing with unilateral effect.

Complete denture rehabilitation of a fully edentulous patient with unilateral facial nerve palsy: A case report (편측성 안면 신경마비 환자에서의 총의치 수복 증례)

  • Choi, Eunyoung;Lee, Ji-Hyoun;Choi, Sunyoung
    • The Journal of Korean Academy of Prosthodontics
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    • v.55 no.4
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    • pp.451-457
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    • 2017
  • Bell's palsy is an acute-onset unilateral peripheral facial neuropathy. For patients with sequelae of facial paresis, the successful rehabilitation of fully edentulous arches is challenging. This case report described the treatment procedures and clinical considerations to fabricate complete dentures of a patient who showed unilateral displacement of mandible, unilateral chewing pattern and parafunctional jaw movement due to sequelae of Bell's palsy. Gothic arch tracing was used to record reproducible centric relation and lingualized occlusion was performed to provide freedom to move between centric relation and the patient's habitual functional area in fabricating satisfactory dentures in terms of function and esthetics.

Speech Evaluation Based on the Type of Cleft Palate (구개열의 유형에 따른 발음 비교)

  • Kim, Seok-Kwun;Kim, Min-Su;Heo, Jung;Kwon, Yong-Seok;Lee, Keun-Cheol;Jeong, Boon-Seon;Lee, Min Hyuk
    • Archives of Craniofacial Surgery
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    • v.9 no.2
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    • pp.72-76
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    • 2008
  • Purpose: Authors evaluated results of palatoplasty by speech analysis in bilateral, unilateral complete, and unilateral incomplete and submucous cleft palate patients. Methods: The speech outcomes were studied in 15 bilateral, 28 unilateral complete, and 46 unilateral incomplete and submucous cleft palate patients who underwent push-back palatoplasties from January 1998 to July 2004. The patients were divided into 2 groups as 3 to 6, 7 to 10-year-old and compared with 20 normal children(control groups were divided into 10 children on each side). Nasal emission test, hypernasality test, and articulation test were done by speech evaluation table which was composed of 39 different words. Results: In all speech evaluation tests, the group of bilateral cleft palate patients got the worst score. And 7 to 10-year-old groups got better score when compared to the same type cleft palate. Conclusion: Bilateral cleft palate patients have many more speech problems than other patients. In cleft palate patients, the speech problem was improved with ages, postoperatively. And the speech therapy can improve the operative outcomes.

CASES OF THE SURGICAL CORRECTION OF FACIAL ASYMMERY (비대칭 안모의 외과적 치험례)

  • Huh, Hong Yell;Min, Sung Ki;Cho, Sang Ki;Jeong, In Won
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.13 no.2
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    • pp.191-198
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    • 1991
  • This is a case report and review of literature of the facial asymmetry corrected by various surgical methods. In case 1, facial asymmetry resulted from osteochondroma of condyle and corrected via condylectomy only. In case 2, unilateral condylar hyperplasia with compensatory maxillary growth resulted in severe facial asymmetry. Procedures used in case 2 are vertical ramus osteotomy, condylectomy, genioplasty, mandibular inferior border ostectomy and Le Fort I osteotomy.

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Predicting Factors on Surgical Management of Unilateral Calcaneal Fracture (편측 종골 골절의 수술적 치료의 예후 관련 인자)

  • Lee, Sang-Wook;Ko, Sang-Bong;Lee, Hyun-Sub
    • Journal of Korean Foot and Ankle Society
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    • v.10 no.2
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    • pp.196-200
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    • 2006
  • Purpose: To study prognostic factors of unilateral calcaneus fracture underwent surgery. Materials and Methods: We selected appropriate 60 cases of 236 calcaneus fracture cases between March 1985 and March 2004, and analyzed the correlation between sex, age, smoking, injury mechanism, Essex-Lopresti classification of calcaneus fracture, preoperative Bohler angle, postoperative Bohler angle, postoperative 1 year Bohler angle and Visual Analogue Scale (VAS), P.S. Kerr's Calcaneal Fracture Score (CFSS). The average age was 41.4 and average follow up period was 74 (12 to 240) months. Results: For follow up period, average VAS is 3.43 and CFSS is 81.23. The sex, age, smoking, injury mechanism, and preoperative, postoperative, postoperative 1 year Bohler angle had no correlation with the prognosis. But the Essex-Lopresti classification of calcaneus fracture, tongue type had better prognosis than joint depression type (VAS : p=0.041, CFSS : p=0.021). Conclusion: In unilateral calcaneus fracture, the sex, age, smoking, injury mechanism, preoperative Bohler angle, postoperative Bohler angle, postoperative 1 year Bohler angle had no correlation with the prognosis of fracture, but in Essex-Lopresti classification, the tongue type fracture had better prognosis than the joint depression type.

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