• 제목/요약/키워드: unilateral support

검색결과 66건 처리시간 0.023초

상악골 부분 절제술 시행한 환자에서 Artificial Palate로 안모지지를 재현한 폐색장치를 이용한 수복 증례 (Use of artificial palate for improving facial support in the fabrication of a maxillary obturator: A case report)

  • 윤희경;황희성;김철훈;김정한;김복주
    • 대한치과보철학회지
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    • 제55권3호
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    • pp.319-324
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    • 2017
  • 상악골 부분 절제술을 시행한 많은 환자에서 안모의 변형으로 심리적 우울감에 취약할 뿐만 아니라 연하, 저작 기능이 저하되며 발음 장애가 발생한다. 폐색장치를 통한 악안면 보철적 치료는 저작, 연하, 발음 기능의 회복뿐 아니라 적절한 안모로 회복시켜주며 장치를 사용하는 환자들의 삶의 질을 향상해준다. 본 증례는 상악골 부분 절제술 시행한 환자에서 수술 부위 안정화 기간 사용한 임시 폐색장치로 적절한 안면 지지의 정도를 예측할 수 있었고 이를 반영하여 artificial palate를 제작하였다. 이는 적절한 안면 지지를 재현하여 최종 폐색장치를 제작하는 간단한 접근법을 제시하였고 기능적, 심미적 부분에서 만족할 만한 결과를 얻어 이를 보고하고자 한다.

The Effect of Tai Chi Training on the Center of Pressure Trajectory While Crossing an Obstacle in Healthy Elderly Subjects

  • Kim, Hyeong-Dong
    • 한국전문물리치료학회지
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    • 제15권4호
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    • pp.27-33
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    • 2008
  • The purpose of this study was to investigate the changes of the center of pressure (COP) trajectory in healthy elderly subjects while crossing an obstacle before and after participation in Tai Chi training. Forty healthy elderly subjects participated either in a 12-week intervention of Tai Chi training or in a health education program. The participants were divided into two groups (the experimental group and the control group). Subsequently, the participants were pre- and post-tested on crossing over an obstacle from a quiet stance. Participants in the experimental group received Tai Chi training that emphasized the smooth integration of trunk rotation, a shift in weight bearing from bilateral to unilateral support and coordination and a gradual narrowing of the lower-extremity stance three times weekly. The participants in the control group attended a health education program one hour weekly and heard lectures about general information to promote health. Performance was assessed by recording the changes in the displacement of the COP in the anteroposterior (A-P) and mediolateral (M-L) directions using a force platform. Participants in the Tai Chi group significantly increased the A-P and M-L displacement of the COP after Tai Chi training (p<.05). No significant differences in the A-P and the M-L displacement of the COP between pre-testing and post-testing in the control group were found. This study has shown that participation in Tai Chi exercise increased the magnitude of the A-P and M-L displacement of the COP, thereby improving the ability of healthy elderly participation to generate momentum to initiate gait. These findings support the use of Tai Chi training as an effective fall-prevention program for the elderly.

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소수의 임플란트 크라운을 지대치로 이용한 하악 가철성 국소 의치 수복 증례 (Mandibular implant assisted removable partial denture with a small number of implant crowns: two case reports)

  • 김유라;이수영
    • 구강회복응용과학지
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    • 제38권2호
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    • pp.110-119
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    • 2022
  • 부분 무치악 환자의 가철성 국소의치 수복 시 지대치가 항상 유리한 위치에 존재하지는 않는다. 이로 인하여 잘 맞게 제작된 가철성 국소의치임에도 불구하고 환자는 가철성 국소의치의 안정과 지지에 대하여 만족하지 못하는 경우가 발생하게 된다. 이 때, 소수의 임플란트 크라운을 이용한 가철성 국소의치가 부분 무치악 환자에게 좋은 대안이 될 수 있다. 소수의 임플란트를 위치시키고 지대치로 이용하여 가철성 국소의치의 안정과 지지를 증가시킬 수 있다. 본 증례는 하악 편측에 잔존치를 갖는 환자에서 두개의 임플란트를 전략적으로 위치시켜 지대치를 양측으로 분포시켰다. 최종 가철성 국소의치 수복 이후 환자는 저작 기능에 만족감을 보였으며 국소의치 사용시 편안함을 나타내었다.

Open Transthoracic Plication of the Diaphragm for Unilateral Diaphragmatic Eventration in Infants and Children

  • Alshorbagy, Ashraf;Mubarak, Yasser
    • Journal of Chest Surgery
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    • 제48권5호
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    • pp.307-310
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    • 2015
  • Background: To evaluate our experience of early surgical plication for diaphragmatic eventration (DE) in infancy and childhood. Methods: This study evaluated infants and children with symptomatic DE who underwent plication through an open transthoracic approach in our childhood development department between January 2005 and December 2012. Surgical plication was performed in several rows using polypropylene U-stitches with Teflon pledgets. Results: The study included 12 infants and children (7 boys and 5 girls) with symptomatic DE (9 congenital and 3 acquired). Reported symptoms included respiratory distress (91.7%), wheezing (75%), cough (66.7%), and recurrent pneumonia (50%). Preoperative mechanical ventilatory support was required in 41.7% of the patients. The mean length of hospital stay was $6.3{\pm}2.5days$. The mean follow-up period was $24.3{\pm}14.5months$. Preoperative symptoms were immediately relieved after surgery in 83.3% of patients and persisted in 16.7% of patients one year after surgery. All patients survived to the end of the two-year follow-up and none had recurrence of DE. Conclusion: Early diagnosis and surgical plication of the diaphragm for symptomatic congenital or acquired diaphragmatic eventration offers a good clinical outcome with no recurrence.

여성의류 유통경로에서 의존성.권력원천.갈등 - 백화점 입점업체를 중심으로

  • 정현주
    • 한국유통학회지:유통연구
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    • 제3권1호
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    • pp.123-143
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    • 1998
  • The aim of this paper is to investigate the women's apparel distribution channel in the well-known department stores located in the central Seoul area. Since the department store has its reputation, information and enormous buying power, it is the one of the major leading retails in the women's apparel industry. In doing so, the relationship between the channel members in terms of the level of dependence, power sources and perceived conflict and manifest conflict has been studied. Particularly, based on French and Raven's power sources, position source is added. It refers to a channel member's (Merchandizer in the department store) source over another based on the expection the former (Merchandizer in the department store) will be able to allocate the location and size of the store influencing the latter's sale and profit. The key informants are the merchandizers who work in the apparel companies contracting with major department stores. Finally, of the 284 questionnaires collected, 235 are usable. The hypotheses are tested through LISREL. The results of statistical analysis support that : Dependence has a positive effect on noncoercive bases of power. Coercive bases of power have a positive effect on manifest conflict as well as perceived conflict while noncoercive bases of power have a negative effect mainly on manifest conflict. Thus, the relation between the major department stores and the women's apparel companies in there seems to have bilateral dependence rather than highly unilateral dependence.

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편측후방연장 국소의치에서 지대치 동요도와 직접유지장치의 설계가 지지조직의 응력에 미치는 영향 (THE EFFECTS OF TOOTH MOBILITY AND DESIGN OF DIRECT RETAINER ON THE STRESS OF SUPPORTING TISSUES IN UNILATERAL DISTAL EXTENSION REMOVABLE PARTIAL DENTURE)

  • 정영완;진태호
    • 대한치과보철학회지
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    • 제38권1호
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    • pp.59-72
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    • 2000
  • This study was performed to investigate the effects of tooth mobility and design of the direct retainer on the stress of supporting tissues in distal extension removable partial denture. Tooth mobility was simulated and four different types of direct retainer such as Alters clasp, I-bar clasp, wrought wire clasp, and Dalbo attachment were designed and stress on the support-ing tissues were measured and analyzed with straingauge method. The following conclusions were drawn from this study. 1. The stress revealed at the lingual side of alveolar bone of the abutment tooth in edentulous area was the largest. 2. The stress at the lingual side of alveolar bone of the abutment tooth in edentulous area was increased according to the increase of tooth mobility in I-bar clasp and Dalbo attachment. 3. The stress at the residual ridge crest was the great in Dalbo attachment on mobility 0, in I-bar clasp on mobility 1, and in wrought wire clasp on mobility 2. 4. There was little changes of stress according to the increase of tooth mobility at buccal and lingual side of the residual ridge crest and around the abutment teeth in dentulous area.

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불안정한 하악운동을 보이는 환자에서 가철성 의치 수복 증례 (Full mouth rehabilitation using removable prosthesis of patient with unstable mandible movements: A case report)

  • 손동환;이양진;조득원
    • 대한치과보철학회지
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    • 제58권1호
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    • pp.35-41
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    • 2020
  • 구치부 지지소실과 편측 저작으로 교합이 환자는 불안정한 하악운동을 보이며, 이는 고령의 환자에서 복잡하게 나타날 수 있다. 본 증례에서는 교합붕괴와 이상 하악운동(Oral dyskinesia)을 보이는 환자에서 고딕아치 묘기법(Gothic arch tracing)과 스플릿 캐스트법(Split cast technique)을 이용하여 중심위와 습관적 전방 폐구위를 확인하고자 하였다. 이후 교합안정장치 형태의 임시의치를 사용하여 안정된 교합과 재현성 있는 하악운동을 회복하고자 하였고, 설측교합(Lingualized occlusion) 개념을 이용하여 총의치와 국소의치를 제작해 수복하였다.

Electromyographic Analysis of Lower Extremity Lateral Stabilizer During Upper Extremity Elevation Movements

  • Jung, Ho-Bal
    • 국제물리치료학회지
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    • 제1권2호
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    • pp.185-191
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    • 2010
  • Background: This study investigated effective posture for gluteus medius rehabilitation training and effects of isometric muscle activity by electrophysiology through EMG while performing dynamic isotonic behavior of weight placed differently on upper limbs. Method: 16 healthy male subjects 20 to 29 years of age volunteered for the study. Lateral stabilizer right gluteus medius activity was assessed using EMG while the right lower extremity maintains single limb support, and the left upper extremity elevation movement maintains 5 seconds without load, 1RM to 1 repetition, 5RM to 5 times, 10RM to 10 times, 5RM and 10RM maintain 5sec. Results: Comparison of the mean value of EMG data showed a statistically more significant difference in upper extremity elevation movement on opposite upper extremity added weight than one that was not added on a single limb weight bearing posture(p>.05). Weight supported side gluteus medius activity for 1RM, 5RM, 10RM weight difference and movement repetition did not differ(p>.05). Comparison in maximum value showed statistically significant differences in not adding weight on upper limb elevation exercise and 1RM, 5RM, 10RM repeated behavior. Elevation behavior and repetition appeared over 70% of MVIC. Conclusion: Unilateral weight bearing stance added weight in the opposite upper limb elevation movement was an indirect exercise to effectively stimulate gluteus medius activity. Applying various added weight will have effective exercise on the early stages of rehabilitation because activity gluteus medius did not differ through added weight.

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학교도서관을 활용한 독서 멘토링 활동의 경험과 교훈 (Experiences and Lessons from the Reading Mentoring Programs in School Libraries)

  • 노지현;윤유라
    • 한국도서관정보학회지
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    • 제43권3호
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    • pp.239-263
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    • 2012
  • 학교도서관이 상황이 열악하다보니 학교도서관의 운영이나 독서교육과 관련하여 지역의 공공도서관에 도움을 청하는 학교가 적지 않다. 그러나 공공도서관이 처한 여러 가지 현안을 해결해 나가는 데에도 벅찬 실정에서 학교도서관 지원에 관한 업무까지 해나가야 한다는 사실에 공공도서관에서는 적지 않은 부담을 느끼고 있다. 이러한 상황에서 부산시에서는 지역대표도서관인 부산시립시민도서관과 대학의 문헌정보학과, 그리고 지역교육청이 공동으로 참여하여 '학교도서관을 활용한 독서 멘토링 활동'을 시범적으로 전개해 보았다. 이 연구는 지난 7개월 간의 경험을 토대로 학교도서관의 독서교육을 활성화하기 위한 방안으로서 독서 멘토링 활동의 효과에 대해 고찰하는데 목적을 두고 있다.

Neurotrophic Actions of Ginsenoside Rbi, Peptide Growth Factors and Cytokines

  • Masahiro Sakanaka;Wen, Tong-Chun;Kohji Sato;Zhang, Bo
    • 고려인삼학회:학술대회논문집
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    • 고려인삼학회 1998년도 Advances in Ginseng Research - Proceedings of the 7th International Symposium on Ginseng -
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    • pp.21-30
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    • 1998
  • Ginseng root has been considered to prevent neuronal degeneration associated with brain ischemia, but experimental proof in support of this speculation is limited. Moreover, few studies have compared the neuroprotective actions of ginseng ingredients with those of peptide growth factors and cytokines isf vivo. Using a gerbil forebrain ischemia model, we demonstrated that the oral administration of red ginseng powder before an ischemic insult prevents delayed neuronal death in the hippocampal CAI field and that a neuroprotective molecule within red ginseng powder is ginsenoside Rbl. The neurotrophic effect of ginsenoside Rbl, when examined in the gerbil ischemia model and in neuronal cultures was as potent as or more potent than the effects of epidermal growth factor, ciliary neurotrophic factor, erythropoietin, prosaposin, interleukin-6 and interleukin-3. Besides the protection of hippocampal CAI neurons against brain ischemia/repercussion injuries, ginsenoside Rbl was shown to prevent place navigation disability, cortical infarction and secondary thalamic degeneration in stroke-prone spontaneous hypertensive rats with permanent occlusion of the unilateral middle cerebral artery distal to the striate branches. These findings may validate the empirical use of ginseng root for the treatment of cerebrovascular diseases

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