• Title/Summary/Keyword: 치료 공간

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Ultrasonographic Findings and Usefulness in Ulnar Neuropathy at the Elbow (주관절부 척골 신경병증에서의 초음파 소견 및 유용성)

  • Kim, Dong-Hu;Cho, Chul-Hyun;Lee, Kyung-Rak
    • Clinics in Shoulder and Elbow
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    • 제15권2호
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    • pp.109-116
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    • 2012
  • Purpose: The aim of this study was to evaluate preoperative ultrasonographic findings and usefulness in ulnar neuropathy around elbow. Materials and Methods: Twenty-two patients with ulnar neuropathy were performed preoperative ultrasonogram. The route, location, thickness of the ulnar nerve and space occupying lesion through longitudinal scan were evaluated. Cross-sectional areas of the ulnar nerve were measured at the level of medial epicondyle and 3 cm proximal and distal to the medial epicondyle through axial scan. Correlations between swelling ratio of ulnar nerve and eletrophysiologic study and preoperative Dellon's assessment were checked. Results: In 21 cases (95.6%) of total 22 cases, diffuse swelling of the ulnar nerve around elbow were identified. 4 cases had space occupying lesions including 3 ganglionic cysts and 1 heterotopic ossification. Cross sectional areas at the level of medial epicondyle were significantly larger than at the level of 3 cm proximal and distal to the medial epicondyle (p<0.05). There were no statistically significant correlations between swelling ratio of ulnar nerve and eletrophysiologic study and preoperative clinical assessment (p>0.05). Conclusion: This study showed that ultrasonography was helpful to detect etiology of ulnar neuropathy around elbow such as space occupying lesion, morphological change or dislocation of ulnar nerve. It could be useful tool for diagnosis and treatment in patients with ulnar neuropathy at elbow.

Study on Physiological Summation in Peripheral Retina for Eccentric Viewing Training (중심외주시 훈련용 주변부 망막의 생리적 가중에 관한 연구)

  • Seo, Jae-Myoung;Lee, Ki-Young
    • Journal of Korean Ophthalmic Optics Society
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    • 제18권4호
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    • pp.489-493
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    • 2013
  • Purpose: This study was to investigate peripheral vision and provide people with macular degeneration with a guideline for eccentric viewing training. Methods: 30 adult subjects with normal vision took part in this study. The lateral area of $20^{\circ}$ eccentricity from the fovea of right eye was only used to measure the physiological summation. The target was sinusoidal vertical gratings within a circular aperture. The critical points in spatial and temporal summation was found to compare each other for 0.7 cpd and 3.0 cpd, respectively. Results: Critical duration and contrast sensitivity for 0.7 cpd were 540 ms and 1.1, and 315 ms and 0.98 for 3.0 cpd respectively. The critical degrees and contrast sensitivity for 0.7 cpd were $11.3^{\circ}$ and 2.8, and $5^{\circ}$ and 2.63 for 3.0 cpd respectively. Conclusions: The critical point in peripheral vision reaches relatively faster than the one in central vision. It is recommended to train the peripheral retina under the lower spatial frequency more frequently for a short time than constantly for a long time.

THE USE OF REMOVABLE APPLIANCE FOR THE CORRECTION OF MINOR IRREGULARITIES IN ANTERIOR SEGMENT (전치부의 경미한 공간부조화 개선을 위한 가철성 장치의 적용 예)

  • Kwak, Ah-Ram;Choi, Yeong-Chul;Park, Jae-Hong;Choi, Seong-Chul;Kim, Gwang-Chul
    • Journal of the korean academy of Pediatric Dentistry
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    • 제34권4호
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    • pp.685-693
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    • 2007
  • Class I malocclusion without skeletal problem results from tooth size/arch-size discrepancies, either evidenced by crowding, or spacing problems. Treatment method can be chosen according to dentition, the amount of arch discrepancy, patient compliance, or patient demands. We report of clear aligner and spring aligner that can be applicated in cases of permanent dentition with minimal arch discrepancy in anterior segment. There are some limits of application, but these are very useful appliances in the selective case. When crowding exists, definitive analysis and diagnosis should be made before starting treatment because certain amount of space must be obtained somewhere in the dentition to resolve the crowding. Therefore, appliance should be applied when lacking space is small. Also, in cases with spacing arch circumference is reduced after alignment so no problem in intermaxilla occlusal relationship must be confirmed. In case with crowding, judicious removal of interproximal enamel is indicated.

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Comparison of Push-out Bond Strengths According to Relining Procedure and Cement Type on Fiber Post (Fiber post의 Relining 방법과 시멘트 유형에 따른 Push-out Bond Strength의 비교)

  • Kang, Hyun-Young;Cho, So-Yeun;Yu, Mi-Kyung;Lee, Kwang-Won;Kim, Kyoung-A
    • Journal of Dental Rehabilitation and Applied Science
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    • 제27권3호
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    • pp.253-265
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    • 2011
  • When restoring endodontically treated teeth is the mismatch between fiber post size and post space diameter, the resin cement layer is excessively thick in post space and voids are likely to form in it, thus predisposing to de-bonding. The method to overcome this problem is to reline the fiber post with composite resin. This individual anatomic post improves the adaptation of post to root walls and decreases the resin cement thickness. The purpose of this in vivo study was to evaluate the push-out bond strength of fiber post according to relining procedure and luting agents type used for simplicity of clinical procedure. Forty-two extracted teeth were divides into six groups.(n=7) A1: relined fiber post cemented with Luxacore/all-bons 2, A2: non-relined fiber post cemented with Luxacore/all-bond2, B1: relinind fiber post cemented with Calibra/XP-bond, B2: non-relined fiber post cemented with Calibra/XP-bond, C1: relined fiber post cemented with RelyX Unicem, C2: non-relined fiber post cemented with RelyX Unicem Push-out bond strength was affected by interaction between relining procedure and luting agent type. Relined fiber post presented higher push-out bond strength value than non-relined fiber post and statically significant differences(p<0.05) Cementation with RelyX Unicem showed significantly higher bond strength than other luting agents(p<0.05).

ORTHODONTIC TRACTION OF IMPACTED MANDIBULAR SECOND PRIMARY MOLAR (매복된 하악 제2유구치의 교정적 견인)

  • Kim, Min-Jung;Lee, Sang-Ho;Lee, Nan-Young;Jang, Hyang-Gil
    • Journal of the korean academy of Pediatric Dentistry
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    • 제38권3호
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    • pp.303-308
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    • 2011
  • Tooth impaction refers to situations in which the eruption is inhibited by some physical barriers in eruptive path and the tooth remains unerupted beyond the normal time of eruption. The etiology of impacted tooth is controversial, but ankylosis has been suggested probably as a leading role. Impacted primary molars may cause several problems such as space loss, tipping of adjacent teeth, supra-eruption of the antagonists, dislocation of succeeding premolar, cystic change and infection. As one of conventional treatments of impacted primary molars, early tooth extraction or surgical extraction following space regaining when there is space loss has been suggested. However, when they are in normal formation and not ankylosed, orthodontic traction following surgical exposure can be the choice of treatment. In this case, a 3-year-old boy was referred to the department of pediatric dentistry for the unerupted mandibular right second primary molar. After surgical removal of gingiva on the occlusal surface, orthodontic traction was performed. After treatment, we could get normal alignment of primary teeth and the opportunity for normal development of permanent teeth.

Full Mouth Rehabilitation in a Patient with Limited Restorable Space (수복 공간이 부족한 환자에서의 완전구강회복)

  • Lim, Kwang-Gil;Kim, Dae-Gon;Cho, Lee-Ra;Park, Chan-Jin
    • Journal of Dental Rehabilitation and Applied Science
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    • 제26권2호
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    • pp.145-156
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    • 2010
  • Loss of posterior support may cause overloading and excessive wear of remaining teeth. Moreover, the extrusion of antagonistic teeth leads to the destruction of the occlusal plane. The loss of vertical dimension of occlusion (VDO) also emerges clinically, which may bring the loss of esthetic appearance and function. These patients who suffer from the loss of posterior support, often require vigorous periodontal treatments (osteotomy, crown lengthening) and extensive oral rehabilitation. Sixty three years old female patient visited for the prosthetic treatment of the posterior edentulous area. She had no other systematic disease and parafuctional habits for prosthetic treatment. Intraoral and radiographic examinations were done. The evaluation of VDO and vertical dimension of rest position were evaluated for proper prosthetic procedures and diagnostic wax up was done. As a result of diagnosis, VDO was increased by 2 mm considering the loss of VDO and space for the prosthetic treatment. After the pretreatments, initial preparation of teeth and provisionalization were carried out. Six weeks later of provisionalizaion, final preparation and impression was performed. Using the duralay resin copings, jaw relation was registered. The master cast was mounted and definitive restoration was fabricated. After the evaluation of esthetic and function, pick up impression for clinical remounting was done. Lucia jig was made for new jaw relation and occlusal adjustment on the articulator. Definitive restoration was delivered and the patient was periodically recalled for additional occlusal adjustment. From this case, the satisfactory functional and esthetic results through full mouth rehabilitation with increase vertical dimension were achieved.

An Evaluation of Effectiveness of Scalp Acupuncture on Post-stroke Dysarthria Group through Graphed Vowel Space (두침치료를 시행한 중추성 마비 말장애(Dysarthria) 환자의 모음 공간 평가)

  • Shin, Yoo-Jeong;Park, Jong-Hyuck;Baek, Kyung-Min;Chang, Woo-Seok;Choi, Yang-Kyu
    • The Journal of Internal Korean Medicine
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    • 제29권2호
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    • pp.413-420
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    • 2008
  • Objective : To investigate the therapeutic effect of scalp acupuncture on dysarthria after stroke. Methods : A-B model in single subject research. The experimental group of 7 members received scalp acupuncture and the control group of 5 nothing for dysarthria itself. Five single vowels were recorded by voice recorder and measured for 1st & 2nd formant. By the formants, a vowel space was made according to each one of the patients. Praat program was used for evaluation. Results : 4 cases in the experimental group showed significant change and just 1 case of the none-operated group got better. Conclusion : In this study, it's proven that acupuncture treatment might have positive efficacy on dysarthria cases. At this moment, more clinical reports are needed for objective oriental medical study.

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Performance measurements of Positron Emission Tomographs using NEMA NU 2-2007 (NU 2-2007을 이용한 PET/CT 성능평가)

  • An, Hye-Sun;Park, Hoon-Heu;Jin, Gye-Hwan
    • Journal of the Korean Society of Radiology
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    • 제3권3호
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    • pp.13-21
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    • 2009
  • PET/CT is a machine for imaging in vivo functions or metabolic activities after the administration of radiopharmaceuticals labeled with radioisotope emitting positrons in the body. Recently the number of PET/CT installed in Korean medical institutions is increasing rapidly. In response, the number of PET/CT tests to be used in the diagnosis and treatment of tumors is also increasing every year, and this is increasing the necessity for developing the methods of PET/CT performance evaluation and quality control. Among the test items for the performance evaluation and quality control of PET/CT suggested in NU 2-2007, this study examined spatial resolution test, sensitivity test, image quality, attenuation accuracy & scatter correction test, scatter fraction, count losses and randoms test and accuracy( correction for count losses and randoms).

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Who Am I ? (자아성찰 프로젝트 "Who?")

  • Kim, Dae-Yong;Park, Ji-In
    • Proceedings of the Korean Society of Computer Information Conference
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    • 한국컴퓨터정보학회 2013년도 제47차 동계학술대회논문집 21권1호
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    • pp.329-331
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    • 2013
  • 본 어플은 사회적 문제를 기술적 패러다임에 맞춰 해결하고자 기획되었다. 일반적으로 자기 자신의 문제점보다 다른 사람의 문제점이 더 쉽게 보이고 인식하게 된다. 작은 문제로 볼 수 있지만 최근 사회적 문제로 발생하고 있는 "따돌림" 문제는 인간의 존엄성마저 잃어버리게 하고 있다. 친구들의 문제뿐 아니라 부모와 자식, 형제, 자매 등 가족들과의 의사 단절 등으로 확대되고 있으며, 이런 문제를 해결하기위하여 많은 노력들을 하고 있지만, 실제 치료의 시간도 오래 걸리고 많은 금전도 필요하게 된다. 이렇기에 최근 트랜드의 축이 되고 있는 "스마트폰"을 활용하여 시간적, 공간적 제약을 최소화하고 더불어 수익성을 고려하여 "WHO"의 어플을 기획하게 되었다. 특히, 사후문제 처리가 아닌 "예방"의 목적으로 상대방의 문제점을 파악하는 것과 자신의 문제점을 인지하고 해결하는데 중점을 두었다. 내가 아닌 지인이 나에 대한 평가를 보다 객관적인 평가를 하기 위하여 대상자를 자신의 스마트폰 주소록에 한정하였으며, 악위적인 댓글 등을 최소화하기 위하여 금지어, 입력글자 개수제한 등을 추가하였다. 평점을 줄 수 있게 하여 상대적이고 객관적인 점수로 자신의 평점을 알 수 있게 하였고 보다 빠른 인지를 위하여 별모양의 그래픽을 사용하여 평가하도록 하였다. 특히, 본 어플은 설치자만이 사용할 수 있기 때문에 주소록에 있는 명단에서 "초대하기"기능으로 설치를 유도하였다. 본 어플을 개발 후 2주간의 테스트를 통하여 어플의 기대효과에 대한 가능성에 대해 확인할 수 있었으며 추가로 개발될 어플에는 분야별 항목을 추가하여 보다 섬세한 자아평가를 가능하도록 기획하고 있다.

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Pneumomediastinum and Subcutaneous Emphysema after Dental Treatment (치과 수술 후 발생한 종격동 기종과 피하기종)

  • Cha, Yong-Hoon;Kim, Bum-Joon;Kim, Chang-Wan;Narm, Kyoung-Shik;Lee, Doo-Yun;Haam, Seok-Jin
    • Journal of Chest Surgery
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    • 제43권6호
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    • pp.797-799
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    • 2010
  • The pneumomediastinum after a dental treatment occurs rarely and shows almost good prognosis, however it is potentially life-threatening complication. Here we report a case of pneumomediastinum, occurred by air bubbles originated from dental high speed equipment, via head and neck fascial space with literatures review.