• 제목/요약/키워드: Adjustment joint

검색결과 94건 처리시간 0.023초

하악변위로 인한 개방교합 환자의 보철치료: 증례보고 (Approach to prosthetic treatment for patients with open bite due to mandibular displacement: Case report)

  • 서민경;지승석;고경호;박찬진;조리라;허윤혁
    • 대한치과보철학회지
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    • 제60권4호
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    • pp.420-430
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    • 2022
  • 개방교합이 있는 환자는 치아접촉 및 수직피개의 감소를 나타내며 교합평면의 부조화, 저작 곤란, 언어 장애, 외모 변화 및 정상보다 낮은 교합력을 가지는 경우가 많다. 교합이 완성된 성인에서 측두하악관절장애로 인해 발생한 개방교합은 원인요소의 제거 또는 관절상태의 안정화가 먼저 이루어진 후 교합 수정이 이루어져야 하며, 이를 위해 교정치료, 교합조정, 보철 치료, 외과적 치료법 등이 있다. 본 증례보고는 교합이 완성된 성인에서 하악의 변위로 인해 개방교합이 발생한 두 명의 환자에서 교합 변화의 원인을 추정해 보고 원인에 따라 다른 치료 접근방법에 대해 살펴 보는 것이다. 관찰한 환자 중 한 환자는 측두하악관절의 안정화 후 교합조정을 통하여 기능적인 면과 심미적인 면에서 만족스러운 결과를 얻을 수도 있었기에 보고하는 바이다.

Radiographic hand osteoarthritis in women farmers: characteristics and risk factors

  • Bohyun Sim;Jaehoo Lee;Chul Gab Lee;Hansoo Song
    • Annals of Occupational and Environmental Medicine
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    • 제34권
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    • pp.10.1-10.11
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    • 2022
  • Background: Repetitive hand use increases the risk of hand osteoarthritis (OA). This study aimed to investigate characteristics of and risk factors for hand OA in Korean women farmers. Methods: This cross-sectional study included women farmers resident in Jeollanam-do, Korea. The participants were interviewed, and radiographs were taken of both hands. Radiological hand OA was defined based on the Osteoarthritis Research Society International imaging criteria of joint space narrowing or the presence of osteophytes. The participants were divided into age groups of < 60 and ≥ 60 years. Obesity was defined as body mass index of > 25 kg/m2. Annual working time was divided into < 2,000, 2,000-2,999, and ≥ 3,000 hours. Agricultural working type was divided into rice farming and field farming. Robust Poisson regression was used to identify factors associated with radiographic hand OA, with adjustment for age, obesity, annual working time, and agricultural classification. Results: A total of 310 participants with a mean age of 58.1 ± 7.6 years, were enrolled. The prevalence of radiologically confirmed OA was 49.0%, with an OA prevalence of 39.4% the interphalangeal joint in the thumb (IP1). The prevalence of OA was higher in the distal interphalangeal joint than in the proximal interphalangeal, metacarpophalangeal, and carpometacarpal joints. The prevalence of OA varied by age, annual working time, and agriculture type. Conclusions: Korean women farmers have a high prevalence of OA, particularly in the IP1 joints. OA is associated with age, working hours, and agriculture type.

만성관절염 환자의 동통, 불편감, 우울과 대응양상의 관계 (A Study on Pain, Discomfort, Depression and Coping Patterns in Chronic Arthritis Patients)

  • 문미숙
    • 근관절건강학회지
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    • 제1권1호
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    • pp.71-87
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    • 1994
  • The purpose of this study was to assess pain, discomfort, depression and coping patterns and the relations between these in chronic arthritis patients. The sampling method was a purposive sampling technique. 1) Who have been diagnosed as having chronic arthritis and. 2) Who were at the out patients clinic of rheumatoid arthritis departments of one University hospital in seoul between september, 11, 1993 to september, 18, 1993. The instruments used for this study were Graphic Rating Scales of pain, discomfort level of the activities of daily living(ADL) developed by Lee, Eun Ok and The Beck Depression inventory. The research used to measure coping patterns was a tool developed by the present study researcher. Analysis of data was done frequency, Pearson correlation coefficients, ANOVA, regression and ANCOVA. The results were summerlized as follows ; 1. Female exceed male patients in number and onset of joint pain were more prevalent in the age groups of the 40s and the 50s. The average duration of suffering from the pain were seven years six mounths. 2. The mean pain score : The mean sensory score was 119mm and the affective score was 109mm. 3. The discomfort level of ADL, the mean score was 2.95 out of a possible score of 5.0 and depression syndrome subjects were 62.2%. 4. The coping responses for each pattern were as follows : 1) "Active coping" mean score was 2.28. 2) "Wishful coping" mean score was 2.89. 3) "Receptive coping" mean score was 3.31. 4) "Negative coping" mean score was 1.82. 5. Significant differences were found in age, religion, marriage status and the coping patterns of patients. 1) In the coping pattern of "receptive coping", the score of the age groups of the 50s were higher than that of 20s, and in the coping pattern of "negative coping", the score of the age groups of the 20s were higher than other age groups. 2) In the coping pattern of "wishful coping", the score of the christian were higher than other religion groups. 3) In the coping pattern of "negative coping", the score of the marrieds were lower than other groups. 6. Patients who scored low on factor 2, wishful coping, were much more likely to report having pain sensory than patioets scoring high on this factor. 7. Patients who scored high on factor 4, negative coping, were significantly more likely to report having pain sensory than patients scoring high on this factor. Consider overall, chronic arthritis patients report using a wide varity of strategies, certain strategies such as receptive, wishful and active coping are used frequently, whereas other strategies such as negative coping are rarely used. One of the most important finding of present study is that the reported use of coping strategies is related to adjustment to a chronic pain problem. The present study suggests that negative coping is related to poor emotional adjustment as assessed by depression, but not pain ratings. Considered overall, this pattern of findings suggests that counseling patients to decreased their use of negative coping may be useful. The present study has a number of limitations. First, the sample is restricted to chronic arthritis patients. Weather chronic pain patients suffering from other types of pain syndromes use similar coping strategies needs to be determined in subsequent research. Second, the tool of coping pattern must be studied further to obtain reliability.

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레이저 마이크로 솔더링과 솔더링 인자 (Laser Micro Soldering and Soldering Factors)

  • 황승준;황성빈;정재필
    • 마이크로전자및패키징학회지
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    • 제27권3호
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    • pp.1-8
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    • 2020
  • In this paper, the principles, characteristics and recent studies of the laser micro soldering are reviewed. The factors which influence laser micro welding and soldering are also included. Laser soldering is a non-contact process that transfers energy to solder joint by a precisely controlled laser beam. In recent electronics industry, the demands for laser soldering are increasing due to bonding for complex circuits and local heating in micro-joint. In laser soldering, there are several important factors like laser absorption, laser power, laser scanning speed, and etc, which affect laser solderability. The laser absorption ratio depends on materials, and each material has different absorption or reflectivity for the laser beam, which requires fine adjustment of the laser beam. Laser types and operating conditions are also important factors for laser soldering performance, and these are also reviewed.

Joint Adaptive Combining and Variable Tap-Length Multiuser Detector for Underwater Acoustic Cooperative Communication

  • Liu, Zhiyong;Wang, Yinghua;Song, Lizhong;Wang, Yinyin;Dai, Fusheng
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • 제12권1호
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    • pp.325-339
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    • 2018
  • In this paper, we propose a joint adaptive combining and variable tap-length multiuser detector (MUD) for amplify-and-forward (AF) underwater acoustic cooperative interleave-division multiple access (IDMA) communication system. The proposed MUD jointly realizes tap-length adjustment, adaptive combining, and multiuser detection. In contrast to the existing methods, the proposed detector can adaptively combine the received signals from different nodes at destination, and does not need the assumption that full and perfect channel state information (CSI) of all the links at the receiver is known. Moreover, the proposed detector can adaptively adjust the tap coefficient vector and tap-length of each branch according to the specific channel profile of each branch. Simulation results validate the feasibility and show the advantages of the proposed detector against existing counterparts.

침구경락 음양론의 새로운 발전, 기능적 뇌 척주요법 FCST (Functional Cerebrospinal Therapy (FCST), a New Physiologic Therapeutics Developed as Meridian Yin-Yang Balance Approach)

  • 인창식;고형균;이영진;전세일;이영준
    • Korean Journal of Acupuncture
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    • 제22권4호
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    • pp.169-174
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    • 2005
  • Objectives : Functional Cerebrospinal Therapy (FCST) is a new physiologic therapeutics developed in Korea as a meridian yinyang balance approach. The theory of yinyang balance has been at the core of health enhancement approach of meridian and acupuncture medicine ever since its start. Methods : Introductory overview of FCST is presented in relation with meridian yinynag balance theory. Results : As the temporomandibular joint (TMJ) and related tissues have direct interconnection with brainstem proprioceptive or motor systems and the face is where all the meridians converge, FCST applies a fine adjustment of the posture of TMJ as a treatment tool for neurologic conditions or meridian imbalances. Conclusions : Highly sophisticated diagnostic and therapeutic techniques to adjust various subset aspects of yinyang balance are developed within FCST, which is supposed to be one of major contributions to natural healing.

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레이저 마이크로 접합 및 솔더링 (Laser Micro-Joining and Soldering)

  • 황승준;강혜준;김정오;정재필
    • 마이크로전자및패키징학회지
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    • 제26권3호
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    • pp.7-13
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    • 2019
  • In this paper, the principles, types and characteristics of the laser and laser soldering are introduced. Laser soldering methods for electronics, metals, semiconductors are also presented. Laser soldering is a non-contact process that transfers energy to solder joint by a precisely controlled beam. Demands for laser soldering are increasing due to bonding for complex circuits and local heating in micro joint. Laser absorption ratio depends on materials, and each material has different absorption or reflectivity of the laser beam, which requires fine adjustment of the laser beam. Laser types and operating conditions are also important factors for laser soldering performance. In this paper, the performance of Nd:YAG laser soldering is compared to the hot blast reflow. Meanwhile, a diode laser gives different wavelength and smaller parts with high performance, but it has various reliability issues such as heat loss, high power, and cooling technology. These issues need to be improved in the future, and further studies for laser micro-joining and soldering are required.

Joint resource optimization for nonorthogonal multiple access-enhanced scalable video coding multicast in unmanned aerial vehicle-assisted radio-access networks

  • Ziyuan Tong;Hang Shen;Ning Shi;Tianjing Wang;Guangwei Bai
    • ETRI Journal
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    • 제45권5호
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    • pp.874-886
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    • 2023
  • A joint resource-optimization scheme is investigated for nonorthogonal multiple access (NOMA)-enhanced scalable video coding (SVC) multicast in unmanned aerial vehicle (UAV)-assisted radio-access networks (RANs). This scheme allows a ground base station and UAVs to simultaneously multicast successive video layers in SVC with successive interference cancellation in NOMA. A video quality-maximization problem is formulated as a mixed-integer nonlinear programming problem to determine the UAV deployment and association, RAN spectrum allocation for multicast groups, and UAV transmit power. The optimization problem is decoupled into the UAV deployment-association, spectrum-partition, and UAV transmit-power-control subproblems. A heuristic strategy is designed to determine the UAV deployment and association patterns. An upgraded knapsack algorithm is developed to solve spectrum partition, followed by fast UAV power fine-tuning to further boost the performance. The simulation results confirm that the proposed scheme improves the average peak signal-to-noise ratio, aggregate videoreception rate, and spectrum utilization over various baselines.

Wii 균형 게임과 자가 거울 균형 운동이 만성 뇌졸중 환자의 균형 및 무릎관절 고유수용성 감각에 미치는 효과 비교 (Comparison of the Effects of Wii Balance Games and Mirror Self-Balancing Exercises on Knee Joint Proprioception and Balance in Chronic Stroke Patients)

  • 심경섭;전혜선
    • 한국전문물리치료학회지
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    • 제24권1호
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    • pp.30-40
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    • 2017
  • Background: Many studies have reported positive results of the various mirror training and virtual reality games in improving dynamic standing balance and posture adjustment in chronic stroke patients. However, no systematic study has been conducted to compare the effects of virtual reality games and the mirror balance training. Objects: The purpose of this study was to compare the effectiveness of Wii balance games and Mirror Self-Balancing Exercises in improving proprioception of knee joint and standing balance of people with chronic stroke. Methods: Twenty patients with chronic stroke volunteered for this study. The subjects were randomly divided into a Wii balance games group and a Mirror Self-Balancing Exercises group with 10 patients in each group. Each training was performed for 30 mins a day for 4 days. In addition to the balance training, 30 mins neuro-developmental-treatment based routine physical therapy was given to both groups. Proprioception was measured using two continuous passive motion devices, and static balance was measured using a Wii balance board. Dynamic balance assessment tools included the Berg Balance Scale, Dynamic Gait Index, and Timed Up-and-Go test. Results: All measured variables before and after the experimental results showed a significant improvement in both groups (p<.05). Only the improvement of the affected knee proprioception appeared to be significantly greater in the Wii balance game group (p<.05). However, other variables did not differ between the groups (p>.05). Conclusion: The findings suggest that both Wii balance games and Mirror Self-Balancing Exercises may be helpful for improving the proprioception of knee joint and the balance of patients with chronic stroke.

A Study on the Effect of Media Education in Patients with Temporomandibular Joint Disorders

  • Min Chang;Jeong-Seung Kwon;Seong-Taek Kim;Jong-Hoon Choi;Hyung-Joon Ahn
    • Journal of Oral Medicine and Pain
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    • 제47권4호
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    • pp.198-205
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    • 2022
  • Purpose: The first-line treatment of temporomandibular joint disorders (TMDs) should include self-management and education. Self-management techniques include moist heat application, stretching, diet control, and mandibular rest position adjustment. Although the effectiveness of video educational resources has been studied in multiple sectors, their application in TMD management has not yet been explored. This study seeks to assess how effective media education was at motivating TMD patients to self-management and improve symptoms. Methods: Data were obtained from the hospital records of TMD patients who visited the Department of Oral Medicine, Yonsei University Dental Hospital, between May 2020 and December 2021. First, without any differences between groups, a significance analysis was conducted between the degree of self-management and symptom improvement over time. At the second visit, one group received media education (n=31) linked to TMD management, while the other received written-oriented education (n=45). At the third visit, the number of precautions taken by the patients was determined and contrasted to that recorded in the previous visit between the groups. Generalized estimated equation multivariate models were applied for statistical analysis. Results: In the media education group, the frequency of stretching and the number of patients on pain-free diets increased substantially. Taking precautions improved daily pain intensity, maximum mouth opening, and pain intensity during the maximum unassisted opening. Conclusions: Media education could be beneficial for TMD patients because it allows them to take self-management precautions. The symptoms of the media education group improved, with no considerable distinction between both groups.