• Title/Summary/Keyword: Adult treatment

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Orthodontic treatment with clear aligners for a patient with chronic periodontitis

  • Zhang, Jiehua;Li, Jun;Peng, Youjian
    • The korean journal of orthodontics
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    • v.52 no.6
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    • pp.439-450
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    • 2022
  • This case report describes the treatment of an adult female patient with a history of periodontal disease, Class I malocclusion with extrusion, dental spaces, and pathologic tooth migration. The patient was treated with clear aligners, which effectively controlled the strength and direction of orthodontic forces after 3 months of systematic periodontal treatment. The Peer Assessment Rating (PAR) index was calculated from study models before and after treatment. The pretreatment PAR score was 24, and the posttreatment PAR score was 4. The PAR score for this patient changed by 83%. Satisfactory appearance and good function were achieved for this patient.

Effects of Sublethal Concentration of Insecticides On the Pupal Duration, Emergence, Adult Longevity and Oviposition of Tobacco Cutworm, Spodoptera litura (Fab.) (Lepidoptera : Noctuidae) (담배거세미나방의 유충에 처리된 살충제 아치사농도가 용기간, 우화율, 성충수명 및 산란에 미치는 영향)

  • 배순도;김현주;홍연규;조현제
    • Korean journal of applied entomology
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    • v.43 no.2
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    • pp.175-180
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    • 2004
  • This study was conducted to determine the effect of sublethal concentrations ($LC_{10}$ and $LC_{30}$) of insecticides on pupal duration, emergence, adult longevity and oviposition of tobacco cutworm, Spodoptera litura Fabricius, when 3rd instar larva of tobacco cutworm was treated with insecticides of chlorpyrifos, ethofenprox, chlorfenapyr-bifenthrin and hexaflumuron-chlorpyrifos . Pupal duration of female and male were 6.9 days and 8.0 days at untreatment, and were 7.2 to 7.6 days and 8.3 to 8.6 days at insecticide treatment, respectively. Thus pupal duration at the insecticide treatment was slightly longer than that at the untreatment, and that of the males was slightly longer than that of the females even though significant difference between sublethal concentrations and among insecticides was not observed. Percent mergence was 88% at untreatment and ranged from 79% to 95%, in particular which showed above 91% treated with chlorfenapyr-bifenthrin and ethofenprox, at insecticide treatment. Adult longevity was 7.7 days and 7.9 days for female and male at untreatment respectively, and 7.1 to 8.4 days for female and 7.7 days to 9.0 days for male at treatment. There was a significant difference between insecticides and sublethal concentrations of insecticides except showed the longest adult longevity at hexaflumuron-chlolfyrifos treatment. Total number of eggs laid were less at treatment (778-948) than that (1,010) at untreatment regardless of sublethal concentrations of insecticides. Accordingly the pupal duration and oviposition of tobacco cutworm were affected at the insecticide treatment of sublethal concentration.

One Year Follow up for Severe Adult Atopic Dermatitis of 15 Patients After Sasang Constitutional Therapy (중증 성인형 아토피 피부염을 사상처방으로 치료하여 호전된 환자 15례에 대한 1년간의 추적 관찰)

  • Yoon, Yeo-Kwang;Jang, Hae-Jin;Chou, Li-San;Song, Woo-Sup;Sun, Teh-Cheng
    • The Journal of Internal Korean Medicine
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    • v.25 no.4
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    • pp.45-51
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    • 2004
  • Background : Atopic Dermatitis is a chronic and recurrent skin disease. it is characterized as itch-scratch cycle and topical or systemic use of corticosteroids is required in western medicine. Though its effects on major symptoms are impressive, these treatments are prone to several side effects and tend to recur after months or years. So potential treatments have been actively studied in Estern medicine, especially Sasang constitutional therapy, which has fewer side effects. Objectives : The purpose of this study was to examine the effect of Sasang constitutional therapy on treating severe adult Atopic Dermatitis and preventing its recurrent symptoms. Methods : fifteen patients who had severe adult Atopic Dermatitis attended treatment of Sasang constitutional therapy and were followed up for one year. An oriental internal specialist first isolated Sasang constitution and a distinctive body type. Grading of Atopic dermatitis was measured by the guidelines offered by Rajka G. and Langeland T. Results : After treatment with Sasang constitutional therapy, the patients symptoms were improved and the mean Rajka and Langeland score reduced significantly from $7.73{\pm}0.79\;to\;3.4{\pm}10.91$. During the follow-up period of one year, the mean Rajka and Langeland score was $2.72{\pm}2.06$ which was lower than last treatment. Conclusions : The results of this study support Sasang constitutional therapy as an effective therapy for severe adult Atopic Dermatitis. Follow up data suggest that this Eastern medical approach is of greater clinical value than the western medical approach in the long term.

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The Development of a Scale Assessing the Risk of Discontinuation of Tuberculosis Treatment (결핵 환자의 초치료 중단위험 사정도구 개발)

  • Choi, Jin Ok;Sung, Kyung Mi
    • Korean Journal of Adult Nursing
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    • v.27 no.2
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    • pp.156-169
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    • 2015
  • Purpose: This study identified the reasons why tuberculosis (TB) patients withhold treatment in a bid to develop a assessment scale to select patients who needs nursing intervention in the early stage and decrease the risk of discontinuation of treatment. Sample: There were two samples. A sample of 191 patients with TB and having primary treatment and a second sample of N who were under re-treatment Methods: The study design included qualitative and quantitative methods. Qualitative data were collected from in-depth interviews of TB patients under re-treatment. The quantitative data were collected from 191 patients with TB under primary treatment. Results: Exploratory factor analysis revealed 11 factors explaining 69.6% of total variance. These factors were categorized into four subgroups. A depression scale was used to establish concurrent validity. The depression scale had a positive relationship (r=54) with the discontinuing of primary treatment. The internal consistency reliability for the four subgroups was over .84. The confidence coefficient was Cronbach's ${\alpha}$ .95. The final scale was a self-reported four Likert scale including 50 items. Conclusion: Reliability and validity was established for the scale and the scale can be used to examine the risk of treatment discontinuation for TB. The scale is an important resource for nursing interventions in identifying and treating high risk clients.

The orthodontic strategies for adult patients of cleft lip and palate (성인 구순구개열환자의 교정치료 전략)

  • Kim, Jae-Hoon
    • The Journal of the Korean dental association
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    • v.53 no.7
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    • pp.450-456
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    • 2015
  • Even the adult cleft lip and palate patient who has not had timely treatment during the growth period, can be treated with orthodontic treatment without the necessity of orthognathic surgery if only the patient is treated under correct diagnosis and fitting appliances. Initially, maxillary arch form is established by constructing trifocal circles. Posterior region can be expanded and derotated laterally with pentahelix and anterior teeth are aligned with Tiggle brackets and "ㄷ"-shaped spring. Thereafter, anterior and posterior regions are consolidated. Mandibular intercanine width should be adjusted to maxillary intercanine width which was unavoidably reduced. Mandibular anterior tooth extraction will be helpful to attain proper mandibular intercanine width and better anterior dental showing.

Operative Treatment of Acquired Adult Flatfoot (후천적 성인 편평족 변형의 수술적 치료)

  • Ahn, Chi-Young;Ahn, Jae Hoon;Kim, Man-Soo
    • Journal of Korean Foot and Ankle Society
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    • v.18 no.3
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    • pp.93-99
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    • 2014
  • Acquired adult flatfoot deformity is characterized by flattening of the medial longitudinal arch and dysfunction of the posteromedial soft tissues, including the posterior tibial tendon. When the non-operative treatment fails to result in improvement of symptoms, surgery should be considered. Operative techniques include flexor digitorum longus tendon transfer, calcaneal medial slide osteotomy, lateral column lengthening, and arthrodesis of the hindfoot. The principle of correcting the deformity while avoiding overcorrection and excessive stiffness is important in achievement of good outcomes in these patients.

Effect of Juvenile Hormone Analogue(JHA) on the Adult Development of the Silkworm, Bombyx mori (유약호르몬류 투여가 누에 성충화 발육에 미치는 영향)

  • Seong, Ju-Il;Im, Bong-Hak;Gang, Hyeon-A
    • Journal of Sericultural and Entomological Science
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    • v.35 no.1
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    • pp.28-35
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    • 1993
  • Treatment of juvenile hormone analogue(JHA) at the 5th instar larvae prolonged the duration of adult development one to one and half days as well as the elongation of feeding time with the increasing of larval body weight. Morphological observation and protein analysis in hemolymphs, integuements, alimentary canals, fat bodies and ovaries also revealed that the development of these tissues and organs for adultation are affected by the JHA treatment.

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Neurogenesis in the Adult Brain (성체 뇌 조직의 신경발생)

  • Kim, Sik-Hyun;Kim, Sang-Su
    • PNF and Movement
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    • v.6 no.3
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    • pp.37-51
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    • 2008
  • Purpose : This paper focuses on the emerging concept that adult central nervous system neurogenesis can be regulated by various physical activity, enriched environment, and pathological conditions. Neurogenesis-the production of new neuron-is an ongoing process that persists in the adult brain of mammalian, including humans. Result : The adult brain was thought be limited in its regenerative function. However, this concepts changed, recent evidence of neurogenesis in certain adult brain areas such as SVZ(subventricular zone) and SGZ(subgranular zone) in hippocampus, raised possibility for improved treatment for patient with stroke. Neural plasticity has an adaptive purpose, because an ability of the brain to change in response to peripheral stimulation, physical activity, experience, and injury. Conclusions : The major function of the neurogenesis in adult brain seems to be replacing the neuron that die regularly in discrete adult brain regions. These cells are capable of functionally integrating into neighboring neural cells, and reconnecting to the correct neural networks. This review suggest that various intervention, including physical activity, voluntary movement training, skilled forelimb reaching training, and enriched environment, induced neural cell production in certain adult brain, and associated with functional recovery after stroke.

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Adjunctive buccal and palatal corticotomy for adult maxillary expansion in an animal model

  • Le, My Huy Thuc;Lau, Seng Fong;Ibrahim, Norliza;Hayaty, Abu Kasim Noor;Radzi, Zamri Bin
    • The korean journal of orthodontics
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    • v.48 no.2
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    • pp.98-106
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    • 2018
  • Objective: This study aimed to explore the usefulness of adjunctive buccal and palatal corticotomy for adult maxillary expansion in an animal model using cone-beam computed tomography (CBCT). Methods: Twelve adult sheep were randomly divided into two groups (each n = 6): a control group, where no treatment was administered, and a treatment group, where buccal and palatal corticotomy-assisted maxillary expansion was performed. CBCT scans were taken before (T1) and after (T2) treatment. Differences in all transverse dental and alveolar dimensions, alveolar width at crest level, hard palate level, horizontal bone loss, interdental cusp width and inter-root apex were assessed using Wilcoxon signed-rank and Mann-Whitney U-tests. Kruskal-Wallis tests and pairwise comparisons were used to detect the significance of differences among the inter-premolar and inter-molar widths. Results: CBCT data revealed significant changes in all transverse dental and alveolar dimensions. The mean interpremolar alveolar width showed an increase of 2.29 to 3.62 mm at the hard palate level, 3.89 to 4.38 mm at the alveolar crest level, and 9.17 to 10.42 mm at the buccal cusp level. Dental changes in the vertical dimension were not significant. Conclusions: Our findings based on an adult animal model suggest that adjunctive buccal and palatal corticotomy can allow for both skeletal and dental expansion, with the amount of dental expansion exceeding that of skeletal expansion at alveolar crest and hard palate levels by two and three folds, respectively. Therefore, this treatment modality is potential to enhance the outcomes of maxillary expansion in adults.

Aberrant Expression of Connexin Isoforms in the Corpus Epididymis of the Adult Rat by Exposure to Estradiol Benzoate or Flutamide at the Weaning Age

  • Lee, Seong-Kyu;Lee, Ki-Ho
    • Development and Reproduction
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    • v.19 no.4
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    • pp.217-226
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    • 2015
  • A proper development of the epididymis during the early postnatal development is required for successful fertility in the adult male. Direct cell-cell communication via connexin (Cx) molecules is a common way of cellular interactions to achieve normal development of a given tissue consisting of different cell types. The present research was attempted to determine the effect of exogenous exposure to estrogenic agonist or antiandrogen at the weaning age on expression of Cx isoforms in the adult corpus epididymis. Male rats were subcutaneously administrated with estradiol benzoate (EB) or flutamide (Flu) at the weaning age. The tissue was collected at 4 months of age. Expressional levels of Cx isoforms were determined by a quantitative real-time PCR. Statistical comparison showed significant increases of Cxs31, 32, 37, 40, and 43 transcript amounts by a treatment of $0.015{\mu}g$ of EB /kg body weight (BW). A treatment of $1.5{\mu}g$ of EB /kg BW caused a significant decrease of Cx43 gene expression but increases of Cxs26, 31, 32, 37, and 40 transcript levels. Exposure to $500{\mu}g$ of Flu/kg BW induced an increase of Cx37 expression but significant decreases of Cxs43 and 45 mRNA levels. Expression of Cx37 was increased by a treatment of 5 mg of Flu/kg BW, while transcript levels of Cxs26, 30.3, 31, 31.1, 32, and 43 were significantly decreased by same treatment. These results demonstrate that exposure to steroidal compounds at the early developmental age alters expression of Cx isoforms in the adult corpus epididymis.