• 제목/요약/키워드: Adult treatment

검색결과 1,875건 처리시간 0.023초

Treatment of anterior open bites using non-extraction clear aligner therapy in adult patients

  • Suh, Heeyeon;Garnett, Bella Shen;Mahood, Kimberly;Mahjoub, Noor;Boyd, Robert L.;Oh, Heesoo
    • 대한치과교정학회지
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    • 제52권3호
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    • pp.210-219
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    • 2022
  • Objective: The purpose of this study was to examine the effectiveness and mechanism of clear aligner therapy for the correction of anterior open bite in adult nonextraction cases. Methods: Sixty-nine adult patients with anterior open bite were enrolled and classified into Angle's Class I, II, and III groups. Fifty patients presented with skeletal open bite (mandibular plane angle [MPA] ≥ 38°), whereas 19 presented with dental open bite. Fifteen cephalometric landmarks were identified before (T1) and after (T2) treatment. The magnitudes of planned and actual movements of the incisors and molars were calculated. Results: Positive overbite was achieved in 94% patients, with a mean final overbite of 1.1 ± 0.8 mm. The mean change in overbite was 3.3 ± 1.4 mm. With clear aligners alone, 0.36 ± 0.58 mm of maxillary molar intrusion was achieved. Compared with the Class I group, the Class II group showed greater maxillary molar intrusion and MPA reduction. The Class III group showed greater mandibular incisor extrusion with no significant vertical skeletal changes. Conclusions: Clear aligners can be effective in controlling the vertical dimension and correcting mild to moderate anterior open bite in adult nonextraction cases. The treatment mechanism for Class III patients significantly differed from that for Class I and Class II patients. Maxillary incisor extrusion in patients with dental open bite and MPA reduction with mandibular incisor extrusion in patients with skeletal open bite are the most significant contributing factors for open bite closure.

예방처치경험이 진료만족도 및 치과공포도에 미치는 영향 (The Effect of Preventive Treatment Experience on Treatment Satisfaction and Dental Fear)

  • 김수경
    • 디지털융복합연구
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    • 제15권10호
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    • pp.485-492
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    • 2017
  • 본 연구는 성인의 예방처치경험 여부가 진료만족도 및 치과공포도에 미치는 융복합적인 영향을 확인하고자 수도권에 거주하는 20세 이상 성인 292명을 대상으로 2017년 1월부터 4월까지 설문조사를 실시하였다. 수집된 자료는 SPSS 22.0 프로그램을 이용하여 $x^2-test$, t-test(검증), 다중회귀분석(multiple regression analysis)을 실시하였다. 성인의 예방처치경험은 불소도포가 가장 많았으며, 불소도포경험이 있는 경우 진료만족도가 높게 나타났다. 한편 예방적 스케일링경험이 있는 경우 치과 공포도는 낮게 나타났다. 다중회귀분석을 한 결과 진료만족도에 영향을 미치는 변수는 불소도포경험이었으며, 치과공포도에 영향을 미치는 변수는 구강건강상태, 예방적 스케일링경험으로 나타났다. 본 연구의 결과는 예방처치경험이 있는 경우 진료만족도는 높아지고 치과공포도는 낮아지는 것을 확인하였으므로 구강건강교육을 통한 예방처치의 중요성을 국민에게 인식시키고 치과예방처치 서비스를 제공함으로써 구강건강증진 향상을 기대할 수 있을 것이다.

이혈요법이 여학생의 생리통과 월경곤란증에 미치는 효과 (Effect of the Auriculotherapy on Dysmenorrhea in School-aged Girls)

  • 박상연
    • 성인간호학회지
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    • 제22권5호
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    • pp.529-536
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    • 2010
  • Purpose: This study was designed to identify the effect of auriculotherapy on low abdominal pain and dysmenorrhea in school-aged girls. Methods: This design was a pre and post-test with nonequivalent groups. The subjects were 71 girls who were middle school students with dysmenorrheal (35 students for the treatment group and 36 students for the comparison group). The subjects of the treatment group received auriculotherapy once a week for 10 weeks. The comparison group received instruction on auriculotherapy and was requested waiting for the order. Results: The treatment group reported significantly less low abdominal pain than the comparison group. However, there were not statistical differences in reported dysmenorrhea. In future analysis, 60.0% of the treatment group reported more physical comfort, and 45.7% reported more emotional cool down. Conclusion: The finding indicate that auriculotherapy could be effective in decreasing low abdominal pain during menstrual periods. Therefore, auriculotherapy could be an effective nursing intervention for low abdominal pain occurring during mensuration. However, further studies need to be done to support auriculotherapy as effective.

영감오미강신하탕(苓甘五味薑辛夏湯)을 투여한 천식 환자 1례 (A Case Report of Asthma Treated with Yeonggamomigangshinha-tang)

  • 손아현;고지윤;박아름;신현수
    • 대한한방내과학회지
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    • 제39권2호
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    • pp.184-191
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    • 2018
  • Objectives: This study evaluated the effects of traditional Korean medicine treatment on a patient with asthma. Methods: A patient was treated with acupuncture, herbal medicine, and cupping. The effect of treatment was evaluated via the quality of life questionnaire for adult Korean asthmatics (QLQAKA), the visual analog scale (VAS), and night awakening frequency. Results: After treatment, improvements were observed. The total QLQAKA score increased from 36 to 50. Conclusions: This study observed that traditional Korean medicine treatments are effective in caring for a patient with asthma.

The Effects of NOG-YONG Aqua-Aqupuncture Solution on Cytotoxicities in Primary Culture of Adult Rat Hepatocytes

  • Byun, Boo-Hyeong;Jeong, Hye-Kwang
    • 한국식품위생안전성학회:학술대회논문집
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    • 한국식품위생안전성학회 2002년도 춘계학술발표대회 및 심포지움
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    • pp.147-147
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    • 2002
  • This experimental study was carried out to investigate on the safety of Nog-yong aqua-acupuncture solution in primary culture of adult rat hepatocytes. Primary culture of adult rat hepatocytes has been considered as a ideal model for toxicological studies because cultured hepatocytes maintained many liver-specific functions. In this research, we investigated the effects of Nog-yong aqua-aqupunture(1-10$\mu\textrm{g}$/ml) on cytotoxicites in primary culture of adult rat hepatocytes using LDH release assays. Hepatic glutathione level. glutathione-S-transferase activity, and albumin synthesis were not affected by treatment with Nog-yong aqua-aqupuntur alone. Nog-yong aqua-aqupuncoure solution(0.5-$10{\mu}\textrm{g}$/ml) on cytotoxicites in primary culture of adult rat hepatocytes using LDH release not significantly affected normal functional charaterists.

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Living Experiences of Indian Adult Cancer Survivors - a Brief Report

  • Mohanti, Bidhu Kalyan;Kaur, Jaspreet
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권2호
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    • pp.507-512
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    • 2015
  • Background: This pilot study looked into the physical, social, psychological and economic issues of Indian adult cancer survivors. Materials and Methods: Assumed cancer free patients, after cancer directed therapy (CDT), were assessed on the basis of a questionnaire developed by the investigators. The mental status of the survivors was elicited by modified MINI international neuro-psychiatric interview. This cross sectional assessment was conducted as a direct interaction with each patient for 30 to 45 minutes at a cancer hospital in 2012. Results: Thirty one adult cancer survivors participated in this study. Median age was 53 years with a median follow up duration of 21.8 months (Range 2.3-194.1 months). The majority (68%) did not receive financial support for treatment. Median interval after CDT to start of activity of daily living was 1.5 months (range: 0-24 months). Fatigue and loss of appetite were reported by 52% and 29% respectively. The cancer diagnosis and its treatment adversely impacted the financial condition in 42% of patients. Nineteen percent each showed social anxiety and post-traumatic stress disorder and another 13% patients reported depression. Conclusions: This prospective assessment highlights survivorship issues and the need to address those issues particularly in the context of developing countries where resources and manpower are limited.

소아 결핵과 약제 내성 (Pediatric tuberculosis and drug resistance)

  • 김예진
    • Clinical and Experimental Pediatrics
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    • 제52권5호
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    • pp.529-537
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    • 2009
  • Drug-resistant tuberculosis in children has important implications for both the patients and tuberculosis control programs. In Korea, among all new patients, the isoniazid resistance rate was 9.9% and multidrug-resistant tuberculosis rate was 2.7% in 2004 (in patients aged 10-19 yr, the multidrug-resistant tuberculosis rate reached 2.1%). Tuberculosis in pediatric patients is difficult to diagnose because many children have nonspecific clinical signs and the detection rates of acid-fast bacilli smears and cultures are low. Therefore, every effort should be made to identify adult sources and obtain information on drug susceptibility because symptomatic adult patients have a higher chance of culture positivity and drug-susceptibility patterns are the same in most adult-child pair patients. Korean children are at significant risk of drug-resistant tuberculosis. As the isoniazid resistance rate is greater than 4% among the new cases in Korea, a four-drug regimen should be considered for initial treatment of children with active tuberculosis, unless drug-susceptibility test results are available. Treatment of drug-resistant tuberculosis in children is challenging and there are only few available data. Tuberculosis control programs should be continuous with specific focus on pediatric populations because they can serve as reservoirs for future active cases. Further studies are needed regarding treatment of drug-resistant tuberculosis in children.

건강한 성인에서 반복적인 관절 내 스테로이드 주사 후 발생한 진균성 슬관절염의 관절경적 치료 - 증례 보고 - (Arthroscopic Treatment of Fungal Knee Arthritis after Repetitive Intraarticular Steroid Injection in a Healthy Adult - A Case Report -)

  • 백승훈;박창민
    • 대한관절경학회지
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    • 제16권2호
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    • pp.180-184
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    • 2012
  • 진균에 의한 감염성 관절염은 면역 억제 치료자, 약물 남용자, 장기간의 항생제 투여자 등에서 발생하는 드문 질환으로 특히 건강한 성인에서의 감염은 매우 드물다. 진균에 의한 슬관절의 감염성 관절염은 국내에서 2예의 보고가 있으나, 건강한 성인에서 발생한 진균성 슬관절염은 아직 보고된 바가 없는 실정이다. 이에 저자들은 건강한 성인에서 반복적인 관절 내 스테로이드 주사 후 발생한 진균성 관절염 및 이와 동반한 슬와낭종의 관절경적 치료를 경험하여 문헌 고찰과 함께 보고하는 바이다. 진균성 슬관절염은 특징적인 임상상이 없는 드문 질환으로, 진단에 있어 어려움이 있으므로 면밀한 관찰과 주의를 요한다.

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중풍 조기검진 환자의 혈중지질에 대한 연구 - NCEP Adult Treatment Panel III를 중심으로 - (Study for Serum Cholesterol Level with Patients on Premature Examination of Stroke - Based on National Cholesterol Education Program Adult Treatment Panel III -)

  • 장문원;최성환;조현경
    • 동의생리병리학회지
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    • 제24권4호
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    • pp.716-721
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    • 2010
  • The aim of this study is to investigate the serum cholesterol level of patients who visited Oriental Hospital of Daejeon University to predict stroke, in Korea. In the time of period June 15th 2009 to June 20th 2009, 45 patients visited Oriental Hospital of Daejeon University to check the risk of stroke. We checked their blood to find out the serum cholesterol level and investigated their past history according to Adult Treatment Panel III guidelines. Male has higher risk of coronary heart disease than the female. The average of the total serum cholesterol of the participants was lower than the average of Korean. The percentage of the participants who have less HDL-cholesterol than 40 mg/dL was 33.3% and this result is less than the average percentage of Korean. Only 8.9% of the participants were placed in group who need to use lipid-lowering drug to reduce the lipoprotein density. Checking the characters of the person is necessary to use lipid-lowering drugs. This study can be the baseline data of actual condition of serum cholesterol level.

Comparison of Clinical Symptoms and Psychological Profiles of Temporomandibular Joint Osteoarthritis between Juveniles and Adults

  • Kim, Hyoung-Jun;Jang, Ji-Hee;Chung, Jin-Woo
    • Journal of Oral Medicine and Pain
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    • 제41권2호
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    • pp.48-53
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    • 2016
  • Purpose: The purpose of this study was to compare the differences in clinical signs and symptoms, and psychological profiles of temporomandibular joint osteoarthritis (TMJ OA) between juvenile and adult patients. Methods: Two-hundred eighty-three TMJ OA patients who visited the Orofacial Pain Clinic of Seoul National University Dental Hospital were classified by juvenile (153 patients; mean age $14.2{\pm}1.7$ years, range 9-16 years) and adult (130 patients; mean age $34.0{\pm}2.8$ years, range 30-40 years) groups, and compared the clinical symptoms based on the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) axis I guidelines including Graded Chronic Pain (GCP) scale, mandibular range of motion, and the associated symptoms. Psychological profiles were also evaluated using the Symptom Checklist 90-Revision (SCL-90-R). Results: Juvenile patients reported lower pain intensity and a lower prevalence of headache and clenching than adult patients. Their mandibular range of motion was also higher than adult patients. Juvenile patients showed a lower percentage of patients with T-score above 50 in somatization (SOM), obsessive-compulsive (O-C), interpersonal sensitivity (I-S), and paranoid ideation (PAR) than adults. Based on the GCP scale, the percentage of the high disability group was lower in juveniles. Conclusions: Juvenile TMJ OA patients generally showed milder clinical symptoms than adults. Adult patients showed higher prevalence of psychological problems and higher disability than juvenile patients. Age should be considered in evaluation and treatment of TMJ OA patients to achieve better treatment results and understanding its pathophysiology.