• 제목/요약/키워드: Medical appliance

검색결과 109건 처리시간 0.027초

유치열기 3급 부정교합 환아에서 facemask의 효과와 재발 양상 (THE EFFECT AND RELAPSE PATTERN OF FACEMASK THERAPY FOR CLASS III MALOCCLUSION CHILDREN)

  • 김지연;유승은;이지현;박기태
    • 대한소아치과학회지
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    • 제36권3호
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    • pp.420-426
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    • 2009
  • 본 연구의 목적은 유치열기 3급 부정 교합 환아에서 facemask를 이용한 악정형 치료 후 골격적 변화와 치료 후 나타나는 재발 양상을 평가하는 것이다. 유치열기 3급 부정교합 환아 15명을 대상으로 구내장치로 bonded expander, 구외장치로 facemask를 이용한 악정형 치료를 평균 12 개월 동안 시행하였으며, 1년 간의 follow-up 기간 동안 유지 장치는 사용되지 않았다. 치료 시작 전, 치료 직후, 치료 1년 후에 측면두부방사선사진을 촬영하고 전후방 및 수직적 골격관계와 연조직의 변화를 비교분석하였다. 모든 환아에서 치료 직후, 유의할 만한 골격적 전후방 관계의 변화를 보였고 1년 간의 follow-up 기간 동안 재발되는 경향을 보였으나 치료 시작 전과 비교하여 치료 효과는 유지되었다. 수직적 골격적 변화는 치료 직후 증가되었으나 1년 간의 follow-up 기간 동안 다시 감소하여 치료 시작 전과 비교하여 차이를 보이지 않았다. 연조직의 변화는 facial convexity 및 상순의 위치가 치료 직후 개선됨을 보였고 1년 간의 follow-up 기간 동안에도 치료 전과 비교하여 치료효과는 유지되었다. 하순의 위치는 치료 직후에 유의할 만한 변화를 보이지 않았다. Facemask는 유치열기 3급 부정교합에 있어서 효과적인 치료 방법이며, 안정적인 치료 결과를 위해서는 적절한 형태의 유지장치가 고려되는 것이 바람직하다.

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기능적 뇌척주요법을 병행한 한방치료가 턱관절 장애가 있는 교통사고 환자에 미치는 영향 (The Effect of Korean Medical Treatments with Functional Cerebrospinal Therapy on Patients from Traffic Accidents with Temporomandibular Joint Disorder)

  • 서연주;서종철;김신영;윤현민;장선희;송춘호;이영준;조성우;강석환;김철홍
    • Journal of Acupuncture Research
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    • 제33권4호
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    • pp.149-163
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    • 2016
  • Objectives : The purpose of this study is to determine the effect of Functional Cerebrospinal Therapy(FCST) on patients from traffic accidents with Temporomandibular Joint Disorder. Methods : We reviewed the medical records of 33 patients who were treated for injuries stemming from traffic accidents at the Dong-Eui University Korean Medicine Hospital from December 29th, 2015 to August 29th, 2016. The patients were divided into 2 groups: Group A(n = 15) and Group B(n = 18). In Group A, patients received Korean medical treatments with FCST using an Accurate Balancing Appliance(ABA) - a standard intra-oral appliance. In Group B, patients received Korean medical treatments without FCST. To estimate the efficacy of the treatments in decreasing pain, we analyzed the Visual Analogue Scale(VAS), Neck Disability Index(NDI) and Oswestry Disability Index(ODI). Results : In Group A, VAS of headache(VAS H), VAS of neck & nuchal pain(VAS N), VAS of shoulder pain(VAS S), and VAS of low back pain(VAS L) were significantly improved during each period. In Group B, VAS H was significantly improved during each period, except the period from the first visit to two weeks later. VAS N, S, L were significantly improved during each period, except the period from the first visit to one week later. The total VAS improvement during each period in Group A was significantly higher than Group B. In both groups, NDI and ODI were improved significantly during each period. The improvement of NDI and ODI during each period in Group A was significantly higher than Group B. Conclusion : According to the results, FCST using ABA may be an effective treatment for patients from traffic accidents.

맥진기술동향 조사를 통한 맥진기 개발방안 제안 (Suggestion on an Innovative Pulse Diagnosis System based on Technical Trend Analysis)

  • 이유정;이전;김종열
    • 동의생리병리학회지
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    • 제23권1호
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    • pp.174-179
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    • 2009
  • Arterial pulse palpation is an important diagnostic method in Oriental Medicine, particularly for obtaining information about a patient's health conditions or illness, or for confirming a diagnostic conclusion based on the patient's pulsation. The pulse analyzer is both a leading Oriental Medical equipment and a promising tool with such a strong industrial ripple effect that it was selected as one of the four strategic tools for world Oriental Medical instrument market domination at a recent survey. Although various pulse analyzers had been developed, however, most of these were not widely used for clinical diagnosis, due perhaps to lack of the appliance's reliability caused by its inability to reflect the requirements of the clinicians. Thus, in this thesis, the clinical requirements for the pulse analyzer were identified and analyzed by conducting a questionnaire survey among Oriental Medicine clinicians. By looking into the basic functions of a pulse analyzer, the required measurement time, and the medical insurance fee required were determined and among others, the appliance's specific requirements were determined. Moreover, by investigating on the latest patent trend, the technical elements that are needed for the development of a next-generation pulse analyzer were identified. Through these processes, the flow of the technology that must be developed for the pulse analyzer was determined, and the direction for the development of the specific pulse analyzer hardware, sensor, and diagnostic algorithm was identified and proposed.

체내 이식형 의료기기의 보안성 향상을 위한 3-Tier 보안 메커니즘 설계 (Design of 3-Tier Security Mechanism for Improving Security of the Implantable Medical Devices)

  • 안승현;박창섭;박주호
    • 융합보안논문지
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    • 제14권3_1호
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    • pp.11-19
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    • 2014
  • 의료기술 및 IT 기술의 급격한 발전으로 인해 체내 이식형 의료기기와 같은 융합 의료기술에 대한 관심이 날로 증가하고 있다. 하지만, 체내 이식형 의료기기와 같은 새로운 형태의 의료서비스는 무선통신을 통해서 제공되고 있기 때문에 무선통신에서 발생가능한 개인정보 위협을 포함한 다양한 보안 취약점에 관한 문제 역시 중요 이슈로 떠오르고 있다. 특히, 이러한 의료서비스에서의 보안상 취약점은 환자에게 치명적인 위협으로 다가갈 수 있기 때문에 더욱 안전한 방식의 보안성 제공이 요구된다. 본 논문에서는 현재 제공되고 있는 체내 이식형 의료기기를 이용한 의료서비스에 서 발생할 수 있는 보안상 취약점들을 지적하고 이에 대응하기 위한 보안 메커니즘을 제안한다.

FCST의 음양균형장치를 활용 삼차신경통 증례보고 (Trigeminal Neuralgia Cases Managed by Yinyang Balancing Appliance of FCST, a TMJ Therapy for the Balance of Meridian and Neurological System)

  • 이영준;이상배;박민철;이화정;인창식
    • 턱관절균형의학회지
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    • 제5권sup호
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    • pp.11-18
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    • 2015
  • 본 증례에서는 극심한 삼차신경통 진단을 받고 안면부와 턱관절 통증으로 일상생활이 어려워 항간질약과 수술적 치료를 받았지만 통증이 개선되지 않던 환자에게서 음양균형장치를 포함한 자세조절훈련, 침치료 등 구조적 치료를 통해서 유의한 자각적 증상 개선뿐만 아니라 턱관절의 구조적 개선이 나타남을 관찰하였고, 요통과 경항통 및 비염 같은 제반 증상들의 호전과 척추의 구조적 개선이 관찰되었다.

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12~19세기 한의학 고전문헌에 나타난 턱관절 구강내장치에 대한 고찰 (Intraoral Appliances in the Medical Classics of 12th to 19th Centuries)

  • 이영준;이상배;최근욱;인창식
    • 턱관절균형의학회지
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    • 제4권1호
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    • pp.1-4
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    • 2014
  • Objectives: Intraoral appliances (IOA) are applied in the clinical practice of Korean medicine to improve the balance between yin and yang of the body such as temporomandibular joint balancing medicine. Historical examples of IOA were not well known. This study reports prototype IOA's described in medical classics. Methods: Several medical classics of 12th to 19th centuries were narratively reviewed for prototypical descriptions of IOA's in the context of clinical practice. Results: IOA's in the medical classics reviewed adopted such materials as bamboo, chopsticks, and coins that were adjusted in the height and were used as a temporary IOA's with response of the patient being monitored. IOA's were applied integratively with herbal medicine for diverse complaints such as pain, hearing problem, cough, asthma, and rhinorrhea. Conclusions: Prototype IOA's in the medical classics suggest an individualized, integrative, and holistic principle and usage of IOA's in the tradition of Korean medicine.

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생쥐의 하악 치아 절단으로 인한 부정교합이 뇌경색에 미치는 영향 (Effect of Tooth-Cut Induced Dental Malocclusion on Mouse Model of Ischemic Stroke)

  • 이영준;이병호;조수인
    • 턱관절균형의학회지
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    • 제9권1호
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    • pp.4-11
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    • 2019
  • Objectives: Although intraoral balancing appliance therapy has been used effective to several diseases, verification studies through cerebral diseases are poorly reported so far. Thus we investigated the effect of tooth-cut induced dental malocclusion against mouse model of ischemic stroke. Methods: Tooth-cut and 90 min middle cerebral artery occlusion (MCAO) were loaded to C57BL/6 male mice, and total infarct area, neurological deficit scores (NDS), histological change of hippocampal region were observed. Production levels of reactive oxygen species (ROS) and inducible nitric oxide synthase (iNOS) in cerebral tissue were also measured. Results: The longer the tooth-cut period, the greater the area of cerebral infarction caused by MCAO, and NDS began to increase as the tooth was cut, and the results were more negative when MCAO was loaded. Histological change of hippocampal cells was significant when tooth-cut was maintained for 7 days. Those damages were thought to depend on the generation of ROS and iNOS in brain tissue. Conclusions: Since tooth-cut increased total area of cerebral infarction due to MCAO in mice, it is able to be confirmed that anomaly of the temporomandibular occlusion can affect neurological diseases.

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Orthodontic treatment in a patient with Moebius syndrome: A case report

  • Lee, Sanghee;Moon, Cheol-Hyun
    • 대한치과교정학회지
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    • 제52권6호
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    • pp.451-460
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    • 2022
  • Moebius syndrome (MBS) is a congenital neurologic disorder that causes cranio-facial abnormalities. It involves paralysis of the VI and VII cranial nerves and causes bilateral or unilateral facial paralysis, eye movement disorder, and deformation of the upper and lower limbs. The orofacial dysfunctions include microstomia, micrognathia, hypotonic mimetic and lip muscles, dental enamel hypoplasia, tongue deformity, open bite or deep overbite, maxillary hypoplasia, high arched palate, mandibular hyperplasia or features indicating mandibular hypoplasia. This case report presents a 7-year-old male patient who was diagnosed with MBS at the age 2 years. The patient displayed typical clinical symptoms and was diagnosed with Class II malocclusion with a large overjet/overbite, tongue deformity and motion limitation, and lip closure incompetency. Treatment was initiated using a removable appliance for left scissor bite correction. After permanent tooth eruption, fixed appliance treatment was performed for correction of the arch width discrepancy and deep overbite. A self-ligation system and wide-width arch form wire were used during the treatment to expand the arch width. After 30 months of phase II treatment, the alignment of the dental arch and stable molar occlusion was achieved. Function and occlusion remained stable with a Class I canine and molar relationship, and a normal overjet/overbite was maintained after 9.4 years of retainer use. In MBS patients, it is important to achieve an accurate early diagnosis, and implement a multidisciplinary treatment approach and long-term retention and follow-up.

구침가(九鍼歌) 역석(譯釋) (A Translation and Annotation for Nine Classical Needles in Rhymes)

  • 손인철;안성훈;김유리;양승범;김재효
    • Korean Journal of Acupuncture
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    • 제29권3호
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    • pp.453-466
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    • 2012
  • Objectives : The purpose of this study is to make nine classical needles understood easily through interpreting Nine Classical Needles in Rhymes. Methods : The principle of classification and clinical application of Nine Classical Needle was sorted out referring to "The beginning of Nine Classical Needles in Rhymes" and "The prescription and treatment of Nine Classical Needles in Rhymes" which is the chapter of "Golden Mirror of Medicine". Results & Conclusions : The Nine Classical Needles, which were designed to get harmonious interaction between human beings and the nature, have been representative medical appliance in Korean Medicine. The needles consist of shear needle, round-pointed needle, spoon needle, lance needle, stiletto needle, round-sharp needle, filiform needle, long needle, and big needle. Nine Classical Needles in Rhymes was formed in a poem format to help us easily memorize the essential contents of Nine Classical Needles. "The beginning of Nine Classical Needles in Rhymes" dealt with the reasons of making needles and organization principles about Nine Classical Needles. "The prescription and treatment of Nine Classical Needles in Rhymes" sorted main treatment applications of nine needles, helping understand needles as medical appliance.

AlGaN/GaN HEMT의 트랩에 의한 DC 출력 특성 전산모사 (The Impact of traps on the DC Characteristics of AlGaN/GaN HEMT)

  • 정강민;김수진;김재무;김동호;이영수;최홍구;한철구;김태근
    • 한국전기전자재료학회:학술대회논문집
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    • 한국전기전자재료학회 2008년도 추계학술대회 논문집 Vol.21
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    • pp.76-76
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    • 2008
  • 갈륨-질화물(GaN) 기반의 고속전자이동도 트랜지스터(high electron mobility transistor, HEMT)는 최근 마이크로파 또는 밀리미터파 등의 고주파 대역의 통신시스템에 널리 사용되는 전자소자이자, 차세대 고주파용 전력 소자로 각광받고 있다. AlGaN/GaN HEMT에서 AlGaN층과 GaN층의 이종접합 구조(heterostructure)는 두 물질 간의 큰 전도대의 불연속성으로 인해 발생하는 이차원 전자가스(two-dimensional electron gas, 2DEG) 채널을 이용하여 높은 전자이동도, 높은 항복전압 및 우수한 고출력 특성을 얻는 것이 가능하다. 그러나 이린 이론적인 우수한 특성에도 불구하고 실제 AlGaN/GaN HEMT 소자에서는 AlGaN 표면과 AlGaN과 GaN 층 사이 접합면, AlGaN과 GaN 벌크층에 존재하는 트랩의 영향으로 이론보다 낮은 DC 출력 특성을 갖는다. 본 논문에서는 표면, 접합면, 벌크 층에 존재하는 트랩들을 각각의 존재 유무에 따라 시뮬레이션 함으로써 각각의 트랩이 DC 특성에 미치는 영향에 대해서 알아본다. 또한 소스와 게이트, 드레인과 게이트간의 거리에 따라 표면 트랩에 따른 영향과 AlGaN층과 GaN 층의 두께를 변화시켜가면서 각 층의 두께에 따라 벌크 트랩이 DC 특성에 미치는 영향을 알아보았다. 본 논문에서 트랩에 따른 특성의 파악을 위해서 $ATLAS^{TM}$를 이용하여 전산모사 하였다.

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