• 제목/요약/키워드: Revision, joint

검색결과 81건 처리시간 0.023초

골격성 III급 부정교합자의 임상적 특성에 따른 심리상태 (Psychological state of the patients according to skeletal class III malocclusion symptoms)

  • 김선옥;진미영;유병철
    • 한국치위생학회지
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    • 제15권2호
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    • pp.205-216
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    • 2015
  • Objectives: The purpose of the study is to investigate the psychological state of the patients according to skeletal class III malocclusion symptoms. Methods: The subjects were 200 skeletal class III malocclusion patients. The questionnaire consisted of general characteristics, clinical manifestation, and T score of Korean version of self-rated Symptom Checklist-90-Revision modified by Jae-hwan Kim. The data were analyzed using SAS version 9.2 and t-test, ANOVA, and ANCOVA were used. Clinical manifestation included subjective recognition and radiological analysis. The subjective recognition of the patients consisted of self-satisfaction of the appearance, phonation, mastication, and temporomandibular joint pain. T score consisted of somatization, obsessive-compulsive, interpersonal sensitivity, depression, anxiety, hostility, phobic anxiety, paranoid ideation, and psychoticism. Results: The most serious factor in 9 scales was the severe TMJ pain by ANCOVA. Male patients had a higher T score in phobic anxiety, psyochoticism, somatization and depression than female patients. Those having low appearance satisfaction had the problem in interpersonal sensitivity. Obsessive-compulsive symptoms were conspicuous in phonation difficulty and temporomandibular pain. Conclusions: The patients with skeletal class III malocclusion have more satisfaction with appearance, pronunciation, and phonation than those with skeletal class III malocclusion and overjet. Proper dental treatment will improve the communication and quality of life.

국가전거데이터 공동활용에 대한 사서들의 인식에 관한 질적 탐구 (A Qualitative Study on Librarians' Recognition of the Joint Utilization of National Authority Data)

  • 이성숙
    • 한국비블리아학회지
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    • 제32권1호
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    • pp.443-467
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    • 2021
  • 이 연구는 국립중앙도서관의 국가전거공동활용시스템에 참여하여 로컬도서관의 전거데이터를 구축한 경험이 있는 사서들을 대상으로 면담을 진행하고, 국가전거데이터 공동활용에 대한 사서들의 인식과 지원 요구를 파악하는 것을 목적으로 하였다. 이를 위해 국가전거공동활용시스템 사업에 참여한 총 10명의 사서를 대상으로 반구조화된 질문지를 사용하여 전화 면담을 진행하였다. 이를 통해 국가전거데이터 공동활용의 이점, 어려움, 활용 계획, 전거형 수정 계획, 필요한 지원에 대한 의견을 조사할 수 있었다. 연구 결과 연구참여자들은 국가전거데이터 공동활용이 로컬도서관의 전거 업무에 기반을 제공하고, 업무 효율을 가져온다고 인식하고 있었지만, 전거데이터 수정, 선별, 신규작성, 지식 부족, 지원 체계 미비의 어려움을 인식하고 있었다. 국가전거데이터 공동활용을 위해 필요한 지원으로는 전거 관련 교육 및 매뉴얼 제공, 기관의 입장을 충분히 고려한 전거 관련 규칙 마련, 시스템 개발 및 유지를 위한 예산 및 인력 지원, 소통 채널 및 협의체 구축, 시스템과 데이터의 고도화, 참여도서관에 인센티브 부여가 도출되었다. 연구 결과를 토대로 향후 국가전거데이터 공동활용의 운영을 위한 방법과 방향을 제시하였다.

건초에 생긴 거대세포종에 대한 임상적 연구 (The Clinical Results of Giant Cell Tumor in Tendon Sheath)

  • 임홍철;전승주;문준규
    • 대한골관절종양학회지
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    • 제2권1호
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    • pp.60-64
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    • 1996
  • Giant cell tumor of tendon sheath is a slow-growing, unilateral and solitary lesion that is most commonly seen in the digits of the hand and knee, but occasionally occurs in the hips, ankles, toes and wrists. The lesion is asymptomatic or mildly painful, especially if it is diffuse and located in a major joint. The concepts concerning about the pathogenesis of these lesion have undergone constant revision, which include neoplastic process, inflammation and lipid metabolism. Authors analysized 20 patients with giant cell tumor of tendon sheath about the etiology, clinical findings, pathologic findings and treatment results. The results were as follows: 1. 13 cases were females (65%) and 7 cases were males (35%), and the range of age was from 9 years old to 60 years old. 2. The hand was most frequently involved site in which 14 cases (70%) were included, and the foot was involved in 5 cases (25%). 3. Solitary lesions were 15 cases and multiple lesions were 5 cases. 4. Radiographically, in 3 cases bony erosion was seen. 5. All cases were treated by surgical excision and presented no recurrence. In conclusion, the giant cell tumor of tendon sheath, which has been considered to be benign tumorous conditions appeared to be necessary for complete surgical excision to prevent recurrence.

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현대 361개 경혈체계를 마련한 19세기 『침구봉원』의 침구의학과 침구경락 음양론 발전상 의의 (History of Acupuncture Medicine Witnessed the Setting of Modern Set of 361 Acupoints in the Classical Title of 19th Century, 『Exploring the Origin of Acupuncture Medicine (針灸逢源)』)

  • 정일경;이혜정;인창식
    • 턱관절균형의학회지
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    • 제9권1호
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    • pp.1-3
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    • 2019
  • Objectives: "Exploring the origin of acupuncture medicine (針灸逢源)", a classical title of acupuncture medicine in the 19th century, has been reviewed with focus on its impact on the standardization of acupoint in the history of acupuncture medicine as an approach of yin-yang balancing medicine like the Temporomandibular joint Balancing Medicine. Methods: A narrative review of literature was performed with a focus on continuous development and revision of the knowledge system of acupuncture medicine in medical education and clinical application. Results: This title has provided a systematized knowledge on acupoint-acupuncutre including 361 acupoints, acupoint location, and acupoint-meridian association, which was adopted as a frame of core knowledge in modern acupuncture medicine. Critical review and rational reasoning on previously accepted but apparently incongruous strips of knowledge led to the accomplishment of this title. Conclusions: This title provided a revised and standard knowledge system in the field of medical education and clinical practice of acupuncture medicine, and also provided an exemplary model of unrelenting change and development of an approach based on the concept of yin-yang balance such as acupuncture medicine and the Temporomandibular joint Balancing Medicine.

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다른 앉은 자세가 목의 관절가동범위, 근력, 고유수용성 감각에 미치는 영향 (The Effect of Different Sitting Postures on Range of Motion, Strength and Proprioceptive Sense of Neck)

  • 정지문;구자신;신원섭
    • 한국산학기술학회논문지
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    • 제13권5호
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    • pp.2212-2218
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    • 2012
  • 본 연구의 목적은 다른 앉기 자세에 따라 목의 관절가동범위, 근력, 위치감각과 힘 감각에 어떠한 영향을 미치는가에 대해 알아보고자 하였다. 본 연구는 15명의 건강한 일반 대학생이 참여하였다. 곧은 앉기 자세와 구부정한 앉기 자세에 따라 관절가동범위와 관절위치감각은 관절각도 측정기를 사용하여 측정하였고, 최대 등척성 근력과 힘감각은 linear force를 사용하여 측정하였다. 그 결과 곧은 자세가 구부정한 자세보다 목의 최대 신전각도, 굴곡시 최대 등척성 근력이 유의하게 컸다(p<0.05). 또한 곧은 자세에서 관절위치감각과 힘감각의 오차가 유의하게 작았다(p<0.05). 이와같은 결과를 통해 다른 앉기자세가 목의 움직임 범위와 근력, 고유수용성감각에 영향을 미치며 곧은 앉기 자세가 구부정한 자세보다 관절가동범위와 근력에 이점이 있으며 고유수용성감각에 대한 인지능력이 향상됨을 알 수 있었다.

한반도(韓半島) 주변수역(周邊水域)의 국제어업관계(國際漁業關係)와 그 전망(展望) (The International Fishery Relationship in the Sea around the Korean Peninsula and Its Future Prospect)

  • 이병기;최종화
    • 수산해양교육연구
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    • 제3권1호
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    • pp.9-20
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    • 1991
  • The authors investigated the existing international fishery relationship in the sea around the Korean Peninsula, and prospected on the reformation of the fishery order which might be followed by mutation of the international political condition and by effectuation of the U.N. Convention on the Law of the Sea in the future. It can be explained that the existing international fishery order in this sea has been constituted on the basis of restricting Japanese indiscriminate fishery expansion. But. when the South Korea and China proclaim the 200-mile EEZ in the future, a considerable part of existing fishery agreements will forfeit the role as general norms of the international fishery relationship. Accordingly a counterplan against the revision or abrogation of the Korea-Japan Fishery Agreement must be considered. And also a rational fishery relationship between Korea and China, as confronting countries, must be organized. The South-North Korea fishery relationship must be settled on the basis of co-operation. trust, and common interest. For this purpose, a political discussion on the establishment of the joint fishery zone around the military demarcation line and on the conservation for the fishery resources must be begun in earnest.

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3D-printing Bone Model for Surgical Planning of Corrective Osteotomy for Treatment of Medial Patellar Luxation in a Dog

  • Jeong, Bumsoo;Jung, Jaemin;Park, Jiyoung;Jeong, Seong Mok;Lee, Haebeom
    • 한국임상수의학회지
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    • 제33권6호
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    • pp.385-388
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    • 2016
  • A 2-year-old, castrated male Chihuahua dog was referred for revision surgery for reluxation of the patella following surgery for medial patellar luxation (MPL) of the left stifle joint. On general inspection, the patient showed bilateral hindlimb weight-bearing lameness. On physical examination, bilateral non-reducible MPL was detected through palpation. Radiographs revealed bone deformities of both hindlimbs. Computed tomography (CT) was applied for a three-dimensional (3D) printing bone model to establish an accurate surgical plan. The bone plate was pre-contoured over the 3D-printing bone model after execution of corrective osteotomy and sterilized prior to use in surgery. Corrective osteotomy was performed through a staged, bilateral procedure. The patient showed improvement of limb function following surgery without reluxation of the patella. The use of 3D-printing bone model for accurate surgical planning of corrective osteotomy appears to be effective in increasing the accuracy of surgery. That may lead to successful surgical outcomes.

실내건축 업역의 업무환경 제도 개선에 관한 연구 (A study on the Improvement of Work Environment System of interior Architecture)

  • 오인욱
    • 한국실내디자인학회논문집
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    • 제37호
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    • pp.3-11
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    • 2003
  • The study Is Intended to investigate and analyze the system and practice that have been applied to Interior Architecture, comparing with a number of similar foreign cases, in an attempt to seek the way toward its development as well as to come up with the solution for enhancing the competitiveness, thereby making a recommendation on how to create the desirable work environment of Interior Architecture down the road. The conclusion and recommendation we have made is highlighted as follow. Among the practical or procedural challenges in the process of improving work environment of Interior Architecture, development of current national technical qualification system in a way of further detailing the categories of Ki-sul-sa(highest engineer grade) or Ki-neung-jang(highest technician grade) as part of measures aimed at gradual approaching for improvement of design fees and rates or supervision fees will be very crucial, that calls for close coordination with the Ministry of Labor and Human Resources Development Service of Korea. In a bid to upgrade the Interior Architecture to become the part of knowledge-based industry, amendment to Korean Standard Industrial Classification along with Standard Classification of Occupations and Academic Classification will be essential, and moreover with the attitude of reflection and self-improvement, the endeavors to be able to deal with the revision of existing laws and regulations in a consistent way and manner, by forming a joint committee among the three Interior Architecture-related organizations(KOSID, ICC, KlID), will be more than important.

Reconstruction of Triceps Tendon Avulsion Using Mesh Graft and Krackow Suture in a Border Collie

  • Hyeon-Jong Choi;Jong-Hoon Kim;Eunchae Yoon;Tae-Sung Hwang;Hee-Chun Lee;Dongbin Lee;Jae-Hoon Lee
    • 한국임상수의학회지
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    • 제39권6호
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    • pp.378-383
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    • 2022
  • A 3-year-old, 24-kg intact female Border Collie was referred for a toe-touch weight-bearing stance, intermittent weight-bearing lameness, and moderate pain reaction of the right forelimb on physical examination and right humerus olecranon avulsion fracture on diagnostic imaging examination. Surgical repair was performed using tension band wiring to re-attach the triceps tendon and distal olecranon. Migration of the distal olecranon fragment was observed due to comminuted fracture of the fragment 5-days after surgery, and revision surgery was performed. The tension-relieving sutures were passed through the pre-drilled hole in the olecranon, and the polyester mesh was augmented to the suture region, covering the triceps tendon and olecranon drilling hole using the Krackow suture pattern. The elbow joint was immobilized using a type IA transarticular external fixator, which was removed 8 weeks after surgery. Fourteen weeks after surgery, no lameness was observed on gait evaluation. At follow-up after 7 months, the distal olecranon fragment had stabilized, and no lameness was observed.

경항통 및 경추 추간판 탈출증의 한의진료 임상현황조사를 위한 웹기반 설문조사 (A Web-based Survey for Assessment of Korean Medical Treatment Clinical Practice Patterns for Neck Pain and Cervical Intervertebral Disc Displacement)

  • 서창용;이윤재;김미령;배영현;김호선;김노현;양규진;이기범;하인혁
    • Journal of Acupuncture Research
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    • 제33권4호
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    • pp.65-72
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    • 2016
  • Objectives : While neck pain is highly prevalent in Korea, studies examining its Korean medical treatment are currently lacking. The aim of this study was to assess current Korean medical treatment practice patterns for neck pain. Methods : A preliminary questionnaire was developed to investigate current practice patterns of neck pain and cervical intervertebral disc displacement (IDD) treatment, and underwent further revision through external review. The final questionnaire was distributed as a web-based survey to 18,289 potential respondents by email. Results : The response rate was 3.34 %. Most participants replied that they received multiple Korean medicine interventions for neck pain treatment consisting of such methods as acupuncture, wet cupping, interferential current therapy and electroacupuncture. A total of 378 respondents acknowledged that diagnostic testing was needed for neck pain treatment. The most commonly used Korean Standard Classification of Diseases (KCD) principal diagnosis code for neck pain was M542, and for cervical IDD was M501. Conclusion : This survey study helps determine current practice patterns of neck pain, and recognizes the need for use of diagnostic devices in neck pain treatment. These results are further anticipated to provide basic data for clinical practice guidelines (CPGs) and future studies using Korean National Health Insurance and Health Insurance Review & Assessment Service data.