Background: Patients suffering with pectus carinatum complain of cosmetic problems when they stand and this in spite of wearing cloths. The standard surgical treatment of pectus carinatum is resection of the deformed cartilages, but the wide operative scar, post-operative pain and complications related with such an operation can occur. Therefore, we have peformed compressive brace therapy as a non-operative treatment for pectus carinatum and we observed the effects and the efficiency of this treatment. Material and Method: From January, 2001 to December, 2006, 109 patients wore the compressive brace for all day. The degree of satisfaction was evaluated after $6\sim9$ months of wearing the compressive brace. The degree of satisfaction was evaluated by a score of from $1\sim4$. A score of 1 was assigned when the status was worse, 2 when it was the same, 3 when there was partial improvement and 4 when remarkable improvement was observed. The degree of satisfaction was assessed subjectively by the parent if the patient was a child younger than middle school age, and the patients older than middle school age assessed the score themselves. Result: The mean score of the overall degree of satisfaction was $3.93{\pm}0.33$. Recurrence of pectus carinatum after removal of compressive brace occurred in 6 patients (5.5%) of the total 109 patients. But 4 patients of the total 6 recurred patients stopped wearing of compressive brace against our advice. The 6 recurred patients were re-corrected by re-wearing the compressive brace within 3 months after they originally removed the compressive brace. The complications were discomfort with initially wearing the compressive brace, which occurred in all patients, skin rash due to the compressive brace for 76 patients (69.7%) and skin discolorization with excessive compression for f6 patients (5.5%). The skin rash and discolorization returned to normal within a few months after removal of the compressive brace. Conclusion: This study demonstrated that non-surgical treatment with using the compressive brace for patients with pectus carinatum was effective, and especially for children and teenagers. Non-surgical treatment with using a compressive brace would be helpful for the patients suffering with pectus carinatum and who dislike surgical operations because of their fear about general anesthesia and operation-related complications. Yet long-term follow up is necessary to accurately evaluate the effectiveness of this compressive brace and the recurrences after removal of the compressive brace.
This study is designed to understand the problems of existing Korean male soldiers' winter uniform tops by researching its current state, and contribute to developing uniforms with improved size and motion appropriateness. Military bases were visited to research satisfaction of size and motion appropriateness of the current winter uniform tops. 193 soldiers were surveyed and interviewed, and the shape and fit of the standard sizes of the inner and outer layers of the current winter uniform were analyzed. Findings of this study are as follows. 1) Compared to the new combat uniforms that soldiers were wearing in their appropriate size (of the 44 sizes), there were many cases where the soldiers were not wearing winter uniform inner (of the 8 sizes) or outer (of the 18 sizes) layers in the correct size for their body. 2) A total of 37 combat uniform sizes appropriate for the body shapes were expected to be newly applied, and inside and outside layers of winter tops would be presented as sets of 14 different sizes in step with the new combat uniform sizes, instead of the existing 8 inside layer sizes and 18 outside layer sizes. 3) The inner and outer layer of the existing winter uniform tops had several problems with the shape and fit. First, the inner layer was shorter than the combat uniform. Its shoulder width was wide, but the sleeve length was short creating lack of coverage, and the angle connecting the sleeve and bodice was very small creating a high sleeve cap curve and narrow sleeve width that make motions difficult and cause discomfort. As for the outer layer, the hem moved up when soldiers bent over or adjusted the waist string so the top could not sufficiently cover, the shoulder width was wide and the sleeve length was short, requiring improvements.
Journal of the Korean Society of Clothing and Textiles
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v.22
no.2
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pp.193-202
/
1998
The purpose of this study was to understand clothing condition of elderly men focusing on somatotype variation and satisfaction with ready-to-wear and to provide basic data in designing ready-to-wrar for the elderly men. The questionnaire method was used and one-to-one interviews were held for the elderly residents in Seoul, Deajon, Jonju, and Yeosu areas. The total of 275 questionnaires (from 148 elderly men in the 60's, 99 in the 70's and 28 in the 80's) were collected and used for statistics. SAS package was used for the statistics and the statistics were based on frequency, X2-test, ANOVA, Duncan's multifle range test. The results of the study were as follows; 1) Height (p< .05), weight (p< .001) and Rohrer index (p< .05) decreased significantly with ageing 2) The somatotypes of 75.6% were changed and the 70's 8t the 80's showed significantly (p< .05) higher changing rate compared to the 60's and more changes took place significantly (p< .001) with ageing. 3) The most preferred out wear was suit & tie and next was jumper or shirt. 4) For the mode of getting suit, the highest number 55.3%) purchased ready-to-wear, next (32.0%) was tailored and the least (12.7%) neither purchased nor tailored. The percentage of buying ready-to-wear significantly (p< .01) decreased with ageing. The main reason for getting tailor-made was not well fitting of ready-to-wear (20.7% out of 32.0%). And for the mode of getting suit, there was significant differance with income (p< .001) and pocket money (p< .01). 5) The most important factors in suit and shirt werefirst, size (fitness) and second, comfort in movement. 6) For the wearing feeling of suit, 55.3% showed discomfort. There was significant difference according to the age (p< .05) and pocket money (p< .05). The Discomfort increased with ageing and less pocket money. 7) 62.4% answered it uneasy to Pick out well fitting If comfortable suit. This showed their dissatisfaction with ready-to-wear. 8) As for the items of not well fitting, 64.4% answered in jacket, 60.8% in trousers, 46.0% in shirt. The above result shows that elderly men's somatotype changes as they age, suit is found uncomfortable and it's not easy for elders to pick out comfortable ready-to-wear. So, they seem to have a certain dissatisfaction in ready to wear. Therefore, there is a need for reorganization of size and developing pattern design according to measurement of elderly men.
If there are problems for us to sleep, we are faced with fatigue and dizziness in the day. Snoring and OSAS (obstructive sleep apnea syndrome) during sleeping are the main cause of sleep disorder. Treatments through surgical method and sleep splint can be performed to treat snoring and OSAS. Relapse of snoring and OSAS is common after treatment by surgical method. But, Recently sleep splint is frequently applied to treat snoring and OSAS with surgical treatment, because it is convenient and conservative. Sleep splint treat snoring and OSAS by ensuring airway through nose. As first step of fabrication occlusal bite is gained at a point that patient get feeling of increased nasal breathing in supined position, and next, the bite is transfered to sleep splint. This study surveyed the effect of sleep splint by questionnaire to the out-patients (the Dept. of Oral and Maxillofacial Surgery, Chonbuk National University Hospital) weared sleep splint and their partners, secondarily measured airflow through nose by aerophone II after wearing sleep splint and finally evaluated the effect of treatment of snoring and OSAS by sleep splint. The obtained result were as follows; 1. Though 'sleep splint' couldn't eliminate fundamental problems of snoring, it could improve the symptoms when patients were selected could using the 'Nakagawa's respiration method'. 2. Patients who used the sleep splint could breathe stably when patients are sleeping stably. Wearing a 'sleep splint' improved airflow by expanding the upper airway. 3. Even though sleep splint can be made with variable materials, the patients expressed the most satisfaction on the splint with '0.75mm hard shell'. 4. The 'Herbst' may allows the mandible to move the TMJ to relax. Nevertheless, some patients experienced a discomfort or irritation. 5. In Snoring and OSAS cases, it is recommended that patients should first explore non-surgical options prior to choosing a surgical treatment.
Purpose: The study was aimed to suggest the most effective color of the tinted lenses by evaluating the effect of the prescription with tinted lenses on the visual quality of the elderly at the age of the sixty or more. Methods: The visual acuity of fifty subjects at the age of sixty or more (17 males, 33 females with the averaged age of $71.0{\pm}6.3$) were corrected to have the visual acuity at a far distance of 0.5 or more using a trial lens frame, and non-tinted, brown-tinted, and gray-tinted lenses were randomly applied on the trial frame. The minimum legibility and minimum separability were measured at a far distance in the aspect of the visual acuity and calculated as LogMAR and then, the visual acuity was compared. The stereopsis and contrast sensitivity were also estimated at a near distance in the aspect of the visual function. The participants' preference for tinted lenses and their subjective symptoms of the visual perception and the movement were further surveyed. Results: The best minimum legibility and minimum separability was shown when wearing non-tinted lenses, and brown-tinted and gray-tinted lenses were in the next. The stereopsis and the contrast sensitivity at a near distance and the visual perception was the best when wearing brown-tinted lenses. It was surveyed that the subjective discomfort was the biggest when wearing gray-tinted lenses, and brown-tinted lenses were the best in the aspect of the subjective preference. Conclusions: As the result of this study, it was revealed that the visual acuity and visual function could be improved by the use of tinted ophthalmic lenses however, its change of visual acuity and visual function was not completely correlated with the subjective satisfaction. Therefore, the appropriate color of ophthalmic lenses should be selected in accordance with the individual visual perception and the main vision lifestyle in the elderly generation. From the present study, the use of non- or brown-tinted lens and brown- or gray-tinted lens can be recommended for distance work and near work, respectively, in the elderly generation under the illumination of about 1,000 lux.
It is important for the strategy of service to provide the weather information in the environment that the smart clothing has been changed focusing on the consumer center. Recently, the various applications of smart clothing concept have been presented by researchers and developers. Among them, the smart clothing based on the sensors is most likely to gain the highest demand rate in the market. In this paper, we proposed the life weather index monitoring system using the wearable based smart cap. By wearing the proposed smart cap, the weather status is gathered and its signals are transmitted to the connected UMPC. It can be easily monitored in real time. To provide the life weather index according to the sensors, the weather index was analyzed in terms of 6 factors, such as, the heat index, the food poisoning index, the discomfort index, the ultraviolet index, the water pipe freeze possibility index, and the windchill temperature index. Ultimately, this paper suggests empirical application to verify the adequacy and the validity with the life weather index monitoring system. Accordingly, the satisfaction and the quality of services will be improved the smart clothing.
This study aims to develop an all-fabric integrated smart jacket in order to create a temperature-regulating system based on a user experience design. For this research, previous research technologies of a textile switch interface and a temperature-regulating system were utilized and a unifying technology for the all-fabric integrated smart jacket was developed which can provide the appropriate temperature environments to the human body. A self-heating textile was applied at the areas of the back and hood in the final tested jacket, and an embroidery circuit was developed in the form of a rectangle in the back and in both ears of the hood, taking into account the pattern of the jacket part where it was be applied and the embroidery production method. The textile switch interface was designed in a three-layer structure: an embroidery circuit line in a conductive yarn, an interval material, and a conductive sensing material, and it was made to work with the input and output sensors through the multiple input method. After the all-fabric integrated smart jacket was produced according to the pattern, all of the textile band lines for transmission were gathered and connected with a miniature module for controlling temperature and then integrated into the inside of the left chest pocket of the jacket. After the users put on this jacket, they were asked to assess the wearing satisfaction. Most of them reported a very low level of irritation and discomfort and said that the jacket was as comfortable as everyday clothing.
The reconstructive modalities for vaginal reconstruction include simple dilatation, skin graft, use of intestinal segments and various methods using flaps. However, skin grafting procedure is the most commonly used technique and the McIndoe procedure is a representative technique among skin grafting procedures. McIndoe procedure is easier, faster and has a lower morbidity compared to other techniques. However the conventional McIndoe procedure has several problems such as incomplete vestibule formation, excessive bleeding during dissection, possibility of recto-vaginal or urethro-vaginal fistula formation, late vaginal contracture and discomfort in wearing hard plastic mold for a long time after operation. To solve these problems, the authors modified the conventional McIndoe procedure in several perspectives. The undeveloped vestibule was incised with X-shaped mucosal incision between the urethral opening and posterior margin of the vestibule and deepened by blunt finger dissection to provide a sufficient diameter & length of the neovagina and to minimize bleeding. A sizable medium thickness split skin graft was harvested and wrapped over a roll gauze-filled condom mold. Applying multiple stab incision on the skin grafted condom mold, it was inserted into the prepared neovaginal canal. Distal margin of the skin graft was secured with tips of the mucosal flaps created by X-shaped vestibular incision to prevent accidental extrusion of the skin grafted mold. During last 15 years, we applied this modification to 20 vaginal agenesis patients and investigated results of the 12 patients who could be followed up serially including hematoma formation and skin graft survival rate, size, depth, presence of late contracture, appearance, comfortness, and hygiene of the neovagina. And they were compared with 8 patients of 20 patients who underwent conventional McIndoe procedures. The modified McIndoe procedure revealed lower complication rate, higher patient satisfaction and better functional results.
Purpose: To analyze and compare differences between single vision lenses and functional progressive addition lenses and improvement to binocular visual function wearing functional lenses for pre-presbyopes altered their single vision lenses to functional progressive addition lenses with low addition. Methods: Healthy 32 subjects aged 24.03${\pm}$1.87 (male 23, female 9) who were recruited from university students wore functional progressive addition lenses (EYE-T, Chemilens Co., Korea, ADD 0.750) for 2 months. Objective refraction, corrected visual acuity at distance and near, near point of convergence, near point of accommodation, accommodative facility, phoria at distance and near were measured. And subjective satisfaction was investigated by using a questionnaire designed to fatigue, comfort, discomfort, overall satisfaction and preference. Results: Functional progressive addition lenses were better than single vision lenses at near point of convergence and accommodation, accommodative facility. Exo phoria measured at distance with single vision and functional progressive addition lenses. Exo phoria measured at near with functional progressive addition lenses was higher than that with single vision lenses. As a survey, the satisfaction was increased in questions related near work. However, single vision lenses were preferred in distance test of overall satisfaction, easy 10 adapt, lime to adapt. A survey showed thai preference of functional progressive addition lenses were increased 75.00% to 81.26% for near work, 50.00% to 65.63% for visual fatigue, 47.75% to 50.00% for visual comfort and 31.25% to 46.88% for overall comfort. Conclusions: Comparing between single vision lenses and functional progressive addition lenses, binocular visual function related near work, subjective satisfaction and preference was improved after wearing functional progressive addition lenses. This study suggested that functional progressive addition lenses were useful for long time near work.
Park, Jin-Hong;Lee, Jeong-Yol;Ryu, Jae-Jun;Shin, Sang-Wan
The Journal of Korean Academy of Prosthodontics
/
v.54
no.3
/
pp.267-272
/
2016
This case report describes the treatment of two fully edentulous patients with mini-implant overdentures using different implant systems on narrow mandibular alveolar bone ridge. They were complaining about discomfort and pain wearing mandibular conventional complete dentures caused by insufficient retention. Each patient received four miniimplants in the interforaminal area of the mandible using the non-submerged flapless surgical approach. One-body type implant (Slimline, Dentium, Seoul, Korea) was used for a patient and loaded immediately after surgery. Metal housings of O-ring were attached by direct technique. For the other patient, two-piece type implant (LODI, Zest Anchors, Escondido, CA, USA) was used and impressions were made for attachment connection of the Locator's metal housings after 8 weeks of surgery. Within this case report, mandibular miniimplant overdentures using different implant systems showed improvement of patient satisfaction with favorable peri-implant tissue response 6 months after attachment connection. However, long-term follow-up is needed for further evaluation.
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