• 제목/요약/키워드: early treatment

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III급 부정교합의 치료전략 (Treatment strategies on Class III malocclusion based on Long term follow up study)

  • 성재현
    • 대한치과교정학회지
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    • 제26권2호
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    • pp.125-139
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    • 1996
  • 저자는 성장기 III급 부정교합자의 치료후 성장완료시까지 장기관찰 기록을 통하여 III급 부정교합치료 전략 수립에 도움이 되는 유용한 정보를 얻었다. 장기 관찰 결과는 다음과 같이 요약할 수 있었다. 첫째, 전치부 반대교합의 조기 개선시에 상악에서 상당한 전방성장이 많은 증례에서 관찰되었다. 둘째, 악골에 대한 정형적 치료에 의한 성장조절은 장기적인 관점에서 제한적인 효과만 인정되었다. 셋째, 반대교합을 가진 어린 환자에서 얻은 어떤 자료도 장기적인 관점에서 그 환자의 치료후 안정성을 예측할 수 있는 것은 없었다. 그러나 gonial angle은 어느 정도 예측의 가능성을 보였다. 넷째, 성장이 된 연령에서 하악에 대한 정형적 후방력이나 하악의 급작스런 위치 변화는 악관절에 좋지 못한 영향을 줄 수 있었다. 따라서 저자는 다음과 같이 III급 치료 전략을 제시한다. ${\cdot}$반대교합은 가능하다면 조기에 개선하는 것이 좋으며, 정형적 치료는 10세 이전에 1-2년 정도 사용하는 것이 좋겠다. ${\cdot}$ 이후에 바로 phase II 치료에 들어가지 말고 성장이 어느 정도 끝나는 시점까지 기다린다. 즉 여자는 14세, 남자는 17세 경까지 기다린 후에 교정치료로 마무리할 것인지 악교정 수술을 할 것인지 결정한다. 관찰 기간 동안에 성장에 영향을 줄 수 있는 기도문제, 혀자세, 습관, 제3대구치의 발육 등을 감독하고, 성장에 관한 자료를 채득한다. 이렇게 하므로서 앞에서 관찰한 치료 완료 후의 재발로 인한 재치료 문제를 줄일 수 있고,실제적인 치료기간을 단축할 수 있어 환자나 술자에게 모두 유익하다고 생각한다.

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이소 맹출한 하악 측절치의 교정적 치험례 (ECTOPIC ERUPT10N OF TRANSPOSED MANDIBULAR PERMANENT LATERAL INCISOR)

  • 임현화;김용수;장기택;김종철
    • 대한소아치과학회지
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    • 제27권3호
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    • pp.438-443
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    • 2000
  • 이소 맹출(ectopic eruption)은 치배가 그 발생지에서부터 정상 맹출 경로가 변화된 것을 의미한다. 즉, 치아가 치조골 혹은 기저골의 어느 위치에서 정상 맹출 과정에서 벗어나 비정상적인 위치나 방향으로 맹출하게 됨을 말한다. 이에 대한 다른 예로써 보다 드물고 특별한 치아 이상으로 전위(transposition)가 있는 데, 이는 같은 치열궁상에서 치아의 위치가 서로 바뀐 것을 말한다. 본 증례는 하악 측절치가 혼합치열기 초기에 제 1유구치 하방으로 이소 맹출중인 치아 이상을 보여주는 데, 이 하악 측절치의 치관은 원심으로 심하게 경사졌고, 인접 유견치와 제 1 유구치의 치근 흡수를 야기하고 있다. 이와 같은 맹출 이상의 원인은 아직 확실히 규명되지 않았으나 현재 다음의 몇가지 원인을 생각할 수 있다.; (1)과거의 외상 병력 (2)유치의 만기 잔존, (3)유치의 조기 탈락, (4)유전적 요인. 치료법으로는 조기의 interceptive treatment와 보다 나중의 definitive treatment로 구분된다. 이소 맹출하는 하악 측절치는 인접 견치와 완전 전위되는 경향이 있으므로 조기의 교정적 간섭이 요구된다. 이는 이후의 영구치 발거나 완전 전위를 예방할 수 있을 것이다 이러한 측절치의 이소 맹출을 바로잡는 데 있어서 고려해야할 중요한 요인은 치료 시기로써 일반적으로 혼합 치열기의 inter-transitional period 초기에 발육 중인 견치에서부터 멀리 떨어져 있을때, 해당 측절치의 levelling과 근심화가 시행되어야 할 것이다. 본 증례는 아직 영구 견치가 맹출하기 이전인 혼합 치열기 초기에 적극적인 교정적 처치를 시행하여 이소 맹출중인 측절치를 본래 위치로 유도하였다.

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하지방사통을 동반한 요추 추간판 탈출증 환자에 대한 이상근 MSAT 치료군과 비치료군의 후향적 호전도 비교 연구 (Comparison of Effects between MSAT on Piriformis Muscle and Non-MSAT on Piriformis Muscle in Patients with HLD with Leg Radiating Pain: A Retrospective Analysis)

  • 허석원;최철우;이동현;유형진;윤용일;임한빛;정연재;김동환
    • 한방재활의학과학회지
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    • 제24권3호
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    • pp.131-137
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    • 2014
  • Objectives The purpose of this study was to compare the effects of MSAT (Mostion style acuputure treatment) on piriformis muscle regarding leg radiating pain with HIVD of L-SPINE. Methods Forty patients who received inpatient treatment from Febuarary 1 to March 31, 2014 in the Daejon-Jaseng oriental medicine hospital were divided into 2 groups by blocked randomization : Group A (n=20)=routine treatment on HIVD of L-SPINE with MSAT on piriformis muscle and Group B (n=20)=routine treatment on HIVD of L-SPINE (acupuncture, Shinbaro pharmacopuncture, herb medication, chuna treatment and physiotherapy). The MSAT (Mostion style acuputure treatment) on piriformis muscle was administered each day and both groups were received routine treatment each day. Evaluations were made before treatment, after 3 days and 7 days, and before discharge using the NRS (numeric rating scale) and ODI (oswestry disability index). The statistically significance was evaluated by SPSS 18.0 for windows. Results Compared to before treatment, the NRS (numeric rating scale) and ODI (oswestry disability index) of both A and B groups after 3, 7 days and before discharge of treatment significantly decreased (p<0.05). Regarding group comparison, the NRS (numeric rating scale) and ODI (oswestry disability index) of A group was significantly lower than the B group at 3, 7 days, before dischanre (p<0.05). Regarding improvement of the NRS (numeric rating scale) and ODI (oswestry disability index), A group was significantly lower than the B group at 3 day (NRS), 7day (ODI) (p=0.000) but there was no significant difference between the two groups at 7 days (NRS) and before discharge (p>0.05). Conclusions Compared to just routine treatment, the MSAT (Mostion style acuputure treatment) on piriformis muscle significantly improved the NRS (numeric rating scale) and ODI (oswestry disability index) after 3, 7 days, and before discharge. Because early intervention determines the grade of Leg radiating pain with HIVD of L-SPINE, the MSAT (Mostion style acuputure treatment) on piriformisat the early stage will be clinically helpful to patients.

Effects of Phase Feeding on Growth Performance, Nutrient Digestibility, Nutrient Excretion and Carcass Characteristics of Finishing Barrow and Gilt

  • Kim, Y.G.;Jin, J.;Kim, J.D.;Shin, I.S.;Han, In K.
    • Asian-Australasian Journal of Animal Sciences
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    • 제13권6호
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    • pp.802-810
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    • 2000
  • A total of 120 finishing crossbred pigs ($Landrace{\times}Large$ $White{\times}Duroc$) with equal numbers of barrows and gilts weighing 58.5 kg body weight were used in a feeding trial, and 6 pigs (three of each sex) were used in a metabolic trial to investigate the effect of phase feeding. Finishing period was divided into two phases and 4 different diets were fed for those periods. Growth performance was not significantly different among treatments within the same sex. This result showed that 16% crude protein for early finishing period and 14% crude protein diet for late finishing period should be optimum. During the early finishing period, only feed intake was significantly different between sexes (p<0.01), but in late finishing period daily weight gain (p<0.001) and feed intake (p<0.01) of barrows were significantly higher than those of gilts. During the early finishing period, digestibilities of dry matter, protein and phosphorus were significantly higher in gilts than in barrows (p<0.05). However, there was no treatment effect within same sex during the early and late finishing period. During early finishing period, excretion of N of pigs fed 16% CP diet in early and 14% CP diet in late-finishing period was less than that of pigs fed 17% CP diet in early and 15% CP diet in late-finishing period (p<0.05), but the difference was not significant. During the late finishing period, N excretion with two phase feeding was reduced by 8.5% compared with single feeding. In gilts, total cost reduction by two phase feeding compared to single feeding was 9.1%, but in barrows it was just 3.19%. Relative margin increased with two phase feeding by 2.5% in gUts and 0.2% in barrows. There was a tendency that backfat thickness at 10th rib of gilts was thinner than that of barrows (p>0.05). Within the same sexes, there was no treatment effect on back fat thickness (p>0.05). Carcass grade was improved by two phase feeding compared to single feeding. Carcass grade of gilts was significantly better than that of barrows (p<0.001). From this results, it is concluded that finishing pigs could be fed two-phase diets to improve profit and reduce pollution.

조기 폐암환자에서 광역동치료의 효과 (The Clinical Outcomes of Photodynamic Therapy in Early Lung Cancer Patients)

  • 이영석;오연목;심태선;김우성;안정선;최창민;장승훈
    • Tuberculosis and Respiratory Diseases
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    • 제71권4호
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    • pp.266-270
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    • 2011
  • Background: Photodynamic therapy (PDT) is effective in managing small superficial early lung cancer patients who were deemed nonsurgical candidates. However, we do not have any previous report on the usefulness of PDT in early lung cancer in South Korea. Thus we report here our experience of PDT in early lung cancer patients. Methods: 10 patients who underwent PDT for managing early lung cancer between June 2006 and July 2010 were analyzed. PDT was carried out 48 hours after photosensitizer injection. Re-bronchoscopy was carried out 48 hours after PDT in order to remove a necrotic tissue from the PDT site. For evaluation of PDT response, bronchoscopy and chest computed tomography (CT) were performed after 3 months. Results: The median age of patients was 69 (49~77) and all patients were male. The smoking history of patients was 48 (20~75) pack-year and the median follow up of patients was 25 (11~52) months. Complete remission was observed in 10 patients and the recurrence of lung cancer was observed in 3 patients. Out of 10 patients, 3 patients died (one case of lung cancer progression and two cases of pneumonia). Conclusion: The PDT is a safe and effective treatment in early lung cancer patients who are not suitable for surgical resection. The PDT in clinical practice is an attractive option in the treatment of early lung cancer.

척추 측만증의 보존적 치료에 관한 최신 지견 - PubMed 검색을 위주로 2008년 이후 - (Current Trends in Research on Conservative Treatment of Scoliosis)

  • 조성우;이승연
    • 대한한방소아과학회지
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    • 제27권1호
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    • pp.15-25
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    • 2013
  • Objectives Scoliosis is that spine's arrangement was changed to be curved. Mostly scoliosis was found at childhood and recently rate of scoliosis is increasing. Causes of scoliosis were very various, but the patients are due to idiopathic reasons. Scoliosis was treated by conservative treatment or surgery treatment. If scoliosis is diagnosed early enough, it can be treated with conservative treatment. Methods We are searching PubMed by keywords and found 47 theses complied with requirements. Results Studies of conservative treatment of Scoliosis were active. Conservative treatments are considered before surgery treatment and there was a set guideline of conservative treatment. Also, there were several studies about effectiveness of conservative treatment and quality of life, mental stress. Studies about various kinds of conservative treatment were found as well. There were brief studies about introduction of new brace, effectiveness of several braces, and case studies. Conclusions Conservative treatment is very effective choice before surgery treatment at Scoliosis patient.

Expressional Changes of Connexin Isoform Genes in the Rat Caput Epididymis Exposed to Flutamide or Estradiol Benzoate at the Early Postnatal Age

  • Lee, Ki-Ho
    • 한국발생생물학회지:발생과생식
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    • 제21권3호
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    • pp.317-325
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    • 2017
  • Direct communication between neighboring cells through connexin (Cx)-based gap junction is a crucial biological manner to regulate functions of a tissue consisting of multi-cell types. The present research evaluated expressional changes of Cx isoforms in the caput epididymis of adult rat exposed to estradiol benzoate (EB) or flutamide (Flu) at the early postnatal age. A single subcutaneous administration of EB at a low-dose [$0.015{\mu}g/kg$ body weight (BW)] or a high-dose ($1.5{\mu}g/kg\;BW$) or Flu at a low-dose ($500{\mu}g/kg\;BW$) or a high-dose (5 mg/kg BW) was performed to an animal at 1 week of age. Quantitative real-time PCR analysis was employed to determine expressional changes of Cx isoforms. The transcript levels of Cxs30.3 and 37 were decreased by a low-dose EB treatment, while decreases of Cxs31, 31.1, 32, 40, and 45 transcript levels were observed with a low-dose EB treatment. The treatment of a high-dose EB resulted in expressional reduction of Cxs30.3, 31, 31.1, 37, 40, 43, and 45. The Flu treatment at a low dose caused increases of Cxs26, 37, and 40 transcript levels but decreases of Cxs31.1, 43, and 45 transcript levels. Increases of Cxs30.3, 31, 37, and 40 mRNA amounts were induced by a high-dose Flu treatment. However, exposure to a high-dose Flu produced expressional decreases of Cxs31.1, 32, and 43 in the adult caput epididymis. These observations suggest that exposure to EB or Flu at the neonatal period could lead to aberrant expression of Cx isoforms in the adult caput epididymis.

월슨병 환아에서 D-penicillamine 사용 중 조기 발병한 미세변화형 신증후군 1례 (Early Onset of Minimal change Nephrotic Syndrome during Treatment with D-penicillamine in a Patient with Wilson's Disease)

  • 김기수;임재우;고경옥;김윤미;천은정
    • Childhood Kidney Diseases
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    • 제8권2호
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    • pp.250-255
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    • 2004
  • 월슨병은 구리 대사 이상으로 간, 뇌, 각막, 신 및 건혈구에 구리가 침착되어 생기는 상염색체 열성 유전성 질환이다. D-penicillamine이 주된 치료로서 10% 정도의 환자에서 가역적인 부작용이 발생 할 수 있다 저자는 3세된 여아에서 D-penicillamine치료 3주만에 미세변화형 신증후군이 발생하였고 투약 중단만으로 완전 관해된 증례를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.

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Surgical versus Conservative Treatment for Lumbar Disc Herniation with Motor Weakness

  • Choi, Hong-Seok;Kwak, Kyung-Woo;Kim, Sang Woo;Ahn, Sang Ho
    • Journal of Korean Neurosurgical Society
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    • 제54권3호
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    • pp.183-188
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    • 2013
  • Objective : The aim of this study is to assess outcomes during first one year for patients with severe motor weakness caused by lumbar disc herniation that underwent surgical or nonsurgical treatment. Methods : The 46 patients with motor weakness because of lumbar disc herniation who were treated at neurosurgical department and rehabilitation in our hospital from 2006 to 2010, retrospectively. Each group had 26 surgical treatments and 20 conservative treatments. We followed up 1, 3, 6 months and 12 month and monitored a Visual Analogue rating Scale (VAS) of back and leg pain, Oswestry Disability Index (ODI) and degree of motor weakness. We analyzed the differences between surgical and nonsurgical groups using Mann-Whitney U test and repeat measure ANOVA in each follow-up periods. Results : In the recovery of motor weakness, surgical treatment uncovered a rapid functional recovery in the early periods (p=0.003) and no difference between groups at the end of follow-up period was found (p>0.05). In VAS of back and leg, the interaction between time and group was not found (p>0.05) and there was no difference between groups (p>0.05). In ODI, the interaction between time and group was not found (p>0.05) and there was no difference between groups (p>0.05). Conclusion : Surgical treatment for motor weakness caused by herniated intervertebral disc resulted in a rapid recovery in the short-term period, especially 1 month. We think early and proper surgical treatment in a case of motor weakness from disc herniation could be a good way for providing a chance for rapid alleviation.

Mycorrhiza 및 Rhizobium 접종이 알팔파-페레니얼 라이그라스 혼파에 의한 질소와 인의 이용성 및 성장에 미치는 영향 (Effects of Inoculation of Mycorrhiza and Rhizobium on N, P utilization and Vegetative Growth in Alfalfa/Perennial Ryegrass Intercropping)

  • 정우진;이복례;김길용;정순주;김태환
    • 한국초지조사료학회지
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    • 제20권4호
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    • pp.285-294
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    • 2000
  • To investigate the effect of Mycorrhiza (Glomus intradics) and Rhizobium inoculation on the N, P utilization and growth response of Alfalfa (Medicago saliva L.) and Perennial ryegrass (Lolium perenne L.) in mixed sward, four treatments (non-inoculation, Control; Mycorrhiza inoculation: M; Rhizobium inoculation, R and Mycorrhiza and Rhizobium inoculation, M+R) were applied. The associated analyses were canied out on the early vegetative growth stage (DAS 56, 56 days after seeding) and on the early flowering stage (DAS 126). The decreased rate of total N and P content in soil, with advancing plant growth, was relatively higher in the M and M + R treatment than control. The content of availabie phosphorus in soil at DAS 126 increased by about 34 and 38 % in M and M+R treatment compared to control (189.2 mg PzOskg DM), while non-significant changes was observed in R treatment. Total N uptake and P uptake in the control at DAS 126 were 44.71 and 3.52 mglplant in mixed sward, respectively. About 71, 98 and 197 % of increases in total N uptake and 70, 72 and 11 1 % of increases in total P uptake were estimated in M, R and M+R treatment. Comparing to control, total dry matter yield significantly increased by 27, 33 and 53 %, and crude protein yield also by 78, 83 and 204 %, respectively, in M, R and M+R treatment. The present data indicated that mycorrhiza orland rhizobium inoculation improved N, P utilization of both alfalfa and perennial ryegrass plants, and consequently increased total yield (especially by dual inoculation, M+R). (Key words : Alfalfa, Perennial ryegrass, Mycorrhiza, Rhizobium, N and P Utilization, Growth, Yield)

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