• 제목/요약/키워드: internal tendon

검색결과 98건 처리시간 0.02초

한방병원(韓方病院)에 내원(來院)한 근위숙성(筋萎縮性) 측색경화증(側索硬化症)(ALS)환자(患者)의 임상적(臨床的) 관찰(觀察) - 한방병원(韓方病院)에 입원(入院)한 환자(患者) 17명(名)을 대상(對象)으로 - (Clinical study on the ALS(Amyotrophic Lateral Sclerosis) patients in the Department of Circulatory Internal Medicine of Kyung Hee Oriental Medical Hospital)

  • 전영완;문상관;고창남;조기호;김영석;배형섭;이경섭
    • 대한한방내과학회지
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    • 제18권2호
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    • pp.236-245
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    • 1997
  • The subjects of this clinical study are 17 patients with ALS(Amyotrophic Lateral Sclerosis), who were diagnosed in other or our hospital from January 1987 to Nomember 1997. The age of onset, clinical signs, type of ALS, methods of treatment and outcomes, etc. were studied and analyzed. The data are summarized as follows ; 1) The mean age was $52.4{\pm}11.5$ years old, and the ratio of male to female was 2.4:1. There is increasing frequency with rising age. 2) Pseudopolyneuritic type(67%) is the most in male patients, bulbar type(60%) is the most in female patients, and totaly Pseudopolyneuritic type(54%) is the most. 3) In the period of hospitalization after onset, 1 year(11 cases, 64.8%) is the most frequent, and 2 year(2 cases, 11.7%), 1 month(2 cases, 11.7%), 4 years(1 case, 5.9%) and 6 months(1 case, 5.9%) in orders. 4) In the duration of admission, 10 days(8 cases, 47.2%) is the most frequent, and 30 days(4 cases 23.5%), 2 months(2 cases, 11.7%), 20 days(2 cases, 11.7%) and 3 months(1 case, 5.9%) in orders. 5) In the signs of patients, muscle weakness(17 cases, 100%), bulbar signs(14 cases, 82.4%), increased reflex of deep tendon(10 case, 58.8%), muscle atrophy (7 cases, 41.2%) and fasciculations(7 cases, 41.2%) were in orders. 6) In the methods of treatment, herb-medication(17 cases, 100%), acupuncture therapy(16 cases, 94.1%), physical therapy(7 cases, 41.2%), moxibustion therapy(5 cases, 29.4%), cupping therapy(4 case, 23.5%) and moxa-pack(1 case 5.9%) were administered in orders. 7) As to the outcome of treatment, 8(47.1%) were no changed, 4(23.5%) improved, 4(23.5%) aggravated, 1(5.9%) expired in orders.

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팔맥교회혈(八脈交會穴) 중(中) 내관(內關)·공손(公孫)에 대한 문헌적(文獻的) 고찰(考察) (The Literature Study on Nae-gwan and Kongson among Eight Meridians meeting points)

  • 김남각;이현;이병렬
    • 혜화의학회지
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    • 제10권1호
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    • pp.221-235
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    • 2001
  • According to the literature study on Nae-gwan and Kongson, reviewing the oriental medical books from Hung-Ti-Nei-Ching $\ll$黃帝內經$\gg$ to recent books and other 35 kinds of literatures, the following results are obtained. 1. The location of Nae-gwan is the superior 2 cun Tae-nung point between Tendon of flexor carpiradials and Tendon of palmaris longus; the location of Kongson is the 1st Metatarsal, medial, dented and posterior 1 cun T'aebaek point. 2. The effects of Nae-gwan are relaxing mind, nutrition of heart, peaceful chest, invigorate vital energy, transmitting triple energy; the effects of Kongson are steadying spleen harmonious stomach clearing away dampness, controlling ch'ung-im, regulating blood. 3. Nae-gwan is often used for circulatory organs disease, digestive organs disease, neuropsychiatry disease; Kongson is often used for digestive organs disease, urinary organs disease, neuropsychiatry disease, therefore, these double points are used for internal disease wholly. 4. The Needle-steadying depth of Nae-gwan is 0.5-1 cun, Kongson is 0.3-2 cun; the Moxibustion dosage of Nae-gwan is 3-7 zhuang, Kongson is 3-5 zhuang. 5. Nae-gwan belongs to pericardium Merdian, Kongson belongs to Spleen Meridian, therefore, these double points are combined in yin Meridian upper and lower sides. These points can be used for treating front body part, such as heart, chest and stomach.

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최소 침습 기법 슬개건 부하 분산 봉합술과 유관 나사못을 이용한 슬개골 횡골절의 치료 (Treatment of Transverse Patella Fracture with Minimally Invasive Load-Sharing Patellar Tendon Suture and Cannulated Screws)

  • 이범석;박병문;양봉석;김규완
    • 대한정형외과학회지
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    • 제56권6호
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    • pp.540-545
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    • 2021
  • 슬개골 횡골절은 수술이 필요한 전위된 슬개골 골절의 가장 흔한 형태이다. 이러한 슬개골 횡골절은 골절선을 지나 평행하게 삽입된 Kirschner-강선이나 나사못에 장력대 강선을 추가적으로 고정한 기법이 흔히 사용된다. 그러나 고식적인 고정 방법의 경우 삽입된 강선이나 핀의 돌출에 의한 합병증이 흔히 발생한다. 이러한 합병증은 내고정물의 제거를 위한 추가적인 수술을 필요로 하고, 의료비 상승 및 슬관절의 기능 제한을 일으킬 수 있다. 이에 슬개골 횡골절에 대해 안정적인 고정력을 제공하고 수술 시 연부조직 손상을 최소화하여 골절부 혈류를 보존하고 수술 후 통증을 감소시키며, 내고정물에 의한 자극과 그에 따른 통증을 감소시켜 관절 운동 제한 발생 위험을 감소 시키는 최소 침습 부하 분산 경피적 슬개건 봉합술을 이용하여 치료한 사례들을 수술 술기와 함께 보고하고자 한다.

프리캐스트 바닥판의 연속교 적용에 관한 연구 (Research on the Application of Precast Deck to Continuous Bridges)

  • 정철헌;심창수;윤석구;정운용
    • 한국콘크리트학회:학술대회논문집
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    • 한국콘크리트학회 2001년도 가을 학술발표회 논문집
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    • pp.573-578
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    • 2001
  • In order to apply a precast deck to continuous composite bridges, several experiments and analytical studies were performed. Design criterion for crack prevention should be such that it does not permit tension at the joint to occur when the service loads are applied. Details of the shear pocket for studs and material properties of filler in the pocket and the joint are very important considerations in design and construction. Combination of longitudinal prestressing methods, internal tendon and prestressing after shear connection, should be used for prevention of cracking in continuous precast deck bridges. Design guides for the determination of prestressing force are suggested.

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격납건물 텐던갤러리 벽체의 온도응력에 대한 연구 (A Study on Thermal Stress in T/G Wall of Containment Building)

  • 김진근;양은익;박영진;송영철;방기성
    • 한국콘크리트학회:학술대회논문집
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    • 한국콘크리트학회 1998년도 봄 학술발표회 논문집(I)
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    • pp.193-198
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    • 1998
  • In this study, the change of concrete temperature, strain and thermal stress were measured by using the embedded type concrete gauges in tendon gallery wall of containment building. A finite element analysis was performed to clarify the thermal behavior of concrete. The analytic and test results were investigated to improve the validity of analytic method. According to the test results, concrete temperature, strain and thermal stress were strongly affected by measuring point and environment condition of member. And the thermal stress was developed in the member which was not demoulded at early ages. This is caused by the change of internal temperature and restrained condition. A finite element effectively interpreted the test results by estimating the concrete properties and the site condition.

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높은 곡률 각을 가지는 도관 내부의 줄 꼬임 구동에 대한 진동 효과 (Effect of Vibration on Twisted String Actuation Inside Conduit at High Curvature Angles)

  • 이동휘;이고르 가포노브;유지환
    • 로봇학회논문지
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    • 제14권3호
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    • pp.221-227
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    • 2019
  • This paper studies an effect of vibration on twisted string actuation inside conduit at high curvature angles. In our previous work. we have mentioned that twisted string actuators can be used to transmit power even at significant curvature angles of the conduit. However, several undesirable effects, namely pull-back, hysteresis, and chattering, were present during actuation due to friction between strings and the internal sheath of the conduit. This paper reports the results of experimental study on effects of vibration on twisted string actuation inside curved conduits. We have demonstrated that applying vibration generated near natural frequency of the system during the stages of twisting and untwisting cycles helped reduce pull-back and hysteresis and increase string contraction. In case when sheath was deflected by $180^{\circ}$ under a constant load of 3 kg, we were able to achieve over 40% decrease in pull-back and 30% decrease in hysteresis, compared with no vibration case.

향부자팔물탕으로 호전된 알코올성 다발신경병증 치험 1례 (A Case Study of Alcoholic Polyneuropathy Improved with Hyangbujapalmul-tang)

  • 최송;박혜선
    • 사상체질의학회지
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    • 제35권4호
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    • pp.55-64
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    • 2023
  • Objectives This study was aimed to report improvement of Soeumin patient diagnosed with Alcoholic Polyneuropathy using Hyangbujapalmul-tang. Method The 41-year-old man had severe foot pain, sensory slow down and ataxic gait. The patient was diagnosed Soeumin and medicated with Hyangbujapalmul-tang three times a day. Clinical improvement was evaluated with blood test, ataxic gait evaluation, deep tendon reflex and visual analogue scale (VAS). Results The symptoms of foot pain, sensory slow down and ataxic gait were dramatically improved after treatment. Conclusions Constitutional treatment for foot pain, sensory slow down and ataxic gait diagnosed with Alcoholic Polyneuropathy are potentially effective.

견봉 골절의 불유합으로 기인한 가관절증의 잠김 금속판을 이용한 치료 - 증례보고 - (Treatment of Pseudoarthrosis due to Nonunion of the Acromial Fracture with LCP - Case Report -)

  • 김용민;박경진;김동수;최의성;손현철;조병기;박지강;금상욱;정호승
    • Clinics in Shoulder and Elbow
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    • 제16권2호
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    • pp.130-134
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    • 2013
  • 견봉 골절의 진단 및 치료 지연으로 발생한 통증을 동반한 가관절증은 수술적 치료를 요한다. 견봉은 두께가 얇은 편평골이므로 견고한 고정이 어렵기 때문에 견봉에서 발생한 가관절증의 치료는 매우 어렵다. 52세 다발성 외상환자에서 발생한 전위가 없는 견봉 골절을 보행 재활을 시작하며 통증이 유발될 때까지 발견하지 못하였다. 원위 요골용 가변각 잠김 금속판을 이용한 내고정술 및 자가 장골 이식술을 시행하였다. 술 후 9개월째 극상건 부분 파열이 있어, 관절경하 극상건 봉합술을 시행하였다. 술 후 9개월째 방사선 검사상 완전한 골유합을 얻었다. 극상건 봉합술 3개월 후 통증이 완화되었으며, 견관절 기능이 정상화되었다. 견고한 고정이 어려운 견봉 불유합 및 가관절증 증례에서 좋은 결과를 얻어 보고한다.

비선형 유한요소해석을 이용한 CANDU형 격납건물의 내압취약도 평가 (Assessment of the Internal Pressure Fragility of the CANDU Type Containment Buildings using Nonlinear Finite Element Analysis)

  • 함대기;최인길;이홍표
    • 한국전산구조공학회논문집
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    • 제23권4호
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    • pp.445-452
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    • 2010
  • CANDU형 격납건물에 대하여 극한내압하중에 대한 확률론적 취약도 평가를 수행하였다. 격납건물 성능의 불확실성은 가동중 검사 결과를 통해 얻어진 재료 물성치 중앙값과 텐던 긴장력 중앙값을 적용하여 고려하였다. 격납건물은 개구부를 고려하여 3차원 유한요소로 모델링하였으며, 확률론적 취약도 평가를 위하여 대규모의 비선형 유한요소해석 모델을 적용하기에 적합한 효율적인 취약도 평가기법을 개발하였다. 월성 1호기 격납건물에 대한 물성치를 사용하였다. 개발된 새로운 취약도 평가기법을 도입하여 각각의 파괴모드에 대한 취약도 평가를 수행하였으며, 파괴모드 별, 신뢰도 수준별 취약도 곡선을 도출하였다. 벽체 중단부가 극한내압발생으로 인한 방사능물질 누출에 가장 취약한 것으로 나타났다.

족삼양경근(足三陽經筋)의 근육학적(筋肉學的) 고찰(考察) (A Study on Muscular System of Foot Three Yang Meridian-Muscle)

  • 이명선;홍승원;이상룡
    • Korean Journal of Acupuncture
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    • 제25권2호
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    • pp.1-32
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    • 2008
  • Objectives : This study was performed to understand the interrelation between 'Foot three yang meridian-muscle' and 'muscular system'. Methods : We have researched some of the literatures on Meridian-muscle theory, anatomical muscular system, myofascial pain syndrome and anatomy trains. And especially we have compared myofascial pain syndrome to anatomy trains and researched what kind of relationship is exist between them. Results : It is considered that Foot taeyang meridian-muscle includes Abductor digiti minimi m., Gastrocnemius m., Biceps femoris m., Longissimus m., Omohyoid m., Occipital m., Frontal m., Orbicularis oculi m., Trapezius m., Sternocleidomastoid m., Sternohyoid m., Zygomaticus m. Foot soyang meridian-muscle includes Dorsal interosseus m., Tendon of extensor digitorum longus m., Extensor digitorum longus m., Iliotibial band, Vastus lateralis m., Piriformis m., Tensor fasciae latae m., Internal abdominal oblique m., External abdominal oblique m,, Internal intercostal m., External intercostal m., Pectoralis major m., Sternocleidomastoid m., Posterior auricular m., Temporal m., Masseter m., Orbicularis oculi m. Foot yangmyung meridian-muscle includes Extensor digitorum longus m., Vastus lateralis m., Iliotibial band, Iliopsoas m., Anterior tibial m., Rectus femoris m., Sartorius m., Rectus abdominis m., Pectoralis major m., Internal intercostal m., External intercostal m., Sternocleidomastoid m., Masseter m., Levator labii superioris m., Zygomatic major m., Zygomatic minor m., Orbicularis oculi m., Buccinator m. and the symptoms of Foot three yang meridian-muscle are similar to the myofascial pain syndrome. Superficial back line in anatomy trains is similar to the pathway of Foot taeyang meridian-muscle. Lateral Line in anatomy trains is similar to the pathway of Foot soyang meridian-muscle. Superficial Front Arm Line in anatomy trains is similar to the pathway of Foot yangmyung meridian-muscle. Conclusions : There is some difference between myofascial pain syndrome and meridian-muscle theory in that the former explains each muscle individually, while the latter classifies muscular system in the view of integrated organism. More studies are needed in anatomy and physiology to support the integration of muscular system of Foot three yang meridian-muscle in aspect of anatomy trains.

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