• Title/Summary/Keyword: joint disease

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Study of Joint Histogram Based Statistical Features for Early Detection of Lung Disease (폐질환 조기 검출을 위한 결합 히스토그램 기반의 통계적 특징 인자에 대한 연구)

  • Won, Chul-ho
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.10 no.4
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    • pp.259-265
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    • 2016
  • In this paper, new method was proposed to classify lung tissues such as Broncho vascular, Emphysema, Ground Glass Reticular, Ground Glass, Honeycomb, Normal for early lung disease detection. 459 Statistical features was extraced from joint histogram matrix based on multi resolution analysis, volumetric LBP, and CT intensity, then dominant features was selected by using adaboost learning. Accuracy of proposed features and 3D AMFM was 90.1% and 85.3%, respectively. Proposed joint histogram based features shows better classification result than 3D AMFM in terms of accuracy, sensitivity, and specificity.

Pathogenesis and clinical manifestations of juvenile rheumatoid arthritis

  • Hahn, Youn-Soo;Kim, Joong-Gon
    • Clinical and Experimental Pediatrics
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    • v.53 no.11
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    • pp.921-930
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    • 2010
  • Juvenile rheumatoid arthritis (JRA) is the most common rheumatic childhood disease; its onset is before 16 years of age and it persists for at least 6 weeks. JRA encompasses a heterogeneous group of diseases that is classified according to 3 major presentations: oligoarthritis, polyarthritis, and systemic onset diseases. These presentations may originate from the same or different causes that involve interaction with specific immunogenetic predispositions, and result in heterogeneous clinical manifestations. An arthritic joint exhibits cardinal signs of joint inflammation, such as swelling, pain, heat, and loss of function; any joint can be arthritic, but large joints are more frequently affected. Extra-articular manifestations include high fever, skin rash, serositis, and uveitis. The first 2 types of JRA are regarded as T helper 1 (Th1) cell-mediated inflammatory disorders, mainly based on the abundance of activated Th1 cells in the inflamed synovium and the pathogenetic role of proinflammatory cytokines that are mainly produced by Th1 cell-stimulated monocytes. In contrast, the pathogenesis of systemic onset disease differs from that of other types of JRA in several respects, including the lack of association with human leukocyte antigen type and the absence of autoantibodies or autoreactive T cells. Although the precise mechanism that leads to JRA remains unclear, proinflammatory cytokines are thought to be responsible for at least part of the clinical symptoms in all JRA types. The effectiveness of biologic therapy in blocking the action of these cytokines in JRA patients provides strong evidence that they play a fundamental role in JRA inflammation.

Common Hip Diseases and Their Imaging Studies (흔히 접할 수 있는 고관절 질환들과 영상 검사)

  • Rhyu, Kee Hyung
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.1 no.1
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    • pp.40-49
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    • 2008
  • Hip joint is one of the most deeply located joint in human body. Moreover, most clinical symptoms of various hip diseases are vague and confusing. In these reasons, the imaging modalities of hip have been extensively studied and developed. From a plain radiograph to more complex MR arthrography, various techniques are now available. In this brief review, the long and short of imaging modalities and clinical examples of common hip diseases will be introduced. The most important significance of diagnostic imaging is its clinical relevance. It is because when we know the characteristics of the imaging modalities and the disease itself, the optimal approach to a patient can be achieved, but when we do not know, the expensive images can only be a meaningless picture.

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Clinical Features of the TMD Patients with Degenerative Joint Disease (퇴행성 악관절장애환자의 임상양태에 관한 연구)

  • Myung-Yun Ko
    • Journal of Oral Medicine and Pain
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    • v.20 no.2
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    • pp.257-267
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    • 1995
  • An Epidemiologic study was carried out on 77 TMD patients with degenerative joint disease who had visited the Orofacial Pain Clinic in Pusan National University Hospital. Al subjects were interviewed and examined clinically and radiologically using a standardized examination form. As related to gender and duration, subjective and objective sysmptoms in DJD patients were studied. The obtained results were as follows : 1. There were much more patients in the twenties or thirties, women and histories such as chronic duration and microtrauma. 2. Most patients responded positively more often to the questions of jaw function, unilateral chewing in habits, poot appetite and depression in behavioral response and shoulder pain in worsening prognosis 3. While the most common reasons for treatment were pain, noise, and limitation of opening, the associated symptoms such as headache, neckache, earache, jaw dysfunction, neck dysfunction, acute bite change and dizziness, ringing or fullness in the ears as secondary CNS excitatory effects were complained. 4. Opening the mouth in 25 to 40mm, soft end feel and deflective incisal pathway were seen and more tenderness to lateral or dorsal capsule of joint than intra or extra oral muscles were complained. 5. While there appeared no click, crepitus and single click in acute group, in chronic group, crepitus, single click and no click appeared in order of sequence. 6. Tomogram or bone scan revealed more bony changes than panorama and transcranial view.

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Effects of Auricle Electric Stimulation on Pain, Gait and Balance in the Old Aged with Knee Joint Disease (외이전기자극이 슬관절질환 노인의 통증과 보행 및 균형에 미치는 영향)

  • Seo, Sam-Ki;Cho, Woon-Su;Lee, Jeong-Woo;Kim, Yong-Nam;Jung, Jin-Kyue;Hwang, Tae-Yeun
    • The Journal of Korean Physical Therapy
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    • v.20 no.2
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    • pp.11-17
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    • 2008
  • Purpose: This study examined the application of electric stimulation to the auricle acupoint (frequency 2 Hz, stimulation level: noxious) with 30 elderly people over 65 years that received treatment in a rural hospital to determine the influence of pain, gait and balance in the aged with knee joint disease. Methods: The subjects were divided into three groups; the degenerative joint diseases (DJD) group (1 male, 9 females), the total knee replacement (TKR) group (1 male, 9 females) and the control group (1 male, 9 females). Auricualr electrical stimulation (AES) was applied with low frequency, high intensity transcutaneous electrical nerve stimulation for 10 seconds per each point. Results: 1. For the change of pain according to AES, there was interaction in the resting period (p<0.001) and gait (p<0.001) and pain of the DJD group and TKR group was decreased. 2. The range of motion (ROM) of the knee joint showed a significant difference in interaction for each group of elderly people (p<0.001) and the ROM for the DJD group and TKR group of elderly people was increased. 3. In the analysis of gait speed changes, there was a significant difference in interaction for each group of elderly people (p<0.001) and for gait speed in the DJD group and TKR group of elderly people. 4. It was found in the change of static balance that there was a significant difference in interaction for each group of elderly people (p<0.01) and balance capacity in the DJD group and TKR group of elderly people was increased. Conclusion: The aged with knee joint disease have pain, and a decreased function of gait and balance. AES was an excellent treatment for control of pain, and an excellent treatment to enhanced joint functions. AES was useful for improving gait and balance due to decreased pain.

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Unintentional lumbar facet joint injection guided by fluoroscopy during interlaminar epidural steroid injection: a retrospective analysis

  • Kim, Min Jae;Choi, Yun Suk;Suh, Hae Jin;Kim, You Jin;Noh, Byeong Jin
    • The Korean Journal of Pain
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    • v.31 no.2
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    • pp.87-92
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    • 2018
  • Background: An epidural steroid injection (ESI) is a commonly administered procedure in pain clinics. An unintentional lumbar facet joint injection during interlaminar ESI was reported in a previous study, but there has not been much research on the characteristics of an unintentional lumbar facet joint injection. This study illustrated the imaging features of an unintentional lumbar facet joint injection during an interlaminar ESI and analyzed characteristics of patients who underwent this injection. Methods: From December 2015 to May 2017, we performed 662 lumbar ESIs and we identified 24 cases (21 patients) that underwent a lumbar facet joint injection. We gathered data contrast pattern, needle approach levels and directions, injected facet joint levels and directions, presence of lumbar spine disease as seen on magnetic resonance images (MRI), and histories of lumbar spine surgeries. Results: The contrast pattern in the facet joint has a sigmoid or ovoid contrast pattern confined to the vicinity of the facet joint. The incidence of unintentional lumbar facet joint injection was 3.6%. The mean age was 68.47 years. Among these 21 patients, 14 (66.7%) were injected in the facet joint ipsilaterally to the needle approach. Among the 20 patients who received MRI, all (100%) had central stenosis and 15 patients (75%) had severe stenosis. Conclusions: When the operator performs an interlaminar ESI on patients with central spinal stenosis, the contrast pattern on the fluoroscopy during interlaminar ESI should be carefully examined to distinguish between the epidural space and facet joint.

Efficacy of Pharmacopuncture for Treating Children with Physical Disabilities in Uzbekistan

  • Zohidjon, Ismailov N.;Yu, Jun-Sang
    • Journal of Pharmacopuncture
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    • v.16 no.2
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    • pp.23-27
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    • 2013
  • Objective: This research was performed to investigate the efficacy of complex rehabilitation combined with pharmacopuncture treatment for the children with neuromotor system diseases. Methods: Fifty (50) patients aged from 5 to 15 yr old were compared. Twenty (20) patients received conventional treatments and complex rehabilitation as a control group, and fifty (50) patients received complex rehabilitation with pharmacopuncture. At their first visits, the patients had checkups and neurological scales, and after 10 days of pharmacopuncture treatments and 55 days of rehabilitation, they also took neurological scales. We studied the pre and post effects of the treatment group. Results: The number of patients with ankle joint disorder and contracture, knee joint contracture, steppage, horsey hoof, shoulder weakness and contracture, radio-carpal joint disorder and contracture, arm hypotrophia, arm atrophia, leg hypotrophia and total atrophia decreased after treatments. Conclusion: This study showed the efficacy of pharmacopuncture combined with complex rehabilitation for the treatment of neuromotor system diseases.

Infection on Sternoclavicular Joint in Electrical Burn - Case Report - (전기화상 환자에서 발생한 흉쇄관절의 감염 - 증례 보고 -)

  • Rha, Jong-Deuk;Jang, Young-Soo;Park, Hyun-Soo;Jung, Tae-Won;Jin, Hyun-Bae;Kim, Kyung-Hoon;Lee, Byung-Hoon
    • Clinics in Shoulder and Elbow
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    • v.9 no.2
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    • pp.242-245
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    • 2006
  • Infection on sternoclavicular joint after electrical burn is rare. No case was reported previously in Korea. Even though the disease is rare, we treated the case successfully with intravenous antibiotics followed by curettage and drainage. Successful treatment was achieved in the case of infection on sternoclavicular joint after electrical burn.

Articular loose body, Synovial Chondromatosis of the Temporomandibular Joint : a Case Report (측두하악관절의 소성체를 동반한 활액성 연골종증 : 증례보고)

  • Choi, Byung-Joon;Lee, Baek-Soo;Kim, Yeo-Gab;Kwon, Yong-Dae;Kim, Young-Ran
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.35 no.5
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    • pp.310-311
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    • 2009
  • Synovial chondromatosis is an uncommon disease of cartilage transformation of synovial membrane with formation of loose bodies within the joint space. The involvement of temporomandibular joint is very rare. Symtoms include swelling, pain, stiffness of the jaw, and inability to close the jaw. A case involving the temporomandibular joint(TMJ) and non-symptoms is presented.

Tenosynovial Giant Cell Tumor of the Temporomandibular Joint - Case Report - (측두하악관절에서 발생한 건활막 거대세포종 - 증례보고 -)

  • Kim, Chan;Jang, Suk Jung
    • Journal of Korean Neurosurgical Society
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    • v.30 no.10
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    • pp.1229-1232
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    • 2001
  • A rare case of tenosynovial giant cell tumor of invading left temporomandibular joint(TMJ) extending the middle cranial fossa is reported. Report of this entity in the temporomandibular joint is rare. A 39-year old male patient presented with mild discomfort and swelling in preauricular area. MR image demonstrated a destructive lesion of the left TMJ, with bony erosion of temporal bone and extension into middle cranial fossa. The patient underwent radiotherapy as adjuvant therapy to prevent recurrence, followed by resection. The histological and radiological features of this tumor are discussed along with a brief description of the disease entity.

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