• 제목/요약/키워드: lateral asymmetry

검색결과 122건 처리시간 0.024초

플라스틱 단하지 보조기와 신발 착용이 편마비 환자의 정적 선자세 균형에 미치는 영향 (Effects of Plastic AFO and Shoes on Static Standing Balance in Hemiplegic Patients)

  • 김중휘;김중선
    • The Journal of Korean Physical Therapy
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    • 제13권2호
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    • pp.381-397
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    • 2001
  • In the patients with hemiplegia caused by stroke and TBI. postural sway is increased and open displaced laterally over the non-affected leg, reflecting asymmetry in weight bearing on lower extremities during standing balance. Recovery of symmetric weight bearing and postural stability is an important aim in physical therapy. Plastic AFO has been used for hemiplegic patients in order to help their abnormal walking patterns. Past studies have mainly focused on the AFO influences on hemiplegic walking patterns without balance function approaches. The purpose of this study was to identify the immediate effects of plastic AFO and shoes on the static balance in hemiplegic patients. The scale for static balance were weight bearing on affected leg(%), sway area(mm2), sway path(mm), maximal sway velocity(mm/s), anteroposterior sway angle($^{\circ}$ ), and lateral angle($^{\circ}$ ). Seventeen hemiplegic patients participated in this study: 13 men and 4 women, with an average age of 50.18 years. Static balance was measured using BPM(balance performance monitor; dataprint software version 5.3) under four standing condition namely bare-foot standing. standing in shoes, standing with AFO, and standing in shoes with AFO. In order to assure the statistical significance of the results, an one-way ANOVA, the independent t-test. and a pearson's correlation were applied at the .05 level of significant. The results of this study were as follows: 1) There were statistically significant differences in weight bearing(%) on the static balance between affected leg and non-affected leg(p<.01). 2) There were statistically significant differences in sway reverse frequence(Hz) in standing with AFO between affected leg and non-affected leg(p<.05). 3) Sway area(mm2) on standing in shoes with AFO was lower than bare-foot standing(p<.05), Lateral sway angle($^{\circ}$ ) on standing in shoes with AFO was lower than bare-foot standing and standing in shoes(p<.05). 4) Weight bearing in affected leg was not significantly correlated with postural sway.

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Morphological Specificity in Cultured Starry Flounder Platichthys stellatus Reared in Artificial Facility

  • Kang, Duk-Young;Lee, Jong-Ha;Kim, Won-Jin;Kim, Hyo-Chan
    • Fisheries and Aquatic Sciences
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    • 제15권2호
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    • pp.117-123
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    • 2012
  • The starry flounder Platichthys stellatus, like all flatfish, exhibits conspicuous lateral asymmetry in numerous traits, most obvious of which is the migration of one eye to the other side of the head during metamorphosis. Additional changes related to eye migration include asymmetrical pigmentation, and a behavioral shift from larvae that exhibit upright, open-water swimming to juveniles and adults that lie on the ocean floor, eye side up. However, the morphology of these juveniles has been quite plastic in recent years, a phenomenon which is thought to be related to a diverse suite of semi-intensive and intensive larviculture methods. The cause of morphological abnormalities in the farmed flatfish is poorly understood. In the present study, we observe the features of morphological specificity and abnormality of immature fish (mean total length 23 cm) and survey the occurrence frequency of the specificity and abnormality of juvenile (mean total length 6.70 cm) in artificial culture facility. We find 2 types of abnormality (e.g., albino in ocular side and hypermelanosis in blind side) and 1 type of specificity (e.g., lateral polymorphism). These considerably differ from normal individuals (has sinistral eye and pigmented on only one side) by several characteristics (dextral eye, ocular side albinism, blind side hypermelanosis). The incidences of albinism, hypermelanosis, and body reversal are $10.1{\pm}2.56%$, $91.7{\pm}1.7%$, and $13.1{\pm}1.1%$, respectively. These suggest that these morphometric and morphological differences occur more in artificial environment during and just after metamorphosis.

Accuracy of three-dimensional cephalograms generated using a biplanar imaging system

  • Park, Ha-Yeon;Lee, Jae-Seo;Cho, Jin-Hyoung;Hwang, Hyeon-Shik;Lee, Kyung-Min
    • 대한치과교정학회지
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    • 제48권5호
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    • pp.292-303
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    • 2018
  • Objective: Biplanar imaging systems allow for simultaneous acquisition of lateral and frontal cephalograms. The purpose of this study was to compare measurements recorded on three-dimensional (3D) cephalograms constructed from two-dimensional conventional radiographs and biplanar radiographs generated using a new biplanar imaging system with those recorded on cone-beam computed tomography (CBCT)-generated cephalograms in order to evaluate the accuracy of the 3D cephalograms generated using the biplanar imaging system. Methods: Three sets of lateral and frontal radiographs of 15 human dry skulls with prominent facial asymmetry were obtained using conventional radiography, the biplanar imaging system, and CBCT. To minimize errors in the construction of 3D cephalograms, fiducial markers were attached to anatomical landmarks prior to the acquisition of radiographs. Using the 3D $Ceph^{TM}$ program, 3D cephalograms were constructed from the images obtained using the biplanar imaging system (3D $ceph_{biplanar}$), conventional radiography (3D $ceph_{conv}$), and CBCT (3D $ceph_{cbct}$). A total of 34 measurements were obtained compared among the three image sets using paired t-tests and Bland-Altman plotting. Results: There were no statistically significant differences between the 3D $ceph_{biplanar}$ and 3D $ceph_{cbct}$ measurements. In addition, with the exception of one measurement, there were no significant differences between the 3D $ceph_{cbct}$ and 3D $ceph_{conv}$ measurements. However, the values obtained from 3D $ceph_{conv}$ showed larger deviations than those obtained from 3D $ceph_{biplanar}$. Conclusions: The results of this study suggest that the new biplanar imaging system enables the construction of accurate 3D cephalograms and could be a useful alternative to conventional radiography.

한국산 모샘치아과(잉어과, 경골어강) 어류 정자의 미세구조와 계통학적 연구 1. 긴몰개 Squalidus gracilis majimae 정자의 미세구조 (Spermatozoal Ultrastructure and Phylogenetic Relationships of the Subfamily Gobioninae (Cyprinidae, Teleostei) 1. Ultrastructure of the Spermatozoa of the Korean Slender Gudgeon Squalidus gracilis majimae)

  • 이영환;김구환
    • Applied Microscopy
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    • 제28권1호
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    • pp.63-71
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    • 1998
  • 모샘치아과의 한국고유종인 긴몰개 (Squalidus gracilis majimae)의 정자는 구형의 두부와 짧은 중편 및 긴 편모를 가지고 있으며 그 길이는 $36.6{\mu}m$이었다. 두부에는 다른 경골어류에서와 같이 첨체를 가지고 있지 않으며 핵은 $1.9{\mu}m$의 직경을 가지고 핵막 주변부에는 전자밀도가 낮은 염색질 부위를 포함하고 있었다. 핵와는 다른 잉어류에서와 같이 핵막이 얕게 함입되어 기부중심립만을 포함하고 있어서, 메기류의 기부 및 말단부 중심립을 포함하는 긴 핵와와는 큰 차이를 보여주었다. 두 중심립은 서로 약 $140^{\circ}$의 각도로 배열되어 있었다. 미토콘드리아는 중편세포질에 3층으로 배열되어 있으나 축사를 둘러싸고 있지 않으며 축사와는 세포질관에 의해 분리되어 있었다. 정자의 꼬리에 대한 핵의 위치와 미토콘드리아의 비대칭적 배열은 잉어과 정자의 공통된 특징으로 나타나며, 미토콘드리아가 분포된 중편세포질은 다른 잉어류에서보다 훨씬 풍부하였다. 긴몰개의 정자는 현재까지 밝혀진 잉어과의 정자중에서 세포질관의 길이가 가장 길고, 미토콘드리아의 수도 가장 많이 나타났다. 편모에는 lateral fins가 관찰되지 않았다.

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유년기 안구적출술 및 방사선치료로 인하여 발생된 안와 열성장에 대한 재건 치험례 (PRELIMINARY CASE REPORTS OF RECONSTRUCTION FOR ORBITAL HYPOPLASIA AFTER EYEBALL ENUCLEATION AND IRRADIATION DURING CHILDHOOD)

  • 김훈;최미숙;최성원;홍관석;김성문;임재석;권종진
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제18권1호
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    • pp.17-25
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    • 1996
  • There are many reports of the surgical management for the craniofacial abnormalities arising from the irradiation of the head and face for treatment of childhood cancers. Since the mordern combined-modality theraphy for childhood cancers began in the late 1960s and the early 1970s, recent reports have described the occular, dental and maxillo-facial abnormalities after irradiation in long-term survivors of cancers of the head and face. The resultant deformities may be known to be difficult to reconstruct with surgical techniques. This paper describes the late reconstructive surgery for the unilateral orbital and malar hypoplasia after eyeball enucleation and irradiation during childhood to correct the facial asymmetry and expand the contracted orbital socket into the functional dimension for the retaining eyeball prosthesis with spherical implant. We reports the satisfactory preliminary results from the midfacial osteotomy through the supero-lateral orbital rim and malar bone and the antero-lateral repositioning with the autogenous bone grafting in 26 year-old female patient who will be planned to make the new eyeball prosthesis by the department of ophthalmology.

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Nasal alar rim redraping method to prevent alar retraction in rhinoplasty for Asian men: A retrospective case series

  • Choi, Jun Ho;Yoo, Hyokyung;Kim, Byung Jun
    • Archives of Plastic Surgery
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    • 제48권1호
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    • pp.3-9
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    • 2021
  • Background For an attractive and natural tip contour in Asian rhinoplasty, insertion of a nasal implant and reinforcement of the cartilaginous framework are essential. However, scar contracture, which often results from augmentation with implant insertion and inadequate soft tissue coverage of the framework, is one of the most common causes of alar retraction. This study reports a novel method of redraping soft tissue along the alar rim to prevent alar retraction in Asians. Methods Twenty young Asian men who underwent primary rhinoplasty with septoplasty were retrospectively reviewed. After the usual rhinoplasty procedures, alar rim redraping was conducted for the soft tissue along the transcolumellar and bilateral infracartilaginous incisions. The longest axis of the nostril (a) and the height of the nostril from that axis (b) were measured in anterior-posterior and lateral views. The preoperative and postoperative ratios (b/a) were analyzed using the paired t-test. Results All 20 patients showed natural contours of the nasal tip, nostrils, and alae after a mean follow-up of 53.6 weeks (range, 52-60 weeks). The ratio of the nostril axes significantly decreased postoperatively in all patients except one, by an average of 11.08%±6.52% in the anterior-posterior view and 17.74%±8.49% in the lateral view (P<0.01). There were no complications, including asymmetry, contracture, subdermal plexus injury, flap congestion, or infection. Conclusions A quantitative analysis of alar retraction by evaluating the ratio of nostril axes showed that alar rim redraping is a simple and effective adjuvant technique for preventing alar retraction in rhinoplasty for young Asian men.

Evaluation of Radiographic Positioning Techniques Used in Local Hospitals after Teleradiology Consultation

  • Sojin Kim;Miju Oh;Yooyoung Lee;Minju Lee;Jiyoung Ban;Uhjin Kim;Jiwoon Park;Jaepung Han;Dongwoo Chang
    • 한국임상수의학회지
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    • 제39권6호
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    • pp.326-333
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    • 2022
  • The purpose of this study was to evaluate the radiographic positioning techniques used in local animal hospitals, identify the most common positioning problem, and determine whether there were changes after teleradiology consultations. From September 2016 to April 2021, 15 local animal hospitals that requested radiographic interpretation more than 10 times and for more than six cases of thoracic radiographs were selected. Six sets of two-views of (lateral and ventrodorsal [VD] or dorsoventral [DV] views) digital thoracic radiographs from six dogs per hospital were evaluated in four categories. For the lateral view, radiographic technique scores used in ten local animal hospitals improved, one remained the same, and four became worse. For the VD/DV view, the score for eleven hospitals improved and worsened for four. The most common problem was rotation (57/90) for the lateral view, followed by an inappropriate field of view (59/90), and incorrect beam center (71/90). For the VD/DV view, an inappropriate field of view (54/90) was the most common problem, followed by asymmetry (63/90), and incorrect beam center (73/90). Every factor, except rotation in the lateral view, improved after obtaining technical consultation; however, the degrees of improvement were not remarkable. There was no significant correlation between the number of requests and the degree of improvement. According to the results, the radiographic technique used in local animal hospitals was improved by technical advice on teleradiology. These changes make it possible to provide accurate diagnoses of the requested images. There are some limitations regarding the indicators of evaluation and the number of cases; therefore, further studies that use detailed indicators in large cohort group are needed. In addition, an effective method of teaching should be developed to improve radiographic techniques in local animal hospitals.

조기 발병한 정신증적 장애에서 자기공명영상을 이용한 측뇌실에 대한 구조적인 예비연구 (THE PRELIMINARY STUDY OF THE QUANTITATIVE MORPHOLOGIC ANALYSIS USING MRI OF THE LATERAL VENTRICLE IN EARLY-ONSET PSYCHOTIC DISORDER)

  • 이윤희;강민희;김철응;배재남;홍강의;이정섭
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제12권2호
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    • pp.256-262
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    • 2001
  • 연구 목적:측뇌실의 확장은 성인기의 정신분열병에서 잘 확립된 소견이지만, 조기에 발병한 정신증적 장애에서는 아직 논란이 있다. 본 연구에서는 자기공명영상을 이용한 후향적인 방법을 통하여 지금까지 비교적 연구가 많이 시행되지 않았던 조기발병한 정신분열병·양극성 장애 환아들을 대상으로 측뇌실의 구조적인 이상을 연구하여, 이러한 뇌의 구조적 이상이 병의 초기부터 시작되어 정상과는 다른 경과로 진행되는 것인가를 알아보고자 하였다 방 법:정신분열병과 양극성 장애의 DSM-III-R 진단 기준에 부합하는 14명의 환아(평균 연령 14.0세, 표준편차 2.1)와 26명의 두통 대조군에서 뇌자기공명 영상상을 후향적으로 모집하였다. 분석을 위하여 측뇌실이 가장 잘 보이는 축 영상(axial image)를 선택하였다. 뇌자기공명영상상은 평판형 스캐너로 읽어들여서 NIH IMAGE 프로그램을 통하여 분석하였다. 결 과:환자군에서는 측뇌실 크기, 측뇌실확장지수가 연령의 증가에 따라 함께 증가하는 상관관계를 나타내었으나, 대조군에서는 연령과 측뇌실 크기, 측뇌실확장지수 등이 유의한 상관관계를 보이지 않았다. 환자군에서는 정상군에서 보이는 좌우 측뇌실 비대칭성이 소실된 결과를 보였다. 그리고 통계적으로 유의한 정도는 아니었으나 환자군이 대조군에 비해 측뇌실과 측뇌실확장지수가 큰 경향을 보였다. 결 론:정신증적 환자에서의 뇌의 구조적 이상은 병의 비교적 초기 경과에서부터 시작되며, 정상과는 다소 다른 경과를 취하며 진행한다는 것을 시사하는 결과라 할 수 있다.

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다양한 수술방법에 의한 진성악관절강직증의 치험례 (CLINICAL CASES OF TRUE TMJ ANKYLOSIS USING VARIOUS OPERATIVE METHODS)

  • 이영훈;이상철;김여갑;류동목;이백수;윤옥병
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제21권3호
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    • pp.317-323
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    • 1999
  • TMJ ankylosis is defined as a mobile disorder of jaw such as mouth opening limitation, limitation of anterior or/and lateral movement of TMJ. Kazanjian published first clinical report about classification of TMJ ankylosis dividing with intracapsular ankylosis and extracapsular ankylosis. TMJ ankylosis is resulted from trauma, infection, metastatic tumor, irradiation, burn and etc. When TMJ ankylosis is manifested in growing period, it affects to functional disorder and development and position of mandible, so it can result in maxillofacial deformity such as facial asymmetry, micrognathia, malocclusion. For treatment of TMJ ankylosis, various surgical interventions were devised ; condylectomy, gap arthroplasty, interpositional arthroplasty and TMJ reconstruction. So, we report our results with documental study and cases of true ankylosis in our department.

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Methods of analysis for buildings with uni-axial and bi-axial asymmetry in regions of lower seismicity

  • Lumantarna, Elisa;Lam, Nelson;Wilson, John
    • Earthquakes and Structures
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    • 제15권1호
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    • pp.81-95
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    • 2018
  • Most buildings feature core walls (and shear walls) that are placed eccentrically within the building to fulfil architectural requirements. Contemporary earthquake design standards require three dimensional (3D) dynamic analysis to be undertaken to analyse the imposed seismic actions on this type of buildings. A static method of analysis is always appealing to design practitioners because results from the analysis can always be evaluated independently by manual calculation techniques for quality control purposes. However, the equivalent static analysis method (also known as the lateral load method) which involves application of an equivalent static load at a certain distance from the center of mass of the buildings can generate results that contradict with results from dynamic analysis. In this paper the Generalised Force Method of analysis has been introduced for multi-storey buildings. Algebraic expressions have been derived to provide estimates for the edge displacement ratio taking into account the effects of dynamic torsional actions. The Generalised Force Method which is based on static principles has been shown to be able to make accurate estimates of torsional actions in seismic conditions. The method is illustrated by examples of two multi-storey buildings. Importantly, the black box syndrome of a 3D dynamic analysis of the building can be circumvented.