• 제목/요약/키워드: maximal function

검색결과 410건 처리시간 0.033초

전이개 접근을 이용한 하악 과두 골절의 정복 (Open Reduction of Mandibular Condyle Fracture Via Preauricular Approach)

  • 김범준;차용훈;임재형;박광호;허종기
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제32권6호
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    • pp.521-528
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    • 2010
  • Purpose: Anatomical reduction of the fractured condylar process is an important prerequisite for re-establishing function. The authors reported about effectiveness of transoral approach for mandibular subcondyle fracture using trochar device in cases that the fracture line is below the reference line, the perpendicular line of the longitudinal axis of condylar process passing the lowest point of sigmoid notch. As a serial study, we report the open reduction via preauricular approach for mandibular condyle fracture, in cases that the fracture line is above the reference line. Patients and Methods: Sixteen condylar fractures of 15 adult patients were divided two groups and treated by open reduction via preauricular approach (8 cases) or by closed reduction (8 cases). The degree of maximal mouth opening, occlusion, anatomical reduction, condylar resorption and complications were assessed and evaluated for the two groups. Results: The open reduction of condyle via preauricular approach leads to good results without permanent complications. Anatomical reduction of open reduction group and maximal mouth opening range of the closed reduction group is significantly better than the other group. No significant differences were found in the condylar resorption and the occlusion. Conclusion: The preauricular approach was useful to reduce and fix the condylar fragment, in cases that the fracture line is above the reference line.

부적합구순을 가진 II급 1류 부정교합자의 구륜근, 턱끝근 및 협근의 활성과 안면골격 사이의 상관성 (CORRELATIONS BETWEEN MUSCLE ACTIVITIES OF ORBICULARIS ORIS, MENTALIS, BUCCINATOR AND SUPRAHYOID AND CRANIOFACIAL MORPHOLOGY IN CLASS II DIVISION 1 MALOCCLUSION WITH INCOMPETENT LIPS AND NORMAL OCCLUSION)

  • 이영준;박영국
    • 대한치과교정학회지
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    • 제24권1호
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    • pp.199-220
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    • 1994
  • This study was conducted to determine the electromyographic features in the perioral muscles of class II division 1 malocclusion with incompetent lips, and to grope the correlation between its activities and craniofacial morphology. Tn this study, 14 subjects with class II division 1 malocclusion with incompetent lips(mean age of 20.5 years) and 20 subjects with normal occlusion(mean age of 23.9 years) were investigated. Electromyographic data were recorded from orbicularis oris, mentalis, buccinator and suprahyoid muscles durig rest lip posture, lip position at sealing, maximum sealing, maximal blowing, maximal biting, sipping milk, sipping and swallowing milk, chewing gum, masticating almond, swallowing almond and phonation utilizing the Medelec MS-25 electromyographic apparatus. Lateral cephalometric radiographs were taken with the mandible in intercuspal position on all subjects. All data were recorded statistically processed. The findings of this study can be summerized as follows : 1. In class II division 1 malocclusion with incompetent lips, the overall augmentations of perioral muscle activities during various functionel movements set for lip sealing were manifested and particular swelling in mentalis activity at rest was detected. 2. On the other hand remarkable diminution of upper lip acitivities at lip sealing movements was drawn. 3. In Class II division 1 malocclusion with incompetent lips, negative correlations existed between the diversity of upper lip activities and upper incisor position and overjet as well in contrast to positive correlations in the lower lip. 4. It was suggested that the abnormal function of lower lip and mentalis muscle contributed somewhat the revelation of the characteristics of Class II division 1 malocclusion.

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악관절내장환자에서 교합관계와 두경부자세의 임상적 양상에 관한 연구 (Clinical Features Related to Occlusion and Head and Neck Posture in Patients with Internal Derangement of Temporomandibular Joint)

  • 정호인;한경수;이규미
    • Journal of Oral Medicine and Pain
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    • 제23권2호
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    • pp.127-141
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    • 1998
  • This study was performed to investigate the clinical features of internal derangement of temporomandibular joint. For this study, 117 patients with temporomandibular disorders and 81 dental students without any signs and symptoms of temporomandibular disorders were selected as the patients group and as the control group, respectively. Preferred chewing side, Angle's classification, lateral guidance pattern, maximal mouth opening range, and affected side were recorded clinically. Head and shouldeer posture was measured in a groundplate on which square diagram of five centimeters each had been drawn, and cephalograph was also taken for measurement of head and neck posture. Sonopak of Biopak system (Bioresearch inc., USA) was used to record joint vibration for evaluation of internal healthy status of temporomandibular joint. The data collected were analyzed by SAS statistical program. The results of this study were as follows : 1. Frequency of left side chewing subjects was higher in patients than in control group, but there was no difference in distribution of subjects by Angle's classification. Other types was prvalent in patients whereas group function was more in control group for lateral guidance pattern. 2. As to lateral guidance pattern by clinical diagnosis, patients with internal derangement and/or degenerative joint disease showed higher frequency was consistent with the result by Sonopak impression. 3. There was no difference for shoulder height between the two groups, however, tilting of head and backward extension of cervical spine was more frequent in control group. 4. Acromion was positioned more anteriorly in patients with internal derangement and/or degenerative joint disease than in control group and angle between eye and tragus was larger in patients. Patients with degenerative joint disease showed more flexed head posture than control group did in cephalometric profile. 5. Maximal mouth opening range in patients with internal derangement was the least in all subgroups in patients classified by Sonopak impression.

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MRT 기법 사용 시 다중 사용자 다중 안테나 하향링크 시스템에서의 에너지 효율 향상을 위한 최적화 알고리즘 (Optimization Algorithm for Energy-Efficiency in the Multi-user Massive MIMO Downlink System with MRT Precoding)

  • 이정수;한용규;심동규;이충용
    • 전자공학회논문지
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    • 제52권8호
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    • pp.3-9
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    • 2015
  • 본 논문에서는 사용 가능한 최대 송신 전력과 만족해야 하는 최소 전송률에 대한 제한 조건 아래에서, maximal ratio transmission (MRT) 기법 사용 시 다중 사용자 다중 안테나 하향링크 시스템의 에너지 효율을 최대화하는 최적의 안테나 수와 송신 전력을 찾는 알고리즘을 제시한다. 순시 채널에 대한 최적화 문제는 직접 풀기 어려우므로 단말 간 채널의 독립성, 평균 채널 이득, 평균 path loss를 이용하여 근사한다. 근사된 에너지 효율에 대한 최적화 문제는 두 개의 변수를 동시에 고려해야 하는 2차원 최적화 문제가 된다. 우리는 이러한 2차원 최적화 문제를 라그랑지 승수법과 제안하는 알고리즘을 통하여 최적의 안테나 수와 송신 전력을 구한다. 실험을 통해, 제안하는 알고리즘으로 구한 최적의 송신 안테나 수와 송신 전력이 exhaustive search로 찾은 값과 근사함을 확인한다.

셀룰러 시스템의 셀 경계에서의 하향 링크 성능 향상을 위한 Joint SD-MRC 수신 방식 (A Joint SD-MRC Method for Downlink Performance Improvement at Coverage Boundaries of Cellular Systems)

  • 이상대;장재원;성원진
    • 한국전자파학회논문지
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    • 제19권5호
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    • pp.506-514
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    • 2008
  • WiBro 시스템과 같은 최근 통신 시스템에서 대역폭 효율을 증가시키기 위해 모든 셀에서 주파수를 재사용하는 경우, 셀 경계에 위치하는 수신기는 인접 셀로부터 오는 간섭 신호로 인해 수신 성능이 열화된다. 본 논문에서는 셀룰러 시스템에서 셀 경계에서의 하향 링크 성능 향상을 위해, 다수 개의 안테나를 가진 단말기에서 활용할 수 있는 수신 방식을 제안한다. 성능 검증을 위하여 인접 셀의 간섭 신호 세기 및 단말기의 안테나 개수의 변화에 따른 유효 신호 대 간섭 잡음비의 화률 밀도 함수와 대역폭 효율을 산출한다. 제안하는 방식은 MRC(Maximum Ratio Combining) 및 SD(Spatial Multiplexing) 방식 대비 유효 신호 대 간섭 잡음비와 대역폭 효율을 큰 폭으로 향상시킴을 분석 결과로 확인할 수 있으며, 실험을 통해 그 결과를 검증한다.

Neonatal indirect hyperbilirubinemia and glucose-6-phosphate dehydrogenase deficiency

  • Isa, Hasan M.;Mohamed, Masooma S.;Mohamed, Afaf M.;Abdulla, Adel;Abdulla, Fuad
    • Clinical and Experimental Pediatrics
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    • 제60권4호
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    • pp.106-111
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    • 2017
  • Purpose: This study aimed to determine the prevalence of glucose-6-phosphate dehydrogenase (G6PD) deficiency among infants with neonatal indirect hyperbilirubinemia (NIH); compare G6PD-deficient and G6PD-normal patients regarding hyperbilirubinemia and need for exchange transfusions (ET); and assess risk factors for ET and kernicterus. Methods: This is a case-control retrospective study. Medical records of NIH patients admitted to the Pediatric Department, Salmaniya Medical Complex, Bahrain, between January 2007 and June 2010 were reviewed. Data on sex, age at presentation, hospitalization duration, need for ET, hemoglobin (Hb) level, reticulocyte count, direct Coombs test, serum total and indirect bilirubin levels, thyroid function, blood and urine cultures, G6PD status, and blood groups were collected and compared between the G6PD-deficent and G6PD-normal patients. Results: Of 1,159 NIH patients admitted, 1,129 were included, of whom 646 (57%) were male. Among 1,046 patients tested, 442 (42%) were G6PD deficient, 49 (4%) needed ET, and 11 (1%) had suspected Kernicterus. The G6PD-deficient patients were mainly male (P<0.0001), and had lower Hb levels (P<0.0001) and higher maximum bilirubin levels (P=0.001). More G6PD-deficient patients needed ET (P<0.0001). G6PD deficiency (P=0.006), lower Hb level (P=0.002), lower hematocrit count (P=0.02), higher bilirubin level (P<0.0001), higher maximal bilirubin level (P<0.0001), and positive blood culture result (P<0.0001) were significant risk factors for ET. Maximal bilirubin level was a significant risk factor for kernicterus (P=0.021) and independently related to ET (P=0.03). Conclusion: G6PD deficiency is an important risk factor for severe NIH. In G6PD-deficent neonates, management of NIH should be hastened to avoid irreversible neurological complications.

흉곽확장저항운동이 뇌졸중 환자의 흉곽가동범위와 최대흡기압에 미치는 영향 (Effects of Chest Expansion Resistance Exercise on Chest Expansion and Maximal Inspiratory Pressure in Patients with Stroke)

  • 김창범;최종덕
    • 대한물리의학회지
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    • 제10권1호
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    • pp.15-21
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    • 2015
  • PURPOSE: This study compared the effects of chest expansion resistance exercise (CERE) and breathing retraining (BRT) on stroke patients' chest expansion and maximal inspiratory pressure(MIP), thereby intending to present an effective intervention method for enhancing their respiratory functions. METHODS: The subjects were 30 stroke patients and randomly and equally assigned to a CERE group (10), a BRT group (10), and a control group (10). The intervention was applied to each group five times per week, 30 minutes per each time, for six weeks. A tapeline was used to measure upper and lower chest expansion and MIP prior to and after the intervention and the results were compared. RESULTS: After the intervention, the upper and lower chest expansion was considerable in the CERE group (p<.01), significant in the BRT group (p<.05) but was not significant in the control group (p>.05). According to the post-hoc test result, the upper and lower chest of the CERE group and the BRT group significantly expanded compared to that of the control group (p<.05) and the upper and lower chest of the CERE group statistically significantly expanded relative to that of the BRT group (p<.05). According to the MIP evaluation result, the CERE group saw considerable improvement (p<.01) and the BRT group underwent significant changes (p<.05), but there were no significant changes in the control group (p>.05). The post-hoc test result was that the CERE group and the BRT group saw significant improvement compared to the control group (p<.05) and the CERE group experienced statistically significant enhancement relative to the BRT group (p<.05). CONCLUSION: As an intervention for respiratory function improvement, CERE is considered effective for strengthening respiratory muscles and promoting chest expansion through manual resistance by a therapist.

m-분포 페이딩과 라이시안 페이딩 환경 하에서의 다이버시티 수신된 DS-CDMA / MDPSK 신호의 성능 분석 (Performance Analysis of Diversity Received DS-CDMA/MDPSK Signals in m-distribution and Rician Fading Environments)

  • 이정도;강희조
    • 한국전자파학회논문지
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    • 제9권2호
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    • pp.191-198
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    • 1998
  • 본 논문에서는 대역확산 방식인 DS-CDMA /MDPSK 선호를 m 분포 페이딩과 라이시안 페이딩 환경 하에서 유도한 후, 페이딩으로 인한 경감된 오율성능을 개선하기 위해 MRC(Maximal Ratio Combining) 다이버시티 기법을 사용하여 두 환경에서 비교 분석하였다. 라이시안 페이딩 모델은 m-분포 페이딩 모텔에 알맞은 값을 선택하여, PN 코드 길이(N), 사용자 수(U), 다중 경로수(P), 페이딩 지수(m), 라이시안 지수(K), 다이버시티 가짓수(L), 그리고 비트에너지 대 잡음전력비($E_b/N_o$)를 함수로 하여 오율특성을 구했다. 그 결과 레일리 페이딩 상태에서는 두 결과는 완전히 일치하였으며, 페이딩이 약할수록, 사용자 수가 많을수록, 다중 경로수가 많을수록 그리고, PN 코드 길이가 작을 수록 결과는 점 점 더 일치해감을 알 수 있었다.

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유치악자와 총의치 장착자의 저작운동시 교근과 측두근의 근할성도에 관한 비교연구 (A COMPARATIVE ELECTROMYOGRAPHIC STUDY OF THE MASSETER AND ANTERIOR TEMPORAL MUSCLES DURING MASTICATORY FUNCTION OF SUBJECTS WITH NATURAL TEETH AND COMPLETE DENTURE WEARERS)

  • 최승현;최부병;최대균
    • 대한치과보철학회지
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    • 제29권1호
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    • pp.53-71
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    • 1991
  • This study was performed to investigate the muscular activity of the complete denture wearers compare with subjects with natural teeth. For the study, 10 subjects with natural dentition and 18 upper and lower complete denture wearers selected and the Bio-electric Processor EM2(Myo-tronics Reaserch, Inc., U.S.A.) with the surface electrodes was used to record electromyographic activity from the right and left middle of masseter and anterior temporal muscles of each subject during mandibular postural rest position, tapping of teeth from postural rest position, maximal clench, and right and left gum and raw carrow chewing. This results of this study were as follows : 1. In mandibular postural rest position, the denture wearers produces high muscular activity in contrast to natural objects(P<0.05) but, there was no difference between the state of denture removal and insertion, and the muscle activity of the anterior temporal muscle was high than the middle of masseter muscle in natural objects and denture wearers. 2. In tapping of teeth, there was no difference in muscle activity between natural objects and the state of denture removal of denture wearers. 3. In maximal clench, there was markedly lower denture wearers than natural objects in muscle activity, and the ratio of mean voltages was about 36 percentages. 4. In gum and raw carrow chewing, the activity was lower than natural object, the ratio was about 59 percentages. 5. In chewing, the mean voltages of the middle of masster muscle on the chewing side was highest, followed by the anterior temporal on the chewing side, the anterior temporal and masster muscles on the non-chewing side.

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근 소포체 Ryanodine Receptor-$Ca^{2+}$Release Channel Complex Protein에 미치는 인삼 성분의 영향 (Effect of Ginseng Components on Ryanodine Receptor-$Ca^{2+}$ Release Channel Complex Protein in Sarcoplasmlc Reticulum of Skeletal Muscle)

  • 이희봉;한병돈;권상옥
    • Journal of Ginseng Research
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    • 제20권3호
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    • pp.274-283
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    • 1996
  • In this study, the effects of red ginseng components [ginsenosides (total saponins and $Rg_1$) on the function of ryanodine receptor (RyR) -$Ca^{2+}$ release channel complex protein (named as RyR or $Ca^{2+}$ channel), a membrane protein in sarcoplasmic reticulum (SR) of rabbit skeletal muscle were examined at the SR vesicle's level and the molecular levels with Chaps-solubilized and purified $Ca^{2+}$ channel protein and with reconstituted proteoliposomes by dialysis. The results were as follows. 1. The binding of ryanodine known as inhibitor of muscle contraction to the RyR was decreased at the whole range of concentration ($10^2$~$10^7$%) by these two ginseng components. In heavy SR vesicles, Chaps-solubilized and purified $Ca^{2+}$ channel protein, and reconstituted vesicles, its maximal inhibition by total saponins was shown at the concentration of $10^3$, $10^3$%, and $10^5$% respectively, and by gin- senoside $Rg_1}$) each was $10^3$%, $10^3$%, and $10^4$%. 2. The release of $Ca^{2+}$ ion through $Ca^{2+}$ channel in heavy SR vesicles and reconstituted proteoliposomes was increased as a whole by these two ginseng components, and particularly maximal release by both of them was shown at the range of $10^4$~$10^6$%. These results were seemed to be caused by conformational change of $Ca^{2+}$ release channel protein (RyR) by red ginseng components [ginsenosides (total saponins and $Rg_1}$).

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