• Title/Summary/Keyword: maximal function

검색결과 410건 처리시간 0.03초

Assessment of functional improvement with temporalis myofascial flap after condylectomy in elderly patients with anterior disc displacement without reduction and an erosive condylar surface

  • Kang, Young-Hoon;Bok, Jung-Suk;Park, Bong-Wook;Choi, Mun-Jeoung;Kim, Ji-Eun;Byun, June-Ho
    • Maxillofacial Plastic and Reconstructive Surgery
    • /
    • 제37권
    • /
    • pp.23.1-23.8
    • /
    • 2015
  • Background: The purpose of this study was to investigate the functional effects of temporalis myofascial flap after condylectomy, with or without disc removal, in elderly patients with anterior disc displacement (ADD) without reduction and an erosive condylar surface of the temporomandibular joint (TMJ). Methods: A total of 15 joints from 11 elderly patients (71-78 years old) were included. The patients had pain, mandibular dysfunction symptoms, and unilateral or bilateral ADD as well as an erosive condylar surface of the TMJ. All patients underwent temporalis myofascial flap reconstruction after condylectomy, with or without disc removal. If the maximal mouth opening (MMO) remained <35 mm after condylectomy, coronoidotomy was also performed. Self-assessed pain and mandibular function, including MMO and protrusive and lateral movements, were evaluated. Results: No patient experienced serious complications. Most measurements improved significantly after surgery compared to preoperatively. Most patients achieved nearly-normal mouth opening at 4 weeks after surgery. Although most patients felt discomfort during active postoperative physiotherapy, no patient reported serious pain during the follow-up period. Conclusion: Although nonsurgical therapy is often the first treatment choice for ADD without reduction of the TMJ, surgical intervention involving condylectomy and temporalis myofascial flap reconstruction may be a reasonable first option for elderly patients with an erosive condylar surface of the TMJ.

악관절진동의 임상적 관련요인에 관한 연구 (A Study on the Clinical Factors Related to Vibration of Temporomandibular Joint)

  • 김종영;남천우;한경수
    • Journal of Oral Medicine and Pain
    • /
    • 제24권1호
    • /
    • pp.37-47
    • /
    • 1999
  • This study was performed to investigate the factors related to vibration of temporomandibular joint during mandibular opening movement. For this study, 144 patients with temporomandibular disorders were randomly selected. Angle's classification, lateral guidance pattern, range of maximal mouth opening, preferred chewing side, and affected side were investigated clinically. Mandibular torque rotational movement during opening was recorded with $BioEGN^{(R)}$ and vibration of temporomandibular joint during opening was recorded with $Sonopak^{(R)}$. After clinical diagnosis was made, visual analogue scale(VAS) was used for evaluation of clinical progress of the subject's chief complaints. The author calculated VAS treatment index(VAS Ti) from the record of VAS. The more VAS Ti was, the less remission of subjective symptom was, The data were analyzed with SAS/Stat program and the results of this study were as follows: 1. There were no significant difference in all the variables of joint vibration by age and sex. 2. Integral and peak amplitude in patients of Angle's class I were higher than those of class II or III patients. Integral in patients of group function was higher than that in patients of canine guidance or other types of lateral excursion. 3. As to Angle's classification or lateral guidance type, there were almost not significant difference between subgroup of same class or type and subgroup of different class or type on both sides. And there were also almost not difference between one side and the other side related to preferred chewing side or affected side. 4. Patients with disk displacement with reduction showed higher value of integral and peak amplitude than any other patients. 5. Joint vibration variables significantly correlated with VAS Ti of pain. with clinical range of mouth opening, and with ingredients of mandibular torque rotational movement.

  • PDF

Minimal Amount of Insulin Can Reverse Diabetic Heart Function: Sarcoplasmic Reticulum $Ca^{2+}$ Transport and Phospholamban Protein Expression

  • Kim, Hae-Won;Cho, Yong-Sun;Lee, Yun-Song;Lee, Eun-Hee;Lee, Hee-Ran
    • The Korean Journal of Physiology and Pharmacology
    • /
    • 제3권2호
    • /
    • pp.175-182
    • /
    • 1999
  • In the present study, the underlying mechanisms for diabetic functional derangement and insulin effect on diabetic cardiomyopathy were investigated with respect to sarcoplasmic reticulum (SR) $Ca^{2+}-ATPase$ and phospholamban at the transcriptional and translational levels. The maximal $Ca^{2+}$ uptake and the affinity of $Ca^{2+}-ATPase$ for $Ca^{2+}$ were decreased in streptozotocin-induced diabetic rat cardiac SR, however, even minimal amount of insulin could reverse both parameters. Levels of both mRNA and protein of phospholamban were significantly increased in diabetic rat hearts, whereas the mRNA and protein levels of SR $Ca^{2+}-ATPase$ were significantly decreased. In case of phospholamban, insulin treatment reverses these parameters to normal levels. Minimal amount of insulin could reverse the protein levels; however, it could not reverse the mRNA level of SR $Ca^{2+}-ATPase$ at all. Thus, the decreased SR $Ca^{2+}$ uptake appear to be largely attributed to the decreased SR $Ca^{2+}-ATPase$ level, which is further impaired due to the inhibition by the increased level of phospholamban. These results indicate that insulin is involved in the control of intracellular $Ca^{2+}$ in the cardiomyocyte through multiple target proteins via multiple mechanisms for the decrease in the mRNA for both SR $Ca^{2+}-ATPase$ and phospholamban which are unknown and needs further study.

  • PDF

인간공학적 방법을 이용한 사이클 선수의 경기력 평가 (우수선수의 경기력 벤치마킹을 중심으로) (Cyclist's Performance Evaluation Used Ergonomic Method)

  • 하종규;장영관;기재석
    • 대한안전경영과학회:학술대회논문집
    • /
    • 대한안전경영과학회 2009년도 추계학술대회
    • /
    • pp.15-24
    • /
    • 2009
  • Cycling that transform human energy into mechanical energy is one of the man-machine systems out of sports fields. Benchmarking means " improving ourselves by learning from others ", therefore benchmarking toward dominant cyclist is necessary on field. the goals of this study were to provide important factors on multi-disciplines (kinematics, physiology, power, psychology) for a tailored-training program that is suitable to individual characteristics. Two cyclist participated in this study and gave consent to the experimental procedure. one was dominant cyclist (years:21 yrs, height:177 cm, mass:70 kg), and the other was non-dominant cyclist(years:21, height:176, mass:70). Kinematic data were recorded using six infrared cameras (240Hz) and QTM (software). Physiological data (VO2max, AT) were acquired according to graded exercising test with cycle ergometer and power with Wingate test used by Bar-Or et. al ( 1977) and to evaluate muscle function with Cybex. Psychological data were collected with competitive state anxiety inventory (CSAI-2) that were devised by Martens et. al (1990) and with athletes' self-management questionnaire (ASMQ) of Huh (2003). It appears that the dominant's CV(coefficient of variability) was higher than non-dominant's CV in Sports Biomechanics domain, that the dominant's values for all factors ware higher than non-dominant's values in physical, and physiological domain, and their values between cognitive anxiety and somatic anxiety were contrary to each other in psychology. Further research on multi-disciplines may lead to the development of tailored-optimal training programs applicable with key factors to enhance athletic performance by means of research including athlete, coach and parents.

  • PDF

Cardiorespiratory Responses of Qi-training: A Pilot Study

  • Lee, Myeong-Soo;Kim, Soo-Keun;Kim, Hye-Jung;Moon, Sun-Rock
    • Advances in Traditional Medicine
    • /
    • 제4권1호
    • /
    • pp.18-21
    • /
    • 2004
  • Six volunteers (mean $age=25.7{\pm}1.7$, $height=173{\pm}1.9$ and $weight=63.4{\pm}2.3{\;}kg$) participated in a graded exercise test and one hour of basic form of ChunDoSunBup (CDSB) Qi-training to investigate the cardiorespiratory responses and exercise intensity of Qi-training, a Korean traditional psychosomatic training. In the maximal exercise, the trainee showed $96.2{\pm}8.89{\;}l/min$ in ventilation (VE), $46.0{\pm}4.4$ in breath frequency (BF), $1.31{\pm}0.05$ in respiratory exchange ratio (RER), $180.7{\pm}3.0$ in heart rate (HR), and $2.6{\pm}1.1{\;}l/min$ or $40.7{\pm}2.3{\;}ml/kg/ml$ in oxygen consumption $(VO_2)$. Qi-training induced significant changes in BF, RER, HR, and $VO_2$. The exercise intensity of Qi-training were 42.3%, 46.9% and 38.7% of $HR_{max}$ during the sound exercise, slow motion (haeng-gong) and meditation respectively and the average was 46.2% of $HR_{max}$. We conclude that Qi-training is an aerobic exercise of a light (mild) intensity exercise, and it leads to decrease the metabolic rate in the trainee by breathing efficiently and relaxing them. In addition, Qi-training may affect cardiorespiratory function of BF, RER, HR and $VO_{2max}$ in trainees.

강화학습을 이용한 무인 자율주행 차량의 지역경로 생성 기법 (Local Path Generation Method for Unmanned Autonomous Vehicles Using Reinforcement Learning)

  • 김문종;최기창;오병화;양지훈
    • 정보처리학회논문지:소프트웨어 및 데이터공학
    • /
    • 제3권9호
    • /
    • pp.369-374
    • /
    • 2014
  • 무인 자율주행 차량에서의 경로 생성 기법은 차량이 자동적으로 안전하고 효율적인 경로를 생성하고 주행할 수 있도록 해 준다. 경로에는 크게 전역경로와 지역경로가 있다. 전역경로는 차량이 출발점으로부터 도착점까지 가기 위해 주행해야 하는 구간을, 지역경로는 전역경로에서 얻은 구간을 주행하기 위해서 차량이 실제로 주행해야 할 경로를 의미한다. 본 논문에서는 지역경로 생성을 위하여 효율성 높은 곡선 함수를 사용하는 기존연구에서 더 나아가 학습을 통해 경로를 생성하는 방법을 제안한다. 먼저 강화학습을 통해서 후보경로에 대한 예측 보상 값을 얻고 보상 값이 최고가 되는 경로를 찾는 작업을 한다. 또한 인공 신경망을 통해서는 생성된 경로에 최적화된 조향 명령을 주기 위해 조향 각을 학습하는 작업을 한다. 더 나아가 주행하는 경로에 장애물이 발견되더라도 이를 효율적으로 회피하는 최적의 경로를 학습 기법을 통해 만들어낸다. 본 논문에서 제안된 알고리즘의 우수성은 실제 주행 환경으로 모델링한 시뮬레이션 실험을 통해 검증되었다.

최대 주기의 두 선형 순환 수열 사이의 4개의 값을 갖는 상호상관함수 (Four-Valued Cross-Correlation Function between Two Maximal Linear Recursive Sequences)

  • 최언숙;조성진;김한두
    • 한국전자통신학회논문지
    • /
    • 제7권6호
    • /
    • pp.1369-1375
    • /
    • 2012
  • 수열이론의 중요한 문제 중 하나는 두 수열사이의 상호 상관관계가 몇 개의 서로 다른 값을 가지며 또한 그 값의 발생횟수이다. 본 논문에서는 주기가 $2^n-1$인 m-수열 u(t)와 그 수열을 d만큼 데시메이션해서 얻은 수열 $u(dt)(0{\leq}t{\leq}2^n-2)$사이의 상호상관관계의 값과 그 값의 발생 횟수를 찾는다. 여기서 n=2m, 2s|m 이고, $d=(2^{2m}+2^{2s+1}-2^{m+s+1}-1)/(2^s-1)$ 이다. 또한 제안된 데시메이션에 의해 생성된 수열이 4-값 상호상관관계를 가짐을 보인다.

중증 급성 유기인계 중독환자의 생존분석 (Survival Curve Analysis in Patients with Severe Organophosphate Poisoning)

  • 이미진;박규남;이원재
    • 대한임상독성학회지
    • /
    • 제3권2호
    • /
    • pp.86-92
    • /
    • 2005
  • Purpose: The main cause of death due to acute organophosphate (OP) poisoning is believed acute respiratory failure caused by cholinergic reactions. Recently, advances in respiratory and intensive care make it possible to maintain the respiratory function of patients with OP poisoning, but the mortality rates remain high. The present study clarified the hemodynamics of patients with acute lethal OP poisoning. The purpose of this study was to analyse the outcomes and predictors of mortality in patients with acute OP poisoning requiring intensive care. Methods: We reviewed medical and intensive care records of patients with acute OP poisoning admitted to emergency department and ICU between March 1998 and Aug 2005. We collected patient information regarding poisoning, clinical, and demographic features. Results: During the study period, 67 subjects treated with intensive care and ventilator management in addition to gastric decontamination standard therapy with atropine and 2-PAM. Of 67 patients, 13 died. Kaplan-Meier survival analysis demonstrated a steep decline in the cumulative survival to $86.6\%$ during the first week. Mean arterial pressure < 60 mmHg within the first 24 hours was recognized as a poor prognostic indicators among mechanical ventilated patients. Conclusion: Most OP poisoning-related deaths occurred within the first week of poisoning. Mean arterial pressure lower than 60 mmHg might be the best predictor of poor outcome. We speculated that the refractory hypotension is the leading cause of death in patients with lethal OP poisoning that receiving mechanical ventilation and maximal supportive care.

  • PDF

Development of a Human Mammary Epithelial Cell Culture Model for Evaluation of Drug Transfer into Milk

  • Kimura Soichiro;Morimoto Keiko;Okamoto Hiroshi;Ueda Hideo;Kobayashi Daisuke;Kobayashi Jun;Morimoto Yasunori
    • Archives of Pharmacal Research
    • /
    • 제29권5호
    • /
    • pp.424-429
    • /
    • 2006
  • In the present study, a human mammary epithelial cell (HMEC) culture model was developed to evaluate the potential involvement of carrier-mediated transport systems in drug transfer into milk. Trypsin-resistant HMECs were seeded on $Matrigel^{circledR}-coated$ filters to develop monolayers of functionally differentiated HMEC. Expression of the specific function of HMEC monolayers was dependent of the number of trypsin treatments. Among the monolayers with different numbers of treatment (treated 1 to 3 times), the monolayer treated 3 times (3-t-HMEC monolayer) showed the highest maximal transepithelial resistance and expression of $\beta-casein$ mRNA as an index of differentiation. Transport of tetraethylammonium (TEA) across the 3-t-HMEC monolayer in the basolateral-to-apical direction was significantly higher than that in the apical-to-basolateral direction (p<0.05), whereas such directionality was not observed for p-aminohippurate, suggesting the existence of organic cation transporters, but not organic anion transporters. In fact, expression of mRNAs of human organic cation transporter (OCT) 1 and 3 were detected in the 3-t-HMEC monolayer. These results indicate that the 3-t-HMEC monolayer is potentially useful for the evaluation of carrier-mediated secretion of drugs including organic cations into human milk.

Caenorhabditis elegans에서 분리한 자외선 유도유전자 (UV100과 UV150)의 발현 및 특성에 관한 연구 (Characterization of Expression of UV-Inducible Gene (UV100 and UV150) in Caenorhabditis elegans)

  • 신수화;최은영;최인순
    • 생명과학회지
    • /
    • 제16권4호
    • /
    • pp.704-709
    • /
    • 2006
  • 본 연구는 DNA 상해유도기작을 규명하기 위하여 꼬마선충 (Caenorhabditis elegans) 으로 부터 subtraction hybridization 방법을 이용하여 자외선 유도 유전자인 UV100과 UV150을 분리하고 그 유전자 구조와 발현양상을 조사하였다. 분리한 유전자의 발현양상을 Northern hybridization 방법으로 살펴본 결과 자외선 조사 후에 최대 2배 이상의 발현 증가를 나타내었다. 이 결과 이미 밝혀진 다른 UV-inducible 유전자와 유사하게 UV100과 UV150 유전자는 자외선에 의해서만 발현이 증가됨을 알 수 있었다. 또한 분리한 유전자의 기능을 알기 위하여 RNAi 실험을 한 결과 분리한 자외선 유도유전자는 발생단계에 따라 다양한 DNA 회복기작을 나타냄을 알 수 있었다.