• Title/Summary/Keyword: prosthetics

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Tuberculous Mediastinitis Developed After Surgical Treatment of Giant Chondrosarcoma on Chest Wall-one case report- (흉부 거대 연골육종의 외과적 치료후 발생한 결핵성 종격동염-1례 보고-)

  • 이재훈;양수호;김혁;정원상;김영학;이철범;강정호;지행옥
    • Journal of Chest Surgery
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    • v.30 no.3
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    • pp.348-348
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    • 1997
  • A 48 year old man, has been suffering from a growing chondrosarcoma of sternum which has deeply invading the anterior mediastinum: He underwent wide resection of the chest wall tumor including a 4 cm free margin of normal tissue on all portions. The tumor as 15 × 16× 10cm in size arising from sternum and include both proximal one third of the clavicle and the 1 st, 2nd, and 3rd coital cartilages. The resected skeletal defect in the anterior wall was very large after wide resection of the'tumor and reconstructed due to paradoxical chest wall movement with sandwich like method of double over lapping Marlex mesh and methylmethacreylate, and steel wires. The soft tissue reconstructive procedure was dont with myocutaneous flap transposition use of pectoralis muscle. But the patient go infected with tuberculosis in the mediastinum two months after the operation. We had removed all of previously inserted prosthetics and performed curettage and drainage. Recently we experienced a case with giant chondrosarcoma of the sternum associated with tuberculous mediastinitis. The patient had an uneventful postoperative course and was discharged with adjuvant treatment such as antituberculous medication for 1 year.

Tuberculous Mediastinitis Developed After Surgical Treatment of Giant Chondrosarcoma on Chest Wall -one case report (흉부 거대 연골육종의 외과적 치료후 발생한 결핵성 종격동염 -1례 보고)

  • 이재훈;양수호
    • Journal of Chest Surgery
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    • v.30 no.3
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    • pp.248-252
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    • 1997
  • A 48 year old man, has been suffering from a growing chondrosarcoma of sternum which has deeply invading the anterior mediastinum: He underwent wide resection of the chest wall tumor including a 4 cm free margin of normal tissue on all portions. The tumor as 15 $\times$ 16$\times$ 10cm in size arising from sternum and include both proximal one third of the clavicle and the 1 st, 2nd, and 3rd coital cartilages. The resected skeletal defect in the anterior wall was very large after wide resection of the'tumor and reconstructed due to paradoxical chest wall movement with sandwich like method of double over lapping Marlex mesh and methylmethacreylate, and steel wires. The soft tissue reconstructive procedure was dont with myocutaneous flap transposition use of pectoralis muscle. But the patient go infected with tuberculosis in the mediastinum two months after the operation. We had removed all of previously inserted prosthetics and performed curettage and drainage. Recently we experienced a case with giant chondrosarcoma of the sternum associated with tuberculous mediastinitis. The patient had an uneventful postoperative course and was discharged with adjuvant treatment such as antituberculous medication for 1 year.

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Relation to use of oral hygiene devices in the adults (연령층별 성인의 개인구강관리보조용품 사용 여부와의 관련성)

  • Moon, Jung-Eun;Lee, Eun-Ju
    • Journal of Korean society of Dental Hygiene
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    • v.16 no.3
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    • pp.427-434
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    • 2016
  • Objectives: This study aims to investigate the elements to affect the usage of individual oral hygiene devices in adults by the age group, to make the community inhabitants keep their healthy dental hygiene status, and to provide them with the educational materials for the dental hygiene and the basic data for the program development. The purpose of the study is to investigate the relation ot use of oral hygiene devices in the adults. Methods: The subjects were 9,073 adults from the sixth KNHANES from January, 2013 to December, 2014. The study consisted of questionnaire survey and direct physical examination. The questionnaire included genral characteristics of the subjects and oral health characteristics. The general characteristics consisted of subjective perception of health and chronic diseases. The oral health characteristics consisted of subjective oral health perception, dental caries, periodontal disease, annual oral examination, toothbrushing, prosthetics, implant surgery, and use of individual oral hygiene devices. Results: Those within 40 to 64 years old were the top users of oral hygiene devices. They perceived their dental hygiene was normal because they did not have periodontal disease but most of them had dental caries. They used oral hygiene devices three times a day and brushed teeth more than three times a day. They took annual dental checkup. Conclusions: It is necessary to promote the use of oral hygiene devices to prevent the dental caries and periodontal disease. The continuous training for the dental hygienists is very important because the dental hygienists is the first line of the prevention of dental caries and periodontal disease.

Biomechanical stability of internal bone-level implant: Dependency on hex or non-hex structure

  • Lee, Hyeonjong;Park, Si-Myung;Noh, Kwantae;Ahn, Su-Jin;Shin, Sangkyun;Noh, Gunwoo
    • Structural Engineering and Mechanics
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    • v.74 no.4
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    • pp.567-576
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    • 2020
  • Considerable controversy surrounds the choice of the best abutment type for implant prosthetics. The two most common structures are hex and non-hex abutments. The non-hex abutment typically furnishes a larger contact area between itself and the implant than that provided by a hex structure. However, when a hex abutment is loaded, the position of its contact area may be deeper than that of a non-hex abutment. Hence, the purpose of this study is to determine the different biomechanical behaviors of an internal bone-level implant based on the abutment type-hex or non-hex-and clinical crown length under static and cyclic loadings using finite element analysis (FEA). The hex structure was found to increase the implant and abutment stability more than the nonhex structure among several criteria. The use of the hex structure resulted in a smaller volume of bone tissues being at risk of hypertrophy and fatigue failure. It also reduced micromovement (separation) between the implant components, which is significantly related to the pumping effect and possible inflammation. Both static and fatigue analyses, used to examine short- and long-term stability, demonstrated the advantages of the hex abutment over the non-hex type for the stability of the implant components. Moreover, although its impact was not as significant as that of the abutment type, a large crown-implant ratio (CIR) increased bone strain and stress in the implant components, particularly under oblique loading.

Effect of Applied Pressure Differences to Abdomen on Lumbar and Abdominal Muscle Activation During Upper Limb Exercise (상지운동 동안 복부에 적용된 압력 차이가 요부와 복부 근육 활성도에 미치는 영향)

  • Ko, Eun-Hye;Yoon, Hye-Sun;Cynn, Heon-Seock;Lee, Kang-Sung
    • Journal of Korean Physical Therapy Science
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    • v.10 no.2
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    • pp.96-103
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    • 2003
  • The purpose of this study was to assess the effect of applied pressure to abdomen on lumbar and abdominal muscle activation during upper limb exercise. The experimental group consisted of twenty-seven healthy male subjects (mean age=$22.40{\pm}2.19years$, mean height=$175.30{\pm}2.19cm$, mean weight= $67.67{\pm}7.44kg$, RM=$8.43{\pm}2.76kg$). In each different pressure condition (OmmHg, 30mmHg, 70mmHg, 100mmHg), upper limb exercise was performed in total of 10 trials with 10 RM dumb-bell exercise. Lumbar and abdominal muscle activity was measured using surface bipolar electrode electromyography(EMG). EMG activity was measured from upper rectus abdominis, external oblique abdominis, internal oblique abdominis, and elector spinae. The raw EMG signal was processed into the root mean square(RMS). All RMS EMG data were normalized and express as a percentage of the EMG(%EMG). Collected data were statistically analyzed by SPSS/PC Ver 10.0 using two-way analysis of variance for repeated measures($4{\pm}3$) and Bonferroni post hoc, test. Lumbar and abdominal muscle activation was significantly increased when 100 mmHg was applied(p<.05). Upper rectus abdominis activation was significantly increased compared as other muscles activation(p<.05). However, there were no interaction between pressure and muscles(p>.05). The findings of this study can be used as a fundamental data when lumbar orthosis is applied and external pressure can be used as a therapeutic tool.

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The Effect of Cock-up Splinting on Upper Extremity Muscle Fatigue During Keyboard Typing (손목보조기가 키보드 타이핑작업 시 상지근육 피로도에 미치는 영향)

  • Kim, Min;Roh, Jung-Suk;Cynn, Heon-Seock;Kim, Jang-Hwan
    • Physical Therapy Korea
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    • v.15 no.2
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    • pp.73-80
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    • 2008
  • With the introduction of the video display terminal (VDT), the efficiency and productivity of work has improved. However, VDT syndrome is threatening the health of workers as a side effect of prolonged use of a VDT. Among various VDT syndromes, the musculoskeletal disorder, especially, the cumulative trauma disorder (CTD) is the common research topic related with upper extremities function. The aim of this study was to investigate the effect of the wrist-hand orthosis (WHO) on fatigue in middle deltoid, anterior deltoid, serratus anterior, and upper trapezius during one-hour computer keyboard typing. Twelve healthy subjects participated in this study. Surface electromyography was used to assess the localized muscle fatigue (LMF), and the LMF was calculated at 10 minutes, 20 minutes, 40 minutes, and 60 minutes in each muscle, with and without the WHO. Data were analyzed by paired t-test with a level of significance of .05. The results of this study are as follows: 1) At 10 minutes, the LMF decreased significantly with applied WHO in the middle deltoid, anterior deltoid, and upper trapezius (p=.001, p=.026, p=.019, respectively). 2) As the computer keyboard typing period increased, there were no significant LMF differences, except for the upper trapezius. Therefore, it can be concluded that the WHO can be applied to decrease the LMF for the initial 10 minute period in the middle deltoid, anterior deltoid, and upper trapezius' but that the long term effect of WHO in reducing the LMF was proven only in upper trapezius during continued computer keyboard typing.

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The oral status of the elderly in some states difference between oral health-related quality of life (일부 노인의 구강내 상태에 따른 구강건강관련 삶의질 차이에 관한 연구)

  • Park, Jong-Hee
    • Journal of Technologic Dentistry
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    • v.36 no.1
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    • pp.51-62
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    • 2014
  • Purpose: Recently our country is rapidly aging population is growing. In the oral cavity of the elderly status of oral health-related quality of life to evaluate any impact. Methods: The survey used structured self administered questionnaires from April to May in 2011 in Daejeon and Chungcheong provinces to 277 people, analysis of the general characteristics of a frequency analysis method, the difference between the quality of life T/F test, whether oral self-according to the quality of life healthy oral health effects of the multiple regression analysis. Results: Award comes on the number of residual value, lower age all the more, smaller monthly income was small, but significant difference between them was no difference between gender. Residual value according to the number of differences in the quality of life of physical pain upper, physical disability, the lower the physical pain, physical disability, psychological disability were significant differences in degradation. Depending on oral maxillary prosthesis fitted to physical pain, psychological discomfort, physical disability, the lower the functional limitation, physical pain, there was a significant difference in physical disability. Conclusion: Status of the oral cavity of the elderly factors affecting the quality of life remaining in the lower dimensions, upper and lower prosthetics, self-aware state of oral health in order to improve the quality of life of elderly oral health education to be strengthened to increase the residual value, reducing their own prosthetic perceived oral health is health, so they feel it should be for the development of health education programs for the elderly should be.

Guided bone regeneration using two types of non-resorbable barrier membranes (두 가지 유형의 비흡수성 차단막을 이용한 골유도재생술의 비교연구)

  • Lee, Ji-Young;Kim, Young-Kyun;Yun, Pil-Young;Oh, Ji-Su;Kim, Su-Gwan
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.36 no.4
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    • pp.275-279
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    • 2010
  • Introduction: Guided bone regeneration (GBR) is a common procedure for the treatment of bone defects and bone augmentation. The nonresorbable barriers are well-documented barriers for GBR because of their stability and malleability. However, few GBR studies have focused on the different types of non-resorbable barriers. Therefore, this study examined the clinical results of different non-resorbable barriers for GBR; expanded polytetrafluoroethylene (e-PTFE) (TR-Gore Tex, Flagstaff, AZ, USA), and high-density polytetrafluoroethylene (d-PTFE) (Cytoplast membrane, Oraltronics, Bremen, Germany). Materials and Methods: The analysis was performed on patients treated with GBR and implant placement from January 2007 to October 2007 in the department of the Seoul National University Bundang Hospital. The patients were divided into two groups based on the type of non-resorbable barrier used, and the amount of bone regeneration, marginal bone resorption after prosthetics, implant survival rate and surgical complication in both groups were evaluated. Results: The implants in both groups showed high survival rates, and the implant-supported prostheses functioned stably during the follow-up period. During the second surgery of the implant, all horizontal defects were filled with new bone, and there was no significant difference in the amount of vertical bone defect. Conclusion: In bone defect areas, GBR with non-resorbable barriers can produce favorable results with adequate postoperative management. There was no significant difference in bone regeneration between e-PTFE and d-PTFE.

The Effects of MWM Taping and Diamond Taping on the Pain, Grip Strength and Functional Activity in Patients with Lateral Epicondylitis (멀리건 테이핑과 다이아몬드 테이핑이 외측상과염 환자의 통증, 악력, 기능수행능력에 미치는 영향)

  • Yang, Seong-Hwa;Park, Hyun-Sik;Sin, Young-Il
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.19 no.2
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    • pp.47-54
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    • 2013
  • Background: Lateral epicondylitis is the most common complaint with complex etiological and pathophysiological factors on the lateral side of elbow. Taping techniques commonly used for lateral epicondylitis. The purpose of this study was to investigate the effects of mobilization with movement taping and diamond taping on the pain, grip strength and functional activity in patients with lateral epicondylitis Methods: Twenty patients with lateral epicondylitis (mobilization with movement taping group: n=10, diamond taping group: n=10) were recruited. They were evaluated pre-treatment, after 1weeks, and after 3weeks, using visual analog scale, pain free grip strength test, patient-rated tennis elbow evaluation. Results: Analysis showed statistcally significant improvement in all time in both groups. and The mean improvement in pre-1weeks visual analog scale was significantly greater in the Diamond taping group than that in the mobilization with movement taping group. and the mean improvement in pre-1weeks pain free grip strength test was significantly greater in the mobilization with movement taping than that in the diamond taping group. Conclusion: Taping technique to patients with lateral epicondylitis can help improve pain, grip strength, functional activity and initial taping technique can be selected depending on the patient's condition and the desired goal.

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A Study on Dental Health and Chewing ability of Patients Hospitalized in Geriatric Hospital of Daegu (대구소재 한 노인요양병원 입원환자들의 구강상태와 저작능력에 관한 연구)

  • Park, Soo-Chul;Jung, Myung-Hee;Choi, Sung-Mi
    • Journal of Technologic Dentistry
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    • v.33 no.3
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    • pp.237-246
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    • 2011
  • Purpose: This study investigates dental health and chewing ability of patients hospitalized in geriatric hospital, and compares the chewing ability for each factor that can be used as data for dental healthcare of senior citizens and basic data for denture insurance for the elderly. Methods: The 101 subjects of this study were selected from 178 patients hospitalized in a geriatric hospital located in Daegu Metropolitan City, excluding 77 patients who were being treated in the intensive care unit and who were unable to communicate. The chewing ability of the patients were measured using an evaluation scale based on foods consisting of 10 different hardnesses. Results: Patients with less than 21 teeth, those with dentures and patients who were less than satisfied with their dental conditions had difficulties in chewing hard food such as dried squid and radish kimchi, and the Chewing ability increased proportionally to the number of remaining teeth(p<0.001), appropriateness of the maxillary and mandibular dentures(p<0.005) and the level of dental satisfaction(p<0.001). Conclusion: This study is limited as the subjects were selected from a single hospital and the authors estimate that various studies will be necessary to investigate the Chewing ability of patients hospitalized in long-term hospitals. The subjects of this study did not receive any dental treatment while staying in the hospital and many of the subjects had bad fit denture or didn't have dentures or did not use dentures, although they have dentures, which calls for denture construction and prosthetics through dental treatment.