• 제목/요약/키워드: tongue state

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A STUDY ON THE CHANGE OF AIRWAY SPACE AND CRANIAL, CERVICAL ANGULATION AFTER MANDIBULAR SETBACK OPERATION (하악골 후방이동 수술후 기도 공간과 두개 및 경추 각도의 변화에 관한 연구)

  • Chang, Hyun-Ho;Kim, Jae-Seung;Yi, Choong-Kook
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.26 no.2
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    • pp.115-131
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    • 2000
  • In the study of craniofacial deformity, it is very important that identifying the factor which can affect the morphology and which is closely related to the morphology, because it can not only improve the comprehension of growth and developmental process but also be applied in growth prediction and treatment modality. Several investigators have already mentioned the characterstics of head posture and airway space in relations to morphologic difference. But it is very meaningful work in clarifying the correlation between morphology, head posture and airway space that observing the change of head posture after morplologic change caused by operation and the change of airway space after same procedure. To investigate above correlation, I selected normal group which is consisted of 43 adults and mandibular prognathism group which is consisted of 47 adults who had been operated by sagittal split ramus osteotomy and were followed up more than 1 year. With their lateral skull radiograghs, reference lines which can evaluate each measuring points and areas without effect of postural change were first determined. And using above reference lines, change of airway space, positional change of tongue and hyoid, change of cranial and cervical angulations were measured. The results obtained from the study were as follows 1. In the change of head posture, the position of tongue and hyoid neighboring to pharynx is more closely related to the reference line of cervical column than to reference line of cranium. 2. After mandibular setback operation, the airway dimension was decreased to 81.6% of preoperative state at 1 month postoperatively and was slightly increased to 89.7% at 1 year postoperatively. 3. Posterior movement of tongue plays important role in decrease of airway dimension and inferior movement of hyoid was closely correlated with posterior movement of tongue. 4. Postoperative anterior movement of mandible, namely, morphologic relapse had correlation with relapse phenomenon of airway dimension. 5. Craniocervical angulation increased postoperatively. Especially in the postoperative early state, there was increased foreward inclination of cervical angulation rather than increase of cranial angulation. But at postoperative 1 year it was observed that cervical inclination was returned to preoperative state and cranial angulation was increased gradually. 6. Increase rate of airway dimension was correlated with the increase of cranial angulation from postoperative 1 month to 1 year. In conclusion, relapse tendency of airway dimension following increase of cranial angulation was found after mandibular setback operation and it is considered that increase of cranial angulation is one of compensatory mechanism in airway maintenance.

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Numerical Simulation and PIV Measurement on the Internal Flow in a Centrifugal Mini Pump at Low Flow Rate Conditions

  • Yuan, Hui-Jing;Shao, Jie;Cao, Guang-Jun;Liu, Shu-Hong;Wu, Yu-Lin
    • Proceedings of the Korean Society of Propulsion Engineers Conference
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    • 2008.03a
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    • pp.775-780
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    • 2008
  • This paper reports on the internal flow of a centrifugal mini pump working at the low flow rate operating conditions. The RNG $\kappa-\varepsilon$ turbulence model was employed to simulate the three-dimensional turbulent flow in the pump. To examine and certify the simulation results, a transparent acrylic centrifugal mini pump model which is suitable for PIV measurement has been developed. The tongue region and the passages region between blades were investigated using PIV. In order to eliminate the effect of refraction on the area closed to the wall and increase the measurement accuracy, the fluorescent particles were scatted into the working fluid with the tracing particles. It is found from the calculation and PIV measurement results that there is a large area of recirculation flow near the tongue at low flow rate operating conditions. The computationally predicted water head using the $\kappa-\varepsilon$ turbulence model at low flow rate operating conditions are in very good agreement with the experimentally measured water head and the mean velocity distributions at investigation area obtained by PIV and calculation showed a satisfactory agreement as well. Meanwhile, the results of PIV measurements show that the flow status in one passage is different to another. And for capturing the internal flow detail information, the $\kappa-\varepsilon$ turbulence model is not very suitable.

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Study on Tongue Coating Patterns of the Xerostomia in the Elderly Patients (노인 구강건조증 환자들의 설태 양상에 관한 고찰)

  • Han, Gajin;Park, Jae-Woo;Ko, Seok-Jae;Kim, Juyeon;Son, Jiyoung;Jang, Seungwon;Kim, Seul-Ki;Kim, Minji;Kim, Jinsung
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.17 no.3
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    • pp.189-202
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    • 2013
  • Objectives The aim of this study is to analyze the characteristics of the tongue coating pattern in the elderly patients with xerostomia. Methods Ninety-six elderly patients with xerostomia were recruited by advertisement and they visited the oral diseases clinics at Kyung Hee University Korean Medicine Hospital and Kyung Hee University Hospital at Gangdong from November, 2011 to August, 2013. After signifying the assent, the subjects who passed screening were enrolled this study. The subjects were evaluated on their clinical characteristics of xerostomia using visual analogue scale for xerostomia, dry mouth questionnaire, unstimulated salivary flow rate. In addition, Yin-deficiency questionnaire was used to evaluate the Yin-deficiency state and Winkel tongue coating index and Digital Tongue imagin system were used to measure the tongue coating of patients. Results The proportion of women was higher than that of men, and there were few smokers in this study population. This population had chronic and relatively severe xerostomia symptoms. Also, thin coating pattern was showed in this elderly patients with xerostomia and this result was regarded to the influence of Yin-deficiency. The thin coating patten was observed in the group with higher Yin-deficiency score. There was no difference in tongue coating between the hyposalivation and normosalivation group. Conclusion In the elderly patients with xerostomia, Yin-deficiency is might be considered as one of the main cause of xerostomia. Hence, it is thought that this patients showed the thin coating pattern. This results could be used in diagnosis and treatment for the elderly patients with xerostomia in traditional Korean medicine.

An acoustic study of fricated vowels in Nuosu Yi: an exploratory study

  • Perkins, Jeremy;Lee, Seunghun J.;Li, Xiao;Liu, Hongyong
    • Phonetics and Speech Sciences
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    • v.6 no.4
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    • pp.109-115
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    • 2014
  • Fricated nuclei in Nuosu Yi were found to be more correctly described as fricated vowels, rather than syllabic fricatives due to the presence of clear formant structures typical of front vowels. In this exploratory study, two types of fricated nuclei were examined: retroflex "yr" and non-retroflex "y". The retroflex nucleus "yr" had higher F1 and lower F3 than non-retroflex "y", indicating a lower tongue height. On the other hand, F2 was found to correlate not with nucleus retroflexion, but instead with onset consonant retroflexion: F2 was higher following retroflex onsets, in both vowels. This effect was persistent through the entire vowel, suggesting a phonological effect, rather than a coarticulatory one. Interpretation of the F2 results require accompanying articulatory data since the usual coupling of F2 and tongue backness does not always hold for retroflex vowels. Examining the articulation of the fricated nuclei in Nuosu Yi is a direction for future research.

Oral hygiene form and the subjective health analysis of the elderly (노인의 구강위생행태와 주관적 구강건강 형태에 대한 분석)

  • Kim, Wook-Tae
    • Journal of Technologic Dentistry
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    • v.34 no.2
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    • pp.179-199
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    • 2012
  • Purpose: This study was conducted to prepare the fundamental data on oral hygiene of the elderly and to assess the behavior of oral hygiene, subjective oral health, oral health problem among the elderly, and to contribute to successful enhancement of life in their declining years. Methods: The author surveyed the behavior of oral hygiene, subjective oral health, oral health problem to 192 elderly at a health center of Busan using structured self- administered questionnaire from Nov. 2nd 2009 to Feb. 10th 2010. Collected data were analysed by SPSS WIN 18.0 statistical program for frequency, percentage production, ${\chi}^2$ (Chi-square) verification, t-test, One-way ANOVA, Logistic Regression. Results: The distribution of total subjects by oral health behaviors were 56.8% for "have ever trained how to tooth brushing", 76.6% for "correctly performed tooth brushing by himself ", 71.8% for "tooth brushing a day is two times and less", 87.5% for "it doesn't tooth brushing in meals and after" and 53.6% for "it doesn't use the facility for oral health", respectively. The distribution of total subjects by the state of perceived oral health were 51.0% for "feel the oral discomfort", 51.6% for "feel the comfortable chewing on starchy food", respectively. The mean point of perceived oral health by general characteristics of total subjects were statistically significant difference in sex, type of medical insurance, smoke, exercise, and chronic disease. The mean point of perceived oral health by oral health behaviors of total subjects were statistically significant difference in educational experience on tooth brushing, recognition for tooth brushing by himself, tooth brushing a day, and tongue cleaning. The risk factors of perceived oral health were type of medical insurance and chronic disease in general characteristics, tooth brushing in meals and after and tooth brushing a day, and tongue cleaning in oral health behaviors. Conclusion: The author recommend to the prevention of chronic disease, carry out the tooth brushing in meals and after, three times and over tooth brushing a day and tongue cleaning for oral health. and the author consider that it need to prepare the active countermeasure to oral health such as reeducation for oral health and supply to the tongue cleaner.

Usefulness Evaluation of Open Mouth View when PET/CT scan In Tongue Cancer Patients (Tongue Cancer 환자에서 PET/CT 검사 시 Open Mouth 촬영법의 유용성 평가)

  • Kim, Jae Hwan;Yun, Jong Jun;Jung, Ji Wook;Kim, Jung Wook;Hwang, Ju Won;Ji, Hye In
    • The Korean Journal of Nuclear Medicine Technology
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    • v.20 no.2
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    • pp.14-20
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    • 2016
  • Purpose Tongue cancer is 1.8% of all cancer tumors occur in the tongue, it is known that the high incidence enough to account for 75% of oral cancer conducted a PET / CT examination for early diagnosis, metastasis, staging, etc. and. Tongue when PET / CT scan of a cancer patient and a Torso taken to close mouth lesions if the condition was caused due to the overlapping or corresponding artifacts are not clearly observed. The purpose of this study is to evaluate the changes that occur during PET / CT scan with open mouth and its usefulness under. Materials and Methods From June 2015 to March 2016 complained of herein by May 21 had received a diagnosis of tongue cancer underwent PET / CT scan patients were treated with a target (16 males, 5 female). The first was taken to close mouth Torso state, it was taken to add 1 bed open mouth condition. Tumor (T), measuring the Normal Tongue (NT), Lymph Node (LN) standard intake coefficient by setting a region of interest in the (standardized uptake value, SUV) SUVmean, the average value was measured SUVmax, drawn to each region of interest 3 times and Background (Carotid artery) was out of the SUV. In Chapter 3 of the slice to the tumor clearly visible by setting the region of interest to measure the change Tumor size was calculated average value. Gross Image resolution assessment were analyzed statistically through were divided into 1-5 points by the Radiation 7 people in 2, more than five years worked in specialized nuclear medicine compare to proceed with the blind test nonparametric test (wilcoxon signed rank test). (SPSS ver.18) Results $SUV_{mean}$ T's were in close mouth $5.01{\pm}2.70$ with open mouth $5.48{\pm}2.88$ (P<0.05), $SUV_{max}$ were respectively $8.78{\pm}5.55$ and $9.70{\pm}5.99$ (P<0.05). $SUV_{mean}$ in the NT were respectively $0.43{\pm}0.30$ and $0.34{\pm}0.24$ (P=0.20), $SUV_{max}$ was $0.56{\pm}0.34$ and $0.45{\pm}0.25$ (P=0.204). LN $SUV_{mean}$ were respectively $1.62{\pm}1.43$ and $1.69{\pm}1.49$ (P=0.161), $SUV_{mean}$ was $2.09{\pm}1.88$ and $1.99{\pm}1.74$ (P=0.131). Tumor size change is close mouth $4.96{\pm}4.66cm^2$ $5.33{\pm}4.64cm^2$ with 7.45% increase was (P<0.05), gross image resolution evaluation is $2.87{\pm}0.73$, $3.77{\pm}0.68$ with open mouth examinations 30.5% increase was (P<0.05). Conclusion Tumor SUV on the changes that had an increase in open mouth during inspection, the normal tongue and lymph node, but there was no significant difference in the change slightly. It is also one open mouth PET / CT scan will provide improved image to all patients with tongue cancer, but it could be confirmed that similar overall through the blind test, or tumor size changes and showing a high resolution image. It can be the perfect alternative method for problems that occur when the close mouth Open mouth PET / CT scan, but is believed to be through the open mouth to observe the boundary of overlapping or tumor of the oral cavity other structures a little more clearly. Tongue cancer patients how to recommend that the shooting further open mouth PET / CT.

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Research of the Turnout Maintenance Training System using Mixed Reality (혼합현실을 이용한 분기기 유지보수 교육시스템 연구)

  • Song, Yong-Soo;Kim, Yong-Kyu;Shin, Duck-Ho;Chang, Sang-Hoon
    • Proceedings of the KSR Conference
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    • 2011.10a
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    • pp.1511-1516
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    • 2011
  • The maintenance of the turnout is composed of signal field and track field on business, the electrical and mechanical field on system. adjustment and maintenance carry forward through coordination with these fields. In the case of turnout equipment used in a first phase of Seoul-Busan high-speed train, it is treated by classifying as mechanical adjustments and electrical adjustments. Mechanical adjustment is conducted with focus on fine adjustment to meet maintenance standards limits(1mm or less) about interval of basic rail and tongue rail about each part of track transition equipment. This refers to mechanical adjustments performed mainly with physical changes and movement characteristics between basic rail and tongue rail by considering the overall environment surrounding track side of section installed track transition equipment. However, these series of maintenance are conducted in state that high-speed train is not in the process from 1 am to 4 am at night, but common workers for maintenance are not familiar with the operation and checking about various situation, and the workers are even insufficient. Maintenance training using mixed reality is conducted in the place of business, we tried to overcome several problems of safety and time reduction through this training.

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Two Case Reports of Taeumin Delirium Patients (태음인(太陰人) 담망 환자 치험 2례)

  • Ban, Duk-Jin;Lee, Hee-Seung;Kang, Tae-Gon;Han, Kyoung-Suk;Bae, Hyo-Sang;Park, Seong-Sik
    • Journal of Sasang Constitutional Medicine
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    • v.19 no.3
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    • pp.257-269
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    • 2007
  • 1. Objectives The purpose of this case report is to evaluate the effects of Sasang constitutional diagnosis and treatment of two delirium patients who were diagnosed Taeumin Dry-Heat Syndrome(燥熱證). 2. Methods Two delirium patients were diagnosed Taeumin Dry-Heat Syndrome(燥熱證) based on their Nature & Emotion (性情), physical characteristics, symptoms. They were medicated Chungpyesagan-tang(淸肺瀉肝湯) through of sleep, complexion, thirst, stool, coating of the tongue, and MMSE(Mini-Mental State Exanmination) score were used of measure improvement. 3. Results and Conclusions Two delirium patients who were treated with Chungpyesagan-tang(淸肺瀉肝湯) showed improvement in delirium symptoms, thirst, constipation, redness of complexion, white coating of tongue, and general condition. These case reports describe the effects on delirium and symptoms of Sasang Constitutional Medication. The necessity of managing the psychological aspects of the pathology through Nature & Emation(性情) is also mentioned.

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Implementation of Multi Electronic Acupuncture based on Internet (인터넷 기반 멀티 전자침 구현)

  • Hong, You-Shik
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.14 no.5
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    • pp.197-202
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    • 2014
  • It is used the important method that Oriental doctor determines patient's disease status observing patient's state of tongue in Oriental medicine clinic. In this paper, it developed the how to use the pulse diagnosis and tongue diagnosis based on s mart based electronic acupuncture. It will do objective judgment without wrong diagnosis. In this paper, we developed the algorithm that it automatically determines patient health condition and smart electronic acupuncture kit using fuzzy logic and fuzzy reasoning system were completed. In this paper, Simulation results proved that acupuncture is effective than the traditional method of using electronic intelligence.

Study on Effect of Learning Treatment Chart (의안(醫案) 학습효과에 대한 연구)

  • Kim, Yong-Chan;Shin, Hyeun-Kyoo;Kim, Byung-Soo;Kang, Jung-Soo
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.19 no.3
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    • pp.580-585
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    • 2005
  • Treatment chart(醫案) is a document that doctors have described about their own practice. Western doctor's chart has a prescribed form, but otherwise chart of oriental medicine is a free form. As It has no prescribed form, doctors of oriental medicine have recorded important facts that they think especially. For example, details are patient's name, age, sex and address, the name of disease, state of pulse and tongue, state of secretions(stools, urine, perspiration, etc.), color of face, state of sleep and thirst, diagnosis, prescription, improvement of herb, teaching, and so forth. If we study on chart of oriental medicine, we draw a lesson about practices of a famous doctors. Through that we can increase ability of diagnosis and adaptation to circumstance, make ourselves familiar with use of past prescriptions and way of changing prescription, and learn narrative story of past doctors' personal experience, their though and teaching. As chart of oriental medicine had many methods to take a measure to meet the false situation, we can learn that. Through chart of oriental medicine, we can improve our practice of oriental medicine.