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Long-term Evaluation of Conervative Treatment for the Patients with TMJ Closed Lock (악관절 폐구성 과두걸림의 보존적 치료에 대한 장기적 평가)

  • Mi-Suk Seo;Jae-Kap Choi
    • Journal of Oral Medicine and Pain
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    • v.19 no.1
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    • pp.93-103
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    • 1994
  • In order to evaluate thelong-term results of conservative treatment on TMJ closed lock, a follow-up study of thirst-two patients was performed 2 to 7 year after treatment. Evaluating method included the questionnaire, clinical examination, transcranial radiograph and mandibular kinesiography. The results were as follows : Seventy-eight percents of patients reported that symptoms were reduced completely or considerably. Recurrent headache was improved after treatment (72 percents of success rate). There was a significant decrease in VAS after treatment and at follow-up comparing with that of before treatment(p<0.01). Most common variable of Helkimo's clinical dysfunction index at follow-up was impared TMJ function. There was a significant decrease in Fricton's craniomandibular index and dysfunction index(p<0.01) Mean interincisal distance was increased by 14.07mm after treatment and was also increased at follow-up by 2.80mm comparing with that of after treatment(p<0.01). Before treatment, condylar translation measurements of affected and non-affected sides on the transcranial radiograph were 4.89±3.20mm and 9.09±3.73mm respectively and at follow- up examination, those were 14.98±4.77 and 17.05±4.35mm respectively. At follow-up, condylar translation were increased significantly comparing with those of before treatment(p<0.01). In 93.1% of patients, the condylar position of affected side at maximum mouth opening was behind the articular eminence before treatment but the percentage was decreased to 13.8% at follow-up(p<0.01). The pattern and range of mandibular movements at follow-up examination were similar to the typical normal movements. And in 16 cases showing lateral deviation of opening path, the deviation was directed to the affected and non-affected sides with the same frequency.

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Solution to Slow Down Myopia Progression

  • Jung, Ji-Won
    • Journal of Korean Clinical Health Science
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    • v.8 no.1
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    • pp.1386-1397
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    • 2020
  • Purpose: To examine the effectiveness of various treatments; bifocal spectacles, orthokeratology, atropine, and time spent in outdoors; in slowing down the myopia progression for Asian adolescents (6-18age). Methods: The research focused on examining the most effective treatment in controlling myopia based on the literature sources that have been published. Through meta-analysis of various research papers that already has been done in this field, a lot of data was collected. For each treatment, the difference in axial length and spherical equivalent over time was measured and recorded. To quantitatively record the difference, both axial length and spherical equivalent was determined by value of control group value of treatment group. The paper compared the effectiveness of each treatment based on the data that was measured. Results: Adolescents who chose to spend time outdoors in order to slow down myopia progression had axial length difference of 0.03 mm and spherical equivalent difference of 0.17 D. Adolescents that used atropine had axial length difference of 0.36 mm and spherical equivalent difference of 0.92 D. Bifocal spectacle resulted in axial length difference of 0.21 mm and spherical equivalent difference of 0.59 D, and for orthokeratology 0.23 mm and 0.04 D, respectively. Axial length wise, myopia was most controlled by the atropine since there was a greatest difference between the group that got the treatment and the group that did not have the treatment. According to the spherical equivalent difference data, myopia was most controlled by atropine. Conclusion: Atropine showed the most effective result in controlling myopia among the four treatment. Again, compared to other three treatment, using atropine appeared to have greatest ability in slowing down myopia progression since adolescents who were treated with atropine had greatest difference from adolescents in the control group that had the same condition but didn't get the treatment. However, every treatment was only used for 2 or 3 years which is quite short time period to measure the long term effect of the four treatments. Also, since atropine is a pharmaceutical method to control myopia, it may harm adolescents' eyes compared to optical or environmental treatment.

The Effect of Needle Retention and Electro-acupuncture of Low and High Frequencies at $SP_6$ on Experimentally Induced Intestinal Hypermotility in Rats (삼음교 유침, 저주파 및 고주파 전침이 흰쥐의 항진된 장운동에 미치는 영향)

  • Choi, Eun-Hee;Lee, Eun-Kyung;Jeon, Ju-Hyun;Yang, Gi-Young;Kim, Young-Il;Lee, Hyun
    • Journal of Acupuncture Research
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    • v.25 no.5
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    • pp.139-149
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    • 2008
  • Objectives : The aim of this study was to compare the effect of needle retention(NR) and electro-acupuncture of low(EA(L)) and high(EA(H)) frequencies at $SP_6$ and Sham point in rats. Methods : Intestinal hypermotility was induced by feeding carbachol and experimental groups divided mainly into 7 groups which were normal, holder, control, acupuncture in normal state of rats, pre-treatment of acupuncture(NR, EA) in hypermotility, post-treatment of acupuncture(NR, EA) in hypermotility. We fed charcoal to them after the treatment and measured the travel rate of charcoal in the gastrointestinal track so that which treatment affected more in intestinal hypermotility. Results : As the following study, each acupuncture ways of EA(L) had significant effect of decreasing travel rate on intestinal hypermotility than EA(H) and NR. The comparison between pre-treatment and post-treatment, pre-treatment had slight more effect than post-treatment but not significantly. There was more affected at $SP_6$ than Sham point on this study. Conclusions : There were 21 groups to find out which treatment was best to slow down the intestinal motility and $SP_6$-EA(L)-C had significant effect compared with control group at the figure than any other groups. That meant $SP_6$ had effect on gastric disorder such as intestinal hypermotility and its' effect had more prevention than cure. Further study was needed to have more precise effect of EA and $SP_6$.

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A posteriori registration and subtraction of periapical radiographs for the evaluation of external apical root resorption after orthodontic treatment

  • Kreich, Eliane Maria;Chibinski, Ana Claudia;Coelho, Ulisses;Wambier, Leticia Stadler;Zedebski, Rosario de Arruda Moura;de Moraes, Mari Eli Leonelli;de Moraes, Luiz Cesar
    • Imaging Science in Dentistry
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    • v.46 no.1
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    • pp.17-24
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    • 2016
  • Purposes: This study employed a posteriori registration and subtraction of radiographic images to quantify the apical root resorption in maxillary permanent central incisors after orthodontic treatment, and assessed whether the external apical root resorption (EARR) was related to a range of parameters involved in the treatment. Materials and Methods: A sample of 79 patients (mean age, $13.5{\pm}2.2years$) with no history of trauma or endodontic treatment of the maxillary permanent central incisors was selected. Periapical radiographs taken before and after orthodontic treatment were digitized and imported to the Regeemy software. Based on an analysis of the post-treatment radiographs, the length of the incisors was measured using Image J software. The mean EARR was described in pixels and relative root resorption (%). The patient's age and gender, tooth extraction, use of elastics, and treatment duration were evaluated to identify possible correlations with EARR. Results: The mean EARR observed was $15.44{\pm}12.1pixels$ (5.1% resorption). No differences in the mean EARR were observed according to patient characteristics (gender, age) or treatment parameters (use of elastics, treatment duration). The only parameter that influenced the mean EARR of a patient was the need for tooth extraction. Conclusion: A posteriori registration and subtraction of periapical radiographs was a suitable method to quantify EARR after orthodontic treatment, and the need for tooth extraction increased the extent of root resorption after orthodontic treatment.

The Anti-inflammatory Effect of Cheongyeolhawlhyeoltanggagyehyeoldeung (CYHHT) in cultured RAW264.7 cells and murine models of inflammation (RAW264.7세포주와 염증생쥐모델에서 항염증(抗炎症) 작용(作用)에 대한 청열활혈탕가계혈등(淸熱活血湯加鷄血藤)의 효과(效果))

  • Han, Choong-Hee;Yoo, Dong-Youl
    • The Journal of Korean Obstetrics and Gynecology
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    • v.18 no.3
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    • pp.92-109
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    • 2005
  • Purpose : The Purpose of this research was to investigate the effects of Cheongyeolhawlhyeoltanggagyehyeoldeung (CYHHT) on anti-inflammatory effects. Methods : As for the parameters of inflammation, levels of several inflammatory cytokines and chemical mediators were determined in mouse lung fibroblast cells(mLFC) and RAW264.7 cells. Also, changes in pathological features by drug treatment were investigated in the in vivo edema-induced rats by carrageenin /arachidonic acid or in the colitis-induced mice by DSS treatment. Results : The cytotoxicity of CYHHT on mLFC and RAW264.7 cells was not observed at 100, 50, 10, and $1{\mu}g/ml$ of CYHHT treatments. $IL-1{\beta}$, IL-6 and NOS-IImRNA expression of RAW264.7 cells was inhibited by CYHHT treatments in a dose-dependent manner. CYHHT treatment of RAW264.7 cells inhibited $TNF-{\alpha}$ and COX-2 mRNA expression. CYHHT treatment of RAW264.7 cells significantly inhibited IL-6 and NO production. CYHHT treatment of RAW264.7 cells inhibited ROS production. CYHHT inhibited rat's paw edema induced by carrageenin or arachidonate treatment in all concentrations examined. The body weight and colon length of colitis-induced mice were recovered to a normal level by DSS treatment. Clinical disease levels were significantly improved compared to the control animals. CYHHT treatment of colitis-induced mice significantly increased hematological values such as WBC and RBC counts, Hgb and HCT levels, but decreased PLT values. CYHHT treatment of colitis-induced mice decreased IL-6 and $TNF-{\alpha}$ production significantly CYHHT treatment of colitis-induced mice significantly increased CD3+(T) cell counts. In contrast, CYHHT treatment decreased CD19+ B cell counts and CD3+/CD69+ significantly, and also decreased B/T ratio (%) though not significant. Conclusion : These results indicated that CYHHT could be used for treating diverse female diseases caused by the inflammation.

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The Effect of Acupuncture at PC7(Daereung) on EEG in Normal Human Subject (대릉(大陵)(PC7) 침자가 뇌파에 미치는 영향)

  • Park, Cheol-Jin;Lee, Sang-Ryong
    • Korean Journal of Acupuncture
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    • v.27 no.2
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    • pp.141-157
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    • 2010
  • Objectives : The aim of this study is to examine the effects of acupuncture at PC7(Daereung) on normal human EEG using power spectral analysis. Methods : EEG power spectrum exhibits site-specific and state-related differences in specific frequency bands. In this study, power spectrum was used as a measure of complexity. 30 subjects (16 males and 14 females; averaged age = 23.4 years) were engaged with thirty channel EEG study. Results : In $\alpha$(alpha) band, the power values at Fp1, Fp2, F7, F8 channels(p<0.05) during PC7 treatment were significantly decreased. But, the power values at Fz channel(p<0.05) during non-acupoint treatment was significantly decreased. In $\beta$(beta) band, the power values at Fp1, Fp2 channels(p<0.05) during PC7 treatment were significantly decreased. But, the power values at Fz channel(p<0.05) during non-acupoint treatment was significantly decreased and at F8, TCP2 channels(p<0.05) during non-acupoint treatment were increased. In $\theta$(theta) band, the power values at Fp1, Fp2, F7, F8 channels(p<0.05) during PC7 treatment were significantly decreased. But, the power values at Fz channel(p<0.05) during non-acupoint treatment was significantly decreased. In $\delta$(delta) band, the power values at Fp1, Fp2, F7, Fz, F8 channels (p<0.05) during PC7 treatment were significantly decreased. But, the power values at Fz channel (p<0.05) during non-acupoint treatment was significantly decreased. $\alpha/\beta$ values during PC7 treatment were decreased. $\beta/\theta$ values during PC7 treatment were decreased. Conclusion : These results suggest that acupuncture at PC7 induce the change on $\alpha$(alpha), $\beta$(beta), $\theta$ (theta), $\delta$(delta) wave values being decreased and and bothe $\alpha/\beta$ and $\beta/\theta$ values being decreased respectively. This is considered that acupuncture at PC7 affects the activity of cerebral cortex and endocrine system.

Acupuncture Experience in Patients with Chronic Low Back Pain : A Qualitative Study (만성 요통 환자의 침 치료 경험 : 질적 연구)

  • Lee, Hyang-Sook;Son, Haeng-Mi;Kim, Song-Yi;Song, Mi-Yeon;Lee, Jun-Hwan;Park, Hi-Joon
    • Korean Journal of Acupuncture
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    • v.27 no.2
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    • pp.183-201
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    • 2010
  • Objective : To explore and describe chronic low back pain (cLBP) patients' experience of acupuncture treatment Methods : Eleven patients with cLBP who agreed and completed the informed consent to take part in this qualitative study were interviewed thoroughly and tape-recorded. Transcribed data were read independently by 4 researchers and analysed thematically with ground theory. Results : All participants chose acupuncture treatment for their cLBP because either they preferred, other people recommended, or felt conventional treatment being more comfortable. Most of the participants experienced improvement during acupuncture treatment and continued treatment motivated by mere expectations. Participants also expressed the specific physical responses/sensations to the effect of acupuncture; various adverse effects during the course of acupuncture treatment. Economic burden was another concern when combined with other therapies in Korean Medicine hospitals. It is considered as a specifically important to those who give acupuncture treatment to obtain a full treatment effect. Conclusions : The emotional facts that Korean patients with cLBP receiving acupuncture treatment benefited by the treatment and considering specific sensations from doctor-patient relationship were turned out to be important to have the maximum treatment effect. Findings from this study should be considered in both acupuncture research and practice.

A Basic Experiment for a Small Sewage Treatment System Using Aquatic Plants and Microbes (소형 식물·미생물 정화조 시스템 개발을 위한 기초 실험)

  • Lee, Eun-Heui;Rhee, In-Sook;Jung, Dong-Sun
    • Journal of the Korean Society of Environmental Restoration Technology
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    • v.5 no.4
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    • pp.31-38
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    • 2002
  • The rate of sewage treatment in South Korea was 68% in the late 1999. Sewage treatment is mostly made near big cities such as Seoul and Busan, and it is little in rural areas. Wastewater from households goes to streams directly without treatment in rural areas and pollutes streams. It is necessary to improve the progress for treatment of nutrients such as N and P which cause eutrophication in streams and lakes, because sewage treatment system in South Korea focuses on treatment of basic organic matters. Therefore it will contribute to improve discharged water quality if small sewage treatment systems by aquatic plants and microbes are introduced to rural areas where are not connected to local sewage treatment facility. This experiment was conducted to find out the best way using aquatic plants and microbes to purify wastewater from households through individual sewage treatment system. Phragmites communis, Iris pseudoacorus, Acorus calamus var. angustatus, Typha orientalis and Oenanthe javanica were used for this experiment. BOD, COD, SS, T-N and T-P were analyzed following standard methods for wastewater. The result shows that wastewater was roughly purified through pebbles and sands, and highly purified through aquatic plants and microbes especially in T-N and T-P. Iris pseudoacorus is the most effective in reduction of COD and BOD level. This system will work even in winter when plants die because microbes will be still working.

Assessment of dental health related quality of life and satisfaction level in patients with orthodontic treatments using Oral Impact on Daily Performances (OIDP) (일상활동구강영향지수(OIDP)를 이용한 교정환자의 구강건강관련 삶의 질과 만족도 평가)

  • Kim, Soo-Kyung;Ki, Eun-Jung;Kim, Sung-Jun;Mun, Seon-Ho;Jang, Min-ji;Jung, Eun-Seo
    • Journal of Korean society of Dental Hygiene
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    • v.18 no.4
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    • pp.535-546
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    • 2018
  • Objectives: This study is to assess the correlation of the changes in dental health-related quality of life before, during, and after orthodontic treatments in the patients. Methods: The self-administered survey was conducted in the patients who completed orthodontic treatments living in Seoul and metropolitan areas using Oral Impact on Daily Performances (OIDP) to identify the relevant factors. Data were analyzed with descriptive statistics of variables, independent t-test, one way ANOVA, and multiple regression analysis. Results: From observations of OIDP before, during, and after orthodontic treatment, discomfort associated with three factors including physical, psychological and social ones showed the statistically significant increases during orthodontic treatment than before the treatment; whereas, it was dramatically dropped afterward. Multiple regression analysis to find the influential factors of satisfaction level on orthodontic treatment by setting before, during, and after OIDP as independent variables and satisfaction on orthodontic treatment as a dependent variable revealed that OIDP before orthodontic treatment and after orthodontic treatment significantly affected satisfaction on orthodontic treatment. Conclusions: The above analysis on the change in patients' dental health-related quality of life showed that the quality of life improved after the orthodontic treatment. Accordingly, patients' quality of life and satisfaction level on orthodontic treatment are expected to improve if they strive to maintain healthy dental health through orthodontic treatment.

Two Cases Report of Herpes Zoster Patients Improved by Korean Medicine Treatment alone (대상포진에 대한 한방 단독 치료 치험 2례)

  • Bae, Jae Ryong;Kim, Su Jin;Jang, Sang Chul;Pi, Chien Mei;Roh, Ju Hee
    • Journal of Korean Medical Ki-Gong Academy
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    • v.16 no.1
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    • pp.116-136
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    • 2016
  • Objectives : The purpose of this study is to report a 67-year-old male patient with Herpes zoster(caseI) and a 38-year-old female patient with Herpes zoster(caseII), whose symptoms were relieved after Korean medicine treatment alone. Methods : Both patients took Yeonryeonggobondan and Pyungwee-san daily. Everytime they came to the hospital, they received acupuncture treatment, Hwidam's Su-Gi therapy and External Gigong Therapy. Acupuncture was applied by gall bladder seunggyeok(膽勝格, GB-), spleen jeonggyeok(脾正格, SP+), large intestine seunggyeok(大腸勝格, LI-) of Saam's Acupuncture Method. Hwidam's Su-Gi therapy was applied on neck. External Gigong Therapy was applied on skin lesion area. the patients' symptoms were evaluated with photographs and VAS. Results : The results were as follows: 1. In the case of a 67-year-old male patient, it took 14 days to recover the skin lesions and to reduce the pain after treatment started. And he visited 13 times during that period. 2. In the case of a 38-year-old female patient, it took 23 days to recover the skin lesions to reduce and the pain after treatment started. And she visited 10 times during that period. 3. Intensive treatment early in treating herpes zoster helped to shorten the treatment period. 4. Taking Yeonryeonggobondan and Pyungwee-san and receiving acupuncture treatment(SP+) can help to improve immunity and recover skin lesions in herpes zoster diagnosed with spleen deficiency with dampness encumbrance(脾虛濕困) and blood stasis due to qi stagnation (氣滯血瘀). 5. The combination of acupuncture treatment(GB-) and External Gigong Therapy was effective in controlling pain. 6. External Gigong Therapy is considered to be effective for the recovery of the skin as well as the pain of the herpes zoster. Conclusions : Korean medicine treatment alone has a great effect on the above two patients with herpes zoster. I hope the active research about Korean medicine treatment will be done not only for herpes zoster but also for various intractable pain diseases.