• Title/Summary/Keyword: Pubic symphysis

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A Case Report of Separation of Symphysis Pubis after Delivery (분만 후 치골결합분리 환자 1례의 임상보고)

  • Jo, Hyun-Jung;Gu, Hui-Jun;Yang, Seung-Jeong;Park, Kyung-Mi;Cho, Seong-Hee
    • The Journal of Korean Obstetrics and Gynecology
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    • v.21 no.2
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    • pp.263-272
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    • 2008
  • Purpose: Separation of symphysis pubis during delivery is a rare condition. The separation might cause pubic pain, radiating pain of both leg, inguinal pain, and gait disturbance. The purpose of this case was to report the clinical effectiveness of Traditional Korean Treatment on decreasing those symptoms. Methods: The patient in this case was 34-year-old female, The chief complains were pubic pain(right side was severe), radiating pain of right inguinal pain, gait disturbance and low back pain. She was treated by Traditional Korean medicine, acupuncture, and Placenta Herbal Acupuncture. The progress of symptoms were evaluated by visual analogue scale. Results: After those Traditional Korean therapy, most symptoms were improved. But width of symphysis pubis remained unchanged. Conclusion: This case shows that Traditional Korean therapy might be effective in decreasing symptoms on separation of symphysis pubis during delivery.

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Clinical Comparative Report of Separation of Symphysis Pubis and Symptom-Giving Pelvic Girdle Relaxation after Delivery (자연분만 후 발생한 치골결합분리 1례와 증상유발 골반이완증 1례 임상 비교 보고)

  • Ban, Ji-Hye;Lee, Eun-Hee;Park, Ga-Young;Park, Ji-Young;Lee, Ah-Young
    • The Journal of Korean Obstetrics and Gynecology
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    • v.25 no.4
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    • pp.113-124
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    • 2012
  • Objectives: This study is designed to compare clinical symptoms between Symptom-giving pelvic girdle relaxation and Separation of the pubic symphysis. And report the clinical effectiveness of Traditional Korean Treatment on two case. Methods: Two patients who delivery in one week ago had pain that located symphysis and around. Treatment was acupuncture, Placenta Herbal Acupuncture and herbal medicine. The progress of symptom and aggressiveness of pain and disability were measured by Visual Analogue Scale, McGill pain Questionnaire-short form, Oswestry Disability Index and Active Straight Leg Raise test. Results: After treatment most two patients' pain and disabilty were improved. At first case, width of symphysis pubis were increased in normal range. Conclusions: These cases shows that Traditional Korean therapy might be effective in decreasing symptoms on separation of symphysis pubis during delivery and Symptom-giving pelvic girdle relaxation.

A Case of Separation of the Symphysis Pubis in Association with Delivery (분만과 연관된 치골결합부 분리 치험례)

  • Kim, Se-Dong;Ihn, Joo-Chul;Lee, Jae-Chang
    • Journal of Yeungnam Medical Science
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    • v.5 no.2
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    • pp.201-203
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    • 1988
  • Separation of the pubic symphysis in association with delivery is very rare. The Korean orthopedic and obstetrical literature pertaining to this syndrome is absent. The physiological widening is small and asymptomatic, but a separation of more than one centimeter may occur and is usually symptomatic. A twenty-six-year-old woman of separation of symphysis pubis associated with delivery was treated successfully with the treatment of reduction and pelvic band, with absolute bed rest in the lateral decubitus position.

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Chondrosarcoma of the Pubic Bone (치골에 발생한 연골육종 - 증례 보고 -)

  • Song, Won-Seok;An, Joon-Hwan;Cho, Wan-Hyeong;Byun, Woo-Jin;Jeon, Dae-Geun
    • The Journal of the Korean bone and joint tumor society
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    • v.12 no.2
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    • pp.136-140
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    • 2006
  • Pelvic bone is location with the worst prognosis in primary malignant bone tumor. Malignant bone tumor around symphysis pubis is extremely rare, and although small size, it is difficult to excise because of anatomical location. The authors report a case of intra-pelvic chondrosarcoma of the pubic bone with good functional result through resection by both superior & inferior pubic ramus osteotomy.

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Characteristics of Vehicle Structure Deformation and Body Injury caused by Side Impact Test using AE-MDB (AE-MDB 시험결과에 따른 인체상해 및 차체 특성)

  • Kim, Doyup;Lee, Jaewan;Chang, Hyungjin;Yong, Boojoong
    • Journal of Auto-vehicle Safety Association
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    • v.3 no.2
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    • pp.34-41
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    • 2011
  • Side collisions (or side crash) account for 51.6% of all car to car accidents occurred in 2010. It is necessary to analyze those vehicles' structure deformation and passengers' injuries in the side collisions. A moving barrier (950kg) is currently used in the KNCAP side impact test. However, in order to enhance a passengers' safety in the side collisions, we introduce an AE-MDB (1500kg) which provides more severe conditions for this test. In this study, the test results using both barriers are compared and analyzed.

Location of the umbilicus in Korean women and its changes after breast reconstruction with an ipsilateral pedicled rectus abdominis musculocutaneous flap

  • Oh, Sangho;Jeon, Hyojin;Son, Daegu
    • Archives of Plastic Surgery
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    • v.45 no.5
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    • pp.425-431
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    • 2018
  • Background The umbilicus makes an important contribution to the natural appearance of the abdomen. To date, studies on its position in Korean women are lacking, and no standards have been established. The purpose of this study was to investigate the position of umbilicus in Korean women and to review changes in its position after ipsilateral pedicled rectus abdominis musculocutaneous (IP-RAM) flap. Methods This research consisted of two studies. In first study, 100 females who visited the emergency department with gastroenteritis between 2007 and 2011 were included. In second study, 40 women who underwent IP-RAM flap in the same period were included. Using abdominal computed tomography, we measured the distance between xiphoid process and umbilicus, represented by value a, and the distance between umbilicus and symphysis pubis, represented by value b. Thus, the location of the umbilicus was represented by the ratio a/b. The data were analyzed using Pearson correlation test and paired t-test. Results In study 1, the mean value of a/b was 1.07. Pearson correlation test revealed a significant correlation between age and a/b. In study 2, the mean value of a/b was 1.16 in preoperative measurements and 1.01 in postoperative measurements. The paired t-test showed a significant difference between preoperative and postoperative measurements, indicating cephalic migration of the umbilicus after surgery. Conclusions The natural position of the umbilicus showed caudal migration with aging. Additionally, in a comparison of preoperative and postoperative measurements in patients who underwent IP-RAM flap, cephalic migration of the umbilicus was observed after surgery.

Reproducibility of Applicator Position with High dose rate brachytherapy in uterine cervical cancer (자궁경부암 환자의 근접치료시 재현성 평가)

  • Kim Jong-Hwa;Son Jung-Hae;Jung Chil;Kim Mi-Hwa
    • The Journal of Korean Society for Radiation Therapy
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    • v.15 no.1
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    • pp.29-33
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    • 2003
  • I. Purpose Brachytherapy is the main component in treatment of patients with uterine cervical cancer. The reproducibility of applicator position in the same patient at repeated treatments was very important for accurate dose delivery. It was aimed to evaluate the change of applicator location between each high dose rate(HDR) brachytherapy insertion in the patients with uterine cervical cancer. II. Materials and Methods From January 1999 to October 2001, total 52 patients were treated with external beam radiotherapy and HDR brachytherapy (Microselectron, Nucletron). During six to seven times of brachytherapy, all patients had three treatment plans. From the orthogonal radiographs, we measured the following variables; height from upper border of pubic bone to os (HPO), distance from sacral promontory to tip of tandem (DST), distance from coccyx to os (DCO), distance from tip of right ovoid to os (DRO), distance from tip of left ovoid to os (DLO), and distance from center of the first tandem source to ovoid (DTO). To evaluate the reproducibility of applicator position, it was calculated the standard deviation of differences between three insertions for the 7 parameters in each patient. III. Results The ranges of standard deviations of interfractional differences for the variables were as follows. 1)HPO : $0{\sim}0.79cm$ 2)DST : $0{\sim}0.9cm$ 3)DCO : $0.06{\sim}0.76cm$ 4)DRO : $0{\sim}0.53cm$ 5)DLO : $0{\sim}0.45cm$ 6) DTO $0{\sim}0.36cm$ IV. Conclusions There was some change in applicator position on repeated implants in our study. But variation of the interfractional differences was minimal; in all parameters, there were less than 1 cm. We are continued to try for reducing the geometric variation between each procedure.

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Effect of Changing the Side Impact Dummy from EuroSID-1 to EuroSID-2 in the KNCAP Side Impact Evaluation (EuroSID-1에서 EuroSID-2로의 인체모형 변경이 KNCAP 측면충돌안전성 평가에 미치는 영향 연구)

  • Lim, Jae-Moon;Jung, Geun-Seup
    • Transactions of the Korean Society of Automotive Engineers
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    • v.15 no.5
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    • pp.125-132
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    • 2007
  • In order to provide consumers with safety informations of vehicles according to the Korean New Car Assessment Program(KNCAP), the evaluation results and the star ratings of 21 vehicles for the side impact tests have been reported since 2003. Now, the KNCAP considers changing the side impact dummy from EuroSID-1 to EuroSID-2 near future. The rib deflection of EuroSID-2 is 20-30% higher than that of EuroSID-1 because of the removal of "Flat Tops" effect. In this study, the effect of changing the side impact dummy from EuroSID-1 to EuroSID-2 in the KNCAP side impact evaluation is estimated through the previous KNCAP evaluation results. The results show that the decrease of the star ratings would be one star($\bigstar$) approximately.

Anatomical Study on the Dogmaek-Gyeong and Immaek-Gyeong of the Oriental Medicine (독맥경과 임맥경에 대한 해부학적 고찰)

  • Kim, Soo-Myung
    • Journal of Haehwa Medicine
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    • v.7 no.2
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    • pp.601-607
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    • 1999
  • The human body consists of the twelve main meridians and the eight extra meridians including Dogmaek-Gyeong and Immaek-Gyeong. This study is on twenty-eight acupuncture points Dogmaek-Gyeong and twenty-four acupuncture points Immaek-Gyeong among the eight extra meridians. It is very important to know the accurate acupuncture points, which is the fundamental subject in the Oriental Medicine. From now on they have expressed in Chinese letters and old anatomical terms, acupuncture points are difficult and confused to learn. In order to understand acupuncture points easily, they are translated into Korean anatomical terms focused on osteology in this study. Dogmaek-Gyeong is the meridian of this vessel run along the posterior meridian line of the body. The boundary commences at the coccyx, mounts the length of the vertebral column, contours the skull of the vertex along the philtrum to terminate upon the upper gum. It has twenty-eight acupuncture points. Immaek-Gyeong is the meridian of this vessel run along the anterior meridian line of the body. The boundary commences at the perineum mounts the pubic symphysis along the umbilicus, mandible and the terminates at concave of the lower lip. It has twenty-four acupuncture points.

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Novel cystography parameter to predict early recovery from urinary continence after radical prostatectomy for prostate cancer: a retrospective study

  • Yeong Uk Kim
    • Journal of Yeungnam Medical Science
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    • v.40 no.3
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    • pp.252-258
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    • 2023
  • Background: The purpose of this study was to investigate whether postoperative cystography findings can predict early and longterm recovery from incontinence after radical prostatectomy (RP), compared with the other cystography parameters. Methods: I retrospectively reviewed 118 patients who underwent robot-assisted RP (RARP) for localized prostate cancer at single institution between January 2016 and April 2021. One hundred and seven patients were included in the study. Postoperative cystography was routinely performed 7 days after surgery. The bladder neck to pubic symphysis ratio, vesicourethral angle, and bladder neck anteroposterior length (BNAP) ratio (the bladder neck-posterior margin distances divided by the anteroposterior lengths) were evaluated. Continence was defined as cessation of pad use. The association between these variables and urinary incontinence was also analyzed. Results: The urinary incontinence recovery rates 1, 3, 6, and 12 months after RARP were 43.92%, 66.35%, 87.85%, and 97.19%, respectively. Multivariate logistic regression analysis demonstrated that a lower BNAP ratio and wider vesicourethral angle were significantly associated with continence restoration at 1, 3, and 6 months after surgery. In addition, in terms of days of pad usage, lower BNAP ratio, wider vesicourethral angle, and bladder neck preservation were significantly associated with recovery from urinary incontinence within 12 months as assessed by Cox proportional hazard analysis. Conclusion: This study demonstrated that vesicourethral angle and BNAP ratio were independent predictors of early recovery from post-prostatectomy incontinence. I suggest that both the sagittal and coronal views of postoperative cystography help anticipate early continence restoration after RARP.