• Title/Summary/Keyword: 상기도 변화

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Three dimensional cone-beam CT study of upper airway change after mandibular setback surgery for skeletal Class III malocclusion patients (Cone-beam CT를 이용한 골격성 III급 부정교합자의 하악골 후퇴술 후 상기도 변화에 관한 연구)

  • Kim, Na-Ri;Kim, Yong-Il;Park, Soo-Byung;Hwang, Dae-Seok
    • The korean journal of orthodontics
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    • v.40 no.3
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    • pp.145-155
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    • 2010
  • Objective: Lateral cephalometric radiographs have been the main form of resource for assessing two dimensional anteroposterior airway changes. The purpose of this study was to evaluate the three dimensional volumetric change in the upper airway space in Class III malocclusion patients who underwent mandibular setback surgery. Methods: Three dimensional cone-beam computed tomographs (CBCT) and their three dimensional reconstruction images were analyzed. The samples consisted of 20 adult patients (12 males and 8 females) who were diagnosed as skeletal Class III and underwent mandibular setback surgery. CBCTs were taken at 3 stages - Baseline (1.8 weeks before surgery), T1 (2.3 months after surgery), and T2 (1 year after surgery). Pharyngeal airway was separated according to the reference planes and reconstructed into the nasopharynx, the oropharynx and the hypopharynx. Measurements at Baseline, T1, and T2 were compared between groups. Results: The result showed the volume of the pharyngeal airway decreased significantly 2.3 months after surgery (p < 0.001) and the diminished airway did not recover after 1 year post-surgery. The oropharynx was the most decreased area. Conclusions: These findings suggest that mandibular setback surgery causes both short-term and long-term decrease in the upper airway space.

A heating apparatus for semiconductor manufacturing using direct heating method (직접가열방식을 이용한 반도체 제조용 히팅장치)

  • Jung, Soon-Won;Kwon, Oh-Joen;Koo, Kyung-Wan
    • Proceedings of the KIEE Conference
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    • 2008.07a
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    • pp.2218-2219
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    • 2008
  • 본 연구는 반도체 기판 히팅 장치의 새로운 구조에 관한 것으로 기판의 바닥면에 밀착된 가열 플레이트층의 직접가열 구조에 따른 빠른 열 응답성 및 열손실 최소화를 이룰 수 있다. 또한 가열 플레이트층에 내장된 히팅 수단인 시즈히터의 접촉면적을 늘려 가열 유효면적 증가와 같은 효과를 갖는다. 이를 위해 감광막이 코팅된 기판과, 상기 기판의 바닥면에 밀착되는 가열 플레이트층, 절연 및 열손실을 최소화하기 위해 상기 가열 플레이트층의 바닥면에 밀착되는 운모층, 상기 운모층의 하부에 밀착되어 바닥 플레이트층으로 이루어지되, 상기 가열 플레이트 층은 바닥면 전체에 걸쳐 연속되는 홈부를 형성하고, 상기 홈부로는 기판을 가열하기 위한 시즈히터가 삽입되어 구성된다. 새로운 기판 히팅 구조를 사용하여 시간 경과에 따른 가열 플레이트의 온도 변화를 확인 한 결과, 간접가열방식인 기존 방식에 비해 약 40 %의 전력 절감효과가 있는 것으로 확인 되었다.

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A Study on the Optical flow Method for Analysis of Ipper Airway Deformation from Magnetic Resonance Images for Children with Obstructive Sleep Apnea Syndrome (폐쇄성 수면 무호흡 증후군을 가진 어린이 환자들의 MRI 영상으로부터 상기도 면적 변화 분석을 위한 광류 방법에 대한 연구)

  • Lee, Min Hee;Kim, Dong Youn
    • Journal of the Institute of Electronics and Information Engineers
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    • v.51 no.4
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    • pp.201-209
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    • 2014
  • Obstructive sleep apnea syndrome(OSAS) is a respiratory disease caused by partial or complete obstruction of the upper airway during sleep. In this paper, we proposed the optical flow method to analyze the upper airway dynamic changes during respiration for children with OSAS and control subjects. We compared the absolute value of difference between inspiration and expiration for airway area analysis method and optical flow method for 5 children with OSAS and 6 control subjects. From the statistical analysis, airway area analysis method and optical flow method are statistically significant at the 0.1 (p value is 0.0977) and 0.01 (p value is 0.0011) significance level respectively. From this simulations, the optical flow method could provide more accurate information to diagnose the OSAS patients than the traditional airway area analysis method.

Morphological characteristics of the upper airway and pressure drop analysis using 3D CFD in OSA patients (폐쇄성 수면무호흡 환자의 상기도 형태의 특징과 압력강하에 관한 3차원 전산유체역학해석)

  • Mo, Sung-Seo;Ahn, Hyung-Taek;Lee, Jeong-Seon;Chung, Yoo-Sam;Moon, Yoon-Shik;Pae, Eung-Kwon;Sung, Sang-Jin
    • The korean journal of orthodontics
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    • v.40 no.2
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    • pp.66-76
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    • 2010
  • Objective: Obstructive sleep apnea (OSA) is a common disorder which is characterized by a recurrence of entire or partial collapse of the pharyngeal airway during sleep. A given tidal volume must traverse the soft tissue tube structure of the upper airway, so the tendency for airway obstruction is influenced by the geometries of the duct and characteristics of the airflow in respect to fluid dynamics. Methods: Individualized 3D FEA models were reconstructed from pretreatment computerized tomogram images of three patients with obstructive sleep apnea. 3D computational fluid dynamics analysis was used to observe the effect of airway geometry on the flow velocity, negative pressure and pressure drop in the upper airway at an inspiration flow rate of 170, 200, and 230 ml/s per nostril. Results: In all 3 models, large airflow velocity and negative pressure were observed around the section of minimum area (SMA), the region which narrows around the velopharynx and oropharynx. The bigger the Out-A (outlet area)/ SMA-A (SMA area) ratio, the greater was the change in airflow velocity and negative pressure. Conclusions: Pressure drop meaning the difference between highest pressure at nostril and lowest pressure at SMA, is a good indicator for upper airway resistance which increased more as the airflow volume was increased.

Growth of high quality InSb on InxAl1-xSb grading buffer on GaAs ($x=1{\rightarrow}0$)

  • Sin, Sang-Hun;Song, Jin-Dong;Han, Seok-Hui;Kim, Tae-Geun
    • Proceedings of the Korean Vacuum Society Conference
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    • 2010.08a
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    • pp.223-223
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    • 2010
  • InSb 물질은 다른 III-V족 물질들과 비교해서 bandgap이 낮고 전자 이동도가 높아, 소자 구현 시 낮은 전압으로도 고속 동작 특성을 제어할 수 있다는 장점이 있다. 그러나 Si, GaAs 또는 InP 등 쉽게 구할 수 있는 기판과 격자 부정합이 커서 상기 기판에 성장시 많은 defect가 존재하는 단점이 있다. 그러므로 이를 상기 기판에 성장하는데 meta-morphic이라 불리는 성장 기술이 요구되는 어려움이 있다. 본 발표에서 Semi-insulating GaAs 기판위에 고품질의 InSb 박막을 성장하기 위해 grading buffer technique을 도입하며 이에 대한 여러 가지 비교실험과 함께 최적의 성장 방법과 기술에 대해 논의 한다. GaAs와 InSb 물질사이의 bandgap과 격자 부정합을 고려하여 AlSb 물질을 먼저 성장하면서 동시에 InxAl1-xSb로 변화를 주어 InSb 박막이 성장되도록 하였다. ($x=0{\rightarrow}1$). 성장 온도 변화 및 In과 Al의 조성비에 변화를 주어 grading 기법으로 성장하였고 상기 grading buffer위에 InSb 박막을 0.65um 성장하였다. $10um{\times}10um$ AFM 측정결과 2.2nm 정도의 표면 거칠기를 가지며 상온에서의 전자 이동도는 약 46, 300 cm2/Vs 이고 sheet electron density는 9.47(e11) /cm2의 결과를 확인하였다. 실험결과 InSb 박막을 올리는데 있어 가장 고려할 사항인 GaAs 기판과 InSb 박막 사이에 존재하는 격자 부정합을 어떻게 해결하는가에 대해서, 기존의 여러가지 방법과 비교해서 grading buffer 기술이 유효하다는 것을 증명하였다.

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Sleep Fragementation Decreases during the nCPAP Titration Night in Obstructive Sleep Apnea Syndrome (폐쇄성 수면무호흡증에서 지속적 상기도 양압술 압력 처방 검사 시 나타나는 수면분절의 감소)

  • Lee, Jin-Seong;Jeong, Do-Un
    • Sleep Medicine and Psychophysiology
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    • v.15 no.2
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    • pp.82-86
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    • 2008
  • Objectives: Obstructive sleep apnea syndrome (OSAS) not only causes respiratory disturbances during sleep but also decreases the quality of nocturnal sleep through sleep fragmentation and sleep structure change. We aimed at comparing the changes in sleep fragmentation and structure between baseline (diagnostic) nocturnal polysomnography (NPSG) and nCPAP (nasal continuous positive airway pressure) titration trial. Methods: One hundred and three patients with a baseline night of respiratory disturbance index (RDI) of 5 or greater and reduced RDI score during nCPAP titration night were retrospectively selected for the study. Sleep fragementation and sleep structure between baseline NPSG and the NPSG during nCPAP titration were compared. Sleep fragmentation index (SFI) was defined as the total number of awakenings and shifts to stage 1 sleep divided by the total sleep time in hour. SFI and other polysomnographic parameters were statistically compared between the two nights. Results: SFI during baseline NPSG and nCPAP titration nights were $29.0{\pm}13.8$ and $15.2{\pm}8.8$, respectively, indicating a significant SFI decrease during nCPAP titration (t=9.7, p<0.01). SFI showed significant negative correlations with sleep efficiency (r=-0.60, p<0.01) and total sleep time (r=-0.45, p<0.01) and a positive correlation with RDI (r=0.28, p<0.01). Conclusion: Use of nCPAP, even during the titration, significantly decreases sleep fragmentation and improves sleep structure in OSAS patients. We suggest that SFI may be utilized as a measure of assessing OSAS severity and nCPAP efficacy.

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The Effect of Mandibular Protrusion on Dynamic Changes in Oropharyngeal Caliber (하악의 전방이동이 구인두 내경의 동적 변화에 미치는 영향)

  • Jung, Jae-Kwang;Hur, Yun-Kyung;Choi, Jae-Kap
    • Journal of Oral Medicine and Pain
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    • v.35 no.3
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    • pp.193-202
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    • 2010
  • The purpose of this study was to determine the sites of narrowing/obstruction and to measure the regional severity of narrowing through the evaluation of dynamic changes in upper-airway of healthy subjects. The selected 9 subjects were proved not to have any sleep-related disorder such as snoring or obstructive sleep apnea through clinical examination, radiological examination, sleep study with a portable recording system. Afterward, the Electron Beam Tomography was performed during the waking and sleeping state of subjects, with their mandible in resting and protruded position. Intravenous injection of Dormicum$^{(R)}$ was used for the induction of sleep. The maximum and minimum cross-sectional areas at each airway level during tidal ventilation were measured and the Collapsibility Index for each level of cross-section was also computed. In a comparison with results under variable conditions, the result was showed that the significant difference between each airway level divided with upper, middle, lower region of upper airway is not observed in the average minimum cross-sectional areas and Collapsibility Index. The significant difference only between in wake and sleep state was observed in the average minimum cross-sectional area at the lower region. Also, in wake state, the significant difference between resting and protrusive position of mandible for the average minimum was also observed in cross-sectional area at middle region. In sleep state, no significant difference between resting and protrusive position of mandible was observed in cross-sectional area and the Collapsibility Index.

A Clinical Study of SJ-002 (SJ-002의 임상적 효과)

  • Yong, Suk-Joong;Lee, Jae-Gap
    • The Korean Journal of Pharmacology
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    • v.27 no.2
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    • pp.207-210
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    • 1991
  • SJ-002 is a combination prescription of acetaminophen, ibuprofen, DL-methylephedrine HCl, caffeine, chlorpheniramine maleate, guaifenesin and dextromethorphan HBr. Common cold symptoms such as headache, pharyngitis, fever, or cough were improved by oral administration of SJ-002. This study enrolled about 30 patients, which was carried out from Jun. to Jul. 1991. The patients were given one bottle (30 ml) of SJ-002 t.i.d by P.O for one to seven days. 1) Thirty patients(100%) had improvements with this drug. 2) There were eight patients (26.7%) with side effects. But the side effects were not serious and transient when the medication was discontinued.

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