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The Effect of an Interocclusal Appliance on Head and Neck Posture (교합장치물이 두경부 자세에 미치는 영향)

  • Eun-Ha Kim;Keum-Back Shin;Ik-Jun Lim
    • Journal of Oral Medicine and Pain
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    • v.19 no.2
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    • pp.81-97
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    • 1994
  • 두개하악장애는 환자의 신체적 소인, 관련조직의 구조적 변화, 정신적 스트레스 등의 복합적 요인에 의 발생하는 다인성 질환으로 최근 대두되는 원인중의 하나가 신체, 특히 두경부의 자세이상이다. 비정상적인 두경부자세는 하악의 위치변화를 수반하여 종종 두개하악장애를 야기시키게 되나 이를 설명할 수 있는 과학적 증거는 아직 부족한 실정이다. 저자는 두경부 자세가 교합장치물에 의해 변화되는지를 저작근의 근전도학적 측면에서 규명하고자 21세에서 26세의 치과대학생으로 치아상실 및 교합간섭이 없고 두 개하악장애의 증후 및 경부운동제한을 가지지 않은 정상인 20명을 대상으로 각도계를 사용하여 시상면상에서 인위적으로 유도한 세 가지의 두경부자세변화 (0$^{\circ}$, 30$^{\circ}$ 굴절, 45$^{\circ}$ 신전)에 따른 교합안정장치의 장착(1시 간) 전후 및 안정위와 근접촉위(초기치아접촉위)에서의 두경부 근육(측두근, 교근, 악이복근)의 근전도를 Bioelectric Microprocessor EM2ⓡ를 사용하여 측정한 후 통계학적으로 비교, 분석, 평가하여 다음과 같은 결과를 얻었다. 1. 교합안정장치 장착전 하악 안정위 및 근접촉위에서 두부의 30$^{\circ}$굴절은 악이복근의 근활성도를, 45$^{\circ}$신전은 교근 및 악이복근의 근활성도를 증가시켰다.(p<0.05) 2. 교합안정장치 장착후 하악 안정위에서 두부의 30$^{\circ}$굴절은 악이복근의 근활성도를, 45$^{\circ}$신전은 교근 및 악이복근의 근활성도를 증가시켰으며, 하악 근접촉위에서 두부의 45$^{\circ}$신전은 악이복근의 근활성도를 증가시켰다(p<0.05). 3. 교합안정장치 장착 전후 및 두부의 30$^{\circ}$굴절, 45$^{\circ}$신전에 따른 측두군 및 교근의 하악 근접촉위에서의 근활성도가 안정위에서의 근활성도에 비해 유의한 증가를 나타냈다(p<0.05).

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Bone changes after bilateral sagittal split osteotomy for mandibular prognathism (하악 전돌증 환자의 양측성 하악지 시상분할 골절단술 후 골 변화)

  • Park, Hyun-Jung;Jung, Yun-Hoa;Cho, Bong-Hae
    • Imaging Science in Dentistry
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    • v.36 no.4
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    • pp.183-188
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    • 2006
  • Purpose: The purpose of this research was to study bone changes after bilateral sagittal split osteotomy through fractal analysis and measurement of mandibular cortical thickness. Materials and Methods: This study included twenty-two prognathic patients who underwent bilateral sagittal split osteotomy. Panoramic radiographs of these patients were taken immediately before operation and at 1 month, 6 months, and 12 months postoperatively. The fractal dimension was measured by the box-counting method in the region of interest centered on both the basal and interdental bones between the first and second mandibular molars. Measurements of mandibular cortical thickness were taken both in the area between the first and second mandibular molars and at the osteotomy site. Changes of fractal dimension and cortical thickness over four stages were statistically analyzed. Results: The fractal dimension of the mandibular basal bone before surgery and after 1 month, 6 months and 12 months were $1.4099{\pm}0.0657,\;1.382{\pm}0.0595,\;1.2995{\pm}0.0949,\;and\;1.4166{\pm}0.0676$, respectively (Repeated-measures ANOVA, P<0.001). However, no statistically significant differences were noted in interdental fractal dimensions among the four stages. Mandibular cortical thickness between the first and second mandibular molars before operation and after 1 month, 6 months and 12 months was $3.74{\pm}0.48mm,\;3.63{\pm}0.47mm,\;3.41{\pm}0.61mm\;and\;3.55{\pm}0.66mm$ (P<0.01), respectively. Mandibular cortical thickness at the osteotomy site at each of the four stages was $3.22{\pm}0.44mm,\;2.87{\pm}0.59mm,\;2.37{\pm}0.61mm\;and\;2.64{\pm}0.62mm$, respectively (P<0.001). Conclusion: This study suggests that the mandibular tissue continued decreasing for 6 months postoperatively and then increased over the subsequent 6 months.

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The study of stability of absorbable internal fixation after mandibular bilateral sagittal split ramal osteotomy (하악골 양측 하악지 시상분할 골절단술 후 흡수성 고정의 안정성에 관한 연구)

  • Choi, Byoung-Hwan;Park, Su-Won;Jang, Soo-Mi;Son, Han-Na;Park, Bong-Chan;Son, Jang-Ho;Cho, Yeong-Cheol;Sung, Iel-Yong
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.36 no.4
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    • pp.255-261
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    • 2010
  • Introduction: To evaluate the skeletal stability after a bilateral sagittal split osteotomy (BSSO) setback of the mandible fixed with a biodegradable internal fixation device or metal internal fixation device. Materials and Methods: Thirty consecutive patients underwent mandibular setback via BSSO. Fifteen patients were fixed with a biodegradable internal fixation device or metal internal fixation device respectively. Posteroanterior (PA) and lateral cephalograms were taken preoperatively and at two days, 5.5 months and 14.5 months postoperatively. The relevant skeletal points were traced and digitized to evaluate the skeletal changes postoperatively. The relapse rates were analyzed and compared statistically. Results: There was no statistically significant differences in postoperative stability between the two groups.(P<0.05) Conclusion: The biodegradable internal fixation device may make an effective device alternative to a metal internal fixation device for setback BSSO.

Scalable AlGaN/GaN HEMTGs Model Including Thermal Effect (스케일링이 가능한 AlGaN/GaN HEMT 소자의 열 모델에 관한 연구)

  • 김동기;김성호;오재응;권영우
    • The Journal of Korean Institute of Electromagnetic Engineering and Science
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    • v.14 no.7
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    • pp.705-711
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    • 2003
  • In this Paper, 2${\times}$100 $\mu\textrm{m}$ AlCaN/GaN HEMT's(on sapphire substrate) large signal model including thermal effect was extracted. An equation based empirical model was employed to make large signal model for convergence and high speed. Pulsed I-V measurement was performed to extract thermal resistance and capacitance. Power amplifiers with 9 mm and 15 mm AlCaN/GaN HEMTS were designed using scaled modeling results of 2${\times}$100 $\mu\textrm{m}$ device respectively. From comparisons between measured and simulated data, the model considering of thermal effects gave better agreement than without one. It demonstrates that thermal modeling must be performed for power amplifier that uses large size transistors.

A Study on the Influence of Lumbar Lordosis and Intervertebral Disc Angle by Obesity (비만에 의한 허리뼈 전만과 추간판 각도의 영향에 관한 연구)

  • Kwak, Jong Hyeok;Choi, Min Gyeong;Kim, Neung Gyun;Kim, A Yeon;Kim, Gyeong Rip
    • Journal of the Korean Society of Radiology
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    • v.14 no.3
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    • pp.235-243
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    • 2020
  • Lumbar Lordosis Angle (LLA) is an index that can be used to evaluate the curvature of the lumbar vertebrae. It can measure the structural stability of the lumbar spine and the stability of each segment of the vertebral column at the intervertebral disc angle (IDA). Especially, our data shows it is found to be a strong positive correlation between obesity and the angle of lordosis for lumbar vertebrae. Also, the reason for the large IDA in the case of obesity seems to be the result of the weakening of anatomical structure as well as the gravity effect. And, the obesity interferes with normal sagittal balance and fails to maintain a straight posture with minimal energy. Therefore, the obesity can be an important factor in causing back pain by changing the lumbar lordosis.

Serum Testosterone Levels in Patients with Post-Traumatic Stress Disorder (외상 후 스트레스 장애 환자의 혈청 테스토스테론치)

  • Kim, Dong Su;Kim, Hae Jung;Bang, Yu Jin;Go, Chang Min;Chung, Moon Yong;Kang, Suk Hoon
    • Anxiety and mood
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    • v.9 no.2
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    • pp.106-112
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    • 2013
  • Objective : Several reports have found abnormal levels of androgen in post-traumatic stress disorder (PTSD) patients. This abnormality in androgen is hypothesized to due to chronic psychological stress effects on the hypothalamic-pituitary-gonadal (HPG) system. The present study was conducted to estimate serum testosterone levels in PTSD patients in comparison with normal subjects. Methods : Seventy-five male Korean veterans of the Vietnam War volunteered for the study, of which eleven were excluded because of incomplete psychological assessment. To measure basal serum testosterone, blood samples were collected between 8.00 and 9.30 a.m. The clinician administered PTSD scale (CAPS), the structured clinical interview for DSM-IV (SCID), Hamilton Anxiety Rating Scale (HAM-A), Hamilton Rating Scale for Depression (HAM-D), Mini International Neuropsychiatric Interview Plus (Korean version of MINI-Plus), CES-K (Korean version of combat exposure scale). Results : The serum testosterone level of PTSD patients ($5.4{\pm}2.5ng/mL$) was higher than that of a control group ($3.1{\pm}1.7ng/mL$, p<0.001). Testosterone levels were significantly correlated with CAPS (r=.38, p<.01), HAM-A (r=.35, p<.01) and HAM-D (r=.28, p<.01) in all subjects. Conclusion : The results of the present study suggest that chronic psychological stress affects the HPG system.

MRI Findings of Neuro-Behcet's Disease (신경베체트병의 자기공명영상소견)

  • Jang, Han-Won;Byun, Woo-Mok;Cho, Kil-Ho;Hwang, Mi-Soo
    • Journal of Yeungnam Medical Science
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    • v.15 no.2
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    • pp.306-315
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    • 1998
  • MR findings in nine patients(three female, six male) with neuro-Behcet's disease were retrospectively analyzed. NeuroBehcet's disease was diagnosed on the basis of typical clinical symptoms. Involved site, pattern, signal intensity, and contrast enhancement pattern on MRI were evaluated. In addition, follow up MR imaging was performed in four patients. The midbrain(7/9), internal capsule(7/9), pons(6/9), thalamus(6/9), basal ganglia (5/9), middle cerebella peduncle(4/9), medulla oblongata(2/9), and subcortical white matter(2/9) are involved on MRI. The size of lesions was 1cm to 3cm and their margin was ill-defined and patchy. Inhomogeneous high signal intensity on the T2-weighted images and low signal intensity on T1-weighted images was seen respectively. In four of nine cases, there was focal enhancement. On follow up MR imaging, improvement or recurrance of the lesions was found. Also in two cases of follow up cases, there was artophy in brainstem and(or) middle cerebellar peduncles. In conclusion, MR imaging with systemic clinical symptoms is useful for diagnosing neuro-Behcet's disease.

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The Status and Plan of KMTNet Operation

  • Lee, Chung-Uk;Kim, Seung-Lee;Lee, Dong-Joo;Cha, Sang-Mok;Lee, Yongseok;Kim, Dong-Jin;Kim, Hyun-Woo;Shin, Min-Su;Park, HongSoo;Lim, Jin-Sun;Park, Byeong-Gon
    • The Bulletin of The Korean Astronomical Society
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    • v.43 no.1
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    • pp.39.3-39.3
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    • 2018
  • 외계행성 탐색시스템 운영현황과 계획을 소개한다. 2017년 관측장비 가동율은 97.4% 이며, 시스템이 설치된 3개 천문대에서 천문박명시간을 기준으로 총 10,157 시간이 연구에 할당되었고 총 7,178 시간 관측이 이루어졌다. 관측시스템의 성능개선을 위해 주경 코팅, 돔 레벨조정, 망원경 구동롤러 정렬, 주경 배플 마스크 설치 등 돔과 망원경의 기계부 업그레이드와 카메라 전자부 조정 및 앰프보드 교체 등이 이루어졌다. 관측효율 향상을 위해 1년간 관측된 약 177,000 장의 자료를 분석하여 불량자료 태깅기반을 마련했고, 시상모니터링과 관측 스크립트 코드를 개발하여 현재 관측에 적용하고 있다. 관측 자료는 각 연구 프로그램의 자료공개 정책에 따라 영상형태 또는 측광 파일형태로 이용이 가능하며, 관측로그는 홈페이지를 통해 확인할 수 있다. 2020년 10월부터 시작되는 2단계 관측 프로그램 선정을 위해 2019년 상반기에 관측제안서를 접수받아 하반기에 선정을 마칠 계획이며, 다양한 연구주제 발굴을 위해 파일롯 프로그램을 선별 지원할 계획이다.

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Immediate Full Weight Bearing in Extension Brace Following Arthroscopic Primary Repair or Reconstruction of ACL (관절경하 전방십자인대 일차수복술 및 재건술후 신전보조기를 착용한 조기 완전체중부하)

  • Kim Jung Man;Chang Cheong Ho;Cho Woo-Shin
    • Journal of the Korean Arthroscopy Society
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    • v.1 no.1
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    • pp.128-131
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    • 1997
  • 전방십자인대의 일차수복술이나 재건술후에 장기간의 비체중부하가 필요한지를 결정하기 위해서 일차수복술을 시행한 96례와 재건술을 시행한 82례등 총 178례를 대상으로 술후 체중부하시기에따라 두군으로 나누어 비교분석 하였다. 모든 례에서 술후 보조기를 착용하였고 120례에서는 술후 첫6주간 점차적으로 관절운동범위를 증가를 시키고 다음 6주간은 완전운동범위 회복상태에서 유지후 술후 12주에 체중부하를 허용하였으며 나머지 58례에서 술후 완전신전상태에서 즉시 체중부하를 시켜서 정기적으로 Lachman검사, KT 2000을 이용하여 불안정성여부를 관찰하였다. 평균 추시기간은 4.2년(2년$\~$6년)이었고 불안정성에 대한 평가는 AMA 분류에 따랐다. 최종추시상 모든환자에서 1+이상의 불안정성은 발견되지 않았으며 술후 12주에 체중부하를 한군에서 1a+가 104례$(86.7\%)$, 1b+군이 16례$(13.3\%)$로 관찰되고 즉시 체중부하를 한 군에서 1a+가 51례$(87.9\%)$, 1b+가 7례$(12.1\%)$에서 보였으나 통계적으로 의미있는 차이는 없었다(P>0.05). 본연구의 결과로 전방십자인대 일차수복술이나 재건술후 신전보조기를 착용시키고 즉시 보행을 시키는 것이 술후 슬관절의 불안정성에 영향을 주지 않으며 안전한 재활방법으로 생각된다.

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Brain Activation during Intentionality Detection: An fMRI Study (지향성 탐지 과정의 뇌 활성화: 기능적 자기공명 영상 연구)

  • Lee, Seung-Bok;Park, Min;Yoon, Hyo-Woon;Ghim, Hei-Rhee
    • Korean Journal of Cognitive Science
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    • v.17 no.1
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    • pp.1-13
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    • 2006
  • We applied fMRI to examine brain activation at intentionality detection (ID) task. The main purpose of this study was to explore whether brain activation regions involved in intentionality detection (known as the basic mechanism of theory of mind) differ or not, according to prior instruction. Left uncus, superior temporal gyrus and right inferior occipital gyrus, supramarginal gyrus, inferior parietal lobule, thalamus (medial dorsal nucleus), and precuneus were activated with prior instruction. In contrast, ID task with no instruction activated merely inferior parietal lobule and superior parietal lobule. Common activated area between the two instruction conditions was inferiordparietal lobule. Our results suggest thar prior instruction activated ID-related brain regions more explicitly. furtherdinvestigations would be loused on spontaneity of intentionality detector and characteristic of participants.

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