• 제목/요약/키워드: APEX

검색결과 1,145건 처리시간 0.022초

Alveolar bone thickness and lower incisor position in skeletal Class I and Class II malocclusions assessed with cone-beam computed tomography

  • Baysal, Asli;Ucar, Faruk Izzet;Buyuk, Suleyman Kutalmis;Ozer, Torun;Uysal, Tancan
    • 대한치과교정학회지
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    • 제43권3호
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    • pp.134-140
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    • 2013
  • Objective: To evaluate lower incisor position and bony support between patients with Class II average- and high-angle malocclusions and compare with the patients presenting Class I malocclusions. Methods: CBCT records of 79 patients were divided into 2 groups according to sagittal jaw relationships: Class I and II. Each group was further divided into average- and high-angle subgroups. Six angular and 6 linear measurements were performed. Independent samples t-test, Kruskal-Wallis, and Dunn post-hoc tests were performed for statistical comparisons. Results: Labial alveolar bone thickness was significantly higher in Class I group compared to Class II group (p = 0.003). Lingual alveolar bone angle (p = 0.004), lower incisor protrusion (p = 0.007) and proclination (p = 0.046) were greatest in Class II average-angle patients. Spongious bone was thinner (p = 0.016) and root apex was closer to the labial cortex in high-angle subgroups when compared to the Class II average-angle subgroup (p = 0.004). Conclusions: Mandibular anterior bony support and lower incisor position were different between average- and high-angle Class II patients. Clinicians should be aware that the range of lower incisor movement in high-angle Class II patients is limited compared to average- angle Class II patients.

Radiographic evaluation of the symphysis menti as a donor site for an autologous bone graft in pre-implant surgery

  • Bari, Roberto Di;Coronelli, Roberto;Cicconetti, Andrea
    • Imaging Science in Dentistry
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    • 제43권3호
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    • pp.135-143
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    • 2013
  • Purpose: This study was performed to obtain a quantitative evaluation of the cortical and cancellous bone graft harvestable from the mental and canine regions, and to evaluate the cortical vestibular thickness. Materials and Methods: This study collected cone-beam computed tomographic (CBCT) images of 100 Italian patients. The limits of the mental region were established: 5 mm in front of the medial margin of each mental foramen, 5 mm under the apex of each tooth present, and above the inferior mandibular cortex. Cortical and cancellous bone volumes were evaluated using SimPlant software (SimPlant 3-D Pro, Materialize, Leuven, Belgium) tools. In addition, the cortical vestibular thickness (minimal and maximal values) was evaluated in 3 cross-sections corresponding to the right canine tooth (3R), the median section (M), and the left canine tooth (3L). Results: The cortical volume was $0.71{\pm}0.23mL$ (0.27-1.96 mL) and the cancellous volume was $2.16{\pm}0.76mL$ (0.86-6.28 mL). The minimal cortical vestibular thickness was $1.54{\pm}0.41mm$ (0.61-3.25 mm), and the maximal cortical vestibular thickness was $3.14{\pm}0.75mm$ (1.01-5.83 mm). Conclusion: The use of the imaging software allowed a patient-specific assessment of mental and canine region bone availability. The proposed evaluation method might help the surgeon in the selection of the donor site by the comparison between bone availability in the donor site and the reconstructive exigency of the recipient site.

하악 제2대구치 치근의 형태학적 구조 및 표면적에 관한 연구 (A STUDY OF THE ROOT SURFACE AREA, ANATOMIC STRUCTURE AND LINEAR VARIATION OF THE ROOT SURFACE AREA OF THE MANDIBULAR SECOND MOLAR)

  • 정형근;권영혁;이만섭
    • Journal of Periodontal and Implant Science
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    • 제23권1호
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    • pp.159-169
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    • 1993
  • The thirty six mandibular second molars, which were extracted because of hopeless tooth due to advanced periodontal disease, were measured the length of mesial and distal root and the distance from cementoenamel junction to root separation. The molars were cross-sectioned every 1.5 milimeter from cementoenamel junction to root apex perpendicular to long axis and each section was photographed, projected and measured with a calibrated Digital Curvi-Meter(Com Curvi-8. Japan). The root surface area (RSA), percentage of the RSA and the linear variation of the RSA were calibrated for each 1. 5 mm section. The results were as follows. 1. The mean length of the roots was 12. 98mm for mesial root, 11.84 mm for distal root. The mesial root was longer than distal root.(p<0.01) 2. The mean distance from the cementoenamel junction to the point at which the root separate from the root trunk was 3.82mm for the buccal furcation and 4.75mm for lingual furcation. The buccal root separation was coronal than the lingual root separation.(p<0.01) 3. The total root surface area was $317.78mm^2$. 4. The mean surface area of the root trunk was $150.06mm^2$ and averaged 42.54% of the total root surface area. 5. The mean root surface area was $88.79\;mm^2$ for the mesial root, $78.93mm^2$ for distal root, The mesial root surface area was wider than the distal root surface area.(p<0.05) 6. In comparision, the mean root trunk surface area of the mandibular 2nd molar was wider than that of mandibular 1st molar(p<0.01), but each root of 2nd molar was smaller than that of 1st molar(p<0.01).

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다발성 장기 경색을 동반한 폐선암 1례 (A Case of Adenocarinoma of the Lung Associated with Multi-oragn Infarctions)

  • 박창환;이정훈;황준화;장일권;박형관;김영철;박경옥
    • Tuberculosis and Respiratory Diseases
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    • 제44권5호
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    • pp.1177-1183
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    • 1997
  • 저자들은 임상적으로 신장, 비장 그리고 뇌에 다발성 및 재발성 경색이 발생하여 주요 원인 질환으로 폐선암을 진단하였던 1예를 경험하였기에 문헌 고찰과 함께 이에 보고한다. 다발생 경색의 원인기전으로는 비세균성 혈전성 심내막염 또는 파종성 혈관내 응고증에 의한 in situ thrombosis 등이 추정되었다.

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전열관의 굽힘 및 확관접합 잔류응력 (Residual Stress in U-Bending Deformations and Expansion Joints of Heat Exchanger Tubes)

  • 장진성;배강국;김우곤;김선재;국일현;김성청
    • 대한기계학회논문집A
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    • 제24권2호
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    • pp.279-289
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    • 2000
  • Residual stress induced in U-bending and tube-to-tubesheet joint processes of PWR's row-1 heat exchanger tube was measured by X-ray method and Hole-Drilling Method(HDM). Compressive residual stresses(-) at the extrados surface were induced in U-bending, and its maximum value reached -319 MPa in axial direction at the position of $\psi$ = $0^{\circ}$. Tensile residual stresses(+) of $\sigma_{zz}$ = 45 MPa and $\sigma_{\theta\theta}$ = 25 MPa were introduced in the intrados surface at the position of $\psi$ = $0^{\circ}$. Maximum tensile residual stress of 170 MPa was measured at the flank side at the position of $\psi$ = $90^{\circ}$, i.e., at apex region. It was observed that higher stress gradient was generated at the irregular transition regions (ITR). The trend of residual stress induced by U bending process of the tubes was found to be related with the change of ovality. The residual stress induced by the explosive joint method was found to be lower than that by the mechanical roll method. The gradient of residual stress along the expanded tube was highest at the transition region (TR), and the residual stress in circumferential direction was found to be higher than the residual stress in axial direction.

심근경색 후 생긴 심실류의 심근 SPECT소견 (Myocardial SPECT Imaging of Post-Infarction Ventricular Aneurysm)

  • 고은미;이경한;엄재호;김명아;오병희;박영배;이명철;이영우;고창순
    • 대한핵의학회지
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    • 제23권1호
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    • pp.19-25
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    • 1989
  • To assess the usefulness of myocardial SPECT imaging to detect post-myocardial infarction ventricular aneurysms, we analyzed the Technetium-99m MIBI myocardial SPECT images of 16 patients with anterior and/or apical infarction, 9 had the previously reported findings of failure of convergence of the left ventricular walls toward the apex on SPECT images and 8 of them also had ventricular aneurysms. The ventriculography of the 2 patients with mixed pattern revealed 1 case of ventricular aneurysm and 1 case without aneurysm. Among the remaining 5 pateints with converging pattern, none had ventricular aneurysm. Of the other 11 pateints with inferior and/or lateral wall infarction, 1 patient had ventricular aneurysm and the SPECT image couldn't detect the aneurysm. $Department of Internal Medicine, College of Medicine, Seoul National University$ myocardial SPECT images for the detection of ventricular aneurysm had a sensitivity of 90 %, a specificity of 88%, and an accuracy of 89%. Thus we could get the information about presence of ventricular aneurysm as well as the status of the myocardial perfusion from the Tc-99m MIBI myocardial SPECT images.

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설진의 부위별 장부 대응 형식 변천 (Historical Review on Area to Viscera Correspondence in Tongue Diagnosis)

  • 남승현;박정호;김기왕
    • 동의생리병리학회지
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    • 제33권6호
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    • pp.322-333
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    • 2019
  • The purpose of this thesis is to show the historical context of tongue-viscera correspondence scheme based on as wide investigation as possible. For this purpose, we collected and investigated 35 books related to tongue diagnosis. As a result, we faound the following: There were some tentative trials to associate viscera or viscera meridians with tongue areas since shown in the Effective formulae of inherited medical works (世醫得效方, 1337). The main stream of tongue-viscera correspondence scheme was the form in which the apex, the center, and the root of tongue are associated with Heart, Spleen (and Stomach), and Kidney. On the viscera correspondence to the sides of tongue, there had been two streams. The first one is originated from the Upper-most Book on Shanghan (傷寒第一書, 1780), in which the sides of tongue are assumed to be associated with Liver and Gall-bladder. The second one is originated from the Ikeda Family's Chant on the Tongue (池田家舌函口訣, 1807), in which the left side and the right side of tongue are assumed to be associated with Liver and Lung separately. The former type have been accepted as the standard form in modern traditional Asian medicine education. In addition to the above types, three other correspondence schemes were also existed, but have disappeared now. These days, some new correspondence schemes are being suggested based on new approaches.

재발성 자연기흉 101례에 관한 임상적 고찰 (Clinical Evaluation of Recurrent Spontaneous Pneumothorax - A review of 101 cases -)

  • 박종원
    • Journal of Chest Surgery
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    • 제24권5호
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    • pp.451-458
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    • 1991
  • We have observed 101 cases of recurrent spontaneous pneumothorax from Sep. 1979 to Dec. 1989 at the Department of Thoracic & Cardiovascular Surgery, College of Medicine, Inje University, Pusan Paik Hospital and the result obtained as follows. 1] Age range of patients was the first decade to seventh decade. Males outnumbered females by 6.7: l. One or two episodes of recurrent attack were noted in majority cases. 2] In distribution of the lesion sites, right side was 55 cases[55.4%], left 42 cases[41.9%], and bilateral 4 cases[3.0%]. 3] In clinical manifestations, abrupt onset of dyspnea was 78 cases[77.2%], chest pain 48 cases[47.5%], cough 9 cases[8.9%] and chest discomfort 8 cases[7.9%]. 4] Of 101 cases, 48 cases were associated with pulmonary tuberculosis and other cases were associated with subpleural bullae and blebs[26 cases], emphysema[7 cases], bronchiectasis[2 cases], lung cancer[1 case], and silicosis[1 case], 5] In 88 cases[87.2%] of patients, the magnitude of collapse was above 50% in plain chest film. 6] The interval of recurrence after last attack was frequently within 1 year. 7] In the management, closed thoracostomy with underwater-sealed drainage was applied in first recurrent 53 cases but 2nd recurrence was developed in 16 cases. In 52 cases, surgical management was applied. The pleurodesis with chemical agent[tetracycline] via chest tube was applied in 2 cases. Among 51 cases subjected to the open thoracotomy, pleural abrasion was performed in 3 cases, excision of bullae & blebs in 12 cases, wedge resection in 28 cases, lobectomy in 6 cases and wedge resection combined with lobectomy in 2 cases. In one case subjected to the median sternotomy, wedge resection on both lung apex was performed. 8] Postoperative complications were developed in 8 cases but not serious.

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영아에서 시행한 심실중격결손이 동반된 Ebsein's 기형의 삼첨판막 성형수술 (Surgical Rrepair of Ebsteins Anomaly with Ventricular Septal Defect in the Infant)

  • 유지훈;박표원;성기익;박계현;이영탁;전태국
    • Journal of Chest Surgery
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    • 제35권12호
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    • pp.890-893
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    • 2002
  • Ebstein기형은 드문 선천성 심기형 중 하나초 삼첨판엽중 중격엽과 후엽이 판막균으로부터 하향 전위되어 신방화 심실을 형성하는 질환이다. 대부분 환자에서 나이가 들어가면서 삼첨판 폐쇄부전, 청색증, 우심실 기능저하 등의 증상이 생긴다 또한 드물게 심실중격결손, 승보판의 이상, 대혈관 전위등을 동반한다. 본원에서는 Ebstein기형, 실실중격결손, 이 중 승모판이 동반된 8개월된 남아에 대해 심방화된 심실의 주름성형술과 이차건삭 제거 및 유두근 절개, 하향 전위된 판막엽을 판막륜쪽으로 재부착, 자가 심낭 펠트를 이용한 판막윤 성형술을 이용하여 성공적으포 수술하였다. 수술 후 환아는 심장크기가 줄어들었고 심초음파상 삼첨판 폐쇄부전은 거의 없었다 현재 환아는 별다른 투약없이 건강하게 자라고 있다.

Three-Dimensional Flow Visualization for the Steady and Pulsatile Flows in a Branching Model using the High-Resolution PIV System

  • Suh, Sang-Ho;Roh, Hyung-Woon
    • International Journal of Vascular Biomedical Engineering
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    • 제2권2호
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    • pp.27-32
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    • 2004
  • The objective of the present study is to visualize the steady and pulsatile flow fields in a branching model by using a high-resolution PIV system. A bifurcated flow system was built for the experiments in the steady and pulsatile flows. Harvard pulsatile pump was used to generate the pulsatile velocity waveforms. Conifer powder as the tracing particles was added to water to visualize the flow fields. CCD cameras($1K{\times}1K$(high resolution camera) and $640{\times}480$(low resolution camera)) captured two consecutive particle images at once for the image processing of several cross sections on the flow system. The range validation method and the area interpolation method were used to obtain the final velocity vectors with high accuracy. The results of the image processing clearly showed the recirculation zones and the formation of the paired secondary flows from the distal to the apex of the branch flow in the bifurcated model. The results also indicated that the particle velocities at the inner wall moved faster than the velocities at the outer wall due to the inertial force effects and the helical motions generated in the branch flows as the flow proceeded toward the outer wall. Even though the PIV images from the high resolution camera were closer to the simulation results than the images from the low resolution camera at some locations, both results of the PIV experiments from the two cameras generally agreed quite well with the results from the computer simulations. Therefore, instead of using the expensive stereoscopic PIV or 3D PIV system, the three-dimensional flow fields in a bifurcated model could be easily and exactly investigated by this study.

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