• 제목/요약/키워드: CAST

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Clinical and patient-reported outcomes after recession coverage using modified vestibular incision subperiosteal tunnel access with a volume-stable collagen matrix as compared to a coronally advanced flap with a subepithelial connective tissue graft

  • Chun-Teh Lee;Marlena Lange;Alain Jureidini;Nurit Bittner;Ulrike Schulze-Spate
    • Journal of Periodontal and Implant Science
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    • 제52권6호
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    • pp.466-478
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    • 2022
  • Purpose: Coronally advanced split-or full-thickness (CAST or CAFT) flaps in combination with subepithelial connective tissue grafts (SCTGs) are commonly used in root-coverage procedures despite postoperative pain and bleeding from the graft donor site. Therefore, the modified vestibular incision subperiosteal tunnel access procedure (VISTAX) uses a novel collagen matrix (VCMX) instead of autogenous tissue to address the limitations associated with autogenous tissue grafting. This retrospective study compared the clinical outcomes of VISTAX to the results obtained after using a CAST or CAFT flap in combination with SCTG for root coverage. Methods: Patients with single or multiple adjacent recession I/II defects were included, with 10 subjects each in the VISTAX, CAFT, and CAST groups. Defect coverage, keratinized tissue width, esthetic scores, and patients' perceived pain and dentinal hypersensitivity (visual analogue scale [VAS]) were assessed at baseline, 3 months, and 6 months. Results: All surgical techniques significantly reduced gingival recession (P<0.0001). Defect coverage, esthetic appearance, and the reduction in dentinal hypersensitivity were comparable. However, the VAS scores for pain were significantly lower in the VISTAX group than in the CAFT and CAST groups, which had similar scores (P<0.05). Furthermore, the clinical results of VISTAX and CAFT/CAST generally remained stable at 6 months. Conclusions: The clinical outcomes of VISTAX, CAFT, and CAST were comparable. However, patients perceived significantly less pain after VISTAX, indicating a potentially higher patient acceptance of the procedure. A prospective trial with a longer follow-up period and a larger sample size should therefore evaluate VISTAX further.

족관절 급성 염좌의 일차 치료: 석고고정과 기능적 보조기를 이용한 치료의 후향적 비교 (Primary Treatment of Acute Ankle Sprain: Retrospective Comparison of Cast Immobilization and Functional Ankle Brace)

  • 배서영;안수형;정형진;감민철
    • 대한족부족관절학회지
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    • 제23권3호
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    • pp.105-109
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    • 2019
  • Purpose: To compare the efficacy between cast immobilization and functional treatment using an ankle brace as a treatment for acute lateral ankle sprain. Materials and Methods: This study reviewed the medical records of 157 acute ankle sprain patients who were treated between 2009 and 2014. A total of 101 cases were included in this study except for cases with a combined injury, and could not be followed up for eight weeks after the first visit. The patients were divided according to the treatment modality: a cast immobilization group (64 cases) and functional treatment group (37 cases). The clinical outcomes were assessed retrospectively based on the medical records of each group. The residual symptoms, such as pain, swelling, and instability, at three weeks after the primary treatment and at the last visit were compared. Results: The residual pain and instability were significantly common in the functional treatment group at three weeks. Five cases (7.8%) of pain and one case (1.6%) of instability were in the cast group whereas nine cases (24.3%) of pain and six cases (16.2%) of instability in functional treatment group (p=0.021, p=0.014). On the other hand, there was no meaningful difference at the last follow-up. Residual pain, swelling, and instability at the last visit were noted in three (4.7%), six (9.4%), and four cases (6.3%) in the cast group, and three (8.1%), three (8.1%), and three (8.1%) were observed in the functional treatment group. Six patients refused cast immobilization. Conclusion: Although there was no significant difference at the last follow-up, cast immobilization appears to be more effective than a functional brace in terms of early pain relief and early restoration of ankle stability as a treatment for acute ankle lateral sprain in this study.

다양한 조건에 따른 주철 소재의 마찰/마모 특성에 관한 연구 (Investigation of Friction and Wear Characteristics of Cast Iron Material Under Various Conditions)

  • 주지훈;김창래;나르게스 네마티;오정택;김대은
    • 대한기계학회논문집A
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    • 제39권8호
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    • pp.765-772
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    • 2015
  • 주철은 산업현장에서 중장비나 철도차량 등과 같은 다양한 기계장치의 주재료로 널리 사용된다. 이러한 기계장치의 운전 성능은 접촉 특성에 따라 크게 좌우되며 이를 개선시키기 위한 연구들이 진행되고 있다. 본 연구에서는 모래와 알루미나 입자가 주철의 마찰/마모 특성에 미치는 영향에 대해 다양한 조건에서의 미끄럼 실험을 통해 규명하였다. 입자의 크기 및 시편 온도 등을 변수로 하여 스틸 볼이 pin 으로 장착된 pin-on-reciprocator 방식의 트라이보테스터를 사용하여 실험을 진행하였다. 주사전자현미경(Scanning Electron Microscope), confocal microscope 와 3d profiler 를 이용해서 주철 시편과 스틸 볼의 마모 표면을 관찰하고 마모량을 정량적으로 측정하여 마모 특성을 파악하였다. 실험 결과 주철의 마찰/마모 특성은 입자 주입에 의해 크게 달라짐을 알 수 있었다. 또한, 주철 시편에 가해준 온도에 따라 마찰/마모 특성이 크게 달라지는 것을 확인하였다. 이 연구의 결과는 산업에서 주철 재료의 트라이볼로지 특성을 이해하는데 도움이 될 것이다.

주조/단조 기술을 이용한 대형 알루미늄 플랜지 개발에 관한 연구 (A Study on the Development of Large Aluminum Flange Using Casting/Forging Process)

  • 배원병;왕신일;서명규;조종래
    • 대한기계학회논문집A
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    • 제25권9호
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    • pp.1438-1443
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    • 2001
  • The significance of the casting/forging process for reducing the production cost of large components is being noted in these days. This casting/forging process is a method of forging a workpiece preformed by casting into the final shape. In this study, the casting/forging process has been applied in manufacturing a large aluminum flange in order to reduce press capacity and material cost. Firstly, a hot compression test was performed with cast cylindrical billets in order to determine the optimum forging condition of the aluminum flange. The optimum range of forging temperature of Al 5083 was from 420$\^{C}$ to 450$\^{C}$. The suitable strain rate was 1.5 sec(sup)-1. The deformation amount of a preform of a preform in a forging process is a key role in the mechanical properties of casting/forging products. In order to find the change of mechanical properties according to effective stain of cast aluminum billets, a hot upsetting test were performed with rectangular blocks and then a uniaxial tensile test was performed with specimens cut from the upsetted billets. The tensile strength and the elongation of cast/upsetted aluminum billets were increased largely until the effective strain was 0.7. FE analysis was performed to determine the configurations of case preform and die for an aluminum flange. In the FE analysis, the forging load-limit was fixed 1500ton for low equipment cost. The cast preform was designed so that the effective stain around the neck of a flange exceeded 0.7. From the result of FE analysis, optimal configurations of the cast preform and the die were designed for a large flange. The filling and solidification analysis for a sound cast-preform was carried out with MAGMA soft. In the forging experiment for an aluminum flange, it was confirmed that the optimal configuration of the cast preform predicted by FE analysis was very useful. The cast/forged products using designed preform were made perfectly without any defects.

리브 보강 프리캐스트 터널의 내진 해석 및 동적거동 특성 파악 (Seismic analysis and dynamic behavior characterization of rib-reinforced pre-cast tunnels)

  • 송기일;정성훈;조계춘
    • 한국터널지하공간학회 논문집
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    • 제11권3호
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    • pp.287-301
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    • 2009
  • 최근 고성토 및 장지간 개착식 터널구조물의 구조적 안정성을 확보하기 위하여 리브 보강형 프리캐스트 아치 세그멘트를 이용한 개착식 터널공법이 연구 개발되어 시공되고 있다. 이러한 개착식 터널 구조물은 비개착식 터널 구조물에 비해 토피고가 상대적으로 작기 때문에 지진등에 의한 뒤채움 지반의 동적 거동에 의한 피해가 발생되는 것으로 보고되고 있다. 본 연구에서는 리브 보강형 프리캐스트 아치 개착 터널에 대한 내진 해석을 수행하여 지진동에 대한 리브 보강의 효과와 개착 터널의 동적 거동 특성을 분석하고자 하였다. FLAC2D를 이용하여 2차로 규모의 일반 현장타설 복개 아치 터널, 리브 보강형 프리캐스트 아치 복개 터널에 대한 동적 내진해석을 수행하였다. 또한 토피고, 굴착사면, 성토사면 조건에 따른 동적 거동특성을 비교 분석하였다. 리브 보강으로 인한 터널 구조물의 강성증가는 지표면으로 전달되는 지진동의 증폭현상을 감소시키는 것으로 평가된다. 합리적인 동적 내진해석을 통해 리브 보강형 프리캐스트 아치 복개 터널이 일반 현장 타설식 복개 터널보다 동적 하중에 대하여 보다 효과적임을 확인하였다.