• 대한두개안면성형외과학회지
• /
• 제25권3호
• /
• pp.123-132
• /
• 2024

Background: The introduction of presurgical nasoalveolar molding represented a significant departure from traditional molding methods. Developed by Grayson and colleagues in 1993, this technique combines an intraoral molding device with a nasal molding stent. This study aimed to compare the Grayson nasoalveolar molding appliance versus DynaCleft appliance as two methods of presurgical nasoalveolar molding. Methods: A single-blinded, randomized, parallel-arm clinical trial was conducted. Sixteen infants with complete unilateral cleft lip and palate were enrolled and divided into two groups of eight. Group 1 was treated with a modified Grayson nasoalveolar molding appliance that included a nasal stent, while group 2 was treated with DynaCleft elastic adhesive tape and an external nasal elevator. Standardized digital photographs of each infant were taken at baseline and post-treatment using a professional camera. Nine extraoral anthropometric measurements were obtained from each image using image measurement software. Results: The modified Grayson nasoalveolar appliance demonstrated a more significant improvement compared to DynaCleft in terms of alar length projection (on both sides), columella angle, and nasal tip projection. Symmetry ratios also showed enhancement, with significant improvements observed in nasal width, nasal basal width, and alar length projection (p< 0.05). Conclusion: Both the modified Grayson nasoalveolar appliance and DynaCleft appear to be effective presurgical infant orthopedics treatment options, demonstrating improvements in nasolabial aesthetics. The modified Grayson appliance, equipped with a nasal stent, improved nasal symmetry more effectively than DynaCleft, resulting in a straighter columella and a more medially positioned nasal tip.

• 한국구조물진단유지관리공학회 논문집
• /
• 제25권5호
• /
• pp.149-156
• /
• 2021

FRP 보강근은 철근-콘크리트 부재의 부식 문제를 해결하기 위해 제안되어왔으나, FRP는 높은 인장강도, 낮은 연성 및 선형 탄성 거동으로 인해 하중이 전달될 때 콘크리트와 보강재 사이의 부착 메커니즘이 다르다. 그러므로, FRP-Rebar와 콘크리트 사이의 부착 거동은 주의 깊게 검토해야 한다. 이를 위해 직접 인발 실험이 간단하게 부착 거동을 평가할 수 있으므로 사용됐으나, 직접인발의 실험 결과는 실제 FRP를 보강근으로 사용한 콘크리트 부재의 휨-부착 거동과 다르다. 그러므로 실제 휨-부착 거동을 평가할 방안이 필요하다. 본 연구에서는 FRP를 보강근으로 사용한 콘크리트 부재의 휨-부착 거동에 대한 평가방법을 검토하고 비교하였다. 그 결과, 겹침이음이 있는 부재의 실험 방법이 실제 휨-부착 특성을 잘 반영할 수 있으나 다른 실험방법보다 시험체의 단면 및 지간이 커야 하고 시험체의 설계 및 해석이 복잡하다. 한편, 아치가 있는 부재 실험은 모멘트 팔길이의 변화를 무시하는 평형 방정식을 기반으로 한 힌지가 있는 부재 실험과 달리 콘크리트의 영향을 반영할 수 있으나, 휨-부착에 의한 파괴 이전에 전단파괴의 우려가 있다.

• 한국운동역학회지
• /
• 제15권4호
• /
• pp.43-53
• /
• 2005

This study is to define how the difference of athletic change influence on the last regrasp after somersault in Belle movement of parallel bars. For his study, the following conclusion was produced by analysis of athletic change by means of three dimensional visual image in three athlete of nation. 1. As the picture of S1, there are total used time(2.01 sec), S3(2.17 sec) and S2(2.19 sec). In case of a short needed time, it is difficult for them to perform the remaining movement of the vertical elevating flight easily and comfortably, it is judged as performing the small movement with restrict swing. 2 In the change of body center sped by each event, it is calculated as $-89.1^{\circ}$ the narrowest in S1, $-81.96^{\circ}$ the widest and then $86.34^{\circ}$ in S3. In E3 event, average compound speed is 4.07m/s, S2 showed the fastest speed of 4.14m/s whereas S1 the narrowest angle of 3.95m/s. 3. A shoulder joint and coxa are the period of mention in E3. In E4 which was pointed out the longest vertical distance, S2 that is indicated the highest vertical height as the period of detach in parallel bars. showed -3.91m. This is regarded as a preparatory movement for dynamic performance after using effectively elastic movement of shoulder joint and coxa while easily going up with turning back movement. In the 5th phrase, long airborne time and vertical change position is showed as the start while regrasping securely air flight movement from high position. 4. In E5, a long flight time and a long vertical displacement were shown as the regrasp after somersault efficiently in high position with stability from the point of the highest peak of the center of the body. Especially, S2 is marked as a little bit long position, while S1 is reversely indicated as performing somersault and unstable motion in a low position. 5. In E3, at the point of the largest extension of the shoulder joint and hip joint the shoulder joint is largely marked in $182^{\circ}$ and the hip point $182^{\circ}$ in S2. The shoulder joint is marked at the smallest angle in $177^{\circ}$ and the hip point $176^{\circ}$ in S1. And S1 is being judged by its performance of the less self - confident motion with lessening a breath of swing. S2 makes the most use of flexion and extension of the shoulder joint and the hip joint effectively. It was performed greatly with swinging and dropping the rotary movement and the rotary inertia naturally. 6. In E6, as the point of regrasp of the upper arm in parallel bars it is recognized by the that of components of vertical and horizontal velocity stably. During this study, the insufficient thing and the study on the parallel bars at a real game later are more activated than now. If it is really used as the basic materials by means of Belle Picked Study of Super E level after Bell movement, you may perceive the technique movement previously and perform without difficulty. Especially, such technique as crucifix is quite advantageous for oriental people thanks to small body shape condition. In conclusion we will nicely prepare for our suitable environment to gradually lessen trials and errors by analyzing and studying kinematically this movement.