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A simple technique for repositioning of the mandible by a surgical guide prepared using a three-dimensional model after segmental mandibulectomy

  • Funayama, Akinori;Kojima, Taku;Yoshizawa, Michiko;Mikami, Toshihiko;Kanemaru, Shohei;Niimi, Kanae;Oda, Yohei;Kato, Yusuke;Kobayashi, Tadaharu
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.39
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    • pp.16.1-16.6
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    • 2017
  • Background: Mandibular reconstruction is performed after segmental mandibulectomy, and precise repositioning of the condylar head in the temporomandibular fossa is essential for maintaining preoperative occlusion. Methods: In cases without involvement of soft tissue around the mandibular bone, the autopolymer resin in a soft state is pressed against the lower border of the mandible and buccal and lingual sides of the 3D model on the excised side. After hardening, it is shaved with a carbide bar to make the proximal and distal parts parallel to the resected surface in order to determine the direction of mandibular resection. On the other hand, in cases that require resection of soft tissue around the mandible such as cases of a malignant tumor, right and left mandibular rami of the 3D model are connected with the autopolymer resin to keep the preoperative position between proximal and distal segments before surgical simulation. The device is made to fit the lower border of the anterior mandible and the posterior border of the mandibular ramus. The device has a U-shaped handle so that adaptation of the device will not interfere with the soft tissue to be removed and has holes to be fixed on the mandible with screws. Results: We successfully performed the planned accurate segmental mandibulectomy and the precise repositioning of the condylar head by the device. Conclusions: The present technique and device that we developed proved to be simple and useful for restoring the preoperative condylar head positioning in the temporomandibular fossa and the precise resection of the mandible.

Long Term Evaluation of the Effect of Botulinum Toxin A Injection on the Masseteric (교근 비대 환자에서 보툴리눔 A형 독소 주사 효과의 장기적 평가)

  • Hong, Hee-Suk;Kang, Seung-Chul;Kim, Chong-Youl;Kim, Seong-Taek
    • Journal of Oral Medicine and Pain
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    • v.30 no.1
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    • pp.121-129
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    • 2005
  • In this experiment, eleven volunteers were followed up for 15 months after the injection of botulinum toxin type A on right and left masseter muscles. The measurement of masseter muscle atrophy for each volunteer was performed by CT(computed tomography) three times: before the injection, three and fifteen months after the injection. The thickness and area of muscle were measured in three positions which are 10 (position 1), 20 (position 2), and 40 mm (position 3) above the inferior border of mandible(the injection site was nearest the position 1). The thickness of masster muscle was decreased in all three positions three months after the injection, but no significant change was observed fifteen months after the injection. On the other hand, the area of masster muscle was decreased in all three positions three months after the injection. Furthermore, the area was decreased significantly in positions 1 and 2, but not in position 3 fifteen months after the injection. As a result, toxin is still in effect even fifteen months after the injection. Finally, the present study shows that the measurement of muscle area provides more precise informations than that of muscle thickness does.

Comparative Study on Nutrition Attitudes, Food Purchase Behaviors, and Dietary Habits of Housewives Living in Seoul and Kyunggi Area (주부들의 영양태도, 식품구매 및 식생활 평가의 차이에 관한 비교 연구 -서울특별시와 경기도 일부 지역에 거주-)

  • Chung, Keun-Hee;Shin, Kyung-Ok;Choi, Kyung-Soon;Yoon, Jin-A;Chung, Kang-Hyun;Kim, Ji-Sang
    • Journal of the East Asian Society of Dietary Life
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    • v.22 no.2
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    • pp.163-174
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    • 2012
  • This study focused on the nutrition knowledge, food purchase behaviors, and dietary habits of 213 housewives (41 women under 39 years, 98 women 40~49 years, and 74 women over 50 years). Younger housewives held more special jobs, whereas older housewives worked as housewives or had no jobs ($p$<0.05). The average monthly income of the three family groups was 3,000,000~5,000,000 won, and the monthly dietary expenditure for all three groups was 200,000~500,000 won. Familial frames for the three groups was nuclear family (over 80%), but housewives younger than 39 years (19.5%) lived together with their parents and let them take care of their children. Housewives (over 50 years) prepared a balanced diet for every meal, utilized less drastic cooking methods to prevent loss of nutrients, and shopped at many places in order to save money on various food materials. Further, they purchased food materials that resulted in the least amount of left overs. On the other hand, housewives under 39 years visited large supermarkets and purchased cooked foods more than other groups. Housewives under 39 years considered nutrients content as the most important factor when purchasing food materials, whereas 74.5% of housewives between 40~49 years and 51.4% of housewives over 50 years put the most importance on flavor ($p$<0.05). Housewives under 39 years were interested in manufacture date, nutrient content, and food price, in decreasing order, whereas housewives between 40~49 years and over 50 years were interested in manufacture date, food prices, and nutrient content. Older housewives were interested in brown rice and fruits, whereas younger housewives under 39 years were interested in meat, fish, eggs, fried foods, and fast food. Older housewives over 50 years did not consume fried foods more than two times per week and consumed three regular meals more often than younger housewives. Accordingly, for younger housewives, it is necessary that healthy foods be cooked for their families.

Calibration Comparison of Single Camera and Stereo Camera (단일 카메라 캘리브레이션과 스테레오 카메라의 캘리브레이션의 비교)

  • Kim, Eui Myoung;Hong, Song Pyo
    • Journal of the Korean Society of Surveying, Geodesy, Photogrammetry and Cartography
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    • v.36 no.4
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    • pp.295-303
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    • 2018
  • The stereo camera system has a fixed baseline and therefore has a constant scale. However, it is difficult to measure the actual three-dimensional coordinate since the scale is not fixed when relative orientation parameters are determined through the key-point matching in the stereo image each time. Therefore, the purpose of this study was to perform the stereo camera calibration that simultaneously determines the internal characteristics of the left and right cameras and the camera relationship between them using the modified collinearity equation and compared it with the two independent single cameras calibration. In the experiment using the images taken at close range, the RMSE (Root Mean Square Error) of ${\pm}0.014m$ was occurred when the three dimensional distances were compared in the single calibration results. On the other hand, the accuracy of the three-dimensional distance of the stereo camera calibration was better because the stereo camera results were almost no error compared to the results from two single cameras. In the comparison of the epipolar images, the RMSE of the stereo camera was 0.3 pixel more than that of the two single cameras, but the effect was not significant.

A Study on the Brain Scientific Mechanism of Drawing Education - Focusing on the Animated Drawing (드로잉 교육의 뇌과학적 기제 연구 - 애니메이션 드로잉을 중심으로)

  • Park, Sung Won
    • Cartoon and Animation Studies
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    • s.36
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    • pp.217-236
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    • 2014
  • This study is a literature analytical process for studying the drawing teaching methods considering the professional characteristics of animation and a principle analytical process for studying the perspective that when teaching methods that consider the function, learning and creative mechanisms of the brain are applied, the animation drawing ability will be effectively increased. In recent years, as an alternative discussion on the educational method of each field, study results applied with brain-based learning principles are being presented. This is not only being applied and implemented for art and drawing education but as overall educational alternatives. On the other hand, animation drawing requires artistic literacy and at the same time requires comprehensive teaching methods that can train the structural knowledge, cognitive sensation and communication method but such professional teaching methods are insufficient. Therefore, the principle of effective education is seen through the brain mechanism and the principle of demonstrating the creativity and learning by the brain is analyzed. In addition, through the fundamental relationship on the picture drawing and the function of the brain, the relationship of the drawing and the brain is identified. As a result, not only for the left brain that observes the cognitive information which can draw the structure and shapes but the right brain which is directly related to the drawing should be developed, but in order to express the creativity, teaching methods that can understand the mechanism of comprehensive brain where physical and psychological factors are expressed should be also developed. It is because the animation drawing education is teaching the methods for demonstrating the characteristics of artistic creativity required for the drawing ability. This process will not only be a foundation for identifying the difference against the previous animation drawing teaching methods, and the brain-based principles will be selected as the core strategic definition for designing the strategy and methodological model of future education.

The Assessment of Risk of Bias on Randomised Controlled Trials of Oriental Medicine in Korea (한의학 관련 무작위배정비교임상연구의 비뚤림 위험 평가)

  • Lee, Yoon-Jae;Jang, Bo-Hyoung;Go, Ho-Yeon;Hyun, Min-Kyung;Park, Sun-Young;Lee, Chang-Hoon;Kim, Jin-Sung;Cho, Ki-Ho
    • The Journal of Korean Obstetrics and Gynecology
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    • v.24 no.4
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    • pp.105-113
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    • 2011
  • Objectives: To examine the current status of clinical research in oriental medicine, and to assess 'risk of bias'(ROB) of randomized clinical trials(RCTs) in oriental medicine in Korea. Methods: Special committee for EBM, KOMS(Korean Oriental Medicine Society) reviewed 17 journals related to oriental medicine in Korea (from the first issue to May 2010), the Cochrane Central Register of Controlled Trials (The Cochrane Library Issue 2, 2010), and PubMed (1966 to May 2010). Then we selected eligible RCTs in terms of oriental medicine, and assessed 'risk of bias'. Results: We reviewed 12,653 articles from the 17 journals, and 41 articles from CENTRAL and PubMed. After non-clinical articles were excluded, 1,004 articles were left. Among them, the number of eligible studies in terms of oriental medicine was 306. In these eligible studies, 130 were RCTs. Of RCTs, 69 were on acupuncture, 25 on herbal medicine. The proportion of 'unclear' is high in the criteria of 'Allocation concealment', 'Blinding of participants and personnel', 'Blinding of outcome assessment' and 'Other bias'. On the other hand, 'low' has high in the criteria of 'Incomplete outcome data' and 'Selective reporting'. Conclusions: Risk of bias on oriental medicine is unclear in terms of 'allocation concealment' and 'blinding'. For high-quality research in oriental medicine, further research should be needed on randomization and blinding in the RCTs.

The Development of Classification System of Medical Procedures in Korea (한국표준의료행위 분류체계 개발)

  • Park, Hyoung-Wook;Sohn, Myong-Sei;Kim, Han-Joong;Park, Eun-Cheol;Yu, Seung-Hum
    • Journal of Preventive Medicine and Public Health
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    • v.29 no.4 s.55
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    • pp.877-897
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    • 1996
  • In recent years, the Korean Medical Association has undertaken the feat of establishing the Korean Standard Terminology of Medical Procedures with the dedicated help of 32 medical academic societies. However, because the project is being conducted by several different circles, it has yet to see a clear system of classification. This thesis, therefore, proposes the three principles of scientific properties, usefulness and ideology as the basis for classification system and has developed the Classification System of Medical Procedures in Korea upon their foundation. The methodology and organization of this thesis as follows. First, by adopting scientific classification system of Feinstein(1988), an analysis of the classification systems of the medical procedures in the United States, Japan, Taiwan, WHO was carried out to reveal the framework and the basic principles in each system. Second, the direction of classification system has been constructed by applying the normative principle of medical field in order to show the future direction of the medical field and realize its ideology. Third, a finalized framework for the classification system will be presented as based on the direction of classification system. Of the three basis principles mentioned above, the analysis on the principles of usefulness was left out of this thesis due to the difficulty of establishing specific standards of analysis. The results of the study are as follows. The overall structure of the thesis is aimed at showing the 'Prevention-Therapy-Rehabilitation' quality of comprehensive health care and consists of six chapters; I. Prevention and Health Promotion II. Evaluation and Management III. Diagnostic Procedures IV. Endoscopy V. Therapeutic Procedures VI. Rehabilitation Chapter three Diagnostic Procedures is divided into four parts : Functional Diagnosis, Visual Diagnosis, Pathological Diagnosis, Biopsy and Sampling. Chapter five Therapeutic Procedures is divided into Psychiatry, Non-Invasive Therapy, Invasive Therapy, Anaesthesia and Radiation Oncology. Of these sub-divisions, Functional Diagnosis, Biopsy and Sampling, Endoscopy and Invasive Therapy employs the anatomical system of classification. On the other hand, Visual Diagnosis, Pathological Diagnosis, Anesthesia and Diagnostic Radiology, namely those divisions in which there is little or no overlapping in services with other divisions, used the classification system of its own division. The classification system introduced in this thesis can be further supplemented through the use of the cluster analysis by incorporating the advice and assistance of other specialists.

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Development of the PC Based Color Fish Finder (퍼스널 컴퓨터를 이용한 칼라 어군탐지기의 개발에 관한 연구)

  • 신현옥
    • Journal of the Korean Society of Fisheries and Ocean Technology
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    • v.31 no.3
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    • pp.247-255
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    • 1995
  • This paper describes a personal computer(PC) based color fish finder to improve some problem of the commercial one. The commercial fish finder has no function of the echo data logging and replaying. The authors developed two types of the PC based color fish finder. One is a master type composed of a PC, a digital input-output board, and analog to digital converting (A/D) board and an ultrasonic transceiver unit, the other is a slave type composed of a PC and an A/D board. To test the performances of the master type experiments were carried out in air and in a water tank. It is found that the designed master type fish finder displays very well an eight-colored echogram by one dot resolution to the left side of the PC monitor. Also, the depth of echo signal was corresponds very well to the range from the transducer to a target. The sampling interval of echo signal is about 0.1m and the time of A/D conversion is 30 $\mu$sec. On the other hand, to test the performances of the slave type a raw data of echo signals from a data logger was supplied directly or via RF transceivers to the slave type one. From this experiment, it is confirmed the slave type is useful to replay the echo signal from the data logger or a telesounder.

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Structure Optimization and 3D Printing Manufacture Technology of Pull Cord Switch Components Applied to Power Plant Coal Yard (발전소 저탄장에 적용되는 풀코드스위치 부품의 구조최적화 3D 프린팅 제작기술 개발)

  • Lee, Hye-Jin
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.10
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    • pp.319-330
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    • 2016
  • Recently, 3D printing technology has been applied to make a concept model and working mockup of an industrial application. On the other hand, this technology has limited applications in industrial products due to the materials and reliability of the 3D printed product. In this study, the components of a full cord switch module are proposed as a case of a 3D printed component that can be used as a substitute for a short period. These are hub-driven and lever lockup components that have the structural characteristics of breaking down frequently in the emergency operating status. To ensure the structural strength for a substitute period, research of structure optimization was performed because 3D printing technology has a limitation in the materials used. After optimizing the structure variables of the hub-driven component, reasonable results can be drawn in that the safety factors of the left and right switching mode are 1.243 (${\Delta}153.67%$) and 3.156 (${\Delta}404.96%$). The lever lockup component has a structural weak point that can break down easily on the lockup-part because of a cantilever shape and bending moment. The rib structure was applied to decrease the deflection. In addition, optimization of the structural variables was performed, showing a safety factor of 7.52(${\Delta}26%$).

Thermotropic Liquid Crystalline Behavior of Hydroxypropyl Celluloses Bearing Cholesteryl and Nitroazobenzene Groups (콜레스테릴과 니트로아조벤젠 그룹을 지닌 히드록시프로필 셀룰로오스들의 열방성 액정 거동)

  • Jeong, Seung-Yong;Ma, Yung-Dae
    • Polymer(Korea)
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    • v.32 no.5
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    • pp.446-457
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    • 2008
  • Three kinds of hydroxypropyl cellulose (HPC) derivatives: 6- (cholesteryloxycarbonyl) pentoxypropyl celluloses(CHPCs) with degree of esterification(DE) ranging from 0.6 to 3, 6-[4-{4'-(nitrophenylazo)phenoxycarbonyl}] pentoxypropyl celluloses (NHPCs) with DE ranging from 0.4 to 3, and fully 6-(cholesteryloxycarbonyl) pentanoated NHPCs (CNHPCs) were synthesized, and their thermotropic liquid crystalline properties were investigated. All the CHPCs and NHPCs with $DE{\leq}1.7$ formed enantiotropic cholesteric phases, whereas CNHPCs with 6-(cholesteryloxycarbonyl) pentanoyl DE(DEC) more than 1.6 exhibited monotropic cholesteric phases. On the other hand, NHPCs with $DE{\geq}2.4$ and CNHPCs with $DEC{\leq}1.3$ showed monotropic nematic phases. NHPCs with $DE{\leq}l$, as well as HPC, formed right-handed helices whose optical pitches (${{\lambda}_m}'s$) increase with temperature, while all the CHPCs formed left-handed helices whose ${{\lambda}_m}'s$ decrease with temperature. In contrast with these derivatives, NHPCs with $1.4{\leq}DE{\leq}1.7$ and CNHPCs with $DEC{\geq}1.6$ did not display reflection colors over the full cholesteric range, suggesting that the helical twisting power of the cellulose chain and the cholesteryl group highly depends on the chemical structure and DE of mesogenic group.