• Journal of Dental Rehabilitation and Applied Science
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• v.26 no.2
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• pp.145-156
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• 2010

Loss of posterior support may cause overloading and excessive wear of remaining teeth. Moreover, the extrusion of antagonistic teeth leads to the destruction of the occlusal plane. The loss of vertical dimension of occlusion (VDO) also emerges clinically, which may bring the loss of esthetic appearance and function. These patients who suffer from the loss of posterior support, often require vigorous periodontal treatments (osteotomy, crown lengthening) and extensive oral rehabilitation. Sixty three years old female patient visited for the prosthetic treatment of the posterior edentulous area. She had no other systematic disease and parafuctional habits for prosthetic treatment. Intraoral and radiographic examinations were done. The evaluation of VDO and vertical dimension of rest position were evaluated for proper prosthetic procedures and diagnostic wax up was done. As a result of diagnosis, VDO was increased by 2 mm considering the loss of VDO and space for the prosthetic treatment. After the pretreatments, initial preparation of teeth and provisionalization were carried out. Six weeks later of provisionalizaion, final preparation and impression was performed. Using the duralay resin copings, jaw relation was registered. The master cast was mounted and definitive restoration was fabricated. After the evaluation of esthetic and function, pick up impression for clinical remounting was done. Lucia jig was made for new jaw relation and occlusal adjustment on the articulator. Definitive restoration was delivered and the patient was periodically recalled for additional occlusal adjustment. From this case, the satisfactory functional and esthetic results through full mouth rehabilitation with increase vertical dimension were achieved.

• Korean Journal of Cleft Lip And Palate
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• v.8 no.2
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• pp.63-70
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• 2005

Patients with cleft lip and palate usually show up maxillary hypoplasia. In these cases, a large amount of maxillary advancement is often needed to correct the severe deformity, but local soft-tissue scars around the maxilla restrict maxillary advancement and increase the relapse rate. Maxillary distraction osteogenesis is an effective method for facial and occlusal improvement in these patients. By gradually lengthening both the bones and the soft tissues, distracted midface can greatly increase postoperative stability and decrease the relapse rate. However, the maxillary extraoral appliances of the early days used were esthetically unappealing as well as difficult for the patient to manage. Recently, more inconspicuous intraoral distraction appliances have been developed and used with success. We acquired favorable result in two patients(bilateral 1 patient and unilateral 1 patient) with severe maxillary hypoplasia secondary to complete cleft lip and palate were treated with midface distraction using internal distractor (Zurich Pediatric Maxillary Distractor, KLS Martin, Tuttlingen, Germany). So, we report our experience with literatures.

• Korean Journal of Applied Biomechanics
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• v.19 no.2
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• pp.205-215
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• 2009

The purpose of this study is to investigate alterations of pregnant gait by means of 3 different treads of stairs. 9 subjects(body masses; $59.41{\pm}7.49$, $64.03{\pm}6.65$, $67.26{\pm}7.58$, heights; $160.50{\pm}6.35$ ages; $31.22{\pm}2.99$; parity; $1.67{\pm}0.71$) participated in three experiments that were divided by physiological symptoms(the early(0-15 weeks), middle(16-27 weeks) and last(18-39 weeks), and walked at self-selected pace on 4 staircases 3 trials. As extending the pregnancy period, cadence was shorter but cycle time was longer more and more and the difference of maximum and minmum moments between right and left knee joint moment was smaller. With the treads of stair decent lengthening, speed and stride lengths were increased. As extending the treads of stair decent, joint moments of both feet were particular traits, hip joint was asymmetric but joint moments of knee and ankle were symmetric. These findings may account for relation between the treads of stair and moments and suggest that women may adapt their gait to maximize stability and to control gait motion for themselves in pregnant women.

• KSCE Journal of Civil and Environmental Engineering Research
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• v.34 no.6
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• pp.1677-1685
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• 2014

Short discrete fibers compounded with concrete can enhance the tensile resistance and ductility of concrete. Recently, the effectiveness of the reinforcement has increased according to the increasing length of steel fiber. However, the lengthening of steel fiber requires reducing the ratio of the fiber content to remain the workability and quality of concrete. Thus, the present study evaluated the flexural performance of fiber reinforced concrete with less than l.0% fiber volume ratios of steel fiber, 30mm and 60mm long, and polypropylene fiber, being evaluated as a good reinforcing material with chemical stability, long-term durability, and cost effectiveness. Concrete with more than 0.25% steel and 0.5% polypropylene fibers improved the brittle failure of concrete after reaching cracking strength. Concrete reinforced with polypropylene exhibited deflection-softening behavior, but that with more than 0.5% polypropylene delayed stress reduction and recovered flexural strength by 60 to 80% after cracking strength. In conclusion, concrete reinforced with more than 0.75% polypropylene could improve structural flexural performance. In particular, energy absorption capacity of reinforced concrete with 1.0% polypropylene fiber was similar to that with 0.5% and 0.7% steel fibers.

• Maxillofacial Plastic and Reconstructive Surgery
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• v.14 no.1_2
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• pp.1-21
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• 1992

In order to find the causes of velopharyngeal incompetency after primary palatorrhaphy in cleft patients, we analyzed the form and function of the velopharyngeal space of fifteen operated cleft palate patients and five normal subjects. The velopharyngeal function was evaluated by lateral cephalometric radiography, velopharyngography and hypernasality cul-de-sac test. The obtained results were as follows. 1. The rate of velopharyngeal incompetency was twenty percent, three of the fifteen operated patients. Two of them were complete cleft palate and the other was incomplete one. 2. The length of soft palate and levator eminence were longer in normal group than those of good speech group and complete cleft palate group during phonation of /i/ (P<0.05). The lengthening rate of soft palate was smaller in good and poor speech group than that of normal group(P<0.05), and, reduced in order, normal group, complete cleft palate group and incomplete palate group(P<0.05). 3. The nasopharyngeal distance had no significant difference between all groups at rest, but, smaller in normal group than that of both cleft palate group(P<0.05), good speech group and poor speech group(P<0.05) during phonation of /i/ The difference in nasopharyngeal distance between rest and /i/ phonation was greater in normal group than that of both cleft palate group, good speech group and poor speech group. 4. The moving distance of sop palate reduced in order, normal group, incomplete cleft palate group, complete cleft palate group(P<0.05). 5. The distance between lateral pharyngeal wall had no significant difference between all groups in rest, but, smaller than that of complete cleft palate group in normal group(P<0.01) and increased in order normal group, good speech group, poor speech group(P<0.01) during phonation of /a/. The mobility of lateral wall was reduced in order, normal group, good speech group poor speech group(P<0. 01). 6. There was low corelationship between the mobility of lateral pharyngeal wall and soft palate. Therfore, it suggest that the movements of lateral pharyngeal wall and soft palate occurs independently.

• Maxillofacial Plastic and Reconstructive Surgery
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• v.29 no.1
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• pp.55-62
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• 2007

Radical paring of the cleft edge during primary cleft lip operation or repeated secondary surgeries can result in tightness of the upper lip. In case, the degree of the resulting side-to-side tension is very severe, the possibility of a lip switch flap must be considered. When the lip tightness accompanies a loss of more than two-thirds of the Cupid's bow, an Abbe flap is an alternative. The disadvantages of Abbe flap are scar formation on the lower lip, design of incision line on the upper lip, disharmony of colors, and the dysfunction of the orbicularis muscle. These problems have been recognized in the literature and extreme discretion has been advised in its application. We experienced four cases of Abbe flap operation which were designed differently to correct the secondary unilateral or bilateral cleft-lip nasal deformities. The Abbe flap operations resulted in removal of the scars and tightness of the upper lip, reconstruction of the Cupid's bow, lengthening of the columella, and therefore secondary cleft-lip nasal deformity could be corrected. It is thought that carefully applied Abbe flap is an appropriate method to relieve horizontal tightness or flattening of the upper lip which occured after primary operation of cleft lip.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• v.33 no.5
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• pp.559-566
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• 2007

Distraction osteogenesis(DO) is a surgical method of bone formation that involves an osteotomy and sequential stretching of the healing callus by gradual movement and subsequent remodeling. DO is used to correct facial asymmetry, such as in patients with hemifacial microsomia, maxillary or mandibular retrusion, cleft lip and palate, alveolar defects, and craniofacial deficiency. It is accomplished with the aid of a distraction device, which is secured with screws placed directly into bone, for a predetermined length of time. Hemifacial microsomia is characterized by unilateral facial hypoplasia, often with unilateral shortening of the mandible and subsequent malocclusion. Patients with hemifacial microsomia and facial asymmetry have a vertically short maxilla, tilted occlusal plane, and short mandible. Early treatment is necessary to avoid subsequent impaired midfacial growth. The standard treatment of these malformations consists of the application of bone grafts, which can lead to unpredictable growth. The new bone-lengthening procedure represents a limited surgical intervention and opens up a new perspective for treatment, especially in younger children with severe deformities. This report describes a case of hemifacial microsomia(Type-II left-sided hemifacial microsomia). The patient, a 10-year-old child, visited our clinic for facial asymmetry correction. He had a hypoplastic mandible, displaced ear lobe, 10 mm canting on the right side, and malocclusion. We planned DO to lengthen the left mandible in conjunction with a Le Fort I osteotomy for decanting and then perform a right intraoral vertical ramus osteotomy(IVRO). Progressive distraction at a rate of 0.5 mm/12 hours was initiated 7 days postoperatively. The duration of DO was 17 days. The consolidation period was 3 months. Satisfactory results were obtained in our case, indicating that DO can be used successfully for functional, aesthetic reconstruction of the mandible. We report a case involving DO in conjunction with orthognathic surgery for correcting mandibular hypoplasia with a review of the literature.

• Phonetics and Speech Sciences
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• v.12 no.2
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• pp.39-49
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• 2020

The prosody of children with autism spectrum disorders (ASD) has several abnormal features, including monotonous speech. The purpose of this study was to compare acoustic features between an ASD group and a typically developing (TD) group and within the ASD group. The study also examined audience perceptions of the lengthening effect of increasing the number of syllables. 50 participants were divided into two groups (20 with ASD and 30 TD), and they were asked to imitate a total of 28 sentences. In the auditory-perceptual evaluation, seven participants chose sentence types in 115 sentences. Pitch, intensity, speech rate, and pitch slope were used to analyze the significant differences. In conclusion, the ASD group showed higher pitch and intensity and a lower overall speaking rate than the TD group. Moreover, there were significant differences in s2 slope of interrogative sentences. Finally, based on the auditory-perceptual evaluation, only 4.3% of interrogative sentences produced by participants with ASD were perceived as declarative sentences. The cause of this abnormal prosody has not been clearly identified; however, pragmatic ability and other characteristics of autism are related to ASD prosody. This study identified prosodic ASD patterns and suggested the need to develop treatments to improve prosody.

• Proceedings of the Korean Institute Of Construction Engineering and Management
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• 2007.11a
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• pp.331-336
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• 2007

The importance of a building management is embossed at construction industry and the concernment about a lengthening longevity and a efficient management of construction project is concentrated. At present, a study about maintenance management of existing building is progressed and normal papers concentrate in partial construction project for showing management method. This paper proposes Management method that make use of RFID/USN at the whole course of construction project that is composed plan, design, supply, construction, operation, maintenance management and so on. First of all, this paper analyzes process and applicable scope of RFID/USN at construction project. At each step, use scope, location, method and so on are decided at plan, design step and equipment, human power, materials and so on are established at supply step. real time progress, human power, safety, material, equipment management and so on put in operation at construction step and building is managemented real time by established sensor tag and wireless sensor network. This paper want to helps efficient project progress and management and presents convenience of maintenance management.

• Journal of the Korean Society of Marine Environment & Safety
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• v.24 no.4
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• pp.438-444
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• 2018

Korea has recently selected twenty-two ports for reinforcement breakwater installation of protection facilities, due to rise sea level caused by global warming and increase in the number of typhoon and tsunami. In addition, due to consistent enlargement of ship size, dredging for depth of water for large vessel's berthing and enlargement of berth is under construction. However, no definite construction plan for the reinforcement and lengthening of crown height, which has close relationship with the safe mooring of ships. In this study, domestic and foreign design criteria of crown height were analyzed, and the crown height evaluation index and evaluation method were developed by dividing it into environment and ship elements. In particular, in the case of ship evaluation index, each step was set up in 4 steps according to domestic and foreign regulations, weighted by each step, and the safety level of crown height was evaluated. As a result of the mooring safety simulation of the 100,000 ton cruise ship, the appropriate minimum crown height standard was derived to be 3 m above A.H.H.W. The results of this study are expected to be used as basic data to propose the crown height standard reflecting ship characteristics.