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Advanced peri-implantitis cases with radical surgical treatment

  • McCrea, Shane J.J.
    • Journal of Periodontal and Implant Science
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    • 제44권1호
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    • pp.39-47
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    • 2014
  • Purpose: Peri-implantitis, a clinical term describing the inflammatory process that affects the soft and hard tissues around an osseointegrated implant, may lead to peri-implant pocket formation and loss of supporting bone. However, this imprecise definition has resulted in a wide variation of the reported prevalence; ${\geq}10%$ of implants and 20% of patients over a 5- to 10-year period after implantation has been reported. The individual reporting of bone loss, bleeding on probing, pocket probing depth and inconsistent recording of results has led to this variation in the prevalence. Thus, a specific definition of peri-implantitis is needed. This paper describes the vast variation existing in the definition of peri-implantitis and suggests a logical way to record the degree and prevalence of the condition. The evaluation of bone loss must be made within the concept of natural physiological bony remodelling according to the initial peri-implant hard and soft tissue damage and actual definitive load of the implant. Therefore, the reason for bone loss must be determined as either a result of the individual osseous remodelling process or a response to infection. Methods: The most current Papers and Consensus of Opinion describing peri-implantitis are presented to illustrate the dilemma that periodontologists and implant surgeons are faced with when diagnosing the degree of the disease process and the necessary treatment regime that will be required. Results: The treatment of peri-implantitis should be determined by its severity. A case of advanced peri-implantitis is at risk of extreme implant exposure that results in a loss of soft tissue morphology and keratinized gingival tissue. Conclusions: Loss of bone at the implant surface may lead to loss of bone at any adjacent natural teeth or implants. Thus, if early detection of peri-implantitis has not occurred and the disease process progresses to advanced peri-implantitis, the compromised hard and soft tissues will require extensive, skill-sensitive regenerative procedures, including implantotomy, established periodontal regenerative techniques and alternative osteotomy sites.

현행 초등 과학 교육에 대한 현장의 실태 조사 - 전라남도를 중심으로 - (Survey on the Current Science Education at Elementary School in Jeonnam Province)

  • 이계추
    • 한국과학교육학회지
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    • 제1권1호
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    • pp.73-88
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    • 1978
  • The survey is intended to improve science education by the analysis of problems produced in the following nine aspects (objectives, contents, materials, inquring methods, teaching methods, teachers, children, evalutions, admininative supports) during the past five years often the revision of new science curriculum. 1. View for science education. 1) The teacher's and children's view for science education can be seen renewed, being different from the old one. 2) Inquring method in learning and teaching began to take firm root and children came to know that it is the only way to study science. 3) Writers think that the new science education has stepped into the stage of being fixed to a considerable degree. 2. The aspect of administrative policy. 1) The amount of materials in possession is small and the present materials are lacking in solidity and precision. 2) Class room teacher's over load with miscellaneous things is a difficult problem to solve. 3) The shortage of the printed materials and books for children and teachers has an influence on the development of inquring method. 4) It causes cramming to examine all children at the same time by paper test. 5) It is more desirable to appoint qualified teacher only for science teaching. 3. Contents of science curriculum. 1) In current science textbooks. There can be found some contents which are difficult for teachers to understand and not in accordance with the reality of Korea. Therefore, it is imperative that contents of science textbooks should be reexamined. 2) As it is hard to teach concepts of reciprocal action and to prepare materials with teaching of the system of biological concepts, the teaching of contents is likely to be a cramming. 4. The aspect of in-service education. 1) It is obsolutely predominant reation that in-service education is making a great contribution to class room teaching. 2) As adiministrators' policy for science education has a great effect, in-service education for their enlightenment is needed.

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재가노인들의 무력감, 건강상태 및 인지기능에 관한 조사 연구 (A Study on the Powerlessness, Perception of Health and Cognitive Level of Elderly Home Residents)

  • 이강이
    • 한국간호교육학회지
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    • 제6권1호
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    • pp.48-63
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    • 2000
  • This study was designed and undertaken to find out the degree of powerlessness, perception of health and cognitive level of elderly home residents and to determine the factors influencing powerlessness, perception of health and cognitive level. The data were collected from October 1st to 20th, 1998. The subjects in this study were 271 elderly home residents over the age 60 living in Taejon city. The study tool for measuring powerlessness was developed by S.E. Chung(1998), the other for measuring perception of health was a self-rating scale defined by Mossey & Shapiro (1982), and the tool for measuring cognitive level was developed by Kahn, Goldfarb, Pollack and Peck(1960). Data were analysed for percentage, mean, t-test, and ANOVA using the SPSS program. The results of this study were as follows ; 1. The degree of powerlessness, perception of health and cognitive level was scored above the median. 2. The degree of the elderly' powerlessness was statistically significantly different in three demographic variables; sex, one's state of health compared to other elderly' and living expense load. 3. Perception of one's health was statistically significantly different in four demographic variables; sex, marital status, educational level and monthly money. 4. Cognitive level of the elderly was statistically significantly different in three demographic variables; age, educational level and one's health of state compared to other elderly' health. In conclusion, the factors influencing the elderly' powerlessness, perception of health and cognitive level generally were age, sex, their economic independence, marital status, and educational level. Also, this study indicates that social welfare for the elderly could be effective in reducing their powerlessness and enhancing their health of state and cognitive level.

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초보간호사의 대인관계능력, 직무 스트레스, 스트레스 대처유형이 이직의도에 미치는 영향: 직무 스트레스를 중심으로 (Impact of Interpersonal Relationship Ability, Job Stress, and Stress Coping Type on Turnover Intention of Nurses in the Early Stage of their Careers: Focusing on Job Stress)

  • 정자용;김철규
    • 한국직업건강간호학회지
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    • 제27권1호
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    • pp.36-47
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    • 2018
  • Purpose: This study aimed to examine the effects of interpersonal relationship ability, job stress, and stress coping type on the turnover intention of nurses in the early stage of their careers. Methods: Data were collected from 136 early stage nurses from two general hospitals and one tertiary hospital in Chungbuk province. An early stage nurse was defined as the nurse with a work experience of 3 to 36 months. The collected data were analyzed using independent t-test, one-way ANOVA, Mann-Whitney U test, Person's correlation coefficient, and stepwise multiple regression. Results: It was seen that turnover intention had a negative correlation with interpersonal competency (r=-.20, p=.020) and a positive correlation with job stress (r=.56, p<.001). Job stress due to work over load, inadequate compensation and working environment, interpersonal relationship ability, and length of clinical career were significant factors influencing turnover intention (p<.05). These variables explained for 50.4% of the variance in turnover intention. Conclusion: It is necessary to develop an interpersonal relationship ability improvement program to decrease turnover intention among early stage nurses by helping them to successfully adapt to their job. Moreover, it is important to bring about continuous improvements in terms of provision of adequate workload and appropriate rewards, and creation of a suitable work environment to reduce the job stress of early stage nurses.

HPFRCC, 분절 복합체 및 FRP를 활용한 구조물의 내폭 성능 향상 (Enhancing the Blast Resistance of Structures Using HPFRCC, Segmented Composites, and FRP Composites)

  • 윤영수;양준모;민경환;신현오
    • 한국콘크리트학회:학술대회논문집
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    • 한국콘크리트학회 2008년도 추계 학술발표회 제20권2호
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    • pp.745-748
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    • 2008
  • 과거 건설 구조물은 사용 하중을 견딜만한 성능과 사용성, 부식에 대한 저항성 정도만이 요구되었다. 그러나 9.11 사건 이후 이러한 관점은 바뀌어, 폭발에 의한 충격 하중 및 그와 동시에 발생할 수있는 화재로 인한 열에 견딜 수 있는 구조물의 저항 성능이 기본적인 요구 조건으로써 중요시되고있다. 전 세계가 연일 테러의 위협 아래 놓여있는 현 시점에서 구조물의 내폭 성능은 매우 중요한 부분이라 할 수 있다. 이에 본 연구에서는 기존의 건설 재료로써 폭넓게 사용되고 있는 시멘트 복합체 혹은 콘크리트에인장 강도 및 연성이 뛰어난 FRP composite을 결합시켜 내폭 성능이 우수하고 기존 구조물 및 신설구조물에 모두 시공이 가능한 최적화된 분절 복합체(Segmented Composite) 및 층 구조(Layered Structure)를 개발하고, 그 성능을 평가하고자 한다. 이러한 내폭 성능의 향상을 통해, 열과 충격 하중, 동하중 및 high strain에 의한 구조물의 붕괴를 줄이고 붕괴 시점을 보다 늦출 수 있다면, 이로인해 발생되는 인명 피해 및 경제적 손실을 최소화시킬 수 있을 것이다.

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50KW 터보제너레이터용 가스터빈 엔진의 설계점/ 탈설계/과도성능해석 (On/Off-Design/Transient Analysis of a 50KW Turbogenerator Gas Turbine Engine)

  • 김수용;박무룡;조수용
    • 연구논문집
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    • 통권27호
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    • pp.87-99
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    • 1997
  • Present paper describes on/off design performance of a 50KW turbogenerator gas turbine engine for hybrid vehicle application. For optimum design point selection, relevant parameter study is carried out. The turbogenerator gas turbine engine for a hybrid vehicle is expected to be designed for maximum fuel economy, ultra low emissions, and very low cost. Compressor, combustor, turbine, and permanent-magnet generator will be mounted on a single high speed (82,000 rpm) shaft that will be supported on air bearings. As the generator is built into the shaft, gearbox and other moving parts become unnecessary and thus will increase the system's reliability and reduce the manufacturing cost. The engine has a radial compressor and turbine with design point pressure ratio of 4.0. This pressure ratio was set based on calculation of specific fuel consumption and specific power variation with pressure ratio. For the given turbine inlet temperature, a rather conservative value of $1100^\circK$ was selected. Designed mass flow rate was 0.5 kg/sec. Parametric study of the cycle indicates that specific work and efficiency increase at a given pressure ratio and turbine inlet temperature. Off design analysis shows that the gas turbine system reaches self operating condition at N/$N_{DP}$ = 0.53. Bleeding air for turbine stator cooling is omitted considering low TIT and for a simple geometric structure. Various engine performance simulations including, ambient temperature influence, surging at part load condition. Transient analysis were performed to secure the optimum engine operating characteristics. Surge margin throughout the performance analysis were maintained to be over 80% approximately. Validation of present results are yet to be seen as the performance tests are scheduled by the end of 1998 for comparison.

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무선 Content-Centric Network에서의 Interest-Data Handshaking의 효율성에 대한 연구 (Research on Efficiency of Interest-Data Handshaking in Wireless Content-Centric Networks)

  • 이승진;박찬민;김병서
    • 한국인터넷방송통신학회논문지
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    • 제14권2호
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    • pp.81-86
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    • 2014
  • 최근 주목을 받고 있는 Information Centric Network 구조 중 하나인 Content Centric Network (CCN)을 무선망에서 실질적으로 운영하기 위한 연구가 활발히 진행 되고 있다. 무선망에서 CCN을 운영을 위한 연구 결과들 중 가장 주목할 만한 것으로 Enhanced-Content-centric multiHop wireless NETwork(E-CHANET)이 있다. E-CHANET은 무선망의 특성을 고려하여 효율적 데이터 전송을 위한 방법을 제안하고 있다. E-CHANET에서는 하나의 데이터 파켓 전송 요청을 위하여 Interest 파켓을 전송하여야만 한다. 본 논문에서는 Interest와 데이터 파켓의 전송에 대한 효율성에 대하여 시뮬레이션을 통해 한번의 Interest로 모든 데이터 파켓을 전송하는 방식과 비교 분석하였다. 시뮬레이션 결과를 통하여 E-CHANET의 방식이 신뢰성을 증가시키기는 하나 전 파켓의 다운로드 시간을 많이 증가 시켜 비효율성이 있음을 확인하였다.

200MW 석탄화력 순환 유동층 보일러 이차공기송풍기용 H-브릿지 멀티레벨 인버터 현장적용 (Field Application of H-Bridge Multi-level Inverter for Fluidized Bed Combustion Boiler Secondary Air Fan)

  • 김봉석;류호선
    • 전력전자학회논문지
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    • 제12권5호
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    • pp.424-431
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    • 2007
  • 본 논문은 발전소의 이차공기송풍기를 가변 회전수 제어하여 소내 소비 전력을 절감하고 전동기의 직입기동에 의한 스트레스를 줄이기 위하여 실증 적용된 200MW 석탄화력 발전소 순환 유동층 보일러 이차 공기 송풍기 구동용 H-브릿지 멀티레벨 인버터에 관한 것이다. H-브릿지 멀티레벨 인버터는 독립적으로 절연된 직류 부를 갖는 저전압의 단상 인버터(셀 인버터)를 다수 직렬 접속하여 고전압 3상 전압을 출력하는 Cascaded H-브릿지 전압형 인버터이다. 전력연구원은 6.6kV, 1MVA급 인버터 개발, 발전소에 설치, 보일러 점화 전/후 시험 및 계통 병입 후 부하 시험 등을 국내 최초로 성공적으로 완료하였다. 현재 200MW 석탄화력 발전소 이차 공기 송풍기 구동용 인버터는 상업 운전 중에 있다. 본 논문에서는 개발된 H-브릿지 멀티레벨 인버터, 기존 발전 설비와 신규 인버터 시스템의 인터페이스 부분에 해당하는 보일러 DCS(Distributed Control System : 분산 제어 시스템) 로직, 계통 병입 후 시운전 결과에 대하여 상세히 기술하였다.

기지국 수신 전력 및 파일롯 전력 제어를 고려한 DS/CDMA 시스템 모델링과 무선망 설계 (A Model and Design for DS/CDMA System with Base-received Power Control and Pilot Power Control)

  • 임광재;김백현;곽경섭;박판종
    • 전기전자학회논문지
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    • 제2권2호
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    • pp.200-211
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    • 1998
  • DS/CDMA 시스템에서 이동국들이 불균일하게 분포되어 있을 때, 모든 기지국에서 동일한 전력으로 수신되도록 하는 시스템에서는 통화 품질의 불균일이 초래된다. 이러한 문제점을 해결하기 위해 각 기지국들의 요구 수신 전력을 기지국의 부하에 따라 제어하고 양방향 셀 영역의 균형을 위해 파일롯 채널의 전력을 조절해야 한다. 본 논문에서는 이동국들의 불균일 분포에 따른 기지국 요구 수신 전력 제어, 셀 영역의 균형을 위한 파일롯 채널의 전력 제어, 순방향 통화 채널을 위한 전력 할당, 소프트 핸드오프와 합성 수신을 고려하여 일반화시킨 DS/CDMA 셀룰라 시스템 모델을 제시한다. 또한, 제시된 모델의 응용의 예로 무선망 초기 설계 과정과 결과를 보였다.

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Differences between Sand and Gravel Bars of Streams in Patterns of Vegetation Succession

  • Lee, Chang-Seok;Cho, Yong-Chan;Shin, Hyun-Cheol;Park, Sung-Ae
    • Journal of Ecology and Environment
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    • 제32권1호
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    • pp.55-60
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    • 2009
  • We analyzed the factors driving succession and the structure, and dynamics of vegetation on sand and gravel bars in order to clarify the differences in vegetation succession in rivers with different river bed substrates. Woody plant communities (dominated by Salix), perennial herb communities (dominated by Miscanthus), and annual plant communities (dominated by Persicaria) appeared in that order from upstream to downstream on the sandbar. The results of DCA ordination based on vegetation data reflected a successional trend. This result suggests that sandbars grow in a downstream direction. Various vegetation types different in successional stage, such as grassland, young stands of Korean red pine (Pinus densiflora), two-layered stands of young and mature pines, and mature pine stands also occurred on gravel bars, but the vegetation in earlier successional stage was established upstream, which is the opposite to the direction found on sandbars. Those results demonstrate that the dynamics of the bed load itself could be a factor affecting vegetation succession in rivers. In fact, sands suspended by running water were transported downstream over the vegetated area of sand bar and thereby created new areas of sandbar on the downstream end of the sandbar. Meanwhile, gravel, which is heavy and thereby is shifted by strong water currents, accumulated on the upstream end of the vegetated area, and thus created new areas of gravel bar in that direction. These results showed that allogenic processes drive vegetation succession on sand and gravel bars in streams and rivers.