• 제목/요약/키워드: Perfect

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자가골 블럭 이식을 이용한 수평골 증강술시 이식골의 치유 (THE HISTOLOGIC STUDY OF BONE HEALING AFTER HORIZONTAL RIDGE AUGMENTATION USING AUTO BLOCK BONE GRAFT)

  • 오재권;최병준;이백수
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제31권3호
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    • pp.207-215
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    • 2009
  • Purpose: The aim of the present study is to evaluate the long term bone healing after horizontal ridge augmentation using auto block bone graft for implant installation timing. Materials and Methods: Five Beagle dogs(which were 14 months old and weighted approximately 10kg). In surgery 1(extraction & bone defect), premolars(P2, P3,P4) were extracted and the buccal bone plate was removed to create a horizontally defected ridge. After three months healing, in surgery 2(ridge augmentation). Auto block bone grafts from the mandibular ramus were used in filling the bone defects were fixed with stabilizing screws. The following fluorochrome labels were given intravenously to the beagle dogs: oxytetracycline 1week after the surgery, alizarin red 4 weeks after the surgery, calcein blue 8 weeks after the surgery. The tissue samples were obtained from the sacrificed dogs of 1, 4, 8, 12, 16 weeks after the surgery. Non-decalcified sections were prepared by resin embedding and microsection to find thickness of $10{\mu}m$ for the histologic examination and analysis. Results: 1. We could achieve the successful reconstruction of the horizontal bone defect by auto block bone graft. The grafted bone block remained stable morohologically after 16 weeks of the surgery. 2. In the histologic view. We observed osteoid tissue from the sample $4^{th}$ week sample and active capillary reconstruction in the grafted bone from the $12^{th}$ week sample. Healing procedures of auto bone grafts were compared to that of the host bone. 3. Bone mineralization could be detected from the $8^{th}$ week sample. 4. Fluorochrome labeling showed active bony changes and formation at the interface of the host bone and the block graft mainly. Bony activation in the grafted bone could be seen from the $4^{th}$ week samples. Conclusions: Active bone formation and remodeling between the grafted bone and host bone can be seen through the revascularization. After the perfect adhesion to host bone, Timing of successful implant installation can be detected through the ideal ridge formation by horizontal ridge augmentation.

치과 방사선 안전관리 행위에 영향을 미치는 요인 (Factors to Affect Dental Radiation Safety Management Behaviors)

  • 엄숙;김경원
    • 치위생과학회지
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    • 제12권4호
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    • pp.335-341
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    • 2012
  • 본 연구는 방사선안전관리에 행위에 영향을 미치는 요인을 연구하여 방사선 안전관리 행위수준을 향상시키고자 대구, 부산, 울산광역시와 경상남북도에 위치한 의료기관에 근무하는 치과위생사를 대상으로 2011년 7월 18부터 8월 26일까지 설문조사한 후 다음과 같은 결론을 얻었다. 1. 방사선 안전관리 지식에서는 근무기관(p<.001), 방어시설 현황(p<.006), 안전관리교육 필요성(p<.012)에 따라 유의한 차이가 있었다. 2. 방사선 안전관리 태도에서는 연령(p<.014), 근무기관(p<.003), 근무경력(p<.009), 교육수준(p<.002), 방어시설 현황(p<.015), 안전관리교육 필요성(p<.005), 교육참여 의사(p<.036)에 따라 유의한 차이가 있었다. 3. 방사선 안전관리 행위에서는 안전관리교육 경험(p<.068), 피폭선량측정(p<.010), 방어시설 현황(p<.001)에 따라 유의한 차이가 있었다. 4. 방사선 안전관리 지식과 태도, 방사선 안전관리 태도와 행위는 통계적으로 유의한 양의 상관관계를 보였다(p<.05). 5. 방사선 안전관리 행위에 영향을 주는 요인으로 정기적 피폭선량 측정여부(p<.046)와 방어시설 현황(p<.001)이었다. 결론적으로 치과 방사선 촬영실의 방어시설을 완벽하게 갖추고, 치과위생사 개개인에게 정기적인 피폭선량을 측정하여 경각심을 일깨워 주어 방사선 안전관리 행위수준을 높이는 것이 중요하다고 생각된다.

초등학교 아동의 구강보건에 관한 지식과 행동의 상관관계 연구 (Interrelation Research of the Knowledge Regarding the Oral Health of the Elementary School Child and Behavior)

  • 이혜경;박정순;김미정
    • 치위생과학회지
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    • 제8권3호
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    • pp.155-161
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    • 2008
  • 본 연구는 초등학교 학생들에게 필요한 구강보건교육목표를 설정하는 데에 기초 자료를 수집할 목적으로 전라북도 익산시에 소재하고 있는 초등학교 1개교 4학년, 6학년 513명을 대상으로 하여 초등학교 학생의 구강보건에 관한 지식과 행동의 상관관계를 조사한 결과 다음과 같은 결론을 얻었다. 1. 조사대상자들의 구강보건지식 정도는 14점 만점에 8.77로 높지 않았으며, 여학생이 남학생보다 구강보건지식 정도가 높았고 유의한 차이를 보였다(p < .05). 2. 학교구강보건교육 경험이 있는 학생일수록 구강보건지식 정도도 높게 나타났으며, 통계적으로 유의한 차이를 보였다(r = 0.105, p < .05). 3. 구강보건행동 정도는 5점 Likert 척도로 조사한 결과, 전체 평균이 3.13으로 높지 않았으며, 학년에 따른 유의한 차이를 보였다(p < .05). 4. 구강보건지식이 높은 학생일수록 구강보건행동 정도가 높게 나타나, 구강보건지식과 행동의 유의한 차이를 보였다(p < .001). 5. 구강보건지식과 구강보건행동 및 학교구강보건교육 경험은 정(+)의 선형 상관이 있어 구강보건지식 정도가 높으면 구강보건행동도 높아짐을 알 수 있었다(r = 0.345, p < .001, p < .05). 6. 성별과 학년에 관계없이 학교구강보건실의 필요성과 구강건강담당 교사의 필요성은 인식하고 있었다(p < .05).

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3DTV 엑티브 셔터 안경을 위한 저전력 이산-사건 SoC (Low-Power Discrete-Event SoC for 3DTV Active Shutter Glasses)

  • 박대진;곽승호;김창민;김탁곤
    • 대한전자공학회논문지SP
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    • 제48권6호
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    • pp.18-26
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    • 2011
  • 엑티브 셔터 안경 기반 3DTV와 페시브 편광 필터 안경 방식 3DTV의 화질 비교는 최근에 이슈로 대두되고 있다. 엑티브 셔터 안경 방식 기술이 Full-HD 3D영상 구현이 가능함에도 불구하고 스테레오 영상에 대한 동기 신호의 전송, 수신, 및 재구성 과정 중에 내부/외부 잡음 환경에 영향을 받아 3D안경에 탑재된 동기화 프로세서 칩의 오동작으로 영상 플리커가 자주 발생한다. 이러한 문제를 극복하기 위해 동기 신호에 실리는 잡음의 제거 및 오차 보정을 추가적으로 수행하는 과정이 필요하며 이로 인해 추가로 소모되는 전력이 증가하고 있다. 본 논문에서는 3DTV 엑티브 셔터 안경을 위한 동기 신호 처리 프로세서를 구현하는 저 전력 이산 사건 (Discrete-Event) 기반 SoC (DE-SoC)칩을 제안한다. 이를 위해 이벤트 적재기와 소수점 타이머 하드웨어를 구현한다. 제안한 기법을 통해 실시간으로 수신되는 동기 수신 회로 구동을 최대한 지연시킴으로써 전력을 소모하는 하드웨어를 부분을 최소화 하며 소수점 타이머를 이용하여 동기 신호 수신 부를 완전히 정지시킨 상태에서도 일정 시간 동기를 유지하는 특성을 이용하여 무선 동기 수신부의 전력소모를 줄이고 외부 잡음의 영향을 완벽하게 차단할 수 있다. 제안한 기법을 위해 약 15,000개의 로직 게이트와 1Kbytes SRAM 버퍼를 추가로 사용한다. 그럼에도 불구하고 전력 소모는 기존대비 약 20%이하로 떨어질 뿐만 아니라 TV로부터 오는 동기 신호 없이도 2시간동안 1%정도의 동기 오차를 보여준다.

모호한 패턴 클래스 도입을 통한 기저 세포암 분류기의 신뢰도 향상 (Reliability Improvement of Automatic Basal Cell Carcinoma Classifier with an Ambiguous Pattern Class)

  • 박아론;백성준;정인욱;송민규;나승유
    • 전자공학회논문지CI
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    • 제44권1호
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    • pp.64-70
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    • 2007
  • 라만 분광법은 피부암 진단에 사용되는 매우 유력한 비침습성 진단 방법이다. 라만 스펙트럼을 이용한 이전의 연구에 따르면 MAP (maximum a posteriori probability)와 MLP (multilayer perceptron networks)와 같은 기존의 분류 방법으로도 좋은 분류결과를 얻을 수 있다. 하지만 암 진단은 작은 오류에도 종종 치명적인 결과가 따르기 때문에 본 연구에서는 판정이 모호한 데이터를 따로 집단화하여 분류 오류를 감소하는 방법을 제안한다. 이때 모호한 패턴은 조직검사를 통하여 다시 암여부를 판정하게 된다. 본 논문에서는 모호한 패턴 클래스를 MSE (minimum squared error), MAP와 MLP에 도입하기 위해 기존 알고리듬을 수정하였고 모호한 패턴 클래스가 본래 도입되어 있는 RCE (reduced coulomb energy networks)와 실험결과를 비교하였다. 216개의 공초점 라만 스펙트럼에 대한 실험결과에 의하면 모호한 패턴으로 판정된 데이터를 늘림에 따라 나머지 패턴은 완벽하게 분류할 수 있음을 보였다. 그 중 MSE는 테스트 패턴 중 약 8.8%의 모호한 패턴으로 나머지 패턴에 대하여 완벽한 분류결과를 보였다.

경기지역 실업계 남자고등학생의 간식선호도 실태와 구강보건교육 인식도에 관한 조사연구 (A study on the awareness of snack intake preference actual conditions and oral health education for business world man high school locating in Kyonggi province)

  • 최윤화;지윤정
    • 한국치위생학회지
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    • 제8권2호
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    • pp.93-106
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    • 2008
  • This study is to enforce to ready basic data of effective school dental health education for dental caries prevention, relation knowledge of class, feeding practice and snack intake preference actual conditions, food and caries executed investigation by own recording way using questionnaire consisted of dental health education awareness to some business world man high school locating in Kyonggi Province. Analyzes result that total 487 people respond in SPSS WIN 13.0 programs and got following sequence The obtain result were as follows 1. Results about habit of breakfast was the most by 36.1% a student who have breakfast every day, and a student who hardly eat dominated 32.9%. Second-year student hardly had breakfast (p<.01). 2. A student who answer that snack kind that often eat was cookies and snack kind was the most by 37.2%, and a student who answer that symbol drink was a carbonated drink was the most by 50.9%. 3. Relation knowledge degree appeared grand mean among 18 points perfect score by 12.36 with food and caries. Third-year student knowledge degree was the highest, and second-year student was the lowest knowledge degree by class (p<.01). 4. Existence and nonexistence of experience of dental health education appeared a student who experience that take dental health education does not exist by 57.1%. There was experience that take dental health education as class is low by class, and as class is high, experience did not exists (p<.05). 5. Time that take dental health education for the first time was the most by 56.7% a student who respond 'Babyhood', grade in school is low by class 'Babyhood', and is high by class responded 'Middle school'(p<.05). 6. Awareness of dental health education necessity 'may educate dental health and does not' a student 56.3%, half was looked attitude which students who exceed are insincere about dental health education necessity. 7. When educate dental health, contents was the most by 44.6% 'brushing and mouth article directions' to be educated importantly, and was expose by caries 31.2%, gum disease 10.1%, scaling 9.0%, prosthetic dentistry and implant 5.1% period of ten days, third-year student 50.8% said that 'brushing and mouth article directions' is important (p<.05). Dental health education is practiced during life, and is a teaching that should be remembered. Need to develop epoch-making and interesting education program that is correct in subject to do as quickly as possible, and should be achieved major road of dental hygienist. Dental hygienist will have to settle as quickly as possible as expert of prevention that is natural business and education and help in dental health education development under effort between country and dental association effective.

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인상채득 후 경화시 트레이의 위치에 따른 주모형의 변화 (Change master cast by hardening method to position of tray after impression taking)

  • 이정애
    • 한국치위생학회지
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    • 제8권2호
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    • pp.53-66
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    • 2008
  • There was to purpose of this study improves analyzing cause that prosthesis brings bite engaging that is inaccurate in patient's mouth, when supposed that all conducts that do in operatory and dental laboratory are perfect. Impression did check bite by alginate impression material and polymerization style silicon impression material that use usually in presence at a sickbed Irreversibility, hydrocolloid, alginate impression material washed in flowing water and poured anhydrite after wait about 8 minutes so that region that charge interest after impression check bite may become undoing. And hydrophile property addition polymerization style impression material poured anhydrite after blow 30 considering impression material dwell time and H2 gas occurrence time (5~15 minute) after have washed in flowing water. I got each 7 models, result that manufactures total 28 and measures by third dimension measuring instrument (Meteo, Korea) following sequence curing in tray holder and floor 1, By Alginate impression when is hardened in tray holder and when is hardened in the floor after do check bite, SPH 4, SPH5 all as there is synonymy appeared(P<0.05). By in case do not use average 0.1741 in case use tray holder in 0.0447 SPH5s in case do not use average 0.2838 pastas in case use tray holder in SPH4 0.0309, When did not use both SPH4 and SPH5 tray holder, when used tray holder, 1 appeared more greatly. 2. By amity sex addition polymerization style silicon impression when is hardened in tray holder after do check bite and when is hardened in the floor SPH 4, a11 of the SPH5s very big synonymy be(P>0.05). And in case use tray holder in 0.000657 pasta SPH5s in case do not use average 0.000129 pastas in case use tray holder in SPH4 average 0.000114 pastas, by in case do not use 0.000757, I appeared more greatly when used tray when did not use both SPH4 and SPH5 tray holder, but 1 appeared is not level to keep in mind(Table 8~9). 3 SPH4 was looked very big mindfulness in model that manufacture doing impression check bite by Alginate and model that do impression check bite by amity sex accessory penalty silicon without using tray holder(P< 0.001). I use tray holder and SPH4 did not appear synonymy in model that manufacture doing impression check bite by Alginate and model that do impression check bite by amity sex accessory penalty silicon(P>0.05). Study finding of above when see synthesis Alginate certainly tray holder use must and I could know that hardening method does not exert big influence on volume stability if remove impression sieve of excess because amity sex accessory penalty silicon passes over tray, Also, Alginate impression material previewed can get heading a conspiracy style that volume stability of accessory penalty silicon impression material degree is if use tray holder.

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학교보건(學校保健)의 실태분석(實態分析)과 운영체계(運營體系) 정립(定立) (The Analysis of the Real Condition of School Health and the Establishment of a Management System)

  • 장관봉
    • 한국학교보건학회지
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    • 제6권2호
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    • pp.24-55
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    • 1993
  • School health aims to guide and manage growing students from elementary schools to high schools in order to grow healthily through the formation of healthy life habits, the self-control health management guide and the making of pleasant school health environments. Even though this school health plays an important role in guiding the students who are in the period of growing to have a perfect personality as a democratic people of our country in the school education, there are many lacks, such as they still don't know the word itself, "school health" or recognize its importance. Also it's a real condition to practice items concerned with the health under the condition of unestablished structure. 1. The results of analyzing school health real conditions. Based on treatises concerned with school health and various statistical materials which are announced by concerned people. We divided and analyzed school health into the items concerned with health education, the items with health management, and the items with school health environments, and investigated the level of the present school health and its necessity. As the items concerned with health education, we investigated the necessary range of school health education, the effect of health education on children's daily life, family's health and the interesting contents of school health. And as the items with health management, I investigated children's obesity, dental caries, eyesight, clinics, a health examination, drug abuse, spirit health, providing meals for school children, and school health manpower. And as the items conerned with school health environments, we investigated the recognition of the problem of natural environments, the management of purification district around the school, the problem of environments within the school and classroom lighting. As the results of analyzing these, I realized that the present level of school health is still in unsatisfactory situation and school health is needed necessary. 2. The establishment of school health. In order to set the school health, above all, the management system of School health should be set. I classified and systemized the contents of each item which had been promoted till now according to the function. They are classified as followings Based on classifying school health into (1) health education, (2) health management and (3) health environments, I divided school health education into the health education of health subjects, the health education of concerned subjects and the education of health life. And I divided health management into the health managements for a prevention and a cure. And I divided health environments into the environment around the school and within the school. Each system set like these is not fixed invariably and I should keep the relationship of mutual supplement between health education and health management, between health management and health environments, and between health environments management and health education. When we run these systemetic school health, students' health could be maintained and improved to more proper directions.

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유전율 및 투자율에 따른 인공자계도체 특성 및 다이폴 안테나 간 상관관계 분석 (Analysis of AMC Characteristics According to Material Constants and Correlation of Dipole Antenna)

  • 이동현;민태홍;이종무
    • 한국시뮬레이션학회논문지
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    • 제29권1호
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    • pp.23-30
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    • 2020
  • 이 논문에서는 도체 위 물질의 유전율 투자율에 따른 인공자계도체 특성을 이론적으로 고찰하고 이 인공자계도체 위에 다이폴 안테나화의 상관관계를 규명했다. 먼저 도체 위 물질이 인공자계도체로 동작하는 주파수 및 대역폭을 수식으로 유도하고, 이를 통해 유전율(εr), 투자율(μr), 그리고 물질 두께(L)가 인공자계도체의 특성에 어떤 영향이 있는지 분석했다. 물질 두께가 λ/4가 되는 주파수에서 반사계수 위상이 0°이 되므로 높은 유전율과 투자율을 가지는 물질로 인공자계도체 설계 시 두께를 줄일 수 있고, 'μrr' 값이 커질수록 인공자계도체 동작 대역폭은 증가(최대 200%)하며, 동작 주파수는 낮아지는 것을 밝혀냈다. 또한 물질의 손실이 존재하면 인공자계도체의 대역폭이 증가하는 것을 확인했다. 인공자계도체 위에 다이폴 안테나를 설계하고 유전율과 투자율을 변경하면서 인공자계도체 표면 반사 위상과 다이폴 안테나의 동작 주파수를 관계를 시뮬레이션을 통해 규명하였다.

Management of Recurrent Cerebral Aneurysm after Surgical Clipping : Clinical Article

  • Kim, Pius;Jang, Suk Jung
    • Journal of Korean Neurosurgical Society
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    • 제61권2호
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    • pp.212-218
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    • 2018
  • Objective : Surgical clipping of the cerebral aenurysm is considered as a standard therapy with endovascular coil embolization. The surgical clipping is known to be superior to the endovascular coil embolization in terms of recurrent rate. However, a recurrent aneurysm which is initially treated by surgical clipping is difficult to handle. The purpose of this study was to research the management of the recurrent cerebral aneurysm after a surgical clipping and how to overcome them. Methods : From January 1996 to December 2015, medical records and radiologic findings of 14 patients with recurrent aneurysm after surgical clipping were reviewed retrospectively. Detailed case-by-case analysis was performed based on preoperative, postoperative and follow-up radiologic examinations and operative findings. All clinical variables including age, sex, aneurysm size and location, type and number of applied clips, prognosis, and time to recurrence are evaluated. All patients are classified by causes of the recurrence. Possible risk factors that could contribute to those causes and overcoming ways are comprehensively discussed. Results : All recurrent aneurysms after surgical clipping were 14 of 2364 (0.5%). Three cases were males and 11 cases were females. Mean age was 52.3. At first treatment, nine cases were ruptured aneurysms, four cases were unruptured aneurysms, and one case was unknown. Locations of recurrent aneurysm were determined; anterior communicating artery (A-com) (n=7), posterior communicating artery (P-com) (n=3), middle cerebral artery (n=2), anterior cerebral artery (n=1) and basilar artery (n=1). As treatment of the recurrence, 11 cases were treated by surgical clipping and three cases were treated by endovascular coil embolization. Three cases of all 14 cases occurred in a month after the initial treatment. Eleven cases occurred after a longer interval, and three of them occurred after 15 years. By analyzing radiographs and operative findings, several main causes of the recurrent cerebral aneurysm were found. One case was incomplete clipping, five cases were clip slippage, and eight cases were fragility of vessel wall near the clip edge. Conclusion : This study revealed main causes of the recurrent aneurysm and contributing risk factors to be controlled. To manage those risk factors and ultimately prevent the recurrent aneurysm, neurosurgeons have to be careful in the technical aspect during surgery for a complete clipping without a slippage. Even in a perfect surgery, an aneurysm may recur at the clip site due to a hemodynamic change over years. Therefore, all patients must be followed up by imaging for a long period of time.