• 대한족부족관절학회지
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• 제11권1호
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• pp.23-27
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• 2007

Purpose: Scarf osteotomy can provide the simultaneous correction of the hallux valgus angle (HVA), 1-2 intermetatarsal angle ($IMA_{1-2}$), DMAA and the plantar displacement of the fragment. The study was conducted to understand the multi-dimensional correction of the hallux valgus. Materials and Methods: Fourty eight patients who had undergone Scarf osteotomy with hallux valgus at more than $30^{\circ}$ of HVA and more than $15^{\circ}$ of $IMA_{1-2}$ were studied. Before an osteotomy, a reference K-wire was inserted to the 1st metatarsal head. After the osteotomy, the plantar fragment was moved laterally and the proximal end of the fragment was forced beyond the distal end which resulted in an internal rotation of the head fragment to correct the DMAA. Results: The HVA improved an average of $33.3^{\circ}$ to $7.7^{\circ}$ with the IMA1-2 respectively from $15.4^{\circ}$ to $6.5^{\circ}$. The DMAA improved an average of $19.5^{\circ}$ ($5.2-30.9^{\circ}$) to $4.5^{\circ}$ ($0.4-13.8^{\circ}$). By checking the angle, which was at an average of $25^{\circ}$ between the plantar surface of the foot and the osteotomy plane, the average distance of 1.9 mm (1.18-3.1 mm) of plantar displacement was measured using the value of sine (sin 25 = 0.422). Conclusions: It is possible to correct the HVA, IMA1-2 and DMAA simultaneously with one osteotomy making the lateral shift, the internal rotation and the plantar displacement of the plantar head fragment as desired. Despite the technicality and difficulty of the Scarf osteotomy, once familiarized through myriad procedures, all disadvantages are outweighed by the success and satisfaction of both patient and surgeon.

• Journal of Oral Medicine and Pain
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• 제25권1호
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• pp.99-108
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• 2000

This study was performed to investigate the effect of suboccipital stretch on the head and neck posture and the electromyographic(EMG) activity of some cervical muscles. For this study, 39 patients with temporomandibular disorders(TMD) and 34 dental students without any signs and symptoms in the masticatory system were selected as the patients group and as the normal group, respectively. Head position by goniometer CROM$^{(R)}$(Performance attainment, St. Paul, USA), EMG activity by BioEMG$^{(R)}$(Bioresearch Inc., Milwaukee, USA), and craniocervical posture by cephaloradiography were observed in both natural head posture(NHP) and head posture with suboccipital stretch(tuck posture) abtained from slight posteroinferior finger pressure on the chin. Variables measured on the cephaloradiograph were SN angle, atlas angle, CVT angle, occiput-atlas and atlas-axis distance, and pharyngeal width. The data obtained were analysed by SPSS windows program and the results of this study were as follows : 1. In the sagittal plane, degree of anterior rotation of the head by suboccipital stretch was 6.3 in the patients group, and 6.2 in the normal group, respectively. So there was no significant difference between the two groups for degree of anterior rotation, but the position of the head in the patients group were more posteriorly extended than in the normal group in both NHP and tuck posture. 2. EMG activity of the stemocleidomastoideus in the patients group, and that of the upper trapezius and the sternocleidomastoideus in the normal group were increased by suboccipital stretch. The range of EMG activity, however, in these cervical muscles were 1.6 -2.3)u.V. 3. Cephalometric variables such as SN angle, atlas angle, CVT angle, occiput-atlas and atlas-axis distance except pharyngeal width were generally increased by suboccipital stretch. There was some difference, however, in results between the two groups. Atlas angle was not changed in the patients group whereas CVT angle was not changed in the normal group. 4. The distance from subocciput to spinous process of axis was significantly increased as much as 3.0mm in the patients group, and 3.7mm in the normal group by suboccipital stretch.

• 대한치과교정학회지
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• 제23권4호
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• pp.455-474
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• 1993

Degenerative joint disease(DJD) has hun known as one of the diseases which affect the middleor old-aged people. But as orthodontists are getting interested in the adult orthodontics, it is not rare for them to meet the open-bite patients with the TMJ DJD in their clinics. The purpose of this article is to investigate the cephalometric characteristics of the open-bite cases with TMJ DJD. Twelve TMJ DJD patients($15.1\~39.5$ years old) were selected from the patients who visited Department of Orthodontics, Seoul National University Hospital. Cephalograms were taken and means from 60 measurements were compared by t-test with those of the fifty four healthy adults($20.0\~26.7$ years old) who have normal occlusion and TMJ. In this study male and female are compared respectively, for in the normal samples 26 measurements showed significant differences between the male and the female. The results and conclusions axe as follows: 1 In DJD group, ANB and Angle of convexity decreased, which means the retruding of the mandible. The interincisal angle was smaller than that of the normal group. The means of the overbite were -2.1mm in male and -3.0mm in female, and the means of the overjet were 5.6mm in male and 6.7mm in female. The profile was similar to that of Angle's Class II div.1 open-bite. 2. SN-GoMe and FMA increased in DJD but SN-PP and FH-PP did not show any significant difference. In TMJ DJD open-bite cases, the bony structure lower than the palatal plane seemed to play an important role in developing open-bite. 3. In DJD group, PH-ArGo, SArGo and Y-sxis angle increased significantly, but genial angle showed no significant difference. The means of hか were 50.1mm in male and 40.2mm in female, which were significantly smaller than those of the normal(56.5mm in male, 50.9mm in female). These findings seemed to indicate the posterior rotation of mandible resulted from the shortening of the ramus height. 4. Anterior faical height(AFH), upper anterior facial height(UAFH) and lower anterior facial height (LAEH) of DJD showed no significant increase as compared with those of the noraml group. There was no significant difference in the ratio of upper anterior facial height to lower anterior facial height(UAFH/LAFH). But, lower posterior facial height(LPFH) was significantly smaller than that of the normal group. 5. It was thought that the peculiar profile of the TMJ DJD open-bite was resulted from the posterior rotation of mandible as the ramus became short following the degerative destruction of of the condylar head and neck.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제37권6호
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• pp.457-463
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• 2011

Introduction: This study evaluate the soft tissue changes to the upper lip and nose after Le Fort I maxillary posterosuperior rotational movement. Materials and Methods: Twenty Skeletal class III patients, who had undergone bimaxillary surgery with a maxillary Le Fort I osteotomy and bilateral sagittal split ramus osteotomy, were included in the study. The surgical plan for maxilla was posterosuperior rotational movement, with the rotation center in the anterior nasal spine (ANS) of maxilla. Soft and hard tissue changes were measured by evaluating the lateral cephalograms obtained prior to surgery and at least 6 months after surgery. For cephalometric analysis, four hard tissue landmarks ANS, posterior nasal spine [PNS], A point, U1 tip), and five soft tissue landmarks (pronasale [Pn], subnasale [Sn], A' Point, upper lip [UL], stomion superius [StmS]) were marked. A paired t test, Pearson's correlation analysis and linear regression analysis were used to evaluate the soft and hard tissue changes and assess the correlation. A P value <0.05 was considered significant. Results: The U1 tip moved $2.52{\pm}1.54$ mm posteriorly in the horizontal plane (P<0.05). Among the soft tissue landmarks, Pn moved $0.97{\pm}1.1$ mm downward (P<0.05), UL moved $1.98{\pm}1.58$ mm posteriorly (P<0.05) and $1.18{\pm}1.85$ mm inferiorly (P<0.05), and StmS moved $1.68{\pm}1.48$ mm posteriorly (P<0.05) and $1.06{\pm}1.29$ mm inferiorly (P<0.05). The ratios of horizontal soft tissue movement to the hard tissue were 1:0.47 for the A point and A' point, and 1:0.74 for the U1 tip and UL. Vertically, the movement ratio between the A point and A' point was 1:0.38, between U1 tip and UL was 1:0.83, and between U1 tip and StmS was 1:0.79. Conclusion: Posterosuperior rotational movement of the maxilla in Le Fort I osteotomy results in posterior and inferior movement of UL. In addition, nasolabial angle was increased. Nasal tip and base of the nose showed a tendency to move downward and showed significant horizontal movement. The soft tissue changes in the upper lip and nasal area are believed to be induced by posterior movement at the UL area.

• 한국전산구조공학회논문집
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• 제25권6호
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• pp.513-523
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• 2012

본 연구는 횡력저항시스템별로 프로토타입 모델을 선정하고 지진지역과 비정형성에 따른 내진성능 영향력을 검토하였다. 프로토타입 모델은 다이아그리드 시스템과 브레이스튜브 시스템 그리고 아웃리거 시스템을 선정하였다. 또한 각 횡력저항시스템별 평면 비틀림 각도를 $0^{\circ}$, $1^{\circ}$($1.5^{\circ}$), $2^{\circ}$($3^{\circ}$) 씩 변화하여 내진성능을 검토하였다. 지진지역은 강진지역(LA), 약진지역(Boston)을 선정하였다. 선형응답해석은 프로토타입 모델의 풍변위, 고유주기를 검토하였다. Non-Linear Response History(NLRH) 해석에서는 밑면전단력, 층간변위비를 검토하였다. 검토결과 다이아그리드 시스템과 브레이스튜브 시스템 그리고 아웃리거 시스템 모두 평면 비틀림 각도가 증가할수록 건물 전체의 강성이 줄어들었다. 또한 평면 비틀림 각도가 증가할수록 풍변위와 고유주기 결과가 증가하고 건물 전체의 강성이 줄어들어 밑면전단력이 감소하였다. 끝으로, NLRH 해석 결과 강진과 약진지역 모두 Tall Building Initiative(TBI)의 Maximum Considered Earthquake(MCE)수준의 층간변위비 제한값 0.045를 만족하여 허용범위내의 내진성능을 만족하고 있는 것으로 나타났다.

• 대한치과교정학회지
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• 제37권3호
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• pp.192-203
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• 2007

본 연구는 비폐쇄를 보이는 III급 부정교합아동에서, 기도 공간의 형태와 안모 골격 형태 사이의 상관관계를 평가하였다. III급 부정교합을 보이며, 비폐쇄 소견을 보여 이비인후과로 의뢰된 환아 100명의 초진 측모 두부 규격 방사선 사진에서 상 인두기도 공간(upper PAS), 하 인두기도 공간(lower PAS), 편도의 크기, 구개-혀 공간을 측정하여 기도 공간 형태를 분석하였으며, 통상적인 계측점을 사용하여 안면 골격 분석을 시행하여 기도 공간 형태 계측항목과 안면 골격분성 항목간의 상관관계를 연구하여 다음과 같은 결과를 얻었다. Upper PAS는 ramal height, SNA, SNB, PFH, FHR, facial plane angle 항목과 양의 상관관계를 보였으며, saddle angle, articular angle, gonial angle의 sum, SN-GoGn, Y-axis to SN, FMA 항목과 음의 상관관계를 보였다. Lower PAS는 genial angle, FMA와 양의 상관관계를 보였으며, articular angle, facial depth, PFH, FHR와 음의 상관관계를 보였다. 편도의 크기는 PCBL, ramal height, Mn. body length, Mn. body length to ACBL, facial depth, facial length, PFH, AFH와 양의 상관관계를 보였다. 구개-혀 공간은 saddle angle, articular angle, genial angle의 합, facial length, AFH, FMA, LFH와 양의 상관관계를 보였으며, IMPA, overbite와 음의 상관관계를 보였다.

• 대한치과교정학회지
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• 제33권1호
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• pp.31-39
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• 2003

본 연구는 성장에 의한 변화를 예측하는 현재의 방법이 실제로 골격성 III급 부정교합자의 진단과 치료계획에 적절히 사용될 수 있는지를 판단해 보기 위해 초진 시 골격성 III급 부정교합으로 진단받고 성장 종료 후 악교정 수술을 받기 위해 재내원한 골격성 III급 부정교합자 25명(남자 13명, 여자 12명)을 대상으로 시행되었다. 초진시 채득된 측모 두부방사선 사진에서 Ricketts의 성장예측법을 통해 성장 종료 후의 상태를 예측한 후, 악교정 수술을 위해 재내원 했을 때 채득된 측모 두부방사선 사진에서 계측된 실제 성장량과 비교분석 함으로써 다음과 같은 결론을 얻었다. 1. 예측치와 관측치의 일치정도를 평가해본 결과 Porion Location, Ramus Position, Facial Depth, Facial Axis, Mandibular Plane angle, Maxillary Convexity에서의 예측치가 관측치와 차이를 보이고 있어 이 항목에 대한 Ricketts 성장예측법의 예측치가 실제 성장량을 잘 설명해주지 못함이 관찰되었다. 2. 하악골체의 성장량은 정상 성 장량과 유사하였으나 Porion Location, Ramus Position이 정상적인 성장과정을 벗어나면서 하악골의 전방위치를 유도하였다. 3. 골격성 III급 부정교합자에서는 성장의 양과 방향이 비정상적인 성장변화를 나타내어 정상 성장에서라면 변화를 보이지 않을 하악지의 전방 위치, 하악이부의 전상방 회전등이 일어나 하악 전돌의 경향이 악화될 수 있다.

• 한국자동차공학회논문집
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• 제24권2호
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• pp.169-182
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• 2016

This paper is the third investigation on the evaluation methods of flow characteristics in a steady flow bench. In the previous works, several assumptions used in the steady flow bench were examined and the flow characteristics were estimated both by the conventional impulse swirl meter and a particle image velocimetry at 1.75B position. From these works, it was concluded that the assumption of the solid rotation might cause serious problems and both of the eccentricity and the velocity profile distort the flow characteristics when using the ISM at 1.75B plane. Therefore, the understanding of the detail velocity profiles is very important to keep discussing the issues about the steady flow evaluation method. For this purpose, the planar velocity profiles were measure at 1.75B position by particle image velocimetry and the characteristics were examined according to the valve angles and lifts. The results show that the planar velocity profiles of 11, 16, $21^{\circ}$ valve angle heads according to the lift are similar to each other, however, that of $26^{\circ}$ angle is an exceptional case in the all aspects. In addition, the swirl behaviors are not apparent up to 6~8 mm lift under the $21^{\circ}$ angle and somewhat arranged motions are observed over the whole plane near the highest lift. At this point, the narrower the angle, the lower the lift at which the swirl motions become clear. On the other hands, when the angle is $26^{\circ}$, the center of swirl is always farthest from the cylinder center and only the indistinct swirl is observed even if at the highest lift. Also, all the swirl centers are quite apart from the cylinder center so that the effect of eccentricity may not be negligible at 1.75B regardless the valve angle. Related to the tangential velocity along with the radial direction, the bands of the velocity distribution are very wide and the mean velocities of cylinder center basis are lower than the velocity which is assumed in the ISM evaluation. Lastly, the mean tangential velocity profiles of swirl center basis are sometimes higher than that of ISM-assumed up to 0.6 non-dimensional distance less than 6mm lift, however, as the lift increases the profiles are different according to the angles and profile $11^{\circ}$ is the most closed to the ideal profile. Consequently, the real velocity profile is far from the assumption of ISM evaluation.

• 한국자동차공학회논문집
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• 제24권2호
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• pp.242-254
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• 2016

This paper is the forth investigation on the evaluation methods of flow characteristics in a steady flow bench. In the previous works, it was concluded that the assumption of the solid rotation might cause serious problems and both of the eccentricity and the velocity profile distort the flow characteristics when using the ISM at 1.75B plane. Also particle image velocimetry (PIV) measurement at this position showed that the real velocity profile was far from the assumption of ISM evaluation. In this paper, the planar velocity profiles were measure from 1.75B to 6.00B position by PIV and the characteristics were examined according to the valve angles and lifts for further investigations about the effect of the position on the velocity profile. The results show that $26^{\circ}$ valve angle is always an unique exceptional case in all aspects. If the valve angle is $21^{\circ}$ and below, the planar velocity profiles according to the lift and the position are similar to each other, however, the tangential velocity curves along with the radial direction have common tendencies up to $16^{\circ}$ angle. Also the well arranged swirl behaviors are generally observed at the position above 3.00B and the velocity contour lines come closer to the concentric circle as the valve lift increases. In addition, the gradient of tangential velocity along with the radial direction from the swirl center becomes stable and constant as the position goes downstream. Concurrently the velocity gradient is larger to the eccentric direction of the center. In the meantime the tangential velocity curves along with the radial direction are irregular and various at 1.75B, however, they become regular and reach higher level as the evaluation position goes downstream. At this time the curves of 4.50B are the best fitted to the ideal one. On the other hand in an exceptional case, $26^{\circ}$, the velocity contours are very complicated over 6mm valve lift regardless the position and the gradient increases to the opposite direction of the eccentric center. Also, 6.00B is a best fitting position in the geometrical cylinder center base. With respect to the swirl center, the distribution range of centers for 1.75B is different to that for the other positions and the eccentricities of this plane are larger regardless the valve angle. After 1.75B, there is no certain tendency in the center position change according to the valve angle and lift. Additionally, the eccentricities are not sufficiently small to neglecting the effect on ISM measurement.

• 한국산학기술학회논문지
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• 제18권11호
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• pp.794-801
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• 2017

전도성 평판의 모서리에 래디얼 동전기 휠을 부분적으로 중첩시켜 회전시키면 휠에는 부상력과 모서리 방향의 추력 그리고 중첩 영역을 감소시키는 방향으로의 횡력이 발생한다. 이러한 휠을 조합하면 진행 방향을 제외한 나머지 축에서의 자기 안정성이 담보되는 시스템 구현이 가능하다. 실증차원에서 래디얼 동전기 휠을 이용한 자기 부상 방식 이송 시스템을 제안한다. 시스템은 네 개의 동전기 휠에 의해 부상, 추진되며 앞뒤 휠에 의한 추력이 서로 상쇄되도록 대항하는 구조로 배치되어있다. 휠의 동적 안정성과 동전기력에 미치는 휠 극수의 영향이 유한요소법을 이용하여 분석된다. 단동 휠에 의한 추력과 부상력은 강하게 연성되어있고 이를 가변시킬 수 있는 인자는 휠의 회전속도뿐이다. 따라서 두 힘을 독립적으로 제어하기 위해 추력과 부상력간의 비율이 속도에 비례하고 공극의 크기와 무관하다는 사실을 이용한다. 이러한 제어 방법으로 시스템의 면내, 면외 운동 제어를 수행하고 이를 시뮬레이션 결과와 비교하였다. 실험 결과는 휠의 속도만으로 연성된 자유도를 효과적으로 제어할 수 있음을 보여준다.