• Journal of architectural history
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• v.29 no.1
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• pp.21-37
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• 2020

The purpose of this paper is to reconstruct the original floor plan and wall design of Seokbulsa Grotto in Kyungju; commonly known as 'Seokguram'. The paper presents an array of dimensional studies of the existing Seokguram to examine its architectural form, and infers the original floor plan and wall design of Seokbulsa Grotto. Seokbulsa Grotto is designed as a system of 'coherent modules' and was constructed using the dry stone method, which interlocks large stone modules into a whole that becomes the load-bearing structure itself. The design principles governing Seokbulsa Grotto are the spatial axis of symmetry, modular coordination, and the layout grid of a quarter Tang-Ruler(TR: 唐尺). Dimensional studies were conducted with these governing principles in mind and concludes the following about the original floor plan design. In the main chamber, Ansang-stone's radius is 12 TR, and Flagstone's radius is 12¼ TR. In the front chamber, the width between the two Ansang-stones facing each other is 22 TR and the longitudinal space depth is 12 TR, while the width between the two Flagstones facing each other is 22½ TR and Flagstone's depth is 12 TR. In the passageway, the width between the two Ansang-stones facing each other is 11½ TR and longitudinal space depth is 9 TR, while the width between the two Flagstones facing each other is 12 TR and Flagstone's depth is 7¾ TR. The distance from the center to the entrance line of the main chamber is 10½ TR. Therefore, the total longitudinal length of the Grotto is 43½ TR at the level of the Ansang-stones, and 44 TR at the level of the Flagstones.

• Journal of Periodontal and Implant Science
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• v.42 no.2
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• pp.50-58
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• 2012

Purpose: This study evaluated histologically the tissue responses to and the effects of a customized nano-hydroxyapatite (n-HA) block bone graft on periodontal regeneration in a one-wall periodontal-defect model. Methods: A customized block bone for filling in the standardized periodontal defect was fabricated from prefabricated n-HA powders and a polymeric sponge. Bilateral $4{\times}{\times}4{\times}5$ mm (buccolingual width${\times}$mesiodistal width${\times}$depth), one-wall, critical-size intrabony periodontal defects were surgically created at the mandibular second and fourth premolars of five Beagle dogs. In each dog, one defect was filled with block-type HA and the other served as a sham-surgery control. The animals were sacrificed following an 8-week healing interval for clinical and histological evaluations. Results: Although the sites that received an n-HA block showed minimal bone formation, the n-HA block was maintained within the defect with its original hexahedral shape. In addition, only a limited inflammatory reaction was observed at sites that received an n-HA block, which might have been due to the high stability of the customized block bone. Conclusions: In the limitation of this study, customized n-HA block could provide a space for periodontal tissue engineering, with minimal inflammation.

• Wind and Structures
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• v.28 no.3
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• pp.181-190
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• 2019

Light-frame wood structures have the ability to carry gravity loads. However, their performance during severe wind storms has indicated weakness with respect to resisting uplift wind loads exerted on the roofs of residential houses. A common failure mode observed during almost all main hurricane events initiates at the roof-to-wall connections (RTWCs). The toe-nail connections typically used at these locations are weak with regard to resisting uplift loading. This issue has been investigated at the Insurance Research Lab for Better Homes, where full-scale testing was conducted of a house under appropriate simulated uplift wind loads. This paper describes the detailed and sophisticated numerical simulation performed for this full-scale test, following which the numerical predictions were compared with the experimental results. In the numerical model, the nonlinear behavior is concentrated at the RTWCs, which is simulated with the use of a multi-linear plastic element. The analysis was conducted on four sets of uplift loads applied during the physical testing: 30 m/sincreased by 5 m/sincrements to 45 m/s. At this level of uplift loading, the connections exhibited inelastic behavior. A comparison with the experimental results revealed the ability of the sophisticated numerical model to predict the nonlinear response of the roof under wind uplift loads that vary both in time and space. A further component of the study was an evaluation of the load sharing among the trusses under realistic, uniform, and code pressures. Both the numerical model and the tributary area method were used for the load-sharing calculations.

• Journal of the Korean Society of Visualization
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• v.18 no.3
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• pp.23-34
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• 2020

Two-phase flow and heat transfer characteristics during the reflood phase of a single heated rod in the KHU reflood experimental facility were examined. Two-phase flow behavior during the reflooding experiment was carefully visualized along with transient temperature measurement at a point inside the heated rod. By numerically solving one-dimensional inverse heat conduction equation using the measured temperature data, time-resolved wall heat flux and temperature histories at the interface of the heated rod and coolant were obtained. Once water coolant was injected into the test section from the bottom to reflood the heated rod of >700℃, vast vapor bubbles and droplets were generated near the reflood front and dispersed flow film boiling consisted of continuous vapor flow and tiny liquid droplets appeared in the upper part. Following the dispersed flow film boiling, inverted annular/slug/churn flow film boiling regimes were sequentially observed and the wall temperature gradually decreased. When so-called minimum film boiling temperature reached, the stable vapor film between the heated rod and coolant was suddenly collapsed, resulting in the quenching transition from film boiling into nucleate boiling. The moving speed of the quench front measured in the present study showed a good agreement with prediction by a correlation in literature. The obtained results revealed that typical two-phase flow and heat transfer behaviors during the reflood phase of overheated fuel rods in light water nuclear reactors are well reproduced in the KHU facility. Thus, the verified reflood experimental facility can be used to explore the effects of other affecting parameters, such as CRUD, on the reflood heat transfer behaviors in practical nuclear reactors.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• v.49 no.5
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• pp.262-269
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• 2023

Objectives: Anterior maxillary sinus wall fractures are common in all types of maxillofacial trauma. They can result in various complications, including injury to the surrounding nerves. Owing to its anatomy, trauma to the maxillary antrum can result in injury to the middle superior alveolar nerve (MSAN) and the anterior superior alveolar nerve (ASAN). The purpose of this study is to evaluate neurosensory deficits (NSD) present in maxillary gingiva, incisors, and premolars after injury to the anterior wall of the maxillary antrum. Materials and Methods: This prospective study was conducted among 39 patients sustaining unilateral fractures of the anterior maxillary sinus wall. Clinical neurosensory tests including two-point discrimination and fine touch discrimination were performed to classify the extent of nerve injuries as mild, moderate, severe, or anesthetic. Additional temperature discrimination and pulpal sensibility tests (electric pulp testing and cold testing) were carried out. A comparison of radiographic fracture patterns and severity of nerve injury was done. Testing was carried out immediately after trauma and at 2-month follow-up. Results: More than half of the patients assessed in the study group presented with NSD of the teeth and gingiva after trauma. The incidence of deficits varied with the type of test used to measure them. Most frequently, patients presented with both loss of two point as well as fine touch discrimination thresholds. Severe nerve injuries were associated with loss of temperature discrimination clinically and displaced fractures radiographically. There was no significant relationship between the recovery of pulpal and gingival sensation. The patterns of injury and recovery in ASAN and MSAN were similar. Conclusion: NSD after trauma to the maxillary antrum is relatively common. Clinical loss of temperature discrimination and radiographic signs of fracture lines passing through the canalis sinuosus are predictors of persistent and severe oral NSD.

• Journal of Periodontal and Implant Science
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• v.28 no.2
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• pp.219-237
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• 1998

Numerous bone graft materials have been used in Periodontics, in an attempt to reach the main goal of periodontal therapy, i.e. the regeneration of periodontal tissue lost due to destructive periodontal diseases. The present study investigates the effect of composite graft of DFDB and Calcium sulfate with and without Calcium sulfate barrier in Periodontal 1-wall intrabony defects in dogs. Following the initiation of general anesthesia by I.V. administration of 40mg/Kg of Pentobabital, second premolar was extracted and full thickness flap elevated. The crown portion of premolars was removed. Exposed root canals were sealed with Caviton and covered completely with flap. After the healing period of 8 weeks, the surgical sites were re-opened and 1-wall intrabony defects were created, and treated with flap operation alone(control group), with composit graft of 80% DFDB and 20% Calcium sulfate(Experimental group 1), with composite graft of DFDB and calcium sulfate with calcium sulfate membrane( Experimental group 2). Healing response was histologically observed after 8 weeks and the results were as follows : 1. New bone formation was 70 % in the control group, 93 % in the Experimental group I, 89 % in the Experimental group II. There was a no differences between Experimental groups. 2. New cementum formation was not significantly different between control and two Experimental groups. 3. The length of connective tissue adhesion was 30 % in the control, 7% in the Experimental group I and 11 % in the Experimental group II. 4. After 8weeks, calcium sulfate was completely resorbed, while DFDB particle remained. These results suggest that the use of composite graft of allogenic DFDB and Calcium sulfate with and without Calcium sulfate barrier in periodontal 1 wall intrabony defects have little effect on connective tissue adhesion, but has beneficial effect on new alveolar bone and new cementum formation, and prevent downgrowth of epithelium and connective tissue effectively.

• Maxillofacial Plastic and Reconstructive Surgery
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• v.23 no.4
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• pp.376-379
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• 2001

There are many causes of trismus. Aetiology can be roughly divided into muscle spasm, mechanical interference, extracapsular ankylosis, intracapsular ankylosis. Trismus caused by mechanical interference between postero-lateral wall of zygoma-maxillary complex and coronoid process following reduction of fractured facial bone is rare. Especially on maxillary bone fracture, when we faced the trismus following removal of intermaxillary fixation, we got used to solve that problem by physical exercise. We obtained good results by coronoidectomy on patients with limited mouth opening who were referred from department of plastic surgery, St. Marys' hospital, the Catholic university of Korea. We report our experience with literature review.

• The Journal of the Korean dental association
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• v.49 no.11
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• pp.660-669
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• 2011

Er: YAG laser irradiation utilizing the newly developed RCLase side-firing spiral tip was used for the cleansing of root canals following their bio-mechanical preparation with ProTaper Ni-Ti files. The distal and palatal roots of 20 freshly extracted molar teeth were instrumented to size F3 with ProTaper files. In the experimental group (10 teeth) the pulp chamber and the root canals were filled with EDTA 17% and the root canals were lased for 30 s using the Er: YAG laser irradiation at 600 mJ per pulse and a frequency of 12 Hz. In the control group (10 teeth) the root canals were not lased. Scanning electron microscope analysis showed clean wall surfaces of the lased root canals with open dentinal tubules, free of smear layer and debris. In the scanning electron microscope photographs of the walls of the non-lased root canals a considerable amount of debris could be detected. It appears that an efficient cleansing of the root canal system can be achieved by using the Er: YAG laser irradiation with the RCLase Side-firing Spiral Tip following bio-mechanical preparation of the root canal with Ni-Ti Taper files.

• Journal of Rhinology
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• v.25 no.2
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• pp.99-102
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• 2018

Lateral pharyngoplasty is a surgical option for treatment of obstructive sleep apnea (OSA). Here, we present a case involving a 40-year-old healthy man who underwent surgery, including lateral pharyngoplasty and robotic tongue base resection, for OSA. There were no intraoperative or immediate postoperative complications. However, on postoperative day 3, the patient presented with swelling in the temporal and buccal areas and was diagnosed with subcutaneous emphysema, later confirmed by computed tomography. The patient was carefully monitored under conservative care and discharged without complications. Although subcutaneous emphysema following tonsillectomy is a rare complication and usually resolves with conservative management, in certain cases, it might require surgical intervention. Lateral pharyngoplasty involves tonsillectomy and additional incision along the tonsillar fossa, which makes it susceptible to pharyngeal wall defects and, consequently, subcutaneous emphysema. Additionally, lateral pharyngoplasty and robotic tongue base resection cause pain and might thus contribute to the increase in intrapharyngeal pressure, which might aggravate subcutaneous emphysema. Lateral pharyngoplasty should be performed with meticulous dissection of the superior pharyngeal constrictor muscle. Healthcare providers should be aware of these complications and, upon suspicion of the same, place the patient under close observation to prevent life-threatening situations.

• Journal of Pharmacopuncture
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• v.27 no.1
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• pp.47-52
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• 2024

Phlebotomy, a therapeutic method of bloodletting typically performed using a needle, has a traditional technique known as "Fasd." In this method, blood is extracted by creating a longitudinal incision on a vein (3-5 mm) with a surgical scalpel blade, usually blade No. 11. Due to the incision in the vessel wall, establishing hemostasis is more challenging compared to conventional methods. Hemostasis is usually achieved within minutes after Fasd. We present a case highlighting an uncommon yet significant complication of traditional phlebotomy. A 55-year-old man with no prior medical conditions underwent traditional phlebotomy at an academic traditional medicine clinic. Senior MD-PhD students in Iranian Traditional Medicine, under professor supervision, performed Fasd. A sterile scalpel blade No. 11 was used to create a longitudinal incision of approximately 4 mm on the patient's median basilic vein in the right hand. After removing 400 cc of blood, a pressure dressing was applied to the incision site. Despite attempts such as hand elevation, ice pack application, prolonged direct pressure, and tight elastic bandaging, bleeding from the incision persisted. After an hour of supportive therapy, hemostasis was eventually achieved within a few minutes using burnt cotton dressing (a traditional method for blood hemostasis). Following intravenous hydration, the patient was discharged in stable condition and reported no issues during the one-month follow-up. The traditional phlebotomy (Fasd) carries the risk of serious complications, including uncontrolled and prolonged bleeding. Further research on the efficacy and safety of burnt cotton dressing for controlling hemostasis is recommended.