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Recent trend and surgical management for panfacial fracture (범안면골 골절의 최근 경향 및 수술개념)

  • Kim, Jin-Wook
    • The Journal of the Korean dental association
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    • v.54 no.10
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    • pp.811-819
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    • 2016
  • Panfacial fracture is extremely difficult to manage facial injuries but concomitant injuries and severe complications including facial esthetic and functional problems can make it harder. Thorough evaluation and closed co-work with other specialists is needed when reduction and fixation cannot be achieved quickly. Emergency bony support and soft tissue key suture provide the patients with airway integrity, hard and soft tissue vitality. A systemic treatment plan must be made by 3D CT image. This plan include airway management for surgery, sequence of reduction and fixation, approach method, soft tissue resuspension and reconstruction of lost tissue like inferior orbital wall, zygomaic buttress and soft tissue. From known to unknown structures, accurate reduction and fixation will provide proper occlusion, facial projection, width, hight and function. Consideration about facial retaining ligaments must be given to prevent soft tissue sagging.

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Parallel-excision infrabrow blepharoplasty with extensive excision of the orbicularis oculi muscle in an Asian population

  • Lee, Yoon Jae;Kim, SeongAe;Lee, Jisung;Chung, Joong Geel;Jun, Young Joon
    • Archives of Plastic Surgery
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    • v.47 no.2
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    • pp.171-177
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    • 2020
  • Background Infrabrow blepharoplasty has become a common surgical method used to rejuvenate aged upper eyelids in Asians. In this paper, we describe the parallel excision method for infrabrow blepharoplasty as a useful alternative to the conventional elliptical excision method. The authors' experience over a 3-year period is presented and reviewed. Methods A retrospective review of parallel excision infrabrow blepharoplasty cases at our hospital between 2014 and 2017 was performed. Three oculoplastic surgeons compared preoperative and postoperative photographs using the Strasser grading system. Results From the medical records of 123 patients, a total of 93 patients with moderate-to-severe bilateral dermatochalasis were selected as subjects. The exclusion criterion was levator function less than 8 mm. The total mean follow-up period was 2 years (range, 0.5-3.5 years). The mean skin excision height and width were 9.75 mm (range, 5-16 mm) and 58.51 mm (range, 42-75 mm), respectively. All patients who underwent surgery recovered without major complications, and all patients had high levels of satisfaction and improvements in their visual field. In the Strasser evaluation performed by the oculoplastic surgeons, most patients were found to have excellent results. Conclusions The parallel excision method for infrabrow blepharoplasty is a safe and effective technique that yields more natural- and youthful-looking eyelids than the conventional elliptical excision method. In our method, more effective manipulation of the orbicularis oculi muscle led to a reduction in frontalis compensation, resolution of sunken eyelids, and correction of lateral hooding.

Nonlinear Magneto-optic Effect in the Paraffin Coated Rb Vapor Cell (파라핀이 코팅된 Rb 증기 셀에서 비선형 광자기 효과 신호)

  • Lee, Hyun-Joon;Yu, Ye-Jin;Bae, In-Ho;Moon, Han-Seb
    • Korean Journal of Optics and Photonics
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    • v.20 no.4
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    • pp.249-254
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    • 2009
  • In our study, the Hanle spectrum and nonlinear magneto-optic effect (NMOE) signals were observed as a function of magnetic field on $D_1$ line of $^{87}Rb$ atoms contained in a paraffin coated vapor cell. We observed the double structure from the Hanle and the NMOE spectrum in the paraffin coated Rb vapor cell. The narrow spectral width of the narrow resonance signal is approximately 1 kHz and the magnitude is approximately 10 percent of the total spectrum. Also, the NMOE signals corresponding to the Hanle configuration consisted of two different dispersion-like features. At the near zero magnetic field, a sharp slope signal was centered, and its value was 10 mV/${\mu}T$ with laser power was $200{\mu}W$.

A Study On The Bending Characteristics of Ribbon Cable Unit (리본광케이블 유니트의 구부림 특성 연구)

  • 이병철;이영탁;김미경
    • Korean Journal of Optics and Photonics
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    • v.6 no.4
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    • pp.379-384
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    • 1995
  • In order to construct B-ISDN, it is inevitable to introduce optical fiber of low loss and wide bandwidth. Coincidently, high count optical fiber cable is solely important to form optical subscriber network. The best structure of high count optical fiber cable to achieve multi-splicing as well as high density at the same time is the one of taking optical ribbon as a unit of accomodation. However, since optical ribbon has its own width. optical loss due to length difference during the bending of ribbon cable unit occurs in relatively easy way. Therefore, care should be taken during its manufacturing and storage. In t\1::; paper, strain, bending radius and lateral pressure of each fiber in ribbon due to the bending of ribbon cable unit are caculated theoretically. Hence, we have measured optical loss of each fiber as function of unit bending radius, when we bent the ribbon cable unit on the various reel. We found that the result accords well with the theoretical analysis. The result shows the importance to determine proper radius of reel used in ribbon cable manufacturing and storage. orage.

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Simulation Study on the Performance Evaluation of Light-shelf According to Geometric Shape of Ceiling (천장의 기하학적 형태에 따른 광선반 성능평가 시뮬레이션 연구)

  • Lee, Henagwoo;Kim, Yongseong;Seo, Janghoo;Kim, Duk-Su
    • Korean Journal of Air-Conditioning and Refrigeration Engineering
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    • v.26 no.4
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    • pp.181-192
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    • 2014
  • Light-shelf is one of the most efficient natural lighting systems due to the improved function of the inflow level of the outdoor natural light. However, the existing research on the light shelf limits to the rectangular parallelepiped space, so do not provide sufficient data for various shapes of spaces. Thus, this study aims at deriving proper plan and relationship of the light shelf through its performance assessment depending on the indoor space shapes and utilizing them as basic data of light shelf design. The conclusions are as follows : 1) for 6m space depth, standard intensity of illumination satisfaction depth has shown 8.3%~26.3% improvement through the adjustment of the angle and width when installing light shelf compared to no light shelf installation; 2) $-30^{\circ}$, $-20^{\circ}$ and $-10^{\circ}$ light shelves set by this study play only as a blind regardless of the shape of ceiling on the summer solstice, and it is unsuitable; and 3) this study has derived proper plan of light shelf upon space shapes based on energy reduction and indoor evenness. The study results provide expanded data of the performance assessment of the light shelves according to the different space shapes and light shelf factors, which serves as a basis of the light shelves designing.

Data Decision Aided Timing Tracker in IR-UWB System using PPM (PPM 변조방식의 IR-UWB 시스템에서 데이터 결정방식을 이용한 타이밍 추적기)

  • Ko, Seok-Jun
    • Journal of the Institute of Electronics Engineers of Korea TC
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    • v.44 no.1
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    • pp.98-105
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    • 2007
  • In this paper, we propose a timing detector using suboptimal maximum likelihood method. The proposed method has an simple reference signal generator. Additionally, timing detector's gain of the proposed method is the same to Early-Late gate and ML method. We reveal that tracking range of time tracker is narrow because of using data-decision, that is, tracking range is ${\pm}0.06ns$ for the 4-order Gaussian monocycle with 0.7ns pulse width. Therefore we can find that searcher must have very accurate acquisition procedure. When estimating a performance of time tracker, we consider a jitter in transmitter and receiver's pulse generation process as well as background noise. By using computer simulation, we propose mean/variance of timing detector and tracking process. Also we consider a mobility in tracking process, i.e., timing error modeled ramp function. In order to propose a performance of time tracker, we consider only one correlation demodulator.

Effect of fiber volume fraction on the tensile softening behavior of Ultra High Strength Steel Fiber-Reinforced Concrete (섬유혼입률이 초고강도 강섬유 보강 콘크리트의 인장연화거동에 미치는 영향)

  • Kang, Su-Tae;Park, Jung-Jun;Lee, Si-Young;Park, Gun;Hong, Sung-Wook;Kim, Sung-Wook
    • Proceedings of the Korea Concrete Institute Conference
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    • 2008.04a
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    • pp.421-424
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    • 2008
  • Ultra high strength steel fiber-reinforced concrete is characterized with high tensile strength and ductility. This paper revealed the influence of fiber volume fraction on the tensile softening behaviour of ultra high strength steel fiber-reinforced concrete and developed tensile softening model to predict the deformation capacity by finite element method analysis with experimental results. The initial stiffness of ultra high strength steel fiber-reinforced concrete was constant irrespective of fiber volume fraction. The increase of fiber volume fraction improved the flexural tensile strength and caused more brittle softening behaviour. Finite element method analysis proposed by Uchida et al. was introduced to obtain the tensile softening curve from three point notched beam test results and we proposed the tensile softening model as a function of fiber volume fraction and critical crack width.

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A Study in Seismic Signal Analysis for the First Arrival Picking (초동발췌를 위한 탄성파 신호분석연구)

  • Lee, Doo-Sung
    • Geophysics and Geophysical Exploration
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    • v.10 no.2
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    • pp.131-137
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    • 2007
  • With consideration of the first arrival picking methodology and inherent errors in picking process, I propose, from the computerization point of view, a practical algorithm for picking and error computation. The proposed picking procedure consists of 2-step; 1) picking the first coherent peak or trough events, 2) derive a line which approximates the record in the interval prior to the pick, and set the intercept time of the line as the first break. The length of fitting interval used in experiment, is few samples less than 1/4 width of the arriving wavelet. A quantitative measure of the error involved in first arrival picking is defined as the time length that needed to determine if an event is the first arrival or not. The time length is expressed as a function of frequency bandwidth of the signal and the S/N ratio. For 3 sets of cross-well seismic data, first breaks are picked twice, by manually, and by the proposed method. And at the same time, the error bound for each trace is computed. Experiment results show that good performance of the proposed picking method, and the usefulness of the quantitative error measure in pick-quality evaluation.

TREATMENT OF MIDFACE DEFICIENCY ON ADULT CLEFT LIP AND PALATE INDIVIDUALS BY DISTRACTION OSTEOGENESIS : CASE REPORT (골신연술에 의한 성인 구순구개열자의 중안면함몰의 개선: 증례보고)

  • Son, Woo-Sung;Kang, Sang-Wook;Kang, Dae-Geun;Kim, Jong-Ryoul
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.31 no.1
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    • pp.53-60
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    • 2009
  • Maxillary deficiency, anterior cross bite, constriction of maxillary arch, malaligned teeth are frequently observed in patients with cleft lip and palate. Surgery and orthodontics, combined intervention are needed to correct maxillary deficiency. Distraction osteogenesis that currently used has many advantages like less relapse tendency, more advancement of maxilla, capable in growing patients. In case 1, 18 years old girl with BCLP had severe midfacial deficiency and multiple missing of teeth. LeFort I osteotomy, followed by maxillary distraction osteogenesis utilizing rigid external distraction device(RED) system, was performed. After a 6-day latency period, distraction proceeded at a rate of 1mm per day (at 1st week, 1.5mm/day). Total advancement was 19mm. The RED device left in place for the additional 4 weeks for consolidation. After the RED device was removed, face mask was applied with elastic traction for 5 weeks. After achieving acceptable facial appearance and occlusion, orthodontic appliance was removed. The results after 4 years follow-up was sustained pretty well without aggravation of velopharyngeal function. In case 2, 22 years old man with UCLP had severe midfacial deficiency and palatally erupted upper 2nd premolars due to arch length discrepancy, but the anterior segment of maxillary did not show constriction and crowding. patient had no arch width discrepancy, crowding was concentrated on premolar region. Segmental LeFort I osteotomy was performed. After a 6 - day latency period, using internal distraction device, distraction proceeded at a 0.5mm per day(at 1st week, 0.75 - 1 mm/day). Total advancement was 15mm. After internal distraction device was removed, face mask was applied with elastic traction for 4 weeks. After surgical-orthodontic treatment, facial appearance and occlusion was improved pretty good, and after 46 months follow-up the result was retained well.

A Study of energy conversion by the penetration control in the skin (에너지변환을 이용한 피부의 투과조절에 관한 연구)

  • Kim, Jeong-Lae;Kim, Hye-Ju
    • The Journal of the Convergence on Culture Technology
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    • v.3 no.1
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    • pp.43-48
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    • 2017
  • We are confirmed to the variation of the transfer condition and the functional penetration by the permitted conversion energy on the skin. The given conversion energy is consist of the flow level of penetration control and go to the processing transfer in the skin that is to create the modeling for algorithm. The energy level of control processing was achieved effectively modeling system that was the composition of auto and local control level in the epidermis-dermis layer. Their penetration pulse control system was consisted of conversion energy with reference of fixing situation and recreation of designed apparatus for the energy control function that was converted to capacity by the size, form and combination. Also, the system was shown accurately distribution of conversion at the depth of skin correction. Therefore, conversion modeling was established effectively to separate the division parts for conversion system. We will be possible to progress the improvement effectiveness of the skin and to consist of the continuous penetration control system for functional energy on the skin.