• 구강회복응용과학지
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• 제30권3호
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• pp.215-222
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• 2014

본 연구는 수평적, 수직적 안면 골격 유형에 따른 하악 전치부 치조골의 형태학적 차이를 알아보기 위하여 시행 하였다. 연구 재료 및 방법: 40명의 Cone-beam computed tomography (Cone-beam CT)를 선별하여, 4개 군으로 분류하였다. Cone-beam CT 자료를 이용하여 하악 전치부 치조골의 부피($mm^3$), 하악 4절치 치축 기준 시상단면의 단면적(총 단면적, 해면골 단면적: $mm^2$), 백악법랑경계(cemento-enamel junction: CEJ) 2 mm, 3 mm 아래 순, 설측 치조골 두께를 측정하였다. 통계분석은 GLM, Kruskal-Wallis test and Tukey HSD를 사용하였다. 결과: 측절치의 백악법랑경계 2 mm, 3 mm 하방 설측 치조골 두께가, Class I low angle군이 나머지 3군 보다 두꺼웠다 (P < 0.05). 하악 전치 치조골의 부피, 전체 치조골 및 해면골의 단면에서의 통계적으로 유의한 차이는 없었다. 결론: Class I low angle군은 Class II high angle군에 비해 하악 전치 치조골의 설측 부위가 더 두껍다.

• 자원환경지질
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• 제49권2호
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• pp.105-120
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• 2016

우리나라에서 수막재배가 이루어지는 수변지역 대부분은 성수기에 지하수위 하강과 함께 지하수 고갈 문제로 항시 어려움을 겪고 있다. 이러한 수변지역에서의 지하수 자원량 문제는 인근 하천수와의 연계 특성이 고려될 때 효율적으로 해결될 수 있다. 이 연구에서는 지하수와 하천수와의 연계성 및 지하수 대수층에 미치는 하천수의 영향을 논의하기 위해, 지하수의 토출온도, 지하수와 하천수의 산소 수소 안정동위원소 조성 변화 특성을 검토하였다. 연구지역은 딸기 수막재배지로 잘 알려진 청주시 가덕면 상대리 지역이며, 지하수와 하천수의 시료 채취는 2012년 2월부터 2014년 6월까지 실시되었다. 하천 가까이 분포하는 지하수 관정들 중 일부는 하천수의 영향 정도에 따라 측정 시기별로 용출온도의 변화가 심한 것들이 관찰되었으며, 이들의 산소 수소 안정동위원소 조성비는 대부분 하천수의 산소 수소 안정동위원소 조성비와 유사함을 보였다. 이는 지하수에 미치는 하천수의 영향이 산소 수소 안정동위원소 조성비 변화에 반영되고 있음을 지시한다. 관정 위치에 따른 공간적 변화 양상을 알아보기 위하여, 하천으로부터 우측 구릉지까지 4개의 측선을 설정하였다. 수막재배 말기인 2-3월 시기에, 하천에서 구릉지까지의 거리가 짧은 측선상의 관정들은 좁은 범위의 산소 수소 안정동위원소 조성 범위를 보인 반면에, 하천에서 구릉지까지의 거리가 긴 측선상의 관정들은 폭넓은 산소 수소 안정동위원소 조성 범위를 보였다. 연구지역에서 하천이 지하수에 미치는 영향 거리는 수막재배 말기에 최대 160~165 m 정도인 것으로 해석되었다. 이는 폭이 좁은 측선에서는 전체 거리에 해당되며, 폭이 넓은 측선에서는 전체 길이의 약 1/3 지점에 해당된다. 따라서, 폭이 넓은 측선상에서 관찰되는 넓은 범위의 산소 수소 안정동위원소 조성은 하천수의 영향 뿐 아니라 2개 이상의 대수층들간의 영향력 변화에서 기인되는 것으로 해석된다. 산소 수소 안정동위원소 조성으로 볼 때, 연구지역 내에는 3개 대수층이 존재하는 것으로 추정되며, 이들 대수층이 관정 내에 미치는 상호 영향력은 수막재배 시기별로 달라지는 것으로 보인다.

• 한국측량학회지
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• 제30권1호
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• pp.67-73
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• 2012

인간의 활동뿐만 아니라 연안 지역의 경제적 피해와 환경 보존에 미치는 해안 침식의 영향은 여러 국가 정책 중에서 주요 관심사 중 하나이다. 본 연구에서는 거진항 지역에 위치한 해변을 대상으로 해안 침식의 영향을 판단하기 위한 해안선 변화 및 해빈 단변에 대한 물리적 조사를 실시하였다. 조사 결과는 해수면 상승, 폭풍, 고파랑 및 인위적 건축물에 의한 복잡한 원인들에 의하여 거진 해변에서 명확한 해안 침식이 일어나고 있는 것을 보여주었다. 특히, 자산천 하구 부근에서는 표사 유입으로 인한 안정된 해빈폭을 유지하고 있었으나, 나머지 구간에서는 해빈폭의 전진 현상보다는 후퇴 현상이 증가를 하고 있는 것으로 나타났다. 따라서 본 GW04 지역은 해안침식에 대하여 불안정한 상태에 놓여 있다고 판단되며, DGPS와 다양한 측량 조사 방법에 의한 지속적인 모니터링 관찰이 필요하다고 본다.

• 생물정신의학
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• 제22권1호
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• pp.14-19
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• 2015

Objectives The purpose of this study is to find the cephalometric variables which are significantly correlated with the apnea-hypopnea index (AHI) in suspected Korean obstructive sleep apnea (OSA) patients. Methods We examined lateral cephalogram and attended-full night laboratory polysomnography of the 40 participants who complained of OSA symptoms. The correlation analysis was conducted to find the cephalometric variables which are significantly correlated with the AHI. Results The correlation analysis showed that the higher AHI was associated with the longer distance between hyoid and mandibular plane (p = 0.023), the longer distance between C3 and hyoid (p = 0.014), the longer tongue length (p = 0.003), the larger inferior tongue area (p = 0.008), the larger anterior displacement of the hyoid bone (p = 0.024), the longer distance between posterior nasal spine and the tip of the soft palate (p = 0.021), and the larger cross-sectional area of soft palate (p = 0.001) of cephalogram in erect position. The higher AHI was correlated with the longer distance between hyoid and mandibular plane (p = 0.008), the longer tongue length (p = 0.037), the larger inferior tongue area (p = 0.013), the thicker uvula (p = 0.004), the longer distance between retrognathion and hyoid (p = 0.025), and larger cross-sectional area of soft palate (p = 0.001) of cephalogram in supine position. Conclusions The present preliminary results showed the candidate measurements of cephalogram which are significantly correlated with the AHI in suspected OSA.

• 대한치과교정학회지
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• 제47권6호
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• pp.353-364
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• 2017

Objective: The objective of this study was to investigate the effects of miniscrew-assisted rapid palatal expansion (MARPE) on changes in airflow in the upper airway (UA) of an adult patient with obstructive sleep apnea syndrome (OSAS) using computational fluid-structure interaction analysis. Methods: Three-dimensional UA models fabricated from cone beam computed tomography images obtained before (T0) and after (T1) MARPE in an adult patient with OSAS were used for computational fluid dynamics with fluid-structure interaction analysis. Seven and nine cross-sectional planes (interplane distance of 10 mm) in the nasal cavity (NC) and pharynx, respectively, were set along UA. Changes in the cross-sectional area and changes in airflow velocity and pressure, node displacement, and total resistance at maximum inspiration (MI), rest, and maximum expiration (ME) were investigated at each plane after MARPE. Results: The cross-sectional areas at most planes in NC and the upper half of the pharynx were significantly increased at T1. Moreover, airflow velocity decreased in the anterior NC at MI and ME and in the nasopharynx and oropharynx at MI. The decrease in velocity was greater in NC than in the pharynx. The airflow pressure in the anterior NC and entire pharynx exhibited a decrease at T1. The amount of node displacement in NC and the pharynx was insignificant at both T0 and T1. Absolute values for the total resistance at MI, rest, and ME were lower at T1 than at T0. Conclusions: MARPE improves airflow and decreases resistance in UA; therefore, it may be an effective treatment modality for adult patients with moderate OSAS.

• 여성건강간호학회지
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• 제20권4호
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• pp.287-296
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• 2014

Purpose: The purpose of this study was to analyze the quality of reports on observational studies published in the Korean Journal of Women Health Nursing (KJWHN). Methods: Forty-six studies using cross-sectional designs published in KJWHN from January 2011 to June 2013 were selected for analysis. Selected articles were reviewed and evaluated by three reviewers using the 22 items of the Strengthening the Reporting of Observational studies in Epidemiology (STROBE) statement. As some of 22 items had more than one check point, further broken down, 34 checklist items were used for analysis. Results: Overall, the reviewed studies provided sufficient descriptions for many STROBE items. Seven of the 34 items were found to be not applicable, and 15 of the remaining 27 items (55.5%) were evaluated as 'sufficient' in reporting. Only one study included a flow diagram illustrating participation and this lack of flow diagram was the weakest area of reporting in this review. Conclusion: Clearer reporting of cross-sectional studies can be attained by attention to vulnerable areas of reporting, such as including a flow diagram of participants, descriptions of sources of bias and reason for non-participation, and describing limitations of the study. Issues regarding the application of STROBE statement items should be actively discussed in order to aid future revision and clarification of items included in STROBE statement.

• The Korean Journal of Pain
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• 제34권4호
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• pp.454-462
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• 2021

Background: This study was performed to reveal the relationships between the cross-sectional areas (CSAs) of the paraspinal muscles and the severity of low back pain (LBP), including the level of disability. Methods: This single-center cross-sectional study was conducted on 164 patients with chronic LBP. The effects of demographic characteristics, posture, level of physical activity, disc herniation type, and sarcopenia risk on the CSAs of paraspinal muscles were evaluated along with the relationship between the CSAs and severity of pain and disability in all patients. The CSAs of paraspinal muscles were evaluated using the software program Image J 1.53. Results: A negative significant correlation was found between age and the paraspinal muscle's CSA (P < 0.05), whereas a positive correlation was present between the level of physical activity and the CSA of the paraspinal muscle at the L2-3 and L3-4 levels. The CSAs of paraspinal muscles in patients with sarcopenia risk was significantly lower than those in patients without sarcopenia risk (P < 0.05). The CSAs of paraspinal muscles at the L2-3 and L3-4 levels in obese patients were significantly higher than those in overweight patients (P = 0.028, P = 0.026, respectively). There was no relationship between the CSAs of paraspinal muscles and pain intensity or disability. Conclusions: Although this study did not find a relationship between paraspinal CSAs and pain or disability, treatment regimens for preventing paraspinal muscles from atrophy may aid pain physicians in relieving pain, restoring function, and preventing recurrence in patients with chronic LBP.

• 대한치과교정학회지
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• 제53권5호
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• pp.317-327
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• 2023

Objective: This study aimed to evaluate the association between low tongue position (LTP) and the volume and dimensions of the nasopharyngeal, retropalatal, retroglossal, and hypopharyngeal segments of the upper airway. Methods: A total of 194 subjects, including 91 males and 103 females were divided into a resting tongue position (RTP) group and a LTP group according to their tongue position. Subjects in the LTP group were divided into four subgroups (Q1, Q2, Q3, and Q4) according to the intraoral space volume. The 3D slicer software was used to measure the volume and minimum and average cross-sectional areas of each group. Airway differences between the RTP and LTP groups were analyzed to explore the association between tongue position and the upper airway. Results: No significant differences were found in the airway dimensions between the RTP and LTP groups. For both retropalatal and retroglossal segments, the volume and average cross-sectional area were significantly greater in the patients with extremely low tongue position. Regression analysis showed that the retroglossal airway dimensions were positively correlated with the intraoral space volume and negatively correlated with A point-nasion-B point and palatal plane to mandibular plane. Males generally had larger retroglossal and hypopharyngeal airways than females. Conclusions: Tongue position did not significantly influence upper airway volume or dimensions, except in the extremely LTP subgroup.

• Imaging Science in Dentistry
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• 제53권4호
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• pp.375-381
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• 2023

Purpose: This study assessed the diagnostic performance of stitched and non-stitched cross-sectional cone-beam computed tomography (CBCT) images of non-displaced ovine mandibular fractures. Materials and Methods: In this ex vivo study, non-displaced fractures were artificially created in 10 ovine mandibles (20 hemi-mandibles) using a hammer. The control group comprised 8 hemi-mandibles. The non-displaced fracture lines were oblique or vertical, <0.5 mm wide, 10-20 mm long, and only in the buccal or lingual cortex. Fracture lines in the ramus and posterior mandible were created to be at the interface or borders of the 2 stitched images. CBCT images were obtained from the specimens with an 80 mm×80 mm field of view before and after fracture induction. OnDemand software (Cybermed, Seoul, Korea) was used for stitching the CBCT images. Four observers evaluated 56 (28 stitched and 28 non-stitched) images to detect fracture lines. The diagnostic performance of stitched and non-stitched images was assessed by calculating the area under the receiver operating characteristic curve (AUC). Sensitivity and specificity values were also calculated (alpha=0.05). Results: The AUC was calculated to be 0.862 and 0.825 for the stitched and non-stitched images, respectively (P=0.747). The sensitivity and specificity were 90% and 75% for the non-stitched images and 85% and 87% for the stitched images, respectively. The inter-observer reliability was shown by a Fleiss kappa coefficient of 0.79, indicating good agreement. Conclusion: No significant difference was found in the diagnostic performance of stitched and non-stitched cross-sectional CBCT images of non-displaced fractures of the ovine mandible.

• 대한기계학회:학술대회논문집
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• 대한기계학회 2001년도 춘계학술대회논문집E
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• pp.341-348
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• 2001

The purpose of present study is to investigate for reducing pressure fluctuations in the case of installing the air-shafts on the side wall of the tunnel with small cross-sectional area on conventional line. Experiments were performed with a 1/61-scale moving model rig for the tunnel of 0.764 km length in the condition of tunnel cross-section area of $28 m^2$. According to the results, the maximum pressure fluctuation is reduced by 45 % for 19 air-shafts. This results have the speed-up effects of about 33.4 km/h for the train running in tunnel.