• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제24권3호
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• pp.265-272
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• 2021

Purpose: Hypertrophic pyloric stenosis (HPS) is the most common cause of gastric obstruction in newborns. Extra-mucosal pyloromyotomy can be performed through a small laparotomy or laparoscopy. The aim of this study was to compare the two surgical techniques. We also analyzed the incidence of HPS in infants in the last 10 years in relation to the demographic trend of our province. Methods: We analyzed all the cases of HPS treated at our Unit between January 2010 and December 2019. The data were obtained from operating systems. Data about the demographic trends, in particular, the number of births and the population residing in the province of Verona from 2010 to 2019, were also retrieved. Results: During the study period, 60 patients were treated for HPS and met the inclusion criteria. Of these, 56 males and 4 females with an average age of 38±14 days at surgery were included. No differences were found in terms of the duration of surgery, post-operative complications, duration of hospitalization, and weight at the time of surgery. The only statistically significant data was the chlorine level in cases with and without post-operative vomiting (97±3.5 vs. 102±3.3 mmol/L, p<0.05). There was a lower incidence of HPS from 2014 to 2019; however, there was no significant evidence regarding the correlation between this and the reduced birth rate recorded in the province of Verona during the same period. Conclusion: Although laparoscopic pyloromyotomy is a highly complex procedure, it is a feasible alternative to the classic open technique.

• Advances in aircraft and spacecraft science
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• 제10권1호
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• pp.51-65
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• 2023

In this paper, the effect of deepness on in-plane free vibration behavior of a curved functionally graded (FG) nanobeam based on nonlocal elasticity theory has been investigated. Differential equations and boundary conditions have been developed based on Hamilton's principle. In order to figure out the size effect, nonlocal theory has been adopted. Properties of material vary in radial direction. By using Navier solution technique, the amount of natural frequencies has been obtained. Also, to take into account the deepness effect on vibrations, thickness to radius ratio has been considered. Differences percentage between results of cases in which deepness effect is included and excluded are obtained and influences of power-law exponent, nonlocal parameter and arc angle on these differences percentage are studied. Results show that arc angle and power law exponent parameters have the most influences on the amount of the differences percentage due to deepness effect. It has been observed that the inclusion of geometrical deep term and material distribution results in an increase in sensitivity of dimensionless natural frequency about variation of aforementioned parameters and a change in variation range of natural frequency. Finally, several numerical results of deep and shallow curved functionally graded nanobeams with different geometry dimensions are presented, which may serve as benchmark solutions for the future research in this field.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제49권1호
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• pp.30-42
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• 2023

Objectives: While the reliability of immediate implant placement in the maxillary molar has been discussed, its significance is questionable. There have been no guidelines for case selection and surgical technique for successful treatment outcomes of immediate maxillary molar implants. Therefore, in this study, we classified alveolar bone height and socket morphology of the maxillary molar to establish guidelines for immediate implant placement. Materials and Methods: From 2011 to 2019, we retrospectively analyzed 106 patients with 148 immediate implants at the Department of Oral and Maxillofacial Surgery, Seoul National University Dental Hospital. Inclusion and exclusion criteria were applied, and patient characteristics and treatment results were evaluated clinically and radiologically. Results: A total of 29 tapered, sand-blasted, large-grit, and acid-etched (SLA) surfaces of implants were placed in 26 patients. The mean patient age was 64.88 years. Two implants failed and were reinstalled, resulting in a 93.10% survival rate. Fluctuating marginal bone level changes indicating bone regeneration and bone loss were observed in the first year following installation and remained stable after one year of prosthesis loading, with an average bone loss of 0.01±0.01 mm on the distal side and 0.03±0.03 mm on the mesial side. Conclusion: This clinical study demonstrated the significance of immediate implant placement in maxillary molars as a reliable treatment with a high survival rate using tapered SLA implants. With an accurate approach to immediate implantation, surgical intervention and treatment time can be reduced, resulting in patient satisfaction and comfort.

• 한국건설순환자원학회논문집
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• 제11권4호
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• pp.568-575
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• 2023

본 논문은 스마트 시티 구축을 위한 핵심 기술로서 자기치유 기술을 적용한 프리캐스트 콘크리트의 품질 특성과 치유 성능을 평가하는 것을 목표로 하였다. 연구 결과는 하이브리드 캡슐을 혼합한 프리캐스트 콘크리트가 슬럼프와 공기량에서 감소하는 경향을 보이며, 이는 품질 특성에 일정한 영향을 미치는 것으로 나타났다. 특히, 슬럼프는 최대 14 %, 공기량은 최대 9 % 감소하였다. 또한, 하이브리드 캡슐을 혼합한 콘크리트는 압축강도와 휨강도에서 각각 최대 16 %와 18 % 감소하는 결과를 보였다. 그러나 하이브리드 캡슐을 혼합함으로써 균열 치유 성능이 증진되는 결과를 얻었다. 정수위 투수 시험을 통한 평가에서, 치유기간 28일 후 0.3 mm 균열 폭의 치유율은 혼합률이 증가함에 따라 향상되었으며, 하이브리드 캡슐의 혼합률 1 %, 3 %, 5 %에서 각각 약 16 %, 25 %, 32 %의 치유율 향상이 확인되었다.

• The Journal of Advanced Prosthodontics
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• 제15권6호
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• pp.315-332
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• 2023

PURPOSE. This study aimed to investigate whether the accuracy of intraoral scanners is influenced by different scanning strategies in an in vitro setting, through a systematic review and meta-analysis. MATERIALS AND METHODS. This review was conducted in accordance with the PRISMA 2020 standard. The following PICOS approach was used: population, tooth impressions; intervention, the use of intraoral scanners with scanning strategies different from the manufacturer's instructions; control, the use of intraoral scanners following the manufacturers' requirements; outcome, accuracy of intraoral scanners; type of studies, in vitro. A comprehensive literature search was conducted across various databases including Embase, SciELO, PubMed, Scopus, and Web of Science. The inclusion criteria were based on in vitro studies that reported the accuracy of digital impressions using intraoral scanners. Analysis was performed using Review Manager software (version 5.3.5; Cochrane Collaboration, Copenhagen, Denmark). Global comparisons were made using a standardized mean difference based on random-effect models, with a significance level of α = 0.05. RESULTS. The meta-analysis included 15 articles. Digital impression accuracy significantly improved under dry conditions (P < 0.001). Moreover, trueness and precision were enhanced when artificial landmarks were used (P ≤ 0.02) and when an S-shaped pattern was followed (P ≤ 0.01). However, the type of light used did not have a significant impact on the accuracy of the digital intraoral scanners (P ≥ 0.16). CONCLUSION. The accuracy of digital intraoral scanners can be enhanced by employing scanning processes using artificial landmarks and digital impressions under dry conditions.

• Clinics in Shoulder and Elbow
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• 제27권1호
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• pp.18-25
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• 2024

Background: The Discovery Elbow System (DES) utilizes a polyethylene bearing within the ulnar component. An exchange bearing requires preoperative freezing and implantation within 2 minutes of freezer removal to allow insertion. We report our outcomes and experience using this technique. Methods: This was an analysis of a two-surgeon consecutive series of DES bearing exchange. Inclusion criteria included patients in which exchange was attempted with a minimum 1-year follow-up. Clinical and radiographic review was performed 1, 2, 3, 5, 8 and 10 years postoperative. Outcome measures included range of movement, Oxford Elbow Score (OES), Mayo Elbow Performance Score (MEPS), complications and requirement for revision surgery. Results: Eleven DESs in 10 patients were included. Indications were bearing wear encountered during humeral component revision (n=5); bearing failure (n=4); and infection treated with debridement, antibiotics and implant retention (DAIR; n=2). Bearing exchange was conducted on the first attempt in 10 cases. One case required a second attempt. One patient developed infection postoperatively managed with two-stage revision. Mean follow-up of the bearing exchange DES was 3 years. No further surgery was required, with no infection recurrence in DAIR cases. Mean elbow flexion-extension and pronosupination arcs were 107°(±22°) and 140° (±26°). Mean OES was 36/48 (±12) and MEPS was 83/100 (±19). Conclusions: Our results support the use of DES bearing exchange in cases of bearing wear with well-fixed stems or acute infection. This series provides surgeons managing DES arthroplasty with management principles, successful and reproducible surgical techniques and expected clinical outcomes in performing DES polyethylene bearing exchange. Level of evidence: IV.

• Structural Engineering and Mechanics
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• 제89권3호
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• pp.225-238
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• 2024

In this paper, a quasi-3D hyperbolic shear deformation theory for the bending responses of a functionally graded (FG) porous micro-beam is based on a modified couple stress theory requiring only one material length scale parameter that can capture the size influence. The model proposed accounts for both shear and normal deformation effects through an illustrative variation of all displacements across the thickness and satisfies the zero traction boundary conditions on the top and bottom surfaces of the micro-beam. The effective material properties of the functionally graded micro-beam are assumed to vary in the thickness direction and are estimated using the homogenization method of power law distribution, which is modified to approximate the porous material properties with even and uneven distributions of porosity phases. The equilibrium equations are obtained using the virtual work principle and solved using Navier's technique. The validity of the derived formulation is established by comparing it with the ones available in the literature. Numerical examples are presented to investigate the influences of the power law index, material length scale parameter, beam thickness, and shear and normal deformation effects on the mechanical characteristics of the FG micro-beam. The results demonstrate that the inclusion of the size effects increases the microbeams stiffness, which consequently leads to a reduction in deflections. In contrast, the shear and normal deformation effects are just the opposite.

• 대한치과교정학회지
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• 제54권2호
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• pp.89-107
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• 2024

Objective: This systematic review aimed to provide a comparative analysis of the treatment outcomes, including hard and soft tissues, postoperative stability, temporomandibular disorders (TMD), and quality of life (QoL), in patients with facial asymmetry who underwent orthognathic surgery. Methods: The primary objective was to address the question, "How do different factors related to surgery affect the outcomes and stability of orthognathic surgery in the correction of facial asymmetry?" A meta-analysis was conducted on the outcome parameters, such as skeletal, dental, and soft tissue symmetry, TMD, QoL, and relapse, using the Hartung-Knapp-Sidik-Jonkman method for random-effects models. Subgroup analyses were conducted considering surgery-related factors such as surgical techniques (one-jaw vs. two-jaw), use of the surgery-first approach, utilization of computer simulation, and analytical methods employed to evaluate asymmetry (2D vs. 3D). Results: Forty-nine articles met the inclusion criteria. The metaanalysis demonstrated a significant improvement in the symmetry of hard and soft tissues. The subgroup analysis indicated that the treatment outcomes showed significant improvement, regardless of the factors related to surgery. Changes in TMD signs and symptoms varied according to the surgical technique used. Quality of life improved in the facial, oral, and social domains. Skeletal relapse was observed during the follow-up. Conclusions: Our findings support the positive outcomes of orthognathic surgery in the treatment of facial asymmetry in terms of skeletal and soft tissue improvements, stability, relief of TMD symptoms, and enhancement of QoL. However, most of the included studies showed a low certainty of evidence and high heterogeneity.

• 대한지하수환경학회지
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• 제7권2호
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• pp.89-96
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• 2000

Slug시험은 수리전도도 예측에 가장 널리 쓰이는 편리한 대수층 실험법이다. Slug시험 중인 관측정 수위 변동은 관측정 반경, 스크린 길이, 다공 매질의 수리전도도와 비저유계수에 영향을 받는다. 이 연구에서는 유한요소기법을 이용한 새 slug시험 모델을 개발하고 그 유용성을 시험하였다. 모델에서 관측정의 수위변동과 다공매질내 지하수유동을 반복기법(iteration technique)을 적용하여, 스크린상의 유동량 측정으로 연결하였다. 이 모델의 수치적 정확도는 Cooper et al. (1967)의 분석해에 대해 검증되었다, 본 방법은 주변 모니터링이 가능한 slug시험의 시뮬레이션, 부분관통과 비저유 계수의 반영 등의 장점이 있다. Slug시험을 통한 다공매질 반영 범위는 비저유계수에 민감하다. 작은 비저유계수일수록 수두압 변화 전파범위가 커져 그 반영률이 증가한다. 관측정의 표준곡선 비교를 통해 비저유계수 예측이 어려우므로, 다공매질 내에서 관측된 수두변화의 표준곡선 활용이 유용할 것이다. 지하수유동의 수직 성분이 커질수록 관측정 수위 회복에 대한 비저유계수의 영향은 더 감소한다. 실제 관측정 주변의 수평-수직한 지하수 유동 해석시, 비저유계수의 무시와 관측데이터의 적용구간 선택에 의한 수리전도도 예측 편차는 거의 무시할 만하며, 수평유동의 경우 분석방법상 편차가 약간 발생한다.

• 한국전산구조공학회논문집
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• 제33권4호
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• pp.225-235
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• 2020

초음파 탐상은 다양한 콘크리트 구조물의 비파괴검사에서 활용된다. 본 연구에서는 골재형상을 고려한 골재-모르타르 모델 생성과 초음파 전파 해석을 수행하였다. 실제 골재형상을 반영하기 위해 이미지처리를 통한 골재-모르타르 단면으로부터 모르타르와 골재 영역을 파악하고, 영역 경계형상을 보존하면서 격자를 생성하는 기법을 개발하였다. 개발된 기법에서는 모든 격자가 4각형으로 생성된다. 골재-모르타르 모델을 통해 초음파 전파 해석을 수행하였고 모델을 반무한체로 간주하기 위해 CALM 기반 경계흡수 조건을 적용하였다. 골재 및 결함을 포함한 이미지로부터 격자를 생성한 뒤, 결함 영역에 포함된 격자를 제거하여 공극결함을 모사하였다. 본격적인 결함탐지 전 선행 해석을 통해 모델 동특성을 고려한 적절한 가진 주파수를 결정 및 가진 신호형상을 설계하였다. 이후 case 별초음파 전파 해석을 통해 신호를 획득하고 신호 에너지 맵핑 작업을 통해 내부 결함을 가시화 하였다. 가시화 결과, 골재에 의한 다수반사 및 산란현상이 관찰되지만 결함부에서 신호 에너지는 가장 높게 나타났으며 모든 해석 case에서 결함위치 추정이 가능하였다. 또한 균열의 경우 형상파악도 가능하였다.