• Journal of Korean Neurosurgical Society
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• 제52권4호
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• pp.300-305
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• 2012

Objective : The purpose of this study is to elucidate the anatomic relationships between the uncinate process and surrounding neurovascular structures to prevent possible complications in anterior cervical surgery. Methods : Twenty-eight formalin-fixed cervical spines were removed from adult cadavers and were studied. The authors investigated the morphometric relationships between the uncinate process, vertebral artery and adjacent nerve roots. Results : The height of the uncinate process was 5.6-7.5 mm and the width was 5.8-8.0 mm. The angle between the posterior tip of the uncinate process and vertebral artery was $32.2-42.4^{\circ}$. The distance from the upper tip of the uncinate process to the vertebral body immediately above was 2.1-3.3 mm, and this distance was narrowest at the fifth cervical vertebrae. The distance from the posterior tip of the uncinate process to the nerve root was 1.3-2.0 mm. The distance from the uncinate process to the vertebral artery was measured at three different points of the uncinate process : upper-posterior tip, lateral wall and the most antero-medial point of the uncinate process, and the distances were 3.6-6.1 mm, 1.7-2.8 mm, and 4.2-5.7 mm, respectively. The distance from the uncinate process tip to the vertebral artery and the angle between the uncinate process tip and vertebral artery were significantly different between the right and left side. Conclusion : These data provide guidelines for anterior cervical surgery, and will aid in reducing neurovascular injury during anterior cervical surgery, especially in anterior microforaminotomy.

• Physical Therapy Rehabilitation Science
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• 제5권2호
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• pp.84-88
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• 2016

Objective: Generally, it is known that there is a correlation between excessive calcaneus eversion and a patient with low back pain and it also affects pelvic alignment. However, there are not enough studies that show calcaneal eversion having an effect on the alignment of the trunk. Design: Cross-sectional study. Methods: A 3-dimensional motion analysis system was used to assess the lower limbs, pelvic alignment, and trunk alignment with increased unilateral and bilateral calcaneal eversion in twenty-one subjects. All subjects were asked to maintain a static posture for seven seconds on a wedge three times per posture for measurement and analysis purposes. The wedge used in the process was a lateral wedge with a 10-degree tilt to the lateral direction. To unify all of the subjects' foot position, the front and inner side of the wedge were marked. The height of the tilted wedge's inner side and flat wedge were balanced equally in order to be able to maintain the lateral part of the foot to the same height when producing an increased calcaneal eversion. Results: Comparing the changes in trunk and pelvic alignment in accordance to calcaneal eversion for each posture, there was a significant different in the X and Y-axis for each posture, but not in the Z-axis (p<0.05). Thus, it can be confirmed that calcaneal eversion in the sagittal plane and frontal plane may have and effect on the pelvis and the trunk. Conclusions: Postures with increased bilateral and unilateral calcaneal eversion has an effect on pelvic alignment, but does not cause any changes in trunk alignment.

• 대한치과교정학회지
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• 제19권1호
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• pp.45-59
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• 1989

This study was undertaken to analyze the displacement and stress distribution in the mandible according to the pulling directions during mandibular first molar cervical traction after mandibular second molar extraction. The 3-dimensional finite element method(FEM) was used for a mathematical model composed of 594 elements and 1019 nodes. An orthodontic force, 450 gm, was applied to the each mandibular first molar in parallel, and below the occlusal plane by $7^{\circ}\;and\;25^{\circ}$ and meet the midsagittal plane by $40^{\circ}$ toward posterior direction. The results were as follows: 1. Mandibular teeth were displaced in more downward, posterior and lateral direction. Especially high stress was noted in case of parallel pull than in case of below the occlusal plane by $7^{\circ}\;and\;25^{\circ}$. 2. Mandibular first molar was moved bodily. 3. Generally, alveolar bone, mandibular body, ascending ramus and mandibular angle portion were displaced in downward, posterior and lateral direction. But coronoid process was displaced in downward, forward and lateral direction, and anterior and inner middle portion of condyle head and neck were displaced in downward, forward and medial direction, and posterior and outer middle portion of condyle head and neck were displaced in upward, forward and medial direction. 4. Maximum stress was observed at the condyle head and neck portion. With steeper direction of force, condyle head and neck showed more stress than parallel relation to the occlusal plane.

• Archives of Plastic Surgery
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• 제35권5호
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• pp.581-588
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• 2008

Purpose: It is generally accepted that anatomical structures of the soft tissue in Asian faces are quite different from those in Caucasian. It is presumed that these differences are due to collagen rich thick dermis and durable superficial musculo-apponeurotic system (SMAS) in Asian. We classified the aging lower eyelids and reviewed the operative procedures according to the types of aging lower eyelids in Asian. Methods: We compared preoperative and postoperative photos of 117 patients over 30 years of age, who underwent lower blepharoplasty at the Kyunghee Medical Center from January 2001 to April 2006. We classified the patients based on the degree of skin laxity, presence of nasojugal groove and malar bag, the extent of aging process. We also reviewed the operative procedures according to each type of classification. Results: We classified our patients into four types as following. Type I patients showed minimal skin-muscle excess confined to lower eyelids regardless of the facial line. For these patients, we performed only transcutaneous or transconjunctival blepharoplasty. In type II patients, nasojugal grooves were shown and skin- muscle laxity was limited to the medial side of imaginary vertical line at lateral margin of pupil. In these cases, we performed free fat graft or fat repositioning on nasojugal groove or fat removal and septal duplication confined to medial side. Type III patients displayed more advanced medial bulging and remarkable laxity over the lateral side, the same operation methods as those of type II were applied at the lateral side of the line. Type IV patients demonstrated extensive midfacial aging changes including malar bags and underwent superficial subciliary cheek lift. Conclusion: The lower eyelid aging of Asian is different from those of Caucasian. We think that our classification is useful in selection of appropriate operative procedure to address specific problems for Asian patients.

• The Korean Journal of Pain
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• 제23권1호
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• pp.11-17
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• 2010

Background: The target of lumbar sympathetic ganglion block is the anterolateral surface of the L2, 3 and 4 vertebral bodies, where the lumbar sympathetic ganglion usually lies. In most cases, a block-needle is inserted approximately 5-8 cm lateral to spinous process on the skin and directed to the anterolateral surface of vertebral body obliquely. The purpose of this study is to determine the safe entry angle and entry point in Korean by using the abdominal CT scan images. Methods: The abdominal CT images of eighty five patients were recruited to this study. The minimal angle aimed at the lumbar sympathetic ganglion that can pass through the lateral aspect of body and maximal angle that avoids puncturing the kidney, ureter or retroperitoneal space were measured. The distance from midline to skin entry point was also measured. Results: There was no significant difference in entry angle among L2, 3, and 4 level. The entry angle was similar in the right and left side, and in males and females. The entry angle of old age group was significantly smaller than that of young age group. The calculated safe entry angle was $30.5{\pm}0.4^{\circ}$ and entry point was $7.7{\pm}0.2\;cm$ and $6.7{\pm}0.1\;cm$ lateral from midline in males and females respectively. Conclusions: These measurements can be used as a reference for lumbar sympathetic ganglion block and radiofrequency lesioning. Prior to performing the lumbar sympathetic ganglion block for cancer patients, the abdominal CT scan should be reviewed to prevent complications.

• 터널과지하공간
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• 제13권6호
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• pp.444-454
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• 2003

최근 TBM등의 기계식 터널 굴착에 널리 사용되는 커터 디스크 관입에 의한 암석 파쇄 기술은 커터디스크 관입에 따라 국부적으로 높은 응력이 발생하고 미소균열이 생성 및 전파되는 과정이며, 이러한 현상은 암석의 불균질성에 기인한다. 따라서 본 연구에서는 수치해석적으로 TBM에 의한 파괴 메카니즘을 규명하기 위하여. Weibull 분포함수를 이용하여 암석의 불균질 강도 물성을 고려하였으며, 파괴후 물성 저하를 고려하기 위하여 저감지수를 도입하였다. 본 연구결과로부터 단일 커터 디스크 관입시 측압이 매우 중요한 영향을 미치며, 측압이 작을수록 관입에 저항하는 강도는 약하여 커터 디스크와 접촉하는 면과 수직한 방향으로 파괴가 잘 발생하고 측압이 클수록 암석 표면을 따라 chipping 현상이 잘 나타났다. 또한 두 개의 커터 디스크가 작용하는 경우 파괴영역이 전파되고 상호 연합되어 최종적으로 파괴가 발생하는데, 커터 디스크 간격이 70 mm인 경우가 40 mm와 100 mm인 경우 비해 좋은 파쇄효율을 나타내었다. 이상의 결과로부터 커터 디스크 관입에 의한 암석의 chipping 과정 및 메카니즘의 이해와 TBM 터널 설계를 위한 다양한 검토를 해석적 기법으로서 제시할 수 있을 것으로 기대된다.

• 소성∙가공
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• 제25권1호
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• pp.36-42
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• 2016

Fiber metal laminates (FMLs) are well known for improved fatigue strength, better impact resistance, superior damage tolerance and slow crack growth rate compared to traditional metallic materials. However, defects and loss of strength of a composite material can occur due to the vertical load from the punch during the joining with a dissimilar material using a conventional clinching method. In the current study, tapered-hole clinching was an alternative process used to join Al 5052 and FMLs. The tapered hole was formed in the FML before the joining. For the better understanding of static and dynamic characteristics, a clinched joining followed by a tensile-shear test was numerically simulated using the finite element analysis. The design parameters were also evaluated for the geometry of the tapered hole by the Taguchi method in order to improve and compare the lateral joining strength of the clinched joint. The influence of the neck thickness and the undercut were evaluated and the contribution of each design parameter was determined. Then, actual experiments for the joining and tensile-shear test were conducted to verify the results of the numerical simulations. In conclusion, the appropriate combination of the design parameters can improve the joining strength and the cross-sections of the tapered-hole clinched joint formed in the actual experiments were in good agreement with the results of the numerical simulations.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제33권4호
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• pp.314-318
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• 2011

Purpose: The purpose of this study is to evaluate the results of alveolar bone grafting in patients with various types of cleft lip and to compare the success rates according to the lateral incisors and canines. Methods: The postoperative radiographs of 20 patient with a cleft lip and alveolar process alone (CLAP), complete unilateral cleft lip and palate (UCLP) and complete bilateral cleft lip and palate (BCLP) were retrospectively analyzed. The alveolar bone height was classified according to ${\AA}$byholm (1981) and Bergland (1986) and we evaluated the dentition at the time of surgery and the existence of a lateral incisor and impacted canines. Results: 16 (80%) of the 20 patients were assigned to Type I & II and they were considered successful. In the UCLP group, the success rate was significantly better than that of the UCLP and BCLP groups. The success rate was significantly better than when the cleft was grafted with the existence of a lateral incisor and before the eruption of the canines. Conclusion: The severity of the deformity influenced the success rate. The timing of the operation was a critical variable that affected the outcome in patients with cleft lip and palate.

• 대한기계학회논문집A
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• 제36권12호
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• pp.1577-1583
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• 2012

횡방향 관통 효율 강화 탄체(PELE)는 기폭장치가 없는 새로운 개념의 발사체이다. PELE 는 배면이 닫혀있는 고밀도 피복과 저밀도 충전재로 구성되어있다. PELE 의 폭발 특성을 연구하기 위해 AUTODYN-3D code 를 이용하여 발사체와 표적체의 모델을 구축하였다. PELE 의 의해 알루미늄-2024 합금 표적체를 천공하는 과정을 시뮬레이션으로 구현하였으며 또한 다양한 내부 충전재에 의해 분산되는 표적체의 파편 특성도 연구하였다. PELE 파편의 유한요소해석은 AUTODYN-3D code 의 추계학적 파괴기준을 사용하여 구현되었다. 내부 충전재의 팽창으로 인해 파편은 속도를 얻으며 횡방향으로 분산된다. 따라서 손상영역의 범위가 증강한다. 관통 및 횡방향 분산 과정에서 생성되는 파편은 내부 충전재의 충격 압력에 따라 그 양과 형태가 다른 것으로 나타났다.

• 센서학회지
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• 제12권2호
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• pp.57-65
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• 2003

CMOS 공정을 이용한 윤곽검출 시각칩 설계시, 넓은 범위의 광강도에 대해서 이미지의 특징검출을 위하여 국소 광적응기능이 필요하다. 국소 광적응이란 망막내 수평억제(lateral inhibition) 기능을 행하는 수평세포를 이용하여 입력 광강도에 응답하는 국소적인 수평세포층의 수용야 크기를 변화시켜 동일한 출력레벨을 얻는 것이다. 따라서, 배경광보다 조금 크거나 아주 큰 입력광의 변화가 있을 때 동일한 출력레벨을 얻을 수 있다. 본 연구에서는, 망막내 수평세포를 p-MOSFET로 구성된 저항성 회로망으로 모델링 및 해석하고, 이를 이용하여 설계된 시각칩의 국소 광적응 메커니즘을 검증하였다.