• Title/Summary/Keyword: permanent displacement

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DENTIGEROUS CYST OF A MAXILLARY MESIODENS: CASE REPORTS (상악 정중 과잉치에서 발생한 함치성 낭종을 가진 환아의 치험례)

  • Lee, In-Young;Kim, Tae-Wan;Kim, Young-Jin;Kim, Hyun-Jung;Nam, Soon-Hyeun
    • Journal of the korean academy of Pediatric Dentistry
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    • v.35 no.3
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    • pp.548-555
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    • 2008
  • Dentigerous cyst is the most common type of odontogenic cyst followed by radicular cyst. Most of dentigerous cysts originate from the permanent dentition and a few of them are associated with mesiodens. The complications of a dentigerous cyst associated with mesiodens are eruption abnomalies of adjacent teeth, root resorption, displacement, rotation, diastema and the secondary infection of the cyst due to adjacent teeth. The treatment of a dentigerous cyst of a maxillary mesiodens is to enucleate a cyst with a mesiodens. Otherwise, when it is close to adjacent teeth, a cyst is to reduce the through marsupialization after removing a mesiodens. There are numerous studies on dentigerous cysts and mesiodentes alone; however, the studies on the association of the two are rare. These are case reports about patients with mixed dentition whose dentigerous cyst of a maxillary mesiodens had been removed. After removal, the patients have been regularly checked up and shown satisfactory progress.

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Recent Perspectives on Oncoplastic Breast Surgery in Korea (우리나라의 종양성형학적 유방암 수술에 대한 최신 동향)

  • Kang, Taewoo
    • Journal of Life Science
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    • v.30 no.6
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    • pp.563-569
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    • 2020
  • Oncoplastic surgery (OPS) combines oncologically safe tumor resection with aesthetically satisfying reconstruction of defects using established plastic surgery techniques. OPS is characterized by initial excision as extensive as is beneficial for oncological safety, and, once sufficient resection is complete, displacement or replacement techniques are selected based on remnant volume. The size of the lesion and the individual patient are important factors when considering the appropriate approach, and when pre-operative imaging, including MRI, is used to determine the technique, the complete removal of cancer cells by permanent pathology is essential. A frozen section is used during the operation to reduce the reoperation rate, but it is difficult to cover the entire margin surface theoretically and even harder in practice. A recent report about adequate margins has empowered OPS in its oncological safety. Considering the patients to whom each modality could be applied, basic breast volume is an important factor, and this is influenced by ethnic differences. In Europe or the US, for example, the average breast size is 36D (600 ㎤) and reduction mammoplasty is predominantly used. However, the average size of patients in our institution is 33A (300 ㎤), and so quite different approaches are selected in most cases. New techniques involving radiofrequency and fluorescence have been proposed as safe and easily accessible ways of reducing complications.

Effects of Loading Method on the Behavior of Laterally Cyclic Loaded Piles in Sand (모래지반에서 재하방법이 반복수평하중을 받는 말뚝의 거동에 미치는 영향)

  • Paik, Kyu-Ho;Kim, Young-Jun;Lee, Seung-Yeon
    • Journal of the Korean Geotechnical Society
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    • v.27 no.3
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    • pp.63-73
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    • 2011
  • The behavior of laterally cyclic loaded piles is affected by the magnitude and number of cycles of cyclic lateral loads as well as loading method (1-way or 2-way loading). In this study, calibration chamber tests were carried out to investigate the effects of loading method of cyclic lateral loads on the behavior of piles driven into sand. Results of the chamber tests show that the permanent lateral displacement of 1-way cyclic loaded piles is developed in the same direction as the first loading, whereas that of 2-way cyclic loaded piles is developed in the reverse direction of the first loading. 1-way cyclic lateral loads cause a decrease of the ultimate lateral load capacity of piles, and 2-way cyclic lateral loads cause an increase of the ultimate lateral load capacity of piles. The change of ultimate lateral load capacity with loading method of cyclic lateral loads increases with increasing number of cycles. It is also observed that the 1-way cyclic loads generate greater maximum bending moment than 2-way cyclic loads for piles in cyclic loading step and generates smaller maximum bending moment for piles in the ultimate state. It can be attributed to the difference in compaction degree of the soil around the piles with loading method of cyclic lateral loads. In addition, it is founded that 1-way and 2-way cyclic lateral loads cause a decrease in the maximum bending moment of piles in the ultimate state compared with that of piles subjected to only monotonic loads.

Semi-active storey isolation system employing MRE isolator with parameter identification based on NSGA-II with DCD

  • Gu, Xiaoyu;Yu, Yang;Li, Jianchun;Li, Yancheng;Alamdari, Mehrisadat Makki
    • Earthquakes and Structures
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    • v.11 no.6
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    • pp.1101-1121
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    • 2016
  • Base isolation, one of the popular seismic protection approaches proven to be effective in practical applications, has been widely applied worldwide during the past few decades. As the techniques mature, it has been recognised that, the biggest issue faced in base isolation technique is the challenge of great base displacement demand, which leads to the potential of overturning of the structure, instability and permanent damage of the isolators. Meanwhile, drain, ventilation and regular maintenance at the base isolation level are quite difficult and rather time- and fund- consuming, especially in the highly populated areas. To address these challenges, a number of efforts have been dedicated to propose new isolation systems, including segmental building, additional storey isolation (ASI) and mid-storey isolation system, etc. However, such techniques have their own flaws, among which whipping effect is the most obvious one. Moreover, due to their inherent passive nature, all these techniques, including traditional base isolation system, show incapability to cope with the unpredictable and diverse nature of earthquakes. The solution for the aforementioned challenge is to develop an innovative vibration isolation system to realise variable structural stiffness to maximise the adaptability and controllability of the system. Recently, advances on the development of an adaptive magneto-rheological elastomer (MRE) vibration isolator has enlightened the development of adaptive base isolation systems due to its ability to alter stiffness by changing applied electrical current. In this study, an innovative semi-active storey isolation system inserting such novel MRE isolators between each floor is proposed. The stiffness of each level in the proposed isolation system can thus be changed according to characteristics of the MRE isolators. Non-dominated sorting genetic algorithm type II (NSGA-II) with dynamic crowding distance (DCD) is utilised for the optimisation of the parameters at isolation level in the system. Extensive comparative simulation studies have been conducted using 5-storey benchmark model to evaluate the performance of the proposed isolation system under different earthquake excitations. Simulation results compare the seismic responses of bare building, building with passive controlled MRE base isolation system, building with passive-controlled MRE storey isolation system and building with optimised storey isolation system.

Seismic Behavior and Estimation for Base Isolator Bearings with Self-centering and Reinforcing Systems (자동복원 및 보강 시스템과 결합된 면진받침의 지진거동과 평가)

  • Hu, Jong Wan
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.35 no.5
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    • pp.1025-1037
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    • 2015
  • Flexible base isolation bearings that separate superstructure from ground have been widely used in the construction field because they make a significant contribution to increasing the fundamental period of the structure, thereby decreasing response acceleration transmitted into the superstructure. However, the established bearing devices installed to uphold the whole building give rise to some problems involved with failure and collapse due to lack of the capacity as modern structures are getting more massive and higher. Therefore, this study suggests new isolation bearings assembled with additional restrainers enabled to reinforcing and recentering, and then evaluates their performance to withstand the seismic load. The superelastic shape memory alloy (SMA) bars are installed into the conventional lead-rubber bearing (LRB) devices in order to provide recentering forces. These new systems are modeled as component spring models for the purpose of conducting nonlinear dynamic analyses with near fault ground motion data. The LRB devices with steel bars are also designed and analyzed to compare their responses with those of new systems. After numerical analyses, ultimate strength, maximum displacement, permanent deformation, and recentering ratio are compared to each model with an aim to investigate which base isolation models are superior. It can be shown that LRB models with superelastic SMA bars are superior to other models compared to each other in terms of seismic resistance and recentering effect.

A Study on Torsional Characteristics of the Car Body Types at Cornering Motion (선회주행 시 차체의 비틀림 특성에 관한 연구)

  • Lee, Joon-Seong;Cho, Seong-Gyu
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.10
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    • pp.739-744
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    • 2017
  • Elastic deformation and fatigue damage can cause the permanent deformation of a kart's frame during turning, affecting the kart's driving performance. A kart's frame does not contain any suspension or differential devices and, therefore, the dynamic behavior caused by torsional deformation when driving along a curve can strongly affect these two kinds of deformations. To analyze the dynamic behavior of a kart along a curved section, the GPS trajectory of the kart is obtained and the torsional stress acting on the kart-frame is measured in real time. The mechanical properties of leisure and racing karts are investigated by analyzing their material properties and conducting a tensile test. The torsional stress concentration and frame distortion are investigated through a stress analysis of the frame on the basis of the obtained results. Leisure and racing karts are tested in each driving condition using driving analysis equipment. The behavior of a kart when being driven along a curved section is investigated through this test. Because load movement occurs owing to centrifugal force when driving along a curve, torsional stress acts on the kart's steel frame. In the case of a leisure kart, the maximum torsional stress derived from the torsional fatigue limit was found to be 230 MPa, and the torsional fatigue limit coefficient was 0.65 when driving at a speed of 40 km/h. Furthermore, the driving elements during the cornering of a kart were measured based on an actual auto-test after installing a driving measurement system, and the driving behavior of the kart was analyzed by measuring its vertical displacement.

Reduction of Chattering Error of Reed Switch Sensor for Remote Measurement of Water Flow Meter (리드 스위치 센서를 이용한 원격 검침용 상수도 계량기에서 채터링 오차 감소 방안 연구)

  • Ayurzana, Odgerel;Kim, Hie-Sik
    • Journal of the Institute of Electronics Engineers of Korea SC
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    • v.44 no.4 s.316
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    • pp.42-47
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    • 2007
  • To reduce the chattering errors of reed switch sensors in the automatic remote measurement of water meter a reed switch sensor was analyzed and improved. The operation of reed switch sensors can be described as a mechanical contact switch by approximation of permanent magnet piece to generate an electrical pulse. The reed switch sensors are used mostly in measurement application to detect the rotational or translational displacement. To apply for water flow measurement devices, the reed switch sensors should keep high reliability. They are applied for the electronic digital type of water flow meters. The reed switch sensor is just mounted simply on the conventional mechanical type flow meter. A small magnet is attached on a pointer of the water meter counter rotor. Inside the reed sensor two steel leaf springs make mechanical contact and apart repeatedly as rotation of flow meter counter. The counting electrical contact pulses can be converted as the water flow amount. The MCU sends the digital flow rate data to the server using the wireless communication network. But the digital data is occurred difference or won by chattering noise. The reed switch sensor contains chattering error by it self at the force equivalent position. The vibrations such as passing vehicle near to the switch sensor installed location causes chattering. In order to reduce chattering error, most system uses just software methods, for example using filter algorithm and also statistical calibration methods. The chattering errors were reduced by changing leaf spring structure using mechanical characteristics.

Acrodysostosis Associated with Symptomatic Cervical Spine Stenosis

  • Ko, Jung-Min;Kwack, Kyu-Sung;Kim, Sang-Hyun;Kim, Hyon-Ju
    • Journal of Genetic Medicine
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    • v.7 no.2
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    • pp.145-150
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    • 2010
  • Acrodysostosis is an extremely rare disorder characterized by short fingers and toes with peripheral dysostosis, nasal hypoplasia, and mental retardation. We report a 16-year-old Korean boy with acrodysostosis who had characteristic clinical features and cervical spine stenosis manifested by neurologic symptoms. On presentation, he complained of difficulty in raising his arms, and suffered from intermittent pain and weakness in both upper extremities. He had short stature and dysmorphic facial features, including a broad, depressed nasal bridge, small, upturned nose, bilateral epicanthal folds, and mild hypertelorism. Moderate mental retardation and sensorineural hearing loss in both ears were also present. Radiological findings included broad, short metacarpals and phalanges with cone-shaped epiphyses, bilateral Madelung deformities, hypertrophied first metatarsals, and thickening of the calvarium. Magnetic resonance imaging findings included stenosis of the cervical spine, platybasia with compression into the cervicomedullary junction, and downward displacement of the cerebellar tonsils. Here, we report a case of acrodysostosis with symptoms and signs of cervical spinal stenosis first in Korea. If it is diagnosed in the early stages, possible life-threatening complications, including spinal canal stenosis, can be managed properly and permanent neurologic sequelae might be avoided. Therefore, it is important to consider acrodysostosis in the differential diagnosis of peripheral dysostosis.

A STUDY ON THE BOND OF AESTHETIC RESTORATIVE MATERIALS TO FLUORIDE TREATED ROOT DENTIN (불소처리된 치근상아질에 대한 심미수복재의 결합에 관한 연구)

  • Tak, Heung-Soo;Park, Sang-Jin;Min, Byung-Soon;Choi, Ho-Young;Choi, Ki-Woon
    • Restorative Dentistry and Endodontics
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    • v.23 no.1
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    • pp.197-212
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    • 1998
  • The purpose of this study was to evaluate the effects of fluoride application on the aspect of shear bond strength of three aesthetic restorative materials to dentin. One light-cured composite resin(Palfique Esterite) and two light-cured glass ionomer cements(Fuji II LC and Compoglass)were used in this study. 120 permanent molars were used for this study. The teeth were extracted due to the origin of periodontal disease. The crowns of all teeth were removed, and the remaining roots were embedded in epoxy resin. The mesial or distal surfaces of roots were ground flat to expose dentin and polished on wet 320-, 400-, and 600 grit SIC papers for a total of 120 prepared flat root dentin surfaces. The prepared samples were divided into six groups. Group 1, 3, and 5 were control groups and group 2, 4, and 6 were experimental groups. Sixty samples for experimental groups were treated with 2% NaF solution for 5 minutes. Group 1 and 2 were bonded with Plafique Esterite, group 3 and 4 were bonded with Fuji II LC, and group 5 and 6 were bonded with Compoglass. After 24 hours water storage at $37{\pm}1^{\circ}C$, all samples were subjected to a shear to fracture with Instron universal testing machine(No.4467) at 1.0 mm/min displacement rate. Dentin surfaces treated with each conditioners before bonding and interfacial layers between dentin and aesthetic restorative materials were observed under Scanning Electron Microscope(Hitachi S-2300) at 20Kvp. The data were evaluated statistically at the 95% confidence level with ANOVA test. The result were as follows; 1. Among the control groups, group 1 showed strongest bond strength and group 3 showed weakest. 2. Among the experimental groups, group 2 showed strongest bond strength and group 6 showed weakest. 3. Statistical analysis of the data showed that pretreatment of dentin with 2% NaF solution significantly decreased the bond strength of three aesthetic restorative materials to dentin(P<0.05). 4. SEM findings of fluoride treated dentin surfaces (2, 4, 6 group) demonstrated dentin surfaces covered with fluoridated reaction products. 5. Except group 4 and 6, resin tags were formed in all groups.

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Temporomandibular joint disc plication with MITEK mini anchors: surgical outcome of 65 consecutive joint cases using a minimally invasive approach

  • Lee, Bu-Kyu;Hong, Jun Hee
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.42
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    • pp.14.1-14.11
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    • 2020
  • Background: The purpose of this study is to introduce our modified disc plication technique using MITEK mini anchors and to evaluate the clinical outcome for patients with internal derangement (ID) of the temporomandibular joint (TMJ). Patients and methods: We evaluated 65 joints in 46 patients, comprised 32 women and 14 men, who first visited the Asan Medical Center from December 2012 to December 2016. The age of the patients ranged from 14 to 79 years, with a mean age of 36.6 years. The patients presented with joint problems including pain, joint noise, and mouth opening limitation (MOL). Patients who met our inclusion criteria underwent unilateral or bilateral disc repositioning surgery with our minimally invasive disc plication technique using MITEK mini anchors and No. 2-0 Ethibond® braided polyester sutures. The variables taken into account in this study were the range of maximum mouth opening (MMO), painful symptoms (evaluated with the visual analog scale, VAS), and the type of noise (click, popping, crepitus) in the TMJ. Results: Preoperative examination revealed painful symptoms in 50.7% (n = 35) of the operated joints (n = 69) and the presence of clicks in 56.5% (n = 39). Postoperative examination revealed that 4.3% (n = 3) of the operated joints had painful symptoms with lower intensity than that in the preoperative condition. Additionally, 17.4% (n = 12) had residual noise in the TMJ, among which two were clicking and the other 10 had mild crepitus. The intensity of the postoperative residual noise was significantly decreased in all cases compared to that in the preoperative condition. Among patients with MOL below 38 mm (n = 18), the mean MMO was 31.4 mm preoperatively and 44.2 mm at 6 months postoperatively, with a mean increase of 13.8 mm. A barely visible scar at the operation site was noted during the postoperative observation period, with no significant complications such as facial palsy or permanent occlusal disharmony. Conclusion: Subjective symptoms in all patients improved following the surgery. TMJ disc plication using MITEK mini anchors with our minimally invasive approach may be a feasible and effective surgical option for treating TMJ ID patients who are not responsive to conservative treatment.