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EVALUATION OF CONDYLAR DISPLACEMENT USING COMPUTER TOMOGRAPHY AFTER THE SURGICAL CORRECTION OF MANDIBULAR PROGNATHISM (전산화단층촬영법을 이용한 하악전돌증 환자의 외과적 악교정술후 하악과두 위치 변화 검토)

  • Lee, Ho-Kyung;Jang, Hyun-Jung;Lee, Sang-Han
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.20 no.3
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    • pp.191-200
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    • 1998
  • This study was intended to perform the influence of condyle positional change after surgical correction of skeletal Class III malocclusion after orthognathic surgery in 37 patients(male 13, female 24) using computed tomogram that were taken in centric occlusion before, immediate after, and long term after surgery and lateral cephalogram that were taken in centric occlusion before, 7 days within the period of intermaxillary fixation, at the 24 hours later removing intermaxillary fixation and long term after surgery. 1. Mean intercondylar distance was $84.42{\pm}5.30mm$ and horizontal long axis of condylar angle was $12.79{\pm}4.92^{\circ}$ on the right, $13.53{\pm}5.56^{\circ}$ on the left side. Condylar lateral poles were located about 12mm and medial poles about 7mm away from the reference line(AA') on the axial tomogram. Mean intercondylar distance was $83.15{\pm}4.62mm$ and vertical axis angle of condylar angle was $76.28{\pm}428^{\circ}$ on the right, $78.30{\pm}3.79^{\circ}$ on the left. 2. In amount of set back, We found the condylar change(T2C-T1C) which had increasing tendency in group III (amount of setback : 10-15mm). but there was no statistical significance(p>0.05). 3. There was some correlation between condylar change(T2C-T1C) and TMJ dysfunction. It seemed that postoperative condylar change had influenced postoperative TMJ dysfunction, through there was no statistical significance (p>0.05). As we have observed the change of condylar axis in the group that complained of TMJ dysfunction in cases of large amount of mandibular setback. So we consider that the more trying to conserve condylar position will decrease occurrence rate of post operational TMJ dysfunction.

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Improvement Way for Mobile X-ray Examinations by Rule Revision about Safety Management of Diagnosis Radiation Occurrence System (진단용방사선발생장치의 안전관리에 관한 규칙 개정에 따른 이동형 방사선검사의 개선방안)

  • Choi, Jun-Gu;Kim, Gyeong-Su;Kim, Byeong-Gi;Ahn, Nam-Jun;Kim, Hyeong-Sun;Kim, Sang-Geon;Lim, Si-Eun
    • Journal of radiological science and technology
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    • v.30 no.1
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    • pp.53-59
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    • 2007
  • A safety management rule of the diagnosis radiation system which opened a court 2006 February 10th was promulgated for safety of the radiation worker, patients and patients' family members. The purpose of this study is to minimize injury by radiation that can happen to patients and people around a sick ward when managing mobile X-ray system. This study analyzed sickroom environment of mobile X-ray examination and the statistical data of the Konkuk medical Information System(KIS) and the Picture Archiving Communication System(PACS). This study also investigated patient conditions, infection, relation information and related data, when the sickroom mobile X-ray examination is used. Through data analysis, many problems were expected such as restriction of space side, manpower and expense of business side, satisfaction degree decline of patient and protector of operation side. Therefore, we tried to restrict examination of multi bed sickroom, and to use treatment room in each ward to solve problem mentioned. As a result, the whole sickroom mobile X-ray examination rate decreased to near 50%, and mobile X-ray examination rate for inpatients decreased to more than 85%. This study shows that several attempts we did should be helpful for manpower, patients satisfaction and expenses. Also, they should protect patients in sickroom from unnecessary radiation exposure and could minimize inconvenience of patients and their family members from x-ray examination.

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Comparison of Radiologic Parameters between Weight Bearing Affected Both Ankle and Single Ankle in Ankle Exam (체중부하 상태의 족관절 검사시 양측 족관절 동시 검사와 편측 족관절 검사의 방사선학적 비교)

  • Cha, Sangyoung;Shin, Jaehan;Choi, Namgil
    • Journal of the Korean Society of Radiology
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    • v.10 no.8
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    • pp.603-610
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    • 2016
  • This study was performed to analyze the results of radiologic parameters compared both leg weight bearing position to single leg weight bearing position in ankle osteoarthritis. Between January 2016 and June 2016, 25 patients (50 ankles) who visited our Hospital to treat ankle pain. In radiographic assessment, We masured tibial anterior surface angle(TAS), tibial medial malleolar angle(TMM), talar tilting angle(TT), joint space width(JSW), tibiotalar joint space, fibulotalar joint space of ankle as radiologic parameters. On the right leg of the both leg weight bearing position, TAS was $87.24^{\circ}$, TT was $6.44^{\circ}$, TMM was $26.76^{\circ}$, fibulotalar joint space was 0.98mm. Right leg of the single leg weight bearing position, TAS was $88.93^{\circ}$, TT was $2.41^{\circ}$, TMM was $19.77^{\circ}$, fibulotalar joint space was 1.6mm. And then, on the left leg of the both leg weight bearing position, TAS was $87.25^{\circ}$, TT was $5.71^{\circ}$, TMM was $23.92^{\circ}$, fibulotalar joint space was 1.22 mm and left leg of the single weight bearing position, TAS was 88.75, TT was $3.19^{\circ}$, TMM $21.45^{\circ}$, fibulotalar joint space was 1.22 mm. There are unsimilarity between measure values of TAS and tibiotalar joint space. As the result of test of weight bearing ankle study, it would be more exact to examine to measure one side in the first time rather than both to conclude on accurate measurement.

Consideration of Shoulder Joint's Image with the Changed Tube Angle of the Shoulder Oblique Projection in Supine Position (Supine 자세에서 Shoulder oblique촬영시 Tube angle 변화에 따른 Shoulder joint에 대한 고찰)

  • Seo, Jae-Hyun;Choi, Nam-Gil
    • Journal of radiological science and technology
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    • v.31 no.2
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    • pp.109-114
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    • 2008
  • There is a standard shoulder oblique method (Grashey method) available to view the shoulder joint. This method projects AP view of the shoulder joint so that the Humerus head's subuxation or joint degeneration can be easily visualized. However, in this view, the patients, with supine or sitting or erect position, have to keep their body obliquely. Whereas, the patients who are not well or operated, usually feel very uncomfortable to keep their body in this position and hence, we need other persons' help and much efforts will be needed to get the good quality shoulder joint view. Therefore, we thought of examining a method which shows the joint well by angling the tube to Medio-Lateral direction and without keeping the patients' one side upward in supine position. For this study, total 15 subjects with no history of neurological or psychiatric illness, were recruited for examinations. They consisted of 9 males and 6 females. Statistic group analysis was performed with ANOVA test. Scores of the evaluation of the experts were $1.10{\pm}0.54$ at $25^{\circ}$, $2.50{\pm}0.50$ at 30^{\circ}$, $2.85{\pm}0.36$ at $35^{\circ}$ and $2.33{\pm}0.47$ at $40^{\circ}$, respectively, and they were significant(p<0.05, Table 1). Joint space of the Humerus head and Scapula were well distinguished at $35^{\circ}$, $30^{\circ}$ and $40^{\circ}$ with the almost same score. However, the degree of distortion at $40^{\circ}$ was more severe than that at $30^{\circ}$. Ultimately, $30-35^{\circ}$ views were shown to yield good quality shoulder oblique images. In conclusion, this method may be very useful for the patients who are uncomfortable and for the emergency patients. In order to get similar or comparable view, the same X-tube angle is recommended to be used before and after the operation. Therefore, we hope that this new angled method seems to be efficient.

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Correlationship Between Degree of Displacement and Range of Motion of the Subtalar joint after Calcaneal fracture (종골 골절 후 거골하 관절면의 전위 정도와 운동 범위의 상관 관계)

  • Park, In-Heon;Lee, Kee-Byung;Song, Kyung-Won;Lee, Jin-Young;Lee, Eung-Joo;Park, Rae-Seong
    • Journal of Korean Foot and Ankle Society
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    • v.2 no.1
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    • pp.19-29
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    • 1998
  • The characteristics of the patients after the calcaneal fracture that were associated with an unsatisfactory outcome were subtalar incongruity, decreased Bohler angle ratio of the fractured to the normal side, an age of more than fifty years, work involving strenuous labor, and increased time missed from work due to the injury. The purpose of this study was to examine the reliability of measurements of the range of motion of the subtalar joint. To determine reliability, evaluates of the correlatioinship between the degree of the displacement of the subtalar joint and Circle draw test after the calcaneal fracture. Fifty patients who had had fifty five calcaneal fractures were managed with open reduction and internal fixation. The results were reviewed retrospectively, between 4months and three years after the operation, with use of an evaluation system for the subtalar joint and with plain radiographs. At follow up evaluation, the result was assessed on the basis of restoration of anatomy and function of the subtalar joint. We evaluated the subtalar joint with plain films that consist of anteroposterior projection, lateral projection, calcaneal axial view, and Broden's view, and the measurements of the displacement of the subtalar joint surface after the calcaneal fracture. And we evaluated the range of motion of the subtalar joint with Circle draw test for physical evaluation. Circle draw test was evaluated and demonstrated the motion of flexion-supination-adduction and extension-pronation-abduction of the subtalar joint. And there are correlationship between the degree of the displacement and range of motion of the subtalar joint after the calcaneal fracture. The report critically reviews methords used to measure Circle draw test for physical examination of the follow up after the calcaneal fracture.

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Development of a Crawler Type Vehicle to Travel in Water Paddy Rice Field for Water-Dropwort Harvest

  • Jun, Hyeon-Jong;Kang, Tae-Gyoung;Choi, Yong;Choi, Il-Su;Choi, Duck-Kyu;Lee, Choung-Keun
    • Journal of Biosystems Engineering
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    • v.38 no.4
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    • pp.240-247
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    • 2013
  • Purpose: This study was conducted to develop a rubber-crawler type vehicle as a traveling device for harvesting water-dropwort cultivated in water contained paddy rice field in winter season. Methods: A commercial rubber-crawler type vehicle was used to investigate application of rubber crawler to the paddy rice field as preliminary test. As the result of the preliminary test, a both prototype traveling device with rubber crawlers for a water-dropwort harvest was designed with inclination of $45^{\circ}$ at the front-end and rear-end of crawler under the basic water depth of 0.6 m in the paddy rice field. The device was fabricated and attached to the experimental harvesting test devices on the front of the prototype vehicle. The size of the prototype crawler vehicle with a harvesting part is $2,800{\times}1,460{\times}1,040 $ (mm) ($L{\times}W{\times}H$) with weight of 9.21 kN (maximum). Sizes of the crawler of prototype vehicle are ground contact length of 900 mm, width of 180 mm, height of 1,070 mm and distance between center to center of crawlers of 720 mm. The side-overturn angle of the prototype was $26.4^{\circ}$. Results: Driving performance of the prototype vehicle in water contained paddy field were good at both forward and reverse (backward) directions as weights were applied. The drawbar pull and the maximum sinking depth of the prototype vehicle were 3.5 kN and 0.13 m respectively at water depth of 0.5 m, when the weight and bearing capacity of the prototype rubber crawler in the paddy field were 8.51 kN and 26.3 $kN/m^2$, respectively. Conclusions: Results of the driving test performance of the prototype crawler in paddy rice field at the water depth of 0.5 m were satisfactory. The prototype had enough drawbar pull and driving ability in the deep water contained paddy field.

A Case Study on the effects of Elephant Foot Method considering the rate of Changes in Tunnel Cross Section (터널 단면적 변화를 고려한 각부보강 영향성 평가)

  • Lee, Gil-Yong;Oh, Hyeon-Mun;Cho, Kye-Hwan;Oh, Jeong-Ho;Kim, Jong-Ju;Kim, Yong-Seong
    • Journal of the Korean Geosynthetics Society
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    • v.17 no.1
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    • pp.111-118
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    • 2018
  • In case of excavation of the tunnel under weak ground conditions, such as fault zone, leg pile reinforcement with the purpose of suppressing tunnel crown settlement and side wall displacement is commonly applied. There are convergence, crown settlement, leg settlement, and the axial force of leg as a main factor for confirming the safety of support considering the installation angle and length of leg pile reinforcement according to the increase in rate of change of tunnel cross-section. In particular, the influence of right corner settlement, among variables for safety confirmation during excavation, has been analyzed as the dominant factor in the most important priority management showing larger displacement tendency than the increase in rate of the cross-section. And, it was analyzed that the occurrence tendency of axial force on leg pile reinforcement showed the influence of behavior according to the friction support concept mechanism of the pile reinforcement rather than the increase in rate of tunnel cross-section, as it showed a small increase compared to the increase rate of the tunnel cross-section which did not show a great correlation from the viewpoint of the change of the axial force by the length of each leg pile reinforcement with regards to the change in rate of increase in tunnel cross-section. If a certain length of the leg pile reinforcement is selected based on the above grounds, even if the cross-section of the tunnel in poor ground condition is somewhat larger, it has been proved to be a more reasonable method considering the workability and economical efficiency by not extending the length of the leg pile reinforcement by force.

Effects of Landing Height and Knee Joint Muscle Fatigue on Movement of the Lower Extremity during Cutting After Landing (착지 높이와 무릎관절 근육 피로가 착지 후 방향 전환 동작 시 하지관절의 움직임에 미치는 영향)

  • Kim, You-Kyung;Youm, Chang-Hong
    • Korean Journal of Applied Biomechanics
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    • v.25 no.3
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    • pp.311-322
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    • 2015
  • Objective : The purpose of this study was to investigate the effects of landing height and knee joint muscle fatigue on the movement of the lower extremity during cutting after landing. Method : Subjects included 29 adults (age: $20.83{\pm}1.56years$, height: $172.42{\pm}9.51cm$, weight: $65.07{\pm}10.18kg$). The subjects were asked to stand on their dominant lower limb on jump stands that were 30 and 40 cm in height and jump from each stand to land with the dominant lower limb on a force plate making a side step cutting move at a $45^{\circ}$ angle with the non-dominant lower limb. The fatigue level at 30% of the knee extension peak torque using an isokinetic dynamometer. Results : The results showed that the difference of landing height increased maximum range of motion and angular velocity of hip, knee, and ankle joints in the sagittal plane, and in the angular velocity of motion of the hip joint in the sagittal plane. The maximum range of motion of the knee joint in the sagittal plane and the frontal plane decreased on landing from both heights after the fatigue exercise. The angular velocity of the hip joint in the sagittal plane, and the maximum range of motion of the hip joint in the transverse plane decreased for both landing heights after the fatigue exercise. The angular velocity of the hip joint in the frontal plane decreased for the 30 cm landing height after the fatigue exercise. On the other hand, the angular velocity and maximum range of motion of the ankle joint in the sagittal plane for both landing heights, and the angular velocity and maximum range of motion of the ankle joint in the frontal plane increased on landing from the 40 cm height after the fatigue exercise. Conclusion : Different landing heights of 30 and 40 cm and 30% fatigue of peak torque of knee extensor found a forefoot and stiff landing strategy, when cutting after landing. These results might be due to decline in the shock absorption capability of the knee joint and the movement capability related to cutting while increasing the contribution of the ankle joint, which may cause increased ankle joint injuries.

A STUDY ON STRESS DISTRIBUTION OF ENDODONTICALLY TREATED TOOTH ACCORDING TO THE VARIOUS POST LENGTH USINGTHREE-DIMENSIONAL FINITE ELEMENT METHOD (포스트 길이가 치근내 응력분산에 미치는 영향에 관한 삼차원 유한요소법적 연구)

  • Choi, Soo-Yong;Lee, Sun-Hyung;Yang, Jae-Ho;Chung, Hun-Young
    • The Journal of Korean Academy of Prosthodontics
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    • v.33 no.2
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    • pp.177-197
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    • 1995
  • The endodontically treated tooth is generally restored with post & core, owing to the brittleness and the loss of large amount of tooth structure. Although there have been lots of studies about the endodontically treated teeth, the three-dimensional quantitative studies about the strees distribution of them are in rare cases. In this study, it was assumed that the coronal portion of the upper incisou had severely damaged. After the root canal therapy it was post cored, and restored with PFM crown, for this experiment nine types of model were constructed : 1); long, 2); medium, 3); short gold post for the roots supported with a narmal alveolar bone, 4); long, 5); medium, 6); short gold post for the roots supported with an alveolar bone resorbed to its 1/3 of root length, 7); long, 8); medium, 9); short base metal post for the roots supported with an alveolar bone resorbed to its 1/3 of root length. Force was applied from two directions. One was functional maximum bite force(300N) applied to the spot just lingual to the incisal edge with the angle of 45 degrees to the long axis of the tooth, and the other one was horizontal force(300N) applied to the labial surface. The results analyzed with three-dimensional finite element method were as follows : 1. Stress was concentrated on the middle portion of the labial side dentin of the root and the lingual portion of the apical dentin of the root. Stress in the post showed maximum value at 2 mm above the post apex. 2. In case of the long post and base metal post, strees was concentrated on the apex of the root and the post. 3. In case of the longer post, the displacement on the post-cement interface was lessened. The gold post was more displaceable than the base metal post. 4. In case of the alveolar bone resorption, stress concentrated on the root and the post and displacement on the post-cement interface were increased.

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Bearing Capacity of Shallow Foundation on a Finite Layer of Sandy Ground Underlain by a Rigid Base (강성저면위 유한한 두께의 모래지반에 놓인 얕은기초의 지지력)

  • Jun, Sang-Hyun;Yoo, Nam-Jae;Yoo, Kun-Sun
    • Journal of the Korean Geotechnical Society
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    • v.27 no.6
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    • pp.39-48
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    • 2011
  • In this paper the method of estimating the bearing capacity of shallow foundation on a finite layer of sandy ground underlain by a rigid base was proposed by assessing results of the model test and the numerical analyses. For model experiments, the centrifuge tests under 1g and 20 g of gravitational levels were performed with sandy soils sampled from the field, changing the relative density of sandy soil and the ratio of thickness of sand layer (H) to the width of strip footing (B). As results of tests, bearing capacity tends to increase with the value of H/B while settlement for a given load intensity decreases. Bearing capacity also increases with relative density of the soil. In order to propose the method of estimating the bearing capacity of thin sandy layer underlain by a rigid base, values of bearing capacity factors from test results were compared with the values of modified bearing capacity factor by Mandel & Salencon (1972) considering the effect of H/B value on bearing capacity. The relation of bearing capacity factor ratio, normalizing friction angle of sandy soil, with the value of H/B was suggested so that this relation could be applied to design in the safe side. The results of numerical analyses obrained by changing the layout of footing, relative density of sandy soil and the value of H/B, were in good agreements with the suggested relation.