• The korean journal of orthodontics
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• v.52 no.5
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• pp.334-344
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• 2022

Objective: This study aimed to systematically analyze the effect and stability of miniscrew-assisted rapid palatal expansion (MARPE) to provide a reference for the clinical treatment of patients with maxillary transverse deficiency (MTD). Methods: We searched PubMed, Science Direct, Web of Science, Embase, Cochrane Library, CNKI, and Wanfang Database for relevant studies published before February 18, 2021 and selected them according to the eligibility criteria. The Cochrane Handbook for Systematic Reviews (version 5.1.0) criteria were used for the quality assessment of randomized controlled trials, while the scoring protocol of the methodological index for non-randomized studies was used for non-randomized controlled trials. Statistical analysis was performed using the RevMan5.3 software. Results: All the included studies showed a relatively high success rate of expansion. The changes in both the intermolar and alveolar widths after MARPE were statistically significant. MARPE exhibited greater skeletal expansion effects than did conventional RPE. The midpalatal suture was opened in parallel after MARPE. A small amount of relapse was observed 1 year after expansion. MARPE caused tooth inclination and a decrease in alveolar height, but it was less significant than in conventional RPE. Conclusions: MARPE may be an effective treatment modality for patients with MTD. It causes great transverse skeletal expansion in late adolescence. In comparison to conventional RPE, MARPE has lower detrimental periodontal effects and has certain clinical advantages.

• The korean journal of orthodontics
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• v.53 no.4
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• pp.264-275
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• 2023

Objective: To investigate the effects of maxillary orthodontic expansion on the alveolar bone tissue in adult patients treated with aligners by using cone-beam computed tomography. Methods: Thirty patients (22 females and 8 males; mean age: 36.3 years) were treated with Invisalign^® aligners. Cone-beam computed tomography and digital models were obtained before (T0) and after (T1) upper arch expansion. The bone thicknesses in the cervical, middle, and apical areas of the incisors, canines, premolar, and first molars were buccally and palatally measured, totaling 96 areas and 2,880 measurements. The buccolingual inclinations and transverse measurements of the teeth were obtained from digital models to correlate them with the bone changes. The statistical tests used were Student's t-test, analysis of variance, and Pearson's correlation tests (p < 0.05). Results: From the 96 areas evaluated, 84 revealed an increase or stability in the alveolar bone thickness and twelve displayed significant bone loss. Bone changes did not correlate with the tooth inclination and transverse measurements. Conclusions: Within the limitation of the present study, mild levels of upper arch expansion obtained with Invisalign^® aligners in adult patients did not result in any clinically significant loss of alveolar bone thickness.

• The Journal of Korean Physical Therapy
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• v.25 no.6
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• pp.405-410
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• 2013

Purpose: Most studies have reported that the abdominal muscle thickness differs according to gender but none of these studies reported a gender difference in the thickness of the multifidus and erector spine. The spinal alignment is affected by the left and right balance in the trunk muscle. The aim of this study was to identify the trunk muscle symmetry according to gender and the correlations of the trunk muscle thickness with spinal alignment. Methods: Forty three subjects(27 males and 16 females) were enrolled in this study. The trunk muscle thickness was measured by ultrasonography. The trunk muscle, which consisted of the rectus abdominis (RA), external oblique abdominis (EOA), internal oblique abdominis (IOA), transverse abdominis (TrA), erector spine (ES), and multifidus (MF), was measured. The spinal alignment was measured by Formetric-III 3D analysis. The dependent variables of the spinal alignment were the trunk imbalance, trunk inclination, lateral deviation, and surface rotation. Results: The muscle thickness of the EOA muscle increased more significantly in the right side than the left side (p<0.05). Each left and right difference in the muscle thickness between the male and female group showed a significant difference (p<0.05) except for the TrA thickness. Significant positive correlations were observed between the ES and lateral deviation and between the TrA with trunk imbalance. Conclusion: These results suggest that asymptomatic men have a greater trunk muscle thickness than women but there was no difference between the left and right in healthy adults. The trunk muscle thickness of ES, TrA is related by the spinal alignment.

• International Journal of Aeronautical and Space Sciences
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• v.17 no.3
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• pp.352-357
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• 2016

An investigation of ribbed divergent channel was undertaken to determine the effect of rib pitch to height ratio on total friction factor and heat transfer results in the fully developed regime. The ribbed divergent rectangular channel with the channel exit hydraulic diameter ($D_{ho}$) to inlet channel hydraulic diameter ($D_{hi}$) ratio of 1.16 with wall inclination angle of 0.72 deg, at which the ratios (p/e) of 6,10, and 14 are considered. The ribbed straight channel of $D_{ho}/D_{hi}=1.0$ were also used. The ribbed divergent wall is manufactured with a fixed rib height (e) of 10 mm and the ratio of rib spacing (p) to height 6, 10, and 14. The measurement was run with range of Reynolds numbers from 24,000 to 84,000. The comparison shows that the ratio of p/e=6 has the greatest thermal performance in the divergent channel under two constraints; identical mass flow rate and identical pressure drop.

• Structural Engineering and Mechanics
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• v.33 no.4
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• pp.429-446
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• 2009

Three-scale homogenization procedure is proposed in this paper to provide estimates of the effective thermal conductivities of porous carbon-carbon textile composites. On each scale - the level of fiber tow (micro-scale), the level of yarns (meso-scale) and the level of laminate (macro-scale) - a two step homogenization procedure based on the Mori-Tanaka averaging scheme is adopted. This involves evaluation of the effective properties first in the absence of pores. In the next step, an ellipsoidal pore is introduced into a new, generally orthotropic, matrix to make provision for the presence of crimp voids and transverse and delamination cracks resulting from the thermal transformation of a polymeric precursor into the carbon matrix. Other sources of imperfections also attributed to the manufacturing processes, including non-uniform texture of the reinforcements, are taken into consideration through the histograms of inclination angles measured along the fiber tow path together with a particular shape of the equivalent ellipsoidal inclusion proposed already in Sko ek (1998). The analysis shows that a reasonable agreement of the numerical predictions with experimental measurements can be achieved.

• Smart Structures and Systems
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• v.20 no.5
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• pp.549-562
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• 2017

The US railroad network carries 40% of the nation's total freight. Railroad bridges are the most critical part of the network infrastructure and, therefore, must be properly maintained for the operational safety. Railroad managers inspect bridges by measuring displacements under train crossing events to assess their structural condition and prioritize bridge management and safety decisions accordingly. The displacement of a railroad bridge under train crossings is one parameter of interest to railroad bridge owners, as it quantifies a bridge's ability to perform safely and addresses its serviceability. Railroad bridges with poor track conditions will have amplified displacements under heavy loads due to impacts between the wheels and rail joints. Under these circumstances, vehicle-track-bridge interactions could cause excessive bridge displacements, and hence, unsafe train crossings. If displacements during train crossings could be measured objectively, owners could repair or replace less safe bridges first. However, data on bridge displacements is difficult to collect in the field as a fixed point of reference is required for measurement. Accelerations can be used to estimate dynamic displacements, but to date, the pseudo-static displacements cannot be measured using reference-free sensors. This study proposes a method to estimate total transverse displacements of a railroad bridge under live train loads using acceleration and tilt data at the top of the exterior pile bent of a standard timber trestle, where train derailment due to excessive lateral movement is the main concern. Researchers used real bridge transverse displacement data under train traffic from varying bridge serviceability levels. This study explores the design of a new bridge deck-pier experimental model that simulates the vibrations of railroad bridges under traffic using a shake table for the input of train crossing data collected from the field into a laboratory model of a standard timber railroad pile bent. Reference-free sensors measured both the inclination angle and accelerations of the pile cap. Various readings are used to estimate the total displacements of the bridge using data filtering. The estimated displacements are then compared to the true responses of the model measured with displacement sensors. An average peak error of 10% and a root mean square error average of 5% resulted, concluding that this method can cost-effectively measure the total displacement of railroad bridges without a fixed reference.

• Journal of the Korean Geotechnical Society
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• v.34 no.12
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• pp.19-27
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• 2018

Terzaghi proposed a 2D formula for arching based on the assumption of a vertical sliding surface induced in the upper part due to the downward movement of a trapdoor. The formula was later expanded to consider 3D tunnel excavation conditions under inclined sliding surfaces. This study further extends the expanded formula to consider the effects of different ground properties and inclined sliding conditions in the transverse and longitudinal directions considering anisotropic ground conditions, as well as 3D tunnel excavation conditions. The 3D formula proposed in this study was examined of the induced vertical stress under various conditions (ground property, inclined sliding surface, excavation condition, surcharge pressure, earth pressure coefficient) and compared with the 2D Terzaghi formula. The examination indicated that the induced vertical stress increased as the excavation width and length increased, the inclination angle increased, the cohesion and friction angle decreased, the earth pressure coefficient decreased, and the surcharge pressure increased. Under the conditions examined, the stress was more affected at low excavation lengths and by the ground properties in the transverse direction. In addition, The comparison with the 2D Terzaghi formula showed that the induced vertical stress was lower and the difference was highly affected by the ground properties, inclined sliding conditions, and 3D tunnel excavation conditions. The proposed 3D arching formula could help to provide better understanding of complex arching phenomena in tunnel construction.

• The korean journal of orthodontics
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• v.47 no.5
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• pp.313-322
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• 2017

Objective: Miniscrew-assisted rapid palatal expansion (MARPE) is a means for expanding the basal bone without surgical intervention in young adults. Here, we assessed the differences in dental, alveolar, and skeletal measurements taken before (T0), immediately after (T1), and 1 year after (T2) MARPE. Methods: Twenty-four patients (mean age, 21.6 years) who had undergone MARPE and cone-beam computed tomography at T0, T1, and T2 were included. Changes in the following parameters were compared using paired t-tests: intercusp, interapex, alveolar, nasal floor, and nasal cavity widths; inclination of the first molar (M1) and its alveolus; and thickness and height of the alveolar bone. A linear mixed-effects model was used to determine variables that affected periodontal changes in the M1. Results: MARPE produced significant increases in most measurements during T0-T2, despite relapse of some measurements during T1-T2. The alveolar thickness decreased on the buccal side, but increased on the palatal side. The alveolar crest level at the first premolar moved apically. Changes in the thickness and height of the alveolar bone were affected by the corresponding initial values. Conclusions: MARPE can be used as an effective tool for correcting maxillomandibular transverse discrepancy, showing stable outcomes 1 year after expansion.

• The korean journal of orthodontics
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• v.26 no.5 s.58
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• pp.637-645
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• 1996

In non-growing Class III malocclusion, the critical aspects which determine the need of orthognatic surgery are the severity of skeletal discrepancy, incisor inclination, overbile and soft tissue profile. Two-jaw surgery is more effective in correcting severe sagittal, vertical, transverse skeletal discrepancies and facial asymmetry. And more esthetic and stable profile can be achieved by two-jaw surgery Some midfacial deficiency Patients can be treated by Pyramidal Le Fort II osteotomy to maintain infraorbital rim and malar complex and to advance nasomaxillary complex. Others who require advancement of infraorbital rim and malar complex can be treated by quadrangular Le Fort II osteotomy. On the following cases, patients who had represented midfacial deficiency and mandibular prognathism were treated with combined orthodontic-surgical therapy by Le Fort II osteotomy and BSSRO.

• The korean journal of orthodontics
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• v.45 no.3
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• pp.121-129
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• 2015

Objective: This study aimed to assess three-dimensional changes in the temporomandibular joint positions and mandibular dimensions after correction of dental factors restricting mandibular growth in patients with Class II division 1 or division 2 malocclusion in the pubertal growth period. Methods: This prospective clinical study included 14 patients each with Class II division 1 (group I) and Class II division 2 (group II) malocclusions. The quad-helix was used for maxillary expansion, while utility arches were used for intrusion (group I) or protrusion and intrusion (group II) of the maxillary incisors. After approximately 2 months of treatment, an adequate maxillary arch width and acceptable maxillary incisor inclination were obtained. The patients were followed for an average of 6 months. Intraoral and extraoral photographs, plaster models, and cone-beam computed tomography (CBCT) images were obtained before and after treatment. Lateral cephalometric and temporomandibular joint measurements were made from the CBCT images. Results: The mandibular dimensions increased in both groups, although mandibular positional changes were also found in group II. There were no differences in the condylar position within the mandibular fossa or the condylar dimensions. The mandibular fossa depth and condylar positions were symmetrical at treatment initiation and completion. Conclusions: Class II malocclusion can be partially corrected by achieving an ideal maxillary arch form, particularly in patients with Class II division 2 malocclusion. Restrictions of the mandible in the transverse or sagittal plane do not affect the temporomandibular joint positions in these patients because of the high adaptability of this joint.