• 제목/요약/키워드: upper plane

검색결과 593건 처리시간 0.027초

Is Adjacent Segment Disease More Frequent in Proximal Levels in Comparison with Distal Levels? Based on Radiological Data of at Least 2 Years Follow Up with More than 2 Level Thoracolumbar Fusions

  • Kim, Jung-Ho;Ryu, Dal-Sung;Yoon, Seung-Hwan
    • Journal of Korean Neurosurgical Society
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    • 제62권5호
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    • pp.603-609
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    • 2019
  • Objective : The purpose of this retrospective study was to determine which of the proximal adjacent segment disease (ASD) and distal ASD was more prevalent and what parameters is more related to ASD in proximal levels and distal levels after more than 2 levels fusions. Methods : The medical records were reviewed retrospectively for 856 cases. A total of 66 cases of ASD were enrolled. On preop magnetic resonance imaging, disc degeneration was measured at the upper and lower parts of surgically treated levels and confirmed by the commonly used Pfirrmann grade. Segmental flexibility in sagittal plane was embodied in segment range of motion (ROM) obtained through flexion and extension X-ray before surgery. Coronal angle was recorded as methods Cobb's angle including fusion levels preoperatively. For the comparison of categorical variables between two independent groups, the chi-square test and Fisher exact test were performed. Results : Proximal ASD and distal ASD were 37/856 (4.32%) and 29/856 (3.39%), respectively. The incidence of proximal ASD was relatively high but insignificant differences. In comparison between ASD group and non ASD group, proximal Pfirmman was higher in proximal ASD and distal Pfirmman was higher in distal ASD group (p=0.005, p<0.008, respectively). However, in the ROM, proximal ROM was higher in proximal ASD, but distal ROM was not different between the two groups (p<0.0001, p=0.995, respectively). Coronal angle was not quite different in both groups (p=0.846). Conclusion : In spite of higher frequency in ASD in proximal level in spinal fusion, it is not clear that incidence of ASD in proximal level is not higher than that of distal ASD group in more than 2 level thoracolumbar fusions. Not only Pfirrmann grade but also proximal segmental ROM is risk factor for predicting the occurrence of ASD in patients more than 2 level of thoracolumbar spine fusion operation excluding L5S1.

포집공간 조건에 따른 낙석의 거동 (Rockfall Behavior with Catchment Area Condition)

  • 이준대;권영철;배우석
    • 한국지반환경공학회 논문집
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    • 제20권1호
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    • pp.35-42
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    • 2019
  • 현재 각종 개발사업으로 절토 비탈면은 토지이용에 따라 불가피하게 증가되고 있는 추세에 있으며, 다양한 관리 주체에 의해 운영되고 있는 탐방로 비탈면은 오랜 풍화로 인해 노후화되고 있는 현실이다. 비탈면의 붕괴는 그 불확실성과 발생시점에 대한 예측 불가능으로 불가피한 재산 및 인명피해가 발생하고 있는 상황이다. 이러한 불가피성을 극복하기 위해 미국, 일본, 유럽 등지에서는 사면상부 암괴가 경사면을 따라 이동하는 현상에 대해서 현장시험과 이에 대한 컴퓨터 해석프로그램을 통하여 암괴 이동에 따른 운동에너지와 이동거리 등을 분석하고 있다. 그러나 국내의 연구는 기존의 프로그램을 활용하여 단편적인 낙석거동을 예측하는 데 그치고 있으며 국내 상황에 적합한 해석방법이나 매개변수의 결정에 대한 접근이 매우 제한적인 것이 사실이다. 따라서 본 연구에서는 낙석의 거동 원리를 파악하고 다양한 매개변수의 영향을 평가하기 위해 낙석의 유형과 적용되는 인자를 정의하고 범용 낙석 시뮬레이션 프로그램을 이용하여 매개변수의 영향을 분석하였다.

Occlusal deviations in adolescents with idiopathic and congenital scoliosis

  • Zhang, Hao;Ma, Jingbo;Zhang, Zhicheng;Feng, Yafei;Cai, Chuan;Wang, Chao
    • 대한치과교정학회지
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    • 제52권3호
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    • pp.165-171
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    • 2022
  • Objective: This cross-sectional study aimed to investigate the characteristics of malocclusions in scoliotic patients through clinical examinations. Methods: Fifty-eight patients with idiopathic scoliosis (IS) and 48 patients with congenital scoliosis (CS) participated in the study. A randomly selected group of 152 orthopedically healthy children served as the control group. Standardized orthodontic and orthopedic examination protocols were used to record the occlusal patterns and type of scoliosis. Assessments were made by three experienced orthodontists and a spinal surgery team. The differences in the frequency distribution of occlusal patterns were evaluated by the chi-squared test. Results: In comparison with patients showing IS, patients with CS showed a higher incidence of Cobb angle ≥ 45° (p = 0.020) and included a higher proportion of patients receiving surgical treatments (p < 0.001). The distribution of the Angle Class II subgroup was significantly higher in the IS (p < 0.001) and CS (p = 0.031) groups than in the control group. In comparison with the healthy controls, the CS and IS groups showed significantly higher (p < 0.05) frequencies of asymmetric molar and asymmetric canine relationships, upper and lower middle line deviations, anterior deep overbite, unilateral posterior crossbite, and canted occlusal plane, with the frequencies being especially higher in CS patients and to a lesser extent in IS patients. Conclusions: Patients with scoliosis showed a high frequency of malocclusions, which were most obvious in patients with CS.

서지컬 가이드를 이용한 하악 임플란트 피개의치 수복 증례 (Oral rehabilitation of edentulous patient with mandibular implant overdenture using surgical guide)

  • 이동환;류재준
    • 대한치과보철학회지
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    • 제60권4호
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    • pp.339-346
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    • 2022
  • 전통적인 총의치와 비교했을 때 하악 임플란트 피개의치는 2개의 임플란트로도 좋은 지지와 유지를 얻을 수 있다는 장점이 있다. 2개의 임플란트를 이용하여 하악 임플란트 피개의치를 제작할 때는 정확한 위치에 임플란트를 식립하는 것이 중요하다. 2개의 임플란트를 교합평면에 수직 방향으로, 견치 자리에 서로 평행하게 식립해야 피개의치의 장기적인 예후에 좋다. 하지만 무치악 환자에서 2개의 임플란트를 올바른 위치에 식립하는 것은 어려운 일이며, 이 때 서지컬 가이드를 이용한다면 보철적으로 유리한 위치에 임플란트를 식립하는데 도움을 받을 수 있다. 본 증례는 57세 남환으로 치주질환으로 인해 상, 하악의 모든 치아가 발거된 상태로 본원에 내원했다. 이에 상악은 전통적인 총의치, 하악은 2개의 임플란트를 이용한 임플란트 피개의치로 수복하여 기능 및 심미적으로 만족스러운 결과를 얻었으므로 이를 보고하고자 한다.

구속모형시험을 통한 잠수함 선형의 수상 조건 조종성능 추정 연구 (Prediction of Maneuverability of a Submarine at Surface Condition by Captive Model Test)

  • 권창섭;김동진;이영연;김연규;윤근항;조성록
    • 대한조선학회논문집
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    • 제59권6호
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    • pp.423-431
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    • 2022
  • In this paper, the results of Planar Motion Mechanism (PMM) test for a 1/15 scaled model of the MARIN Joubert BB2 submarine is dealt with to derive the maneuvering coefficients for surface condition. For the depth of surface navigation, the top of the sail was exposed 0.46 m above the water surface in the model scale, and it corresponds to 6.9 m in the full scale. The resistance and self-propulsion tests were conducted, and the model's self-propulsion point was obtained for 1.328 m/s, which corresponded to 10 knots in the full scale. The maneuvering tests were performed at the model's self-propulsion point, and the maneuvering coefficients were obtained. Based on the maneuvering coefficients, a turning simulation was performed for starboard 30 degree of stern fins. The straight-line stability and control effectiveness in the horizontal plane were analyzed using the maneuvering coefficients and compared with the appropriate range. For the analysis of the neutral fin angle of the X-type stern fin, the stern fin test with drift angles was carried out. As a result, the flow straightening effect at lower and upper parts of the stern fin was discussed.

Science Objectives and Design of Ionospheric Monitoring Instrument Ionospheric Anomaly Monitoring by Magnetometer And Plasma-probe (IAMMAP) for the CAS500-3 Satellite

  • Ryu, Kwangsun;Lee, Seunguk;Woo, Chang Ho;Lee, Junchan;Jang, Eunjin;Hwang, Jaemin;Kim, Jin-Kyu;Cha, Wonho;Kim, Dong-guk;Koo, BonJu;Park, SeongOg;Choi, Dooyoung;Choi, Cheong Rim
    • Journal of Astronomy and Space Sciences
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    • 제39권3호
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    • pp.117-126
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    • 2022
  • The Ionospheric Anomaly Monitoring by Magnetometer And Plasma-probe (IAMMAP) is one of the scientific instruments for the Compact Advanced Satellite 500-3 (CAS 500-3) which is planned to be launched by Korean Space Launch Vehicle in 2024. The main scientific objective of IAMMAP is to understand the complicated correlation between the equatorial electro-jet (EEJ) and the equatorial ionization anomaly (EIA) which play important roles in the dynamics of the ionospheric plasma in the dayside equator region. IAMMAP consists of an impedance probe (IP) for precise plasma measurement and magnetometers for EEJ current estimation. The designated sun-synchronous orbit along the quasi-meridional plane makes the instrument suitable for studying the EIA and EEJ. The newly-devised IP is expected to obtain the electron density of the ionosphere with unprecedented precision by measuring the upper-hybrid frequency (fUHR) of the ionospheric plasma, which is not affected by the satellite geometry, the spacecraft potential, or contamination unlike conventional Langmuir probes. A set of temperature-tolerant precision fluxgate magnetometers, called Adaptive In-phase MAGnetometer, is employed also for studying the complicated current system in the ionosphere and magnetosphere, which is particularly related with the EEJ caused by the potential difference along the zonal direction.

Stability investigation of symmetrically porous advanced composites plates via a novel hyperbolic RPT

  • S.R. Mahmoud;E.I. Ghandourah;A.H. Algarni;M.A. Balubaid;Abdelouahed Tounsi;Abdeldjebbar Tounsi;Fouad Bourada
    • Steel and Composite Structures
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    • 제46권4호
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    • pp.471-483
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    • 2023
  • This paper presents an analytical hyperbolic theory based on the refined shear deformation theory for mechanical stability analysis of the simply supported advanced composites plates (exponentially, sigmoidal and power-law graded) under triangular, trapezoidal and uniform uniaxial and biaxial loading. The developed model ensures the boundary condition of the zero transverse stresses at the top and bottom surfaces without using the correction factor as first order shear deformation theory. The mathematical formulation of displacement contains only four unknowns in which the transverse deflection is divided to shear and bending components. The current study includes the effect of the geometric imperfection of the material. The modeling of the micro-void presence in the structure is based on the both true and apparent density formulas in which the porosity will be dense in the mid-plane and zero in the upper and lower surfaces (free surface) according to a logarithmic function. The analytical solutions of the uniaxial and biaxial critical buckling load are determined by solving the differential equilibrium equations of the system with the help of the Navier's method. The correctness and the effectiveness of the proposed HyRPT is confirmed by comparing the results with those found in the open literature which shows the high performance of this model to predict the stability characteristics of the FG structures employed in various fields. Several parametric analyses are performed to extract the most influenced parameters on the mechanical stability of this type of advanced composites plates.

근사적인 해석법에 의한 근입된 벽체의 극한지지력 평가 (Assessment of Ultimate Bearing Capacity for an Embedded Wall by Closed-Form Analytical Solution)

  • 이용주
    • 한국지반공학회논문집
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    • 제22권9호
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    • pp.23-36
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    • 2006
  • 본 연구는 사질토 지반에 근입되어 있는 벽체의 극한지지력을 구하기 위해 새로운 근사적인 해석법의 전개과정에 대해 설명한다. 이러한 근사적인 형태의 해석기법은 상계 및 하계법으로 구성되어 있다. 상 하계법으로 계산된 값은 소성영역에서 구해진 2차원 실내벽체모형의 하중재하시험 및 유한요소해석 결과와 비교하였다. 비교 결과, 모형실험과 유한요소해석으로부터 구한 극한하중 값은 상계와 하계 사이에 모두 분포하는 것으로 나타났다. 이러한 비교에서 특이 할 사항은 하계법으로 구한 벽체의 극한하중이 모형실험 및 유한요소해석에서 구한 극한하중과 잘 일치되는 것을 보여 주었다. 그러나, 평면변형률 조건에서 기존의 경험적인 식에 의한 계산에서 얻어진 극한하중은 하계법의 극한하중에 훨씬 못 미치는 것으로 나타났다.

A refined quasi-3D theory for stability and dynamic investigation of cross-ply laminated composite plates on Winkler-Pasternak foundation

  • Nasrine Belbachir;Fouad Bourada;Abdelmoumen Anis Bousahla;Abdelouahed Tounsi;Mohamed A. Al-Osta;Mofareh Hassan Ghazwani;Ali Alnujaie;Abdeldjebbar Tounsi
    • Structural Engineering and Mechanics
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    • 제85권4호
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    • pp.433-443
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    • 2023
  • The current paper discusses the dynamic and stability responses of cross-ply composite laminated plates by employing a refined quasi-3D trigonometric shear deformation theory. The proposed theory takes into consideration shear deformation and thickness stretching by a trigonometric variation of in-plane and transverse displacements through the plate thickness and assures the vanished shear stresses conditions on the upper and lower surfaces of the plate. The strong point of the new formulation is that the displacements field contains only 4 unknowns, which is less than the other shear deformation theories. In addition, the present model considers the thickness extension effects (εz≠0). The presence of the Winkler-Pasternak elastic base is included in the mathematical formulation. The Hamilton's principle is utilized in order to derive the four differentials' equations of motion, which are solved via Navier's technique of simply supported structures. The accuracy of the present 3-D theory is demonstrated by comparing fundamental frequencies and critical buckling loads numerical results with those provided using other models available in the open literature.

전하안면 고경이 작은 III급 부정교합자의 골격유형에 관한 두부방사선 계측학적 연구 (The cephalometric study of skeletal types in Cl III malocclusion with reduced lower anterior face height)

  • 한동헌;차경석
    • 대한치과교정학회지
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    • 제26권2호
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    • pp.205-218
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    • 1996
  • 부정교합의 특징을 파악하고 유형별로 분류하여 진단 및 치료에 적절히 적용함이 예후에 상당히 중요하다 하겠다. 안모의 유형은 여러 형태적인 특징이 상호 결합된 하나의 Syndrome으로 인식할수 있으며 어느 특정한 계측항목만으로는 분류될수 없는 것이다. 전후방적인 부정교합의 구분이외에도 수직적인 부조화 양상을 함께 고려한 비교 연구가 다각적으로 시도되어지고 있으나 분류의 기준이 어느 한 특징 요소만을 강조하는 경향이 있어 여러 골격 유형이 혼합되어 분류, 비교 되어지는 단점이 있었다. 본 연구는 전하안면 고경이 작은 3급 부정교합에 혼재되어 있는 골격유형을 분류하고 각 유형간의 특징을 비교 분석하기 위하여 시행되어졌으며 단국대학교 부속 치과병원 교정과에 내원한 부정교합자중 혼합치열기이면서 전하안면 고경이 작은 3급 부정교합자를 선별하여 실험군으로 하여 다음과 같이 결론을 얻었다. 1. 전하안면 고경이 작은 3급 부정교합은 수직적인 양상을 따라 3가지 Subtype으로 분류할수 있다. 2. Subtype 1은 하악지가 크게 발육되 있는 것이 특징으로 후방 구치 치조부의 hypopiasia는 인정되지 않으며 전방위치하여 전하안면 고경이 낮아지고 하악하연 경사도가 뚜렷이 작아져 있다. 3. Subtype 2는 안모의 전반적인 수직고경이 작은 것이 특징으로 하악지 발육은 정상이거나 미약하고 후방 구치 치조부의 hypopiasia가 뚜렷하여 전하안면 고경이 작아지나, 하악하연 경사도는 정상범주를 유지한다. 4. Subtype 3는 안모의 전후 수직고경이 정상범주이나 전상안면이 전하안면보다 많은 비율을 점유하는 것이 특징으로, 하악지의 고경은 정상 범주이나 후방 구치 치조부의 hypopiasia가 인정되며 전하안면 고경이 작고 하악하연 경사도도 작게 나타난다. 5. 각 유형별로 그 특징을 반영하는 Discriminative indext는 다음과 같다. LAFH :유형과 상관없이 전하안면 고경이 작은 경우를 충실히 나타내준다. FHR : PFH/AFH의 비로 큰 경우, subtype 1을 분별해 준다. FHI : RH2/1H의 비로 정상에 가까운 경우 subtype 2를 분별해 준다. FPI : (ALFH/ATFH - AUFE/ATFH)x100의 값으로 아주 작은 경우, subtype 3을 분별해 준다. 6. 각 유형의 차이는 기능적인 차이를 반영하는 것으로 사료되며 기능적인 차이를 확인하고 치료와 연관시키는 것이 중요하다고 사료되어진다.

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