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Investigation of the effects of miniscrew-assisted rapid palatal expansion on airflow in the upper airway of an adult patient with obstructive sleep apnea syndrome using computational fluid-structure interaction analysis

  • Hur, Jae-Sik;Kim, Hyoung-Ho;Choi, Jin-Young;Suh, Sang-Ho;Baek, Seung-Hak
    • The korean journal of orthodontics
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    • v.47 no.6
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    • pp.353-364
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    • 2017
  • Objective: The objective of this study was to investigate the effects of miniscrew-assisted rapid palatal expansion (MARPE) on changes in airflow in the upper airway (UA) of an adult patient with obstructive sleep apnea syndrome (OSAS) using computational fluid-structure interaction analysis. Methods: Three-dimensional UA models fabricated from cone beam computed tomography images obtained before (T0) and after (T1) MARPE in an adult patient with OSAS were used for computational fluid dynamics with fluid-structure interaction analysis. Seven and nine cross-sectional planes (interplane distance of 10 mm) in the nasal cavity (NC) and pharynx, respectively, were set along UA. Changes in the cross-sectional area and changes in airflow velocity and pressure, node displacement, and total resistance at maximum inspiration (MI), rest, and maximum expiration (ME) were investigated at each plane after MARPE. Results: The cross-sectional areas at most planes in NC and the upper half of the pharynx were significantly increased at T1. Moreover, airflow velocity decreased in the anterior NC at MI and ME and in the nasopharynx and oropharynx at MI. The decrease in velocity was greater in NC than in the pharynx. The airflow pressure in the anterior NC and entire pharynx exhibited a decrease at T1. The amount of node displacement in NC and the pharynx was insignificant at both T0 and T1. Absolute values for the total resistance at MI, rest, and ME were lower at T1 than at T0. Conclusions: MARPE improves airflow and decreases resistance in UA; therefore, it may be an effective treatment modality for adult patients with moderate OSAS.

CORRELATIONS BETWEEN MUSCLE ACTIVITIES OF ORBICULARIS ORIS, MENTALIS, BUCCINATOR AND SUPRAHYOID AND CRANIOFACIAL MORPHOLOGY IN CLASS II DIVISION 1 MALOCCLUSION WITH INCOMPETENT LIPS AND NORMAL OCCLUSION (부적합구순을 가진 II급 1류 부정교합자의 구륜근, 턱끝근 및 협근의 활성과 안면골격 사이의 상관성)

  • Lee, Young-Jun;Park, Young-Guk
    • The korean journal of orthodontics
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    • v.24 no.1 s.44
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    • pp.199-220
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    • 1994
  • This study was conducted to determine the electromyographic features in the perioral muscles of class II division 1 malocclusion with incompetent lips, and to grope the correlation between its activities and craniofacial morphology. Tn this study, 14 subjects with class II division 1 malocclusion with incompetent lips(mean age of 20.5 years) and 20 subjects with normal occlusion(mean age of 23.9 years) were investigated. Electromyographic data were recorded from orbicularis oris, mentalis, buccinator and suprahyoid muscles durig rest lip posture, lip position at sealing, maximum sealing, maximal blowing, maximal biting, sipping milk, sipping and swallowing milk, chewing gum, masticating almond, swallowing almond and phonation utilizing the Medelec MS-25 electromyographic apparatus. Lateral cephalometric radiographs were taken with the mandible in intercuspal position on all subjects. All data were recorded statistically processed. The findings of this study can be summerized as follows : 1. In class II division 1 malocclusion with incompetent lips, the overall augmentations of perioral muscle activities during various functionel movements set for lip sealing were manifested and particular swelling in mentalis activity at rest was detected. 2. On the other hand remarkable diminution of upper lip acitivities at lip sealing movements was drawn. 3. In Class II division 1 malocclusion with incompetent lips, negative correlations existed between the diversity of upper lip activities and upper incisor position and overjet as well in contrast to positive correlations in the lower lip. 4. It was suggested that the abnormal function of lower lip and mentalis muscle contributed somewhat the revelation of the characteristics of Class II division 1 malocclusion.

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Rubrics for Assessing the Elementary School Students' Ability to Use ICT (초등학생 ICT 활용능력 평가를 위한 수행평가 척도)

  • 문외식
    • Journal of the Korea Computer Industry Society
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    • v.4 no.4
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    • pp.467-478
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    • 2003
  • The purpose of this paper is to develop and to introduce the rubrics for performance assessment, which can measure elementary school upper graders' ability to use ICT, With a goal of improving their ability to use ICT, the students, who are in the fourth, fifth, six grades, received instructions on the basic skills and knowledge for using the computer during the extracurricular-activity session or the self-directed session after regular classes. In the study, the rubrics were developed on the basis of the 7th national curriculum, and defined respectively assessment criteria and attainment targets for the upper graders. The assessment criteria were set after the researcher determined the most basic and important skills and knowledge that the upper graders should have, and then compared them with the attainment criteria in the national curriculum. Accordingly, the application of the rubrics developed for this study is expected to lessen the burden of elementary school teachers when they implement performance assessment in their classrooms. Finally, using the rubrics, the study assessed elementary school students' ability to use the computer, and showed somewhat limiting but satisfactory results.

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Jeogori Pattern Development for Female in Late 20s According to Shape of Upper Back (20대 후반 여성의 상반신 뒷면 형상에 따른 저고리 원형 개발)

  • Eom, Ran-I;Lee, Yejin
    • Korean Journal of Human Ecology
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    • v.23 no.6
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    • pp.1191-1204
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    • 2014
  • Even though a Han-bok, or traditional Korean costume, should be inherited since it is invaluable part of our culture, research on Han-bok is scarce. Since the development of a Jeogori pattern, the upper garment of Korean traditional clothes, is done mostly based on the chest size, the design does not completely consider on wearer's body shape. Moreover, unless made by an expert, trial and error is almost always necessary to improve the fit of the clothes. In this research, a Jeogori pattern was suggested that improves the fit based on the shape of the upper back(straight or bent) of a female in her late 20s who often wears a Han-bok and is comfortable when moving. Using a 3D virtual clothing system, the optimum pattern was selected based on the body shape. The final selection was made, and each subjects tried the garment on to evaluate the comfort when moving, along with its appearance, based on a seven point Likert scale. As a result, for a straight body shape, the optimum ease for the front bust width was 2.5cm, and that for the back bust width was 2.0cm. The optimum center back dart was 1.0cm. The optimum Geodae width was 7.6cm, and the optimum back Geodae point was 2.0cm. For the bent body shape, the optimum ease for the front and back bust was 2.0cm. The optimum Geodae width was 8.4cm, and the optimum back Geodae point was 1.5cm. Furthermore, if the Hwajang slope was set at half of the vertical distance between the laterals of the neck and shoulder, a fitted silhouette appeared, which is preferred nowadays. In the appearance evaluation, the final pattern designed in this research received higher scores than the original design(straight; p<.001, bent; p<.05). The results of the evaluation of the comfort when moving also showed higher scores for the final pattern that was designed.

Forest Structure in Relation to Altitude and Part of Slope in a Valley Forest at Chuwangsan Area (주왕산지역 계곡부의 해발고와 사면부위에 따른 산림구조)

  • 박인협;문광선;류석봉
    • Korean Journal of Environment and Ecology
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    • v.8 no.2
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    • pp.154-159
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    • 1995
  • The Chuwang valley-Kumunkwangi valley forest in Chuwangsan area was studied to investigate forest structure in relation to altitude and part of slope. Forty eight quadrats were set up in the valley forest along altitude of 470m to 780m and part of the slope. Density and basal area of trees in tree strata decreased as increasing elevation. With increasing elevation the importance values of Quercus mongolica, Fraxinus rhynchophylla increased, while those of Pinus densiflora, Lindera obtussiloba decreased. As going from lower part to upper part of the slope, the importance values of Quercus valiabilis and Lindera obtussiloba increased while those of Fraxius rhynchophylla, Acer mono decreased. Species diversity tended to decreased as going to upper parts of the slope. The range of similarity indices between elevation belts, and parts of the slope were 74.4~84.2% and 68.0~96.3%, respectively. According to importance value and cluster analysis, the studied valley forest was classified into three forest communities of Pinus densiflora-deciduous tree species community of lower part of slope, Pinus densiflora-Quercus variabilis community of middle and upper part of slope, Pinus densiflora community of the top area.

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Disparity in opinions on lip protrusiveness in contemporary African American faces

  • Battle, Yvette;Schneider, Monica;Magder, Laurence;Pae, Eung-Kwon
    • The korean journal of orthodontics
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    • v.48 no.1
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    • pp.23-29
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    • 2018
  • Objective: In accordance with the changing demographics in the United States, orthodontists working on various ethnic populations should be more conscious when using the standardized profile analyses for the African American patient. The objective of this study was to examine whether the perception of lip protrusiveness in modern African American faces has changed. For this purpose, we investigated the most favorable African American lip profile using the opinions of 10 experienced and 10 newly trained younger orthodontists. Methods: Attractiveness was converted to a number on visualized analog scales. Comparative ranks on 16 African American profiles, with focus on lip protrusiveness and thickness, were made among the groups. Mixed-effects linear regression models were fit and group differences were estimated. Results: Younger orthodontists favored a more protrusive lip profile, and the variance in their perceptions was narrower than those of older orthodontists. Measurements related to upper lip protrusion showed the strongest correlation to attractiveness (r = -0.82). The association with attractiveness decreased linearly as the protrusiveness of the upper lip increased. Steiner's E-line was the most influential reference for determining the level of attractiveness for the older orthodontists, whereas upper lip protrusion was the most influential factor for the young orthodontists. Conclusions: An adequate level of lip protrusiveness and thickness should be essential for maintaining attractive esthetics in African American patients. Yet, a new set of standards for prominent lips in this population is necessary to reflect the current trend in the concept of a beautiful face in the modern world.

Perceptual Evaluation of Noise Sources in a Chamber for Residential and Working Environment (주거 및 사무환경 챔버에서의 생활소음에 대한 감성적 평가)

  • Jeon, Jin-Yong;Kim, Kyong-Ho;Jung, Jeong-Ho;Ryu, Jong-Kwan;Cho, Moon-Jae
    • Transactions of the Korean Society for Noise and Vibration Engineering
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    • v.12 no.6
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    • pp.437-444
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    • 2002
  • This paper is to provide the basic way of a acoustical evaluation and efficient control noise by investigating the limits of perceptual loudness of living environment and by finding out any correlation between Physical characteristics of noise and psychoacoustic parameters. The limits of perceptual loudness were selected by the subjects in a chamber for residential and working environment. And the noise sources were analyzed to find out whether there is any correlation with Zwicker parameters and ACF factors. In this study especially, to set up the domestic evaluation grade about floor impact noise. we'd like to suggest the loudness Perception research result as fundamental resource for setting up the evaluation grade through the result that is based on annoyance. In the result of this research, upper limit of heavy-weight impact noise was L-60, and lower limit of it was L-50. On the other hand, upper limit of light-weight impact noise was L-70, and lower limit of it was L-55. It seemed that the loudness of noise from vacuum cleaner noise does not affect its perceived noisiness. Noises implicated In human such as floor walking noise and talking sound, are the most irritating noise in office environment.

Three-dimensional Analysis of the Spine using Formetric 4D according to Upper Limb Movement and Resistance Application (상지의 움직임과 저항 적용에 따른 Formetric 4D를 이용한 척추의 3차원적 분석)

  • Kim, Hyun-Jin;Shin, Won-Seob
    • Journal of the Korean Society of Physical Medicine
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    • v.15 no.3
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    • pp.69-77
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    • 2020
  • PURPOSE: The aim of this study was to measure changes in spine inclination and thoracolumbar structure and morphology according to upper-extremity movements with and without resistance in order to evaluate the spine stability in workers. METHODS: Forty-eight middle-aged male workers (mean age, 40.48 ± 6.27 years) participated in this study. Using the spine analysis system, changes in the inclination of the spine and structure as well as shape of the thoracolumbar spine were measured. For posture measurement, the postures of standing, lifting the right and left arms (shoulder joint 90° flexion), and lifting with both arms were measured in random order. In addition, variables were measured using a resistance of 3 kg for each posture. The statistical significance level was set at α = .05 for all variables. RESULTS: There were statistically significant differences between the front and back inclinations of the spine, kyphotic curve of the thoracic spine, lordotic curve of the lumbar spine, rotation changes in the thoracolumbar spine, and rotation changes in the T4 vertebra (p < .05). However, there was no significant difference in the left and right tilts of the spine. In the post-hoc analysis, rotation changes in the T4 vertebra showed a significant difference in posture when resistance was applied to the left and right sides CONCLUSION: Causes of musculoskeletal diseases include excessive thoracic spine rotation, torsion, and hyperlordosis of the lumbar spine. Therefore, it is necessary to improve the working environment in order to ensure a healthy posture and prevent musculoskeletal diseases that can reduce the ability to carry various and/or excessive loads.

Subseasonal-to-Seasonal (S2S) Prediction Skills of GloSea5 Model: Part 1. Geopotential Height in the Northern Hemisphere Extratropics (GloSea5 모형의 계절내-계절(S2S) 예측성 검정: Part 1. 북반구 중위도 지위고도)

  • Kim, Sang-Wook;Kim, Hera;Song, Kanghyun;Son, Seok-Woo;Lim, Yuna;Kang, Hyun-Suk;Hyun, Yu-Kyung
    • Atmosphere
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    • v.28 no.3
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    • pp.233-245
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    • 2018
  • This study explores the Subseasonal-to-Seasonal (S2S) prediction skills of the Northern Hemisphere mid-latitude geopotential height in the Global Seasonal forecasting model version 5 (GloSea5) hindcast experiment. The prediction skills are quantitatively verified for the period of 1991~2010 by computing the Anomaly Correlation Coefficient (ACC) and Mean Square Skill Score (MSSS). GloSea5 model shows a higher prediction skill in winter than in summer at most levels regardless of verification methods. Quantitatively, the prediction limit diagnosed with ACC skill of 500 hPa geopotential height, averaged over $30^{\circ}N{\sim}90^{\circ}N$, is 11.0 days in winter, but only 9.1 days in summer. These prediction limits are primarily set by the planetary-scale eddy phase errors. The stratospheric prediction skills are typically higher than the tropospheric skills except in the summer upper-stratosphere where prediction skills are substantially lower than upper-troposphere. The lack of the summer upper-stratospheric prediction skill is caused by zonal mean error, perhaps strongly related to model mean bias in the stratosphere.

The Correlation of the Area of the Base of Support with the Maximal Voluntary Isometric Contraction of Upper Limb Muscles (기저면의 넓이와 상지 근육의 최대 수의적 등척성 수축의 상관관계)

  • Lee, Sang-Yeol;Jo, Marg-Eun
    • PNF and Movement
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    • v.14 no.1
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    • pp.49-52
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    • 2016
  • Purpose: The purpose of the present study was to examine the effects of the area of the base of support formed by the human body on the maximal voluntary isometric contraction of upper limb muscles. Methods: The study was conducted with 20 normal adults. To identify changes in the base of support, the maximal voluntary isometric contraction of the biceps muscle was measured in a standing position, a sitting position, and a lying position for each subject. The sizes of the base of support formed in the standing, sitting, and lying positions were set to 1, 2, and 3 respectively, based on the sizes, to analyze the correlations. The maximal voluntary isometric contraction of the biceps muscle was measured using surface electromyograms (EMGs) (Noraxon DTS, Germany). Results: The results showed negative correlations in which, as the size of the base of support increased, the maximal voluntary isometric contraction of the biceps muscle decreased. Conclusion: Changes in the base of support of the body affect the maximal voluntary isometric contraction of the upper limbs. Therefore, when resistance exercises are applied for muscle strengthening, the positions should be changed considering the changes in muscle activity according to those positions. In addition, when EMGs are used to measure the maximal voluntary isometric contraction, the measurements should be conducted in the same positions, considering muscle activity that changes according to the base of support and positions, for data quantification.