• Title/Summary/Keyword: 견고성 고정

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Skeletal relapse and dental change during intermaxillary fixation after mandibular setback (외과적 하악 후퇴술 후 악간고정기간 중의 골격성 재발과 치열의 변화)

  • Chang, Chong-On
    • The korean journal of orthodontics
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    • v.29 no.4 s.75
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    • pp.457-466
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    • 1999
  • It has been reported that skeletal relapse and dental change after mandibular setback do occur not only after intermaxillary fixation(IMF) removal but also during IMF The side effects of skeletal relapse during IMF have clinical importance because they can cause many Postoperative orthodontic Problems. Generally, the Prevention of solid union between segments, compensatory tooth movement, anterior openbite, etc. have been cited as the side effects of jaw displacement. The purpose of this study was to evaluate the skeletal relapse and dental change during IMF. The material consisted of 28 patients who were treated by BSSRO(bilateral sagittal split ramus osteotomy), wire osteosynthesis, IMF for correction of mandibular prognathism. Through cephalometric analysis, the amount and direction of surgical movement, skeletal relapse and dental change during IMF were measured. The correlation between surgical movement and skeletal relapse, between skeletal relapse and dental changes were evaluated. The following conclusions were obtained; 1. Distal segment was repositioned backward and upward, proximal segment showed clockwise rotation during surgery. 2. During ]m, anterior portion of distal segment was displaced backward and posterior portion was displaced upward. Proximal segment was displaced upward with forward movement of p-Go(gonion of proximal segment). Backward surgical movement of p-GO was significantly correlated with forward displacement of p-Go. 3. Overjet and overbite were not changed during IMF. The compensatory tooth movements during IMF were characterized by retroclination of upper incisors md retroclination, extrusion of lower incisors. These compensatory tooth movements had statistically significant correlation with upward displacement of d-Go (gonion of distal segment).

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New Technique for the Reconstruction of Both Anteromedial & Posterolateral Bundles of ACL (전방십자인대의 전내측 다발 및 후외측 다발을 각각 재건하는 새로운 수술 수기)

  • Ha Chul-Won;Awe Soo-Ik
    • Journal of the Korean Arthroscopy Society
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    • v.6 no.2
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    • pp.195-199
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    • 2002
  • This article is to report a new technique for reconstruction of the anteromedial and posterolateral bundles of anterior cruciate ligament by separate tensioning and fixation of the each bundle. Method : Tibial and femoral tunnels were made with conventional technique of anterior cruciate ligament reconstruction. Tibial tunnel was enlarged $5\~7$ mm in anterior-posterior direction to make oval it in cross section. When preparing the Achilles tendon allograft, bone plug portion was trimmed as the conventional technique. The tendinous portion was trimmed as two separate bundles by dividing the tendinous portion longitudinally, so the graft is shaped like 'Y'. The bone plug portion of allograft was inserted into the femoral tunnel and fixed with absorbable cross pins. Two ligamentous portionss of the distal part of the grafts were tensioned separately at the external orifice. Anteromedial bundle was fastened under maximum tension with the knee flexed 90 degrees by post-tie method. The posterolateral bundle was fixed by the same technique with the knee in full extension. Then, an absorbable interference screw was inserted between the two bundles upto the upper end of the tibial tunnel, to get more initial rigidity of the reconstructed graft as well as to locate the two bundles in more anatomic position.

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ALTERNATIVE TECHINQUE OF MATRIX BANDING FOR RESTORING OF PROXIMAL CARIOUS LESIONS IN PRIMARY ANTERIOR TEETH (유전치 인접면우식증의 복합레진 충전시 변형된 matrix band의 사용)

  • Ra, Ji-Young;Cho, Hyun;Kim, Dae-Eop;Lee, Kwang-Hee
    • Journal of the korean academy of Pediatric Dentistry
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    • v.30 no.3
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    • pp.453-458
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    • 2003
  • Usually Mylar strip and wedge or celluloid strip crown were used in conventional method of restoring proximal carious lesions of primary anterior teeth. But, these methods have some difficulties to place the matrix and wedge due to short crown lenth and interdental spacing of primary teeth. And it is difficult to form proper cavosurface margin due to the rigidity of matrix and inconvenience to support matrix by practitioner's hand in narrow oral cavity of child. This article describes an alternative technique for restoring carious lesions of primary anterior teeth using available straw. This method is very convenient and reduce chair time and it also allows good marginal adaptation.

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A Validation Check of Simulation Model with the Model Transformation (모델변환에 의한 시뮬레이션 모델의 타당성 검사)

  • 정영식
    • Proceedings of the Korea Society for Simulation Conference
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    • 1992.10a
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    • pp.9-9
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    • 1992
  • 시뮬레이션(simulation)은 실 시스템(real system)의 효과적이고 효율적인 운영을 도모하기 위하여 실 시스템의 동작을 이해하고 분석, 예측, 평가하는 과학적인 문제해결 접근방법이다. 시뮬레이션 수행단계는 실 시스템의 행위를 정확히 반영하도록 타당한 모델을 구축하는 모델링 단계와 모델에 의도하는 명령어들을 컴퓨터 프로그램으로 작성하는 구현단계로 나누어진다. 시뮬레이션 모델은 시간, 상태, 확률변수, 상호규칙 등의 여러 관점에 따라 다양하게 존재하는데, DEVS(Descrete EVent system Specification) 모델은 연속적인 시간상에서 이산적으로 발생하는 사건에 따라 시스템의 상태를 분석할 수 있고 모델링 및 시뮬레이션 방법론의 형식화를 위한 견고한 이론적 기반을 제공하고 있다. 또한, DEVS 모델은 모듈적, 계층적 특성을 제공하고 집합론에 근거한 수학적 형식구조를 제공하여 실 시스템에 대한 체계적인 분석과정을 수행하게 되어 보다 현실적인 모델링을 가능하게 한다. 그러나 타당하지 못한 DEVS 모델이 구축되면 시뮬레이션을 통한 분석결과의 신뢰성이 떨어져 아무런 효과가 없고 경제적인 손실만이 따른다. DEVS 모델에 대한 기존의 타당성 검사가 많은 시간과 노력이 요구되고, 반복적인 DEVS 모델링 과정으로 인한 전문적이고 경험적인 지식을 요구한다. 또한, 모델설계자에 의해 설정된 실험 프레임하에서 DEVS 모델의 구성요소에 속하는 상태전이함수, 시간진행함수 및 출력함수에 대하여 commutative 성질의 보전성 검사가 어렵다는 문제점을 가지고 있다. 본 연구에서는 이와 같은 문제점을 해결하기 위하여, DEVS 모델에 대한 타당성 검사를 SPN(Stochastic Petri Net) 모델로 변환하여 SPN 모델을 이용하는 간단하고 효과적인 타당성 검사 방법을 제안한다. 먼저, DEVs 모델에 대한 개념과 기존의 DEVS 모델에 대한 타당성 검사 방법을 고찰하고 그 문제점에 대하여 자세히 설명한다. DEVS 모델의 타당성 검사에 이용하는 SPN 모델에 대한 개념과 DEVS 모델과 행위적으로 동등한 SNP 모델로 변환을 위한 관점을 제조명하다. 동일한 관점에서 두 모델의 상태표현이 같도록 DEVS 모델이 SPN 모델로 표현됨을 보이는 변환이론을 제시하고 변환이론을 바탕으로 모델 변환과정을 제시한다. 모델 변환이론과 변환고정을 기본으로 타당성 검사를 위한 새로운 동질함수(homogeneous function)를 정의하고 이와 함께 SPN 모델의 특성을 이용하여 DEVS 모델에 대한 타당성 검사 방법을 새롭게 제안한다.

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3.5 mm T-shaped LCP (Locking Compression Plate) Fixation for Unstable Distal Clavicular Fractures (3.5 mm T형 잠김 금속판을 이용한 원위 쇄골 골절의 치료 결과)

  • Lee, Churl-Woo;Kim, Hee-Chun;Roh, Jae-Young;Park, Young-Su
    • Clinics in Shoulder and Elbow
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    • v.11 no.1
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    • pp.41-45
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    • 2008
  • Purpose: To review the clinical and radiological results after an open reduction and internal fixation with a T-shaped LCP for unstable distal clavicle fractures. Materials and Methods: From February 2005 to June 2006, ten patients with distal clavicle Neer type II fractures were treated with an open reduction and internal fixation with a T-shaped LCP. Bony union was identified by plain radiography. The clinical results were analyzed according to the UCLA scoring system. Results: The mean time to fracture union was 9weeks and union was achieved in all cases. The mean UCLA score was 33.4 (30-35); excellent in 8 cases and good in 2 cases. In one case, loosening of one distal screw was occured and mild AC joint subluxation was observed in another case. Conclusion: 3.5 mm T-shaped LCP fixation is a useful technique for treating unstable distal clavicle fractures. This procedure provide stable fixation with no further AC joint injury.

Study on microstructure and mechanical properties of friction stir welded 9% Ni steel (마찰교반접합된 9% Ni 강의 미세조직 및 기계적 특성에 관한 연구)

  • Choi, Don-Hyun;Ahn, Byung-Wook;Choi, Jung-Hyun;Lee, Chang-Yong;Yeon, Yun-Mo;Song, Keun;Lee, Jong-Seop;Jung, Seung-Boo
    • Proceedings of the KWS Conference
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    • 2009.11a
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    • pp.49-49
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    • 2009
  • 마찰교반접합법은 특정한 회전수로 회전하는 용접 툴을 이용하여 접합하고자 하는 피접합재의 맞댄면에 삽입시킨 후 툴을 이동시키거나 혹은 시편을 견고하게 고정시킨 장치(backing plate)가 움직여 고상 상태에서 접합이 이루어진다. 알루미늄, 마그네슘 등 비교적 융점이 낮은 저융점 재료의 재료에 처음 적용이 되어 많은 연구가 활발히 진행되었고 타 용접방법에 비해 우수한 접합특성을 나타내었다. 최근 이러한 마찰교반접합은 이러한 저융점 재료를 넘어서 스틸, 타이타늄, 니켈 등과 같은 고융점 재료 등에 대한 적용이 늘어나고 있다. 마찰교반접합을 이용하여 이러한 고융점 재료의 접합 경우 내마모성 및 내열성 등의 내구성이 갖추어진 툴과 이러한 툴을 냉각시킬 수 있는 냉각 장치 등이 필요로 하나 경제적 측면이나 접합부의 우수한 특성 등을 고려 할 때 그 적용 및 발전 가능성이 매우 높다고 볼 수 있다. 최근 무공해 연료로 각광받고 있는 액화천연가스 (LNG)의 수요가 급증함에 따라 LNG 저장탱크 소재로 널리 사용되고 있는 9% Ni강의 수요 또한 증가하고 있는 상황이다. 하지만 9% Ni 강은 극저온용 소재로 용접부의 저온인성 ($-196^{\circ}C$)이 가장 중요하기 때문에 저온인성을 확보하고자 Inconel 계나 Hastelloy계 등의 니켈 기 합금을 용접재료로 사용하고 있으나 이러한 용접재료는 가격이 매우 고가이며 또한 용접 후 용접부의 강도가 낮다는 문제가 제기되고 있다. 또한 LNG 탱크 제작시 사용되는 용접법은 GTAW, SAW 및 SMAW 이지만 국내에서는 주로 SMAW에 의존하고 있는 실정인 관계로 보다 더 경제적인 용접 프로세스의 적용 가능성이 검토되고 있는 상황이다. 본 연구에서는 마찰교반용접을 이용하여 두께 4mm의 9% Ni 강에 대해 맞대기 마찰교반접합을 실시하였다. 툴 회전 속도 및 접합 속도를 고정한 상태에서 접합을 실시 하였으며 접합 시 툴은 $Si_3N_4$로 제작된 툴을 사용하였다. 접합 후 외관상태 점검, 미세조직 관찰, 경도, 인장 강도 및 저은 충격 측정 등의 실험을 실시하였고, 이러한 결과를 이용하여 미세조직과 기계적 특성과의 관련성을 조사하였다.

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A Study for the Mechanical Properties with Infill Rate in FDM Process to Fabricate the Small IoT Device (소형 IoT 기기 제작을 위한 FDM 프린팅 공정에서의 내부채움에 따른 물성치 변화 연구)

  • Ahn, Il-Hyuk
    • Journal of Internet of Things and Convergence
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    • v.6 no.3
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    • pp.75-80
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    • 2020
  • Recently, the size of the IoT sensor has been decreased and the collecting direction of the IoT sensor for acquiring the data have been changed from 2D to 3D. It makes sensor structure complex. In the fabrication of the complex structure, 3D printing technology has more useful than traditional manufacturing technologies. Among 3D printing technologies, FDM (fused deposition modeling) is a candidate technology to fabricate a small IoT sensor because the price of the machine and the material is cheap. In the FDM process, a 3D shape is made by depositing the melted filament. Recently, the patent of FDM technology is expired and cheat machines are developed based on the open-source. In the FDM process, mechanical properties of a fabricated part is affected by a lots of factors such as the kind of material and process parameters. Among them, infill is affecting the mechanical properties and the production lead time as well. In this work, a new method to optimize the FDM process with the consideration of mechanical property and production lead time was proposed. To verify the method, the fabrications were performed with the different infill rates. The results of tensile tests were analyzed to verify the proposed method.

A Maximally Disjoint Multipath Routing Protocol Based on AODV in Mobile Ad Hoc Networks (모바일 애드혹 네트워크에서의 AODV 기반 치대 비중첩 다중경로 라우팅 프로토콜)

  • Kim Jungtae;Moh Sangman;Chung Ilyong
    • The KIPS Transactions:PartC
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    • v.12C no.3 s.99
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    • pp.429-436
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    • 2005
  • A mobile ad hoc network (MANET) is a collection of mobile nodes without any fixed infrastructure or my form of centralized administration such as access points and base stations. The ad hoc on-demand distance vector routing (AODV) protocol is an on-demand routing protocol for MANETs, which is one of the Internet-Drafts submitted to the Internet engineering task force (IETF) MANET working group. This paper proposes a new multipath routing protocol called maximally disjoint multipath AODV (MDAODV), which exploits maximally node- and link-disjoint paths and outperforms the conventional multipath protocol based on AODV as well as the basic AODV protocol. The key idea is to extend only route request (RREQ) message by adding source routing information and to make the destination node select two paths from multiple RREQs received for a predetermined time period. Compared to the conventional multipath routing protocol, the proposed MDAODV provides more reliable and robust routing paths and higher performance. It also makes the destination node determine the maximally node- and link-disjoint paths, reducing the overhead incurred at intermediate nodes. Our extensive simulation study shows that the proposed MDAODV outperforms the conventional multipath routing protocol based on AODV in terms of packet delivery ratio and average end-to-end delay, and reduces routing overhead.

Double Tension Band Osteosynthesis in Intra-articular Fractures of the Distal Humerus (AO type C) in Elderly Osteoporotic Patients (고령 환자의 상완골 원위부 AO-C형 골절에서 이중 강선 장력대 고정술)

  • Cheon, Sang Jin;Lee, Dong Ho;Goh, Tae Sik
    • Clinics in Shoulder and Elbow
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    • v.16 no.1
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    • pp.33-39
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    • 2013
  • Purpose: The aim of this study is to evaluate the clinical result of intra-articular fractures of the distal humerus (AO type C) in elderly osteoporotic patients treated with double tension band osteosynthesis. Materials and Methods: From January 2006 to December 2010, 10 elderly osteoporotic patients(1 male, 9 females) with intra-articular fractures of the distal humerus (AO type C) were treated with double tension band osteosynthesis. The mean age of patients at the time of surgery was 74.6(66~84) years and the mean follow-up period was 39.2(20~74) months. The fracture union and complications were assessed and the functional result was evaluated by the rating system of Jupiter et al. and the Mayo elbow performance index. Results: Bone union was achieved in all patients with no secondary displacement. The mean time for union was 16.6(13~22) weeks. The average postoperative arc of elbow flexion was 119(100~140) degrees with a mean flexion contracture of 8.5(0~15) degrees. The recovery in two patients was rated as excellent, in 7 as good, and in 1 as fair in terms of the Mayo elbow performance index with average value of 82(70~90) points. Seven patients were rated as excellent, 1 as good, and 2 as fair in terms of the rating system of Jupiter et al. Changing tension band wiring was performed in one patient as skin irritation was noticed due to tension band knots. Heterotopic ossification developed in one patient but had no symptom. Conclusion: Double tension band osteosynthesis in intra-articular fractures of distal humerus (AO type C) in elderly osteoporotic patients can provide sufficient and secure stability to allow early rehabilitation.

Mandibular implant-supported overdenture using CAD-CAM Konus type attachment: A case report (CAD-CAM Konus type 부착장치를 이용한 하악 임플란트 피개의치 보철수복 증례)

  • Park, Jong-Hee;Kim, In-Ju;Kim, Kyoung-A;Song, Kwang-Yeob;Seo, Jae-Min
    • The Journal of Korean Academy of Prosthodontics
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    • v.54 no.3
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    • pp.259-266
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    • 2016
  • In edentulous mandible, implant supported overdenture was considered as a first treatment option. Konus type attachment supplies rigid support and cross arch stabilization so that more favorable force transmission and distribution can be attained. In the dentistry, computer aided design-computer aided manufacturing (CAD-CAM) system makes it possible to fabricate restorations with high precision and effectiveness. Recently, Palladium-silver (Pd-Ag) alloy which is millable has been developed. This article presents that application of CAD-CAM Konus type attachment can be provide satisfactory stability and function on four-implant supported mandibular overdenture.