• Title/Summary/Keyword: 수조작

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Effect of Auriculotemporal Nerve Block Anesthesia on Manual Reduction of Disc Displacement without Reduction of the Temporomandibular Joint (악관절의 비정복성관절원판변위의 수조작 정복에 대한 이개측두신경 전달마취의 효과)

  • Kim, Sook-Young;Kim, Ji-Yeon;Hong, Su-Min;Kim, Byung-Gook;Park, Byung-Ju;Im, Yeong-Gwan
    • Journal of Oral Medicine and Pain
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    • v.36 no.1
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    • pp.71-79
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    • 2011
  • Aim: Disc displacement without reduction of the temporomandibular joint (TMJ) has been managed by mandibular manipulation to reduce the displaced disc but with a low success rate. The purpose of this study was to determine whether auriculotemporal nerve block anesthesia had an effect on the reduction of the displaced disc and to analyze the factors that influenced the result. Methods: 112 patients were diagnosed with disc displacement without reduction and treated by mandibular manipulation. Disc was recaptured in 35 patients. Among the 77 patients with whom disc recapture had failed, the auriculotemporal nerve was blocked with a local anesthetic in the 49 patients (mean $age \;{\pm}\; SD\; =\; 34.4\;{\pm}\; 15.1$; male 24, female 25) and then mandibular manipulation was performed again. Factors including age, elapsed time from the onset, and opening amount were analyzed in association with disc reduction rate with the auriculotemporal nerve block. Results: Among 49 patients who did not respond to manipulation only, manual reduction with auriculotemporal nerve block anesthesia was successful in 19 patients (38.8%). Maximum unassisted opening amount significantly increased in the 19 patients with successful recapture of the disc ($mean \;{\pm}\; SD\; =\; 46.1 \;{\pm}\; 4.5\; mm$), in contrast to the limited opening amount of the 49 patients before local anesthesia of the auriculotemporal nerve ($mean \;{\pm}\; SD\; =\; 25.7 \;{\pm}\; 6.0\; mm$). Age, elapsed time after the onset, and preoperative opening amount were not associated with the reduction rate. Conclusion: The results of this study suggest that auriculotemporal nerve block anesthesia increases the reduction rate of the disc displacement without reduction of the TMJ when combined with mandibular manipulation, and such anesthesia should be applied at the first stage of manual treatment of disc displacement without reduction.

Conservative management of dislocated temporomandibular joints: A case report (턱관절 탈구의 보존적 치료법에 대한 증례보고)

  • Park, Jo-Eun;Kim, Hye-Kyoung;Choi, Hee-Hoon;Kim, Mee-Eun
    • Journal of Oral Medicine and Pain
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    • v.38 no.4
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    • pp.319-324
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    • 2013
  • Dislocation of the temporomandibular joint (TMJ) occurs when the mandibular condylar head is displaced completely out of the glenoid fossa and cannot be reduced by the patient. The occurrence of bilateral anterior dislocation is the most common. Dislocations can be classified into three types in terms of duration and frequency of dislocation, i.e., acute, chronic and recurrent. There are various treatment modalities for dislocation from conservative try to surgical intervention. The selection for the appropriate modality mainly depends on the types of dislocation as previously stated. The authors report three cases of dislocation with different treatment modalities according to the duration of dislocation. In particular, we tried prosthetic approach instead of surgical intervention in the patient with chronic dislocation.

Development of a Sound Visualization System for an Anechoic Tank Using Acoustic Holography (무향수조 내 음향 홀로그래피를 이용한 음장가시화 시스템 개발)

  • Kim Sea-Moon;Choi Youngchol;Lim Yon-Kon
    • Proceedings of the Acoustical Society of Korea Conference
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    • autumn
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    • pp.397-400
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    • 2004
  • 소음원 또는 방사음장을 가시화하기 위하여 소음원을 둘러싸는 한 면에서의 음압측정을 통해 임의의 3차원 공간상의 음향 물리량을 예측하는 음향 홀로그래피 방법이 사용되고 있으며 이때 반사파가 존재하지 않는 기본 가정을 만족해야 한다. 반사파가 존재하는 경우에는 반사파를 보정하거나 또는 반사파의 음장이 미치는 영향이 무시할 만큼 작다고 가정하여 음장 예측이 가능하게 된다. 최근 해양연구원에서는 음향 홀로그래피 방법을 이용하여 수중음장을 가시화하는 시스템을 개발하였으며 시스템 검증을 위해 무향수조 내 단순음원을 이용하여 음장예측을 수행하였다. 무향수조 표면에는 흡음처리가 되지 않아 표면 반사파가 존재하나 해석 결과 반사파의 영향이 작은 경우에는 반사파를 무시하고 음장해석의 수행이 가능함을 확인하였다.

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Probability of System Failure of Pipe Network with Surge Tank regarding Unsteady Flow (조압수조가 설치된 상수관망의 부정류를 고려한 불능확률)

  • Kwon, Hyuk-Jae;Lee, Cheol-Eung;Choi, Han-Kuy
    • Proceedings of the Korea Water Resources Association Conference
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    • 2009.05a
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    • pp.651-655
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    • 2009
  • 본 연구에서는 컷 집합(cut set)개념과 파이프의 부정류를 위한 수치해석 결과를 이용하여 상수관망의 불능 확률을 정량적으로 산정하는 신뢰성 해석이 수행되었다. 특히 상수관망에서 중요한 운용형태의 하나인 밸브의 개폐효과에 따른 효과를 통하여 불능확률이 산정되었다. 먼저 부정류 수치해석을 위해서 작은 상수관망을 만들고 여러 가지 시나리오를 재현하였다. 이때 부정류 해석을 위해서 특성선법(the method of characteristics)모형이 사용되었다. 밸브의 개폐에 따라서 여러 가지 형태의 부정류가 발생되고 발생된 부정류를 상수관망의 불능확률을 크게 증가시킨다. 상수관망에서 컷 집합을 추출하여 기준지점에 배출유량(demand)가 도달하지 못할 확률을 불능확률로 규정하여 정량적으로 산정한다. 이를 위해서 컷 집합의 총 유량을 시간에 따라 평균하여 COV를 불능확률 산정에 이용한다. 부정류로 인한 파이프 유량의 변동이 심할수록 COV는 증가하고 결국은 컷 집합의 불능확률은 증가하게 된다. 그리고 똑같은 상수관망에 에너지 감쇠장치인 조압수조가 설치되어 부정류 압력파(pressure wave)를 크게 감소시켰을 때 불능확률을 비교하였다. 조압수조와 같은 압력감쇠장치가 상수관망의 부정류 효과와 불능확률을 크게 저감시키는 것을 알 수 있었다. 또한 신뢰성 해석 결과로부터 부정류가 불능확률을 급격히 증가시킨다는 것을 확인하였다. 따라서 부정류 효과를 고려한 신뢰성 해석은 상수관망의 운용, 관리, 감독, 그리고 설계와 계획을 위해서 필수적이라 할 수 있다.

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Elongation of the Ovipositor in Korean Rose Bitterling, Rhodeus uyekii (Pisces: Cyprinidae) (각시붕어, Rhodeus uyekii (Pisces: Cyprinidae)의 산란관의 신장)

  • Chae, Byung-Soo
    • Korean Journal of Ichthyology
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    • v.13 no.2
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    • pp.111-116
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    • 2001
  • Factors influencing elongation of the ovipositor in the bitterling Rhodeus uyekii were examined under several conditions. The ovipositors of the females were periodically elongated under the presence of mussels or males, and in some cases without either. When females were reared without mussels and males, the ovipositor did not elongate in one fish in a large aquarium, but it did become elongated in another fish in a small aquarium and in many fishes in a large aquarium. Duration of the elongated state of the ovipositor was 1~3 days (mean 1.2~2.5 days) and the periodicity of elongation was 4~15 days (mean 6.4~11.9 days). Length of the elongated ovipositor was 68~100% (mean 78.5~98.8%). Length of ovipositor in the interpeak period was 20~51% (mean 27.3~33.1%); in the post-elongation period it did not elongated further 3~30% (mean 11.1~19.9%). The effect of aquarium size and number of individuals in the aquarium on the elongation of the ovipositor, and inter-specific or inter-generic differences based on previous reports are discussed.

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Effect of Live Food and Water Temperature on Larval Survival of Red Spotted Grouper, Epinephelus akaara (먹이생물과 수온이 붉바리 자어의 생존에 미치는 영향)

  • 이창규;허성범
    • Journal of Aquaculture
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    • v.11 no.4
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    • pp.565-572
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    • 1998
  • Survival rate of larval red spotted grouper, Epinephelus akaara is very low, because mouth size of the larvae is too small to eat normal sizes of rotifers. In order to enhance larval survival, optimal culture conditions for larvae using different live foods and water temperatures were studied. Bigger live food produced larger size of rotifer, when the rotifer was cultured with three different live foods such as Tetraselmis tetrathele, marine Chlorella and Nannochloris oculata. Also, the size of rotifer produced was temperature-dependent showing that higher water temperature induced smaller rotifer. Survial rate of the larvae increased with the increase of water temperature up to $29{\circ}C$. Also, higher larval survials were found at the food density of 15 to 20 individuals per milliliter. The larvae fed L-type or small individuals of L-type rotifer died all within a week, although the larvae fed S-type or small individuals of S-type one survived successfully during this period. The size of small individuals of S-type rotifer collected through fine net became larger in a few hours within larval culture tank. Survival rate of grouper larvae with initial stocking density of 40 thousands in 6-ton concrete tank was 6.3% in 10 days and 0.2% in 53 days after hatching, respectively. Total length of the larvae reached around 29.5 mm in 53days after hatching.

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Efficacy of Self-manipulation Technique in the Treatment of Patients with Anterior Disc Displacement without Reduction (비정복성 관절원판 전방변위 환자의 치료에 있어서 자가 수조작술의 효과에 대한 연구)

  • Kim, Ju-Sik;Lee, Chae-Hoon;Kim, Young-Ku
    • Journal of Oral Medicine and Pain
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    • v.32 no.4
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    • pp.441-447
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    • 2007
  • Internal derangement of the temporomandibular joint(TMJ) is defined as an abnormal relationship of the articular disc to the condyle. Mandibular manipulation is one of the conservative treatments to be considered first to manage the patients with anterior disc displacement without reduction. Mandibular manipulation is used to increase articular mobility and to restore the displaced disc into an anatomically normal position. While Farrar's technique has been popularly used, Minagi et al., Mongini and Suarez introduced the manipulation technique conducted by the patients themselves. But there is no study on the efficacy of self-manipulation technique, comparing with conventional one. The aim of this study was to investigate the efficacy of the conventional and self-manipulation technique, which was modified to complement the previously described technique by Minagi et al., in the treatment of patients with anterior disc displacement without reduction. TMD patients, who visited Department of Oral Medicine of Seoul National University Dental Hospital from December, 2002 to November, 2004 and were diagnosed as anterior disc displacement without reduction by TMJ magnetic resonance imaging (MRI) were enrolled. Conservative treatments including physical therapy, exercise, behavioral therapy, stabilization splint therapy, and manipulation therapy were done to every single patient until the symptomsimproved enough to discharge the patient. The charts were reviewed retrospectively according to the type of manipulation. In the results, patients whose maximum mouth opening was more than 40 mm was higher in the self-manipulation group(69.9%) than in the conventional manipulation group(42.9%). But difference between two groups was not significant. According to the fact that we decided to discharge the patients whentheir mouth opening increased to more than 40 mm and subjective symptoms such as pain and discomfort were improved as well, treatment period of discharged patients was significantly shorter in the self-manipulation group($29.2{\pm}12.3$ weeks) than in the conventional manipulation group ($61.0{\pm}38.0$ weeks) (p<0.01). In conclusion, in the treatment of TMD patients with anterior disc displacement without reduction, the self-manipulation technique which is performed by patients themselves is an effective treatment modality for increasing the range of mouth opening and shortening the total treatment period.

Thickness Measure and Characteristic Length for Effective Young's Modulus of Model Ice Plate in the Ice Basin (빙해수조 모형빙판의 두께 계측과 유효탄성계수용 특성길이 연구)

  • Lee, Jae-Hwan;Choi, Bong-Kyun;Lee, Chun-Ju
    • Journal of the Computational Structural Engineering Institute of Korea
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    • v.27 no.5
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    • pp.353-360
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    • 2014
  • The model ice is created at KRISO (Korea Research Institute for Ships and Ocean Engineering) ice basin where model ship is tested to obtain the necessary data in order to design the ice breaking vessels and ocean structures operating in the northern pole sea area. Through the model ship test, ice breaking, clearing, ice-ship and ice-propeller interaction behavior can be obtained. Since mechanical properties of ice plate are required for the model test, some tests are performed to obtain the properties in this paper. First, ultrasonic devide is used to measure the thickness of the model ice plate and the results show the possibility of using ultrasonic method, yet more sophisticated device or special sensors are required to measure the ice thickness completely. And the defection of ice plate is measured using LVDT to compute the characteristic length of ice plate on the fluid, which is used to get the effective Young's modulus of model ice.

탄소섬유 강화 복합재료를 이용한 증기발생기용 노즐댐 설계

  • 박진석;김태룡;오제훈;이대길
    • Proceedings of the Korean Nuclear Society Conference
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    • 1996.05d
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    • pp.253-258
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    • 1996
  • 원자로의 가동 중지 중이나 재장전시 원자로가 설치되어 있는 수조의 냉각수가 증기발생기 안으로 유입되는 것을 막는 장비로써 노즐댐을 사용한다. 현재의 노즐댐은 알루미늄 재질로 그 무게가 무거워 노즐댐 작업자가 취급하기 어렵다. 이 노즐댐의 경량화와 동시에 구조적 강도를 증가시키기 위해서 비강성이 높은 탄소섬유 강화 복합재료와 굽힘 강성 및 전단강성을 증가시키기 위하여 벌집구조(honeycomb)의 알루미늄을 사용하여 KAERI 노즐댐-II를 설계하였다. 노즐댐에 발생하는 응력 해석을 통하여 중앙판과 측면판의 변위가 충분히 작은 값을 가지면서 파괴지수도 충분히 작은 값이 되는 탄소섬유의 적층각도를 구하였으며, 중앙판은 [$\pm$15]로 적층하고 측면판은 [$\pm$45 ]로 적층 하였다. 그리고 각 판의 최대 파괴지수는 중앙판의 경우 0.32, 측면판의 경우 0.27 이었고 최대변위는 각각 3.1mm, 2.7mm로 노즐댐을 사용할 때 예상되는 하중에 대하여 노즐댐의 구조적 건전성을 입증하였다.

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Experimental Study on Effects of Levee Breach Width and Duration Time on Floodwave Behavior in Floodplain (하천제방 붕괴폭과 붕괴지속시간이 제내지 범람홍수파 거동에 미치는 영향 검토 실험)

  • Yoon, Kwang-Seok
    • Proceedings of the Korea Water Resources Association Conference
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    • 2006.05a
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    • pp.1281-1285
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    • 2006
  • 하천제방 붕괴시 홍수파가 제내지에서 거동하는 양상을 파악하는 것은 홍수피해를 저감하는 데 있어서 매우 중요하다. 실제 제내지에서의 범람형태에 크고, 작은 영향을 미치는 인자들은 제내지 지형 및 구조물과 초기 제내지범람상태, 하도형태, 홍수수문곡선, 제방붕괴시 붕괴면 경사 및 붕괴시간 등 많이 있으나, 본 연구에서는 제방붕괴폭과 붕괴지속시간에 따른 홍수파의 형태, 유속, 수심, 방향 등의 일반적인 법칙성을 찾고자 한다. 본 연구에서 사용된 실험수조의 전체 크기는 가로 30m, 세로 30m이며, 수조 내부에 제내지, 제방, 하도를 제작하였다. 그림 1에서 보는 바와 같이 하도는 폭 5m, 길이 30m이며, 제내지는 폭 28m, 길이 24m이다. 하도와 제내지의 하상은 수평이며, 시멘트 모르타르로 표면을 처리하였다. 제방붕괴 재현장치는 최대붕괴폭 4m, 높이 0.6m가 되도록 하였으며, 하도의 중간지점에 설치하였다. 하도에서의 초기수심은 $h_o$이며, 제내지는 건조상태이다. 제방붕괴장치의 개방속도는 $0{\sim}18cm/sec$범위에서 조정이 가능하다. 실험결과, 제방붕괴폭과 제방붕괴지속시간은 제내지에서의 홍수파 전면(wave-front)의 이동속도와 제내지에서의 시간별 수심변화에 영향을 주는 것으로 나타났으며, 제내지에서의 최대수심은 제방붕괴폭과 제방붕괴 지속시간에 의한 영향이 거의 없는 것으로 나타났다.

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