• Title/Summary/Keyword: 최대개구량

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Evaluation of the condylar movement on MRI during maximal mouth opening in patients with internal derangement of TMJ; comparison with trans cranial view (악관절 내장증 환자의 최대 개구시 하악과두 운동량에 대한 자기공명영상 평가; 경두개촬영법과의 비교)

  • Cho Bong-Hae
    • Imaging Science in Dentistry
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    • v.31 no.4
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    • pp.185-192
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    • 2001
  • Purpose: To evaluate the condylar movement at maximal mouth opening on MRI in patients with internal derangement. Materials and Methods: MR images and transcranial views for 102 TMJ s in 51 patients were taken in closed and maximal opening positions, and the amount of condylar movement was analyzed quantitatively and qualitatively. Results: For MR images, the mean condylar movements were 9.4 mm horizontally, 4.6 mm vertically and 10.9 mm totally, while those for transcranial views were 12.5 mm, 4.6 mm, and 13.7 mm respectively. The condyle moved forward beyond the summit of the articular eminence in 41 TMJs (40.2%) for MR images and 56 TMJs (54.9%) for transcranial views. Conclusion: The horizontal and total condylar movements were smaller in MR images than in transcranial views.

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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.

Development of hybrid wire and cable using the ultra-light, heat-resistant and high tenacity fibers (초경량 고내열 고강도 섬유활용 하이브리드 wire & cable 개발에 관한 연구)

  • Jung, Moon-Kyu;Sohn, Soon-Il;Jin, Sung-Woo;Jeung, Han-Kyu;An, Seung-Kook
    • Proceedings of the Korean Society of Dyers and Finishers Conference
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    • 2012.03a
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    • pp.21-21
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    • 2012
  • 수송용 산업의 하나인 국내 조선업계는 2008년 말 이후 세계 조선경기 불황 속에서도 2009년 451억달러, 2010년 491억달러의 사상최대 수출액을 달성한 바가 있고 세계 조선사 순위에서는 1위에서 5위까지 한국 조선소 등이 우위를 차지하고 있다. 그러나 개별 기업 경쟁력은 우위에 서있지만 중국과의 격차가 많이 좁혀지고 있어 안심할 수 없는 상황이다. 특히 최근에는 탄소배출량이 적은 친환경 선박의 제조가 선박업계 전반의 화두로 대두되고 있다. 이를 위해 다양한 시도가 시도되고 있는데 그중에 하나가 선박의 경량화이다. 금속외장 전선은 선박 무게의 10~13%를 차지하고 있고 전체 사용 전선의 30~40%를 차지하고 있어 선박에서의 금속외장 전선의 무게를 줄이기 위한 연구가 필요한 실정이다. 또한 조선산업 뿐만 아니라 자동차 분야에서도 금속 외장전선이 많이 사용되고 있으며, 자동차의 연비 향상을 위한 경량화 연구가 더욱 절실한 상황이다. 본 연구에서는 수송용으로 사용되는 전선의 금속외장을 경량 고강도 섬유를 활용한 하이브리드 wire로 대체하기 위한 편조 기술 및 편조 장치를 개발하기 위한 설계 및 기초연구를 수행하였다. 초경량 고강도 섬유 Armor의 제조기술 및 최적 공정 개발을 위한 연구로서 경쟁사 샘플에 대한 분석을 실시하였고, 사용된 섬유의 성분 분석 및 물성시험을 수행하였다. 또한 원형직기 개발을 위한 구조부 설계를 위해 ANSYS해석을 수행하고 저신율 고강도인 아라미드의 이징모션 시스템 개발을 위한 연구를 수행하였으며 개구 형성방법을 설계하였다. 그리고 초경량 고강도 hybrid 케이블 아라미드 편조 표면 및 내부 가교에 의한 가공 기술을 연구하였다. 아라미드 섬유의 발수성 향상을 위한 코팅재료 선정을 위한 연구를 수행하였고, 자외선 경화공정에서 조건별 데이터를 정립하여 솔루션을 제공하고자 한다.

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A Numerical Study for Fire Safety Evaluation of the Multi-story Residential Buildings -The Effects of the Openings of Stairwell on Fire Characteristics- (다세대주택의 화재안전평가에 대한 수치해석 연구 -계단실 개구부의 개폐가 화재특성에 미치는 영향-)

  • Jeon, Heung-Kyun;Choi, Young-Sang;Choo, Hong-Lok
    • Fire Science and Engineering
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    • v.21 no.3
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    • pp.15-23
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    • 2007
  • In the events of a fire in the residential building, highly flammable polyurethane foam sofa produce toxic smokes. In this type of fire, the residents of the building can be gotten into the difficulties of evacuating from the fire places or may be to death due to a lot of hot toxic gases. In this study, CFD simulations were carried out to study the effects of the openings of stairwell on the fire characteristics of fire room and stairwell. Also, analysis of fire hazard based on the tenability limits of fire and FED(fractional effective dose) was performed to evaluate the life safety of the residents of the building. In the fire room, maximum temperature was about $290^{\circ}C$, maximum CO concentration was about 4,740 ppm, and the time to incapacitation of residents in fire room was about t=144 s. In the stairwell, temperature and CO concentration in the condition of openings to be open were even lower than those in it to be closed. Time to the tenability limit with respect to smoke visibility in the stairwell with openings, which was open, was shorter than that of it without openings to be open. It has been shown from this study that opening the stairwell openings is able to decrease the fire hazards to the life safety in the multi-story residential building fire.

Study on masticatory pattern of adult having anterior cross bite (전치부 반대교합 성인의 저작양상에 관한 연구)

  • Sohn, Byung-Wha;Yu, Hyung-Seog;Park, Jong-Jin
    • The korean journal of orthodontics
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    • v.27 no.1
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    • pp.35-44
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    • 1997
  • mastication is basically regulated by central pattern regulalor(CPG) of brain system, target organ output from CPG is modulated by oral sensory feedback, anterior cross bite pattern infuluence the feedback mechanism and change muscle activity and jaw movement. The purpose of this study was to investigate differnce anterior cross bite group from normal group, the selected sample groups were 30 normal patient, 30 anterior cross bite patient. EMG and EGN of Biopak system were used for this study The following results were obtained 1 In resting slate of mandible, anterior cross-bite showed the higher muscle activities in all the muscle.(exception:left digastric muscle) than normal group. 2. In clenching state, No significant difference in muscle activities of normal group and anterior cross bite group was noticed 3. In swallowing state Normal group showed the higher muscle activities in left and right masseter muscle, right posterior temporal muscle. 4. In maximum opening and closing velocity, normal group showed the higher value than anterior cross-bite. 5. In the mean value of the maximum opening,the maximum anterior posterior movemenl from centric-occlusion, the lateral deviation from centric occclusion, normal group showed the higher value than anterior cross-bite group.

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Effects of Mouth Excercise on the Improvements of Oral Function in Elderly Men (노인의 구강기능 향상에 미치는 구강운동의 효과)

  • Jang, Kyeung Ae;Hwang, Inchul
    • Journal of dental hygiene science
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    • v.11 no.3
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    • pp.257-263
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    • 2011
  • The purpose of this study was to examine the effect of a mouth excercise program on the promotion of oral function of old people. Forty seven old persons who conducted a mouth excercise exercise two times every week for 12 weeks in the experimental group were compared with the control group of 39 old persons using physical examinations. The results were as follows; In virtue of this exercise the salivary flow was increased 0.029 ml in the experimental group more than 0.046 ml in the control group. Maximum mouth opening in the experimental group was 4.12 cm and higher than 3.92 cm in the control. Also Oral diadochokinesis was 1.69 times per second in experimental group and more than 1.65 in the control group. Based on the above results, it is concluded that the mouth excercise had good effects on promoting oral health. Some movements of the mouth excercise exercise need be modified, and then the exercise should be publicized as one of the ways to improve wholistic health of the aged.

FUNCTIONAL TREATMENT OF PEDIATRIC CONDYLAR FRACTURES : A CASE REPORT (Activator를 이용한 소아의 하악과두골절의 치험례)

  • Lee, Jung-Ha;Park, Heon-Dong;Lee, Sang-Ho;Lee, Nan-Young
    • Journal of the korean academy of Pediatric Dentistry
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    • v.30 no.3
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    • pp.477-482
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    • 2003
  • The pediatric condylar fracture occurs very frequently in the mandible, but this injury is occasionally ignored due to difficulty of diagnosis and no cooperation of patient. The adequate initial diagnosis and active treatment must be performed because delayed and improper treatment lead to possible severe complication such as TMJ ankylosis and reta rdation of mandibular development. Most pediatric condylar fracture is mainly performed by the conservative or functional treatment, but it may be required open reduction according to cases. In this study, activator is applied for functional treatment of pediatric condylar fracture and fair recovery of jaw function is acquired.

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A study on the simulation of flooding in Top-down construction site considering extreme rainfall (극한강우를 고려한 Top-down 현장 침수모의에 관한 연구)

  • Im, JangHyuk;Cho, HyeRin
    • Proceedings of the Korea Water Resources Association Conference
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    • 2022.05a
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    • pp.30-30
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    • 2022
  • 최근 기후변화로 인한 국지성 호우 빈도 및 강수량이 급증하는 등 극한강우 발생 가능성이 높아지고 있는 실정이다. 공공 기반의 유역 및 지자체별 침수 대응은 지속적으로 이루어지고 있으나, 건설 현장 대응은 이에 비해 미흡한 실정이다. 특히, 건설 현장의 경우, 예측할 수 없는 홍수 유출에 대해서도 기존 설계시 반영된 홍수 유출량과 기상청 정보에만 의존하고 있어 극한강우 발생시 취약성을 나타낼 수 있다. 특히, Top-down 현장은 개구부, 표면 작업을 위한 포장 등에 의해 지하부로 유입되는 강우량이 많고, 지하 굴착공사시 단차 및 지하수 발생으로 극한강우시 침수에 의한 수재해 발생 확률이 높다. 이를 대비하기 위해 XP-SWMM 모형을 이용하여 지상부와 지하부의 강우-유출량을 산정하고 지하부 침수를 모의하였다. 실제 Top-down 현장조사를 통해 침수 관련 인자와 XP-SWMM을 연계하여 침수모의 기법에 적용하였다. 관련 주요인자는 강우량, 현장 지상부 면적, 지상부 배수로, 지하 유입부, 지하 배수펌프 등으로 현장 조사결과 나타났다. 강우자료의 경우, 극한강우를 고려하기 위해 현장 지역의 최대 강우량, 태풍 루사와 기상청 강우의 증가 시나리오를 고려하여 모의에 적용하였다. 본 연구에서는 극한강우에 대한 Top-down 침수 모의를 수행할 수 있는 상용 모델링과 이와연관된 인자를 도출하여 침수 모의 기법을 최적화 하였다. 이러한 침수 모의를 통해 Top-Down 현장 침수심 등을 예측할 수 있다. 향후 이를 통해 지하공간이 있는 건설현장의 강우-유출 현상및 침수 모의가 가능하고, 실시간 현장별 침수 예측 모델 개발로 현장별 대피경로 및 대응방안을 제시하여 인적 피해를 최소화할 수 있을 것으로 기대할 수 있다.

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CORRECTION OF MICROSTOMIA BY BILATERAL COMMISSUROPLASTY USING "OVER AND OUT" BUCCAL MUCOSA FLAPS: REPORT OF A CASE (협점막 외전 피판을 이용한 양측성 구각성형술에 의한 소구증의 교정 1예)

  • Ryu, Sun-Youl;Kim, Hyun-Syeob;Park, Hong-Ju
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.30 no.4
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    • pp.380-385
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    • 2008
  • Microstomia can be occurred as a result of direct injury to tissues such as chemical, thermal and electrical burns, and animal bites. It also may be secondary to contracture of burned perioral skin, or may result from scarring after reconstructive lip surgery. Narrowing of the oral aperture is not only disfiguring, but also limiting the oral access needed for introduction of food, insertion of dentures, oral hygiene, and dental treatment. Limited mouth opening may also interfere with mastication and speech. Few reports exist regarding correction of microstomia and reconstruction of the corners of the mouth. A 16-year-old girl with a bilateral cleft lip and palate presented with the limited mouth opening (approximately 20 mm), the esthetic problem due to the small lip, and the cleft lip-nasal deformity. The microstomia was corrected by bilateral commissuroplasty using "over and out" buccal mucosa flaps proposed by Converse. The intercommissure distance was increased from the preoperative 40 mm to the postoperative 60 mm. The one-year postoperative intercommissure distance was 54 mm, because the 6 mm relapse was occurred. The bilateral commissuroplasty using "over and out" buccal mucosa flap could increase the width and general size of the oral aperture and improve the lip appearance.

Objective Effects and Satisfaction of Mouth Gymnastics Program (입체조 프로그램의 객관적 효과와 만족도 조사)

  • Jang, Kyeung-Ae;Hwang, In-Chul
    • The Journal of the Korea Contents Association
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    • v.11 no.10
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    • pp.388-395
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    • 2011
  • This study was performed to grasp the relation between the effect and the satisfaction of a mouth gymnastics program on the promotion of oral function of old persons. The experimental group of 47 old persons conducted a mouth gymnastics exercise two times every week for 12 weeks, while the control group of 39 old persons carrying out physical examinations. The mean salivary secretion in the experimental group was 0.075 ml and more than 0.046 ml in the control group. Maximum mouth opening in the experimental group, 4.12 cm, was higher than 3.92 cm in the control. Oral diadochokinesis in experimental and control group was 1.69 times per second and 1.65, respectively. The result of principal component analysis by Quartimax method with Kaiser normalization showed that program prevalence prediction of mouth-gymnastics exercise was high, and it is estimated that this exercise program would be more popular for health promotion of old persons. From the correlation analysis, mouth gymnastics exercise made salivary flow increase(r=.592), this exercise should be recommended actively for improving mouth health of old persons. Also more modification is required for old persons with difficulty in mouth gymnastics exercise. Some movements of the mouth gymnastics exercise need be modified, and then the exercise should be publicized as one of the ways to improve holistic health of the aged.