• Title/Summary/Keyword: 측벽길이

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Case Report: Repair of Complete Bilateral Cleft Palate Using Two-Flap Palatoplasty with Intravelar Veloplasty and Vomer Flap (연구개내근성형술 및 서골피판을 동반한 2개 점막성골막판을 이용한 완전 양측성 구개열 환자의 치험례)

  • Lee, Ui-Lyong;Seo, Byong-Moo;Choung, Pil-Hoon
    • Korean Journal of Cleft Lip And Palate
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    • v.12 no.1
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    • pp.33-40
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    • 2009
  • 구개열이 있으면 언어장애 음식섭취의 어려움, 구개범장근의 기능장애로 인한 이관의 개폐기능부전으로 중이의 액체고임, 부정교합등 여러 문제가 생길 수 있다. 따라서 구개성형술은 갈라진 경구개와 연구개를 막아주며 동적인 연구개를 만들어 주어 충분한 구개인두폐쇄를 하여 정상적 발음을 하는데 그 목표가 있다. 그 외에도 음식물을 정상적으로 섭취할 수 있고 중이염 및 난청을 일으킬 수 있는 기능을 개선시키고 정상적인 교합을 만들어주는데 있다. 위의 목표를 이루기 위해 지금까지 많은 수술 방법이 개발되었고 개선되어 왔다. 하지만 아직도 가장 효과적인 수술방법, 수술시기에 대하여 논쟁거리가 되고있다. 언어를 분명하게 하려면 연구개는 인두벽에 닿기 위해 후상방으로 올라가고 인두의 후벽과 측벽은 올라온 연구개에 닿으려고 수축함으로써 비인두와 구인두 사이의 공간이 좁아지게 됨으로써 가능하다. 따라서 발음이 정확하려면 비인두괄약(nasopharyngeal sphincter)을 합리적으로 만들어주어 비인두와 구인두를 분리해 주어야 한다. 비인두괄약을 조성해 주는 방법에는 구개범거근이 괄약기능을 할수 있도록 연구개내근성형술(intravelar veloplasty)을 시행하여 양편구개범거근을 횡위로 옮겨 연결하여 올림근 걸이(levator muscle sling)을 만드는 방법, 구개 연조직을 후방으로 밀어 구개 길이를 연장하는 방법, 인두 피판술을 하는 방법등이 있다. 구개범거근의 주행방향과 부착이 잘못되어 있는 것으로, 정상에서는 구개범거근이 횡으로 주행하여 연구개의 정중봉선(median raphe)에 부착하는 데 반해 구개열에서는 구개범거근이 전방으로 주행하여 개열 가까이에 있는 구개열 후연과 골선 개열연에 부착되어 있고 구개인두근과 구개수근이 연구개를 그냥 지나쳐직접 구개열 후연에 붙는다. 저자등은 완전 양측성 구개열을 연구개내근성형술 및 서골피판을 동반한 2개 점막성골막판을 이용한 구개성형술로 수술을 시행하여 다소의 지견을 얻었기에 문헌고찰과 함께 보고하는 바이다

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ADPI Characteristics of Line Diffuser in a Room with Perimetric Heating Load (측벽 부하가 존재하는 공간에 설치된 라인 디퓨져의 ADPI 특성에 관한 연구)

  • Cho Young-Jin;Kang Seok-Youn;Moon Jong -Sun;Lee Jae-Heon
    • Korean Journal of Air-Conditioning and Refrigeration Engineering
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    • v.16 no.12
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    • pp.1204-1211
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    • 2004
  • It is difficult to apply a conventional selection guide for diffusers when the diffuser is installed in a perimeter zone, because the air diffusion performance index (ADPI) vs. throw/length (T/L) ratio curve listed in conventional guide does not consider the perimetric heating load through the walls. The objective of this study is to evaluate the effect of the perimetric heating load on the ADPI and propose a selection guide for a proper line diffuser when perimetric heating load exists. The velocity and temperature distributions and the ADPI values are obtained numerically with various heat load ratios and air flow rates. The velocity and temperature distributions and the ADPI values are analyzed by CFD in case of various heat load ratios and air flow rates. Also, ADPI was calculated by those results. The ADPI values by numerical results are compared with an existing experimental data to verify the method for the evaluation of ADPI proposed in a present study. In case of a line diffuser installed at the high side wall, the ADPI decreases according to the increases of the flow rate on every heat load ratio of the present study except 0.75. The ADPI vs. T/L ratio curves have been proposed for the heat load ratios of 0.25, 0.5, 0.75 to guarantee the comport thermal environment when diffusers are installed in perimeter zone.

PHYSIOANATOMY OF NASOPHARYNGEAL SPACE AND HYPERNASALITY IN CLEFT PALATE (구개열에서 비인두강의 생리해부학적 구조와 과비음과의 연관성 연구)

  • Cho, Joon-Hui;Pyo, Wha-Young;Choi, Hong-Shik;Choi, Byung-Jai;Son, Heung-Kyu;Sim, Hyun-Sub
    • Journal of the korean academy of Pediatric Dentistry
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    • v.31 no.4
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    • pp.721-728
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    • 2004
  • Velopharyngeal closure is a sphincter mechanism between the activities of the soft palate, lateral pharyngeal wall and the posterior pharyngeal wall, which divides the oral and nasal cavity. It participates in physiological activities such as swallowing, breathing and speech. It is called a velopharyngeal dysfunction when this mechanism malfunctions. The causes of this dysfunction are defects in (1) length, function, posture of the soft palate, (2) depth and width of the nasopharynx and (3) activity of the posterior and lateral pharyngeal wall. The purposes of this study are to analyze the nasopharynx of cleft palate patients using cephalometry and to evaluate the degree of hypernasality using nasometry to find its relationship with velopharyngeal dysfunction. The following results were obtained : 1. In cephalometry, there were significant differences in soft palate length, soft palate thickness, nasopharyngeal depth, nasopharyngeal area, and adequate ratio between two groups. 2. In nasometry, there were significant differences between two groups in vowel /o/ and sentences including oral consonants. 3. In cleft palate patients, though no general correlation was found between Anatomic VPI and nasalance scores, vowel /i/ and sentences including oral consonants were slightly correlated. In conclusion, cephalometry and nasometer results were significantly different between the two groups. Though in the cleft palate group, Anatomic VPI and nasalance scores, which are indices for velopharyngeal closure, excluding the vowel /i/ and sentences including oral consonants show generally no significance.

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Evaluation of Reinforcement Effect of Rock Bolts in Anisotropic Rock Mass Using Tunnel Scaled Model Tests (터널 축소모형실험을 통한 이방성 암반내 록볼트의 보강효과 검토)

  • Kim, Jong-Woo
    • Tunnel and Underground Space
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    • v.28 no.5
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    • pp.442-456
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    • 2018
  • Scaled model tests were performed to evaluate the reinforcement effect of rock bolts in anisotropic rock mass. For this purpose, two tunnel cases were experimented which had different tunnel sizes, rock strengths, anisotropic angles and coefficients of lateral pressure. The fully grouted rock bolts of the D25 deformed bar were modeled as the basting pins with bead and were systematically installed at the roof and the side wall of the model tunnel. As results of the first case experimentations, the unsupported model showed initial crack at the roof of tunnel, but the supported model with rock bolts showed initial crack at the floor of tunnel where rock bolts were not installed. The crack initiating pressure and the maximum pressure of the supported model with rock bolts were 11% and 7% larger than those of the unsupported model, respectively. Moreover, the effect of the existing discontinuities in anisotropic rock mass on the fracture behavior of tunnel was reduced in the supported model, and so the reinforcement effect of rock bolt turned out to be experimentally verified. As results of the second case experimentations considering different support patterns, the crack initiating pressures of models were larger and the reduction ratios of tunnel area according to applied load were smaller as the length and the quantity of rock bolts were larger. Therefore, it was found that the performance of the rock bolts turned out to be improved as they were larger.

Comparative Anatomy of the Secondary Xylem in the stem of Araliaceous Plants in Korea (한국산 두릅나무과 식물 줄기에서 2기목부의 비교 해부)

  • 박동옥
    • Journal of Plant Biology
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    • v.36 no.4
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    • pp.345-355
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    • 1993
  • Anatomical study of the secondary xylem in Araliaceous plants, induding 7 genera and 11 species grown in Korea, was carried out to elucidate the relationship among genera in the family. Wood of Hedera has difbse porous and shows ulmiform pattern of angular vessels, simple perforation plate, and alternate pitting. In addition, its ray is homogeneous type II with only procumbent ray cell. Ring porous wood of Dendropanax shows ulmiform of angular vessels, simple perforation plate, alternate pitting, and heterogeneous type II ray, which has sometimes horizontal secretory cavity. Fatsia has diffuse porous wood, which shows ulmiform of angular vessels, scalariform perforation plate (3-9 bars), scalariform pitting, spiral thickening in the lateral wall of vessel, and heterogeneous type II ray with sheath cells. Kalopanax has ring porous wood, which shows ulmiform of circular vessels, simple perforation plate and alternate pitting, and heterogeneous type II ray. While K pictum appears tylose with septum, K pictum var. maximowczii appears tylose without septum. Echinopanax shows ring porous wood, ulmiform of angular vessels, simple perforation plate, scalariform pitting, and tylose with septum. And the ray of Echinopanax is paedomorphic type I composed of only upright cells. Acanthopanax genus is composed of diffuse porous wood, ulmiform of angular vessels, simple perforation plate and alternate pitting. In this genus, A. sessiliflorus has heterogeneous type II ray, apotracheal axial parenchyma and tylose with septum. A. senticosus appears paedomorphic type I with only upright cells, and tylose with septum. A. koreanum and A. sieboldianum have heterogeneous type II ray but have not tylose. Aralia is composed of ring porous wood, ulmiform of circular vessels, simple perforation plate, alternate pitting, heterogeneous type II ray, and tylose contained both septum and reticulate. On the basis of arrangement, shape, length and diameter of vessel element, the angle of end wall to vessel axis, and ray type, the line of specialization in these genera is as follow: from Fatsia, the most primitive, to the most highly specialized Aralia, throughout Hedera, Acanthopanax, Echinopanax, Dendropanax, and Kalopanax by turns. turns.

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An Evaluation of the Linear Thermal Transmittance for the Internal Insulation versus the External Insulation in Apartment Housings (공동주택의 단열형태별 선형열관류율 평가)

  • Lee, Jong-Sung;Lee, Do-Heun;Jun, Myoung-Hoon
    • Land and Housing Review
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    • v.5 no.4
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    • pp.315-323
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    • 2014
  • In this study, thermal transmittance which is a parameter to measure the thermal performance was evaluated for an internal insulation versus an external insulation. Then the ISO regulation was applied to evaluate it, and the superiority of an external insulation was verified by the thermal transmittance values. The three zones of apartment housing were selected to evaluate the performance. (1) The junction of an outer wall and a protruded slab : If there is no a thermal bridge protection system, then the values are about same in the two insulation systems, so the protection system should certainly be installed. If it is installed, then the value for the external insulation is 2 times lower than internal system. (2) The junction of a side wall and a flat slab: The value is 0.509W/mK for the internal insulation and about zero for the external insulation. (3) The junction of an outer wall and a division wall: The value is 0.451W/mK for the internal insulation and also about zero for the external insulation. A domestic regulation that could evaluate a thermal transmittance has to be established by applying the ISO regulation for the evaluation of external insulation systems in apartment housing in the future. Additionally, the government must decide which length should be used for the national standard.

Micromorphological Changes of Rill Development under Simulated Rainfall and Inflow on Steep Slopes (모의 강우와 유입수에 의해 급경사면에서 발달한 세류의 미세지형 변화)

  • Shin, Seung Sook;Sim, Young Ju;Son, Sang Jin;Park, Sang Deog
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.43 no.1
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    • pp.21-32
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    • 2023
  • Interrill erosion dominates in forest areas, and the erosion rate in surface-disturbed areas is significantly increased by the development and expansion of rill. In this study, soil erosion experiments using simulated rainfall and inflow were performed to understand the development and the micromorphological changes of rill on steep slopes. The characteristic factors of the micromorphology, such as the rill cross section, rill volume, rill density, rill order, and rill sharpness, were analyzed according to steepness and location (upper or lower) of slope. The head-cut of the simultaneous incised rills by rainfall simulation moved rapidly upslope, and the randomly developed rills expanded deeply and widely with their connection. The rill cross section evolved to downslope gradually increased. The rill volume occupied about 78 % of the sediment volume, confirming that the contribution of the sediment from the rill erosion is greater than that of the interrill erosion. Although the rate of increase in rill order slowed as the slope increased, the total length and density of the rill generally increased. As the slope increased from 15° to 20°, the bed incision of rills became larger than the sidewall expansion, and the rill sharpness increased by 1.6 times. The runoff coefficient on the lower slope decreased by 12.3 % than that on the upper slope. It was evaluated that the subsoil exposures and formation changes by the rill expansion increased the infiltration rate. Although the sediment accompanying the rills generally increased with slope increase, it was directly influenced by the hydraulic velocity of enhanced rill with the local convergence and expansion in the process of the rill evolution.

Increase of Spillway Discharge by Labyrinth Weir (래버린스위어에 의한 여수로 배제유량 증대)

  • Seo, Il Won;Song, Chang Geun;Park, Se Hoon;Kim, Dong Joo
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.28 no.1B
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    • pp.11-20
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    • 2008
  • The spillway type of small and midsize dams in Korea is almost overflow weir. To examine flood control capacity of overflow spillway, FLOW-3D was applied to Daesuho dam and analysis was focused on the discharge of dam spillway by changing weir shape. Overflow phases and discharges of linear labyrinth weir and curved labyrinth weir were compared with those of existing linear ogee weir. Hydraulic model experiment was performed to verify numerical result. Verification results showed that overflow behaviors and flow characteristics in the side channel by hydraulic model experiment and numerical simulation are well matched, and water surface elevation at side wall coincides with each other. When the reservoir elevation was increased up to design flood level, in case of the linear ogee weir the flow over the crest ran through smoothly in the side channel, whereas in cases of linear labyrinth weir and curved labyrinth weirs, the flow discharge was increased by 40 cms, and the flow over the weir crest, rotating counter-clockwise, was submerged in the side channel. The results of the water level-discharge curve revealed that labyrinth weir can increase discharge by 71% compared to the discharge of linear ogee weir at low reservoir elevation since it can have longer effective length. But as water surface elevation rises, the slope of water level-discharge curve of labyrinth weir becomes milder by submergence and nappe interference in the side channel.

Fabrication of Backscatter Electron Cones for Radiation Therapy (산란전자선을 이용한 강내측방조사기구의 제작과 특성)

  • Chu, Sung-Sil;Suh, Chang-Ok;Kim, Gwi-Eon
    • Radiation Oncology Journal
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    • v.19 no.1
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    • pp.74-80
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    • 2001
  • Purpose : Irradiation cones by using backscatter electrons are made for the treatment of superficial small lesions of skin, oral cavity, and rectum where a significant dose gradient and maximum surface dose is desired. Methods and Materials : Backscatter electrons are produced from the primary electron beams from the linear accelerators. The design consists of a cylindrical cone that has a thick circular plate of high atomic number medium (Pb or Cu) attached to the distal end, and the plate can be adjusted the reflected angle. Primary electrons strike the metal plate perpendicularly and produce backscatter electrons that reflect through the lateral hole for treatment. Using film and a parallel plate ion chamber, backscatter electron dose characteristics are measured. Results : The depth dose characteristic of the backscatter electron is very similar to that of the hard x-ray beam that is commonly used for the intracavitary and superficial lesions. The basckscatter electron energy is nearly constant and effectively about 1.5 MeV from the clinical megavoltage beams. The backscatter electron dose rate of $35\~85\;cGy/min$ could be achieved from modern accelerators without any modification. and the depth in water of $50\%$ depth dose from backscatter electron located at 6mm for $45^{\circ}$ angled lead scatter. The beam flatness is dependent on the slit size and the depth of treatment, but is satisfactory to treat small lesions. Conclusions : The measured data for backscatter electron energy, depth dose flatness dose rate and absolute dose indicates that the backscatter electrons are suitable for clinical use.

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The influence of magnet on tissue healing after immediate implantation in fresh extraction sites in dogs (성견에서 발치 후 즉시 식립 임플란트에 설치한 자석이 주위 조직에 미치는 영향)

  • Yu, Seok-Min;Cho, In-Ho;Shin, Soo-Yeon
    • The Journal of Korean Academy of Prosthodontics
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    • v.47 no.4
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    • pp.435-444
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    • 2009
  • Statement of problem: The clinical use of electric and electomagnetic fields for fracture healing applications began in the early 1970s. Since then, several technologies have been developed and shown to promote healing of fractures. Developments of these devices have been aided in recent years by basic research and several well controlled clinical trials not only in the medical field but in dentistry. Purpose: The purpose of this study was to compare alveolar bone reduction following immediate implantation using implants onto which magnets were attached in fresh extracted sockets. Material and methods: Four mongrel dogs were involved. Full buccal and lingual mucoperiosteal flaps were elevated and third and fourth premolars of the mandible were removed. Implants with magnets and implants without magnets were installed in the fresh extracted sockets and after 3 months of healing the animals were sacrificed. The mandibles were dissected and each implant sites were sampled and processed for histological examination. Results: The marginal gaps that were present between the implant and walls of the sockets at the implantation stage disappeared in both groups as a result of bone fill and resorption of the bone crest. The buccal bone crests were located apical of its lingual counterparts. At the 12 week interval the mean of marginal bone resorption in the control group was significantly higher than that of the magnet group. The majority of specimens in magnet group presented early bone formation and less resorption of the buccal marginal bone compared to the control group. Conclusion: Within the limitations of this study, it could be concluded that implants with magnets attached in the early stages of implantation may provide more favorable conditions for early bone formation and reduce resorption and remodeling of marginal bone.