• Title/Summary/Keyword: 3-unit bridge

Search Result 147, Processing Time 0.027 seconds

APPLICATION OF CAD/CAM FOR ORAL REHABILITATION IN A PATIENT WITH DOWN SYNDROME (CAD/CAM을 이용한 다운 증후군 환자의 구강 재건)

  • Chung, Hyunjin;Shim, Joon-Sung;Choi, Byung-Jai;Lee, Jae-Ho
    • The Journal of Korea Assosiation for Disability and Oral Health
    • /
    • v.13 no.2
    • /
    • pp.95-98
    • /
    • 2017
  • Due to hypodontia, poor oral hygiene, and significantly more prevalent periodontal disease, patients with Down syndrome show higher incidence of edentulism. Oral rehabilitation of such patients is imperative but challenging as high rates of prosthesis failure are reported due to malocclusion, high masticatory force, and parafunctional habits. As CAD/CAM(Computer-Aided Design and Computer Aided Manufacturing) is the recent trend in prosthodontics, this report discusses the application of CAD/CAM in a Down syndrome patient. A 25-year-old patient with Down syndrome was presented to the Department of Pediatric Dentistry, Yonsei University Dental Hospital for oral examination. 5 maxillary teeth were missing, 3 were fully impacted, and 4 had grade III mobility. The patient underwent general anesthesia for extraction of impacted and mobile teeth, implant surgery, and final impression for prosthesis. Afterwards, CAD/CAM was used to design and manufacture a 10-unit zirconia bridge. However the bridge was fractured after 18 months due to the patient's bruxism and high masticatory force. Final impression taking, bite registration, cast fabrication, cast scanning, and prosthesis designing were not needed as CAD/CAM data remained. Previous CAD/CAM design was used to remanufacture the zirconia bridge. Down syndrome patients have malocclusion, high masticatory force, and parafunctional habits which increase the possibility of prosthesis fracture. CAD/CAM is beneficial for Down syndrome patients as previous digital records can be utilized for prosthesis repair or remake. In detail, application of CAD/CAM in remanufacturing decreases patient's discomfort of impression taking, shortens and simplifies dental laboratory procedures, and reduces clinician's effort of taking detailed final impressions or accurate bite registration. In conclusion, oral rehabilitation using CAD/CAM provides not only satisfactory levels of comfort, stability, and esthetics, but also easier repair or remake compared to conventional prostheses.

Chest Wall Reconstruction with a Transverse Rectus Abdominis Musculocutaneous Flap in an Extremely Oversized Heart Transplantation

  • Yim, Ji Hong;Eom, Jin Sup;Kim, Deok Yeol
    • Archives of Reconstructive Microsurgery
    • /
    • v.23 no.2
    • /
    • pp.89-92
    • /
    • 2014
  • An 8-year-old girl diagnosed with dilated cardiomyopathy and Russell-Silver syndrome was admitted to our pediatric intensive care unit due to low cardiac output and multiple-organ dysfunction. The patient was placed on the heart transplant waiting list and extracorporeal membrane oxygenation was performed as a bridge to transplantation. After 17 days, heart transplantation was performed. The donor was a 46-year-old female (weight, 50 kg; height, 150 cm). The donor:recipient weight ratio was 3.37:1. Because the dimension and volume of the recipient's thoracic cage were insufficient, the sternum could not be closed. Nine days after transplantation, the patient underwent delayed sternal closure. To obtain adequate space, we left the sternum 4.5 cm apart from each margin using four transverse titanium plates. A transverse rectus abdominis musculocutaneous flap was chosen to cover the wound. Due to the shortage of donors, a size-mismatched pediatric heart transplantation is sometimes unavoidable. Closure of the opened sternum of a transplant recipient can be challenging. Sternal reconstruction after an extremely oversized heart transplantation with transverse titanium plate fixation and a musculocutaneous flap can effectively achieve sternal closure and stability.

The effect of vent on the marginal discrepancy of the PFM base metal castings (Vent의 형성이 도재전장 비귀금속합금 주조체의 변연부 적합도에 미치는 영향)

  • Kim, Tae-Suk;Lee, Sung-Uk;Oh, Sae-Yoon;Kim, Woong-Chul;Kim, Ji-Hwan;Yoo, Jin-Ho
    • Journal of Technologic Dentistry
    • /
    • v.23 no.1
    • /
    • pp.45-53
    • /
    • 2001
  • This study was performed to investigate the effect of vent on the marginal discrepancy of PFM base metal castings. Eighteen identical wax patterns of a maxillary 3 unit anterior bridge were fabricated. Nine cases out of them were vented with $\phi$2.5mm sprue wax, for direct comparison as to the marginal discrepancy of the castings with the other non vented 9 ones. The mean value of marginal discrepancies of the vented castings was $85.02{\pm}25.57{\mu}m$, and that of the non vented was $163.21{\pm}69.88{\mu}m$ respectively. Statistical analysis revealed that marginal discrepancy of the vented casting was significantly reduced(p<0.05).

  • PDF

Crystal Structures of Vacuum Dehydrated Fully $Cd^{2+}$-Exchanged Zeolite A and of Its iodine Sorption Complex (카드뮴 이온으로 완전히 치환한 제올라이트 A를 진공 탈수한 구조와 이것에 요오드를 흡착한 결정구조)

  • Jang, Se-Bok;Han, Young-Wook;Kim, Yang
    • Korean Journal of Crystallography
    • /
    • v.4 no.2
    • /
    • pp.54-62
    • /
    • 1993
  • The crystal shnture of dehydrated fully Cd2+-exchanged zeolite A evacuated at 2 × 10-6 Torr and 650℃ (a:12.189(2) A) and of its iodine sorption corrplex (a:12.168(2)A) have been netsmlmn by single uystal x-ray diffraction techliques in the cubic space group hkTn at 21(1)℃. The strutures were refined to final error indices, Ri:0.057 and R2 =0.063 with 186 reflections and Rl:0.082 and R2:0.085 with 181 reflections, respectively, for which 1>3σ(In both structure, six lie at two distinguished threefold axes of unit cell ten the crystal structure of an iodine sorption complex of Cd6-A four Cd2+ ions are recessed 0.69(1) A into the large cavity to complex each with from the (111) plane of 0(3), whereas two Cd2+ ions recessed 0.68(1) A into the sodalite unit Awximately 4.0 l3ions per nit cell are sorbed. Each bridge between a Cd2+ ion and 8-ring oxygens ((I-I-I)= 117(1) ˚ and 0(1)-I(1)-I(2)=172(1)). The near linear I-I-0 angle and its interatomic distance (I-0=3.57(3) A) are indicative of a weak charge transfer interacticn between the frarrework oxygen and iodine. The existence of In3 inside the large cavity indicates that the If ions and H ions may be produced by reaction of In vapor with water molecules which maybe associated with Cd2+ ions in partially dehydrated Cd6-A In3- ions may be produced by the combination of I- and I2.

  • PDF

Analysis of the Performance and Need of Professional Nursing Care in Nurses: Focusing on the Department of Neurosurgery in a Tertiary Hospital in Gangwon Province (임상간호사의 전문 간호업무 수행도와 필요도 분석 - 강원도 상급병원 신경외과 영역을 중심으로)

  • Kim, Hyun Su;Hwang, Ju Hee;Lee, Hyun Jung
    • Journal of East-West Nursing Research
    • /
    • v.28 no.2
    • /
    • pp.151-159
    • /
    • 2022
  • Purpose: This study was conducted to identify the performance and need of professional nursing care among nurses in a neurosurgery department at a tertiary hospital. Methods: This study used a descriptive design using a questionnaire with 77-item. The participants were 58 nurses with more than 3 years of clinical experience in both the neurosurgery intensive care unit and ward at a tertiary hospital in Gangwon province. Data collection was conducted from January to February of 2021. The performance and need for each workforce were analyzed with the mean and standard deviation, and the effectiveness of the difference between the performance and the need were analyzed with a paired t-test using SAS 9.4. Results: The recognition for work performance level was in order of direct nursing activities (3.20±.54), consultation and coordination (3.18±1.15), education (2.55±.85), administration (1.92±.86), and research (1.57±.89). The recognition for need level was in order of consultation and coordination (3.95±.83), education (3.91±.87), direct nursing practice (3.83±.55), research (3.49±.87), and administration (3.45±.54). The results showed a statistically significant differences between work performance and need (p<.001). Conclusion: It is required to hire professional nursing personnel who can bridge the gap between the performance and need of professional nursing workforce in a neurosurgery department at a tertiary hospital. A professional nurse may be a good alternative.

Crack Example and Crack Control Method of Very-Early Strength Latex-Modified Concrete (초속경 라텍스개질 콘크리트의 균열발생 사례 및 억제방안)

  • Choi, Pan-Gil;Yun, Kyong-Ku;Lee, Bong-Hak
    • Journal of the Korea institute for structural maintenance and inspection
    • /
    • v.13 no.3 s.55
    • /
    • pp.173-180
    • /
    • 2009
  • Very-early strength latex-modified concrete(below ; VES-LMC) was developed for possible early-opening-to-traffic after overlay of bridge deck concrete. The purpose of this study is to analyze the cause of map, transverse and longitudinal cracking in VES-LMC and to provide a control method for minimizing occurrence of cracking. The proposed prevention method against map and transverse cracking was verified by field data. VES cement was modified as the unit cement content was reduced from 390kg/$m^3$ to 360kg/$m^3$. The maximum size of coarse aggregate was increased from 13mm to 19mm. The wire mesh and steel fiber were adopted in concrete mixture. From the results, the proposed prevention method against map and transverse cracking was verified since structural cracking was not occurred until 3 years after overlay.

Restructuring Enterprise Brand through Migration of the Brand Equity : A Case Analysis of AJU Capital (브랜드 자산의 이동을 통한 기업브랜드의 재구축: 아주캐피탈 사례 분석)

  • Hong, Sung-Tae;Na, Woon-Bong;Son, Young-Seok
    • Asia Marketing Journal
    • /
    • v.12 no.4
    • /
    • pp.183-201
    • /
    • 2011
  • In case of Aju capital, it adopted a strategy to use a single brand not two separate brands after M&A was completed. In order to implement this strategy, it has endeavored to effectively process the work of shifting existing marketing infrastructure of DAEWOO capital, the mergee, spending enough transition time for the brand migration. In the process of merging, Aju capital picked the strategy to use the brand of mergee first, which is the Daewoo Capital brand, and then took a transition time for a while to converge to the single brand of Aju capital. Putting another way, even if the M&A deal was completed back in 2005, it maximized the effect of launching its final brand "Aju capital" by capitalizing on the positive image of "Daewoo" during the transition time and changing its name just in the right moment. In a bid to implement this strategy successfully, it established a cautious but sophisticated brand migration strategy. 1) "Brand bridge" strategy through reinforcing brand power of "Naegeron", which is an individual product brand of Daewoo Capital 2) Establishing a good brand image through reinforcing customer satisfaction 3) It implemented and completed its brand transition initiative by going through the step of Aju Capital brand unification (from Sept 09 to present) Currently, the sales unit of Aju Capital is realizing quality growth through specialization. It's strategy is to construct a systematic sales portfolio in terms of both quality and quantity through product-by-product specialization where the existing practice was selling a variety of products in a single branch. Back in 2009, it opened a branch that specialize in imported cars and expanded its used car business to 6 specialized locations. Besides, the specialized locations for personal loan named "Naegeron" was expanded from 3 to 11 locations. Recently, it is expected that it will inject vigor to retail and corporate financing business alongside with its core business, which is auto financing.

  • PDF

A Study on the Data Driven Neural Network Model for the Prediction of Time Series Data: Application of Water Surface Elevation Forecasting in Hangang River Bridge (시계열 자료의 예측을 위한 자료 기반 신경망 모델에 관한 연구: 한강대교 수위예측 적용)

  • Yoo, Hyungju;Lee, Seung Oh;Choi, Seohye;Park, Moonhyung
    • Journal of Korean Society of Disaster and Security
    • /
    • v.12 no.2
    • /
    • pp.73-82
    • /
    • 2019
  • Recently, as the occurrence frequency of sudden floods due to climate change increased, the flood damage on riverside social infrastructures was extended so that there has been a threat of overflow. Therefore, a rapid prediction of potential flooding in riverside social infrastructure is necessary for administrators. However, most current flood forecasting models including hydraulic model have limitations which are the high accuracy of numerical results but longer simulation time. To alleviate such limitation, data driven models using artificial neural network have been widely used. However, there is a limitation that the existing models can not consider the time-series parameters. In this study the water surface elevation of the Hangang River bridge was predicted using the NARX model considering the time-series parameter. And the results of the ANN and RNN models are compared with the NARX model to determine the suitability of NARX model. Using the 10-year hydrological data from 2009 to 2018, 70% of the hydrological data were used for learning and 15% was used for testing and evaluation respectively. As a result of predicting the water surface elevation after 3 hours from the Hangang River bridge in 2018, the ANN, RNN and NARX models for RMSE were 0.20 m, 0.11 m, and 0.09 m, respectively, and 0.12 m, 0.06 m, and 0.05 m for MAE, and 1.56 m, 0.55 m and 0.10 m for peak errors respectively. By analyzing the error of the prediction results considering the time-series parameters, the NARX model is most suitable for predicting water surface elevation. This is because the NARX model can learn the trend of the time series data and also can derive the accurate prediction value even in the high water surface elevation prediction by using the hyperbolic tangent and Rectified Linear Unit function as an activation function. However, the NARX model has a limit to generate a vanishing gradient as the sequence length becomes longer. In the future, the accuracy of the water surface elevation prediction will be examined by using the LSTM model.

Multi-Secondary Transformer: A Modeling Technique for Simulation - II

  • Patel, A.;Singh, N.P.;Gupta, L.N.;Raval, B.;Oza, K.;Thakar, A.;Parmar, D.;Dhola, H.;Dave, R.;Gupta, V.;Gajjar, S.;Patel, P.J.;Baruah, U.K.
    • Journal of international Conference on Electrical Machines and Systems
    • /
    • v.3 no.1
    • /
    • pp.78-82
    • /
    • 2014
  • Power Transformers with more than one secondary winding are not uncommon in industrial applications. But new classes of applications where very large number of independent secondaries are used are becoming popular in controlled converters for medium and high voltage applications. Cascade H-bridge medium voltage drives and Pulse Step Modulation (PSM) based high voltage power supplies are such applications. Regulated high voltage power supplies (Fig. 1) with 35-100 kV, 5-10 MW output range with very fast dynamics (${\mu}S$ order) uses such transformers. Such power supplies are widely used in fusion research. Here series connection of isolated voltage sources with conventional switching semiconductor devices is achieved by large number of separate transformers or by single unit of multi-secondary transformer. Naturally, a transformer having numbers of secondary windings (~40) on single core is the preferred solution due to space and cost considerations. For design and simulation analysis of such a power supply, the model of a multi-secondary transformer poses special problem to any circuit analysis software as many simulation softwares provide transformer models with limited number (3-6) of secondary windings. Multi-Secondary transformer models with 3 different schemes are available. A comparison of test results from a practical Multi-secondary transformer with a simulation model using magnetic component is found to describe the behavior closer to observed test results. Earlier models assumed magnetising inductance in a linear loss less core model although in actual it is saturable core made-up of CRGO steel laminations. This article discusses a more detailed representation of flux coupled magnetic model with saturable core properties to simulate actual transformers very close to its observed parameters in test and actual usage.

Characteristics analysis of time sharing method VVVF type high frequency resonant inverter (시분할 방식 VVVF형 고주파 공진 인버터의 특성해석)

  • 조규판;원재선;남승식;심광렬;배영호;김동희
    • Journal of the Korean Institute of Illuminating and Electrical Installation Engineers
    • /
    • v.16 no.3
    • /
    • pp.20-28
    • /
    • 2002
  • This paper describes the time sharing type high frequency resonant inviter can be used as power of induction heating. This closed inverter can be obtained output frequency three times than switching frequency by composing three unit inviter of conventional Half-Bridge serial resonant inverter in parallel with input power source also, this reduce switching loss because it has ZVS function. The analysis of the proposed circuit is generally described by using the normailized proposed parameters. The principle of basic operating and the its charasteristics are extimated by the parameters such as switching frequency($\mu$), the variation of Phase angle($\phi$) of Phase-shift. Experimental results are presented to verify theoretical discussion. This preposed inverter will be able to be prastically used as a power supply in various fields as induction, heating application, DC-DC converter etc.