• 제목/요약/키워드: Advanced Placement

검색결과 159건 처리시간 0.111초

A lateral approach to the maxillary sinus for simultaneous extraction of an ankylosed maxillary molar and sinus graft: a case report

  • Hwang, Jae-Ho;Choi, Hee-Seung;Kim, Kee-Deog;Doh, Re-Mee;Park, Won-Se
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제38권2호
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    • pp.110-115
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    • 2012
  • Ankylosed tooth is defined as 'the discontinuance of normal passive tooth eruption without any mechanical barrier'. Ankylosed tooth treatment is a challenge to dental clinicians. In treatment of maxillary molar ankylosis cases there are risks of oro-antral fistula, displacement of root fragments into the maxillary sinus, as well as the necessity for providing additional sinus bone augmentation for future implant placement. In this study, we suggested a new technique using a piezoelectric device and a lateral side approach to the maxillary sinus leading to the simultaneous removal of the ankylosed maxillary molar and sinus grafting for the purpose of implant site development.

항공기 운동분리의 비선형 최적화를 이용한 고유공간지정법의 응용 (Airplane mode decoupling using eigenstructure assignment via non-linear optimization)

  • 이승재;김유단
    • 제어로봇시스템학회:학술대회논문집
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    • 제어로봇시스템학회 1993년도 한국자동제어학술회의논문집(국내학술편); Seoul National University, Seoul; 20-22 Oct. 1993
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    • pp.920-925
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    • 1993
  • For a multi-input, multi-output system, it is widely known that feedback control gain presents extra freedom pole placement problem. An eigenstructure assignment utilizes this freedom for assignment of all or some elements of the closed-loop eigenvectors. In this paper, a nonlinear optimization technique is adopted to obtain a small gain controller that assigns closed-loop eigenvalues and elements of eigenvectors simultaneously. To illustrate the approach, a numerical example of the Airplane mode decoupling using an advanced fighter is shown.

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Missile Autopilot Design for Agile Turn Control During Boost-Phase

  • Ryu, Sun-Mee;Won, Dae-Yeon;Lee, Chang-Hun;Tahk, Min-Jea
    • International Journal of Aeronautical and Space Sciences
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    • 제12권4호
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    • pp.365-370
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    • 2011
  • This paper presents the air-to-air missile autopilot design for a $180^{\circ}$ heading reversal maneuver during boost-phase. The missile's dynamics are linearized at a set of operating points for which angle of attack controllers are designed to cover an extended flight envelope. Then, angle of attack controllers are designed for this set of points, utilizing a pole-placement approach. The controllers' gains in the proposed configuration are computed from aerodynamic coefficients and design parameters in order to satisfy designer-chosen criteria. These design parameters are the closed-loop frequency, damping ratio, and time constant; these represent the characteristics of the control system. To cope with highly nonlinear and rapidly time varying dynamics during boost-phase, the global gain-scheduled controller is obtained by interpolating the controllers' gains over variations of the angle of attack, Mach number, and center of gravity. Simulation results show that the proposed autopilot design provides satisfactory performance and possesses good [ed: or "sufficient" or "excellent"] capabilities.

Freehand S2 Alar-Iliac Screw Placement Using K-Wire and Cannulated Screw : Technical Case Series

  • Choi, Ho Yong;Hyun, Seung-Jae;Kim, Ki-Jeong;Jahng, Tae-Ahn;Kim, Hyun-Jib
    • Journal of Korean Neurosurgical Society
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    • 제61권1호
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    • pp.75-80
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    • 2018
  • Objective : Among the various sacropelvic fixation methods, S2 alar-iliac (S2AI) screw fixation has several advantages compared to conventional iliac wing screw. However, the placement of S2AI screw still remains a challenge. The purpose of this study was to describe a novel technique of free hand S2AI screw insertion using a K-wire and cannulated screw, and to evaluate the accuracy of the technique. Methods : S2AI screw was inserted by free hand technique in sixteen consecutive patients without any fluoroscopic guidance. The gearshift was advanced to make a pilot hole passing through the sacroiliac joint and directing the anterior inferior iliac spine. A K-wire was placed through the pilot hole. After introducing a cannulated tapper along with the K-wire, a cannulated S2AI screw was installed over the K-wire. Results : Thirty-three S2AI screws were placed in sixteen consecutive patients. Thirty-two screws were cannulated screws, and one screw was a conventional non-cannulated screw. Thirty out of 32 (93.8%) cannulated screws were accurately positioned, whereas two cannulated screws and one non-cannulated screw violated lateral cortex of the ilium. Conclusion : The technique using K-wire and cannulated screw can provide accurate placement of free hand S2AI screw.

Robotic lower pelvic port placement for optimal upper paraaortic lymph node dissection

  • Paek, Jiheum;Kang, Elizabeth;Lim, Peter C.
    • Journal of Gynecologic Oncology
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    • 제29권6호
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    • pp.87.1-87.4
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    • 2018
  • Objective: Upper paraaortic lymph node dissection (UPALD) to the infrarenal level is one of the most challenging robotic procedures. Because robotic system has the limitation in robotic arm mobility. This surgical video introduces a novel robotic approach, lower pelvic port placement (LP3), to perform optimally and simultaneously both UPALD and pelvic procedures in gynecologic cancer patients using da Vinci Xi system. Methods: The patient presented with high-grade endometrial cancer. She underwent robotic surgical staging operation. For the setup of the LP3, a line was drown between both anterior superior iliac spines. At 3 cm below this line, another line was drown and four robotic ports were placed on this line. Results: After paraaortic lymph node dissection (PALD) was completed, the boom of robotic system was rotated $180^{\circ}$ to retarget for the pelvic lateral displacement. Robotic ports were placed and docked again. The operation was completed robotically without any complication. Conclusion: The LP3 was feasible for performing simultaneously optimal PALD as well as procedures in pelvic cavity in gynecologic cancer patients. The advantage of LP3 technique is the robotic port placement that affords for multi-quadrant surgery, abdominal and pelvic dissection. The LP3 is facilitated by utilizing advanced technology of Xi system, including the patient clearance function, the rotating boom, and 'port hopping' that allows using every ports for a camera. The LP3 will enable surgeons to extend the surgical indication of robotic surgical system in the gynecologic oncologic field.

자동섬유적층법을 이용한 열가소성 복합재료 접시형 안테나 반사판 개발 (Development of a Thermoplastic Composite Parabolic Antenna Reflector using Automated Fiber Placement Method)

  • 김진봉;김태욱
    • Composites Research
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    • 제19권1호
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    • pp.15-21
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    • 2006
  • 일방향 섬유로 보강된 고성능 복합재료의 경우 모든 방향에서 곡률을 가지는 구조물의 제작에 용이하지 않다. 본 연구에서는 높은 비강성, 비강도를 가지는 일방향으로 보강된 AS4/PEEK 프리프레그 테이프를 이용한 축소 시제 복합재료 접시형 안테나 반사판의 개발 결과를 보여준다. 개발을 위해서 유한요소법을 통한 적층인자 연구를 통한 저열팽창/등방변형의 반사판 설계기법을 확립하였으며, Fiber Placement System을 통한 자동섬유적층법을 이용하여 접시형 안테나 반사판이 제작되었다. 제작된 반사판은 Full Bridge Circuit의 Strain Cage를 이용한 열변형 실험법으로 열팽창 거동에 대한 실험을 수행하였으며, 열변형 해석결과와의 비교를 통하여 제작된 구조물을 검증하였다.

디지털 공제술을 이용한 platform switching 임플란트의 변연골 소실에 대한 연구 (Evaluation of marginal bone loss around platform-switched implants by digital subtraction radiography)

  • 김치윤;김성숙;인희선;김유리
    • 구강회복응용과학지
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    • 제31권1호
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    • pp.33-44
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    • 2015
  • 목적: 본 연구는 platform matching, platform switching을 시행한 임플란트의 변연골 소실을 비교하여 platform switching 개념의 임상적 의의를 평가하고자 한다. 연구 재료 및 방법: 원광대학교 치과병원 임플란트 센터에서 치료를 진행한 환자를 대상으로 임플란트 식립 시기, 직경, 길이, 지대주 연결방법 및 보철물 연결고정 유무를 조사하였다. 변연골 소실량을 측정하기 위해서 Emago advanced v5.6 프로그램을 사용하여 임플란트 식립 시와 가장 최근 내원 시의 치근단 방사선 사진을 비교하였다. 결과: 환자 82명의 임플란트 150개를 대상으로 6 - 63개월 동안 관찰한 결과 platform matching 임플란트는 $1.16{\pm}0.54mm$, platform switching 임플란트는 $0.68{\pm}0.27mm$의 변연골 소실을 나타내었다. 결론: Platform switching을 시행함으로써 임플란트의 변연골 소실을 줄이는 효과가 있는 것으로 사료된다.

A comparative clinical study on oxidized titanium implants and sandblasted large-grit acid etched implants in soft bone

  • Lee, Jun-Young;Song, Ji-Eun;Jung, Ui-Won;Kim, Chang-Sung;Choi, Seong-Ho;Cho, Kyoo-Sung
    • Journal of Periodontal and Implant Science
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    • 제39권sup2호
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    • pp.205-212
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    • 2009
  • Purpose: The aim of this retrospective study was to compare the survival rate of oxidized titanium implants and sandblasted large-grit acid etched implants in soft bone. Methods: 201 oxidized titanium implants were inserted in 84 patients between May 1999 and May 2004. 120 sandblasted large-grit acid etched implants were inserted in 74 patients between December 2000 and May 2004. The patients were followed-up 0${\sim}$5 years in ITI group or 0${\sim}$6 years in BRA group, respectively. The following information was collected from the patient records: age, gender, systemic disease, implant type, number, length and diameter of the implants, their location in the jaws, bone quantity, the number of failed implants, the causes of failure, and advanced surgery for bone augmentation. Results: In the oxidized titanium implants, 8 implants showed early failure, and 1 implant showed late failure, respectively. The cumulative survival rate was 95.48%. In the sandblasted large-grit acid etched implants, 1 implant showed late failure and cumulative survival rate was 99.10%. The cumulative survival rate and the survival rates in the case of the advanced procedure during the implant placement were not significantly different in both groups. Conclusions: Oxidized titanium implants and sandblasted large-grit acid etched implants can be used successfully in soft bone regardless of the surgical methods used during the implant placement. (J Korean Acad Periodontol 2009;39:205-212)

Endometrial fluid associated with Essure implants placed before in vitro fertilization: Considerations for patient counseling and surgical management

  • Sills, E Scott;Walsh, David J;Jones, Christopher A;Wood, Samuel H
    • Clinical and Experimental Reproductive Medicine
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    • 제42권3호
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    • pp.126-129
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    • 2015
  • Essure (Bayer) received approval from the U.S. Food and Drugs Administration as a permanent non-hormonal contraceptive implant in November 2002. While the use of Essure in the management of hydrosalpinx prior to in vitro fertilization (IVF) remains off-label, it has been used specifically for this purpose since at least 2007. Although most published reports on Essure placement before IVF have been reassuring, clinical experience remains limited, and no randomized studies have demonstrated the safety or efficacy of Essure in this context. In fact, no published guidelines deal with patient selection or counseling regarding the Essure procedure specifically in the context of IVF. Although Essure is an irreversible birth control option, some patients request the surgical removal of the implants for various reasons. While these patients could eventually undergo hysterectomy, at present no standardized technique exists for simple Essure removal with conservation of the uterus. This article emphasizes new aspects of the Essure procedure, as we describe the first known association between the placement of Essure implants and the subsequent development of fluid within the uterine cavity, which resolved after the surgical removal of both devices.

Full mouth implant rehabilitation of a patient with ectodermal dysplasia after orthognathic surgery, sinus and ridge augmentation: a clinical report

  • Bayat, Mohammad;Khobyari, Mohammad Mohsen;Dalband, Mohsen;Momen-Heravi, Fatemeh
    • The Journal of Advanced Prosthodontics
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    • 제3권2호
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    • pp.96-100
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    • 2011
  • An 18-year-old male presented severe hypodontia due to hypohidrotic ectodermal dysplasia was treated with Le Fort I maxillary osteotomy with simultaneous sinus floor augmentation using the mixture of cortical autogenous bone graft harvested from iliac crest and organic Bio-Oss to position the maxilla in a right occlusal plane with respect to the mandible, and to construct adequate bone volume at posterior maxilla allowing proper implant placement. Due to the poor bone quality at other sites, ridge augmentation with onlay graft was done to construct adequate bone volume allowing proper implant placement, using tissue harvested from the iliac bone. Seven implants were placed in the maxilla and 7 implants were inserted in the mandible and screw-retained metal ceramic FPDs were fabricated. The two year follow up data showed that dental implants should be considered as a good treatment modality for patients with ectodermal dysplasia.