• Title/Summary/Keyword: Block II

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Predictors of favorable soft tissue profile outcomes following Class II Twin-block treatment

  • Kim, Ji-Eun;Mah, Su-Jung;Kim, Tae-Woo;Kim, Su-Jung;Park, Ki-Ho;Kang, Yoon-Goo
    • The korean journal of orthodontics
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    • v.48 no.1
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    • pp.11-22
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    • 2018
  • Objective: The aim of this study was to determine cephalometric factors that help predict favorable soft-tissue profile outcomes following treatment with the Class II Twin-block appliance. Methods: Pre- and post-treatment lateral cephalograms of 45 patients treated with the Class II Twin-block appliance were retrospectively analyzed. Profile silhouettes were drawn from the cephalograms and evaluated by three orthodontists in order to determine the extent of improvement. Samples were divided into a favorable group (upper 30% of visual analogue scale [VAS] scores, n = 14) and an unfavorable group (lower 30% of VAS scores, n = 14). Skeletal and soft-tissue measurements were performed on the cephalograms and an intergroup comparison was conducted. Results: An independent t-test revealed that the following pre-treatment values were lower in the favorable group compared to the unfavorable group: lower incisor to mandibular plane angle, lower incisor to pogonion distance, point A-nasion-point B angle, sella-nasion line (SN) to maxillary plane angle, SN to mandibular plane angle, gonial angle, and symphysis inclination. The favorable group had a larger incisor inclination to occlusal plane. Moreover, the favorable group showed larger post-treatment changes in gonial angle, B point projection, and pogonion projection than did the unfavorable group. Conclusions: Class II malocclusion patients with a low divergent skeletal pattern and reduced lower incisor protrusions are likely to show more improvement in soft-tissue profile outcomes following Class II Twin-block treatment.

Successful treatment of growing skeletal class II children with Twin-Block appliance. (트윈블록을 이용한 성장기 II급 아동의 성공적인 하악골 성장 치료)

  • Kim, Seong Sik;Kim, Sung Hun;Kim, Yongil;Park, Soobyung;Son, Woosung
    • The Journal of the Korean dental association
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    • v.56 no.2
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    • pp.103-112
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    • 2018
  • The treatment of skeletal Class II growing patient is to move the mandible into the Class I molar positon via facilitating mandibular growth. The functional appliances are to be designed to exert three major functions such as palatal expansion, forward growth of mandible and increase of the posterior vertical dimension. One of the devices that can achieve both the palatal expansion and the eruption of the mandibular molar is the Twin-Block introduced by Clark in 1982. In this part, we present the treatment method with Twin-Block functional appliance for the correction of skeletal Class II growing patient.

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Post-thoracotomy pain control with paravertebral intercostal nerve block (개흉술후 벽측흉막외 신경차단법에 의한 진통효과)

  • Im, Chang-Yeong;Kim, Yo-Han
    • Journal of Chest Surgery
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    • v.26 no.10
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    • pp.781-786
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    • 1993
  • Effrctive analgesia after elective thoracotomy can be provided by continuous extrapleural intercostal nerve block.This study was designed to prove the effectiveness of continuous extrapleural intercostal nerve block. Twenty patients undergoing elective thoracotomy were randomized into two groups. Group I received lumbar epidural block[N=10] and group II received continuous extrapleural intercostal nerve block[N=10]. Postoperative pain relief was assessed on Numeric Rating Scale[NRS] and recovery of pulmonary function was assessed by coparison of preoperatrive and postoperative FVC[Forced Vital Capacity], FEV1[Forced expiratory Volume in 1 second], VC[Vital Capacity]. Arterial blood gas analysis[ABGA], vital signs and amount of additive analgesics were compared also. No significant difference was observed between the groups concerning these parameters mentioned above. Systemic complications, such as urinary retention[2/10] and weakness of lower extremity[2/10], occurred in group I but no complication occurred in group II. We conclude that continuous extrapleural intercostal nerve block is as effective as epidural block in pain relief and restoration of pulmonary mechanics with fewer comlications. Also because of it`s ease and safetiness, this must be considered as a substitute of epidural block in routine use for thoracotomy pain relief.

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Characteristics of Block Formation and Commercialization of Residential Blocks commercial area along Urban Arteries - Case study of commercial and residential area on Teheran-ro in Gangnam-gu in Seoul- (간선도로변 상업지역 배후 주거지의 가구배치와 상업화 특성 -서울시 강남구 테헤란로 주변 상업지역과 주거지역 사례연구 -)

  • Hong, Jae-Hong;Yang, Woo-Hyun
    • Proceeding of Spring/Autumn Annual Conference of KHA
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    • 2005.11a
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    • pp.229-234
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    • 2005
  • The purpose of this study is to analyze a Characteristics of block formation and commercialization of residential books commercial area along urban arteries on Teheran-ro in Seoul. 'Teheran-ro' is selected as a case site to analyze the characteristics of residential blocks commercial area along urban arteries. The study analyzes the characteristics of the street network and block formation in commercial area along arteries and rear residential blocks, and commercialization of residential blocks commercial area along urban arteries according to the characteristics of street network and block formation. The analysis about block formation progress about i ) a street network and block formation, ii ) the scale of blocks, iii) division of lots, iv) lots system. The analysis about commercialization of residential blocks commercial area progress about i) a street network and block formation, ii) a density of building, iii) a use of building

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Development of Bodice Block Reflects Brassiere Cup Size (브래지어 컵 사이즈를 반영한 바디스 원형 개발)

  • Kim, Yeo Sook
    • The Korean Journal of Community Living Science
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    • v.28 no.1
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    • pp.69-79
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    • 2017
  • The purpose of this study was to compare fitting of the upper garment by brassiere cup size and types of bodice block. This study conducted a 3D virtual garment system by applying three types of bodice block (I, II, III) and experimental pattern of the bodice block to 3D avatars of four individuals with the following measurements: under bust circumference of 73.5 cm and bust circumferences of 83.5 cm, 86.0 cm, 88.5 cm, and 91.0cm. The results of the study were as follows. First, for 83.5 cm bust circumference (A Cup), appearance of the three types of bodice block (I, II, III) was appropriate. However, as bust circumference increased in size, shape became inappropriate. The depth and width of the armhole, within 15 cm and 11 cm, respectively, were found to be appropriate. In case of 91.0 cm bust circumference (D Cup), all three bodices (I, II, III) were inappropriate. Second, the results of the draft of the experimental patterns of the bodice block of bust circumference measuring 83.5 cm, 86.0 cm, 88.5 cm, and 91.0 cm in the 3D avatars of the four individuals revealed similarities in the frontal view of the silhouette in the four avatars; in the case of the lateral view of the silhouette, lateral width grew wider as bust circumference of the silhouette became larger, but the shape of armhole showed no changes. The depth of the armhole showed little changes from 15.1 cm to 15.22 cm, and the height of sleeve (armscye depth 13.6 cm within +2 cm) remained similar. The difference in width of the armhole from 11.26 cm to 11.37 cm was rather small. The width of the upper sleeve (8.97 cm) seemed to be appropriate as it remained within the 2-3 cm boundary.

Characterizations and Release Behavior of Poly [(R)-3-hydroxy butyrate]-co-Methoxy Poly(ethylene glycol) with Various Block Ratios

  • Jeong, Kwan-Ho;Kwon, Seung-Ho;Kim, Young-Jin
    • Macromolecular Research
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    • v.16 no.5
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    • pp.418-423
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    • 2008
  • Poly[(R)-3-hydroxy butyrate] (PHB) and methoxy poly(ethylene glycol) (mPEG) were conjugated by the transesterification reaction with tin(II)-ethylhexanoate (Sn(Oct)-II) as a catalyst. Hydrophobic PHB and hydrophilic mPEG formed an amphiphilic block copolymer which was formed with the self-assembled polymeric micelle in aqueous solution. In this study, we tried to determine the optimum ratio of hydrophobic/hydrophilic segments for controlled drug delivery. The particle size and shape of the polymeric micelle were measured by atomic force microscopy (AFM) and transmission electron microscopy (TEM). Their size were 61-102 nm with various block ratios. Griseofulvin was loaded in the polymeric micelle as a hydrophobic model drug. The loading efficiency and release profile were measured by high performance liquid chromatography (HPLC). The model drug in our system was constantly released for 48 h.

Eccentric Load Resistance of Washbasin Attached to ALC Block Wall (ALC 블록 벽체의 세면기 부착에 따른 편심하중 저항성 평가)

  • Park, Jun-Hyeong;Lee, Duck-Ju;Kim, Hyun;Chol, Soo-Kyung
    • Proceedings of the Korean Institute of Building Construction Conference
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    • 2019.05a
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    • pp.12-13
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    • 2019
  • The bearing capacity of the wall against the eccentric load when the washbasin was attached on the ALC block wall was tested. Test methods are BS EN 14688 and BS 5234-2. Tests in accordance with BS EN 14688 showed that the holding capacity of steel was much stronger and more stable when HA-II (chemical anchor) was used than when the washbasin was fixed using HA-I (plastic anchor). As an experimental result according to the Annex K of BS 5234-2, the bearing capacity of ALC block wall corresponded to the "stage in which the force works(performance grade) 1,500N" for all of the cases where a washbasin is fixed using two types of the wall's dedicated anchors(HA-I and HA-II).

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Comparative Study of Color Correspondence According to Size of Vita CAD/CAM Ceramic Block Using ShadeEye-Ncc$^{(R)}$ System (ShadeEye$^{(R)}$ NCC system을 이용한 Vita CAD/CAM Ceramic Block의 크기에 따른 색조 일치성 비교연구)

  • Kim, Jae-Hong;Kim, Hae-Young;Kim, Woong-Chul;Kim, Ji-Hwan
    • Journal of Technologic Dentistry
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    • v.33 no.3
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    • pp.203-210
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    • 2011
  • Purpose: The purpose of this study was to compare color correspondence of different sizes of Vita Mark II$^{(R)}$ and TriLuxe$^{(R)}$ Feldspar blocks. Methods: The three commercially available shades(1M2, 2M2, 3M2) of Mark II & TriLuxe blocks for the CEREC$^{(R)}$ CAD/CAM system were examined. For each of three colors, three different sizes were tested, 5 blocks each. The measurements were made using a spectrophotometer equipped with an integrating sphere using the CIE $L^*$, $a^*$, $b^*$ colorimetric system. Results: The $L^*$, $a^*$, $b^*$ value of Vita Mark II$^{(R)}$ ceramic block showed significantly higher than TriLuxe$^{(R)}$ ceramic block(p<0.05). In comparing the Vita Mark II$^{(R)}$ specimen of the three different shade, color differences between materials(${\Delta}E^*$) showed the lowest value of 2.09, and the highest was 2.24. ${\Delta}E^*$ values of the materials of Vita Mark II$^{(R)}$ were higher than 2. As the size of ceramic block differed, the color correspondence of Vita Mark II$^{(R)}$ showed statistically significant difference but, this result is clinically acceptable. Conclusion: All the different sizes of the different shades of Vita TriLuxe$^{(R)}$ blocks for the CEREC$^{(R)}$ system showed the high degree of color correspondence necessary in industrially prefabricated CAD/CAM blocks. The results of the present study suggested that it would be necessary to establish the reproducible and constant color specification system for an esthetic restoration.

Clinical Investigation of Herpes Zoster and Postherpetic Neuralgia above T4 Dermatome (상흉부 이상 부위의 대상포진 및 대상포진후 신경통 환자에 대한 임상적 고찰)

  • Chung, So-Young;Shin, Sung-Yee;Yoon, Duck-Mi;Oh, Hung-Kun;Moon, Bong-Ki
    • The Korean Journal of Pain
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    • v.7 no.2
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    • pp.242-248
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    • 1994
  • Postherpetic neuralgia is frequently painful, incapacitating, mood depressing, and sometimes lifelong. We investigated the influence of duration from eruption to nerve blocks in conjunction with patients age on analgesic and preventive effect for postherpetic neuralgia. We retrospectively evaluated 50 outpatient medical records for the above T4 dermatome. Patients had been referred to pain clinic and were treated over 2weeks from Jan. 1988 to Dec. 1993. Fifty patients were divided into 4 groups as follows: Group I (a): less than 4weeks from eruption to nerve block and younger than 65 years old. Group I (b): less than 4weeks from eruption to nerve block and older than 65 years old. Group II (a): more than 4weeks from eruption to nerve block and younger than 65 years old. Group II(b): more than 4weeks from eruption to nerve block and older than 65 years old. Mean number of stellate ganglion blocks were 29.7. Tramadol, amitriptyline, nicardipine were most commonly prescribed. Group I (a): had the most improvement rate(77.8%) as compared with other group(46.6, 52.7, 56.0%). Number of patients who complained of severe pain (VAS > 5) were 0, 3(39%), 2(15.4%), 5(30%) in I (a), I (b), II (a), II (b) group respectively. In conclusion, analgesic effect was best in cases of patients younger than 65 years old whose treatment were started within 4 weeks of eruption. Patients older than 65 yrs, analgesic effect did not vary on the timing of treatment.

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CASE REPORT ON TREATMENT OF CLASS II MALOCCLUSION WITH TWIN BLOCK APPLIANCES (Twin Block을 이용한 II급 부정교합의 치료증례)

  • Park, Soo-Jin;Jang, Ki-Taeg;Kim, Chong-Chul
    • Journal of the korean academy of Pediatric Dentistry
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    • v.25 no.1
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    • pp.134-143
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    • 1998
  • Twin Blocks are simple bite-blocks that effectively modify the occlusal inclined plane to induce favorably directed occlusal forces by causing a functional mandibular displacement. These devices use upper and lower bite-blocks that engage on occlusal inclined planes. Twin Blocks use the forces of occlusion as the functional mechanism to correct the malocclusion. To get an excellent result in the treatment by using the Twin Block appliances, proper case selection must be needed. Twin Block treatment is performed in two stages. Twin Blocks are used in the active phase to correct the anteroposterior relationship and establish the correct vertical dimension. Once this phase is accomplished, the Twin Blocks are replaced with an upper Hawley type of appliance with an anterior inclined plane, which is then used to support the corrected position as the posterior teeth settle fully into occlusion. The Twin Block is the most comfortable, the most esthetic ane the most efficient of all the functional appliances. Twin Blocks have many advantages compared to other functional appliances. Patients can wear Twin Blocks 24 hours per day and can eat comfortably with the appliances in place. From the moment Twin Blocks are fitted, the appearance is noticeably improved. There is less interference with normal function. Integration with conventional fixed appliances is simpler than with any other functional appliance. Twin Blocks allow independent control of upper and lower arch width. Appliance design is easily modified for transverse and sigittal arch development. The authors treated Class II malocclusion with Twin Blocks. and the results as follows; 1. Rapid profile improvement was achieved in 2-3 months. 2. There was excellent patient cooperation. 3. Severe overjet and overbite were reduced. 4. Class II molar relationship was changed to Class I.

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