• 제목/요약/키워드: C1 arch

검색결과 95건 처리시간 0.026초

C-Arm 유도하의 안면골 골절의 정복술 (C-Arm Fluoroscopy for Accurate Reduction of Facial Bone Fracture)

  • 황소민;김장혁;김형도;정용휘;김홍일
    • 대한두개안면성형외과학회지
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    • 제14권2호
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    • pp.96-101
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    • 2013
  • Background: Among facial fractures, nasal bone fracture, zygomatic arch fracture and mandibular subcondyle fracture take a large portion. Among surgical operations for nasal bone fracture, zygomatic arch fracture and mandibular subcondyle fracture, closed reduction has been generally used but, unlike open reduction, there is a problem in evaluating its accuracy of reduction. Methods: An assessment was made from October 2011 until April 2013 prospectively on 37 patients. For all the operations, closed reductions were executed in a conventional way and simultaneously using C-Arm to verify the reduction of fractures. Two images of plain radiography, one taken before operation and another one taken one day after the operation, were compared. After obtaining images of plain radiography using C-Arm immediately after the correction upon operation, they were compared with the images of plain radiography taken one day after the operation. Results: The fracture reductions of 26 patients among 27 nasal fracture patients were satisfactory but one patient showed a marginal overcorrection of less than 1 mm. The fracture reductions of 7 patients among 8 zygomatic arch fracture patients were satisfactory but one patient showed a marginal undercorrection of less than 2 mm. All of two mandibular subcondyle fracture patients showed less than 2 mm undercorrection. Conclusion: Closed reduction guided by C-Arm for nasal bone fracture, zygomatic arch fracture and mandibular subcondyle fracture was clinically useful because it could make a real-time assessment on fractured areas and add immediate corrections during the operation.

Distalization with a modified C-palatal plate for severe upper crowding and a missing lower incisor

  • Park, Jae Hyun;Saito, Traci;Yoo, Sun Kyong;Alfaifi, Mohammed;Kook, Yoon-Ah
    • 대한치과교정학회지
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    • 제50권1호
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    • pp.52-62
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    • 2020
  • This case report presents the orthodontic treatment of a 25-year-old patient with skeletal Class II and severe maxillary arch crowding, moderate mandibular arch crowding, anterior crossbite, and a missing lower incisor. He was treated with molar distalization using a modified C-palatal plate and temporary anchorage devices to create sufficient space for retraction. The total treatment duration was 21 months. After treatment, his occlusion and smile esthetics showed significant improvement. The modified C-palatal plate represents a treatment modality that enhances the prospects of non-extraction treatment and reduces the need for extraction.

윈들라스 메커니즘을 적용한 트레일 워킹화 개발을 위한 생체역학적 분석 (Biomechanical Analysis for the Development of Windlass Mechanism for Trail-walking Shoe)

  • 박종진;박승범
    • 한국운동역학회지
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    • 제25권4호
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    • pp.489-498
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    • 2015
  • Objective : The purpose of this study was to analyze the effects of the windlass mechanism in trail-walking shoe prototypes that can effectively support arches. A study of these effects should help with the development of a first-rate trail-walking shoe development guide for the distribution of quality information to consumers. Methods : The subjects were ten adult males who volunteered to participate in the study. Shoes from three companies, which will be referred to as Company S (Type A), Company M (Type B), and Company P (Type C), were selected for the experiment. The subjects wore these shoes and walked at a speed of 4.2 km/h, and as they tested each shoe, the contact area, maximum pressure average, and surface force were all measured. Results : Shoe Type A showed a contact area of $148.78{\pm}4.31cm^2$, Type B showed an area of $145.74{\pm}4.1cm^2$, and Type C showed an area of $143.37{\pm}4.57cm^2$ (p<.01). Shoe Type A demonstrated a maximum average pressure of $80.80{\pm}9.92kPa$, Type B an average of $85.72{\pm}11.01kPa$, and Type C an average of $89.12{\pm}10.88bkPa$ (p<.05). Shoe Type A showed a ground reaction force of $1.13{\pm}0.06%BW$, Type B a force of $1.16{\pm}0.04%BW$, and Type C a force of $1.16{\pm}0.03%BW$ (p<.05). Conclusion : The Type A trail-walking shoe, which was designed with a wide arch from the center of the forefoot to the front of the rearfoot showed excellent performance, however, more development and analysis of the windlass mechanism for a variety of arch structures is still necessary.

Evaluation of the alignment efficiency of nickel-titanium and copper-nickel-titanium archwires in patients undergoing orthodontic treatment over a 12-week period: A single-center, randomized controlled clinical trial

  • Aydin, Burcu;Senisik, Neslihan Ebru;Koskan, Ozgur
    • 대한치과교정학회지
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    • 제48권3호
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    • pp.153-162
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    • 2018
  • Objective: The aim of this trial was to compare the alignment efficiency and intermaxillary arch dimension changes of nickel-titanium (NiTi) or copper-nickel-titanium (CuNiTi) round archwires with increasing diameters applied sequentially to the mandibular arch. Methods: The initial alignment phase of fixed orthodontic treatment with NiTi or CuNiTi round archwires was studied in a randomly allocated sample of 66 patients. The NiTi group comprised 26 women, 10 men, and the CuNiTi ($27^{\circ}C$) group comprised 20 women, 10 men. The eligibility criteria were as follows: anterior mandibular crowding of minimum 6 mm according to Little's Irregularity Index (LII), treatment requiring no extraction of premolars, 12 to 18 years of age, permanent dentition, skeletal and dental Class I malocclusion. The main outcome measure was the alignment of the mandibular anterior dentition; the secondary outcome measure was the change in mandibular dental arch dimensions during 12 weeks. Simple randomization (allocation ratio 1:1) was used in this single-blind study. LII and mandibular arch dimensions were measured on three-dimensional digital dental models at 2-week intervals. Results: No statistically significant difference was observed between NiTi and CuNiTi according to LII (p > 0.05). Intercanine and intermolar arch perimeters increased in the CuNiTi group (p < 0.001). Inter-first premolar width showed a statistically significant interaction in week ${\times}$ diameter ${\times}$ application (p < 0.05). Conclusions: The effects of NiTi and CuNiTi round archwires were similar in terms of their alignment efficiency. However, the intercanine and intermolar arch perimeters, and the inter-first premolar width changes differed between groups.

Seismic Behavior of Precast Frames with Hybrid Beam-Column Connections

  • Moon, Jeong-Ho;Lee, Yong-Ju
    • KCI Concrete Journal
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    • 제11권3호
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    • pp.191-199
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    • 1999
  • A Precast frame system with hybrid beam-column connections was proposed in this study. An analytical study evaluated the system under seismic loadings. Four buildings with different heights were modeled in which each building had three types of joint details (A. B, C). Thus, twelve buildings were examined with variables such as building height and joint detail. Four earthquake records were applied to the buildings as input ground motions. All the records were normalized to the intensity of 0.25g to assess behavior under the same intensity of seismic excitation. All the joint types showed almost identical results except for the Mexico earthquake which was scaled up from 0. 1g to 0.25g. Buildings with the type C joint exhibited the largest deflection for the Mexico earthquake. It was concluded that type B joint could be used in a high seismic zone and the type C joint could possibly be used in the regions of low to medium seismic activity.

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R/C 연속보의 아치작용에 대한 연구 (Arch Action in Continuous Reinforced Concrete Beams)

  • 김준성;김대중;김우
    • 한국콘크리트학회:학술대회논문집
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    • 한국콘크리트학회 2000년도 가을 학술발표회논문집(I)
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    • pp.629-634
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    • 2000
  • In this study, 9 reinforced concrete(RC) continuous beams were tested to investigate the arch action. By measuring longitudinal steel strains during the whole loading stages up to failure, the development of arch action is evaluated. Variables included are span length, longitudinal steel ratio and the presence of stirrups. As a result, it was known that measured steel tension in the span is substantially higher than the conventionally calculated values, and it was appeared that near the middle of the shear span the measured values exceeded the calculated values by factors of up to 1.4 or more.

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Construction stages analyses using time dependent material properties of concrete arch dams

  • Sevim, Baris;Altunisik, Ahmet C.;Bayraktar, Alemdar
    • Computers and Concrete
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    • 제14권5호
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    • pp.599-612
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    • 2014
  • This paper presents the effects of the construction stages using time dependent material properties on the structural behaviour of concrete arch dams. For this purpose, a double curvature Type-5 arch dam suggested in "Arch Dams" symposium in England in 1968 is selected as a numerical example. Finite element models of Type-5 arch dam are modelled using SAP2000 program. Geometric nonlinearity is taken into consideration in the construction stage analysis using P-Delta plus large displacement criterion. In addition, the time dependent material strength variations and geometric variations are included in the analysis. Elasticity modulus, creep and shrinkage are computed for different stages of the construction process. In the construction stage analyses, a total of 64 construction stages are included. Each stage has generally $6000m^3$ concrete volume. Total duration is taken into account as 1280 days. Maximum total step and maximum iteration for each step are selected as 200 and 50, respectively. The structural behaviour of the arch dam at different construction stages has been examined. Two different finite element analyses cases are performed. In the first case, construction stages using time dependent material properties are considered. In the second case, only linear static analysis (not considered construction stages) is taken into account. Variation of the displacements and stresses are obtained from the both analyses. It is highlighted that construction stage analysis using time dependent material strength variations and geometric variations has an important effect on the structural behaviour of arch dams. The maximum longitudinal, transverse and vertical displacements obtained from construction stages and static analyses are 1.35 mm and 0 mm; -8.44 and 6.68 mm; -4.00 and -9.90 mm, respectively. In addition, vertical displacements increase from the base to crest of the dam for both analyses. The maximum S11, S22 and S33 stresses are obtained as 1.60MPa and 2.84MPa; 1.39MPa and 2.43MPa; 0.60MPa and 0.50MPa, respectively. The differences between maximum longitudinal, transverse, and vertical stresses obtained from construction stage and static analyses are 78%, 75%, and %17, respectively. On the other hand, there is averagely 12% difference between minimum stresses for all three directions.

수직재 간격비에 따른 개복식 상로 아치교의 충격계수 변화 분석 (Investigation of Impact Factor Variation of Open-Spandrel Arch Bridges According to Spacing Ratio of Vertical Members)

  • 홍상현;오종원;노화성
    • 한국구조물진단유지관리공학회 논문집
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    • 제24권5호
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    • pp.45-52
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    • 2020
  • 상판과 아치리브, 수직재로 구성된 개복식 상로 아치교는 아치리브 지점 조건과 차량 이동속도에 따라 지점에서의 축력과 모멘트의 정도가 달라진다. 또한 충격계수 정의에는 상판 변위응답뿐만 아니라 다양한 종류의 응답이 고려된다. 본 논문은 양단 고정지점 콘크리트 개복식 상로 아치교에 대해 측정 위치와 응답변수, 수직재의 간격비에 따른 충격계수를 분석하였다. 수직재 간격비가 1/9.375인 기저모델의 경우 이동하중 진입 반대 쪽 아치리브 지점에서 모멘트 기반 충격계수가 가장 큰 값을 보였으며, 이 값은 상판 중앙부 인접지간 변위응답 기반 최대 충격계수와는 비슷한 수준이지만 동일 위치에서의 축력 기반 충격계수에 비해 19% 높은 값이다. 수직재 배열에 있어서 간격비를 기저모델에 비해 1/2로 감소시켰을 경우, 모멘트 기반 최대 충격계수는 기저모델과 유사한 수준이었지만 간격비를 2배 증가시켰을 경우는 기저모델 대비 4.4배 증가하였다.

관골궁 골절의 정복 시 술중 이동식 CT의 유용성 (Closed Reduction of Zygomatic Arch Fracture with Intraoperative Mobile Computed Tomography Scan)

  • 김명국;노용준;이훈영;김민호;이신철
    • Archives of Plastic Surgery
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    • 제37권1호
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    • pp.91-94
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    • 2010
  • Purpose: The purpose of this study is to describe the usefulness of intraoperative mobile CT scans in the reduction of zygomatic arch fracture. Method: Two patients with zygomatic arch fractures were selected who were indications of closed reduction by Gilles' approach. After the reduction was done in the operating room with zygomatic arch elevator, intraoperative CT scan was done to check the extent of reduction. Additional reduction was performed according to the obtained images from the intraoperative mobile CT scan. Examination of the preoperative CT, intraoperative CT after the reduction, and postoperative plain X-ray films were done for documentation and analysis. Results: Reduction was carried out successfully to the patients without any complications. Both patients were satisfied with the postoperative cosmetic and functional outcome. Revisional surgery was not necessary during the 6 months follow up. Conclusion: The advantage of this method is that it is easier to obtain three dimensional relationships of the fracture site. Furthermore, the operator is less exposed to radiation hazards compared to other methods that obtain intraoperative images such as the C-arm. In conclusion, intraoperative mobile CT scan can be a useful surgical aid in the reduction of zygomatic arch fractures.

전해연마후 교정선의 변화에 관한 실험적 연구 (AN EXPERIMENTAL STUDY ON CHANGES OF ORTHODONTIC WIRES AFTER ELECTROPOLISHING)

  • 이재철;김종철
    • 대한치과교정학회지
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    • 제22권4호
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    • pp.823-836
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    • 1992
  • Guiding a tooth along an arch wire results in a counteracting frictional force among arch wires, bracket and ligature. This frictional forces should be eliminated or minimized when orthodontic teeth movement is being planned. The purpose of this study was to evaluate the changes of width, cross-sectional forms and surface morphologies of stainless steel wire and $Elgiloy^{\circledR}$ wire after electropolising. Experimental variables included in this experiment were arch wire materials, current, electrolyte temperature and polishing time. Wire widths were measured by micrometer and cross-sectional forms and surface morphologies were examined with optical microscope and scanning electron microcope. The results were as follows: 1. The mean and standard deviation of widths of stainless steel wire and $Elgiloy^{\circledR}$ wire varying polishing time with condition of $249A/dm^2$ and $20^{\circ}C,\;249A/dm^2$ and, $332A/dm^2$ and $20^{\circ}C$ and $332A/dm^2$ and $250^{\circ}C$ were obtained. 2. With increasing polishing time, the widths of stainless steel wire and $Elgiloy^{\circledR}$ wire became decreased proportionally 3. The changes of widths of stainless steel wire and $Elgiloy^{\circledR}$ wire were statistically insignificant between $20^{\circ}C$ group and $25^{\circ}C$ group, but significant between $249A/dm^2$ group and $332A/dm^2$ group. 4 The cross-sectional forms of wire after electropolishing were not changed in stainless steel wire, and while it were changed to rounded corners in $Elgiloy^{\circledR}$ wire. 5. The surface morphologies of wire after electropolishing were scratch-absent and more smoothened both in stainless steel wire and $Elgiloy^{\circledR}$ wire.

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