Exposed root surfaces can cause esthetic problems, hypersensitivity, and root caries. Numerous efforts have been tried to cover the recessed root surfaces, and various techniques have been developed and introduced. Among these, subepithelial connective tissue graft which shows high coverage rate in various researches, has the advantage of good color match, less discomfort to the donor site, rich vascularity, and high predictability. Following results were obtained after investigating 6 and 18 months post operatively, 98 cases of subepithelial connective tissue graft from 48 patients who underwent subepithelial connective tissue graft procedure in the department of periodontology, college of dentistry, Yonsei university. 1. The total average root coverage of Miller class I, II & III were 76.2?24% at 6 months follow-up and 75?25.2% at 18 months follow-up with no statistically significant difference between the follow-up periods.(p<0.05) 2. The percentage of teeth showing complete coverage were 41.9% at 6 months follow-up and 39.2% at 18 months follow-up. 3. At 6 months follow-up, Miller classification I showed 84.9?20.7%, class II showed 82.5?17.7%, and class III showed 62.3?24.5% of coverage. In class III recession, statistically significantly less root coverage was observed compared to class I & II. (p(0.05) 4. At 18 months follow-up, Miller classification I showed 92.2?13.5%, class II showed 84.3?17.4%, and class III showed 59.5?24.5% of coverage. In class III recession, statistically significantly less root coverage was observed compared to class I & II. (p<0.05) In conclusion, subepithelial connective tissue graft for class I and II recession can be used as a clinically predictable treatment modality for root coverage.
The Journal of Korean Institute of Communications and Information Sciences
/
v.34
no.9B
/
pp.876-882
/
2009
In this paper, we propose a sub-cell coverage control algorithm for enhancement of the cell throughput in OFDMA based relay systems. Relay station (RS) is exploited for improved quality of the received signal in cellular communication systems, especially in shadow areas. However, since a RS requires additional radio resource consumption for the link between the base station (BS) and the RS, we have to carefully control the coverage areas if a mobile station (MS) is serviced via the BS or the RS considering the cell throughput. We consider radio resource reuse as well for the sub-cell coverage configuration by applying various reuse patterns between RSs. We also consider a time varying system by adaptively changing the threshold for coverage depending on the MSs' traffic in the cell. We initially determine the sub-cell coverage of the system depending on the ratio of received signal-interference-noise-ratio (SINR) of the MS from the BS and RSs, respectively. Then, the "sub-cell coverage threshold" varies based on the "effective transmitted bits per sub-channel" with time. Simulation result shows that the proposed "time varying coverage control algorithm" leads to throughput improvement compared to the fixed sub-cell coverage configuration.
The goal of this study was to develop new indices for effectively evaluating the dose coverage and homogeneity based on the target-volume dose-volume histogram (TV-DVH) of intensity-modulated radio-therapy treatment plans. A new coverage Index and a new homogeneity index were developed by integrating a modified TV-DVH and by fitting a TV-DVH with a modified step function, respectively. The coverage index, named the l-index, indicates whether the dose coverage for the target volume is adequate based on user-defined criteria. A lower l-index indicates higher dose coverage of the tumor volume. The index for assessing dose homogeneity in a target volume, named the n-index, is more accurate than the conventional method in evaluating the dose homogeneity in a tumor volume. The baseline treatment plan for a target volume coverage and homogeneity is discussed. The proposed simple indices have been demonstrated to be effective in evaluating the dose coverage and homogeneity for TV-DVHs.
The success of porcelain laminate veneer depends on the bond strength between tooth structure and ceramic restoration and the design of tooth preparation. In particular, incisal coverage and incisal finish line are the two most important factors in long-term fracture resistance. Although the majority of clinicians are practicing incisal coverage and there are various opinions on the geo-metrical ratio between the clinical crown length of the remaining tooth structure and the length of incisal extension in porcelain laminate veneer and the optimal incisal finish lines. scientific evidence still loaves much to be desired. The purpose of this study was to determine the effects of the amounts of incisal coverage and the types of incisal finish line on the stress distribution in maxillary anterior porcelain laminate veneers under two different loading conditions. Three-dimensional finite element models of a maxillary anterior porcelain veneer with differ-ent amounts of incisal coverage ; 0, 1, 2, and 3mm and different incisal finish lines feathered edge, incisal bevel, reverse bevel and lingual chamfer with various amounts of lingual extension were developed. 300N force was applied at the point 0.5mm cervical of the linguoincisal edge in two loading conditions ; A) 125 degrees, B) 132 degrees. Tensile and compressive stress in ceramic and shear stress in the resin cement layer were analyzed using three-dimensional finite element method. The results were as follows : 1. The types of incisal finish line had more influence on the stress distribution in porcelain laminate veneer than the amounts of incisal coverage. 2. In case of no incisal coverage, incisal beveled laminate exhibited more evenly distributed tensile stress than feathered edged laminate. And in case of incisal coverage, reverse beveled laminate and lingual chamfered laminate with 1mm lingual extension exhibited more evenly distributed tensile stress than lingual chamfered laminates with 2mm and 3mm lingual extension. 3. As long as the lingual chamfer goes, less tensile stress was found at the incisal edge, while much more tensile stress was found at the lingual margin area in proportion to the length of lingual extension. 4. Under 125 degree load, tensile stress in porcelain laminate veneer had increased compared with that under 132 degree load and the difference exhibited by the change of the amount of tooth support was larger. 5. The types of incisal finish line and the distance from the incisal finish line to the loading point had more influence on the shear stress distribution in the resin cement layer than the amounts of incisal coverage. In contrast loading condition had little influence.
The Journal of Korean Institute of Communications and Information Sciences
/
v.41
no.9
/
pp.1026-1037
/
2016
3rd Generation Partnership Project (3GPP) is the progressing standardization of the narrowband IoT (NB-IoT) system to support massive devices for the Internet of Things (IoT) services. The NB-IoT system uses a coverage class technique to increase the performance of the NB-IoT system while serving massive devices in very wide coverage area. A moving device can change the coverage class according to the distance or the channel state between the base station and the moving device. However, in the conventional NB-IoT standard, the performance of the NB-IoT system degrades because the coverage class is changed based on the fixed criterion. This paper proposes the coverage class adaptation schemes to increase the performance of the NB-IoT system by dynamically change the coverage class according to the location or the channel state of the device. Simulation results show that the proposed coverage class adaptation scheme decreases both the signaling overhead and the PDCCH decoding error rate in comparison with the conventional coverage class adaptation scheme in the 3GPP standard.
Objectives: The purpose of the study is to investigate the awareness and attitude toward health insurance coverage extension to scaling in dental service consumers. Methods: A self-reported questionnaire was completed by 349 adults in Jeonbuk from May 4 to 15, 2015. The questionnaire consisted of general characteristics of the subjects (7 items), Awareness of the dental health insurance system(8 items), Health insurance system coverage extension to scaling(8 items), Self-perception of oral health(7 items), Recognition toward yearly scaling benefit(10 items). Results: There were significant differences according to age in opinions on the appropriateness of the frequency of yearly scaling benefit, and the respondents who were in their 20s, who were unmarried and who brushed their teeth three times a day had significantly different opinions on the appropriateness of the fee of yearly scaling benefit. Their opinions on the expansion of scaling benefit was significantly affected by age. It implies that scaling should be added to the coverage list of the national health insurance in every age group since there is an increase in periodontal diseases with age. Concerning awareness of dental health insurance policy, the better-educated respondents took a better view of this system as they showed a more positive interest in its policies and shifts. Conclusions: It is desirable to provide more precise information as to eligible age, frequency and cost through public promotion of health coverage of scaling, and the effort to improve the health insurance coverage policy should be made in order to extend the scope of health coverage of scaling in the near future.
Kim, Jeong-Yeon;Park, Eun-Ji;Bae, Min-Kyung;Yoon, Jeong-Hyun
Korean Journal of Clinical Pharmacy
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v.21
no.3
/
pp.193-207
/
2011
Purpose: The purpose of this study is to assess appropriateness of current standard for insurance coverage by Health Insurance Review & Assessment Service (HIRA) on chemotherapy used in the treatment of advanced non-small cell lung cancer (NSCLC), by reviewing a variety of clinical evidences, and thereby, if needed, to propose an updated evidence-based recommendations. Methods: We collected data from HIRA regarding on the insurance standard which includes the scope and conditions for coverage on systemic chemotherapy of NSCLC. We performed a search for clinical databases and examined the most current clinical evidence from clinical literature including various clinical practice guidelines. Based on the collected data the appropriateness of HIRA standard for insurance coverage of chemotherapy of NSCLC was assessed. Results: Collected data demonstrated that HIRA standard did not reflect the most current clinical practice and evidence. Some were inappropriately listed in HIRA formulary and accepted as a chemotherapy being covered by insurance, despite the lack of evidences of clinical efficacy or superiority over other chemotherapeutic agents or regimens. In addition, there seems to be a need for a modification on the standard for insurance coverage of certain newer chemotherapeutic agents based on the current accumulated data showing their clinical efficacy and benefits in the selected group of NSCLC patients. Therefore, we concluded that current HIRA standard for insurance coverage on chemotherapy of NSCLC needs to be revised and we proposed an updated recommendation based on these latest clinical evidences. Conclusion: The standard for insurance coverage of chemotherapy should be continually examined its appropriateness based on the most recent clinical evidences in a timely manner so as to provide the most effective and safe therapy to cancer patients.
Kim, Seong-Won;Herr, Yeek;Kwon, Young-Hyuk;Park, Joon-Bong;Chung, Jong-Hyuk;Shin, Seung-Il
Journal of Periodontal and Implant Science
/
v.38
no.4
/
pp.717-722
/
2008
Purpose: The subepithelial connective tissue graft(SCTG) has been proven to be a highly predictable treatment modality for coverage of gingival recession. This case report was performed to evaluate the effect of various root coverage procedures using SCTG on gingival recession. Materials and Methods: Three patients presents with Miller's class I recession defect on the maxillary canine. Each other SCTG(coronally advanced flap, Bruno's Tech., envelope Tech.) were performed for root coverage. Clinical parameters assessed included recession depth, recession width, and keratinized gingival width. Measurements were taken at baseline and 2 months and follow up end. Results: The average of root coverage was 4 mm(100% of the pre-operative recession depth) at the 2, 5 months examination. The average increase of keratinized tissue between the baseline and the 2 months amounted to 3.2mm. Conclusion: Within the above results, various root coverage using SCTG is an effective procedure to Miller's class I recession defect and patient could be satisfied aesthetic requirement.
Journal of the Korean Society of Environmental Restoration Technology
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v.7
no.3
/
pp.14-25
/
2004
The purpose of this study was investigated to the change of vegetation coverage by elapsed years on the cut slope of forest road in Jinju-si. The results obtained could be summarized as follows; The plant coverage on the cut slope of forest road was decreased hastily in first and second year after seeding. The plant coverage on the cut slope of forest road was increased as growth of seed-sprayed from third year. But the plants were began to competition with between sprayed seeds and invaded plants from third to fifth year after seed-spray. The numbers of invading plants were gradually increased as 581 individuals from sixth year after seed-spray. The cut slopes of the forest roads turned to a good site condition for growing of invasion plants. And also the total coverage on cut slope of forest roads by invading of surrounding plants was increased more. It showed that plant invasion on cut-slopes of forest roads would be mostly influenced by surrounding plants. The number of surrounding plants on the cut-slopes of forest roads was 59 species, and the number of invading plants showed 65 species. The invading species were high in order of Boehmeria tricuspis, Oplismens undulatifolius, Miscanthus sinensis var. purpurascens, Erechtites hieracifolia and Artemisia princeps var. Orientalis In the stepwise regression analysis, main factors affecting the coverage of vegetation on the cut-slopes of forest road showed in order of elapsed years, gravel contents(30~50%), middle, sandy loam, sandy clay-loam, soil hardness, aspect(NS), concave(凹) type and gravel contents(15~30%).
Wireless Sensor Network (WSN) is a wireless network consisting of spatially distributed autonomous devices, using sensors to cooperatively monitor physical or environmental conditions. WSNs face the critical challenge of sustaining long-term operation on limited battery energy. Coverage maintenance has been proposed as a promising approach to prolong network lifetime. Mobile sensors equipped with communication devices can be leveraged to overcome the coverage problem. In this paper, we propose a stepwise movement scheme using perimeter coverage property for the coverage maintenance problem. In our scheme, each sensor monitors neighboring dead nodes, determines vulnerable node (i.e. dead node which makes uncovered area), computes the center of uncovered area HC, and makes a coordinated stepwise movement to compensate the uncovered area. In our experimental results, our scheme shows at least 50 % decrease in the total moving distance which determines the energy efficiency of mobile sensor.
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