• Maxillofacial Plastic and Reconstructive Surgery
• /
• 제40권
• /
• pp.11.1-11.5
• /
• 2018

Background: Squamous cell carcinoma (SCC) is the most commonly occurring malignant tumor in the oral cavity. In South Korea, it occurs most frequently in the mandible, tongue, maxilla, buccal mucosa, other areas of the oral cavity, and lips. Radial forearm free flap (RFFF) is the most widely used reconstruction method for the buccal mucosal defect. The scar of the forearm donor, however, is highly visible and unsightly, and a secondary surgical site is needed when such technique is applied. For these reasons, buccal fat pad (BFP) flap has been commonly used for closing post-surgical excision sites since the recent decades because of its reliability, ease of harvest, and low complication rate. Case presentation: In the case reported herein, BFP flap was used to reconstruct a cheek mucosal defect after excision. The defect was completely covered by the BFP flap, without any complications. Conclusion: Discussed herein is the usefulness of BFP flap for the repair of the cheek mucosal defect. Also, further studies are needed to determine the possibility of using BFP flap when the defect is deep, and the maximum volume that can be harvested considering the changes in volume with age.

• 대한치과보철학회지
• /
• 제34권3호
• /
• pp.539-573
• /
• 1996

This investigation was designed to determine the effectiveness of the posterior occlusal schemes on masticatory activity during mastication in complete denture. Twelve edentulous subjects were selected for this study. All subjects had no past history and no functional abnormality on masticatory system and TMjoint. And, they had residual ridge of favorable morphology, firm mucosa and Class I skeletal jaw relationship, Twelve experimental denture with interchangeable occlusions(0-degree teeth, 30-degree teeth, Levin teeth and S-A teeth) were constructed for this study. The masticatory performance was analyzed by means of standard sieve(10, 16, 20, 30sieve), and the electrical activity from selected muscles(Temporalis and Masseter muscle) was recorded simultaneously with electromyography(Bio-Pak system) as the subject masticated test foods (rice, peanut and gum) with four different occlusal schemes. Mandibular movement was, also, measured with Sirognathography(Bio-Pak system). These recordings were performed in immediately, after 1 week and after 2 weeks of insertion of complete denture. The results were as follows; 1. The average masticatory performance of 0-degree artificial teeth was higher than any other artificial teeth. 2. Masticatory performance in denture wearer was affected preferentially by food and artificial occlusal schemes. 3. During chewing, there was a statistical difference of EMG activity between masseter and temporal muscle(p<0.01). Especially, EMG activity of working masticatory muscle was highly affected by food rather than by artificial occlusal schemes. 4. In denture wearer, the velocity of opening was not affected by food, whereas, the velocity of closing was faster in soft food chewing than in hard food chewing, and the amount of vertical displacement was grater in chewing of soft and large bolus than in chewing of hard and small bolus. However, the amount of lateral displacement showed conversely (p<0.05). 5. It was considered that masticatory performance in denture wearer is not affected by the condition of residual ridge, the history of denture wear, the preference, the adaptation to artificial teeth and the total mesiodistal length of artificial posterior teeth.

• 한국학교보건학회지
• /
• 제18권1호
• /
• pp.15-25
• /
• 2005

Purpose: Recently there are scientific evidences for the health effects of Asian dust-storms. Particularly in 2002, the daily average of $PM_10$ exceeded 600 and 700 $\mu{g}/m^3$ in March and April respectively. We examined the effects of Asian dust‐storms on perceived symptoms and preventive behaviors among children, adults, and elders. Method: The subjects of this study were 425 children, 444 adults and 60 elders. A questionnaire survey was carried out on the children and the adults by teachers and on the elders by interviewers to obtain information on demographic variables, perceived symptoms and preventive behaviors, previous respiratory disease, environmental tobacco smoke, and proximity between the house and the road during Asian dust-storms. We analyzed using descriptive statistics, $X^2$ test and multiple logistic regression models. After adjustment for potential confounders, we estimated the odds ratios and 95% confidence intervals of the children and the elders for perceived symptoms and preventive behaviors. Result: The elders had a significantly higher prevalence of respiratory symptoms than the other groups. The children had a significantly higher prevalence than the adults in getting URI (1.51), coughing (1.68), rhinorrhea (1.46), fever (2.39) and medication for allergy or asthma (1.90). The children had better behaviors than the elders in closing windows (3.57), taking less outdoor recreational activity (2.59) and staying home (2.60). Conclusion: This study suggested that children and elders are susceptible to the effects of Asian dust on health. Health educators should inform these populations about the influence of Asian dust and provide health education for preventive behaviors.

• 대한장애인치과학회지
• /
• 제3권2호
• /
• pp.91-96
• /
• 2007

치과의사는 쇄골두개 이형성증의 특징에 대해 잘 알고 있어야 한다. 쇄골두개 이형성증 환자는 신체 및 정신적으로 특별한 이상을 보이지 않기 때문에, 영구치교환시기를 한참 지나 다수치아에서의 유치만기잔존 및 영구치의 미 맹출을 주소로 치과에 내원하게 되는 경우가 많은 것이 사실이다. 이런 의심이 들 때는 정확한 진단을 위해 반드시 다양한 방사선사진을 촬영해 보아야 하겠다. 또한 긴 치료기간으로 인해 환자의 협조와 여러 분야에 있어서 전문가들의 협력이 반드시 필요할 것이다.

• 대한족부족관절학회지
• /
• 제8권1호
• /
• pp.31-38
• /
• 2004

Purpose: The purpose of the study was to identify the subtypes of idiopathic osteoarthritis of the tarsometatarsal joints based on accompanying hindfoot, midfoot, or foot deformities and their corresponding surgical options and also to evaluate the overall clinical results. Materials and Methods: The study included 59 patients (67 feet) with idiopathic tarsometatarsal joint osteoarthritis. Tarsometatarsal fusion was performed for tarsometatarsal joint and accompanied secondary change was divided into subtypes and various bony reconstruction was carried out. The patients were evaluated with the AOFAS midfoot score and FFI. The average patient age was 60.2 years with 40.6 months follow-up. Fifty-four feet (80.6%) had been treated with realignment fusion. Twenty-six feet had first and second tarsometatarsal joint fusion, and 20 feet had first tarsometatarsal fusion only. Six subtypes were identified based on associated foot deformities: 1) in-situ without deformities (18%), 2) pes planovalgus (45%), 3) rockerbottom (15%), 4) cavus foot (1%), 5) hallux valgus (12%), and 6) hallux valgus with pes planovalgus or rockerbottom (9%). Plantar-medial closing-wedge resection was used in 10 feet to correct rockerbottom. For pes planovalgus, a medial sliding calcaneal osteotomy was done. Lateral column lengthening with medial sliding calcaneal osteotomy was done for severe pes planovalgus, and triple arthrodesis was done for rigid pes planovalgus. Hallux valgus was corrected with the Lapidus procedure (85.7%). Results: AOFAS midfoot scores improved from preoperative 34.1 points to postoperative 83.9 points (p<0.05). The Foot Function Index postoperatively also showed significant improvement (p<0.05), with a high satisfaction rate (86.6%). There were 29 complications, most commonly sesamoid pain. Conclusion: Idiopathic tarsometatarsal OA feet can be classified into six categories. Pes planovalgus feet should be treated with medial sliding calcaneal osteotomy, lateral column lengthening, or triple arthrodesis in addition to tarsometatarsal joint realignment fusion. Rockerbottom and hallux valgus deformities should also be addressed.

• 한국해안·해양공학회논문집
• /
• 제26권3호
• /
• pp.140-148
• /
• 2014

고조방파제는 폭풍해일이나, 대조시 창조류로부터 내부 해역을 보호하기 위하여 설계된 특수한 형태의 수문 구조물로, 홍수 방지 벽, 방조제 및 다른 구조물로 구성된다. 평상시 고조방파제는 해수 소통을 허용하지만, 폭풍해일이 예상되면 폐쇄된다. 폐쇄시키는 다양한 방법 중 본 연구에서는 이태리 모세프로젝트에 적용한 것과 같은 부유 플랩형 고조방파제를 마산만에 적용할 경우, 폭풍해일 및 파랑이 작용할 때의 고조방파제 거동특성을 3차원 유동해석프로그램인 FLOW-3D를 이용하여 살펴보았다. 수치해석결과, 고조차 2 m인 상태에서 파고 3 m 조건에서도 고조방파제로서의 기능을 발휘할 수 있는 것으로 평가되었다.

• 한국가스학회지
• /
• 제11권1호
• /
• pp.34-39
• /
• 2007

본 본문에서는 LPG 용기용 밸브의 개폐과정에서 발생하는 밸브패킹과 밸브시트의 상대접촉 마찰작용에 따른 밀봉성에 대한 FEM 해석결과를 제시하고 있다. 개폐용 밸브의 밀봉작용은 나일론-66으로 제조한 디스크 형상의 밸브패킹이 원형 파이프의 밸브시트 단면을 막아 LP 가스의 외부 송출을 차단하면서 완료된다. 밸브패킹은 밸브시트에 대하여 평면으로 접촉밀봉을 하는 경우와 원형홈의 둥근접촉 형상에 대한 밀봉 압착력을 확보하는 두 가지가 있다. FEM 해석 및 실험적 연구결과에 의하면, 밸브패킹을 사용하기 이전의 평면접촉 밀봉 작용력은 4.9 MPa로 높지만, 밸브를 사용한 이후의 원형홈 접촉 밀봉력은 4.4 MPa로 약간 낮게 나타났다. 그러나 이들 최대응력은 나일론 소재의 항복응력 83 MPa에 비하여 대단히 낮은 값이기 때문에 현재의 개폐밸브용 패킹은 과도하게 설계되었다 할 수 있다.

• 대한교통학회지
• /
• 제32권3호
• /
• pp.248-255
• /
• 2014

승강장 안전문은 긍정적 평가에도 불구하고 수도권 도시철도에만 100% 설치되어 있으며, 일반철도(Intercity Railroad) 승강장의 경우 승강장 안전문 설치가 전무한 상황이다. 이는 대부분의 도시철도에는 동일 형태의 열차(차량)가 정차하는 것과는 다르게 일반철도에는 KTX, 새마을, 무궁화, 누리로 등 다양한 형태의 열차가 정차하고, 자동운전시스템(ATO)이 없이 운영되기 때문에 기존 승강장 안전문 설치에 한계가 있기 때문이다. 현재 연구개발 중인 상하개폐식 승강장 안전문(RPSD)는 열차의 길이 및 출입문 위치, 출입문 개수와 상관없이 모든 열차가 혼용하여 사용할 수 있는 안전시스템으로 일반철도 승강장에 매우 유용하다. 본 논문에서는 잠금장치가 없는 RPSD의 기계적 메커니즘을 고려하여 수동개폐 알고리즘을 개발하고 그 기능 구현에 대해 실험적 방법으로 평가하였다. 그 결과 RPSD의 수동개폐 알고리즘은 전원이 공급되고 있는 조건에서는 매우 효율적인 방법이라는 점을 확인할 수 있었다.

• 응용통계연구
• /
• 제31권5호
• /
• pp.667-675
• /
• 2018

초고빈도(ultra high frequency; UHF)시계열의 함수적 변동성 측정을 위한 최신 기법인 함수적 변동성 functional GARCH : fGARCH(1, 1) 모형을 소개하고 설명하였다. 실증분석을 위해 R-code fGARCH(1, 1) 프로그램을 KOSPI/현대차 초고빈도 수익률 자료에 적합하여 예시하였다.

• 천문학논총
• /
• 제23권1호
• /
• pp.1-12
• /
• 2008

Understanding of the basic characteristics of an astronomical instrument is a prerequisite to obtaining reliable data from the instrument. We have analyzed more than 1,000 calibration images from the Fairchild 486 CCD (hereafter the Maidanak 4k CCD system) attached to the AZT-22 1.5m telescope at Maidanak Astronomical Observatory in Uzbekistan. The Maidanak 4k CCD system supports three readout modes through 1, 2, or 4 amplifiers. In most cases observers use 4-amplifier readout mode to save time. We have tested the stability and seasonal variation of zero levels and confirm that two quadrants of the images (Amp 1 & 2) show no appreciable seasonal variation. but the other two quadrants (Amp 3 & Amp 4) show an evident seasonal variation in the bias level. The Cryo Tiger, the cooling system used at the Maidanak 4k CCD system, maintains the CCD temperature at -108'E, and effectively suppresses the dark electrons. The mean value versus the variance plot of the flat images does not show the expected relation for an ideal Poisson noise distribution and this is attributed to the large variation in quantum efficiency between different pixels. In addition, we confirm that there is no appreciable difference in gain between readout amplifiers, but there is a large variation in quantum efficiency across CCD chip especially in U. Due to the finite length of shutter opening and closing time, the effective exposure time varies across the science images. We introduce two parameters to quantify the effect of this uneven illumination and present a method to remove these effects. We also present a method to remove the interference patterns appearing in the images obtained with longer wavelength filters and investigate the spatial variation of the point spread function.