• Title/Summary/Keyword: Customized System

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Sinus floor elevation and implant-supported fixed dental prosthesis in the posterior area, with full-digital system: a case report (완전 디지털 시스템을 이용한 상악동 거상술 및 구치부 임플란트 고정성 보철 수복 증례)

  • Gang Soo Park;Sunjai Kim;Se-Wook Pyo;Jae-Seung Chang
    • The Journal of Korean Academy of Prosthodontics
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    • v.62 no.2
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    • pp.157-164
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    • 2024
  • A variety of digital technologies are being used throughout the entire implant treatment process of diagnosis, surgery, impression, design, and fabrication of prostheses. In this case, using a digital surgical guide, sinus floor elevation was performed without complications, and the implants were placed in the planned position. After the healing period for osseointegration, CAD-CAM (Computer-aided design-Computer-aided manufacturing) customized abutments and provisional prostheses were delivered. While using the provisional prosthesis, occlusal change was observed. To transfer the intermaxillary relationship and abutment position that reflect occlusal change and axial displacement, double scanning and abutment-level digital impressions were taken. Abutment superimposition was used to capture the subgingival margin without gingival retraction. Then, the definitive prosthesis was designed and fabricated with digital system. We report a case applying digital system, to achieve the predictable result as well as the efficient treatment process from implant surgery to fabricating prosthesis in the posterior area.

Efficacy and Accuracy of Patient Specific Customize Bolus Using a 3-Dimensional Printer for Electron Beam Therapy (전자선 빔 치료 시 삼차원프린터를 이용하여 제작한 환자맞춤형 볼루스의 유용성 및 선량 정확도 평가)

  • Choi, Woo Keun;Chun, Jun Chul;Ju, Sang Gyu;Min, Byung Jun;Park, Su Yeon;Nam, Hee Rim;Hong, Chae-Seon;Kim, MinKyu;Koo, Bum Yong;Lim, Do Hoon
    • Progress in Medical Physics
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    • v.27 no.2
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    • pp.64-71
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    • 2016
  • We develop a manufacture procedure for the production of a patient specific customized bolus (PSCB) using a 3D printer (3DP). The dosimetric accuracy of the 3D-PSCB is evaluated for electron beam therapy. In order to cover the required planning target volume (PTV), we select the proper electron beam energy and the field size through initial dose calculation using a treatment planning system. The PSCB is delineated based on the initial dose distribution. The dose calculation is repeated after applying the PSCB. We iteratively fine-tune the PSCB shape until the plan quality is sufficient to meet the required clinical criteria. Then the contour data of the PSCB is transferred to an in-house conversion software through the DICOMRT protocol. This contour data is converted into the 3DP data format, STereoLithography data format and then printed using a 3DP. Two virtual patients, having concave and convex shapes, were generated with a virtual PTV and an organ at risk (OAR). Then, two corresponding electron treatment plans with and without a PSCB were generated to evaluate the dosimetric effect of the PSCB. The dosimetric characteristics and dose volume histograms for the PTV and OAR are compared in both plans. Film dosimetry is performed to verify the dosimetric accuracy of the 3D-PSCB. The calculated planar dose distribution is compared to that measured using film dosimetry taken from the beam central axis. We compare the percent depth dose curve and gamma analysis (the dose difference is 3%, and the distance to agreement is 3 mm) results. No significant difference in the PTV dose is observed in the plan with the PSCB compared to that without the PSCB. The maximum, minimum, and mean doses of the OAR in the plan with the PSCB were significantly reduced by 9.7%, 36.6%, and 28.3%, respectively, compared to those in the plan without the PSCB. By applying the PSCB, the OAR volumes receiving 90% and 80% of the prescribed dose were reduced from $14.40cm^3$ to $0.1cm^3$ and from $42.6cm^3$ to $3.7cm^3$, respectively, in comparison to that without using the PSCB. The gamma pass rates of the concave and convex plans were 95% and 98%, respectively. A new procedure of the fabrication of a PSCB is developed using a 3DP. We confirm the usefulness and dosimetric accuracy of the 3D-PSCB for the clinical use. Thus, rapidly advancing 3DP technology is able to ease and expand clinical implementation of the PSCB.

Measurement of 18GHz Radio Propagation Characteristics in Subway Tunnel for Train-Wayside Multimedia Transmission (지하철 터널에서의 18GHz 무선영상신호 전파특성 측정)

  • Choi, Kyu-Hyoung;Seo, Myung-Sik
    • Journal of the Korean Society for Railway
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    • v.15 no.4
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    • pp.364-369
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    • 2012
  • This paper presents an experimental study on the radio propagation characteristics in subway tunnel at 18GHz frequency band which has been assigned to video transmission between train and wayside. The radio propagation tests are carried out in the subway tunnel of Seoul Metro using the antenna and communication devices of the prototype video transmission system. The measurement results show that 18GHz radio propagation in subway tunnel has smaller path loss than that of general outdoor radio environment. It is also cleared that the arch-type tunnels have smaller radio propagation losses than rectangular tunnels, and single track tunnels have smaller pass loss than double track tunnels. From the measurements, the radio propagation coverage is worked out as 520 meters. The curved tunnels which cannot have LOS communication between transmitter and receiver have large pass losses and fluctuation profile along distance. The radio propagation coverage along curved tunnels is worked out as 300 meters. These investigation results can be used to design the 18GHz radio transmission system for subway tunnel by providing the optimized wayside transmitter locations and handover algorithm customized to the radio propagation characteristics in subway tunnels.

A Study on the Validation of Vector Data Model for River-Geospatial Information and Building Its Portal System (하천공간정보의 벡터데이터 모델 검증 및 포털 구축에 관한 연구)

  • Shin, Hyung-Jin;Chae, Hyo-Sok;Hwang, Eui-Ho
    • Journal of the Korean Association of Geographic Information Studies
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    • v.17 no.2
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    • pp.95-106
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    • 2014
  • In this study, the applicability of a standard vector model was evaluated using RIMGIS vector data and a portal based river-geospatial information web service system was developed using XML and JSON based data linkage between the server and the client. The RIMGIS vector data including points, lines, and polygons were converted to the Geospatial Data Model(GDM) developed in this study and were validated by layers. After the conversion, it was identified that the attribute data of a shape file remained without loss. The GeoServer GDB(GeoDataBase) that manages a DB in the portal was developed as a management module. The XML-based Geography Markup Language(GML) standards of OGC was used for accessing to and managing vector layers and encoding spatial data. The separation of data content and expression in the GML allowed the different expressions of the same data, convenient data revision and update, and enhancing the expandability. In the future, it is necessary to improve the access, exchange, and storage of river-geospatial information through the user's customized services and Internet accessibility.

Implant surgery based on computer simulation surgical stent and the assessment with the image fusion technique (컴퓨터 시뮬레이션 기반의 외과용 스텐트를 이용한 임플란트 시술과 영상융합기술을 이용한 평가)

  • Lee, Jee-Ho;Kim, Soung-Min;Paeng, Jun-Young;Kim, Myung-Jin
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.36 no.5
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    • pp.402-407
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    • 2010
  • Introduction: The planning of implant surgery is an important factor for the implant prosthesis. Stereolithographic (SLA) surgical stents based on a computer simulation are quite helpful for clinicians to perform the surgery as planned. Although many clinical and technical trials have been performed for computed tomography (CT)-guided implant stents to improve the surgical procedures and prosthetic treatment, there are still many problems to solve. We developed a system of a surgical guide based on 3 dimensional (3D) CT for implant therapy and achieved satisfactory results in the terms of planning and operation. Materials and Methods: Fifteen patients were selected and 30 implant fixtures were installed. The preoperative CT data for surgical planning were prepared after obtaining informed consent. Surgical planning was performed using the simulation program, Ondemend3D In2Guide. The stents were fabricated based on the simulation data containing information of the residual bone, the location of the nerve, and the expected design of the prostheses. After surgery with these customized stents, the accuracy and reproducibility of implant surgery were evaluated based on the computer simulation. The data of postoperative CT were used to confirm this system using the image fusion technique and compare the implant fixtures between the planned and implanted. Results: The mean error was 1.18 (${\pm}0.73$) mm at the occlusal center, 1.23 (${\pm}0.67$) mm at the apical center, and the axis error between the two fixtures was $3.25^{\circ}C$ (${\pm}3.00$). These stents showed superior accuracy in maxilla cases. The lateral side error at the apical center was significantly different from the error at the occlusal center but there were no significant differences between the premolars, 1st molars and 2nd molars. Conclusion: SLA surgical stents based on a computer simulation have the satisfactory accuracy and are expected to be useful for accurate planning and surgery if some errors can be improved.

Preliminary Assessment Model based on BSC for Evaluating Practical Utilization of 4D CAD System (4D CAD 시스템의 실무적 활용성 평가를 위한 BSC기반의 예비 평가 모델)

  • Kim, HyeonSeung;Moon, HyounSeok;Kang, LeenSeok
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.33 no.5
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    • pp.2069-2079
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    • 2013
  • Recently, BIM(Building Information Modeling) is on the rise as a customized solution for construction environment, but construction companies rarely introduce and apply BIM in the construction site. Due to such issues, the fact that empirical data for evaluating the quantitative effect of BIM application is insufficient might be an another main reason. In the end, construction companies cannot assure investment effect of BIM and therefore don't make an investment actively. To activate BIM application, the evaluation system that quantitatively assess usability of BIM needs to be developed. This study aims to suggest a methodology that evaluates the usability quantitatively according to introduction and operation of BIM by construction companies. Accordingly, this study analyzes applicability of 4D CAD by developing an evaluation index and its model with BSC(Balanced Score Card) for 4D CAD, which have high practical use among BIM techniques, and verifies the usability as the entire evaluation index of BIM. Therefore, it is expected that the developed assessment model will be utilized as the critical decision-making information in order to introduce related techniques by identifying the usability and operational issues of 4D CAD.

User Centered Design and Development Strategies for Participatory Learning Media (사용자중심의 참여 미디어 교육시스템 프로토타입 개발 전략)

  • Ahn, Mi-Lee;Cho, Y.C.;Hwang, Y.J.;Cha, H.J.;Kim, H.J.
    • 한국HCI학회:학술대회논문집
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    • 2009.02a
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    • pp.926-932
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    • 2009
  • Recently many research reports on effective use of mobile devices for museums to provide information on displayed artifacts providing individualized learning space, collaborative learning, and discovery learning, Such devices have many possibilities to support learning as a participatory media and social network. Mobile devices are used, however, limited for its usability and lack in providing expected learning experiences. It offers one-way interaction and they are often limited in providing customized services for different patrons to experience learning and entertainment. In this research, we have adopted user centered design approach to identify the needs and possible usage of PDA system in the museum. Research methods include contextual observation and inquiry with symbolic interactionism for qualitative research and its epistemology. We have developed conceptual model with scenario and storyboard method, and developed vertical prototype with Flash.

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A Study on the Effect of O2O Service Quality on User Satisfaction and Intention of Reuse (O2O서비스 품질이 사용자만족과 재이용의도에 미치는 영향에 관한연구)

  • Lee, Ok Ju;Yang, Dong Woo
    • Journal of Digital Convergence
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    • v.15 no.6
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    • pp.165-178
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    • 2017
  • O2O platforms are developing in a business area of daily life with evolution of IT technology. The aim of this research is to identify any quality factor of online and offline which affects the satisfaction of O2O service by business characteristic and to varify the relationship between service satisfaction and reuse intention. In this study, information quality, system quality and service quality are defined as factors for online quality and perceived quality and perceived price defined as offline quality. This study was conducted on 199 users who use O2O service. The results showed that online quality system and perceived price of offline quality had a positive effect on user satisfaction and that user satisfaction had a positive effect on Intention to Reuse. These results will provide guidelines for O2O service providers to improve their online services and to select an offline vendor for the O2O platform. It would provide customized O2O service according to personal property of a customer, in case that further research by types of business or service, which are not covered this paper.

A Survey of Doctors' Awareness of Weather Sensitive Diseases and Health-Related Weather Information (기상민감질환과 기상요소의 상관관계에 대한 의료진의 기초인식파악을 위한 설문조사기반 연구)

  • Kim, Hyunsu;Kim, Yoo-Keun;Jeong, Ju-Hee;An, Hye Yeon;Kim, Taehee;Yun, Jina;Won, Kyung-Mi;Lee, Jiho;Oh, Inbo;Lee, Young-Mi;Lim, Yeon-Ju;Kang, Min-Sung
    • Journal of Environmental Science International
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    • v.26 no.5
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    • pp.675-684
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    • 2017
  • Provider-oriented weather information has been rapidly changing to become more customer-oriented and personalized. Given the increasing interest in wellness and health topics, the demand for health weather information, and biometeorology, also increased. However, research on changes in the human body according to weather conditions is still insufficient due to various constraints, and interdisciplinary research is also lacking. As part of an effort to change that, this study surveyed medical practitioners at an actual treatment site, using questionnaires, to investigate what kind of weather information they could utilize. Although there was a limit to the empirical awareness that medical staff had about weather information, most respondents noted that there is a correlation between disease and weather, with cardiovascular diseases (coronary artery disease (98.5%) and hypertension (95.9% ), skin diseases (atopic dermatitis (100%), sunburn (93.8%)) being the most common weather-sensitive ailments. Although there are subject-specific differences, most weather-sensitive diseases tend to be affected by temperature and humidity in general. Respiratory and skin diseases are affected by wind and solar radiation, respectively.

The success rate of Mg-incorporated oxidized implants in partially edentulous patients: a prospective clinical study (부분 무치악 환자에서 마그네슘 이온주입 임플란트의 성공률에 대한 전향적 임상연구)

  • Choi, Su-Jung;Yoo, Jung-Ho;Lee, Ku-Bok;Kim, Jin-Wook
    • The Journal of Korean Academy of Prosthodontics
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    • v.50 no.3
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    • pp.176-183
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    • 2012
  • Purpose: This study examined the clinical success rate of Mg titanate implants (M Implant system, Shinhung, Korea), which employ a Mg coating method, by evaluating the marginal bone loss and implant stability using radiographs and Osstell$^{(R)}$, over a 1 year. Materials and methods: The locations of the implants placement were divided into 4 areas; the maxillary and mandibular premolars and molars. In the maxilla, 8 and 9 implants were inserted in the premolar and molar areas, respectively. In the mandible, 11 and 51 implants were inserted in the premolar and molar areas. Marginal bone loss and ISQ of all implants (79) were measured after insertion, mounting the prosthetic appliance, and 1, 3, 6, and 12 months after loading. The marginal bone loss was measured from the radiograph using XCP bite, which was customized, and the implant stability measured using Osstell$^{(R)}$. Fisher's exact test (${\alpha}$=.05) was used to compare the success rates of each region. Results: The mean marginal bone loss for the upper and lower jaws were 1.537 mm and 1.172 mm. The mobility showed a non-significant reduction or increase according with time. The success rates were accounted for 94.12% and 98.39% in the upper and lower jaws; the premolars and molars were accounted for 100% and 96.67%. The two cases of early failure resulted from failure of primary stability during implant insertion. The late failures were not observed for 1 year after adding a loading to the implants. Conclusion: The Mg titanate implant showed good primary stability and good clinical results in both healing and function.