• Title/Summary/Keyword: Deviation

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Triangular Resection of the Upper Lateral Cartilage for Middle Vault Deviation

  • Ryu, Gwanghui;Seo, Min Young;Lee, Kyung Eun;Hong, Sang Duk;Chung, Seung-Kyu;Dhong, Hun-Jong;Kim, Hyo Yeol
    • Clinical and Experimental Otorhinolaryngology
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    • v.11 no.4
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    • pp.275-280
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    • 2018
  • Objectives. Middle vault deviation has a significant effect on the aesthetic and functional aspects of the nose, and its management continues to be a challenge. Spreader graft and its modification techniques have been focused, but there has been scarce consideration for removing surplus portion and balancing the upper lateral cartilage (ULC). This study aimed to report the newly invented triangular-shaped resection technique ("triangular resection") of the ULC and to evaluate its efficacy for correcting middle vault deviation. Methods. A retrospective study included 17 consecutive patients who presented with middle vault deviation and underwent septorhinoplasty by using triangular resection at a tertiary academic hospital from February 2014 and March 2016. Their outcomes were evaluated pre- and postoperatively including medical photographs, acoustic rhinometry and subjective nasal obstruction using a 7-point Likert scale. Results. The immediate outcomes were evaluated around 1 month after surgery, and long-term outcomes were available in 12 patients; the mean follow-up period was 9.1 months. Nasal tip deviation angle was reduced from $5.66^{\circ}$ to $2.37^{\circ}$ immediately (P<0.001). Middle vault deviation also improved from $169.50^{\circ}$ to $177.24^{\circ}$ (P<0.001). Long-term results were $2.49^{\circ}$ (P=0.015) for nasal tip deviation and $178.68^{\circ}$ (P=0.002) for middle vault deviation. The aesthetic outcome involved a complete correction in eight patients (47.1%), a minimally visible deviation in seven patients (41.2%) and a remaining residual deviation in two patients (11.8%). Pre- and postoperative minimal cross-sectional areas (summation of the right and left sides) were 0.86 and 1.07, respectively (P=0.021). Fifteen patients answered about their nasal obstruction symptoms and the median symptom score had alleviated from 6.0 to 3.0 (P=0.004). Conclusion. Triangular resection of the ULC is a simple and effective method for correcting middle vault deviation and balancing the ULCs without complications as internal nasal valve narrowing.

A Study on Verification of Shoe Last Grading System Based on Foot Measuring Data (발계측 자료에 기초한 신골 할출 시스템의 검증에 관한 연구)

  • Park, Hae-Soo
    • Journal of the Ergonomics Society of Korea
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    • v.26 no.1
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    • pp.71-77
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    • 2007
  • Shoe's size and shape are determined by the last that takes shape of foot because last is the mold of shoe in development and manufacturing process. Then adaptation between foot and shoe is dependent on the last. In mass shoe production, model size is developed in the first place, other sized lasts are made through the grading process based on model size. The most important factor in grading system is grading deviation that must be same amount induced from foot measuring database. At present, most of the last manufacturing companies in korea using 260mm as a standard foot model size. When length grading deviation is 5mm, the ball girth grading deviation is 3.7mm and the ball width grading deviation is 1.2mm. I verified existing grading system by comparing grading results with foot measuring data. Also, I proposed reasonable grading deviation and application method of grading system. From the analysis of foot measuring database, reasonable grading deviations are 1.22mm in ball width and 0.84mm in ankle height in case of length grading deviation is 5mm. I confirmed that the current grading system is very accurate. When we grade last from 230mm to 290mm by current grading system based on model size 260mm, there is grading error over 1mm in the front outside area of foot. This error level of 1mm is no problem in normal walking shoe's last, but it induces adaptation problems in sports and special purposed shoe's last. Therefore using of three standard model size is recommended in grading men's last for reducing grading deviation error under the level of 1mm. It is specifically described as 235mm in 225-245mm, 260mm in 250-270mm, 285mm in 275-295mm. According to the above recommended grading system, it is enough to measure only three foot sizes in case of foot measuring project for men's last development.

Adaptive Gain-based Stable Power Smoothing of a DFIG

  • Lee, Hyewon;Hwang, Min;Lee, Jinsik;Muljadi, Eduard;Jung, Hong-Ju;Kang, Yong Cheol
    • Journal of Electrical Engineering and Technology
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    • v.12 no.6
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    • pp.2099-2105
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    • 2017
  • In a power system that has a high wind penetration, the output power fluctuation of a large-scale wind turbine generator (WTG) caused by the varying wind speed increases the maximum frequency deviation, which is an important metric to assess the quality of electricity, because of the reduced system inertia. This paper proposes a stable power-smoothing scheme of a doubly-fed induction generator (DFIG) that can suppress the maximum frequency deviation, particularly for a power system with a high wind penetration. To do this, the proposed scheme employs an additional control loop relying on the system frequency deviation that operates in combination with the maximum power point tracking control loop. To improve the power-smoothing capability while guaranteeing the stable operation of a DFIG, the gain of the additional loop is modified with the rotor speed and frequency deviation. The gain is set to be high if the rotor speed and/or frequency deviation is large. The simulation results based on the IEEE 14-bus system demonstrate that the proposed scheme significantly lessens the output power fluctuation of a WTG under various scenarios by modifying the gain with the rotor speed and frequency deviation, and thereby it can regulate the frequency deviation within a narrow range.

Surface Micro-Climate Analysis Based on Urban Morphological Characteristics: Temperature Deviation Estimation and Evaluation (도시의 지표형태학적 특성에 기반한 지면미기후 분석: 기온추정 및 평가)

  • Yi, Chaeyeon;An, Seung Man;Kim, KyuRang;Kwon, Hyuk-gi;Min, Jae-Sik
    • Atmosphere
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    • v.26 no.3
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    • pp.445-459
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    • 2016
  • Air temperature deviation (ATD) is one of major indicators to represent spatial distribution of urban heat island (UHI), which is induced from the urbanization. The purpose of this study is to evaluate the accuracy of air temperature deviation about Climate Analysis Seoul (CAS) workbench, which had developed by National Institute Meteorological Science and TU Berlin. Comparison and correlation analysis for CAS ATD including meso-scale air temperature deviation, local-scale air temperature deviation, total air temperature deviation, surface heat flux deviation, cold air production deviation among meso-scale numerical modelling variable in 'Seoul Region', micro-scale numerical modelling in 'Detail Region', and CAS workbench variable using observation data in ground stations. Comparison between night time OBS ATD and CAS ATD show that have most close values. Most of observations ($dT_{max}$ and $dT_{min}$) have highly positive ($dT_{SHP}$, $dT_{CA}$, MD, TD, $f_{BS}$, $f_{US}$, $f_{WS}$, $h_B$) and negative ($f_{VS}$, $f_{TV}$, $h_V$, Z) correlations. However, CAS workbench needs further improvement of both observational framework and analytical framework to resolve the problems; (1) night time OBS ATD of has closer values in compare with at high rise mountain area and (2) correlations are very dependable to meteorological scale.

Identifying the more suitable nostril for nasotracheal intubation using radiographs

  • Chi, Seong In;Park, Sookyung;Joo, Li-Ah;Shin, Teo Jeon;Kim, Hyun Jeong;Seo, Kwang-Suk
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.16 no.2
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    • pp.103-109
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    • 2016
  • Background: One nostril must be selected for nasotracheal intubation. In some cases, structural anomalies within the nasal cavity hinder the insertion of the tube or complications, such as epistaxis, develop. This study examined the possibility of using radiography to select the nostril that would induce fewer complications. Methods: Four hundred and five patients who underwent nasotracheal intubation under general anesthesia were studied. A 7.0-mm internal diameter nasal right angle endotracheal (RAE) tube and 6.5-mm internal diameter nasal RAE tube were inserted into men and women, respectively. Complications were considered to have developed in cases in which insertion of the tube into the nasal cavity failed or epistaxis occurred. The tube was inserted into the other nostril for insertion failures and hemostasis was performed in cases of epistaxis. The degree of nasal septal deviation was determined from posteroanterior skull radiographs or panoramic radiographs; the incidence of complications was compared depending on the direction of the septal deviation and the intubated nostril. Results: The radiographs of 390 patients were readable; 94 had nasal septum deviation. The incidence of complications for cases without nasal septum deviation was 16.9%, that for cases in which the tube was inserted into the nostril on the opposite side of the deviation was 18.5%, and that for cases in which the tube was inserted into the nostril with the deviation was 35.0%, showing a high incidence of complications when intubation is performed through the nostril with septum deviation (chi-square test, P < 0.05 ). Conclusions: Although there were no differences in the incidence rates of complications between intubation through the left nostril and that through the right nostril, radiological findings indicated that incidence of complications significantly increased when the tube was inserted into the nostril with the septum deviation.

A STUDY ON USEFULNESS OF THE REFERENCE LINE IN DIAGNOSIS OF THE FACIAL ASYMMETRY (안모비대칭의 진단용 기준선의 유용성에 관한 연구)

  • Ryu, Sung-Ho;Chang, Hyun-Ho
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.31 no.3
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    • pp.266-273
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    • 2005
  • Purpose: To assess the relationship between soft tissue reference line and hard tissue reference line using the standardized photographs and the posteroanterior cephalometric radiographs(P-A)in facial asymmetric patients and to compare the differences of angular measurement between normal group and asymmetry group. Methods: Normal group consisted of 44 persons with normal occlusion and normal facial morphology. Asymmetry group consisted of 90 patients with facial asymmetry. Standardized facial photographs and P-A were taken in all subjects. The horizontal reference lines were bipupillary line in photographs and latero-orbitale line in P-A respectively. The vertical reference line were the line from the midpoint of horizontal reference line perpendicularly. Angular measurement of otobasion canting, lip canting, nose deviation, chin deviation, and maxillary deviation were compared and analyzed in photographs. And angular measurement of mastoid canting, mandibular canting, nose deviation, chin deviation, and maxillary deviation were compared and analyzed in P-A. Results: 1. The variables of photographs and P-A were significantly related in the asymmetry group. 2. Significant differences between all variables except for PT2 and PA2 were shown in the asymmetry group and between PT1 and PA1, PT3 and PA3 in the normal group respectively. 3. Comparison measurement scores of angular difference between control group and experimental group concerning each variable showed significant difference except for PA1. Conclusions: Soft tissue components may not compensate for underlying skeletal imbalance in nose deviation and chin deviation. The horizontal reference lines in photographs were significant related with the P-A, but angular variables between the two studies show significant differences. Therefore, we do not recommend use photography in the assessment the facial asymmetry as complemented in the P-A.

NASAL DEVIATION IN PATIENTS WITH MANDIBULO-FACIAL ASYMMETRY (안모 비대칭환자의 두부정중선에 대한 비부의 편위)

  • Park, Ji-Hwa;Son, Seong-Il;Jang, Hyun-Jung;Kwon, Tae-Geon;Lee, Sang-Han
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.27 no.2
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    • pp.151-159
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    • 2005
  • The purpose of this study was to evaluate the nasal deviation in mandibular prognathism with mandibulo-facial asymmetry. There were 40 patients whose mandibular prognathism with/without facial asymmetry were treated with orthognathic surgery from March 2002 to October 2003. The Group A(n=20) had a mandibulo-facial asymmetry over 6mm menton deviation in cephalogram PA and the Group B(n=20) had a mandibular prognathism. The preoperative frontal photograph, cephalogram PA and three dimensionalcomputed tomography(divided in hard tissuse image and soft tissue image) of two group was evaluated NDA(nasal deviation angle) and MDA(mandibular deviation angle). The NDA was statistical difference between asymmetry Group A and symmetry Group B(p<0.01), and was deviated in affected side of asymmetry. The MDA were also statistical difference between Group A and Group B(p<0.01), however the measurements of MDA between the frontal photograph, 3D-CT and cephalogram PA were similar to each others. The low correlation of NDA between frontal photograph and cephalogram PA in Group A and B demonstrate that we couldn't assess nasal deviation in cephalogram PA. It could be concluded that patients with mandibulo-facial asymmetry have a nasal deviation and clinician must remember this fact when they assess and treat patients.

Effect on Improvement of Muscle Strength Imbalance according to Load Deviation Pattern of Left and Right Arms in Upper Limbs (상지 좌우 운동부하 편차방식이 근력 불균형 개선에 미치는 영향)

  • Kang, Seung-Rok;Seo, Shin-Bae;Jeong, Gu-Young;Bae, Jong-Jin;Yu, Chang-Ho;Yu, Mi;Moon, Dong-An;Jeong, Jang-Sik;Kwon, Tae-Kyu
    • Journal of the Korean Society for Precision Engineering
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    • v.29 no.9
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    • pp.1026-1034
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    • 2012
  • The purpose of this study was to verify the validation of effect on improvement of muscle strength unbalance according to exercise load deviation during rowing exercise. We performed evaluation of muscular activity and joint torque before the test. We recruited twenty subjects who one side's muscle strength is bigger in more 20% than other side. Subjects divided two groups. One is dominant left side and the other was dominant right side. Subjects performed rowing exercise in electric load deviation rowing equipment (Robo.gym, Humonic Co., Ltd., Daegu, Korea). Exercise performed four sets a day including 25 times a set, and three days a week. Measurements consist of evaluation of muscular activity and joint torque. Exercise load deviation adapted that different value of muscle strength in both arms multiplied 1RM% and added 1RM 50%. The results in adapted load deviation showed that the differences of maximal peak torque in 22.75% were getting increase significantly during exercise in 5.72%. This interpreted that rowing exercise with loading deviation types could provide muscle strength and muscular endurance exercise in same time for balance. Our study found out that loading deviation could provide muscle strength and muscular endurance exercise for improving muscle unbalance.

Horizontal Effects of 10-mm Inferior Oblique Recession versus 14-mm Inferior Oblique Recession

  • Kim, Jae Min;Kim, Ungsoo Samuel
    • Korean Journal of Ophthalmology
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    • v.32 no.6
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    • pp.478-482
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    • 2018
  • Purpose: The aim of this study was to investigate the quantitative effect of inferior oblique (IO) 10- and 14-mm recession on postoperative horizontal deviation. Methods: Patients (22 men and 18 women) who underwent IO recession were divided into two groups for comparison studies: group 1 (10-mm IO recession, 15 patients) and group 2 (14-mm IO recession, 25 patients). Preoperative and postoperative horizontal deviations were measured, and the resulting horizontal deviations from the 10- and 14-mm IO recession surgeries were compared. The effects of superior oblique underaction, IO overaction, and combined exodeviation on postoperative horizontal deviation were analyzed. Results: Although group 1 did not show a significant horizontal deviation change after surgery ($1.9{\pm}4.5$ prism diopters [PD], p = 0.452), group 2 had a meaningful horizontal change after 14-mm recession ($2.2{\pm}3.8PD$, p = 0.022). Both groups showed a significant esodrift in horizontal deviation (group 1, p = 0.017; group 2, p = 0.030) in patients with exodeviation over 8 PD. The mean change in horizontal deviation was $6.0{\pm}5.4PD$ for group 1 and $9.0{\pm}5.0PD$ for group 2. Although the amount of superior oblique underaction did not affect the extent of change in horizontal deviation, patients with severe IO overaction showed a significant change in horizontal deviation after 14-mm IO recession. Conclusions: Fourteen-millimeter IO recession could make a statistically significant change in horizontal deviation after surgery. In addition, esodrift should be considered after IO recession in patients with a preoperative exodeviation greater than 8 PD or severe IO overaction.

Effects of inter-implant distance on the accuracy of intraoral scanner: An in vitro study

  • Thanasrisuebwong, Prakan;Kulchotirat, Tharathip;Anunmana, Chuchai
    • The Journal of Advanced Prosthodontics
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    • v.13 no.2
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    • pp.107-116
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    • 2021
  • PURPOSE. Several studies focused on the accuracy of intra-oral scanners in implant dentistry, but the data of inter-implant distances were not widely mentioned. Therefore, this study aimed to evaluate the effect of distance between two implants on the surface distortion of scanned models generated by intra-oral scanners. MATERIALS AND METHODS. Three models with the distances between two fixed scan bodies of 7, 14, and 21 mm were fabricated and scanned with a highly precise D900L dental laboratory scanner as reference models. Fifteen scans were performed with TRIOS3 and CEREC Omnicam intra-oral scanners. Trueness, precision, and angle deviation of the test models were analyzed (α=.05). RESULTS. There was a significant difference among inter-implant distances in both intraoral scanners (P<.001). The error of trueness and precision increased with the increasing inter-implant length, while the angle deviation did not show the same trend. A significant difference in the angle deviation was found among the inter-implant distance. The greatest angle deviation was reported in the 14-mm group of both scanners (P<.05). In contrast, the lowest angle deviation in the 21-mm group of the TR scanner and the 7-mm of the CR scanner was reported (P<.001). CONCLUSION. The inter-implant distance affected the accuracy of intra-oral scanner. The error of trueness and precision increased along with the increasing distance between two implants. However, the distortions were not clinically significant. Regarding angle deviation, the clinically significant angle deviation may be possible when using intra-oral scanners in the partially edentulous arch.