• 대한치과기공학회지
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• 제24권1호
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• pp.127-138
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• 2002

There are some cases that dental prosthesis does not operate as properly as expected in oral mouth. The reasons are such as a distortion of the mandibular, a fault of impression taking system or an extrusion of remaining teeth. One of dental prostheses to consider in the situations is the attachment which connects segment bridge. Active discussions are managed on theoretical side of this field but few on clinical side of it, which must be considered first. Accordingly I'd like to suggest a theoretical background for connect attachment of fixed segmented bridge. 1. As a bridge gets longer, burden on dental ligament is increased and the hardness of a bridge is lessened. 2. The flexibility of a bridge increases in ratio to 3 multiplication of the length and decreases in ratio to 3 multiplication of the width of occlusal surface and base of pontic. 3. Precision rest is needed to cope with the shake of teeth and the difference of axis direction among abutments. 4. Female part of the precision rest should be on middle abutment distal and male one on mesial of pontic. 5. Segmented attachment can be efficiently used to cope with long span bridgework and also in case that one piece casting can't be done because of slant of abutment.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제26권2호
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• pp.172-178
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• 2000

When we establish treatment planning of facial asymmetry, we must predict each asymmetrical element that will be changed upon coronal, axial, sagittal plane. At the visual point, prediction of the change of coronal plane is most important. It is important difference between Rt. and Lt. mandibular angle belonging to posterior coronal plane, as well as anterior coronal plane, such as upper and lower incisor, or midline of chin point. Several methods for control bulk of mandibular angle are additional angle shaving after osteotomy, grinding contact area between proximal and distal segment for decrease the volume, or bone graft for increase the volume. But, at the point of bimaxillary surgery, transverse position of posterior maxilla is an important factor for control it. So, we would report transverse movement of posterior maxilla for decrease asymmetry on the posterior coronal plane of face, that is, asymmetry of mandibular angular portion.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제41권2호
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• pp.102-108
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• 2015

In surgery for facial asymmetry, mandibles can be classified into two types, rotational and translational, according to the required mandibular movements for surgery. During surgery for rotational mandibular asymmetry, a bilateral sagittal split ramus osteotomy (BSSRO) may cause a large bone gap between the proximal and distal segments as well as condylar displacement, resulting in a relapse of the temporomandibular joint disorder, especially in severe cases. The intraoral vertical ramus osteotomy has an advantage, in this respect, because it causes less rotational displacement of the proximal segment on the deviated side and even displaced or rotated condylar segments may return to their original physiologic position. Unilateral intraoral vertical ramus osteotomy (UIVRO) on the short side combined with contralateral SSRO was devised as an alternative technique to resolve the spatial problems caused by conventional SSRO in cases of severe rotational asymmetry. A series of three cases were treated with the previously suggested protocol and the follow-up period was analyzed. In serial cases, UIVRO combined with contralateral SSRO may avoid mediolateral flaring of the bone segments and condylar dislocation, and result in improved condition of the temporomandibular joint. UIVRO combined with contralateral SSRO is expected to be a useful technique for the treatment of rotational mandibular asymmetry.

• Journal of Korean Neurosurgical Society
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• 제59권4호
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• pp.352-356
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• 2016

Objective : The efficacy and safety of manual aspiration thrombectomy using Penumbra in an acute occlusion of large intracranial arteries has been proven in many previous studies. Our study aimed to retrospectively assess the efficacy and safety of manual aspiration thrombectomy using Penumbra in patients with small vessel occlusions (M2 segment of the MCA). Methods : We conducted a retrospective review of 32 patients who underwent manual aspiration thrombectomy using the Penumbra 4 MAX Reperfusion Catheter for treatment of an M2 occlusion between January 2013 and November 2014. We evaluated immediate angiographic results and clinical outcomes through review of patient electronic medical records. Results : There were slightly more men in this study (M : F=18 : 14) and the median age was 72.5 (age range : 41-90). The rate of successful recanalization (TICI grade ${\geq}2b$) was 84% (27/32). NIHSS at discharge and favorable clinical outcomes at 3 months were significantly improved than baseline. Median initial NIHSS score was 10 (range : 4-25) and was 4 (range : 0-14) at discharge. Favorable clinical outcomes (mRS score ${\leq}2$ at 3 months) were seen in 25 out of 32 patients (78%). There were no procedure-related symptomatic intracerebral hemorrhages. One patient expired after discharge due to a cardiac problem. Conclusion : Manual aspiration thrombectomy might be safe and is capable of achieving a high rate of successful recanalization and favorable clinical outcomes in patients with distal cerebral vessel occlusion (M2).

• 대한의용생체공학회:학술대회논문집
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• 대한의용생체공학회 1997년도 추계학술대회
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• pp.471-474
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• 1997

Recently, many studies have shown clinically the detection of proximal arterial stenosis through evaluation of a Doppler waveform alternation, the so-called pulsus tardus and parvus, that often occurs distal to the stenosis. However the cause of the tardus-parvus phenomenon remains obscure. To analyze its cause, we modeled the blood-flow circuit as simple electrical circuit. This shows that pulsus tardus-parvus effect is caused as a result of high-frequency waveform component attenuation from low-pass filtering by capacitance(complience of the poststenotic vessel wall) and resistance(stenosis). As a result, the degree of pulsus tardus-parvus increased as the complience of the poststenotic segment of vessel increased, as well as increasing stenosis.

• Animal Systematics, Evolution and Diversity
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• 제31권1호
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• pp.31-41
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• 2015

A new species of the genus Farranula Wilson, 1942 (Cyclopoida, Corycaeidae) is described based on both sexes collected off Chuuk Island in Micronesia (West Central Pacific). The new species F. dahlae differs from its close congener F. gibbula (Giesbrecht, 1891) in the following combination of characters in both sexes: body length is longer, length to width ratio of caudal rami is larger, basal element of maxilliped is distinctly longer, and terminal spine to distal segment ratio of P4 is smaller; while in females, lateral margins of fourth pedigerous somite are extended to mid-region of second urosomal somite, maximum width of the second urosomal somite is located at middle region in dorsal and lateral views, and length ratio of caudal seta III to seta V is much larger; and in males, sharply contracted portion of second somite is located at two-thirds distance from anterior margin. Some additional morphological details of F. gibbula are given and a key to species of the genus Farranula is provided.

• Animal cells and systems
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• 제16권6호
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• pp.479-487
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• 2012

Biological attachment device is optimized in insect legs for attachment onto the variety of natural substrate. We have studied the microstructural characteristics of the tarsal appendages in the ladybug Harmonia axyridis using scanning electron microscopy to reveal the attachment system of their legs. The attachment devices are composed of claws and adhesive pads. The claws are connected with pretarsal segment, and their apical diverged hooks are developed to hold rough substrates. In contrast, the adhesive pads have an adhesive function onto smooth surface. The pads are interspersed at the ventral part of each tarsomere, and are composed of two kinds of hairy setae. The discoid tip seta (DtS) has a spoon-shaped endplate usually with a rounded concave structure, whereas the pointed tip seta (PtS) has a pointed tip, usually with a hooked endplate. While the PtS is broadly localized concentrically on the marginal area of both the proximal and distal pads, the DtS can be seen at the central areas of each adhesive pad except for the hind legs. Our findings demonstrate the presence of the direction-dependence pattern of the fibrillar system as well as a functional modification of the tenent setae to achieve proper contact with almost any kind of substrates.

• Advances in pediatric surgery
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• 제6권1호
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• pp.40-44
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• 2000

Congenital esophageal stenosis (CES) is a narrowing of the esophageal lumen from birth. Three types of CES have been described; tracheobronchial remnants (TBR), membranous web (MW), and fibromuscular stenosis (FMS). We reviewed the clinical features and the surgical outcome of 14 patients, pathologically confirmed as CES. Nine patients had TBR, 3 FMS, and 2 MVV. The mean age at operation was 3.8 years. Five patients were boys and 9 girls. Four patients had other congenital anomalies. Segmental resection of the lesion and end to end anastomosis was utilized in all cases except one who underwent myotomy. The stenotic segment was located at the distal esophagus in all patients. There were 8 complications in 6 patients, but no mortality. The mean follow-up period was 68 months. There were no feeding problems but 3 patients had minor gastroesophageal reflux. Our result indicates that segmental resection and anastomosis is a satisfactory surgical procedure in the management of CES.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제22권1호
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• pp.98-104
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• 2019

We report a rare case of Meckel's diverticulum in a boy who initially presented with chronic iron deficiency anemia (IDA) without any history of gastrointestinal (GI) bleeding at 8 years-old. Isolated small bowel Crohn's disease was suspected based on findings of small bowel ulcers on capsule endoscopy. At four years from initial presentation, he developed massive GI bleeding. Abdominal computed tomographic angiography and small bowel series revealed findings suggestive of Meckel's diverticulum. Meckel's diverticulum should be suspected in children with unexplained chronic IDA even in the absence of prominent GI bleeding and negative findings on repetitive Meckel's scans. Moreover, Meckel's diverticulum should be included in the differential diagnosis of isolated small bowel Crohn's disease when the disease is limited to a short segment of the distal small bowel, as ulcers and inflammation may result as a consequence of acid secreted from adjacent heterotopic gastric mucosa constituting the Meckel's diverticulum.

• Journal of Species Research
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• 제10권1호
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• pp.78-85
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• 2021

Heterorhabdus papilliger (Claus, 1863) is newly reported from the Tsushima Warm Current realm of the southern Korean waters. Its morphological diagnostic characteristics generally agreed well with the original description and the previous records of H. papilliger. The female of H. papilliger can be recognized by the genital somite, which in lateral view has a more or less rounded genital prominence and an uninflated posterior ventral margin; the second exopodal segment of male right leg 5 with the medial projection with a large, rounded, plumose proximal lobe, and a poorly developed distal lobe. The genetic difference for the partial mtCOI gene between Korean specimens and H. papilliger from Spain and Japan of the same clade is 0.4%, while the difference between Korean specimens is 0.5%. However, the interspecific difference for the mtCOI gene between H. papilliger from the Korean waters and the other Heterorhabdus species is in the range of 14.7-20.8%, suggesting that the former is a valid species.