• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제27권6호
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• pp.498-510
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• 2001

Distraction osteogenesis refers to the biological process responsible for new bone formation between bone segments by gradual distraction after osteotomy. For the past several years, various inconveniences including a protracted consolidation period that requires patients to wear a distractor frame longer, as well as higher medical costs, have not been remedied by improvements in osteotomy, distraction rate and monitoring system. Furthermore, side effects such as pin tract infections and soft tissue swelling may arise due to the long treatment period. These drawbacks form the rationale of this study which purports to seek a method by which the consolidation period can be reduced. This paper examines how platelet-rich plasma(PRP), known to facilitate osteogenesis, influences bone formation when applied in distracted area. Ten mongrel dogs, which were made to wear external distractor frames after osteotomy in both sides of the mandible, were used as subjects. After a 7day period of latency, distraction was carried out at a rate of 1mm/day for 14 consecutive days. After the onset of distraction, 2ml of PRP and a mixture of calcium gluconate and thrombine were injected into the center of the distracted callus on the left side of the mandible. The left was injected with PRP while the right side was set as the control site without PRP treatment. Execution at the onset of distraction and in 2 weeks, 4 weeks and 8 weeks after the consolidation period, clinical and radiographic tests, bone mineral density examination, histological examination and histomorphometric analysis were conducted to compare both sides. The results are summarized as follows: 1. Based on the clinical examination at two weeks, more remarkable cortical bone formation was found on the buccal and lingual side of the distracted area in the PRP treatment site than in the control site. No visual difference was found between the PRP treatment site and the control site at four eight weeks. 2. Based on the radiological examination, a distinct increase in the radiopaque appearance of the PRP treatment site was revealed at two weeks, but this increase appeared to slow down at four and eight weeks. 3. Examination of bone mineral density revealed a significant difference at two weeks with the PRP treatment site yielding density two times higher than the control site. This difference lessened after four weeks, and disappeared at eight weeks. 4. The histomorphometric examination revealed that about 20% more bony trabeculae area(20%, higher) was formed in the PRP treatment site than in the control site. In conclusion, it can be said that PRPs effect on stimulating bone formation in the PRP treatment site manifest as early as two weeks. Trabeculae formation likewise increased throughout the whole period. If this result can be applied to humans, the consolidation period can be reduced by injecting PRP into the distracted area.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제32권5호
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• pp.459-466
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• 2010

Alveolar distraction osteogenesis (ADO) has been regarded as an acceptable treatment for the alveolar bone deficiency. For ADO at anterior maxillary area, the vector should be oriented to forward and down-ward direction to get an adequate occlusion with mandibular teeth and to increase bone length and width for implant placement. However, the conventional commercial distraction devices for ADO are designed to allow mainly downward movement of alveolar segment, even though a forward movement can be obtained a little by controlling of inclination of device. To make ADO with controllable bidirectional vector possible, we used customized devices using self-manufactured ABDUL (Alveolar Bone Distractor Using Lag screw principle) and commercial orthodontic palatal expansion device ($Hyrex^{(R)}$). In all cases (n = 4), ADO could be performed successfully and dental implants were able to placed with adequate occlusion. We report the procedures, advantages and disadvantages of these methods.

• 대한치과교정학회지
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• 제35권1호
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• pp.82-89
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• 2005

하악 이부 확장은 해부학적으로 가동성인 하악골에서 시행하는 견인골 신장술의 한 형태로 곡면화된 표면과 하악 과두, 좁은 치열궁 형태로 많은 제약을 받게 된다. 본 연구는 이러한 한계를 보완하기 위해 적용되는 다양한 형태의 이부 확장을 이해하기 위해 시도되었다 골 절단선의 위치와 견인 장치의 위치를 다르게 하여. 각 8가지 군으로 구분한 후 이부 확장을 시행하였다. 이부 확장은 견인기의 위치와 골 절단선의 형태에 따라 다르게 이루어지는 결과를 얻었다.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제31권4호
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• pp.325-329
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• 2009

Objective : This is to report the effectiveness of intraoral distraction osteogenesis, iliac bone graft for alveolar augmentation in the extremely atrophied alveolar defects after infected allobone grafted area. Subjects and Methods : Anterior segmental osteotomy was performed and the trans-oral alveolar distractors (Martin, Germany) were applied in patient with the severe acquired anterior mandibular and mandibular defect after ameloblastoma enucleation. Iliac bone grafts were performed in defect sites and distraction osteogenesis were treated. After latent period for 1 week, the osteomized alveolar segments were distracted by 0.75 mm a day (0.25 mm/1 turn) for 10 days The consolidation period was about 12 weeks. Thereafter, 2 titanium threaded implants were simultaneously installed with removal of distractor. For oral rehabilitiation, The implants were installed in maxilla, mandible. It was tested with clinically and radiographically. Results : Amounts of acquired alveolar bone were 10 mm with the increased width of the ridge crests and soft tissue expansion. Dental implants installated on the augmented alveolar ridges in 12 weeks after distraction were confirmed as in good osseointegration and in good function without any complications. Conclusion : Intraoral distraction osteogenesis can be a good option for alveolar ridge augmentation of the severely atrophied ridges and soft-tissue defects.

• 인지과학
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• 제11권3_4호
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• pp.13-22
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• 2000

단어 정체확인 과정을 요구하지 않고 기억 과제와 무관한 단어의 지각적 특질에만 근거하여 공간적 주의를 할당하도록 하는 경우, 이러한 공간적 주의의 차이가 단어의 암묵기억에 미치는 영향을 두 개의 실험을 통하여 알아보았다. 실험 1에서는 독특한 색을 가진 표적자극의색을 판단하는 시각 탐색 과제를, 실험 2에서는 단서가 주어진 위치에 제시된 단어자극의 색을 판별하도록 하는 초점 주의 과제를 실시한후, 단어완성검사를 통하여 암묵기억을 측정하였다. 두 실험 결과, 방해자극뿐 아니라 표적자극에 대해서도 유의미한 점화효과가 관찰되지 않았다. 이는 기억 과제와 무관한 지각적 특질에 주의를 주는 것만으로는 단어에 대한 암묵기억 표상을 형성하기 어려우며, 단어에 대한 암묵기억 표상을 형성하기 위해서는 자극의 부호화 과정에서 단어 정채 확인 과정이 필요함을 시사한다.

• 한국산학기술학회논문지
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• 제15권3호
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• pp.1442-1447
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• 2014

본 연구는 학습자의 학습수행에 있어 학습항목의 한난 색채대비의 영향을 살펴보고자 수행되었다. 이를 위해 학습과제로서 OSPAN 과제를 사용하여 세 실험 조건, 즉 통제 조건, 배경과 과제의 한난 색채대비 조건, 그리고 방해 과제와 표적 과제의 한난 색채대비 조건에서의 학습자의 학습과제 수행을 살펴보았다. 그 결과, OSPAN 과제의 단어 재인율이 다른 조건에 비해 방해 과제와 표적 과제의 한난 색채대비 조건에서 가장 높은 것으로 나타났다. 이러한 결과는 단순히 배경 대비 과제가 아닌 방해 과제 대비 표적 과제에서도 한난 색채대비가 수행의 향상을 유도할 수 있음을 시사하는 것이다.

• 산업공학
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• 제18권2호
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• pp.178-183
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• 2005

In this study, changes in memory performance, blood oxygen saturation and heart rate according to 30% concentration oxygen supply were observed. Ten healthy male and female college students (male:$25.8{\pm}0.8$ years, female: $24.2{\pm}1.9$ years) participated in the study. The experiment was performed as Rest (1min.), Control task (1min.), Word presentation (1min.), Reaction time task (1min.), Distractor (2min.), and Word recall (1min.) and the physiological signals such as blood oxygen saturation and heart rate were measured throughout the stages. Subjects who received 30% oxygen recalled more words than those who received 21% oxygen, which shows 30% oxygen supply has influenced positively on memory cognitive performance. When 30% concentration oxygen is supplied, the blood oxygen saturation in the task phases was increased and the heart rate decreased when comparing to 21%. It means that 30% oxygen can stimulate brain activation by increasing actual blood oxygen concentration in the process of cognitive performance, and the heart rate decreases because enough oxygen is supplied to process the cognitive performance.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제27권4호
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• pp.324-333
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• 2005

Distraction osteogenesis for the advancement of hypoplastic maxilla of cleft patients has shown successful results. In this report, rigid external distraction(RED) system and internal distraction device were used for maxillary advancement. Each system has its advantages and disadvantages. Larger amount of advancement can be achieved with RED system. But complex external device may give patients psychological stress. Internal device is invisible. However its distraction amount have limitation for the advancement (< 20mm) and the vector cannot be changed freely during distraction. The authors treated five cleft patients with maxillary hypoplasia(three with RED system and two with internal distractor). Their results were clinically satisfactory. We present the pros and cons of RED and internal system for maxillary distraction osteogenesis.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제28권4호
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• pp.329-338
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• 2006

Objectives: Distraction osteogenesis has recently evolved a challenging technique to overcome the limitations of conventional augmentation procedures. The aim of this report was to evaluate the clinical result of alveolar distraction osteogenesis for implant installation. Methods: Twenty five patients with alveolar ridge deficiencies were treated with vertical alveolar distraction osteogenesis by intraoral device (total 27 devices: 25 extraosseous and 2 intraosseous devices). After the latency periods of 5-7 days, activation of the device was started. The distraction rhythm and rate was 0.75-1.0 mm a day with 2 or 3 times a day. After 3-4 months, dental implants were placed with removing the distractor simultaneously. Results: On average, a vertical gain of $9.8{\pm}3.4\;mm$ was obtained by distraction osteogenesis. Total 84 implants were installed. Average follow up period was $13.5{\pm}7.5$ months. No implant was removed during the follow up period. Three patients showed infection during the distraction osteogenesis. Three devices were broken and 2 devices among them were replaced with new one. Conclusion: Relatively larger amount of alveolar bone augmentation could be obtained with distraction osteogenesis. For the ideal anatomically and functionally ideal regeneration of alveolar bone to install dental implant, the complication of distraction should be controlled.

• 가정과삶의질연구
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• 제21권6호
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• pp.53-67
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• 2003

The aim of this research is to verify the assumption that the husband-to-wife violence lies upon a continuum of severity and to study how the premarital violence experience of husbands, along with their psychological characteristics and various marital interactions, can be the cause of husbands' violence against their wives. At the same time, the research aims at constructing a causal model of the husband-to-wife violence. For the purpose, this research surveyed 242 husbands residing in Pusan and another 50 husbands as violent assaulters in major cities of Korea. The following is a summary of the results of this research. First, the research can verify the two assumptions that “the group which has once inflicted a severe form of violence can easily inflict minor violences” and that “the factors related to violence play a far greater role in severe violences than in weaker violences.” As a result, it may be concluded that the study of a regular household violence can be based on the continuum of violence assumption. Secondly, In the husbands' experience of violence, dating violence and their experienced childhood abuse from their parents, in their psychological characteristics, temper control ability and their patriarchal sex role attitude, and finally in marital interactions, marital conflicts and distractor of communication played great role in their influence on the husband-to-wife violence. Thirdly, as the various factors which contribute to the violence against the wife have cause-and-effect rule, we shall be able to make a model which can be conceptualized.