• Title/Summary/Keyword: Distractor

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VERTICAL DISTRACTION OSTEOGENESIS FOR IMPLANT INSTALLATION ON THE RECONSTRUCTED MANDIBLE WITH FREE FIBULAR FLAP (하악골 재건시 사용된 유리비골피판에서 임플란트 식립을 위한 수직적 골신장술)

  • Paeng, Jun-Young;Lee, Jin-Yong;Myoung, Hoon;Hwang, Soon-Jung;Seo, Byoung-Moo;Choi, Jin-Young;Lee, Jong-Ho;Choung, Pill-Hoon;Kim, Myung-Jin
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.28 no.6
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    • pp.579-585
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    • 2006
  • Introduction: The fibular free flap is now considered as the first choice for long mandibular discontinuity defect. In spite of its good bone quality for implant installation, its diameter is too narrow to rehabilitate the masticatory function with implant installation. In this report, distraction osteogenesis was used for the augmentation of bone to install the dental implant in the mandible which was reconstructed with a vascularized fibular free flap. Patients and Methods: Three patients undertook the vertical augmentation of grafted fibular bone and dental implants were installed. On the day 8 post-surgery, the activation of the distractor was started at the rate of 1 mm twice a day. The total amount of distraction was 15 mm in two patients and 12.5 mm in one patient. Twelve implants were installed in three patients. Dental implants were simultaneously installed during removal of the distraction device in two patients. In one patient, the implant installation was delayed after device had been removed. All three patients showed the symptoms of mild to severe postoperative infection during the activation and consolidation. However, the distracted site showed undisturbed bone regeneration. Conclusion: The distraction osteogenesis showed the reliable results for the vertical augmentation of fibular bone which was used for the mandibular reconstruction. However, the great tendency of postoperative infection must be considered and clinically controlled.

The Effect of Unconscious Thought on Goal-Dependent Decision Making (목표지향적 정보처리에서 무의식적 사고의 효과)

  • Kim, Min-Jeong;Lee, Young-Ai
    • Korean Journal of Cognitive Science
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    • v.22 no.4
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    • pp.405-427
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    • 2011
  • We explored whether unconscious thought affects the processing of scientific technology information concerning nuclear power. Instead of conscious deliberation of cost-benefit analysis of nuclear energy, we would like to show the effects of unconscious thought on decision making. Participants were presented with all information about nuclear power and then judged the most positive as well as the most negative items. Participants in the unconscious thought condition performed a 2-back digit memory task as distractor before they made any decision regarding the nuclear power. Those in conscious thought condition were asked to carefully evaluate all presented information while participants in the immediate decision condition made a quick decision. Based on the analysis of previous studies on this topic, we attempted to obtain the potential effects of unconscious thought by modifying materials and experimental procedures including the use of noise. Even with these new manipulations, the effect of unconscious thought on decision making was not observed in Experiment 1. In contrast, we observed a significant effect of unconscious thought on decision making when task purpose was clearly presented after participants have finished reading all information regarding nuclear power. The results of the present study indicate that if the task purpose were clearly presented, the effects of unconscious thoughts on decision making could be observed.

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Perceptual Segregation of Distractor Reduces Within-hemisphere Interference (방해자극과 표적의 지각적 분리가 반구내와 반구간의 간섭에 미치는 영향)

  • Sohn, Young-Sook;Kim, Min-Shik
    • Proceedings of the Korean Society for Cognitive Science Conference
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    • 2006.06a
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    • pp.29-32
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    • 2006
  • 이 연구에서는 표적과 방해자극을 분리시킬 때 관찰되는 간섭 감소가 반구내 및 반구간 조건에서 달리 나타난다는 것을 보여주기 위해 세 개의 실험을 실시하였다. 세 실험의 과제는 모두 색깔이 있는 원과 사각형이 주어지고 항상 검은색으로 제시되는 색 이름 단어가 주어진 상황에서 원의 색은 무시하고 사각형의 색과 단어가 의미하는 색이 같은지, 다른지를 판단하는 것이었다. 사각형의 색이 단어가 의미하는 색과 일치할 때 방해자극인 원의 색도 단어가 의미하는 색과 일치하는지 여부에 따라 방해자극의 세 조건(일치, 불일치, 중립)이 만들어졌다. 또한, 방해자극인 원이 표적 가운데 하나인 단어와 같은 시각장에 제시되는지, 혹은 반대편 시각장에 따로 제시되는지에 따라 반구 간섭조건(반구내 간섭, 반구간 간섭)이 만들어졌다 간섭효과는 불일치 조건과 중립 조건간의 차이로 측정하였다. 실험 1의 결과는 정확률과 반응시간 모두에서 반구내 간섭이 반구간 간섭보다 유의미하게 더 큰 것으로 나타났다. 실험 2에서는 방해자극인 원을 선제시하였는데 그 결과 반구내 간섭이 특히 크게 감소하여 반구내 간섭과 반구간 간섭이 차이를 보이지 않게 되었다. 그러나 표적자극인 사각형을 선제시한 실험 3에서는 반구내 간섭이 여전히 반구간 간섭보다 유의미하게 큰 것으로 나타났다. 세 실험의 결과를 종합하면 방해자극의 간섭 효과는 방해자극을 표적과 다른 반구로 분리 제시하거나, 선제시 같은 방법으로 방해자극을 표적과 분리시킬 때 유의미하게 감소하였다. 그러나 애초부터 방해자극을 표적과 다른 반구로 분리 제시하였던 반구간 간섭조건에서는 방해자극의 선제시가 간섭 감소를 가져오지 않았다. 지질의 산패를 가속화시킨 결과라고 생각된다. 따라서 호박 라면 제조시 이러한 공기와의 접촉을 차단시킬 수 있는 포장재료를 선택해야 될 것으로 사료된다.0.05), 맛, 연도, 다즙성 및 전체적인 기호성은 유의한 차이가 없었다.자체를 악하다고 볼 수 없고 더구나 구원을 이 세상에서의 이탈로 볼 수 없다. 진정한 구원이란 원래 하나님이 보시기에 아름다웠던 그 세상으로의 회복을 포함한다. 이런 면에서 하나님 주권 신앙 하에서 구원이란 전 인격적인 구원, 전 우주적인 구원이 된다. 그렇기 때문에 성도는 세상의 삶과 학문, 예술, 정치, 경제, 사회를 포함한 모든 분야를 하나님의 뜻 가운데서 그 원래의 목적에 부합할 수 있도록 회복시키는 일에 적극 참여해야 한다.자체가 이를 주도하기는 사실 어려움이 있다. 그리고 대형유통점이 영업행위를 영업시간제한에서부터 출점제한에 이르기까지 규제하는 건은 심사숙고하여야 한다. 대형유통점이 국가경제 및 지역사회에 미치는 영향이 부정적인가 긍정적인가에 대해 국내외 학계와 업계에서 여전히 많은 논란이 있기 때문이다. 정부와 지자체에 의한 시장개입은 반드시 필요한 경우에 한해 합당한 방법에 의해 이루어져야 한다. 대형유통점에 대한 규제는 지역사회에 미치는 영향을 다면적으로 평가한 결과에 근거하여 이루어져야 할 것이다. 대부분의 지자체는 체계적인 평가시스템과 객관적인 통계 자료를 갖고 있지 못한 실정이다. 향후 가장 시급한 과제는 시장개방 이후 지난 10년간 대형유통점이 지역사회에 미친 영향에 관한 광범위한 통계자료를 수집하고 이를 체계적으로 분석하여 정책방향을 올바르게 설정하는 것이라 할 수 있다.i와 K. pneumonia

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THE EFFECT OF REPETITIVE DISTRACTION AND COMPRESSION ON NEW BONE FORMATION DURING DISTRACTION (골신장술시 반복적인 압축과 신장 방법이 골형성에 미치는 영향)

  • Yoon, Byung-Wook;Kim, Yeo-Gab;Oh, Jung-Hwan
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.30 no.5
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    • pp.407-416
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    • 2008
  • Purpose: The aim of the present study is to evaluate the effect of repetitive distraction and compression on new bone formation during distraction period. Materials and methods: Sixteen healthy rabbits, weighing about 2.5kg, were used in this experiment. A unilateral mandibular osteotomy was performed in the left mandible and the distractor(Track 1 $plus^{(R)}$, Gebruder Martin $GmbH^{(R)}$, Germany) was fixed with four screws (Cross driver screw $TI^{(R)}$, Gebruder Martin $GmbH^{(R)}$, Germany). After 4 days, the mandibles were distracted at a rate of 0.6mm/day for 10 days to obtain the amount of 6mm distraction in the control group(n=4). In the experimental group A(n=6), they were distracted at a rate of 1.2mm/day for 5 days and then compression of 0.6mm length and distraction of 0.6mm per 12 hours were carried out as counter direction for 5 days, relatively. In the experimental group B(n=6), distraction of 1.2mm length and compression of 0.6mm length per 12 hours were repeated for 10 days to obtain the amount of 6mm distraction finally. The experimental animals were sacrificed at 2 and 4 weeks after surgery and block specimens were obtained. With histologic and histomorphometric analysis, we observed the histologic changes of the cells and bone formation after H-E and Masson- Trichrome staining and then, measured Bone Deposition Rate with TOMORO $ScopeEye^{TM}$ ver. 3.5(Olympus, Japan), Results: Histologically, new bone formation was examined in all experimental groups and the control. But, the ability of bone formation of the experimental group A was somewhat better than any other groups. On the histomorphometric analysis, Bone Deposition Rate was higher in the experimental group A$(50.67{\pm}4.36%)$ than in the control group$(45.94{\pm}3.97%)$ and in the experimental group B$(42.68{\pm}5.70%)$. These data showed significant differences statistically(p<0.05). Conclusion: These results show that the distraction osteogenesis using repetitive compression and distraction force in the early consolidation period may be effective for new bone formation.

EXPRESSION OF OSTEOCALCIN AND CALLUS REACTION DURING DISTRACTION OSTEOGENESIS WITH RECOMBINANT HUMAN BONE MORPHOGENIC PROTEIN-7 INJECTION (성견의 골신장술에서 골절단술시 재조합 인간 골형성 단백질-7적용에 따른 가골반응과 Osteocalcin 발현도에 대한 연구)

  • Cho, Yeong-Cheol;Sung, Iel-Yong;Byun, June-Ho;Park, Bong-Uk;Kim, Uk-Kyu;Shin, Sang-Hun;Kim, Jong-Ryoul
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.32 no.4
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    • pp.317-326
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    • 2006
  • Purpose : The aim of this study was to evaluate the effect of recombinant human bone morphogenetic protein-7 (rhBMP-7) injected on the rate of new-bone formation for distraction osteogenesis on dogs. Materials & Methods : Twelve adult dogs were randomly selected into two groups of six dogs on each. Unilateral osteotomies were performed on the body of the mandible and an intraoral distractor was mounted to the mandible on dogs. One group was treated with injection of rhBMP-7 and the other group served as the control. RhBMP-7 was administered on the day of surgery by single injection into the medullary bone at the osteotomy gap. Distraction was performed five days after osteotomy as a rate of 0.5 mm twice per day for 10 days. The animals were then sacrificed at 2, 4, and 8 weeks after completion of the distraction. Two dogs in each group, totaling four dogs, were killed at 2 weeks, 4 weeks, and 8 weeks after completion of distraction, respectively. The lengthened mandibles were harvested and processed for radiographic and histological examinations. In addition, immunohistochemical examination using osteocalcin expression was studied. Results : Radiographs showed accelerated regenerate ossification with maturation of new bone in the rhBMP-7 group comparing with the control group at the 4 weeks of the consolidation. There was no significant difference in the radiographic findings at the 2 weeks and 8 weeks of the consolidation period. Histological findings demonstrated increased bone healing pattern in the rhBMP-7-treated group during all observation period. The expression of osteocalcin immunoreactivity was hardly detected in the normal mandible of dog, but the expression was detected in all experimental rhBMP-7 treated specimens. There were also significant increasing in number of positive immunostaining cells and staining intensity of osteocalcin expression in the rhBMP-7 treated group compared with those of the control group on 2-weeks and 4-weeks. There was a significant decreasing in staining intenstiy of all both two groups on 8 weeks of consolidation period, but significant differences of immunostaining was not seen in two groups. Conclusions : A single injection of rhBMP-7 at the time of osteotomy may stimulate the rate of regenerate ossification and increase callus maturation during distraction osteogenesis. In addition, it may shorten the distraction osteogenesis procedure and decrease the prevalence of complications associated with mandibular distraction osteogenesis.

The Influence of perceptual load on target identification and negative repetition effect in post-cueing forced choice task (순간 노출되는 표적의 식별과 부적 반복효과에 지각부하가 미치는 영향)

  • Kim, Inik;Park, ChangHo
    • Korean Journal of Cognitive Science
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    • v.33 no.1
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    • pp.1-22
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    • 2022
  • Lavie's perceptual load theory (Lavie, 1995) proposes that the influence of distractors would be blocked as the load gets higher. Studies of perceptual load have usually adopted the flanker task, developed by Eriksen and Eriksen (1974), which measures reaction time on the target flanked by distractors. In the post-cueing forced task, participants should report the identity of the target cued later, and negative repetition effect (NRE) has often been observed. NRE means the effect that the accuracy of identification is worse when the target is flanked by the same nontargets than when flanked by different nontargets. This study has tried to check whether perceptual load has an effect on identification rate and NRE. Experiment 1 manipulated the similarity between targets and a distractor, and observed a tendency of NRE, but not the effect of perceptual load. Experiment 2 used 4, 2 (in two kinds of diagonal arrangement), or none distractors of the same identity to burden more perceptual load. NRE was significant and perceptual load showed significance but not a linear trend. Experiment 3 checked again whether NRE would be varied according to two levels of perceptual load strengthened by positional variability of load stimuli, but did not find the effect of perceptual load. It is concluded that perceptual load might have a limited effect on the early stage of perceptual processing due to divided attentional processing of the targets briefly exposed. Implications of this study were discussed.