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REPAIR OF THE PERFORATED SINUS MEMBRANE WITH A MICRO-SUTURE TECHNIQUE : REPORT OF CASES (상악동점막 천공의 미세봉합술을 이용한 처치)

  • Im, Dae-Ho;Jang, So-Jeong;Kim, Kyoung-A;Baek, Jin-A;Ko, Seong-O;Shin, Hyo-Keun
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.29 no.3
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    • pp.241-249
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    • 2007
  • An augmentation of the maxillary sinus floor facilitates placement of dental implants in the posterior atrophic maxilla. However, a maxillary sinus augmentation has potential complications that can lead to early failure and loss of the bone graft. One specific complication is sinus membrane perforation. Especially, large perforations may cause loss of the graft materials into the sinus and infection, so, early failure of the sinus lift. Attempts at managing sinus membrane perforations are difficult because of the limited access to them and friability of the thin Schneiderian membrane. Repair of sinus membrane perforations intraoperatively may be performed using a variety of techniques and materials, including sutures, collagen membranes, fibrin glue. Inspite of various repair technique, as has been reported extensively in the literature, large perforations represent an absolute contraindication to the continuation of surgery. But, we obtained clinically favorable results in cases that show repair of the perforated sinus membrane with a micro-suture technique by 4X Loupe ($Surgitel^{(R)}$ Loupe, General Scientific Corporation) in large perforation. The objective of this presentation is to report of several cases of repair of the perforated sinus membrane with micro-suture technique using 7.0 or 8.0 suture materials, to make a brief review of the literature about various technique managing perforated sinus membrane.

The analysis of college entrance tendency in applicants to dental hygiene department (일개 대학 치위생학과 지원자의 입시지원 경향분석)

  • Hwang, Soo-Jeong;Koong, Hwa-Soo;Kang, Kyung-Hee;Oh, Sang-Hwan
    • Journal of Korean society of Dental Hygiene
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    • v.14 no.1
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    • pp.9-15
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    • 2014
  • Objectives : The purpose of the study was to investigate the influencing factors of major and university choice in the changing environments that kick out the insincere universities keeping pace with the national policy. Methods : A self-reported questionnaire was completed by 177 subjects after receiving informed consents. The questionnaire consisted of general characteristics, influencing factors on university and department choice including multiple application. Chi-square test was used for analysis of the difference between early and regular admission. Results : Employment was the most important reason for choice of dental hygiene department that accounted for 96%. The access route for university information was college homepage for entrance information that accounted for 72.3% and 76.3% of applicants were advised by their parents for their choice for university. The information was mainly composed of school life(92.1%) and employment (81.9%). The applicants wanted to meet the students(58.8%) and to come in contact with the university homepage(57.1%). Early and regular applicants differed in reasons for college entrance(p=0.032), information delivery for major(p=0.013) and multiple application for entrance(p<0.01). Conclusions : University homepage and communication with the students will give much information to the applicants. So the university had better choose the homepage and communication for marketing strategy.

Adjusting the Retry Limit for Congestion Control in an Overlapping Private BSS Environment

  • Park, Chang Yun
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • v.8 no.6
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    • pp.1881-1900
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    • 2014
  • Since 802.11 wireless LANs are so widely used, it has become common for numerous access points (APs) to overlap in a region, where most of those APs are managed individually without any coordinated control. This pattern of wireless LAN usage is called the private OBSS (Overlapping Basic Service Set) environment in this paper. Due to frame collisions across BSSs, each BSS in the private OBSS environment suffers severe performance degradation. This study approaches the problem from the perspective of congestion control rather than noise or collision resolution. The retry limit, one of the 802.11 attributes, could be used for traffic control in conjunction with TCP. Reducing the retry limit causes early discard of a frame, and it has a similar effect of random early drops at a router, well known in the research area of congestion control. It makes the shared link less crowded with frames, and then the benefit of fewer collisions surpasses the penalty of less strict error recovery. As a result, the network-wide performance improves and so does the performance of each BSS eventually. Reducing the retry limit also has positive effects of merging TCP ACKs and reducing HOL-like blocking time at the AP. Extensive experiments have validated the idea that in the OBSS environment, reducing the retry limit provides better performance, which is contrary to the common wisdom. Since our strategy is basically to sacrifice error recovery for congestion control, it could yield side-effects in an environment where the cost of error recovery is high. Therefore, to be useful in general network and traffic environments, adaptability is required. To prove the feasibility of the adaptive scheme, a simple method to dynamically adjust the value of the retry limit has been proposed. Experiments have shown that this approach could provide comparable performance in unfriendly environments.

A Study on the Common Space Characteristics of Early Housing by Hayakawa Kunihiko - Focusing on Labyrinth housing in Tokyo - (하야카와 쿠니히코 초기 공동주택의 공용공간 특성에 관한 연구 - 도쿄 라비린스(ラビリンス)를 중심으로 -)

  • Ki, Yu-Mi;Jun, Byung-Kweon;Kim, Kyoung-Yon
    • Journal of the Architectural Institute of Korea Planning & Design
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    • v.35 no.1
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    • pp.55-62
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    • 2019
  • Hayakawa Kunihiko introduced community space as an open space in Housing in Japan for the first time. We can find the continuity of his architectural intent from his three works (Atrium, Steps, Labyrinth) during the early period of his Housing buildings, In particular, from Labyrinth, his intent was expanded to cities through 'Urban Void', seeking communication and harmony. Accordingly, based on the architectural overview and a field survey of Labyrinth, an analysis was conducted using Space Syntax to investigate whether the space of an inner courtyard is being used as a community space for neighbors who pass through the courtyard and whether the courtyard plays the role of 'Urban Void' as intended by the architect. For this investigation, according to VGA, the courtyard showed the role of great visual connectivity and integration and facilitated connections to the center of the entire space. On the other hand, according to J-Graph, the access stairway connected to each household from the courtyard helped secure privacy in the midst of common space. Step Depth noted that a hierarchy of space was formed to ensure visual privacy within each unit household in addition to privacy for each household.

The study of development on CFT(Cognitive Function Test) in mild cognitive impairment (경도인지장애 대상자의 인지기능평가도구(CFT) 개발 연구)

  • Lee, Seon-Myeong;Ju, Eun-U;Song, Jin-Seok;Park, Sin-Jun;Kim, Heon-Mo;Jeong, Eun-Seung;Im, Chae-Ho;Son, Seong-Min;Ha, Hye-Jeong
    • Journal of Korean Clinical Health Science
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    • v.8 no.2
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    • pp.1426-1435
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    • 2020
  • Objective: This study aims to develop CFT, a screening test for dementia that can be conducted on patients with mild cognitive impairment or early dementia. Methods: This study was conducted on therapists working at occupational therapy hospital in Gyeongsangnam-do. The data collection period is two months from July to September 2020, and the research participants were briefed on the purpose, significance, and anonymity of the research in consideration of ethical issues. A total of 33 copies of the data were finally analyzed, excluding those containing insufficient answers and errors, by distributing 40 copies of the data. SPSS Data Access pack 8.0 was used for data analysis, Cronbach's α value was evaluated for internal consistency reliability of each item, and Pearson Correlation coeffient between the lower scales of the assessment tool was measured. Results: The Cronbach's α value of the CFT was shown as .892 and the reliability of the assessment paper was shown to be quite high. The Cronbach's α value for each item in the cognitive assessment tool was the highest at .899 in the subtraction item, with exercise control (mook Chi Pa) at 888, visual memory, plus .887. The correlation of each item of cognitive assessment tools was found to be most correlated with the number of sustained concentrates and word2 to .934; in the stop word-numeric item and visual memory to be .85; and in the addition to the auditory memory item .739. Conclusion: Therefore, this study developed cognitive evaluation tools that can distinguish the diversity and cognitive level of screening tests and clarify standards, which are different from the existing dementia screening tools in Korea. Furthermore, the cognitive assessment tools of this study can be verified by applying them to patients with mild cognitive impairment and early dementia, and the criteria for generalization can be established.

Current Status of Augmented Reality Picture Books and Preschooler's Immersion (증강현실 그림책 현황과 유아의 몰입도)

  • Han, You Me;Won, Soon Ok
    • Journal of Information Technology Applications and Management
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    • v.29 no.1
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    • pp.47-57
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    • 2022
  • The purpose of this study is to analyze the current status of augmented reality picture books, which have been steadily developed since 2010, as a genre of electronic picture books, and to reveal how children's immersion in augmented reality picture books differs from paper picture books. To this end, 30 augmented reality picture books on the market were analyzed according to genre, life theme, implementation method, and augmented reality scene ratio. As a result of the study, it was found that the genre of picture books was in the order of information fairy tales, daily fairy tales, and historical fairy tales, and there were no traditional or fantasy fairy tales. Animals and plants accounted for about half of the life topics, and in some cases, there were only a few or no other life topics. In the augmented reality implementation scene, it consisted of only one page in the early days, but all pages are now possible to implement augmented reality due to technology development, production cost reduction, and improved hardware performance of smartphones. It was found that the augmented reality implementation method used CD-ROM in the early days, but gradually became possible to implement using only mobile phones and tablets that were easy for readers to access. In addition, after presenting four picture books to eight 5-year-old infants, the immersion time was measured and the immersion behavior was observed. As a result, augmented reality picture books showed higher immersion[immersion time, immersion behavior] than paper picture books, but compared by literature genre, life fairy tales were higher in paper picture books and natural fairy tales in augmented reality picture books. It was higher when presenting augmented reality picture books after presenting paper picture books according to the order of presentation of picture book types. The results of this study suggest that more diverse life topics and augmented reality picture books in the genre of children's literature should be developed to increase the utilization of augmented reality picture books. In addition, considering that there are differences in immersion between types, literary genres, and reading experience [presentation order], it is expected to increase the educational effect by using picture books complementarily.

Imaginative Implication of John Burningham Picturebooks 『Come Away from The Water, Shirley』 and 『Time to Get Out of The Bath, Shirley』 : An Interpretation using Bakhtin's Conception of Carnival (존 버닝햄 그림책 『셜리야, 물가에 가지 마!』, 『셜리야, 목욕은 이제 그만!』 의 상상적 함의: Bakhtin의 카니발 개념을 이용한 해석)

  • Yoo Jung Jung
    • The Journal of the Convergence on Culture Technology
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    • v.9 no.6
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    • pp.551-556
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    • 2023
  • In this study, John Burningham's picturebooks(『Come Away from The Water, Shirley』, 『Time to Get Out of The Bath, Shirley』) was analyzed using the concept of carnival among Bakhtin's conversationalism theory. In John Burningham's picturebooks, the unconscious desire for the deviation of the main character, Shirley, is transformed into an adventure in an extraordinary imaginary world, and is depicted as a festival with laughter. Through picturebooks, children are satisfied by indirectly experiencing the forbidden behavior in reality by converting it into an event in the imaginary world. This indirect experience is very important for children to naturally resolve their dissatisfaction in reality and to develop their own original inner development. This study also suggests that providing an environment where children can easily access various picturebooks at home or early childhood education institutions plays a very important role in their growth.

Efficacy of Combining Proximal Balloon Guiding Catheter and Distal Access Catheter in Thrombectomy with Stent Retriever for Anterior Circulation Ischemic Stroke

  • Kim, Sang Hwa;Choi, Jae Hyung;Kang, Myung Jin;Cha, Jae Kwan;Kim, Dae Hyun;Nah, Hyun Wook;Park, Hyun Seok;Kim, Sang Hyun;Huh, Jae Taeck
    • Journal of Korean Neurosurgical Society
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    • v.62 no.4
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    • pp.405-413
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    • 2019
  • Objective : We evaluated efficacy of combining proximal balloon guiding catheter (antegrade flow arrest) and distal access catheter (aspiration at the site of occlusion) in thrombectomy for anterior circulation ischemic stroke. Methods : We retrospectively analyzed 116 patients who underwent mechanical thrombectomy with stent retriever. The patients were divided by the techniques adopted, the combined technique (proximal balloon guiding catheter and large bore distal access catheter) group (n=57, 49.1%) and the conventional (guiding catheter with stent retriever) technique group (n=59, 50.9%). We evaluated baseline characteristics (epidemiologic data, clinical and imaging characteristics) and procedure details (the number of retrieval attempts, procedure time), as well as angiographic (thrombolysis in cerebral infarction (TICI) score, distal thrombus migration) and clinical outcome (National Institutes of Health Stroke Scale at discharge, modified Rankin Scale [mRS] at 3 months) of them. Results : The number of retrieval attempts was lower (p=0.002) and the first-pass successful reperfusion rate was higher (56.1% vs. 28.8%; p=0.003) in the combined technique group. And the rate of final result of TICI score 3 was higher (68.4% vs. 28.8%; p<0.01) and distal thrombus migration rate was also lower (15.8% vs. 40.7%; p=0.021) in the combined technique group. Early strong neurologic improvement (improvement of National Institutes of Health Stroke Scale ${\geq}11$ or National Institutes of Health Stroke Scale ${\leq}1$ at discharge) rate (57.9% vs. 36.2%; p=0.02) and favorable clinical outcome (mRS at 3 months ${\leq}2$) rate (59.6% vs. 33.9%; p=0.005) were also better in the combined technique group. Conclusion : The combined technique needs lesser attempts, decreases distal migration, increases TICI 3 reperfusion and achieves better clinical outcomes.

A Study on the Charge of Using the Internet Network - Focusing on U.S. Internet History and Charter Merger Approval Conditions Litigation - (인터넷 망 이용의 유상성에 대한 고찰 - 미국 인터넷 역사 및 Charter 합병승인조건 소송 중심으로 -)

  • Cho, Dae-Keun
    • Journal of Internet Computing and Services
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    • v.22 no.4
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    • pp.123-134
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    • 2021
  • This paper suggests that the Internet is not free through analysis of U.S. Internet history and lawsuits related to the Charter merger in 2016. Generally speaking, the players in internet connectivity market agree to Non-Disclosure Agreement, when connecting their facilities and networks each other. So, I adopted the case study & analysis as research methodologies due to limitation of collecting the transaction data between them. The former finds that Internet access has never been free in U.S Internet history. As we know, some including Content Providers(CPs) argue that the Internet is a free network and there are many cases to use the internet for free, so they came to conclusion that ISPs have no right to charge the users like CPs. This study refutes these arguments in two ways. One is that using the internet has never been free. From ARPANET, known as the beginning of the U.S. Internet, to the commercialization of backbone, no Internet has been considered or implemented for free since the early Internet network was devised. Also, the U.S government was paying subsidies or institutions were paying fees to secure network operations for the NSFNET backbone. the other is that "free peering" refers to barter transactions between ISPs, not to free access to counterpart internet networks. Second, this study analyze the FCC' executive order of conditioned merger approval and the court's related ruling and verify that using the internet is not free. According to the analysis, this study finds that it's real situation to make paid settlements between ISP-CPs (including OTTs) in the US Internet market at the moment. This study concludes that the Internet has never been free in terms of its technical characteristics, network structure, network operation, and system. Also it proposes how to improve the domestic settlement system between ISPs-CPs in terms of policy and regulation.

Aspiration-Retriever Technique for Stroke with Large Bore Intermediate Catheter : A Single Center Experience

  • Nam, Ji Won;Jung, Na Young;Park, Eun Suk;Kwon, Soon Chan
    • Journal of Korean Neurosurgical Society
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    • v.64 no.5
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    • pp.732-739
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    • 2021
  • Objective : Early successful reperfusion is associated with favorable outcomes in acute ischemic stroke (AIS). The purpose of this study was to achieve successful recanalization by a combined mechanical thrombectomy technique, the Aspiration-Retriever Technique for Stroke (ARTS), which is composed of a flexible large lumen distal access catheter and a retrievable stent as the first-line strategy of mechanical thrombectomy. Methods : We retrospectively reviewed 62 patients with AIS who underwent mechanical thrombectomy from 2018 to 2019 at our institute by a senior neurointerventionalist. Among them, patients who were treated using the ARTS technique with the soft torqueable catheter optimized for intracranial access (SOFIA®; MicroVention-Terumo, Tustin, CA, USA) as the first-line treatment were included. Patients who had tandem occlusions or underlying intracranial artery stenosis were excluded. The angiographic and clinical outcomes were evaluated. The angiographic outcome was analyzed by the rate of successful recanalization, defined as a Thrombolysis in Cerebral Infarction score of 2b or 3 at the end of all procedures and the rate of successfully achieving the first pass effect (FPE), defined as complete recanalization with a single pass of the device. The clinical outcomes included the National Institutes of Health Stroke Scale (NIHSS) score, modified Rankin Scale (mRS), and mortality. Results : A total of 27 patients (mean age, 59.3 years) fulfilled the inclusion criteria. The successful recanalization rate was 96% (n=26) while the FPE rate was 41% (n=11). The mean post-procedural NIHSS change was -3.0. Thirteen patients (48%) showed good clinical outcomes after thrombectomy with the ARTS technique (mRS at 90 days ≤2). Postoperative complications occurred in seven of 25 patients : hemorrhagic transformation in six patients (22%) and distal embolization in one patient (4%). Mortality was 15% (n=4). Conclusion : Although the clinical outcomes using the ARTS technique with a flexible large lumen distal access catheter performed as the frontline thrombectomy in patients with AIS were not significantly superior than those of other studies, this study showed a high rate of successful endovascular recanalization which was comparable to that of other studies. Therefore, ARTS using the SOFIA® catheter can be considered as the first choice of treatment for AIS due to large vessel occlusion.