• Title/Summary/Keyword: Final closure

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Long-Term Follow-Up Study of Young Adults Treated for Unilateral Complete Cleft Lip, Alveolus, and Palate by a Treatment Protocol Including Two-Stage Palatoplasty: Speech Outcomes

  • Kappen, Isabelle Francisca Petronella Maria;Bittermann, Dirk;Janssen, Laura;Bittermann, Gerhard Koendert Pieter;Boonacker, Chantal;Haverkamp, Sarah;de Wilde, Hester;Van Der Heul, Marise;Specken, Tom FJMC;Koole, Ron;Kon, Moshe;Breugem, Corstiaan Cornelis;van der Molen, Aebele Barber Mink
    • Archives of Plastic Surgery
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    • v.44 no.3
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    • pp.202-209
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    • 2017
  • Background No consensus exists on the optimal treatment protocol for orofacial clefts or the optimal timing of cleft palate closure. This study investigated factors influencing speech outcomes after two-stage palate repair in adults with a non-syndromal complete unilateral cleft lip and palate (UCLP). Methods This was a retrospective analysis of adult patients with a UCLP who underwent two-stage palate closure and were treated at our tertiary cleft centre. Patients ${\geq}17$ years of age were invited for a final speech assessment. Their medical history was obtained from their medical files, and speech outcomes were assessed by a speech pathologist during the follow-up consultation. Results Forty-eight patients were included in the analysis, with a mean age of 21 years (standard deviation, 3.4 years). Their mean age at the time of hard and soft palate closure was 3 years and 8.0 months, respectively. In 40% of the patients, a pharyngoplasty was performed. On a 5-point intelligibility scale, 84.4% received a score of 1 or 2; meaning that their speech was intelligible. We observed a significant correlation between intelligibility scores and the incidence of articulation errors (P<0.001). In total, 36% showed mild to moderate hypernasality during the speech assessment, and 11%-17% of the patients exhibited increased nasalance scores, assessed through nasometry. Conclusions The present study describes long-term speech outcomes after two-stage palatoplasty with hard palate closure at a mean age of 3 years old. We observed moderate long-term intelligibility scores, a relatively high incidence of persistent hypernasality, and a high pharyngoplasty incidence.

Concrete Degradation Comparison of Computer Programs for Post-Closure Safety Assessment of Wolsong Low-and Intermediate-Level Radioactive Waste Disposal Facility (월성원자력환경관리센터 폐쇄 후 안전평가 컴퓨터프로그램의 콘크리트 열화현상에 대한 상호비교)

  • Jung, Kang-Il;Bang, Je-Heon;Park, Jin Beak;Yoon, Jeong Hyoun
    • Journal of Nuclear Fuel Cycle and Waste Technology(JNFCWT)
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    • v.11 no.4
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    • pp.311-324
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    • 2013
  • To ensure the reliability of computer programs used for the post-closure safety assessment in the Wolsong LILW Center, the results from MASCOT, SAFE-ROCK and GOLDSIM programs are compared with a problem for degradation. Advantages and disadvantages of each computer programs are individually analyzed. Effects on the individual dose are assessed with each computer programs. MASCOT and SAFE-ROCK showed similar results for $^{129}I$ and $^3H$. However, GOLDSIM represented different results for $^{129}I$ and $^3H$. It is analyzed further and compared with the fluxes in each barrier of the disposal system. Througout the benchmarking testing of the computer program, the limitation of computer program can be continuously found out for the mature post-closure safety of Korean radwaste disposal system.

The evaluation of rotational movements of maxillary posterior teeth using three dimensional images in cases of extraction of maxillary first premolar (3차원 영상을 이용한 상악 소구치 발치공간 폐쇄 후 상악 구치부 회전양상의 평가)

  • Chong, Deuck-Ryong;Jang, Yen-Ju;Chun, Youn-Sic;Jung, Sang-Hyuk;Lee, Sung-Keun
    • The korean journal of orthodontics
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    • v.35 no.6 s.113
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    • pp.451-458
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    • 2005
  • Cephalometric superimposition is unable to evaluate tooth movement along the occlusal plane and the errors of photographing and superimposition of the occlusogram is also inevitable. The purpose of the present study was to evaluate the rotational movements of the maxillary posterior teeth following space closure after extraction of maxillary first premolars. using 3D dental images. In 19 adult females. analysis of rotational movements of the maxillary posterior teeth was performed between the initial and final 3D dental images superimposed on the maxillary hard palate. The results showed a diversity of rotational movements of posterior teeth. The causes of various rotational movements may be different rotation of molars in each case at the beginning of treatment. individual characters of the dental arch and tooth morphology. The results of the study indicate that accurate evaluation of rotational movements of posterior teeth following space closure after extraction of premolars using 3D dental images can be obtained through the subdivision of tooth movement during the initial aligning, space closure and finishing stages.

Full mouth prosthodontic reconstruction on patient with occlusion collapse & decreased vertical dimension (교합 붕괴 환자의 수직고경거상을 동반한 완전 구강회복 증례)

  • Yoo, H.J.;Choi, M.H.;Kim, C.H.;Park, Y.R.;Kang, D.W.
    • Journal of Dental Rehabilitation and Applied Science
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    • v.19 no.2
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    • pp.115-124
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    • 2003
  • One of the important things in the full mouth reconstruction is the determination of therapeutic position. Centric jaw relation is used as a therapeutic position for the full mouth reconstruction. There are several techniques associated with recording this position. Five clinically acceptable techniques are as follows: 1) Swallowing or free closure, 2) Chin point guidance, 3) Bimanual method 4) Myo-monitor technique, 5) Anterior deprogrammer. Centric relation obtained utilizing the anterior acrylic resin platform in this case. Another important thing in full mouth reconstruction is provisional restoration. Provisional restorations are an excellent diagnostic instrument, especially in full remain esthetics, phonetics, function, parafunction, and dysfunction after evaluation and acceptance through clinical trial with the provisional restorations should be accurately transferred to the final restorations to ensure the same clinical success. Especially, anterior guidance should be accurately transferred to the final restorations. An accurate anterior guidance is critical for optimal esthetics, phonetics, comfort, function, stress minimization, and longevity of teeth and restorations. To record optimum anterior guidance, customized anterior guide table is used in this case. Considering previously mentioned points, we did successive treatment. And it resulted in a better situation esthetically and functionally. Followings are what we cared in treating a patient in this case. 1) Accurate centric relation recording 2) Accurate transference of anterior guidance to the final restorations.

Planning of Compliant Motions for Fixture Loading

  • Yu, Kyeonah
    • Transactions on Control, Automation and Systems Engineering
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    • v.2 no.1
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    • pp.62-68
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    • 2000
  • Fixtures are used in almost all phases of machining and assembly to position and hold a part accurately. The class of fixture which consists of 3 locators and 1 clamp(3L/1C) is known as the minimal set that can provide form closure which is a kinematic constraint condition for preventing all planar motions. This type of fixtures has advantages in terms of the number of fixture elements required, the time for clamping, and so on. However it is not widely used in industry because reliable loading scheme has not been reported. In this paper, we propose a method to load the class of 3L/1C fixtures using compliant motions. The planner is developed for synthesizing compliant motions to achieve precise final fixture configuration in the presence of sensing and control uncertainties. A novel approach to eliminate uncertainty in part orientation by adding one extra fixture element called an aligning pin is proposed.

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A Perceptual Study of the Temporal Cues of English Plosives for Leveled Groups of Korean English Learners (다양한 수준의 한국인 영어 학습자의 영어 파열음의 구간 신호 지각 연구)

  • Kang Seok-han;Park Hansang
    • MALSORI
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    • no.56
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    • pp.49-73
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    • 2005
  • This study explores the most important temporal cues in the perception of the voiced/voiceless distinction of English plosives in terms of newly defined measures of perception: original signal to response agreement, unit signal to response agreement, and robustness. Seven native speakers of English and three leveled groups of Korean English learners participated in the present study. The results showed that both native speakers of English and Korean groups failed to successfully perceive the voiced/voiceless distinction of English plosives, particularly alveolar plosives, in word-medial trochaic positions. The results also showed that in word-initial and word-medial iambic positions both native speakers of English and Korean groups employ the information in the release burst and aspiration in the perception of the voiced/voiceless distinction, of English plosives, and that in word-final positions native speakers of English employ the information in the preceding vowel, while Korean groups employ the information in the closure interval.

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The Effect of Thermomechanical Treatment on the Microstructural Changes and Fatigue Properties in 7050 Al Alloy (7050 AI 합금의 가공열처리가 미세조직변화와 피로성질에 미치는 영향)

  • Kim, M.H.;Kwun, S.I.
    • Journal of the Korean Society for Heat Treatment
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    • v.4 no.4
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    • pp.24-33
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    • 1991
  • The effects of thermomechanical treatments on microstructure and fatigue properties of 7050 Al alloy were investigated. The precipitation kinetics changed to a faster rate due to cold deformation employed in this special TAHA thermomechanical treatments including pre-aging, plastic deformation and two step final-aging. The G.P. zones in the under-aged condition were cut by dislocations and dissolved during the plastic deformation. During the low cycle fatigue, the T6' condition showed cyclic hardening behavior whereas the TMT5, TMT27 and T76 conditions showed cyclic softening at above 0.7% total strain amplitudes. The ${\Delta}K_{th}$ value of TMT27 was improved more than two times, compared with that of T76 condition. The T6' with small shearable precipitates resulted in the markedly high ${\Delta}K_{th}$ value. This is thought to be resulted from dislocation reversibility and roughness-induced crack closure due to planarity of slip.

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Automatic Quadrilateral Mesh Generation Using Updated Paving Technique in Various Two Dimensional Objects (다양한 2차원 영역에서의 향상된 Paving법을 이용한 자동 사각 요소 생성)

  • Yang, Hyun-Ik;Kim, Myung-Han
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.27 no.10
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    • pp.1762-1771
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    • 2003
  • In part of mechanical design analysis, quadrilateral mesh is usually used because it provides less approximate errors than triangular mesh. Over the decades, Paving method has been considered as the most robust method among existing automatic quadrilateral element mesh generation methods. However, it also has some problems such as unpredictable node projection and relatively large element generation. In this study, the aforementioned problems are corrected by updating the Paving method. In so doing, a part of node projection process is modified by classifying nodes based on the interior angles. The closure check process is also modified by adding more nodes while generating elements. The result shows well shaped element distribution in the final mesh without any aforementioned problems.

Landfill of Hazardous Wastes in Korea (국내 특정폐기물의 매립현황)

  • Lee, Dong-Soo
    • Applied Chemistry for Engineering
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    • v.3 no.2
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    • pp.213-223
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    • 1992
  • Although landfill has been heavily relied upon as a final hazardous waste disposal method in Korea, the legal and technical problems associated with the landfill severely hinder proper disposal of hazardous wastes. The single largest legal problem is simply that, in spite of the recent amendments, the law regulating the hazardous waste landfill is yet in its primitive stage that even the lawful landfill sites cannot be regarded safe. The technical problems include improper selection of landfill sites, poor design and construction of landfill facilities, and lack of QA/AC and post-closure cares. These technical problems stem from inexperience and lack of resources. For the reduction of the potential danger from the improper landfills of hazardous wastes, it is an immediate need to further refine the law and to resolve the technical problems.

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On the Voiced-Voiceless Distinction in Stops of English

  • Kim, Dae-Won
    • Korean Journal of English Language and Linguistics
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    • v.2 no.1
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    • pp.23-30
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    • 2002
  • Phonologically, the difference between the English stops /b, d, g/ and /p, t, k/ is carried by the presence or the absence of the vocal fold vibration throughout their oral closure phase. If phonology has its foundation in phonetics, there must be phonetic evidence for the voiced-voiceless distinction. This study is aimed to determine whether or not the voiced-voiceless distinction is acceptable or proper in English. The determination was based mainly on findings in the existing literature and in informal experiments. In conclusion, there is no phonetic evidence for the voiced-voiceless distinction both in production and perception. The [voice] appears to be one of potential phonetic correlates of the phonologically voiced stop. It is improper to use the [voice] as independent phonological marker, regardless of position (word-initial, intervocalic, word-final). A feature other than the voiced-voiceless feature must distinguish /b, d, g/ from /p, t, k/.

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