• Journal of Oral Medicine and Pain
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• v.18 no.2
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• pp.71-79
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• 1993

Many types of occlusal splints are used for treatment of craniomandibular disorders. Most widely used splint among them is flat-type centric relation splint. Insertion of splint into the mouth may cause increasing of vertical dimension, masticatory muscle realignment and rearrangement of maxillo-mandibular relationship, so as a result of splint treatment, occlusal relation may vary whether you like it or not. From this point of view, occlusal state of patient shold be frequently monitored to prevent undesired or harmful effect during occlusal splint therapy. The purpose of this study was to investigate the effect of occlusal splint, especially centric relation splint, on the occlusal contact state after 3 months treatment. 32 patients with craniomandibular disorders who had unilateral symptoms participated in this study. To observe and record occlusal contact state, the author used T-Scan system (Tekscan Co. U.S.A.) at both pretreatment and posttreatment. The recorded date were analyzed with regard to contact number, contact force and contact time, change of anterior tooth contact and coincidence of first contact point with affected side were observed, too. Aan last, the subjects were divided into 2 groups and compared, according to average value of VAS index, with respect to joint pain, sound and limitation of movement, respectively. The collected date were statistically processed with SPSS and the result as follows : 1. Total occlusal contact number and force were not changed by occlusal splint therapy but total occlusal contact time decreased slightly. 2. There was a tendency of increasing number of subjects with anterior tooth contact after treatment and change of first contact point side were observed in as many as 40.6% of subjects. 3. There were no difference between higher and lower group of VAS index, and between pretreatment and posttreatment in each group, either.

• Journal of Korean Neurosurgical Society
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• v.61 no.2
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• pp.277-281
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• 2018

Objective : Craniovertebral junctional anomalies constitute a technical challenge. Surgical opening of atlantoaxial joint region is a complex procedure especially in patients with nuchal deformity like basilar invagination. This region has actually very complicated anatomical and functional characteristics, including multiple joints providing extension, flexion, and wide rotation. In fact, it is also a bottleneck region where bones, neural structures, and blood vessels are located. Stabilization surgery regarding this region should consider the fact that the area exposes excessive and life-long stress due to complex movements and human posture. Therefore, all options should be considered for surgical stabilization, and they could be interchanged during the surgery, if required. Methods : A 53-year-old male patient applied to outpatients' clinic with complaints of head and neck pain persisting for a long time. Physical examination was normal except increased deep tendon reflexes. The patient was on long-term corticosteroid due to an allergic disease. Magnetic resonance imaging and computed tomography findings indicated basilar invagination and atlantoaxial dislocation.The patient underwent C0-C3-C4 (lateral mass) and additional C0-C2 (translaminar) stabilization surgery. Results : In routine practice, the sites where rods are bound to occipital plates were placed as paramedian. Instead, we inserted lateral mass screw to the sites where occipital screws were inserted on the occipital plate, thereby creating a site where extra rod could be bound.When C2 translaminar screw is inserted, screw caps remain on the median plane, which makes them difficult to bind to contralateral system. These bind directly to occipital plate without any connection from this region to the contralateral system.Advantages of this technique include easy insertion of C2 translaminar screws, presence of increased screw sizes, and exclusion of pullout forces onto the screw from neck movements. Another advantage of the technique is the median placement of the rod; i.e., thick part of the occipital bone is in alignment with axial loading. Conclusion : We believe that this technique, which could be easily performed as adjuvant to classical stabilization surgery with no need for special screw and rod, may improve distraction force in patients with low bone density.

• The korean journal of orthodontics
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• v.46 no.4
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• pp.242-252
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• 2016

Objective: Orthodontic mini-implants (OMI) generate various horizontal and vertical force vectors and moments according to their insertion positions. This study aimed to help select ideal biomechanics during maxillary incisor retraction by varying the length in the anterior retraction hook (ARH) and OMI position. Methods: Two extraction models were constructed to analyze the three-dimentional finite element: a first premolar extraction model (Model 1, M1) and a residual 1-mm space post-extraction model (Model 2, M2). The OMI position was set at a height of 8 mm from the arch wire between the second maxillary premolar and the first molar (low OMI traction) or at a 12-mm height in the mesial second maxillary premolar (high OMI traction). Retraction force vectors of 200 g from the ARH (-1, +1, +3, and +6 mm) at low or high OMI traction were resolved into X-, Y-, and Z-axis components. Results: In M1 (low and high OMI traction) and M2 (low OMI traction), the maxillary incisor tip was extruded, but the apex was intruded, and the occlusal plane was rotated clockwise. Significant intrusion and counter-clockwise rotation in the occlusal plane were observed under high OMI traction and -1 mm ARH in M2. Conclusions: This study observed orthodontic tooth movement according to the OMI position and ARH height, and M2 under high OMI traction with short ARH showed retraction with maxillary incisor intrusion.

• The korean journal of orthodontics
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• v.13 no.2
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• pp.147-154
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• 1983

This experiment was performed to study the effect of $PGE_2$ on the bone resorption at the tooth movement by orthodontic force. The experimental animals were the Sprague-Dawley strain rats. The orthodontic force was applied by the insertion of separating clamp made of 0.014' (0.356mm) wire to the interproximal site between the 2nd and the 3rd upper right molars. In experiment I, $0.2{\mu}g,\;0.4{\mu}g,\;0.8{\mu}g,\;and\;1.0{\mu}g\;PGE_2$ were locally injected at the submucosa near the 2nd molar of the maxilla each. The effect was detected by the count of the number of osteoclasts appeared at the compressed surface of interradicular bone. In experiment II, 1.0 mg/kg indomethacin (a specificc inhibitor of prostaglandin synthetas.) was subcutaneously injected. The effect was examined by the count of the number of cateoclasts appeared at the compressed surface of interradicular bone. The obtained results were follows; 1. The number of osteoclasts on the compressed surface of the interradicular bone increased in proportion to the increased dosage of $PGE_2$ administered. The number of osteoclasts increased significantly at the administration of $0.8{\mu}g\;and\;1.0{\mu}g\;PGE_2$ in contrast to the control (P<0.05). 2. The administration of 1.0 mg/kg indomethacin decreased the number of osteoclasts at the compressed bony surface significantly (P<0.01).

• Earthquakes and Structures
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• v.12 no.1
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• pp.135-144
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• 2017

Near-fault ground motions are characterized by high values of the ratio between the peak of vertical and horizontal ground accelerations, which can significantly affect the nonlinear response of a base-isolated structure. To check the effectiveness of different base-isolation systems for retrofitting a r.c. framed structure located in a near-fault area, a numerical investigation is carried out analyzing the nonlinear dynamic response of the fixed-base and isolated structures. For this purpose, a six-storey r.c. framed building is supposed to be retrofitted by insertion of an isolation system at the base for attaining performance levels imposed by current Italian code in a high-risk seismic zone. In particular, elastomeric (e.g., high-damping-laminated-rubber bearings, HDLRBs) and friction (e.g., steel-PTFE sliding bearings, SBs, or friction pendulum bearings, FPBs) isolators are considered, with reference to three cases of base isolation: HDLRBs acting alone (i.e., EBI structures); in-parallel combination of HDLRBs and SBs (i.e., EFBI structures); FPBs acting alone (i.e., FPBI structures). Different values of the stiffness ratio, defined as the ratio between the vertical and horizontal stiffnesses of the HDLRBs, sliding ratio, defined as the global sliding force divided by the maximum sliding force of the SBs, and in-plan distribution of friction coefficient for the FPs are investigated. The EBI, EFBI and FPBI base-isolation systems are designed assuming the same values of the fundamental vibration period and equivalent viscous damping ratio. The nonlinear dynamic analysis is carried out with reference to near-fault earthquakes, selected and scaled on the design hypotheses adopted for the test structures.

• International Journal of Concrete Structures and Materials
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• v.9 no.3
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• pp.369-379
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• 2015

Friction in a post-tensioning system has a significant effect on the distribution of the prestressing force of tendons in prestressed concrete structures. However, attempts to derive friction coefficients using conventional electrical resistance strain gauges do not usually lead to reliable results, mainly due to the damage of sensors and lead wires during the insertion of strands into the sheath and during tensioning. In order to overcome these drawbacks of the existing measurement system, the Smart Strand was developed in this study to accurately measure the strain and prestressing force along the strand. In the Smart Strand, the core wire of a 7-wire strand is replaced with carbon fiber reinforced polymer in which the fiber Bragg grating sensors are embedded. As one of the applications of the Smart Strand, friction coefficients were evaluated using a full-scale test of a 20 m long beam. The test variables were the curvature, diameter, and filling ratio of the sheath. The analysis results showed the average wobble and curvature friction coefficients of 0.0038/m and 0.21/radian, respectively, which correspond to the middle of the range specified in ACI 318-08 in the U.S. and Structural Concrete Design Code in Korea. Also, the accuracy of the coefficients was improved by reducing the effective range specified in these codes by 27-34 %. This study shows the wide range of applicability of the developed Smart Strand system.

• Journal of Biomedical Engineering Research
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• v.25 no.3
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• pp.207-215
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• 2004

A finite element analysis is used in this study to model 6 kinds of electrode by a genetic program in order to evaluate the mechanical effect on the 3D human cochlea model and the behavior of electrode. Human cochlea is modeled by the spiral-approximation method and the shape of scala tympani is extracted from the mid section of the human cochlea. Contact pressure at the tip and the insertion force are found to be highest when the wires stack horizontally. Axial rotation of electrode is minimal comparing with the stimulating current spread. The results indicate that the electrode stiffness is important to minimize the trauma.

• Journal of the Ergonomics Society of Korea
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• v.24 no.4
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• pp.15-21
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• 2005

Use of a glove made of materials with a low elasticity decreases the performance of the hand such as agility, dexterity, range of motion, and grip strength. The present study examined if the adverse effects of a low-elastic glove can be reduced by a design which accommodates the changes of hand surface lengths by hand motion. Two glove designs which provide patches of elastic cloth and pleats at the finger joints and knuckle were developed by considering the hand surface length changes, and then compared with two conditions(bare hand and conventional glove design that does not consider the dynamic characteristics of the hand dimensions) in terms of completion time in peg board insertion task, maximum grip strength, discomfort in hand motion, discomfort in force exertion, and overall discomfort by 24 right-handed participants. The test results confirmed that wearing of a glove significantly reduced the agility and grip strength capability of the hand and indicated that the novel designs were effective to lessen the performance decreases compared to the conventional design. Also, of the glove designs, the pleat glove design was found most preferred for both better hand performance and less subjective discomfort.

• The korean journal of orthodontics
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• v.42 no.3
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• pp.118-128
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• 2012

Objective: The aim of this study was to investigate and compare the in vivo effects of prostaglandin E2 (PGE2) administered by different methods on orthodontic tooth movement and bone metabolism macroscopically, histopatologically, and biochemically. Methods: Forty-five young adult New Zealand rabbits were randomly divided into 3 experimental groups (n = 10/group), 1 positive control group (n = 10), and 1 negative control group (n = 5). The experimental rabbits were fitted with springs exerting 20-g reciprocal force on the maxillary incisors and PGE2 (10 ${\mu}g/mL$) was administered by the intravenous, submucosal, or intra ligamentous route aft er appliance insertion and on days 1, 3, 7, and 14 thereafter. All rabbits were sacrificed on day 21 and their premaxillae were resected for histologic evaluation. Results: Tooth movement was observed in the experimental and positive control groups, but the intraligamentous PGE2 group had the highest values of all analyzed parameters, including serum calcium and phosphorus levels and osteoclastic and osteoblastic populations (p < 0.001). Conclusions: Sub mucosal and intraligamentous PGE2 administration significantly increases orthodontic tooth movement and bone metabolism, but the intraligamentous route seems to be more effective.

• Earthquakes and Structures
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• v.14 no.3
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• pp.241-248
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• 2018

To study the mechanical properties of joints in ancient timber buildings in depth, the force mechanism of the through-tenon joints was analyzed, also the theoretical formulas of the moment-rotation angles of the joints with different loosening degrees were deduced. To validate the rationality of the theoretical calculation formulas, six joint models with 1/3.2 scale ratio, including one intact joint and five loosening joints, were fabricated and tested under cyclic loading. The specimens underwent the elastic stage, the plastic stage and the destructive stage, respectively. At the same time, the moment-rotation backbone curves of the tenon joints with different looseness were obtained, and the theoretical calculation results were validated when compared with the experimental results. The results show that the rotational moment and the initial rotational stiffness of the tenon joints increase gradually with the increase of the friction coefficient. The increase of the tenon section height can effectively improve the bearing capacity of the through-tenon joints. As the friction coefficient of the wood and the insertion length of the tension increase, the embedment length goes up, whereas it decreases with the increase of section height. With the increase of the looseness, the bearing capacity of the joint is reduced gradually.