• Title/Summary/Keyword: Posterior edge

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Correction Method on Mismatched Posterior Edge of Medial and Lateral Tangential Fields for Three Fields Techniques in Breast Cancer (유방암 환자의 삼문 조사 시 내외측 접면 조사야의 Posterior Edge의 어긋남의 교정)

  • Kim Hun-Jung;Loh John JK;Kim Woo-Cheol;Park Sung-Young
    • Radiation Oncology Journal
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    • v.21 no.2
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    • pp.174-181
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    • 2003
  • Purpose: The target volume for the three field technique in breast cancer include the breast tangential and supraclavicular areas. The techniques rotating the gantry and couch angles, to match these two areas, will geometrically produce mismatching of the posterior edge between the medial and lateral tangential beams. This mismatch was confirmed by film dosimetry and three-dimensional computer planning. The correction methods of this mismatching were studied in this article. Materials and Methods: After the supraclavicular field was simulated using a half beam block and the medial and lateral tangential fields, by the rotation of the couch and gantry, we compared the following two methods to correct the mismatch. The first method was the rotation of coillmator until a line drawn on the posterior edge of tangential beams before the rotation of couch aligned the line drawn on the posterior edge after the rotation. The second method was the rotation of collimator according to the formula developed by the author as follows; Co=$2sin^{-1}${$sin\{theta}\{cdot}sin(C/2)$} (Co: collimator angle, $\theta$: angle between tangential beam and table, C: couch angle) Results: The film dosimetry showed the mismatching of posterior edges of the medial and lateral tangential fields prior to the rotation of collimator, while the posterior edges matched well after the rotation of collimator according to the formula. The three-dimensional computer plan also showed that the posterior edges matched well after the rotation of collimator accordingly. The DVH of the ipsilateral lung with the proper rotation of collimator angle was better than that without the rotation of collimator angle. Conclusion: The mismatching of the posterior edges of the medial and lateral tangential fields can be recognized on the three fileld technique in breast irradiation when the gantry and couch are simultaneously rotated and can be corrected with the proper rotation of the collimator angle. The radiation dose to the ipsilateral lung could be lowered with this technique.

The I/LWEQ Domain in RapGAP3 Required for Posterior Localization in Migrating Cells

  • Lee, Mi-Rae;Kim, Hyeseon;Jeon, Taeck J.
    • Molecules and Cells
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    • v.37 no.4
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    • pp.307-313
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    • 2014
  • Cell migration requires a defined cell polarity which is formed by diverse cytoskeletal components differentially localized to the poles of cells to extracellular signals. Rap-GAP3 transiently and rapidly translocates to the cell cortex in response to chemoattractant stimulation and localizes to the leading edge of migrating cells. Here, we examined localization of truncated RapGAP3 proteins and found that the I/LWEQ domain in the central region of RapGAP3 was sufficient for posterior localization in migrating cells, as opposed to leading-edge localization of full-length Rap-GAP3. All truncated proteins accumulated at the leading edge of migrating cells exhibited clear translocation to the cell cortex in response to stimulation, whereas proteins localized to the posterior in migrating cells displayed no translocation to the cortex. The I/LWEQ domain appears to passively accumulate at the posterior region in migrating cells due to exclusion from the extended front region in response to chemoattractant stimulation rather than actively being localized to the back of cells. Our results suggest that posterior localization of the I/LWEQ domain of RapGAP3 is likely related to F-actin, which has probably different properties compared to newly formed F-actin at the leading edge of migrating cells, at the lateral and posterior regions of the cell.

Immediate effects of mandibular posterior displacement on the pharyngeal airway space: A preliminary study

  • Choi, Yeonju;Kim, Yong-Il;Kim, Seong-Sik;Park, Soo-Byung;Son, Woo-Sung;Kim, Sung-Hun
    • The korean journal of orthodontics
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    • v.50 no.2
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    • pp.129-135
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    • 2020
  • Objective: This study aimed to evaluate the immediate effects of mandibular posterior displacement on the pharyngeal airway space (PAS) by using cephalometric evaluations and to investigate how the surrounding structures are schematically involved. Methods: In this retrospective study, 38 subjects with functional Class III malocclusion and two lateral cephalograms were selected. The first lateral cephalogram was taken with the mandible in the habitual occlusal position, and the second in anterior edge-to-edge bite. Paired t-test was used to analyze changes in the PAS, hyoid bone, tongue, and soft palate, followed by mandibular posterior displacement. Pearson's correlation analysis was used to determine the relationship between the amount of mandibular posterior displacement and other variables. Results: A statistically significant decrease was observed in the PAS following mandibular posterior displacement. Along with mandibular posterior displacement, the tongue decreased in length (p < 0.001) and increased in height (p < 0.05), while the soft palate increased in length, decreased in thickness, and was posteriorly displaced (p < 0.001). The hyoid bone was also posteriorly displaced (p < 0.05). There was no correlation between the amount of mandibular posterior displacement and the measured variables. Conclusions: The PAS showed a statistically significant decrease following mandibular posterior displacement, which was a consequence of retraction of the surrounding structures. However, there were individual variances between the amount of mandibular posterior displacement and the measured variables.

Conventional Anchorage Reinforcement vs. Orthodontic Mini-implant: Comparison of Posterior Anchorage Loss During the En Masse Retraction of the Upper Anterior Teeth

  • Baek, Seung-Hak;Kim, Young-Ho
    • Journal of Korean Dental Science
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    • v.3 no.1
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    • pp.5-10
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    • 2010
  • This study sought to compare the amounts of posterior anchorage loss during the en masse retraction of the upper anterior teeth between orthodontic mini-implant (OMI) and conventional anchorage reinforcement (CAR) such as headgear and/or transpalatal arch. The subjects were 52 adult female patients treated with sliding mechanics (MBT brackets, .022" slot, .019X.025" stainless steel wire, 3M-Unitek, Monrovia, CA, USA). They were allocated into Group 1 (N=24, Class I malocclusion (CI), upper and lower first premolar (UP1LP1) extraction, and CAR), Group 2 (N=15, Cl, UP1LP1 extraction and OMI), and Group 3 (N=13, Class II division 1 malocclusion, upper first and lower second premolar extraction, and OMI). Lateral cephalograms were taken before (T0) and after treatment (T1). A total of 11 anchorage variables were measured. Analysis of variance was used for statistical analysis. There was no significant difference in treatment duration and anchorage variables at T0 among the three groups. Groups 2 and 3 showed significantly larger retraction of the upper incisor edge (U1E-sag, 9.3mm:7.3mm, P<.05) and less posterior anchorage loss (U6M-sag, 0.7~0.9mm:2mm, P<.05; U6A-sag, 0.5mm:2mm, P<.01) than Group 1. The ratio of retraction amount of the upper incisor edge per 1 of anchorage loss in the upper molar made for the significant difference between Groups 1 and 2 (4.6mm:7.0mm, P<.05). Group 3 showed a relatively distal inclination of the upper molar (P<.05) and the intrusion of the upper incisor and first molar (U1E-ver, P<.05; U6F-ver, P<.05) compared to Groups 1 and 2. Although OMI could not shorten the treatment duration, it could provide better maximum posterior anchorage than CAR.

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A Technique for Paravertebral Anesthesia in Korean Cattle (한우(韓牛)의 척추측마취(脊椎側痲醉))

  • Nam, Tchi-Chou;Lee, Heung-Shik;Lee, In-Se
    • Korean Journal of Veterinary Research
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    • v.23 no.1
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    • pp.119-122
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    • 1983
  • Paravertebral anesthesia for operation of abdominal wall in Korean cattle were effectively accomplished with the following technique. Any problems in surgical procedure were not observed under the block of ventral branches of the last thoracic nerve and the first and second lumbar nerves with the administration of preanesthetic. The site of injection for blocking of ventral branches of the thirteenth thoracic nerve were approximately 5cm lateral to the midline from the posterior edge of spinous process of the 13th thoracic vertebra and about 10ml of local anesthetic was injected immediately anterior to the transverse process of the first lumbar vertebra through thin site. The block of ventral branches of the first and second lumbar nerves were obtained by injecting 10ml of local anesthetic immediately below the posterior edge of transverse process of the 2nd and 4th lumbar vertebra, respectively.

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A Morphological Study of Dental Arches in Korean Adults (한국인(韓國人) 성인(成人) 치열궁(齒列弓)의 형태학적(形態學的) 연구(硏究))

  • Woo, Sang-Min
    • The Journal of Korean Academy of Prosthodontics
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    • v.8 no.1
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    • pp.30-36
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    • 1968
  • The measurements on the various items, such as arch form, kinds of anterior dental arch, degree of curvature in anterior dental arches, relationship between direction of the disto-incisal edge of the canine and first premolar, and kinds of posterior dental arch in upper dental arches were studied on 311 cases of the Korean adults aged from 20 to 30years. The results were as follows. 1. The commonest type of the upper dental arches was U-type (53.7%), the remaining were O-type (25.4%) and V-type (20.0%). 2. A slight curvature type (71.87%) prevailed against angulated curvature type in upper anterior dental arches. 3. The degree of curvature from $121^{\circ}$ to $160^{\circ}$ in anterior dental arches was common, and the degree of curve of 1-type with on curvature was smaller than 4, 5 type with two curvature. 4. The direction of the disto-incisal edge of canine went between the tip of the buccal cusp and the lingual incline of the buccal cusp of the first premolar in most dental arches and went lingual incline of the buccal cusp of the first premolar in U-type, from buccal cusp to lingual cusp of the first premolar in O-type and were distributed from buccal edge to central groove of the first premolar in V-type. 5. A posterior dental arch with almost straight curvature was common in 60.87%, and 4-type with a half rounded curve from first premolar to second molar was next.

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Nerve Block for Treatment of Tienchu Syndrome and Occipital Neuralgia (천주증후군 및 후두신경통의 치료를 위한 신경차단)

  • Chang, Won-Young
    • The Korean Journal of Pain
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    • v.6 no.1
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    • pp.105-108
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    • 1993
  • A myofascial syndrome due to continuous muscle contraction with the trigger point at the upper lateral edge of the nuchal muscles where they attach to the occipital bone is frequently seen in daily pain clinic practice. The Tienchu syndrome is a myofascial condition of the posterior neck region with a trigger point at the Tienchu acupoint(B10). When advanced, occipital neuralgia and muscle contraction headache follow. Therefore, a Tienchu block and/or occipital nerve block with local anesthetic combined with a small dose of steroid is a most effective therapeutic method for many patients who complain of posterior headache or posterior neck pain.

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Nonsurgical maxillary expansion in a 60-year-old patient with gingival recession and crowding

  • Kim, Harim;Park, Sun-Hyung;Park, Jae Hyun;Lee, Kee-Joon
    • The korean journal of orthodontics
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    • v.51 no.3
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    • pp.217-227
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    • 2021
  • Maxillary transverse deficiency often manifests as a posterior crossbite or edge-to-edge bite and anterior crowding. However, arbitrary arch expansion in mature patients has been considered to be challenging due to the possible periodontal adverse effects such as alveolar bone dehiscence and gingival recession. To overcome these limitations, nonsurgical maxillary expansion of the basal bone has been demonstrated in young adults. However, the age range for successful orthopedic expansion has remained a topic of debate, possibly due to the underlying individual variations in suture maturity. This case report illustrates nonsurgical, miniscrew-assisted rapid palatal expansion (MARPE) in a 60-year-old patient with maxillary transverse deficiency accompanied by anterior and posterior crossbites, crowding, and gingival recession. The use of MARPE allowed relief of crowding and correction of the crossbite without causing significant periodontal adverse effects.

Marginal and internal fit according to the shape of the abutment of a zirconia core manufactured by computer-aided design/computer-aided manufacturing (CAD/CAM으로 제작된 지르코니아 코어의 지대치 형태에 따른 변연 및 내면 적합도에 관한 연구)

  • Kim, Ji-Su;Ryu, Jae-Kyung
    • Journal of Korean Dental Hygiene Science
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    • v.5 no.1
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    • pp.13-19
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    • 2022
  • Background: In this study, zirconia copings were fabricated by setting clinically acceptable inner values for prostheses using computer-aided design/computer-aided manufacturing (CAD/CAM). The processed copings were evaluated for the marginal and internal fit of each abutment shape with a CAD program using the silicone replica technique. Methods A total of 20 copings was produced by selecting models commonly used in clinical practice. After injecting the sample, the minimum thickness, internal adhesion interval, and distance to the margin line were set to 0.5, 0.05, and 1.00 mm using a dental CAD program, respectively. It was measured using a 2D section function in a three-way program of the silicon replication technology. Although the positions and number of measurements of the anterior and posterior regions differed, nine parts of each pre-tube were designated and measured by referring to a previous study to compare the two samples. Results As a result, the average margin of the mesial, distal, and buccal (labial) surfaces was 59.90 ㎛ in the anterior region and 60.40 ㎛ in the posterior region. The mean axial wall margin was 67.25 ㎛ in the anterior region and 69.25 ㎛ in the posterior region. In occlusion, the anterior teeth (77.70 ㎛), posterior teeth (77.60 ㎛), and both anterior and posterior regions were within the clinically acceptable range. Conclusion The edge and inner fit of zirconia coping manufactured using the CAD/CAM system showed clinically applicable results. To reduce errors and increase accuracy, materials and machine errors that affect the manufacture of prosthetics should be investigated. Based on our results, the completeness of prosthetics could increase if the inner value and characteristics of the material are adjusted when applied in clinical practice.

ACOUSTIC EMISSION ANALYSIS FOR FRACTURE CHARACTERISTICS OF DENTAL POSTERIOR COMPOSITES (구치부 수복용 복합레진의 파괴특성에 관한 Acoustic Emission 연구)

  • Park, Jin-Hoon;Kim, Kyo-Han
    • Restorative Dentistry and Endodontics
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    • v.17 no.1
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    • pp.153-165
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    • 1992
  • Dental composite resin is a kind of the particle - reinforced composite material, and is widely used in recent dental restoration of anterior and posterior tooth region. The purpose of this study was to investigate the fracture behaviour according to volume fractions and external findings of the filler particles for better interpretation of the fracture characteristics of posterior dental composite resins by analytic method of fracture mechanics. The plane strain fracture toughness($K_{IC}$) and Acoustic Emission were determined with three - point bending test using the single edge notch specimen according to the ASTM - E399, and its analyzed data was compared with filler volume fractions derived from the standard ashing test and scanning electron fractographs of each specimen including the unfilled experimental resin as a control. The results were that the value of fracture toughness of the composite resin material was in the range from 0.85 MPa$\sqrt{m}$ to 1.60 MPa$\sqrt{m}$ and was higher than the value of the unfilled experimental resin, and the fracture behaviours dervied from Acoustic Emission analysis show prominent differences according to the volume fraction and the size of filler particles used in each composite resin. The degree of resistance against crack propagation seems to be increase and the fractographs demonstrate the high degree of surface roughness and irregularity according with the increase of fracture toughness value.

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