• The Journal of Advanced Prosthodontics
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• 제5권1호
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• pp.44-50
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• 2013

PURPOSE. The aim of this study was to evaluate the effects of repeated porcelain firing process on the corrosion rates of the dental alloys. MATERIALS AND METHODS. Cr-Co, Cr-Ni and Pd-Ag alloys were used for this study. Each metal supported porcelain consisted of 30 specimens of 10 for 7, 9 and 11 firing each. Disc-shaped specimens 10 mm diameter and 3 mm thickness were formed by melting alloys with a propane-oxygen flame and casted with a centrifuge casting machine and then with the porcelain veneer fired onto the metal alloys. Corrosion tests were performed in quintuplicate for each alloy (after repeated porcelain firing) in Fusayama artificial saliva solution (pH = 5) in a low thermal-expansion borosilicate glass cell. Tamhane and Sheffe test was used to compare corrosion differences in the results after repeated firings and among 7, 9 and 11 firing for each alloy. The probability level for statistical significance was set at ${\alpha}$=0.05. RESULTS. The corrosion resistance was higher (30 mV), in case of 7 times firing (Commercial). On the other hand, it was lower in case of 11 times firing (5 mV) (P<.05). Conclusion. Repeated firings decreased corrosion resistance of Pd-Ag, Cr-Co and Cr-Ni alloys. The Pd-Ag alloy exhibited little corrosion in in vitro tests. The Cr-Ni alloy exhibited higher corrosion resistance than Cr-Co alloys in in vitro tests.

• 대한의용생체공학회:의공학회지
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• 제40권6호
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• pp.242-249
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• 2019

Forearm electromyography (EMG) generated by wrist movements has been widely used to develop an electrical prosthetic hand, but EMG generated by finger movements has been rarely used even though 20% of amputees lose fingers. The goal of this study is to improve the classification performance of different finger movements using a deep learning algorithm, and thereby contributing to the development of a high-performance finger-based prosthetic hand. Ten participants took part in this study, and they performed seven different finger movements forty times each (thumb, index, middle, ring, little, fist and rest) during which EMG was measured from the back of the right hand using four bipolar electrodes. We extracted mean absolute value (MAV), root mean square (RMS), and mean (MEAN) from the measured EMGs for each trial as features, and a 5x5-fold cross-validation was performed to estimate the classification performance of seven different finger movements. A long short-term memory (LSTM) model was used as a classifier, and linear discriminant analysis (LDA) that is a widely used classifier in previous studies was also used for comparison. The best performance of the LSTM model (sensitivity: 91.46 ± 6.72%; specificity: 91.27 ± 4.18%; accuracy: 91.26 ± 4.09%) significantly outperformed that of LDA (sensitivity: 84.55 ± 9.61%; specificity: 84.02 ± 6.00%; accuracy: 84.00 ± 5.87%). Our result demonstrates the feasibility of a deep learning algorithm (LSTM) to improve the performance of classifying different finger movements using EMG.

• The Journal of Advanced Prosthodontics
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• 제6권5호
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• pp.325-332
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• 2014

PURPOSE. The aim of this review was to analyze the evaluation criteria on mandibular implant overdentures through a systematic review and suggest standardized evaluation criteria. MATERIALS AND METHODS. A systematic literature search was conducted by PubMed search strategy and hand-searching of relevant journals from included studies considering inclusion and exclusion criteria. Randomized clinical trials (RCT) and clinical trial studies comparing attachment systems on mandibular implant overdentures until December, 2011 were selected. Twenty nine studies were finally selected and the data about evaluation methods were collected. RESULTS. Evaluation criteria could be classified into 4 groups (implant survival, peri-implant tissue evaluation, prosthetic evaluation, and patient satisfaction). Among 29 studies, 21 studies presented implant survival rate, while any studies reporting implant failure did not present cumulative implant survival rate. Seventeen studies evaluating peri-implant tissue status presented following items as evaluation criteria; marginal bone level (14), plaque Index (13), probing depth (8), bleeding index (8), attachment gingiva level (8), gingival index (6), amount of keratinized gingiva (1). Eighteen studies evaluating prosthetic maintenance and complication also presented following items as evaluation criteria; loose matrix (17), female detachment (15), denture fracture (15), denture relining (14), abutment fracture (14), abutment screw loosening (11), and occlusal adjustment (9). Atypical questionnaire (9), Visual analog scales (VAS) (4), and Oral Health Impact Profile (OHIP) (1) were used as the format of criteria to evaluate patients satisfaction in 14 studies. CONCLUSION. For evaluation of implant overdenture, it is necessary to include cumulative survival rate for implant evaluation. It is suggested that peri-implant tissue evaluation criteria include marginal bone level, plaque index, bleeding index, probing depth, and attached gingiva level. It is also suggested that prosthetic evaluation criteria include loose matrix, female detachment, denture fracture, denture relining, abutment fracture, abutment screw loosening, and occlusal adjustment. Finally standardized criteria like OHIP-EDENT or VAS are required for patient satisfaction.

• The Journal of Advanced Prosthodontics
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• 제13권4호
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• pp.205-215
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• 2021

PURPOSE. The purpose of this study was to compare the accuracy of three intraoral scanner (IOS) systems with three different dental arch widths. MATERIALS AND METHODS. Three dental models with different intermolar widths (small, medium, and large) were attached to metal bars of different lengths (30, 40, and 50 mm). The bars were measured with a coordinate measuring machine and used as references. Three IOSs were compared: TRIOS 3 (TRI), True Definition (TD), and Dental Wings (DW). The relative length and angular deviation of both ends of the metal bars from the scan data set (n = 15) were calculated and analyzed. RESULTS. Comparing among scanners in terms of trueness, the relative length deviation of DW in the small (1.28%) and medium (1.08%) arches were significantly higher than TRI (0.46% and 0.48%) and TD (0.33% and 0.18%). The angular deviation of DW in the small (1.75°) and medium (1.83°) arches were also significantly greater than TRI (0.63° and 0.40°) and TD (0.55° and 0.89°). Comparing within scanner, the large arch of DW showed better accuracy than other arch sizes (P < .05). On the other hand, the larger arch of TD presented a greater tendency of angular deviation in terms of trueness. No significant differences were found in terms of trueness between the arch widths of TRI group. CONCLUSION. The different widths of the dental arches can affect the accuracy of some intraoral scanners in full arch scan.

• 재활복지공학회논문지
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• 제5권1호
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• pp.95-101
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• 2011

본 논문에서는 의수환자의 일상생활을 고려한 1-자유도 동작을 손을 쥐고 폄으로 정의하고, 두 동작에 대한 근전도 패턴 분류를 위한 가우시안 혼합 모델 기반의 근전도 패턴 분류 알고리즘을 제안한다. 근전도 패턴 분류 알고리즘의 핵심이 되는 근전도 신호의 특징점 추출을 위하여 근전 신호의 진폭 특성을 고려하는 절대차분평균치(DAMV)와 평균절대값(MAV)을 사용한다. 또한 동작에 대한 근전 신호의 진폭 특성을 보다 명확히 구분하기 위하여 D_DAMV와 D_MAV를 제안한다. 본 논문에서는 4명의 성인남성을 대상으로 실험을 실시하였고, 두 동작에 대한 근전도 패턴의 정확한 분류 여부를 확인하였다.

• Clinics in Shoulder and Elbow
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• 제24권4호
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• pp.245-252
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• 2021

Background: In patients with total elbow arthroplasty (TEA), the soft-tissue around the elbow can be vulnerable to soft-tissue complications. This study aims to assess the outcomes after soft-tissue reconstruction following TEA. Methods: We retrospectively included nine adult patients who underwent soft-tissue reconstruction following TEA. Demographic data and disease characteristics were collected through medical chart reviews. Additionally, we contacted all four patients that were alive at the time of the study by phone to assess any current elbow complications. Local tissue rearrangement was used for soft-tissue reconstruction in six patients, and a pedicle flap was used in three patients. The median follow-up period was 1.3 years (range, 6 months-14.7 years). Results: Seven patients (78%) underwent reoperation. Four patients (44%) had a reoperation for soft-tissue complications, including dehiscence or nonhealing of infected wounds. Five patients (56%) had a reoperation for implant-related complications, including three infections and two peri-prosthetic fractures. At the final follow-ups, six patients (67%) achieved successful wound healing and two patients had continued wound healing issues, while two patients had an antibiotic spacer in situ and one patient underwent an above-the-elbow amputation. Conclusions: This study reports a complication rate of 78% for soft-tissue reconstructions after TEA. Successful soft-tissue healing was achieved in 67% of patients, but at the cost of multiple surgeries. Early definitive soft-tissue reconstruction could prove to be preferable to minor interventions such as irrigation, debridement, and local tissue advancement, or smaller soft-tissue reconstructions using local tissue rearrangement or a pedicled flap at a later stage.

• 재활복지공학회논문지
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• 제10권4호
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• pp.279-285
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• 2016

신경보철 의수를 제어하기 위해서는 말초 신경신호를 측정하고 분석함으로써 사용자의 동작의도를 인식해야 한다. 본 논문에서는 다채널 신경전극 어레이, 전극 삽입 장치, 신경신호 증폭기로 구성된 말초 신경신호 측정 시스템을 제안한다. 마취상태에서 전극 삽입 장치를 이용하여 16 채널의 신경전극 어레이를 백서의 좌골신경에 안정적으로 삽입하였다. 수동적 관절 운동을 유도하거나 기계적 피부 자극을 인가하였을 때, 신경신호 증폭기를 통해 근육 또는 피부 감각 신경신호가 측정됨을 확인하였다. 또한, 개별 신경 단위를 분리하기 위해 활동전위 분류방법을 제안한다. 근육의 내부 수용기들은 근방추와 골지건 기관 수용기로 구분되었으며, 피부의 외부 수용기들은 완만적응과 급속적응 수용기로 분리되었다. 이와 같은 실험결과는 제안한 방법이 신경보철 시스템에서 말초 신경신호의 측정과 분석에 적용될 수 있음을 보였다.

• Journal of Chest Surgery
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• 제32권11호
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• pp.1023-1030
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• 1999

This is a retrospective study of 42 pregnancies from 33 women with prosthetic heart valves who were on anticoagulation regimen prior to or during their pregnancy. Material and Method: Of the 17 women with bioprosthesis, 15 had 21 pregnancies following cessation of the anticoagulation therapy which resulted in the delivery of 20 healthy babies and 1 abortion. Remaining 2 had 3 pregnancies maintained with heparin, resulting in 2 healthy babies and 1 spontaneous abortion. Result: Among 16 women with mechanical heart valves, there were 7 pregnancies during which warfarin was used and this was associated with 4 fetal wastages(2 therapeutic abortion, 1 spontaneous abortion and 1 stillbirth with cerebral hemorrhage). However, in pregnancies where heparin was used, there was no fetal wastage. A patient who did not take anticoagulant for the first trimester and took warfarin for the remaining period and a patient who did not take anticoagulant during pregnancy delivered normal babies. There was an other fetal wastage in a patient on anti-platelet therapy for the first trimester and warfarin therapy for the remaining periods. There was 1 minor petechial complication in a heparin administered group. Conclusion: The study indicates that woman with bioprosthetic heart valves can go through pregnancy without undue risks or complications. On the other hand, the use of warfarin during pregnancy in women with mechanical heart valves, was shown to be associated with unacceptable high risk for the fetus. However, in the same group of women, judicious use of heparin during pregnancy was accompanied by a much reduced risk. The safety and adequate therapeutic range of heparin usage under such circumstances are subject to further studies.

• The Journal of Advanced Prosthodontics
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• 제4권4호
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• pp.204-209
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• 2012

PURPOSE. The aim of this systematic review is to address treatment outcomes of Mandibular implant overdentures relative to implant survival rate, maintenance and complications, and patient satisfaction. MATERIALS AND METHODS. A systematic literature search was conducted by a PubMed search strategy and hand-searching of relevant journals from included studies. Randomized Clinical Trials (RCT) and comparative clinical trial studies on mandibular implant overdentures until August, 2010 were selected. Eleven studies from 1098 studies were finally selected and data were analyzed relative to number of implants. RESULTS. Six studies presented the data of the implant survival rate which ranged from 95% to 100% for 2 and 4 implant group and from 81.8% to 96.1% for 1 and 2 implant group. One study, which statistically compared implant survival rate showed no significant differences relative to the number of implants. The most common type of prosthetic maintenance and complications were replacement or reattaching of loose clips for 2 and 4 implant group, and denture repair due to the fracture around an implant for 1 and 2 implant groups. Most studies showed no significant differences in the rate of prosthetic maintenance and complication, and patient satisfaction regardless the number of implants. CONCLUSION. The implant survival rate of mandibular overdentures is high regardless of the number of implants. Denture maintenance is likely not inflenced substantially by the number of implants and patient satisfaction is typically high again regardless os the number of implants.

• 대한의용생체공학회:의공학회지
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• 제25권6호
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• pp.471-478
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• 2004

근육의 수의 수축에 의해 발생하는 근전도 신호는 다른 생체 신호보다는 비교적 출력 특성이 뛰어나기 때문에 많은 재활 시스템에 적용되고 있다. 본 논문에서는 상지 절단 환자 혹은 경추 손상에 의한 마비 환자를 위한 근전도 기반의 휴먼-컴퓨터 인터페이스를 제안한다. 사용자는 독립적으로 수의 수축이 가능한 두 근육 부위를 각기 혹은 동시에 움직임으로써 최대 4가지의 의도를 표현할 수 있다. 근육의 수축 정도는 근전도 진폭 신호의 절대 평균값과 미리 정해둔 문턱치를 비교하여 인식한다. 그러나 사용자가 동시에 두 근육을 수축하고자 할지라도 각각의 근육 발화 시점에 따른 시간차가 발생할 수 있기 때문에, 단순한 비교 방법으로는 동시 수의 수축에 관한 사용자의 의도를 정확하게 인식하기 어렵다. 따라서 근육의 수의 수축의 인식에 필요한 문턱치를 주 문턱치와 보조 문턱치의 이중 문턱치를 갖는 인식 방법을 제안한다. 이중 문턱치 인식 방법에 의해 두 근육이 동시에 수의 수축할 때에도 정확한 인식이 가능하므로, 각기 하나의 근육 수축 상태만을 인식하는 HCI보다도 많은 수의 인터페이스 명령을 생성할 수 있다. 구현한 실시간 근전도 처리 하드웨어를 이용하여, 정상인과 전완 절단 장애자에 대한 실험으로부터 본 논문에서 제안하는 이중 문턱치를 이용한 인식방법이 관전 의수와 전동 휠체어 제어용 HCI에 적용될 수 있음을 보인다.