This study is to investigate the relationship between the subjective mastication level of the elderly wearing denture and their satisfaction with dentures. The data was analyzed on 212 denture-wearing elderly people over the age of 65 living in Daejeon, Nonsan, Gongju, and Cheonan from November 22, 2019 to January 21, 2020. As a result of the survey, the higher the subjective mastication level, the more regular dental visits related to dentures showed that the denture satisfaction increases, as the dentures wearing period increases showed that the decrease in denture satisfaction. Based on the above results, it is required to prepare a denture follow-up management program and a denture repair cost support policy to improve the subjective mastication level and denture satisfaction of the elderly with dentures.
Background: Although prompt surgery after an orbital fracture is preferable, the actual timing of surgery in real-world settings varies. Therefore, this study investigated the outcomes of implant surgery for inferior orbital wall fractures by comparing three groups according to the time interval between the injury and surgery. Methods: A retrospective review was conducted of patients' medical charts and initial computed tomography images from 2009 to 2020. The time to treatment was chosen by patients or their guardians based on the patients' comorbidities and the physician's explanation. The patients were divided into three groups according to the time of surgery (group 1: 3-7 days, group 2: 8-14 days, group 3: 15 or more days). Data were collected on age, the time interval until surgery, the dimensions of the defect, the operation time, the follow-up period, and the postoperative paresthesia score (ranging from 0 to 10). The outcomes were evaluated using a 4-point scale: 4=good (no complications), 3=fair (no subjective symptoms), 2=poor (remaining paresthesia), and 1=very poor (strabismus and/or enophthalmos). Results: The study included 85 patients with unilateral fractures who underwent surgery from 3 to 93 days after injury. The overall score distribution of the surgical outcomes was as follows: good=63, fair=7, poor=6, and very poor=9. The three groups showed no significant differences in the transverse dimension of the injury (p=0.110) or the anteroposterior dimension (p=0.144). In groups 1, 2, and 3, the postoperative outcome scores were 3.84±0.37, 3.63±0.87, and 2.93±1.33 (p=0.083), and the percentage of patients with good outcomes was 84%, 81.25%, and 57.14%, respectively. Conclusion: Performing surgery using an artificial implant within 2 weeks of the injury showed better outcomes and fewer postoperative complications than when treatment was delayed.
During the period from 2004 to 2013, the China's automobile consumer protection policy-making reflected interest articulation and aggregation among consumers, manufacturers, car dealership and repair companies. In particular, consumers has succeeded in articulating their interests in spite of their dispersed situation by making the efforts to present regulation's revision agenda through the China Consumers Association. And the car dealers put the right to blame the car manufacturers for unexpected vehicle defects into the final regulation through the China Automobile Distribution Association. Finally, due to the active interest articulation of automobile companies, policy making process was delayed or policies that were expected to benefit consumers were promoted to some extend. Therefore, it can be seen that there is a limit to define state-society relations in China simply as state corporatism, and rather it is more important to understand state-society relations in China as between state corporatism and societal corporatism including bottom-up interest articulations and aggregations and policy modification activities of various private or societal organizations.
This paper describes effectiveness of accident reduction on vehicles equipped with AEB using accident data occurring in Korea. During the statistical period, we used the number of vehicles which are covered by auto insurance and the number of accidents. To maximize the reduction effect of accidents caused by the driver's carelessness, the analysis was limited to Physical Damage Coverage that covers the cost of repairing or replacing the damaged vehicle caused by the driver's fault. Due to Personal Information Protection Law, it was not capable of comparing the same vehicle using Vehicle Identification Number in this study. Instead of that, we used it as a similar vehicle, so there are limits to the comparison and analysis results. As a result of this study, we have found that the effect of reducing accidents was different depending on the vehicle class, but it was generally concluded that the number of accidents decreased when the vehicle was equipped with an AEB system. Domestic research on the AEB effect of reducing accidents is not active yet. Therefore, it is absolutely essential to analyze the effects according to various conditions such as driver's age, occupation and gender as well as expanding the study models in the future.
Background: Latissimus dorsi (LD) tendon transfer is used as a treatment option for massive irreparable posterosuperior rotator cuff tears, and recently, an arthroscopic-assisted technique was introduced. This study was undertaken to evaluate the clinical and radiological outcomes of arthroscopic-assisted LD tendon transfer for the management of irreparable rotator cuff tears in active middle-aged patients. Methods: The records of five patients (two males) with irreparable tears involving the supraspinatus and infraspinatus tendons managed by arthroscopic-assisted LD tendon transfer were retrospectively reviewed. Clinical outcomes were assessed using the visual analogue scale (VAS) pain scale, American Shoulder and Elbow Surgeon's (ASES) scores, the University of California Los Angeles (UCLA) scale, and ranges of motion. Postoperative integrities of transferred tendon were evaluated by magnetic resonance imaging in 4 patients and by ultrasound in one. Results: Mean patient age was 55 years (range, 48-61 years), and mean follow-up period was 20 months (range, 12.0-27.2 months). Mean VAS score significantly improved from $6.6{\pm}2.6$ preoperatively to $1.8{\pm}2.5$ postoperatively (p=0.009), mean ASES score increased from $67.6{\pm}9.2$ to $84.6{\pm}15.1$, and mean UCLA score from $18.0{\pm}1.4$ to $28.8{\pm}8.5$ (all p<0.001). Postoperative imaging of the transferred LD tendon showed intact repair in 4 patients. The remaining patient experienced LD transfer rupture and a poor outcome. Conclusions: Arthroscopic-assisted LD tendon transfer improved shoulder pain and function in patients with massive, irreparable rotator cuff tears, and may be an option for this condition, especially in physically active patients.
Cho, Jun Woo;Jang, Jae Seok;Lee, Chul Ho;Hwang, Sun Hyun
Journal of Chest Surgery
/
v.52
no.5
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pp.335-341
/
2019
Background: The endovascular approach to aortic disease treatment has been increasingly utilized in the past 2 decades. This study aimed to determine the long-term results of using the Seal thoracic stent graft. Methods: We retrospectively reviewed the outcomes of patients who underwent thoracic endovascular aortic repair or a hybrid procedure using the Seal thoracic stent graft (S&G Biotech, Seongnam, Korea) from January 2008 to July 2018 at a single institution. We investigated in-hospital mortality and the incidence of postoperative complications. We also investigated the mid-term survival rate and incidence of aorta-related complications. Results: Among 72 patients with stent grafts, 15 patients underwent the hybrid procedure and 21 underwent emergency surgery. The mean follow-up period was $37.86{\pm}30.73$ months (range, 0-124 months). Five patients (6.9%) died within 30 days. Two patients developed cerebrovascular accidents. Spinal cord injury occurred in 2 patients. Postoperative renal failure, postoperative extracorporeal membrane oxygenation support, and pneumonia were reported in 3, 1, and 6 patients, respectively. Stent-related aortic complications were observed in 5 patients (6.8%). The 1- and 5-year survival and freedom from stent-induced aortic event rates were 81.5% and 58.7%, and 97.0% and 89.1%, respectively. Conclusion: The use of the Seal thoracic stent graft yielded good mid-term results. Further studies are needed to examine the long-term outcomes of this device.
The conduits of agricultural reservoirs undergo deterioration over a considerable period of time and this is highly likely to cause structural problems such as cracks. It is therefore important to consider the effects of structural defects on the body from the viewpoint of stability and maintenance of the embankment. In this study, basic data on the effects of the crack location on the stability of the embankment is obtained by identifying, comparing, and analyzing the erosion characteristics and pore water pressure behavior through a large-scale model experiment that involves classifying the location of the conduit cracks. From the results of the experiment, it was confirmed that when a crack occurred, the amount of leakage increased as the location of the crack portion was closer to the water level, and the internal erosion phenomenon accelerated, thereby increasing the possibility of piping. It was also found that an upstream conduit crack affects the erosion and water pressure change of the central and downstream conduit of the embankment, and the conduit crack has a very large effect on the pore water pressure despite the low upstream water level. Therefore, the seepage behavior of the embankment for each conduit crack identified in this study is considered to be useful basic data for preparing a repair and reinforcement plan according to the crack location in the future.
Journal of the Architectural Institute of Korea Planning & Design
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v.34
no.9
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pp.117-128
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2018
The United States understood the fostering of pro-U.S. elites in "free world" countries as an important Cold War weapon. From 1954 to 1962, the U.S provided considerable assistance to Seoul National University (SNU) for its postwar rehabilitation and future development in terms of repair and construction of campus buildings, equipment and book purchases, and faculty exchanges. With the aid of this educational assistance project widely known as the Minnesota Project, SNU was reborn with an academic orientation to the U.S., separating itself from the Japanese education that was its origin. This study argues that the Minnesota Project played an important role in crafting SNU's architecture program and the exchange program's recipients as key "knowledge brokers." For individual trainees, experience in the U.S., as opposed to a backwards situation in their homeland, had allowed them to recognize the U.S. as an ideal source of knowledge. Since the Minnesota Project, SNU's Architectural Engineering Department was filled with faculty members who had trained or studied in the U.S., which became a significant distinction of SNU's architecture program in sharp contrast to its counterparts at Hanyang University and Hongik University where most of the faculty members studied in Japan during the Japanese colonial period. As many graduates of SNU had been appointed as faculty members in newly-founded architecture programs in South Korea, a hierarchical diffusion path had emerged in architectural education that led from SNU to other school's architecture programs, with the U.S. at the apex. The legacy of the Minnesota Project extended over the next few decades, in which studying architecture in the U.S. was recognized as a shortcut to success in the field.
Journal of the Architectural Institute of Korea Planning & Design
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v.34
no.11
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pp.135-144
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2018
During the Late Joseon dynasty, abandoned mountain fortresses were urgently repaired for the operation of foothold mountain fortresses in Gyeongsang-do, during the Japanese Invasion of Korea in 1592 and immediately after the Qing Invasion of Korea in 1636. Immediately after the Qing Invasion of Korea, an external fortress wall was built and added to each of Cheonsaeng Fortress and Geumo Fortress to establish a system of protecting locals inside a fortress at important locations for border defense against Japan in the Yeongnam region. Cheonseng Fortress, however, did not have sufficient geographical and protection conditions as a mountain fortress for protecting people inside it; thus, Gasan Fortress was newly built to replace Cheonsaeng Fortress. Geumo and Gasan Fortresses were used in border defense against Japan during the period from King Injo's reign to the end of Joseon Dynasty, because the fortresses served the purpose of defending Nakdonggang River and middle roads located at important roads along the border in the Yeongnam region and because it was possible to quickly repair and use their existing fortress walls and internal facilities, such as middle fortress walls and ponds, that were constructed for long-term protection of locals inside the fortress. In addition, it was found, in this study, that a continuous discussion on how to supplement fortresses led to the reinforcement and improvement of fortress facilities and fortification technology through the application of major strengths of Chinese (Ming) and Japanese fortress systems.
Journal of the Architectural Institute of Korea Structure & Construction
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v.35
no.7
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pp.179-186
/
2019
Air lime is a traditional building material of Korea. It had been used in roofs, walls, floors and masonry joints of traditional buildings until the advent of Portland cement. However, due to its low strength and durability, the lime is currently avoided as a repair or restoration material for the preservation of architectural heritage. Furthermore, due to the current practice of using hydraulic materials such as Portland cement, understanding of the material characteristics of air lime is very poor in practice. In this context, this study intended to improve the mechanical properties of the air lime mortar by reducing water contents, and also the carbonation reaction of the mortar was quantitatively evaluated to clearly understand the characteristics of this material. Accordingly, air lime mortar with a water-to-binder ratio of 0.4 was manufactured using polycarboxylate-type superplasticizer. During the 7 days of sealed curing period, the mortar did not harden at all. In other words, there was no reaction required for hardening since it could not absorb carbon dioxide from the atmosphere. However, once exposed to the air, the compressive strength of the mortar began to rapidly increase due to the carbonation reaction, and the strength increased steadily until the 28th day; after then, the strength development was significantly slowed down. On the 28th day, the mortar exhibit a compressive strength of about 5 MPa, which is equivalent to the European standard regarding strength of hydraulic lime used for preservation of architectural heritage.
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