• 구강회복응용과학지
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• 제32권4호
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• pp.263-273
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• 2016

지대주의 재료와 표면에 따라 연조직반응이 다르고 임플란트 주위염의 원인이 될 수 있다. 티타늄과 지르코니아는 우수한 생체적합성을 가져 안정적인 연조직반응을 보이고 금합금은 표면상태에 따라 연조직반응이 다르게 나타난다. 같은 재료라도 표면특성에 따라 연조직반응이 영향을 받는다. 표면거칠기 증가는 박테리아 부착을 유발하므로 연조직과 접촉하는 부분은 평활한 표면을 가져야 한다. 추가적인 표면처리를 통해 박테리아의 부착은 증가시키지 않으면서 세포반응을 촉진시킬 수 있다. 지대주의 형태 및 반복착탈도 연조직반응에 영향을 줄 수 있다. 초음파 세척과 아르곤 플라즈마 처리는 비교적 효과적으로 맞춤형 지대주의 잔류 미세입자를 제거할 수 있는 방법이다.

• 콘크리트학회논문집
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• 제17권2호
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• pp.201-212
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• 2005

본 연구에서는 할선강성을 사용하여 반복계산을 수행하는 새로운 비탄성 스트럿-타이 모델인 직접 비탄성 스트럿-타이 모델을 개발하였다. 개발된 설계방법은 기본적으로 선형해석을 사용하므로 해석의 용이성과 안정성을 확보할 수 있으며, 동시에 부재의 비탄성 거동을 고려하여 힘의 평형조건과 변위의 적합조건을 동시에 만족시키는 설계를 수행할 수 있다. 본 연구에서는 제안된 해석/설계법의 절차를 정립하였고, 이를 반영한 해석프로그램을 개발하였다. 제안된 방법을 이용한 설계 예를 소개하였으며, 기존의 스트럿-타이 모델과 비교를 통하여 제안된 방법의 유효성을 검증하였다. 본 설계방법은 해석 및 설계의 일괄시스템으로서 과대 인장균열과 스트럿의 취성파괴를 방지하기 위하여 설계자에 의하여 의도된 설계전략을 직접적으로 반영할 수 있다. 본 스트럿-타이 모델은 비선형거동을 해석할 수 있으므로, 부정정 스트럿-타이 모델을 사용할 수 있으며, 스트럿과 타이요소의 국부변형을 제어할 수 있으므로, 다양한 성능수준에 대한 성능기초설계방법으로 사용할 수 있다.

• 한국통신학회논문지
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• 제40권1호
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• pp.198-201
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• 2015

선박 내에 임시 망을 구성하기 위한 신속하고 정확한 마디의 위치를 결정하는 문제는 안정된 무선 감지기 망을 구성할 때 필수적인 요소이다. 이를 위해 이 논문에서는 커버하는 영역을 대상으로 감지기 마디의 위치를 결정하고 양방향 채널의 품질을 측정하는 방법을 도입하여 좀더 신속하고 정확한 감지기 마디 위치선정을 이루고자 한다. 1단계로 감지기 마디가 이루는 피코넷(piconet) 형태의 망을 구성을 가정하고 클러스터 헤드와 각 감지기 마디간의 양방향 품질을 측정한다. 이때 측정된 채널의 특성을 기반으로 중계 마디가 필요한 마디를 선택하고 2단계의 측정절차를 진행한다. 2단계에서는 중계 마디가 필요한 마디를 중심으로 중계 마디 후보 간 채널특성을 측정한다. 2단계를 거쳐 클러스터 헤드로의 중계 마디를 확정하고 각 마디간의 정보전달경로를 선정한다. 이 논문에서는 1단계와 2단계의 측정절차를 토대로 선박 내 환경에서 특성을 측정하고 선박 내에서 정보전달과 활용할 수 있음을 보여주기 위하여 실제 환경에서 측정하여 결과를 수집하고 분석하였다.

• 한국운동역학회지
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• 제13권1호
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• pp.139-153
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• 2003

The purpose of the study was to present technical guidance about the field goal kicking motion in American football for novices. For this purpose, kinematic analysis on the field goal kicking motion of two skilled players and two unskilled players was carried out. The following conclusions were made: 1. In comparison on the total elapsed time of the kicking, there were no significant differences between two groups. The progressing time from BP event to impact among experts group, however, took 0.141 second less than that of novices group. 2. The experts group showed right hip rotatier horizontally toward the targeted ball fixing left hip as the axis. On the other hand, the novices group didn't use the left hip as the axis in the kicking motion. 3. At the impact of kicking the ball, regarding with the distance of the ball and the supporting leg, the right and left distance of experts was 3.45cm longer than that of novices, the front and the rear distance of experts was 5.14cm shorter than novices. 4. At the impact, experts' initial velocity of the targeted ball was $5.27^m/s$ faster than novices', besides experts' incidence angular displacement was $3.78^{\circ}$ larger than novices'. 5. After BP event, experts showed a stable movement maintaining flexion and extension at left hip joint and knee joint. On the other hand, for novices, the angle of the left lower extremities became larger. 6. Experts showed the efficient flexion and extension of the hip joint and the knee joint during following procedure in the whole event of the kicking motion. At the BP event, the right knee joint angle of novices was $11.46^{\circ}$ larger than that of experts. However, the duration of the impact event and FT event among, novices had less extension of knee joint than experts. 7. At the 2nd phase, for both of the groups, the angular velocity of the knee joint drastically increased as the angular velocity of hip joint decreased. However, only novices showed the largest negative angular velocity at the impact.

• Archives of Plastic Surgery
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• 제38권4호
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• pp.438-444
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• 2011

Purpose: Adipose-derived stromal cells (ASCs) are readily harvested from lipoaspirated tissue or subcutaneous adipose tissue fragments. The stromal vascular fraction (SVF) is a heterogeneous set of cell populations that surround and support adipose tissue, which includes the stromal cells, ASCs, that have the ability to differentiate into cells of several lineages and contains cells from the microvasculature. The mechanisms that drive the ASCs into the osteoblast lineage are still not clear, but the process has been more extensively studied in bone marrow stromal cells. The purpose of this study was to investigate the osteogenic capacity of adipose derived SVF cells and evaluate bone formation following implantation of SVF cells into the bone defect of human phalanx. Methods: Case 1 a 43-year-old male was wounded while using a press machine. After first operation, segmental bone defects of the left 3rd and 4th middle phalanx occurred. At first we injected the SVF cells combined with demineralized bone matrix (DBM) to defected 4th middle phalangeal bone lesion. We used P (L/DL)LA [Poly (70L-lactide-co-30DL-lactide) Co Polymer P (L/DL)LA] as a scaffold. Next, we implanted the SVF cells combined with DBM to repair left 3rd middle phalangeal bone defect in sequence. Case 2 was a 25-year-old man with crushing hand injury. Three months after the previous surgery, we implanted the SVF cells combined with DBM to restore right 3rd middle phalangeal bone defect by syringe injection. Radiographic images were taken at follow-up hospital visits and evaluated radiographically by means of computerized analysis of digital images. Results: The phalangeal bone defect was treated with autologous SVF cells isolated and applied in a single operative procedure in combination with DBM. The SVF cells were supported in place with mechanical fixation with a resorbable macroporous sheets acting as a soft tissue barrier. The radiographic appearance of the defect revealed a restoration to average bone density and stable position of pharyngeal bone. Densitometric evaluations for digital X-ray revealed improved bone densities in two cases with pharyngeal bone defects, that is, 65.2% for 4th finger of the case 1, 60.5% for 3rd finger of the case 1 and 60.1% for the case 2. Conclusion: This study demonstrated that adipose derived stromal vascular fraction cells have osteogenic potential in two clinical case studies. Thus, these reports show that cells from the SVF cells have potential in many areas of clinical cell therapy and regenerative medicine, albeit a lot of work is yet to be done.

• Archives of Plastic Surgery
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• 제36권5호
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• pp.583-590
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• 2009

Purpose: In the cases of a vascular compromised condition in an injured lower extremity, soft tissue coverage with free tissue transfer presents a challenging problem to the reconstructive surgeon. For this reason, cross - leg flaps are still used in unusual circumstances. Advances in surgical technique has made the cross - leg free flap possible although it may require long operation time along with significant donor site morbidity. Therefore, a pedicled cross - leg muscle flap may be an alternative treatment modality when local flap or free flap is not possible. Methods: Twelve patients(9 males and 3 females) underwent the operation between October of 2001 and December of 2008. The patients' age ranged from 6 to 82 years. The unusual defects included the regions such as the knee, popliteal fossa, distal third of the tibia, dorsal foot, and the heel. Indications for the cross - leg gastrocnemius flap are inadequate recipient vessels for free flap(in eight cases), extensive soft tissue injuries(in three cases) and free flap failure(in one case). The muscle flap was elevated from contralateral leg and transferred to the soft tissue defect on the lower leg while both legs were immobilized with two connected external fixator systems. Delay procedure was performed 2 weeks postoperatively, and detachment was done after the establishment of the adequate circulation. The average period from the initial flap surgery to detachment was 32 days (3 to 6 weeks). Mean follow - up period was 4 years. Results: Stable coverage was achieved in all twelve patients without any flap complications. Donor site had minimal scarring without any functional and cosmetic problems. No severe complications such as deep vein thrombosis or flap necrosis were noted although mild to moderate contracture of the knee and ankle joint developed due to external fixation requiring 3 to 4 weeks of physical treatment. All patients were able to walk without crutches 3 months postoperatively. Conclusion: Although pedicled cross - leg flaps may not substitute free flap surgery, it may be an alternative method of treatment when free flap is not feasible. Using this modification of the gastrocnemius flap we managed to close successfully soft tissue defects in twelve patients without using free tissue transfers.

• Archives of Plastic Surgery
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• 제36권5호
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• pp.611-616
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• 2009

Purpose: The rate of fistulas occuring followed by resection of oral cavity, oropharyngeal, hypopharyngeal, and laryngeal cancer are reported to be 9 ~ 23% according to various documents. Neglected treatment of the fistula can result in a setback in proper treatment with restrictions in oral intake leading to delayed return to daily life. Furthurmore, in severe cases, it may injure important vessels and adjacent structures of the neck area. The author reviewed previously reported cases of treatment methods for fistulas recurring after diverse head and neck operations and with sharing the treatment experiments of our patients, we tried to present a treatment algorism for different fistula types. Methods: Our study was based on retrograde analysis of 64 patients who were clinically diagnosed with fistula after operation for cancer of the head and neck from 1997 to 2008 at Severance Hospital. Their primary sites of cancer were 8 oral cavity, 22 oropharynx, 25 hypopharynx, and 9 larynx. The patients were aged 45 to 75 years and the male to female ratio was 11 to 1. The patient's operation records and progress notes were evaluated for determination of degree of fistula and treatment methods. Results: Most fistulas were clinically suspected after postoperative 5 days and symptoms noted for detection of the fistula were erythema, purulent discharge, edema, tenderness, and fluctuation. The fistula was definitely diagnosed at postoperative 2 weeks with barium test and treatment method ranging from conservative management to operative procedure were applied to each patients. Total 21 patients were managed with conservative protocol. In 15 cases, direct repair of the fistula was done and more stable repair of the fistula was possible with using of TachoComb$^{(R)}$. Pharyngostoma was performed in 14 patients. Among them, 4 patients healed spontaneously, 5 patients were taken direct closure, 4 patients were taken pectoralis major musculocutaneous flap, and one patient was taken esophageal transfer. The other 14 patients were taken 11 pectoralis major musculocutaneous flaps and 3 free flaps without pharyngostoma formation. Conclusion: Fistula is a troublesome complication resulting after resection of head and neck cancer. Early detection and adequate treatment according to the period and condition of the fistula may prevent further complications and reduce the pain of the patient.

• 식물조직배양학회지
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• 제25권4호
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• pp.283-288
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• 1998

비선택성 제초제인 bialaphos는 고등식물에 있어서 glutamine 합성을 억제 하여 식물체를 고사시킨다. Acetyltransferase에 의해 encoding된 bialaphos저항성 유전자는 세균 Streptomyces hygroscopicus SF1239로부터 cloning된것을 사용하였다. Bialaphose 저항성 유전자를 Agrobacterium 감염법을 이용하여 국내에서 재배되는 벼(동진)에 도입한 결과 약30%정도의 형질전환 식물체를 얻을 수 있었다. $\textrm{T}_{1}$ 세대의 17개체는 hygromycin과 bialaphos에 대한 저항성 유전형질이 3:1로 분리되었다. 또한 Southern 분석을 실시한 결과 wild type의 식물체에서는 Bar 유전자의 검출을 볼 수 없었으나 형질전환 식물체의 경우 Bar 유전자의 검출이 가능하였다. $\textrm{T}_{3}$세대의 형질전찬 식물체와 wild type의 식물체를 포장상태에서 비선택성 제초제인 바스타를 살포하고 3주 후에 관찰한 결과 형질전환 식물체는 외형적으로 아무런 피해를 받지 않고 정상적으로 생장하였으나, wild type의 식물체와 잡초는 모두 고사하였다. 이상의 결과를 종합해보면 hygromycin과 bialaphos 저항성 유전자는 Agrobacterium감염법을 이용하여 단자엽 식물인 벼에 도입할 수 있다는 것을 보여준 것이며, 또한 bialaphos 저항성 유전자가 식물에 도입됨으로써 비선택성 제초제에 대한 저항성 식물을 개발 할 수 있다는 것을 보여 주었다.

• 대한치과보철학회지
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• 제59권4호
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• pp.497-507
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• 2021

무치악 환자에서 잔존 치조골을 최대의 효율로 활용해 임플란트 고정성 보철물을 수복하는 치료법 중 하나로 All-on-6 개념을 사용할 수 있으나, 치료과정에서 복잡함과 번거로움이 동반된다. 나날이 발전해 온 디지털 시스템을 활용한다면 무치악 환자의 임플란트 식립부터 보철물 제작 및 수복까지 높은 효용성으로 활용할 수 있다. 본 증례에서는 76세 상악 무치악 환자의 일체형 나사 유지형 고정성 임플란트 보철 수복(1-piece design, screw retained implant fixed prosthesis)에 대해 진단부터 임플란트 식립 그리고 보철물 제작까지 전 과정에서 디지털 시스템을 활용하였다. 술전 진단에서 구강직접스캔(Direct intraoral scan)을 통해 환자의 정보를 데이터화 하였으며 이를 토대로 임플란트 식립 수술 가이드와 식립직후 장착할 즉시 임시보철물을 디자인 하였다. 최적의 잔존 치조골 위치에 식립된 6개의 임플란트 위치정보에 따라 정밀하게 제작된 즉시 임시보철물을 수복하여 술 후 사용 가능하도록 하여 환자의 불편감을 최소화하였다. 디지털 시스템을 활용하여 환자의 요구사항, 안정된 수직고경과 교합, 심미성을 고려하여 제작한 새로운 임시보철물을 거쳐 최종보철물을 디자인하고 제작하였다. 디지털 시스템을 활용하여 무치악 환자의 효율적이고 정확한 임플란트 식립부터 보철물 제작까지 전 과정에 있어서 복잡한 임플란트 치료과정을 단순화하여 환자의 불편감을 최소화시키고 기능적이고 심미적인 결과를 얻어 보고하는 바이다.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제42권
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• pp.32.1-32.4
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• 2020

Background: Le Fort I osteotomy is a highly effective treatment for skeletal jaw deformities and is commonly performed. High Le Fort I osteotomy is a modified surgical procedure performed for improving the depression of the cheeks by setting the osteotomy higher than the conventional Le Fort I osteotomy. Developments in three-dimensional (3D) technology have popularized the use of 3D printers in various institutions, especially in orthognathic surgeries. In this study, we report a safe and inexpensive method of performing a high Le Fort I osteotomy using a novel 3D device and piezosurgery, which prevent tooth root injury without disturbing the operation field for patients with a short midface and long tooth roots. Results: A 17-year-old woman presented with facial asymmetry, mandibular protrusion, a short midface, and long tooth roots. We planned high Le Fort I osteotomy and bilateral sagittal split ramus osteotomy. Prevention of damage to the roots of the teeth and the infraorbital nerve and accurate determination of the posterior osteotomy line were crucial for clinical success. Le Fort I osteotomy using 3D devices has been reported previously but were particularly large in size for this case. Additionally, setting the fixing screw of the device was difficult, because of the risk of damage to the roots of the teeth. Therefore, a different surgical technique, other than the conventional Le Fort I osteotomy and 3D device, was required. The left and right parts of the 3D device were fabricated separately, to prevent any interference in the surgical field. Further, the 3D device was designed to accurately cover the bone surface from the piriform aperture to the infra-zygomatic crest with two fixation points (the anterior nasal spine and the piriform aperture), which ensured stabilization of the 3D device. The device is thin and does not interfere with the surgical field. Safe and accurate surgical performance is possible using this device and piezosurgery. The roots of the teeth and the infraorbital nerve were unharmed during the surgery. Conclusions: This device is considerably smaller than conventional devices and is a simple, low-cost, and efficient method for performing accurate high Le Fort I osteotomy.