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Surgical extrusion in aesthetic area (심미적인 부위에서의 외과적 정출술)

  • Park, Hyun-Kyu;Park, Jin-Woo;Suh, Jo-Young;Lee, Jae-Mok
    • Journal of Periodontal and Implant Science
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    • v.37 no.2
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    • pp.287-295
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    • 2007
  • As a general treatment modality of subgingival tooth defect in aethetic area, implant or crown and bridge therapy after extraction of affected tooth can be used. But as more conservative treatment, crown lengthening can be considered and not to lose periodontal attachment and impair aethetic appearance, surgical extrusion can be considered as a treatment of choice. In this case report, 3 cases of surgical extrusion was represented and appropriate time for initiation of endodontic treatment according to the post-surgical tooth mobility was investigated. In 8 patient who has subgingival tooth defect in aethetic area, intracrevicular incision is performed and flap was reflected with care not to injure interproximal papillae. With forcep or periotome, tooth was luxated and sutured in properely extruded position according to biologic width with or without $180^{\circ}$ rotation. 8 cases show favorable short and long term results. In some cases, surgical extrusion with $180^{\circ}$ rotation can minimized extent of extrusion and semi-rigid fixation without apical bone graft seems to secure good prognosis. In 8 cases, endodontic treatment started about 3 weeks after surgery. This time corresponds with the moment when mobility of extruded tooth became 1 degree and this results concide with other previous reports. If it is done on adequate case selection and surgical technique, surgical extrusion seems to be a good treatment modalilty to replace the implant restoration in aethetic area.

The Extraction of Objects between Levels by the boundary Adjustment Algorithm (경계조정 알고리즘에 의한 레벨간의 물체 추출)

  • 최성진;강준길;나극환
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.15 no.2
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    • pp.137-146
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    • 1990
  • A series of images whose sized and resolutions differ by a constant factor are called an image pyramid. Because the images at high levels are small, large object can be detected on high levels of the pyramid at low cost, But in this way, the boundaries of objects are not accurately localized. Therefore the pyramid algorithms extracte the objects by segmentation the constructed image using bottom-up method and description it in an original resolution using inverse bottom-up method. In this paper, we can project an object down to the next lower level of the pyramid and apply to the boundary adjustment algorithm at that level to localize it more precisely. We repeat the process at successively lower levels. In this paper, we present a method of boundary adjustment using an image pyramid to obtain optimal boundary. The performance of the proposed algorithm is compared to those of the conventional method in term of subjective quality of object boundary.

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Development of Statistical/Probabilistic-Based Adaptive Thresholding Algorithm for Monitoring the Safety of the Structure (구조물의 안전성 모니터링을 위한 통계/확률기반 적응형 임계치 설정 알고리즘 개발)

  • Kim, Tae-Heon;Park, Ki-Tae
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.20 no.4
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    • pp.1-8
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    • 2016
  • Recently, buildings tend to be large size, complex shape and functional. As the size of buildings is becoming massive, the need for structural health monitoring(SHM) technique is ever-increasing. Various SHM techniques have been studied for buildings which have different dynamic characteristics and are influenced by various external loads. Generally, the visual inspection and non-destructive test for an accessible point of structures are performed by experts. But nowadays, the system is required which is online measurement and detect risk elements automatically without blind spots on structures. In this study, in order to consider the response of non-linear structures, proposed a signal feature extraction and the adaptive threshold setting algorithm utilized to determine the abnormal behavior by using statistical methods such as control chart, root mean square deviation, generalized extremely distribution. And the performance of that was validated by using the acceleration response of structures during earthquakes measuring system of forced vibration tests and actual operation.

Prosthetic treatment for patient with anterior overbite and partial edentulism using maxillary hybrid telescopic double crown RPD and mandibular fixed prostheses: A 11-yr follow-up (전치부 과개교합을 가진 상하악 부분 무치악 환자에서의 상악 하이브리드 텔레스코픽 이중관 국소의치와 하악 고정성 보철물을 이용한 치료의 11년 경과관찰 증례)

  • Choi, Hyunsuk;Cho, Jin-Hyun
    • The Journal of Korean Academy of Prosthodontics
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    • v.59 no.4
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    • pp.415-421
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    • 2021
  • The biomechanical prognosis of conventional removable partial denture is questionable in case of patient with few remaining teeth or periodontally compromised teeth. In this case, hybrid telescopic double crown RPD may be a successful treatment alternative. Hybrid telescopic double crown RPD has following advantages over conventional RPD: secondary splinting effect between abutments, more vertical stress direction and more convenient in repairing the denture after extraction of abutment tooth. In this clinical case, patient had deep overbite in anteriors and partially edentulous. The maxilla was restored with hybrid telescopic double crown RPD and the mandible was restored with implants and fixed prostheses. Long-term follow-up and supportive periodontal treatment were performed, and satisfactory results were achieved in terms of function and aesthetics.

The clinical characteristics and prognosis of subgaleal hemorrhage in newborn

  • Lee, Sun Jin;Kim, Jin Kyu;Kim, Sun Jun
    • Clinical and Experimental Pediatrics
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    • v.61 no.12
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    • pp.387-391
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    • 2018
  • Purpose: Subgaleal hemorrhage (SGH) is a rare but potentially fatal condition in newborns; however, few studies have reported on this condition. We aimed to identify the clinical characteristics and prognostic factors of SGH. Methods: We retrospectively reviewed the medical records of 20 neonates diagnosed with SGH between January 2000 and June 2017. Enrolled neonates were clinically diagnosed when they had tender fluctuant scalp swelling that crossed the suture lines. Results: Among 20 neonates with SGH, 12 were boys and 7 were girls; median hospitalization duration was $9.7{\pm}6.9days$. Fourteen neonates (70%) were born via vacuum-assisted vaginal delivery, and 4 via vacuum-assisted cesarean section. Of the neonates enrolled, half of them initially showed unstable vital signs, including apnea, desaturation, and cyanosis. Ten neonates had acidosis and 3 had asphyxia (pH<7.0). Intracranial lesions associated with SGH were observed in 15 neonates (75%), including subdural hemorrhage (50%), subarachnoid hemorrhage (15%), intraventricular hemorrhage (5%), cerebral infarct (15%), skull fracture (30%), and cephalohematoma (20%). Twelve neonates (60%) required transfusion, 5 (25%) had seizures, and 3 (15%) died. Eight neonates (40%) had hyperbilirubinemia (mean total bilirubin, $13.1{\pm}7.4$). The mean follow-up period was $8.4{\pm}7.5months$. At follow-up, 10 neonates (58.8%) were healthy with normal development, whereas 7 (41.2%) had neurological deficits. Conclusion: The morbidity rate was 41.2% due to severe metabolic acidosis. Anemia, hyperbilirubinemia, low Apgar scores, and subdural hemorrhage did not affect the prognosis. The long-term outcomes of neonates with SGH are generally good. Only arterial blood pH was significantly associated with death.

A Keyword Network Analysis on Research Trends in the Area of Health Insurance (건강보험 연구동향에 대한 키워드 네트워크 분석)

  • Lee, Su Jung;Lee, Sun-Hee
    • Health Policy and Management
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    • v.31 no.3
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    • pp.335-343
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    • 2021
  • Background: The purpose of this study was to extract the major areas of interest in health insurance research in Korea, and infer policy agendas related to health insurance by analyzing research keywords. Methods: For this study, 2,590 articles were selected from among 7,459 academic papers related to health insurance published between January 1987 and December 2018, which were looked up using the Research Information Sharing Service (RISS). Keyword extraction and keyword network analysis were performed using the KrKwic, KrTitle, and UCINET software. Results: First, the number of studies in the area of health insurance continued to increase in all government terms, and it was not until after the 2000s that the subjects of health insurance researches were diversified. Second, degree centrality showed that 'medical expenditure' and 'medical utilization' were consistently high-ranking keywords regardless of the government in power. Aging and long-term care insurance-related keywords were ranked higher in the Lee Myung-bak government, Park Geun-hye government, and Moon Jae-in government. Third, betweenness centrality showed the same high ranking in key topics such as medical expenditure and medical utilization, while the ranking of key keywords differed depending on the interests and characteristics of each government policy. Conclusion: We confirm that health insurance as a research topic has been the main theme in Korean health care research fields. Research keywords extracted from articles also corresponded to the main health policies promoted during each government period. Efforts to systematically investigate policy megatrends are needed to plan adaptive future policies.

Decentralized Structural Diagnosis and Monitoring System for Ensemble Learning on Dynamic Characteristics (동특성 앙상블 학습 기반 구조물 진단 모니터링 분산처리 시스템)

  • Shin, Yoon-Soo;Min, Kyung-Won
    • Journal of the Computational Structural Engineering Institute of Korea
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    • v.34 no.4
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    • pp.183-189
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    • 2021
  • In recent years, active research has been devoted toward developing a monitoring system using ambient vibration data in order to quantitatively determine the deterioration occurring in a structure over a long period of time. This study developed a low-cost edge computing system that detects the abnormalities in structures by utilizing the dynamic characteristics acquired from the structure over the long term for ensemble learning. The system hardware consists of the Raspberry Pi, an accelerometer, an inclinometer, a GPS RTK module, and a LoRa communication module. The structural abnormality detection afforded by the ensemble learning using dynamic characteristics is verified using a laboratory-scale structure model vibration experiment. A real-time distributed processing algorithm with dynamic feature extraction based on the experiment is installed on the Raspberry Pi. Based on the stable operation of installed systems at the Community Service Center, Pohang-si, Korea, the validity of the developed system was verified on-site.

Incidence and management of condylar resorption after orthognathic surgery: An overview

  • Barone, Selene;Cosentini, Giorgio;Bennardo, Francesco;Antonelli, Alessandro;Giudice, Amerigo
    • The korean journal of orthodontics
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    • v.52 no.1
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    • pp.29-41
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    • 2022
  • Objective: Condylar resorption (CR) is one of the major post-surgical complications of orthognathic surgery. This systematic review (SR) aimed to evaluate epidemiological data, risk factors, and therapeutical management of CR. Methods: Six databases were screened by two investigators until September 2020 to obtain all SRs. After reading the titles and abstracts, eligible SRs were determined and data extraction was performed. Using the latest version of A Measurement Tool to Assess Systematic Reviews, the methodological quality of the included SRs was determined. Results: Ten SRs with low or critically-low methodological quality were included in this review. Mandibular hypoplasia on the sagittal plane and hyperdivergent growth pattern on the vertical plane were the most common skeletal alterations in which CR could occur after orthognathic surgery. Post-operative condylar changes were analyzed both on two-dimensional and three-dimensional (3D) radiographic examinations. The incidence of CR was not related to the fixation method. Based on the severity of the pathological conditions, management of CR can include conservative or surgical therapy. Conclusions: Despite the limited evidence in literature, CR is considered a consequence of orthognathic surgery. However, an accurate diagnosis of CR and a better orthognathic surgical planning must include 3D radiographic examinations to improve pre- and post-surgical comparison. Well-designed studies with long-term follow-up and 3D data are needed to clarify the findings of this analysis..

Clinical Management and Short-term Prognosis of Molar-Incisor Malformation Affected Patients: Case Reports (대구치-절치 형태이상 환자의 임상적 치료 및 단기 예후: 증례 보고)

  • Kim, Hyojin;Lim, Sumin;Kim, JinYoung
    • Journal of the korean academy of Pediatric Dentistry
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    • v.49 no.1
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    • pp.121-130
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    • 2022
  • Molar-incisor malformation (MIM) is a newly reported dental anomaly with molar root deformity and incisor crown defects. MIM-affected teeth may cause severe pain with no apparent tooth caries. Since the affected molars clinically appear normal, radiographs are recommended for accurate diagnosis on the first visit. Since MIM-affected patients are in mixed dentition, timely and appropriate interventions are needed to avoid unnecessary pain and complicated clinical issues. This report was written to describe two patients who had MIM in early mixed dentition and report their 2-year follow-ups.

Study on the reduction of heterocyclic amines by marinated natural materials in pork belly

  • Hea Jin, Kang;Seung Yun, Lee;Da Young, Lee;Ji Hyeop, Kang;Jae Hyeon, Kim;Hyun Woo, Kim;Jae Won, Jeong;Dong Hoon, Oh;Sun Jin, Hur
    • Journal of Animal Science and Technology
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    • v.64 no.6
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    • pp.1245-1258
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    • 2022
  • This study was conducted to determine the effect of natural ingredient seasoning on the reduction of heterocyclic amine (HCA) production that may occur when pork belly is cooked at a very high temperature for a long time. Pork belly seasoned with natural ingredients, such as natural spices, blackcurrant, and gochujang, was cooked using the most common cooking methods, such as boiling, pan fry, and barbecue. HCAs in pork belly were extracted through solid-phase extraction and analyzed via high-performance liquid chromatography. For short-term toxicity, a mouse model was used to analyze weight, feed intake, organ weight, and length; hematology and serology analysis were also performed. Results revealed that HCAs formed only when heating was performed at a very high temperature for a long time, not under general cooking conditions. Although the toxicity levels were not dangerous, the method showing the relatively highest toxicity among various cooking methods was barbecue, and the natural material with the highest toxicity reduction effect was blackcurrant. Furthermore, seasoning pork belly with natural materials containing a large amount of antioxidants, such as vitamin C, can reduce the production of toxic substances, such as HCAs, even if pork belly is heated to high temperatures.