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Effectiveness of miniscrew assisted rapid palatal expansion using cone beam computed tomography: A systematic review and meta-analysis

  • Siddhisaributr, Patchaya;Khlongwanitchakul, Kornkanok;Anuwongnukroh, Niwat;Manopatanakul, Somchai;Viwattanatipa, Nita
    • The korean journal of orthodontics
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    • v.52 no.3
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    • pp.182-200
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    • 2022
  • Objective: This study aims to examine the effectiveness of miniscrew assisted rapid palatal expansion (MARPE) treatment in late adolescents and adult patients using cone-beam computed tomography (CBCT). Methods: Literature search was conducted in five electronic databases (PubMed, Embase, Scopus, Web of Science, and Cochrane Library) based on the PICOS keyword design focusing on MARPE. Out of the 18 CBCT screened outcomes, only nine parameters were sufficient for the quantitative meta-analysis. The parameters were classified into three main groups: 1) skeletal changes, 2) alveolar change, and 3) dental changes. Heterogeneity test, estimation of pooled means, publication bias, sensitivity analysis and risk of bias assessment were also performed. Results: Upon database searching, only 14 full-text articles were qualified from the 364 obtained results. Heterogeneity test indicated the use of the random-effects model. The pooled mean estimate were as follows: 1) Skeletal expansion: zygomatic width, 2.39 mm; nasal width, 2.68 mm; jugular width, 3.12 mm; and midpalatal suture at the posterior nasal spine and anterior nasal spine, 3.34 mm and 4.56 mm, respectively; 2) Alveolar molar width expansion, 4.80 mm; and 3) Dental expansion: inter-canine width, 3.96 mm; inter-premolar width, 4.99 mm and inter-molar width, 5.99 mm. The percentage of expansion demonstrated a skeletal expansion (PNS) of 55.76%, alveolar molar width expansion of 24.37% and dental expansion of 19.87%. Conclusions: In the coronal view, the skeletal and dental expansion created by MARPE was of the pyramidal pattern. MARPE could successfully expand the constricted maxilla in late adolescents and adult patients.

Effect of Total Collimation Width on Relative Electron Density, Effective Atomic Number, and Stopping Power Ratio Acquired by Dual-Layer Dual-Energy Computed Tomography

  • Jung, Seongmoon;Kim, Bitbyeol;Yoon, Euntaek;Kim, Jung-in;Park, Jong Min;Choi, Chang Heon
    • Progress in Medical Physics
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    • v.32 no.4
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    • pp.165-171
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    • 2021
  • Purpose: This study aimed to evaluate the effect of collimator width on effective atomic number (EAN), relative electron density (RED), and stopping power ratio (SPR) measured by dual-layer dual-energy computed tomography (DL-DECT). Methods: CIRS electron density calibration phantoms with two different arrangements of material plugs were scanned by DL-DECT with two different collimator widths. The first phantom included two dense bone plugs, while the second excluded dense bone plugs. The collimator widths selected were 64 mm×0.625 mm for wider collimators and 16 mm×0.625 mm for narrow collimators. The scanning parameters were 120 kVp, 0.33 second gantry rotation, 3 mm slice thickness, B reconstruction filter, and spectral level 4. An image analysis portal system provided by a computed tomography (CT) manufacturer was used to derive the EAN and RED of the phantoms from the combination of low energy and high energy CT images. The EAN and RED were compared between the images scanned using the two different collimation widths. Results: The CT images with the wider collimation width generated more severe artifacts, particularly with high-density material (i.e., dense bone). RED and EAN for tissues (excluding lung and bones) with the wider collimation width showed significant relative differences compared to the theoretical value (4.5% for RED and 20.6% for EAN), while those with the narrow collimation width were closer to the theoretical value of each material (2.2% for EAN and 2.3% for RED). Scanning with narrow collimation width increased the accuracy of SPR estimation even with high-density bone plugs in the phantom. Conclusions: The effect of CT collimation width on EAN, RED, and SPR measured by DL-DECT was evaluated. In order to improve the accuracy of the measured EAN, RED, and SPR by DL-DECT, CT scanning should be performed using narrow collimation widths.

A study model standardization by he body types of Jugori of Hanbok for middle-aged women (중년 여성을 위한 한복 저고리의 체형별 원형 연구)

  • 진현선;권미정
    • Journal of the Korea Fashion and Costume Design Association
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    • v.5 no.1
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    • pp.13-24
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    • 2003
  • The purpose of this study is to design Jugori model compatible with the body types of the middle-aged women especially from 40 to 59 years old. The result is as follows: We decided five items as the necessary items for designing jugori model : the bust girth (the breast & shoulder width), the B.P length, the neck width, the armhole circumference, and Hwa-jang. The breast & shoulder width are the size that comes out if the bust is divided by the breast & shoulder width on the basis of the side line, and Hwa-jang is a length measured with arms stretched out to 0° direction. With each person's physical characteristics considered, the application of the size of each body types and body parts is as follows: 1. The breast & shoulder width (1/4 portion) : We decided B/4+2cm as a standard size and, we adjusted the extra room on the basis of the discrepancy between the breast width and the shoulder width to make it fit well to the each body type. For the breast width (1/2 portion), we bisected the difference between the breast width and the shoulder width of the bust, and moved Gut-sup to the center of the Sup and Sup-sun for An-sup. According to the body type, the movement of the Sup for the people with big breasts gets bigger because there should be a big difference between the breast width and the shoulder width for them, and for the people with small breasts the movement will be relatively smaller. For the shoulder width (1/2 portion), we curved the back center line after we shortened as much as the difference between the amount of the shoulder width/2+1cm and of B/4+2cm. The movement of back center line will be bigger for a person with leaned-backward body type. 2. The front & back length: We made the front length to B.P length+2.5cm to have Jugori cover the breast point fully around the bust line, which is a vogue nowadays. For an upright body type, we decided the back length as (AH/2.2)+5cm. And for a bent-forward and a leaned-backward body type, we adjusted the calculation formulae differently taking the physical characteristics into account. We decided the back length (A) as (A.H/2.2)+5cm, and the front length (B) as the back length+5cm. So, (A+B) is the sum of the front length and the back length. Going back to the original formula, the front length is B.P+2.5cm. So, we can decide the back length if we subtract B.P+2.5cm from the sum of the front length and the back length. To make well-fit Jugoris, the front & back length are areas that we should pay attention to if we take each person's physical characteristics into consideration. 3. Go-dae (1/2 portion) : We decided Go-dae as the neck width/2+0.5cm. For an upright body type, because the base line which went down vertically from the tragion was straight, we generally decided Go-dae Dalim line as 1.0cm. But we decided Go-dae Dalim line down to 1.5cm for bent-forward type and up to 0.2cm for leaned-backward type because the upper half of the body of them was bent forward or leaned backward from the base line. 4. The armhole : We decided the armhole circumference as A.H/2+2cm with the whole extra room of 4cm. 5. The side line length : We can calculate the side line length to (the back length-the armhole)/2, and, in terms of the trend, 2.5cm will be appropriate.

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BIOMETRICAL STUDIES ON THE WIDTH OF MOUTH IN SINGAPORIAN SUFJECTS (신가파의 구경에 관한 생체계측학적 연구)

  • Kim, Soo-Kyung
    • The Journal of the Korean dental association
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    • v.15 no.1
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    • pp.41-45
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    • 1977
  • For biometric study on the widlth of mouth in singaporian the author measured the transversal width of mouth, Longitudinal width of mouth and Interdental space in 652 cases of the total cases 317 were male (chinese 235. malay50, Indian 32) and 335 Female (Chinese 260, malay 53. Indian 22) and Ages ranged from 5 to 25 yeass old. The fallowing result was obtained. 1) In Adult, transversal width of mouth was 54. 20±0.22mm in male, 53.00±0.10mm in female and 40.03±0.26mm in male, 39.39±0.30mm in female of children. 2) In Abult, Longitudinal width of mouth was 52.00±0.12mm in male, 48.40±0.15mm in female and 44.50±0.13mm in male 44.20±0.30mm in female of children. 3) In Adult, Interdental Space (anterior teeth) was 44.20±0.15mm in male. 44.00±0.20mm in Fmale and 38.40±0.15mm in male, 37.17±0.21mm in Female of Children.

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A Study on Friction Reduction Related with the Piston Ring Pack with Thinner Width Ring and Lower Tension Ring (박폭 저장력 피스톤 링 팩에 대한 마찰저감 연구)

  • Chun, Sang-Myung
    • Tribology and Lubricants
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    • v.25 no.5
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    • pp.348-358
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    • 2009
  • To satisfy the more severe emission regulation and the demand of higher fuel economy in near future, the combustion pressure and power output of engines is going to be higher. In order to get the reduction of engine emission and the higher power, it is needed the reduction of the tension and width of ring pack. The lower tension ring and the manufacturing technology of cast iron thinner width ring can bring the friction reduction between the ring and liner during engine running. Therfore, the fuel economy can be achieved. Thereafter the engine emission can be reduced. In this study, by using a developed basic computer program that predicts the inter-ring pressure, the motion of ring and the inter-ring pressure through a crevice volume model between adjacent rings, and the oil film thickness and the friction computed by lubrication theories, it is to be examined the effect of friction reduction from piston ring pack equipped with thinner width ring and lower tension ring.

A Study on Width of Dummy Switch for performance improvement in Current Memory (Current Memory의 성능 개선을 위한 Dummy Switch의 Width에 관한 연구)

  • Jo, Ha-Na;Hong, Sun-Yang;Jeon, Seong-Yong;Kim, Seong-Gwon
    • Proceedings of the Korean Institute of Intelligent Systems Conference
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    • 2007.04a
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    • pp.485-488
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    • 2007
  • 최근 Analog Sampled-Data 신호처리를 위하여 주목되고 있는 SI(Switched-Current) circuit은 저전력 동작을 하는 장점이 있지만, 반면에 SI circuit에서의 기본 회로인 Current Memory는 Charge Injection에 의한 Clock Feedthrough이라는 치명적인 단점을 갖고 있다. 따라서 본 논문에서는 Current Memory의 문제점인 Clock Feedthrough의 일반적인 해결방안으로 Dummy Switch의 연결을 검토하였고, Austria Mikro Systeme(AMS)에서 $0.35{\mu}m$ CMOS process BSIM3 Model로 제작하기 위하여 Current Memory의 Switch MOS와 Dummy Switch MOS의 적절한 Width을 정의하여야 하므로, 그 값을 도출하였다. Simulation 결과, Switch의 Width는 $2{\mu}m$, Dummy Switch의 Width는 $2.35{\mu}m$로 정의될 수 있음을 확인하였다.

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Shear Strength Equation of Concrete Wide Beam Shear Reinforced With Steel Plate Considering Transverse Spacing and Support Width (전단 보강 간격과 지지부 조건을 고려한 유공형 강판으로 전단 보강된 콘크리트 넓은 보의 전단 강도 산정식)

  • Kim, Min Sook;Jeong, Eun Ho;Ro, Kyong Min;Lee, Young Hak
    • Journal of Korean Association for Spatial Structures
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    • v.19 no.4
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    • pp.61-68
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    • 2019
  • This paper discusses the influence of transverse reinforcement spacing and support width of concrete wide beam on shear performance. In order to evaluate the shear performance, a total of thirteen specimens were constructed and tested. The transverse reinforcement spacing, the number of legs and support width were considered as variables. From the test results, the shear strength equation of concrete wide beam is proposed for prediction of shear strength of concrete wide beam to consider the transverse reinforcement spacing and support width. It is shown that the proposed equation is able to predict shear strength reasonably well for concrete wide beam.

The Design of unevenly leaf width distributed Multileaf Collimator (불균일 폭 분포를 갖는 Multileaf Collimator 설계에 관한 연구)

  • 이병용;장혜숙;조병철
    • Progress in Medical Physics
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    • v.5 no.2
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    • pp.45-48
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    • 1994
  • We have studied about leaf-width distribution of Multileaf Collimator(MLC). We have analyzed 1169 treatment fields from 303 patients who have treated by radiation therapy. From this analysis, we can design an unevenly leaf-width distributed MLC, by placing the smaller leaf widths for more frequent blocking region and the larger for less. The average width of total leaves is 0.8 cm, but the effective block width is 0.5-0.6 cm for frequently blocking region(3-6 cm from the field center).

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An Experiment of Machineable Width and Thickness of Airframe Thin Plate Structure (항공기 박판 구조의 가공가능 폭과 두께에 관한 실험 연구)

  • Shin, Yong-Bo;Kim, Su-Jin
    • Journal of the Korean Society of Manufacturing Technology Engineers
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    • v.22 no.1
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    • pp.162-167
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    • 2013
  • The most important factor in an aircraft manufacturing is stability and weight reduction. Most of aircraft components are designed with thin plate type to satisfy weight reduction needs. The thin plate is difficult to be machined because it is apt to be vibrated by dynamic force generated in milling process. The most critical factor in machining of aluminum thin plate is width and thickness between stiffeners. So we tested many cases to find out the machinable minimum thickness at different width between stiffeners. And with the data obtained from many tests, this papers suggested the standard width thickness relation that is machinable without vacuum fixture. Machinist will be able to reduce the cost of aircraft thin plate parts by reducing the number of vacuum fixture used by the help of this standard.