• Title/Summary/Keyword: cases of discrepancy

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COMBINED ORTHODONTIC-SURGICAL TREATMENT FOR CLASS III PATIENT WITH MIDFACIAL DEFICIENCY AND MANDIBULAR PROGNATHISM (중안면부 함몰과 하악전돌을 동반한 III 급 부정교합자의 교정-악교정수술 복합치료)

  • Cho, Eun-Jung;Kim, Jong-Tae;Yang, Won-Sik
    • The korean journal of orthodontics
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    • v.26 no.5 s.58
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    • pp.637-645
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    • 1996
  • In non-growing Class III malocclusion, the critical aspects which determine the need of orthognatic surgery are the severity of skeletal discrepancy, incisor inclination, overbile and soft tissue profile. Two-jaw surgery is more effective in correcting severe sagittal, vertical, transverse skeletal discrepancies and facial asymmetry. And more esthetic and stable profile can be achieved by two-jaw surgery Some midfacial deficiency Patients can be treated by Pyramidal Le Fort II osteotomy to maintain infraorbital rim and malar complex and to advance nasomaxillary complex. Others who require advancement of infraorbital rim and malar complex can be treated by quadrangular Le Fort II osteotomy. On the following cases, patients who had represented midfacial deficiency and mandibular prognathism were treated with combined orthodontic-surgical therapy by Le Fort II osteotomy and BSSRO.

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A Study on Numerical Analysis of Flexible Pavements under Moving Vehicular Loads (차량의 이동하중을 고려한 연성포장의 수치해석 기법 연구)

  • Park, Seoksoon;Kim, Nakseok
    • Journal of the Society of Disaster Information
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    • v.7 no.3
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    • pp.206-219
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    • 2011
  • The important elements in pavement design criteria are the stress and strain distributions. To obtain reasonable stress and strain distribution, tire contact area and tire pressures are very important. This study presents a viscoelastic characterization of flexible pavement subjected to moving loads. During the test, both longitudinal and lateral strains were measured at the bottom of asphalt layers and in-situ measurements were compared with the results of numerical analysis. A 3-dimension finite element model was used to simulate each test section and a step loading approximation has been adopted to analyze the effect of a moving vehicle on pavement behaviors. For viscoelastic analysis, relaxation moduli, E(t), of asphalt mixtures were obtained from laboratory test. Field responses reveal the strain anisotropy (i.e., discrepancy between longitudinal and lateral strains), and the amplitude of strain normally decreases as the vehicle speed increases. In most cases, lateral strain was smaller than longitudinal strain, and strain reduction was more significant in lateral direction.

Lymphoproliferative Disease After Lung Transplantation in Transplanted Lung (폐이식후 발생한 이식폐의 임파종 1예)

  • 이교준;김도형;함석진;김해균
    • Journal of Chest Surgery
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    • v.34 no.12
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    • pp.956-959
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    • 2001
  • The Iymphoproliferative disease after the organ transplantation is more commonly seen with the increase according to the increasing number of the organ transplantations and it occurs more frequently in the cases of heart and lung transplantations that needs more aggressive immunosuppression. It demands urgent evaluation and management because of poor prognosis. We transplanted left lung of a man to the woman who suffered from severe dyspnea due to terminal pulmonary emphysema in discrepancy of ABO blood type. Postoperatively, We used triple regimen immunotherapy(cyclosporin, azathioprine, prednisolone) and followed up in the out patient clinic. During the follow up, we found abnormal mass lesion on the transplanted lung and performed gun biopsy. We confirmed malignant lymphoma on the pathollgic examination and two cycled chemotherapy was given after reducing dose of immunosupression. The patient died of sudden onset of pulmonary edema of the transplanted lung.

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Full mouth rehabilitation of a patient with occlusal plane discrepancy with milling machine for clinic (진료실용 밀링머신을 이용한 교합평면 부조화 환자의 완전 구강 회복술)

  • Park, Ji-Man
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.25 no.2
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    • pp.68-78
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    • 2016
  • Recently, digital technology has become increasingly prevalent in the dental clinic. Using a milling machine for clinic, it is possible to produce provisional restoration inside the clinic. This can promote large clinical cases such as full mouth rehabilitation with the help of a tabletop scanner, which is capable of semi-adjustable articulator equipment, and a powerful dental CAD software with excellent user convenience. In this case report, a full-mouth rehabilitation was done with digital technology to a 55 year-old female patient, who has lost vertical dimension through the attrition, and has got inclined occlusal plane with unplanned and repeated dental reconstruction. Through the design and milling of the provisional restoration in the clinic and the duplication of these provisionals by double scanning technique, a good functional and esthetic result could be achieved.

Information Security and Its Awareness in Local Governments (지방자치단체의 정보보호 현황 및 인식의 변화 분석)

  • Noh, Jae In;Seo, Jin-Wan
    • Informatization Policy
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    • v.23 no.1
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    • pp.20-37
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    • 2016
  • As the numbers of various cyber-crimes have sharply increased, the importance of securing information has also been emphasized. Despite the government's constant efforts to solve the issue, they hardly work in practice, and cases related to information security are still on the rise. This study investigates the reasons for the discrepancy that occurs when a solution is put to action. The research analyzes the recent shift in the administrative system with regard to information security and officials' awareness of the shift, focusing on members of local government. The results of the study confirm a steady attempt including changes in institutions at the level of the central government. However, there is still a lack of personnel and budget support at the local government level as well as not much change in the awareness of information security.

An Experimental and Numerical Study on Fire Suppression Using a Mid-low Pressure Water Mist in a Carriage Fire (중저압 물분무를 이용한 객차내 화재진압에 관한 실험 및 수치해석적 연구)

  • Roh Jae-Seong;Yang Seung-Shin;Kim Dong-Hyun;Jung Woo-Sung;Jang Yong-Jun;Ryou Hong-Sun
    • Journal of the Korean Society for Railway
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    • v.9 no.3 s.34
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    • pp.291-297
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    • 2006
  • The present study investigated the effect of fire suppression using a mid-low pressure water mist in a carriage fire. The fire extinguishing time and temperature distributions below ceiling in the enclosed compartment of $2.9m{\times}2.8m{\times}5.0m$ were measured by stopwatch and k-type thermocouples for various fire positions. The numerical simulations were extensively performed using. Fire Dynamics Simulator(FDS, Ver. 4.0) code and the predictions were compared with experimental data. The prediction results showed good agreement with the measured maximum temperature in the all cases. Whereas the predicted temperature was about $40^{\circ}C$ higher than the measured one after operating of water mist. The predicted fire extinguishing times were compared with those of measured data. Fires are extinguished within 200 seconds at the experiment in Case 2 and Case 3. But in Case 1 fire was not extinguished in the numerical simulation. The reason of the discrepancy between predicted and measured data was that a simple suppression algorithm has been implemented in FDS. Also, various databases of fire properties for combustible materials and more elaborate model considering the water mist were required fur better predictions of the cooling and suffocation effect.

A Study on the Estimation of Load Distribution Factors Considering Excavation Methods and Initial Stress Conditions (굴착방법과 초기지압 조건을 고려한 하중분배율의 산정 연구)

  • Park, Yeon-Jun;Ryu, Il-Hyung
    • Tunnel and Underground Space
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    • v.21 no.3
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    • pp.192-204
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    • 2011
  • In this study, 3-D analyses were conducted while taking every construction stage into account. Then 2-D analyses were conducted which yield the same results with the 3-D results. The crown settlement normalized by the ultimate value was compared during the process to overcome the discrepancy caused by different dimensions. When a bench or a core is left uncut to give extra support to the face and eventually the whole excavation boundary, this extra supporting effect also has to be included in the analysis. In this study, this effect is also implemented in terms of the load distribution factor. When the length of the bench is very short compared to the diameter of the tunnel in such cases as in short bench cut or in mini-bench cut, the supporting effect of the face does not disappear even after the bench is completely excavated and supported since the face is still too close to the point of interest. The 4th load distribution factor was defined to stand for the advance of the face after the completion of the excavation cycle. The 4th load distribution factor turned out to be very useful in determining the load distribution factors when a tunnel is excavated by bench cut with various bench lengths under different initial conditions.

On the Reliability of the Computational Fire Model Based on the Yield Rate Concept of Combustion Gases (생성율 개념에 기초한 화재모델의 신뢰성에 대한 연구)

  • Kim, Sung-Chan;Ko, Gwon-Hyun;Lee, Seong-Hyuk
    • Fire Science and Engineering
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    • v.23 no.4
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    • pp.130-136
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    • 2009
  • The present study has been performed to evaluate the reliability of the fire field model (FDS version 5.2) with yield rate concept of combustion products. The CO and smoke density predicted by FDS model was directly compared with measurement in a reduced scale ISO-9705 room. The GER (global equivalence ratio) concept was used to characterize the CO and smoke density with ventilation condition in the fire compartment. The FDS model tends to under-predict CO concentration and smoke density than those of measurement for the under-ventilated conditions. Also, the discrepancy between predicted and measured result increases as GER increases. In order to improve the reliability of the fire model for performance evaluation of fire safety, the fire model is necessary to be validated in various fire cases as well as develop detailed physical model.

Clinical Usefulness of the Line Probe Assay for Rapid Detection of Rifampicin-resistant Tuberculosis (Line probe assay를 이용한 신속한 rifampicin내성결핵 진단법의 임상적 유용성)

  • Hong, Sang-Bum;Lim, Chae-Man;Lee, Sang-Do;Koh, Youn-Suck;Kim, Woo-Sung;Kim, Dong-Soon;Kim, Won-Dong;Shim, Tae-Sun
    • Tuberculosis and Respiratory Diseases
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    • v.50 no.3
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    • pp.334-342
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    • 2001
  • Background : RpoB gene mutations have been found in about 96-98% of rifampicin (RMP)-resistant Mycobacterium tuberculosis. Recent reports confirm that the in laboratory settings a rpoB gene mutation can be used as a surrogate marker for multi-drug resistant tuberculosis. However, its usefulness in clinical applications has not been evaluated. This study was performed to confirm whether mutation analysis of the rpoB gene of M. tuberculosis is useful in clinical settings. Methods : The medical records of 33 patients in whom rpoB gene analysis was conducted using an INNOLiPA Rif. TB assay (LiPA) from June, 1998, to July, 2000, at the Asan Medical Center were retrospectively reviewed in 33 patients. The clinical characteristics in addition to the drug susceptibility and LiPA results were analyzed. The drug susceptibility test was considered as a gold standard method for M. tuberculosis susceptibility and these results were compared with those of the rpoB gene study and sequencing analysis. Sequencing analysis of the rpoB gene was done in cases where there was a discrepancy between the results of the drug susceptibility an d rpoB gene study. Results : The mean age and sex ratio was $42{\pm}18$, and 24:9 (M:F), respectively. There were 19 RMP susceptible (58%) and 14 RMP-resistant cases (42%) according to the rpoB gene study. The mean time from the request to reporting the results of the rpoB gene study was $5.2{\pm}2.6$ days. The mean gap from reporting the rpoB gene study to reporting the susceptibility was $56{\pm}35$ days. Twenty-eight cases (85%) showed identical results compared with the drug susceptibility results, whereas five cases (15%) showed contradictory results. When compared with the sequencing analysis, of the five cases that showed contradictory results, two had LiP A analysis errors and the remaining three were identical to the sequencing results. The rpoB gene study was of assistance in choosing the appropriate drugs in 28 cases (85%). Conclusions : An rpoB gene study using an LiP A assay was useful in rapidly diagnosing RMP-resistant tuberculosis, which enabled a proper choice of the appropriate drugs in clinical practices. However, an LiPA assay always should be performed in conjunction with microscopy, culture, and susceptibility tests.

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THE THREE-DIMENSIONAL FINITE ELEMENT ANALYSIS OF THE PARTIALLY EDENTULOUS IMPLANT PROSTHESIS WITH VARYING TYPES OF NON-RIGID CONNECTION (부분 무치악 임플랜트 보철 수복시 자연치와의 비고정성 연결형태에 따른 3차원 유한요소법적 연구)

  • Lee, Seon-A;Chung, Chae-Heon
    • The Journal of Korean Academy of Prosthodontics
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    • v.34 no.1
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    • pp.101-124
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    • 1996
  • In this study, we designed the finite element models of mandible with varying their connecting types between the prosthesis on implant fixture and 2nd premolar, which were free-standing case(Mf), precision attachment case(Mp), semiprecision attachment case(Ms) and telescopic case(Mt). The basic model of the designed finite element models, which contained a canine and the 1st & 2nd premolar, was implanted in the edentulous site of the 1st & 2nd molar by two implant fixtures. We applied the load in all models by two ways. A vertical load of 200N was applied at each central fossa of 2nd premolar and 1st implant. A tilting load of 20N with inclination of $45^{\circ}$ to lingual side was applied to buccal cusp tips of each 2nd premolar and 1st implant. And then we analyzed three-dimensional finite element models, making a comparative study of principal stress and displacement in four cases respectively. Three-dimensional finite element analysis was performed for the stress distribution and the displacement using commercial software(IDEAS program) for SUN-SPARC workstation. The results were as follows : 1 Under vertical load or tilting load, maximum displacement appeared at the 2nd premolar. Semiprecision case showed the largest maximum displacement, and maximum displacement reduced in the order of precision attachment, free-standing and telescopic case. 2. Under vertical load. the pattern of displacement of the 1st implant appeared mesio-inclined because of the 2nd implant splinted together. But displacement pattern of the 2nd premolar varied according to their connection type with prosthesis. The 2nd premolar showed a little mesio-inclined vertical displacement in case of free-standing and disto-inclined vertical displacement due to attachment in case of precision and semiprecision attachment. In telescopic case, the largest mesio-inclined vertical displacement has been shown, so, the 1st premolar leaned mesial side. 3. Under tilting load, The pattern of displacement was similar in all four cases which appeared displaced to lingual side. But, the maximum displacement of 2nd premolar appeared larger than that of the first implant. Therefore, there was large discrepancy in displacement between natural tooth and implant during tilting load. 4. Under vertical load, the maximum compressive stress appeared at the 1st implant's neck. Semiprecision attachment case showed the largest maximum compressive stress, and the maximum compressive stress reduced in the order of precision attachment, telescopic and free-standing case. 5 Under vertical load, the maximum tensile stress appeared at the 2nd implant's distal neck. Semiprecision attachment case showed the largest maximum tensile stress, and the maximum tensile stress reduced in the order of precision attachment, telescopic and free-standing case. 6. Under vertical load or tilting load, principal stress appeared little between natural tooth & implant in free-standing case, but large principal stress was distributed at upper crown and distal contact site of the 2nd premolar in telescopic case. Principal stress appeared large at keyway & around keyway of distal contact site of the 2nd premolar in precision and semiprecision attachment case, appearing more broad and homogeneous in precision attachment case than in semiprecision attachment case.

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