• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제28권5호
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• pp.372-382
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• 2002

As the most of dentofacial deformity patients indicated to orthognathic surgery have strong desire for esthetic improvement as well as functional improvement, ideal esthetic evaluation should be made at surgical prediction. Lateral cephalographs has been commonly used for surgical prediction, however, remarkable discrepancy between esthetic viewpoint by simple looking and analysis on lateral cephalographs often found on evaluation of sagittal position of the upper and lower jaws especially in cases of mandibular prognathism of Koreans. In these cases, we have been employed Esthetic NaP(ENaP)-line for corrective evaluation and ideal surgical prediction on lateral cephalographs, but the efficacy of ENaP-line has not been evaluated. This is a study on efficacy of ENaP-line for orthognathic surgery of Korean mandibular prognathism. 170 Korean patients who had been diagnosed as mandibular prognathism and planned for orthognathic surgery at Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University during last 10 years are studied. The obtained results are as followings; among 170 patients of mandibular prognathism, 132 patients(77.6%) had not discrepancy in evaluation of sagittal position of the maxilla between cephalometric and esthetic evaluation(they are classified as Group I), however, 38 patients(22.4%) had definite discrepancy(they are classified as Group II). ENaP-line was employed in all cephalometric analysis of Group II. The proportions of male and female were similar in both Groups. Sixteen vertical reference lines perpendicular to 16 horizontal reference lines were obtained as followings; Each of the representative degree of ${\angle}SN/AFH$, ${\angle}SN/CFH$ and ${\angle}AFH/CFH$ obtained at Group I was applied to SN plane, AFH plane and CFH plane of Group II each other, and so 16 horizontal reference lines could be obtained individually according to each of the applied degree to each plane. And then their reliability to coincide with ENaP-line of Group II was evaluated. A vertical reference line perpendicular to a horizontal line made by application of the representative degree of ${\angle}$AFH/CFH in Group I to AFH line in Group II had the most highest coincidence with ENaP-line of Group II, however, its agreement was 42% in male and 47% in female. From this results, the rest of them should be determined their corrective jaw position definitely depend on

• 한국과학교육학회지
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• 제37권5호
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• pp.891-909
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• 2017

이 연구는 과학 교육 현장에서 인지적 정의적 평가를 중심으로 한 양적 자료와 질적 자료에서 나타나는 몇 가지 불일치 사례를 분석했다. 308명의 고등학교 2학년 학생을 대상으로 학업 성취도와 정의적 성취도를 양적 자료로 수집했고, 그 중 33명의 학생을 면담한 질적자료를 분석했다. 주로 검사 도구의 측면에서 불일치 사례의 원인과 유형을 고찰했다. 연구 결과 양적 자료인 인지적 성취와 정의적 성취 영역 각각에서 과목별, 구인별 차이가 크게 나타나는 학생들이 상당수 있었고, 특히 두 영역 간 성취도 경향이 일치하지 않는 학생들도 20% 이상 분석되었다. 선택한 진로와 진학을 위해 의도적으로 과학 학습을 조절한 사례, 학교 과학과 과학에 대한 인식 차이에 따라 다른 반응 등의 사례가 면담을 통해 발견되었다. 도구로 측정한 양적 자료와 학생들의 면담 내용인 질적 자료를 비교한 결과 스스로 반응한 양적 자료와 다르게 자신을 평가하는 학생들이 대부분이었다. 이는 다양한 특성을 지닌 학생들이 검사 도구와 상호작용하는 과정에서 비롯된다. 검사 도구와 관련된 불일치 유형은 '문항 개발자가 의도한 개념과 학생들이 이해하는 개념 간 차이'와 '표현된 반응과 속마음 간의 차이'로 나타났다. 검사 도구에서 사용한 용어가 학생들에게 모호하게 인식될 때 자의적이거나 일관성 없이 반응하는 경우가 전자에, 사회적 바람직성이나 자아 방어 기제에 의한 반응 왜곡은 후자에 해당한다. 이상 연구 결과를 바탕으로 자기보고식 검사 도구가 학생들의 실제 인식을 잘 반영하고 있는지 검토하고 정교화하려는 노력, 학습 경험을 획일적으로 고정시키는 평가 개선 등이 필요하다.

• 대한세포병리학회지
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• 제14권2호
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• pp.53-59
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• 2003

Fine needle aspiration cytology (FNAC) has been known as a very sensitive and effective method for preoperative diagnosis. We studied cases preoperatively diagnosed by FNAC and confirmed by the histopathologic examination to define the effectiveness of FNAC. A total of 567 cases including breast, thyroid gland, lymph node, and soft tissue confirmed histologically after FNAC were enrolled, among 2,844 FNAC cases from January 1996 to March 2000. Overall sensitivity and specificity of FNAC were 93% and 100%, respectively. Sensitivity and specificity of FNAC by sites or organs were 91% and 100% in breast, 100% and 100% in thyroid, 97% and 100% in lymph node, and 71% and 100% in soft tissue, respectively. Nine cases showed diagnostic discrepancy; eight cases of sampling error and one case of interpretation error. Five cases, diagnosed as fibrocystic change at FNAC but invasive ductal carcinoma after the histopathologic examination, were categorized as sampling error due to the presence of diffuse fibrosis or deep seated location. One case of breast, diagnosed descriptively as atypical ductal and stromal cells suggesting invasive ductal carcinoma at FNAC but malignant phyllodes tumor histologically, was categorized as interpretation error. Other cases of sampling errors were two cases of soft tissue, a case of lymph node, and a case of salivary gland.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제11권1호
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• pp.243-248
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• 1989

This is a report of 2 cases on old maxilla fractures accompanied with sagittal palatal fracture and severe malocclusion. We treated them by using of classic Le Fort I osteotomy and modified Le Fort I osteotomy along the old fracture lines satisfactorily. The results obtained from treatment are as follows : 1. Careful examination and correct care on sagittal palatal fracture should be need during initial diagnosis and emergency care of maxilla fracture showed malocclusion. 2. Although early definite treatment of maxilla injuries is difficult due to major organ injuries associated with accident, the positive effort to induce normal occlusion is always necessary as soon as possible. 3. In the cases of malocclusion due to transverse discrepancy of maxillary dentition associated with injury as like as our cases, classic and modified Le Fort I osteotomy and rigid internal fixation were useful to correct occlusion, to ease operation and return normal functions early.

• 설비공학논문집
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• 제18권5호
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• pp.443-450
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• 2006

The present study has been conducted to investigate the effects of rotation on heat/mass transfer and pressure drop characteristics in a two-pass square duct with and without discrete ribs. For stationary cases, the heat/mass transfer on the surfaces with and without discrete ribs is almost the same or reduced. For rotating cases, the gap flow affects differently the heat/mass transfer on leading and trailing surfaces with discrete ribs. On the leading surface of the first pass, the heat/mass transfer is slightly enhanced due to generating strong gap flow. On the trailing surface of the first pass, however, the heat/mass transfer is much decreased because the gap flow disturbs impingement of main flow. The phenomenon, that is, the heat/mass transfer discrepancy between the leading and trailing surfaces is distinctly presented with the increment of rotation number. The friction losses on each surface with discrete ribs are reduced because the blockage ratio decreases for both non-rotating and rotating cases. Therefore, high thermal performance appears in a duct with discrete ribs.

• Archives of Reconstructive Microsurgery
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• 제16권1호
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• pp.6-13
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• 2007

Purpose: To report the clinical results of the vascularized fibular graft in the treatment of intractable infected nonunion of femur. Materials and Methods: We reviewed 3 patients who were performed vascularized fibular graft in treated for intractable infected nonunion of femur. They had received an average of 5.6 times($4{\sim}8\;times$) surgical treatment at different hospitals. 1 case was of a infected nonunion in a fracture treated with internal fixation, the fracture having occurred after resection of a malignant tumor and transplantation of pasteurized autologous bone. 2 cases occurred after internal fixation in closed fractures. Surgical treatment was performed an average of 4 times($3{\sim}5\;times$) at our hospital and in all of the cases debridement of necrotic tissue and sequestrectomy. And vascularized fibular graft was performed. In all cases unilateral external fixation devices were used, of these, 1 case was changed into internal fixation. The final conclusion was made by assessment of functional outcomes and complications according to the standards of Paley. Results: As a result, in all of the cases bone union was achieved, and in the last follow up the functional results were excellent in 2 cases and good in 1 case. There were not presented leg length discrepancy of more than 2 cm, and further loss of knee joint motion. After previous treatment, average 23.3 months($16{\sim}30\;months$) was taken to eliminate infection and achieve complete bone union via vascularized fibular graft in our hospital. Conclusion: In treatment of intractable infected nonunion of femur, fairly good results can be expected after firm fixation, through debridement and vascularized fibular graft.

• 대한임상검사과학회지
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• 제45권3호
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• pp.108-113
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• 2013

The study compared the cytological features of papillary thyroid carcinoma (PTC) in liquid-based preparations (LBPs) and conventional Pap (CP) smears from fine needle aspiration (FNA), and assessed the feasibility of LBP using the Cell Scan $1500^{TM}$ processor on thyroid FNA samples. Thyroid FNA samples were obtained from 883 consecutive patients. Each sample was divided into two and used for LBPs and CP smears. All were screened independently in a double-blind manner. From the 883 cases, 95 cases were diagnosed as PTC in one or both types of preparation (10.8%). PTC was diagnosed via CP smears in 83 cases (87.4%) and via LBPs in 70 cases (73.7%). However, there were differences in categorization between the paired preparations: Twelve (12) PTCs were misinterpreted in CP smears and 25 PTCs in LBPs. There was a significant discrepancy in the rate of detection of the diagnostic features, with LBPs having a lower detection rate. One (1) case (1.2%) of CP smears and 16 cases (22.9%) of LBPs were categorized as unsatisfactory/nondiagnostic in a total of the 95 PTCs. To conclude, the detection rate of the diagnostic features of PTC is lower in Cell Scan 1500TM samples than in CP smears. However, there are some cases in which a diagnosis of PTC is made in LBPs, but not in CP smears. Therefore, definitive cancer diagnosis in thyroid FNA preparations is likely to result from agreement between direct smears and Cell Scan 1500TM preparations.

• Smart Structures and Systems
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• 제30권4호
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• pp.339-351
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• 2022

Evaluating the current condition of existing structures is of primary importance for economic and safety reasons. This can be addressed by Structural System Identification (SSI). A reliable static SSI depends on well-designed sensor configuration and loading cases, as well as efficient parameter estimation algorithms. Static SSI by the Measurement Error-Minimizing Observability Method (MEMOM) is a model-based deterministic static SSI method that could estimate structural parameters from static responses. In the current state of the art, this method is only applicable when structures are subjected to one loading case. This might lead to lack of information in some local regions of the structure (such as the null curvatures zones). To address this issue, the SSI by MEMOM using multiple loading cases is proposed in this work. Observability equations obtained from different loading cases are concatenated simultaneously and an optimization procedure is introduced to obtain the estimations by minimizing the discrepancy between the predicted response and the measured one. In addition, a Genetic-Algorithm (GA)-based Optimal Sensor Placement (OSP) method is proposed to tackle the OSP problem under multiple static loading cases for the very first time. In this approach, the Fisher Information Matrix (FIM)'s determinant is used as the metric of the goodness of sensor configurations. The numerical examples of a 3-span continuous bridge and a 13-story frame, are analyzed to validate the applicability of the extended SSI by MEMOM and the GA-based OSP method.

• Journal of Gastric Cancer
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• 제16권1호
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• pp.34-42
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• 2016

Purpose: Early gastric cancer cases that are estimated to meet indications for treatment before endoscopic submucosal resection are often revealed to be out-of-indication after the treatment. We investigated the short-term treatment outcomes in patients with early gastric cancer according to the pretreatment clinical endoscopic submucosal resection indications. Materials and Methods: We retrospectively reviewed the medical records of patients with early gastric cancer that met the pretreatment endoscopic submucosal resection indications, from 2004 to 2011. Curative resection rate and proportion of out-of-indication cases were compared according to the pre-endoscopic submucosal resection indications. Pre-endoscopic submucosal resection factors associated with out-of-indication in the final pathological examination were analyzed. Results: Of 756 cases, 660 had absolute and 96 had expanded pre-endoscopic submucosal resection indications. The curative resection rate was significantly lower in the patients with expanded indications (64.6%) than in those with absolute indications (81.7%; P<0.001). The cases with expanded indications (30.2%) were revealed to be out-of-indication more frequently than the cases with absolute indications (13.8%; P<0.001). Age of >65 years, tumor size of >2 cm, tumor location in the upper-third segment of the stomach, and undifferentiated histological type in pre-endoscopic submucosal resection evaluations were significant risk factors for out-of-indication after endoscopic submucosal resection. Conclusions: Non-curative resection due to out-of-indication occurred in approximately one-third of the early gastric cancer cases that clinically met the expanded indications before endoscopic submucosal resection. The possibility of additional surgery should be empha-sized for patients with early gastric cancers that clinically meet the expanded indications.

• Hip & pelvis
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• 제34권4호
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• pp.203-210
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• 2022

Purpose: Total hip arthroplasty (THA) using the direct anterior approach (DAA) is known to have a learning curve. The purpose of this study was to review cases where surgery was performed by an arthroplasty surgeon transitioning from the posterior approach (PA) to the DAA. We hypothesized similar complication rates and improvements in surgical duration over time. Materials and Methods: A review of 2,452 consecutive primary THAs was conducted. Surgical duration, length of stay (LOS), surgical complications, decrease in postoperative day (POD) 1 hemoglobin, transfusion rates, POD 0 and POD 1 pain scores, incision length, leg length discrepancy (LLD), and radiographic cup position were recorded. Results: No differences in surgical duration were observed after the first 50 DAA cases. A shorter LOS was observed for the DAA, and statistical difference was appreciated after the first 100 DAA cases. There were no differences in periprosthetic fractures. A higher rate of infections and hip dislocations were observed with the PA. The PA showed an association with higher transfusion rates without significant difference in POD 1 decrease in hemoglobin over the first 100 DAA cases. Similar POD 0 and POD 1 pain scores with a smaller incision were observed for the first 100 DAA cases. The DAA cohort showed less variation in cup inclination, version, and LLD. Conclusion: DAA is safe and non-inferior in terms of reduced LOS, smaller incision, and less variation in cup position. Fifty DAA cases was noted to be the learning curve required before no differences in duration between approaches were observed.