• 제목/요약/키워드: comfort function

검색결과 261건 처리시간 0.033초

소수의 임플란트 크라운을 지대치로 이용한 하악 가철성 국소 의치 수복 증례 (Mandibular implant assisted removable partial denture with a small number of implant crowns: two case reports)

  • 김유라;이수영
    • 구강회복응용과학지
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    • 제38권2호
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    • pp.110-119
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    • 2022
  • 부분 무치악 환자의 가철성 국소의치 수복 시 지대치가 항상 유리한 위치에 존재하지는 않는다. 이로 인하여 잘 맞게 제작된 가철성 국소의치임에도 불구하고 환자는 가철성 국소의치의 안정과 지지에 대하여 만족하지 못하는 경우가 발생하게 된다. 이 때, 소수의 임플란트 크라운을 이용한 가철성 국소의치가 부분 무치악 환자에게 좋은 대안이 될 수 있다. 소수의 임플란트를 위치시키고 지대치로 이용하여 가철성 국소의치의 안정과 지지를 증가시킬 수 있다. 본 증례는 하악 편측에 잔존치를 갖는 환자에서 두개의 임플란트를 전략적으로 위치시켜 지대치를 양측으로 분포시켰다. 최종 가철성 국소의치 수복 이후 환자는 저작 기능에 만족감을 보였으며 국소의치 사용시 편안함을 나타내었다.

파킨슨병 환자 대상 음악 및 미술 치료 수요 설문조사 (Music and Art Therapy for Parkinson's Disease Patients: A Demand Survey)

  • 박신영;박미소;허왕정;편우석;류호룡
    • 턱관절균형의학회지
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    • 제13권sup호
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    • pp.9-14
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    • 2023
  • Objectives: The purpose of this study was to investigate patients' demand for music and art therapy in the treatment of Parkinson's disease and to understand how patients view the use of music and art therapy as a complementary form of treatment that can improve their quality of life and increase their self-efficacy in addition to medication. Methods: To this end, 60 Parkinson's patients visiting Daejeon Korean Medicine Hospital at Daejeon University were surveyed about music and art therapy. Results: The survey demonstrated a highly positive response to the music program, with strong belief in its efficacy for Parkinson's disease and significant interest in participation. Group music therapy was perceived as effective for enhancing mental health, respiratory function, language disorders, and overall quality of life. Although the art program was also deemed effective, patients showed slightly lower interest and willingness to participate compared to music therapy. The patients preferred 60-minute sessions once a week for about 8 weeks. Conclusions: We propose the following directions for a Parkinson's music and art therapy program. First, develop a once-a-week, 8-week music and art program for Parkinson's patients. Second, design the music program to focus on improving respiratory function and quality of life. Third, the art program focuses on creating a sense of security and comfort through emotional exchange among patients and improving self-efficacy.

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다양한 크기와 주파수 그리고 감쇠를 갖는 상하방향 전신 충격진동에 대한 불편함 연구 (Study on Discomfort of Vertical Whole-body Shock Vibration Having Various Magnitudes, Frequencies and Damping)

  • 안세진;;유완석;정의봉
    • 한국자동차공학회논문집
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    • 제15권2호
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    • pp.50-57
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    • 2007
  • Shocks are excited by impulsive forces and cause discomfort in vehicles. Current standards define means of evaluating shocks and predicting their discomfort, but the methods are based on research with a restricted range of shocks. This experimental study was designed to investigate the discomfort of seated subjects exposed to a wide range of vertical shocks. Shocks were produced from the responses of one degree-of-freedom models, with 16 natural frequencies (from 0.5 to 16 Hz) and four damping ratios (0.05 0.1, 0.2 and 0.4), to a hanning-windowed half-sine force inputs. Each type of shock was presented at five vibration dose values in the range $0.35\;ms^{-1.75}$ to $2.89\;ms^{-1.75}$. Fifteen subjects used magnitude estimation method to judge the discomfort of all shocks. The exponent in Stevens' power law, indicating the rate of growth in discomfort with shock magnitude, decreased with increasing fundamental frequency of the shocks. At all magnitudes, the equivalent comfort contours showed greatest sensitivity to shocks having fundamental frequencies in the range 4 to 12.5 Hz. At low magnitudes the variations in discomfort with the shock fundamental frequency were similar to the frequency weighting $W_b$ in BS 6841, but low frequency high magnitudes shocks produced greater discomfort than predicted by this weighting. At some frequencies, for the same unweighted vibration dose value, there were small but significant differences in discomfort caused by shocks having different damping ratios. The rate of increase in discomfort with increasing shock magnitude depends on the fundamental frequency of the shock. In consequence, the frequency-dependence of discomfort produced by vertical shocks depends on shock magnitude. For shocks of low and moderate discomfort, the current methods seem reasonable, but the response to higher magnitude shocks needs further investigation.

자산관리관점에서 터널시설물의 서비스 수준 평가항목에 관한 연구 (Assessment Items for the Level of Service for Tunnel Facilities from an Asset Management Perspective)

  • 정성윤;나혜숙;최원식
    • 한국콘텐츠학회논문지
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    • 제12권1호
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    • pp.68-79
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    • 2012
  • 한국은 경제 부흥을 꾀하기 위해 1980년대 말부터 도로시설물 건설을 확대해 왔다. 그 결과, 2010년 이후부터는 시설물의 보수, 보강 수요가 급증할 것으로 예측된다. 따라서 제한된 예산을 가지고 사용자의 만족도를 높이면서 시설물의 관리 기술을 혁신하기 위해 자산관리정보시스템을 연구하고 있다. 본 연구는 터널시설물의 유지관리를 대상으로 서비스 수준을 평가하는 항목을 제시하는 내용으로서, 이를 위해 사용자와 관리자를 구분하여 평가항목의 중요도에 대해서 설문조사를 실시하였다. 설문조사 결과를 토대로 Satty가 제시한 AHP(Analytical Hierarchy Process) 기법을 사용하여 평가항목들의 상대적 중요도를 파악하였다. 사용자관점에서의 중요도는 안정성-이동성-접근성-편리성-관리 효율성-쾌적성-지역 활성화-환경성-정보성 순서로 파악되었다. 또한 관리자관점에서의 중요도는 안정성-이동성-접근성-환경성-지역 활성화-편리성-관리 효율성-정보성-쾌적성 순서로 파악되었다. 이는 도로가 갖는 가장 기본적인 기능인 이동성보다 터널시설물의 안전성에 대한 관심이 더 높다는 것을 의미한다. 따라서 터널시설물의 유지관리 투자계획을 수립할 때 안전성을 확보할 수 있도록 보다 많은 관심과 노력을 기울려야 할 것으로 사료된다.

한국형 PRT차량의 현가장치 최적화 연구 (A Study on Suspension Optimization of the Korean Personal Rapid Transit Vehicle)

  • 김현태;김준우;조정길;구정서;강석원;정락교
    • 대한기계학회논문집A
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    • 제40권3호
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    • pp.317-326
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    • 2016
  • 본 연구에서는 한국형 PRT차량의 주행안정성 및 승차감 향상을 위해 현가장치 최적화를 진행하였다. ISO 3888(Double Lane Change Test)를 통하여 주행안정성을 분석하고 ISO 2631-1을 이용하여 승차감 분석을 진행하였다. 이를 통해 주행안정성과 승차감에 대하여 다중반응표면법을 적용하여 현가장치 최적화를 진행하였다. 그 결과 모든 반응함수가 초기설계치보다 모두 개선되는 만족함수의 비율은 3.9 : 6.1이며, 이때 현가장치의 특성은 Stiffness의 경우 S2와 S3 model의 사이 값인 30.68 N/mm과 Damping 계수의 경우 D1 model의 값을 갖는다. 초기설계인 현재 PRT차량의 현가장치와 비교했을 때, 최적화된 PRT 현가장치 설계는 Roll angle와 Yaw rate는 0.37%, Side slip angle은 2.8%, Ride comfort는 5% 향상된다.

Hemi-Maxillectomy 환자에서 이중온성법을 이용한 폐색장치의 제작 (Double Processing Obturator for the Hemi-maxillectomy Treated Patient)

  • 홍준원;송광엽;박미희;정수양;김경일;안승근;박주미
    • 구강회복응용과학지
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    • 제25권4호
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    • pp.329-336
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    • 2009
  • 선천적 기형이나 후천적인 외상 또는 신생물에 의해 상악골 절제술을 받은 경우, 상악에서 발생하는 구강내 결손은 흔히 비강과 상악동 및 구강이 연결된 형태로 나타난다. 이러한 상악골의 결손은 구강과 비강이 교통되어 발음, 저작, 연하 등의 기능에 이상을 초래하게 된다. 이러한 경우에도 보철치료의 기본적인 목표가 적용되며, 후천적 상악 결손부에 수복되는 폐색장치는 발음, 연하, 저작 기능을 회복할 수 있어야 하고, 적절한 심미적 만족을 제공해야 하며, 환자가 편안하게 사용할 수 있어야 한다. 상악 폐색장치의 무게를 감소시키는 것은 잔존 조직의 건강과 정상적인 기능 및 환자의 안락함을 개선시킬 수 있다. 개방형 폐색장치는 결손부의 크기에 따라 6.55~33.06% 까지 무게를 줄여줌으로써 환자에게 편안함과 편의성을 제공해 주며, 생리적 기능을 향상시켜 치아와 지지 조직에 불필요하게 가해지는 부하를 감소시켜 준다. 본 증례는 hemi-maxillectomy를 시행한 환자에서 이중온성법을 이용하여 기존의 방법보다 더 균일한 의치상 두께를 가진 폐색장치를 제작하여 환자의 기능적, 심미적인 만족을 얻었기에 이를 보고하는 바이다.

보철학적 교합 재구성을 위한 교합진단과 치료계획 (The Occlusal Evaluation and Treatment Planning for Prosthodontic Full Mouth Rehabilitation)

  • 이승규;이성복;최대균
    • 구강회복응용과학지
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    • 제16권2호
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    • pp.149-159
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    • 2000
  • Occlusal disease is comparable to periodontitis in that it is generally not reversible. Occlusal disease, however, like periodontitis, often maintainable. It does itself to treatment and when restorative dentistry is utilized it becomes, in that sense, reversible. Moreover, a systematized and integrated approach will lead to a prognosis that is favorable and predictable. This approach facilitates development of optimum oral function, comfort, and esthetics, resulting in a satisfied patient. Such a systematized approach consists of four logical phase : (1) patient evaluation, (2) comprehensive analysis and treatment planning, (3) integrated and systematic reconstruction, and (4) postoperative maintenance. An integrated treatment plan is first developed on one set of diagnostic casts, properly mounted on a semiadjustable articulator using jaw relationship records. This is accomplished by using wax to make reconstructive modifications to the casts. These modified casts become the blueprint for planned occlusal changes and the fabrication of provisional restorations. The treatment goals are : (1) comfortably functioning temporomandibular joints and stomatognathic musculature, (2) adherence to the basic principle of occlusion advocated by Schuyler, (3) anterior guidance that is in harmony with the envelope of function, (4) restorations that will not violate the patient's neutral zone. This report shows the treatment procedures for a patient whose mandibular position has been altered due to posterior bite collapse. Migration of the maxillary anterior teeth had occurred, and the posterior occlusal contacts showed pathologic interference. Precise diagnosis using mounted casts was executed and prosthodontic reconstruction by the aid of an unconventional orthodontic correction on maxillary flaring was planned. An unconventional orthodontic correction can be accomplished by using preexisting natural teeth, which can be modified for use in active tooth movement or splinted together for orthodontic anchorage. This technique has an advantage over conventional fixed appliance orthodontic therapy because it can accomplish tooth movement concurrently with restorative and periodontal therapy. On occasion, minor tooth movement can be necessary to achieve the optimum occlusal scheme, crown form, and tooth position for the forces of occlusion to be displaced down the long axis of the periodontally compromised teeth. Once the occlusion, periodontal health, and crown contours for the provisional splinted restoration are acceptable, the final splinted restoration can be similarly fabricated, and it becomes an excellent orthodontic retainer.

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완전 구강 회복술 (Full Mouth Rehabilitation)

  • 이승규;이성복;권긍록;최대균
    • 구강회복응용과학지
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    • 제16권3호
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    • pp.171-185
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    • 2000
  • The treatment objectives of the complete oral rehabilitation are : (1) comfortably functioning temporomandibular joints and stomatognathic musculature, (2) adherence to the basic principle of occlusion advocated by Schuyler, (3) anterior guidance that is in harmony with the envelope of function, (4) restorations that will not violate the patient's neutral zone. There may be many roads to achieving these objectives, but they all convey varing degrees of stress and strain on the dentist and patient. There are no "easy" cases of oral rehabilitation. Time must be taken to think, time must be taken to plan, and time must be taken to perform, since time is the critical element in both success and failure. Moreover, a systematized and integrated approach will lead to a prognosis that is favorable and predictable. This approach facilitates development of optimum oral function, comfort, and esthetics, resulting in a satisfied patient. Such a systematized approach consists of four logical phase : (1) patient evaluation, (2) comprehensive analysis and treatment planning, (3) integrated and systematic reconstruction, and (4) postoperative maintenance. Firstly, we must evaluate the mandibular position. The results of a repetitive, unstrained, nondeflective, nonmanipulated mandibular closure into complete maxillomandibular intercuspation is not so much a "centric" occlusion as it is a stable occlusion. Accordingly, we ought to concern ourselves less with mandibular centricity and more with mandibular stability, which actually is the relationship we are trying to establish. The key to this stability is intercuspal precision. Once neuromuscular passivity has been achieved during an appropriate period of occlusal adjustment and provisionalization, subsequent intercuspal precision becomes the controlling factors in maintaining a stable mandibular position. Secondly, we must evaluate the planned vertical dimension of occlusion in relationship to what may now be an altered(generally diminished), and avoid the hazard of using such an abnormal position to indicate ultimate occlusal contacting points. There are no hard and fast rules to follow, no formulas, and no precise ratios between the vertical dimension of occlusion. Like centric relation, it is an area, not a point.

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다운대체 아웃도어 재킷의 디자인 개발 (Development of a Down-alternative Outdoor Jacket design)

  • 이달아;문선정;정삼호
    • 복식
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    • 제63권8호
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    • pp.143-155
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    • 2013
  • The outdoor apparel market has been growing very fast recently, and consumers are spending more time doing outdoor activities for their leisure. As the outdoor apparel market is growing, it has started to combine functionality with style to provide more diverse designs and colors for all ages. The increase of interest in heathy life-styles, outdoor activities, and leisure has lead to a rise in demand for outdoor apparel. Now outdoor apparel have become a part of people's daily casual wear in addition to being worn for outdoor activities. This study is focused on a outdoor jacket design which is used as down-alternative material and the purpose of this study is to design outdoor jackets using a down-alternative fabrics that improve the thermal and lightweight effects for clothing comfort, and increase the satisfaction of wearing down-alterative outdoor jacket. The research of this paper was done by using a questionnaire survey. The survey was used to examine the male customers' outdoor activities, purchase behaviors, place, expense and design preferences. Then, down-like fabric was used to make the prototype down jacket and its design, function, and satisfaction with wearing compared with other brands down jacket products were analyzed. Although duck down fabrics are representative of outdoor jackets, they have many problems that need to be solved such as feathers falling out or its vulnerability to moisture. They have competitive prices compared to down jackets so down-alternative jackets are able to gain more proportion of its market share.

18세기 후기 영국에서의 고중적인 어린이 의복 출현에 관한 연구-루소의 자연주의 교육사상과 관련하여- (A Study on the Active children's Clothes in the Latter Part of the 18th Century in England -In Relation with Rousseau's Naturalism)

  • 이선희;신상옥
    • 복식
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    • 제39권
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    • pp.139-166
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    • 1998
  • This dissertation is to help understanding about the emergence of active children's clothes in the latter part of the 18th century in England. In previous ages children had not been look-ed upon as children, but as incomplete and in-ferior men and women, the costume of children had not been distinguishable from that of their elders. The early eighteenth-century chil-d could not play in comfort because they dressed like their parents. But in the third quarther of the eighteenth century children became free from their con-comfortable and became active. English chil-dren's clothes was prevailing even in Europe as well. In the background of this liberation, there were many enlightened ideas, such as philosophers of enlightenment, doctors, writers, educators. Among these John Locke and Jean Jacque Rousseau criticized openly about rampant fashion which was distorting the body by corset and hoop. Rousseau was the one who wrote$\boxDr$Emile$\boxUl$and played the most important role to free children from an old fashioned idea, and emphasized to bring up children by the natural process of mental and physical development as human beings are a part of nature. Fashion reflects politic, economic, social, ideology, culture of the days and these factor function to create fashion which shows“Time Spirit”.Children's clothes, like those of their parents, follow the fashion, but with a difference, the form of which varies with the attitude to the child. Thus this dissertation was to study in relation with the background of the times in the latter part of 18th century in England and Rousseau's Naturalism in connection with the emergence of active children's clothes. The result is that diffusion of the idea of freedom and equality, the growth of bourgeoisie, the development of clothing and tex-tile industry have influenced to the emergence of active children's clothes. Also a great deal of middle and high class parents devoted to their children's education and was influenced by Rousseau's Naturalism. Specially the bourgeoisie who made their fortune by their own effort were eager to educate their achievement and business by their children through education. This factor influenced to the children's clothes as well.

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