• PNF and Movement
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• v.16 no.3
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• pp.317-332
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• 2018

Purpose: Patients with tibial fractures can have functional problems with balance and gait, as well as lower extremity muscle weakness. This case report aimed to describe the effect of hip joint strengthening exercises using proprioceptive neuromuscular facilitation (PNF) on balance and gait and lower limb function in a patient with tibia fracture. Methods: One patient diagnosed with tibial fracture was treated for seven weeks with the basic procedure, pattern, and technique of PNF for a hip joint strengthening exercise. Results: The results of pre- and post-intervention treatment showed improvements in physical function and structure in the clinical tests, including the manual strength test; the modified Ashworth scale; sensory evaluation; balance, sit-to-stand, and gait performance; and evaluation of lower limb function. Conclusion: Based on the results of this study, it is suggested that the use of theory-based proprioceptive neuromuscular stimulation for hip joint strengthening exercises positively affects patients' functional improvement in tibial fracture patients, and this may be used as a therapeutic exercise method for those with orthopedic problems in the lower extremities. One limitation of this study was that it was performed on only one tibia fracture patient, which makes it difficult to extend the treatment effects to all patients with this condition.

• Journal of the Korean Society for Heat Treatment
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• v.36 no.2
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• pp.77-85
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• 2023

In this study, the mechanical properties of the Al-Mg-X (X=Cr, Si) alloy, which clearly showed the influence of the specimen and grain size, were investigated by changing the specimen size extensively. In addition, the effect on the specimen size, grain size and aging condition on the mechanical properties of the grain refining alloy according to the addition of Cr was clarified, and the relationship between these factors was studied. As the specimen size decreased, the yield stress decreased and the fracture elongation increased. This change was evident in alloys with coarse grain sizes. Through FEM analysis, it was confirmed that the plastic deformation was localized in the parallel part of specimen S2. Therefore, when designing a tensile specimen of plate material, the W/L balance should be considered along with the radius of curvature of the shoulder. In the case of under-aged materials of alloys with coarse grain size, the fracture pattern changed from intergranular fracture to transgranular fracture as W/d decreased, and δ increased. This is due to the decrease in the binding force between grains due to the decrease in W. In the specimen with W/d > 40 or more, intergranular fracture occurred, and local elongation did not appear. Under-aged materials of alloys with fine grain size always had transgranular fracture over a wide range of W/d = 70~400. As W/d decreased, δ increased, but the change was not as large as that of alloys with coarse grain sizes. Compared to the under-aged material, the peak-aged material did not show significant dependence on the specimen size of σ_0.2 and δ.

• Structural Engineering and Mechanics
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• v.81 no.1
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• pp.81-91
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• 2022

The effects of interaction between concrete-gypsum interface and edge crack on the failure behavior of the specimens in senicircular bend (SCB) test were studied in the laboratory and also simulated numerically using the discrete element method. Some quarter circular specimens of gypsum and concrete with 5 cm radii and hieghts were separately prepared. Then the semicircular testing specimens were made by attaching one gypsum and one concrete sample to one another using a special glue and one edge crack is produced (in the interface) by do not using the glue in that part of the interface. The tensile strengths of concrete and gypsum samples were separately measured as 2.2 MPa and 1.3 MPa, respectively. during all testing performances a constant loading rate of 0.005 mm/s were stablished. The proposed testing method showed that the mechanism of failure and fracture in the brittle materials were mostly governed by the dimensions and number of discontinuities. The fracture toughnesses of the SCB samples were related to the fracture patterns during the failure processes of these specimens. The tensile behaviour of edge notch was related to the number of induced tensile cracks which were increased by decreasing the joint length. The fracture toughness of samples was constant by increasing the joint length. The failure process and fracture pattern in the notched semi-circular bending specimens were similar for both methods used in this study (i.e., the laboratory tests and the simulation procedure using the particle flow code (PFC2D)).

• Journal of the Korean Geotechnical Society
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• v.16 no.1
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• pp.221-226
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• 2000

In this study, the characteristics of gas-water relative permeability curves in a single fractured-plate according to the various aperture size were analyzed by using the Hele-Shaw type glass plate model. The plate was made of glasses for the observation of the two-phase flow pattern, and seven cases were set up based on the aperture size in the range of field scale from 30 to $120\mum$. The experiment was conducted by steady-state method, and the water saturation was determined more accurately by the developed digital image process technique. The empirical equations of relative permeability to gas and water for single fractured-plate were correlated by using the aperture size which directly affects the two-phase flow pattern and critical saturation.

• Proceedings of the Korean Society of Propulsion Engineers Conference
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• 2011.11a
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• pp.520-522
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• 2011

In this paper, the bearing strengths and fracture behaviors of the pin-jointed carbon fiber/epoxy composites were investigated through pin loading test. The composites were fabricated by a filament winding process, and two types of laminated patterns were considered. According to the results, type 1 pattern revealed a net-tension failure mode, whereas type 2 pattern exhibited a bearing failure mode. Also, acoustic emission energy of the type 2 pattern was higher than that of the type 1 pattern. Therefore, the type 2 pattern was found to be structurally safer than the type 1 pattern.

• Clinics in Shoulder and Elbow
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• v.25 no.1
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• pp.49-56
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• 2022

Background: The treatment approach for proximal humeral fractures is determined by various factors, including patient age, sex, dominant arm, fracture pattern, presence of osteoporosis, preexisting arthritis, rotator cuff status, and medical comorbidities. However, there is a lack of consensus in the literature regarding the optimal treatment for displaced proximal humeral fractures. This study aimed to assess and quantify the decision-making process for either conservative or surgical treatment and the choice of surgical method among shoulder surgeons when treating proximal humeral fractures. Methods: Forty sets of true anteroposterior view, scapular Y projection view, and three-dimensional computed tomography of proximal humeral fractures were provided to 12 shoulder surgeons along with clinical information. Surveys regarding Neer classification, decisions between conservative and surgical treatments, and chosen methods were conducted twice with an interval of 2 months. The factors affecting the treatment plans were also assessed. Results: The inter-rater agreement was fair for Neer classification (kappa=0.395), moderate for the decision between conservative and surgical treatments (kappa=0.528), and substantial for the chosen method of surgical treatment (kappa=0.740). The percentage of agreement was 71.1% for Neer classification, 84.6% for the decision between conservative and surgical treatment, and 96.4% for the chosen method of surgical treatment. The fracture pattern was the most crucial factor in deciding between conservative and surgical treatments, followed by age and physical activity. Conclusions: The decision between conservative and surgical treatment for proximal humeral fractures showed good agreement, while the chosen method between osteosynthesis and arthroplasty showed substantial agreement among shoulder surgeons.

• The Journal of Korean Academy of Prosthodontics
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• v.40 no.3
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• pp.287-295
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• 2002

Statement of Problem. Endodontically treated teeth frequently required posts and cores to provide retention and resistance form for crowns. In spite of excellent mechanical properties of metal post and core, its metallic color can be detected through all ceramic restorations occasionally. To solve esthetic problems of metal post and core zirconia post system has been introduced recently. Purpose. The purpose of this study was to examine the fracture strength and mode of resin root analogs restored with zirconia, gold and titanium posts with resin, ceramic and metal cores after cementation with metal crowns. Materials and methods. To avoid the morphological variations of natural teeth, 40 root analogs were fabricated with composite resin. Forty resin root analogs were randomly assigned to four groups according to post and core materials: Group A: cast gold post and core and complete cast crowns, as control. Group B: titanium posts (Parapost, Coltent/Whaledent Inc., NJ, USA) and composite resin cores. Group C: zirconia posts (Cosmopost, Ivoclar AG, Schaan/Liechtenstein) and composite resin cores Group D: zirconia posts and heat-pressed ceramic cores (IPS Empress Cosmo Ingots, Ivoclar AG) After thermocycling ($5^{\circ}C{\sim}55^{\circ}C$, 30 sec.), cyclic loading was applied at 3mm below the incisal edge on the palatal surfaces at an angle of 135 degree to the long axis (2Hz, 50N, 50000cycles). Fracture strength was measured by universal testing machine (Instron, High Wycombe, UK) and fracture pattern of restored resin root analogs was also evaluated. Results and conclusion. Within the limitations of this study following results were drawn. 1. Resin root analogs restored with zirconia posts and composite resins demonstrated lowest fracture strength among tested groups. 2. There was no significant difference in the fracture strength between zirconia posts and heat pressed glass ceramic cores and cast gold posts and cores 3. The fracture strength of resin root analogs restored with titanium posts and composite resin cores was lower than that of gold posts and cores. 4. The deep oblique fracture lines were dominantly observed in root analogs restored with cast gold post and core and zirconia post and heat-pressed ceramic core groups.

• Journal of Dental Rehabilitation and Applied Science
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• v.18 no.3
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• pp.205-215
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• 2002

This study investigated the compressive fracture strength of Targis ceromer crown by the difference of occlusal thickness on a maxillary first premolar. Control group was a castable IPS-Empress all-ceramic crown with occlusal thickness of 1.5 mm constructed by layered technique. Experimental groups were Targis crowns having different occlusal thicknesses of 1.0 mm, 1.5 mm, 2.0 mm, 2.5 mm, respectively. The classification of Targis group is T10, T15, T20, T25 and T15N (for no-thermocycling and occlusal thickness of 1.5mm). Ten samples were tested per each group. Except occlusal thickness, all dimension of metal die is same with axial inclination of $10^{\circ}$and marginal width 0.8mm chamfer. All crowns were cemented with Panavia F and thermocycled 1,000 times between $5^{\circ}$ and $55^{\circ}$ water bath with 10 sec dwelling time and 10 sec resting time. The compressive fracture strength was measured by universal testing machine. The results were as follows : 1. Fracture strength was increased as the occlusal thickness increased : compressive fracture strength of Group T10, T15, T20, T25 was $66.65{\pm}4.88kgf$, $75.04{\pm}3.01kgf$, $87.07{\pm}7.06kgf$ and $105.03{\pm}10.56kgf$, respectively. 2. When comparing material, Targis crown had higher fracture strength than IPS-Empress crown : the mean compressive strength of group T15 was $75.04{\pm}3.01kgf$ and the value of group Control was $37.66{\pm}4.28kgf$. 3. Fracture strength was decreased by thermocycling : the compressive fracture strength of T15 was $75.04{\pm}3.01kgf$, which is lower than $90.69{\pm}6.88kgf$ of group T15N. 4. The fracture line of crowns began at the loading point and extended along long axis of tooth. IPS-Empress showed adhesive failure pattern whereas Targis had adhesive and cohesive failure. In the SEM view, stress was distributed radially from loading point and the crack line was more prominent on Targis crown.

• Journal of the korean academy of Pediatric Dentistry
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• v.35 no.3
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• pp.571-577
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• 2008

Root fracture of primary teeth is relatively uncommon because the more pliable alveolar bone allows displacement of the tooth. Root fracture of primary teeth is occupied $2{\sim}7%$ in trauma pattern of primary teeth. A horizontal root fracture is classified based on the location of the fracture in relation to the root tip : the apical third, middle third, or cervical third of the root. The prognosis worsens the further cervically the fracture has occurrer. Root fracture of primary teeth should be treated by splinting the incisor to the adjacent normal teeth with a resin-wire splint for $8{\sim}12$ weeks. However, if a portion of the root is abscessed or extremely mobile, it can be extracted, and the remaining root fragment will resorb normally. For coronal third fracture in primary teeth, the coronal third is extracted, leaving the apical portion of the root to resorb normally. These root fracture cases of primary teeth were treated by resin-wire splinting despite extremely mobile coronal fragment. Even though they seems like healing well, They need to be monitored regularly until their successors erupt.

• The Journal of Advanced Prosthodontics
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• v.9 no.4
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• pp.244-251
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• 2017

PURPOSE. The purpose of this study was to determine fracture resistance and failure modes of three-unit fixed dental prostheses (FDPs) made of lithium disilicate pressed on zirconia (LZ), monolithic lithium disilicate (ML), and monolithic zirconia (MZ). MATERIALS AND METHODS. Co-Cr alloy three-unit metal FDPs model with maxillary first premolar and first molar abutments was fabricated. Three different FDPs groups, LZ, ML, and MZ, were prepared (n = 5 per group). The three-unit FDPs designs were identical for all specimens and cemented with resin cement on the prepared metal model. The region of pontic in FDPs was given 50,000 times of cyclic preloading at 2 Hz via dental chewing simulator and received a static load until fracture with universal testing machine fixed at $10^{\circ}$. The fracture resistance and mode of failure were recorded. Statistical analyses were performed using the Kruskal-Wallis test and Mann-Whitney U test with Bonferroni's correction (${\alpha}=0.05/3=0.017$). RESULTS. A significant difference in fracture resistance was found between LZ ($4943.87{\pm}1243.70N$) and ML ($2872.61{\pm}658.78N$) groups, as well as between ML and MZ ($4948.02{\pm}974.51N$) groups (P<.05), but no significant difference was found between LZ and MZ groups (P>.05). With regard to fracture pattern, there were three cases of veneer chipping and two interfacial fractures in LZ group, and complete fracture was observed in all the specimens of ML and MZ groups. CONCLUSION. Compared to monolithic lithium disilicate FDPs, monolithic zirconia FDPs and lithium disilicate glass ceramics pressed on zirconia-based FDPs showed superior fracture resistance while they manifested comparable fracture resistances.