• Archives of Plastic Surgery
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• 제48권5호
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• pp.473-482
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• 2021

Background The increasing number of bilateral breast cancer patients has been accompanied by a growing need for bilateral mastectomy with immediate reconstruction. However, little research has investigated the complications and aesthetic outcomes related to bilateral reconstruction. Therefore, we analyzed retrospective data comparing the outcomes of bilateral reconstruction using deep inferior epigastric perforator (DIEP) flaps or implants. Methods This study included 52 patients (24 DIEP group and 28 implant group) who underwent bilateral mastectomy with immediate reconstruction between 2010 and 2020. Patient demographics, surgical characteristics, and complications were recorded. The difference between the left and right position of the nipple-areolar complex with respect to the sternal notch point at the clavicle was measured, and breast symmetry was evaluated. Results The average weight of breasts reconstructed with DIEP flaps (417.43±152.50 g) was higher than that of breasts with implants. The hospitalization period and operation time were significantly longer in the DIEP group. Early complications were significantly more common in the implant group (36.53%) than in the DIEP group. The angles between the nipples and the horizontal line were 1.09°±0.71° and 1.75°±1.45° in the DIEP and implant groups, respectively. Conclusions Although the surgical burden is lower, breast reconstruction using implants requires greater attention with respect to implant positioning, asymmetry, and complications than DIEP flap reconstruction. DIEP flap reconstruction has a prolonged operation time and a high risk of flap failure, but yields excellent cosmetic results and does not require intensive follow-up. Patients should be consulted to determine the most suitable option for them.

• 대한치과교정학회지
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• 제51권5호
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• pp.321-328
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• 2021

Objective: To examine the accuracy of computer-aided intraoperative navigation (Ci-Navi) in bimaxillary orthognathic surgery by comparing preoperative planning and postoperative outcome. Methods: The study comprised 45 patients with congenital dentomaxillofacial deformities who were scheduled to undergo bimaxillary orthognathic surgery. Virtual bimaxillary orthognathic surgery was simulated using Mimics software. Intraoperatively, a Le Fort I osteotomy of the maxilla was performed using osteotomy guide plates. After the Le Fort I osteotomy and bilateral sagittal split ramus osteotomy of the mandible, the mobilized maxilla and the distal mandibular segment were fixed using an occlusal splint, forming the maxillomandibular complex (MMC). Real-time Ci-Navi was used to lead the MMC in the designated direction. Osteoplasty of the inferior border of the mandible was performed using Ci-Navi when facial symmetry and skeletal harmony were of concern. Linear and angular distinctions between preoperative planning and postoperative outcomes were calculated. Results: The mean linear difference was 0.79 mm (maxilla: 0.62 mm, mandible: 0.88 mm) and the overall mean angular difference was 1.20°. The observed difference in the upper incisor point to the Frankfort horizontal plane, midfacial sagittal plane, and coronal plane was < 1 mm in 40 cases. Conclusions: This study demonstrates the role of Ci-Navi in the accurate positioning of bone segments during bimaxillary orthognathic surgery. Ci-Navi was found to be a reliable method for the accurate transfer of the surgical plan during an operation.

• 한국치위생학회지
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• 제18권6호
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• pp.1013-1023
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• 2018

Objectives: The purpose of this study is to evaluate dental hygiene students' recognition of safety management and phantom practice in dental radiology. Methods: The study subjects were 409 students in six regions who completed a dental radiology practice course and had on-job experience more than once. After understanding the study purpose and contents, they answered a questionnaire. The main jobs in dental radiology were analyzed. Results: As a result, regarding the most difficult aspects of dental radiology practice, "it is impossible to irradiate the mouth directly with X-rays" was the most common response (29.1%). Regarding the question "what is the main role of students in dental radiology practice?", the answer "it is shooting simulations using phantoms" accounted for 59.7% of responses. The most difficult regions in bisecting and paralleling radiography with a phantom were found to be the maxillary & mandibular molars and premolars. The most difficult technique was reported to be locating XCP maintenance to fit inside the mouth for both molars and premolars. The most difficult region to perform bitewing radiography using the phantom was the molar region (2.87), and the most difficult to perform occlusal radiography approaches were maxillary anterior general occlusal radiography (2.92) and mandibular cross-sectional occlusal radiography (3.00). Conclusions: The most technically difficult point in bitewing and occlusal radiography was the correct positioning of the vertical and horizontal angles. Radiography practice was considered to be more effective than previous mutual practice in terms of analysis of anatomical structures and patient treatment methods. Therefore, it will be necessary to improve policy regarding dental radiography practice at the department of dental hygienics and revise the necessary laws and regulations.

• 한국정보통신학회논문지
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• 제25권6호
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• pp.834-840
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• 2021

먹는 물을 생산하여 공급하는 상수도 관로에 있어서 압력계에 대한 설치와 관리 방안이 미비함에 따라 압력데이터 신뢰성의 확보 및 운영관리의 어려움을 겪고 있는 실정이다. 관망 및 펌프 등 운영관리 효율화 및 SWM(Smart Water Management)을 구현하기 위해서는 하부 계측 센서의 정확한 데이터 취득을 통하여 의사결정이 이루어져야 한다. 따라서, 본 연구에서는 게이트 밸브와 버터플라이 밸브를 중심으로 관로의 직경(D)을 기준으로 전단 -3D에서부터 후단 7D까지 압력계를 설치하여 밸브의 개도율을 조절하며 데이터를 취득하는 직관 거리 시험을 실시하였으며, 관로에 수직으로 상단(180°)부터 하단(0°)까지 45° 각도 간격으로 압력계를 설치한 후 수직 위치 시험을 실시하였으며, 이 결과들을 바탕으로 압력계의 최적 위치선정 방안을 제시하고자 한다.

• 한국산업융합학회 논문집
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• 제26권5호
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• pp.915-923
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• 2023

As environmental regulations on carbon emissions are strengthened worldwide, the existing internal combustion engine-centered automobile industry is being reformed. In particular, large buses and large cargo trucks are pointed out as one of the main causes of environmental destruction due to excessive carbon emissions. The E-Highway power collection system, which has recently been proposed as a solution, uses the vehicle's battery as a backup power source or regenerative braking, depending on whether the pan head of the pentograph installed in the vehicle is in contact with the overhead line. It is used to store the excess energy generated. However, wear through contact due to continuous contact reduces the current collection effect and causes failure. In this paper, by using the current difference, the horizontal position information of the panhead in contact with the overhead line is acquired, thereby reducing the abrasion of the conductor and the panhead Make it possible to follow the overhead line. The position estimation method proposed in this paper simply configures a device that can detect the position of the overhead line of the pantograph by the difference in resistance. It is economical and has the advantage of reducing the volume. The characteristics of the pantograph estimating the location of overhead lines were analyzed using the difference between the two currents of the current collector, the feasibility of the positioning estimation system was verified through simulations and experiments.

• 핵의학기술
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• 제16권1호
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• pp.70-75
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• 2012

SPECT 검사는 여러 가지 물리적인 요소들에 의해서 영향을 받기 때문에 정확한 데이터를 획득하는 것이 중요하다. 본 실험은 여러 가지 요인 중 COR에서 심장의 위치를 달리하여 두 중심이 일치할 때와 일치하지 않았을 때 영상의 균일도에 대해서 알아보고자 하였다. Philips사의 Cardio MD장비를 이용하여 cylindrical uniform phantom (직경 6.7 cm, 높이 9 cm), heart insert phantom을 COR과 각각 상 하 좌 우 100 mm 위치에서 실험하였다. Cylindrical uniform phantom과 heart insert phantom에서 획득한 영상은 line profile을 이용하여 phantom과 심장 양쪽 벽에 대한 계수 차이를 비교하였다. 육안평가는 heart insert phantom과 volunteer test를 하였다. Heart insert phantom 실험은 COR과 상 하 좌 우 100 mm 위치에서 수평으로 T-A curve를 나타내면 계수 차가 2.6%, 12.1%, 6.7%, 13.8%, 1.4%로 나타났고, 수직에서는 3.9%, 21.9%, 3.5%, 23.9%, 14.0%로 나타났다. Cylindrical phantom 실험은 수평에서 계수 차가 4.3%, 0.3%, 3.3%, 2.6%, 0.7%로 나타났고, 수직에서는 2.7%, 3.0%, 1.0%, 0.3%, 3.4%로 나타났다. Heart insert phantom과 volunteer test에서 획득한 영상의 육안평가는 COR 위치에서 가장 균등하였고, COR 제외한 위치에서는 약간의 왜곡현상이 나타났다. Phantom 종류에 따라 결과의 차이가 있었지만 육안평가와 종합해보면 심장과 COR 위치가 일치할 때 영상이 가장 균일하였다. 따라서 myocardiac SPECT 검사 시 심장과 COR의 두 중심을 일치시킴으로써 심근관류의 감쇠 또는 증가되는 왜곡현상을 예방하여 진단의 정확성을 높일 수 있을 것이다.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제33권2호
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• pp.152-161
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• 2007

This study was conducted to patients visited oral maxillo-facial surgery, KNUH and the purpose of the study was to assess skeletal and dento-alveolar stability after surgical-orthodontic correction treated by skeletal Class III malocclusion patients with open bite versus non-open bite. This retrospective study was based on the examination of 40 patient, 19 males and 21 females, with a mean age 22.3 years. The patients were divided into two groups based on open bite and non-open bite skeletal Class III malocclusion patients. The cephalometric records of 40 skeletal Class III malocclusion patients (open bite: n = 18, non-open bite: n = 22) were examined at different time point, i.e. before surgery(T1), immediately after surgery(T2), one year after surgery(T3). Bilateral sagittal split ramus osteotomy was performed in 40 patients. Rigid internal fixation was standard method used in all patient. Through analysis and evaluation of the cephalometric records, we were able to achieve following results of post-surgical stability and relapse. 1. There was no significant statistical differences between open bite and non-open bite with skeletal Class III malocclusion patients in maxillary occlusal plane angle of pre-operative stage(p>0.05). 2. Mean vertical relapses of skeletal Class III malocclusion patients with open bite were $0.02{\pm}1.43mm$ at B point and $0.42{\pm}1.56mm$ at Pogonion point. In skeletal Class III malocclusion patients with non-open bite, $0.12{\pm}1.55mm$ at B point and $0.08{\pm}1.57mm$ at Pogonion point. There was no significant statistical differences between open bite and non-open bite with skeletal Class III malocclusion patients in vertical relapse(p>0.05). 3. Mean horizontal relapses of skeletal Class III malocclusion patients with open bite were $1.22{\pm}2.21mm$ at B point and $0.74{\pm}2.25mm$ at Pogonion point. In skeletal Class III malocclusion patients with non-open bite, $0.92{\pm}1.81mm$ at B point and $0.83{\pm}2.11mm$ at Pogonion point. There was no significant statistical differences between open bite and non-open bite with skeletal Class III malocclusion patients in horizontal relapse(p>0.05). 4. There were no significant statistical differences between open bite and non-open bite with skeletal Class III malocclusion patients in post-surgical mandibular stability(p>0.05). and we believe this is due to minimized mandibular condylar positional change using mandibular condylar positioning system and also rigid fixation using miniplate 5. Although there was no significant relapse tendency observed at chin points, according to the Pearson correlation analysis, the mandibular relapse was influenced by the amount of vertical and horizontal movement of mandibular set-back(p=0.05, r>0.304).

• 한국항행학회논문지
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• 제17권4호
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• pp.404-412
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• 2013

정적 사용자에 한정되었던 Network RTK 서비스는, 최근 차량 사용자와 같은 동적 사용자를 위한 고 정확도 항법에 대한 요구 증가로 동적 사용자에 대한 적용 연구가 활발히 진행되고 있다. 동적 사용자는 위치 이동에 따라 보정정보가 생성되는 기준국 조합이 변경될 가능성이 있으며, 사용자의 균일한 정확도 유지를 위해서 Compact Network RTK 보정정보는 기준국 조합에 상관없이 일관성을 유지해야 한다. 따라서 본 논문에서는 기준국에서 수행 가능한 네트워크 간 미지정수 수준 조정 방법을 제안하고, 이론적 수식전개를 통해 설명하였다. 전국 단위의 가상의 다중 네트워크를 설정하여 미지정수 수준 조정 방법에 대한 성능 검증을 수행하였으며, 사용자 이동에 따른 네트워크 변경 상황을 가정하고, 사용자 위치의 보정정보를 미지정수 수준 조정 여부에 대해 비교 분석하였다. 또한, 두 네트워크 경계 지점에 있는 사용자에 대해 GPS 실측 데이터를 활용하여 사용자 성능을 예측하였다. 그 결과, 미지정수 수준 전 수 cycle에 해당하는 두 네트워크 간 보정정보 불연속이 0.25 cycle 이내로 감소하였으며, 미지정수 수준 전, 2DRMS 40~50cm에 달했던 수평오차가 사용자는 네트워크 변경에 상관없이 수평 정확도 8 cm (2DRMS) 이내의 일관된 위치 정확도의 연속적인 획득이 가능하였다.

• Bulletin of the Korean Chemical Society
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• 제32권9호
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• pp.3295-3305
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• 2011

Thermal behavior of poly (methyl methacrylate) was analyzed in the presence of tin (IV) chloride. Five different proportions - polymer to additive - were selected for casting films from common solvent. TG, DTG and DTA were employed to monitor thermal degradation of the systems. IR and py-GC-MS helped identify the decomposition products. The blends start degrading at a temperature lower than that of the neat polymer and higher than that of the pure additive. Complex formation between tin of additive and carbonyl oxygen (pendent groups of MMA units) was noticed in the films soon after the mixing of the components in the blends. The samples were also heated at three different temperatures to determine the composition of residues left after the expulsion of volatiles. The polymer, blends and additive exhibited a one step, two-step and three-step degradation, respectively. $T_0$ is highest for the polymer, lowest for the additive and is either $60^{\circ}C$ or $70^{\circ}C$ for the blends. The amount of residue increases down the series [moving from blend-1 (minimum additive concentration) to blend-5 (maximum additive concentration)]. For blend-1, it is 7% of the original mass whereas it is 16% for blend-5. $T_{max}$ also goes up as the concentration of additive in the blends is elevated. The complexation appears to be the cause of observed stabilization. Some new products of degradation were noted apart from those reported earlier. These included methanol, isobutyric acid, acid chloride, etc. Molecular-level mixing of the constituents and "positioning effect" of the additive may have brought about the formation of new compounds. Routes are proposed for the appearance of these substances. Horizontal burning tests were also conducted on polymer and blends and the results are discussed. Activation energies and reaction orders were calculated. Activation energy is highest for the polymer, i.e., 138.9 Kcal/mol while the range for blends is from 51 to 39 Kcal/mol. Stability zones are highlighted for the blends. The interaction between the blended parts seems to be chemical in nature.

• 대한공간정보학회지
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• 제2권1호
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• pp.121-129
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• 1994

현재 지적의 기초점으로 사용되고 있는 삼각점들은 오랜시간의 경과와 관리소홀로 망실되거나 이동된 것이 많고 그 성과도 재래적인 방법에 의존하고 있어 이들 성과의 이용에 많은 문제점이 제기되고 있다. 이에 국가적 차원에서 지적 삼각점들에 대한 재정립과 성과의 갱신이 필요하나 기존의 장비와 관련기술 만으로는 전반적인 점검과 조정에 있어 막대한 시간과 경비가 소요되므로 이를 효과적으로 해결할 수 있는 기법에 대한 연구가 요망되고 있다. 본 연구는 단시간내에 높은 정밀도로 3차원 좌표를 결정할 수 있는 GPS를 지적삼각점의 위치결정에 응용하고자 GPS에 의한 지적삼각망의 정합성 분석을 연구한 것이다. 대전시 전역의 16개 지적삼각점을 선정하여 지적삼각망을 구성, 이에 대한 정확도를 분석하였다. 좌표변환방법과 X, Y 망조정 방법에 의한 GPS측량 성과를 지적삼각점의 기존성과와 비교 분석하므로서 지적삼각점 성과에 포함된 과대오차를 검출할 수 있었고 GPS 관측망 형태에 따른 정밀도를 분석하므로서 효율적인 관측망 형태를 제시할 수 있었다. 따라서 GPS를 지적삼각망의 점검과 조정에 효과적으로 적용할 수 있음은 물론, 향후 지적삼각점의 평지화와 신설 등 지적분야에서 GPS의 실용화를 앞당길 수 있을 것으로 기대된다.