• Title/Summary/Keyword: partial coverage

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Treatment of Multiple Gingival Recessions Using Vestibular Incision Subperiosteal Tunnel Access with Platelet-rich Fibrin: Two Cases Reports

  • Sung-Min Hwang;Jo-Young Suh
    • Journal of Korean Dental Science
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    • v.16 no.2
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    • pp.218-226
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    • 2023
  • Treatment of multiple gingival recession defects is usually more challenging than that of single gingival recession. Various techniques for the treatment of multiple gingival recession have been established. Recently, vestibular incision subperiosteal tunnel access (VISTA) technique has been considered to exhibit high predictive ability. Connective tissue graft (CTG) has also been considered a gold standard technique owing to its high predictability of root coverage. However, this technique requires a suitable donor site and has clinical disadvantages, such as additional pain. Thus, in this case presentation, platelet-rich fibrin (PRF) was used as an alternative material for CTG along with VISTA. We herein report cases of two patients with Miller's class I and III multiple gingival recession defects, respectively. These patients underwent VISTA along with the use of a PRF membrane. They were followed up for 12 months postoperatively, and their clinical parameters, including probing depth, depth of gingival recession, clinical attachment level, and width of attached gingiva at baseline and at 2, 6, and 12 months postoperatively, were assessed. The patient with class 1 recession defects exhibited a significant amount of root coverage, which remained stable during the follow-up period. Whereas the patient with class 3 recession defects had lesser amount of coverage compared to class 1 patient. The partial coverage observed may be attributed to not only anatomical factors but also the technique-sensitive nature of the procedure. Considering these results, the use of VISTA along with PRF is a viable option for treating gingival recession, as it does not cause discomfort to patients. However, various factors need to be considered during the surgical procedure.

Biosensing interfaces based on the dendrimer-underlying layer on gold

  • Yun, Hyeon-Cheol;Kim, Hak-Seong
    • 한국생물공학회:학술대회논문집
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    • 2000.11a
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    • pp.52-55
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    • 2000
  • Structually organized mono- and multilayers were developed on gold for the catalytic and affinity biosensing using hyper-branched dendrimers. For the catalytic biosensing interface, a new approach to construct a multilayered enzyme film on the electrode surface was developed. The film was prepared by layer-by-layer depositions of dendrimers and periodate-oxidized glucose oxidase. The voltammograms obtained from the GOx/dendrimer multilayered electrodes revealed that bioelectrocatalytic response is directly correlated to the number of deposited bilayers. From the analysis of voltammetric and ellipsometric signals, the coverage of active enzyme per layer during the layering steps was estimated, demonstrating the spatially-ordered multilayer formation. As an extension of the study, dendrimers having various degrees of ferrocenyl modification were prepared and used. The resulting electrodes were electrochemically characterized, and the density of ferrocenyl groups, active enzyme coverage, and sensitivity were estimated. For the affinity-sensing surrface, a biosensor system based on avidin-biotin interaction was developed. As the building block of affinity monolayer, G4 dendrimer having partial ferrocenyl-tethered surface groups was prepared and used. And the biotinylated and electroactive dendritic monolayer was used for the affinity-sensing surface interacting with avidin. Electrochemical characterization of the resulting biosensor was conducted using free enzyme in electrolyte in terms of degree of surface coverage with avidin and subsequent surface shielding.

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Physics-informed neural network for 1D Saint-Venant Equations

  • Giang V. Nguyen;Xuan-Hien Le;Sungho Jung;Giha Lee
    • Proceedings of the Korea Water Resources Association Conference
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    • 2023.05a
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    • pp.171-171
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    • 2023
  • This study investigates the capability of Physics-Informed Neural Networks (PINNs) for solving the solution of partial differential equations. Particularly, the 1D Saint-Venant Equations (SVEs) were considered, which describe the movement of water in a domain with shallow depth compared to its horizontal extent, and are widely adopted in hydrodynamics, river, and coastal engineering. The core contribution of this work is to combine the robustness of neural networks with the physical constraints of the SVEs. The PINNs method utilized a neural network to approximate the solutions of SVEs, while also enforcing the underlying physical principles of the equations. This allows for a more effective and reliable solution, especially in areas with complex geometry and varying bathymetry. To validate the robustness of the PINNs method, numerical experiments were conducted on several benchmark problems. The results show that the PINNs could be achieved high accuracy when compared with the solution from the numerical solution. Overall, this study demonstrates the potential of using PINNs and highlights the benefits of integrating neural network and physics information for improved efficiency and accuracy in solving SVEs.

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How to Transform a Perforator Propeller Flap into a Keystone Flap in Case of Unsatisfying Perforator Vessel Local Perforator Flap Coverage in Limbs

  • Elena Ciucur;Hadj Boukhenouna;Benjamin Guena;I. Garrido-Stowhas;Christian Herlin;Benoit Chaput
    • Archives of Plastic Surgery
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    • v.50 no.2
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    • pp.194-199
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    • 2023
  • Moderate soft-tissue defects need stable coverage, ideally with tissue of similar characteristics and low donor site morbidity. We propose a simple technique for the coverage of moderate skin defects in the limbs. It allows intraoperative transformation of a propeller perforator flap (PPF) into a keystone design perforator flap (KDPF) in cases of unsatisfying perforator vessel or in cases of unpredictable intraoperative events. Between March 2013 and July 2019, nine patients with moderate soft-tissue defects (mean defect size 4.5 × 7.6 cm) in the limbs (two on the upper limbs and seven on the lower limbs) were covered using this technique. We performed four PPFs and five KDPFs. The mean follow-up was 5 months. There was one complication, partial distal tip necrosis in a PPF located in the leg, which healed by secondary intention within 3 weeks. The donor site was closed directly in all cases. No functional impairments were noted regardless of the perforator flap utilized. This technique enables us to employ flexible surgical strategies and allows us to make adjustments based on the patient's vascular anatomy.

Optimal Distribution of Viscoelastic Material for Transient Vibration Suppression of a Flexible Beam (유연보의 과도 진동 감쇠를 위한 점탄성 재료의 최적 분포)

  • Kim, Tae-Woo;Kim, Ji-Hwan
    • Proceedings of the Korean Society for Noise and Vibration Engineering Conference
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    • 2002.11b
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    • pp.605-610
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    • 2002
  • Eigenvalues are taken as performance criteria for structural damping design using viscoelastic material. Given material properties, optimal distribution of damping material is sought based on eigenvalue sensitivity. For eigenanalysis of frequency dependent viscoelastic material treated structures, Golla-Mushes-McTavish (GHM) model is used and some dominant modes are chosen for consideration. To avoid the intensity of computation caused by increased problem size, an alternative approximate method is proposed which uses elastic modes and can be applied under small damping assumption. A cantilever beam treated with unconstrained viscoelastic layer is tested and optimal distribution of thickness of the layer is illustrated. Partial coverage configurations are compared with the one-sided full coverage case.

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Dosimetric Plan Comparison of Accelerated Partial Breast Irradiation (APBI) Using CyberKnife

  • Lee, Chang Yeol;Kim, Woo Chul;Kim, Hun Jeong;Lee, Jeongshim;Park, Seungwoo;Huh, Hyun Do
    • Progress in Medical Physics
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    • v.29 no.2
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    • pp.73-80
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    • 2018
  • Accelerated partial breast irradiation (APBI) is a new treatment delivery technique that decreases overall treatment time by using higher fractional doses than conventional fractionation. Here, a quantitative analysis study of CyberKnife-based APBI was performed on 10 patients with left-sided breast cancer who had already finished conventional treatment at the Inha University Hospital. Dosimetric parameters for four kinds of treatment plans (3D-CRT, IMRT, VMAT, and CyberKnife) were analyzed and compared with constraints in the NSABP B39/RTOG 0413 protocol and a published CyberKnife-based APBI study. For the 10 patients recruited in this study, all the dosimetric parameters, including target coverage and doses to normal structures, met the NSABP B39/RTOG 0413 protocol. Compared with other treatment plans, a more conformal dose to the target and better dose sparing of critical structures were observed in CyberKnife plans. Accelerated partial breast irradiation via CyberKnife is a suitable treatment delivery technique for partial breast irradiation and offers improvements over external beam APBI techniques.

Associated Factors and Prevention of Upper Pole Rippling in Prepectoral Direct-to-Implant Breast Reconstruction

  • Da Hye Ryu;Oh Young Joo;Yun Ho Roh;Eun Jung Yang;Seung Yong Song;Dong Won Lee
    • Archives of Plastic Surgery
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    • v.50 no.6
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    • pp.541-549
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    • 2023
  • Background Despite its many advantages, prepectoral breast reconstruction also carries the risk of implant rippling. The recent introduction of partial superior implant coverage using a pectoralis muscle slip in prepectoral direct-to-implant (DTI) breast reconstruction has shown the potential to minimize upper pole rippling. The purpose of this study was to identify factors associated with rippling and the effectiveness of our surgical technique. Methods In total, 156 patients (186 breasts) who underwent prepectoral DTI breast reconstruction between August 2019 and March 2021 were identified retrospectively. Patient data were analyzed from medical records. Univariable and multivariable logistic analyses were performed to contextualize the risks associated with rippling deformity relative to demographic characteristics and other clinical factors. Retrospective propensity-matched analysis was performed to identify the relationship between rippling deformity and the reconstruction method. Results Patients with body mass index (BMI; odds ratio [OR], 0.736; p < 0.001), those with a postoperative chemotherapy history (OR, 0.324; p = 0.027) and those who received breast reconstruction via the superior coverage technique (OR, 0.2; p = 0.004), were less likely to develop rippling deformity. The median follow-up period was 64.9 weeks, and there were no significant differences between patients in types of mastectomy, implant, or acellular dermal matrix. Patients who underwent superior coverage technique-based reconstruction showed significantly reduced rippling (OR, 0.083; p = 0.017) Conclusion Patients with higher BMI and prior postoperative chemotherapy were less likely to develop rippling deformity. The superior coverage technique can be effective in minimizing upper pole rippling.

Test Generation for Sequential Circuits Based on Circuit Partitioning (회로 분할에 의한 순차회로의 테스트생성)

  • 최호용
    • Journal of the Korean Institute of Telematics and Electronics C
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    • v.35C no.4
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    • pp.30-37
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    • 1998
  • In this paper, we propose a test generation method for large scale sequential circuits based on circuit partitioning to increase the size of circuits that the implicit product machine traversal (IPMT) method can handle. Our method paratitions a circuit under test into subset circuits with only single output, and performs a partial scan design using the state transtition cost that represents a degree of the connectivity of the subset circuit. The IPMT method is applied to the partitioned partial scan circuits in test generation. Experimental results for ISCAS89 benchmark circuits with more thatn 50 flip-flops show that our method has generated test patterns with almost 100% fault coverage at high speed by use of 34%-73% scanned flip-flops.

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Resource Allocation in Two Hop Relay Network based on PB/MC-CDMA System (PB/MC-CDMA 기반 two-hop 중계 망에서의 자원 할당 방식)

  • Sun, Yan;Lee, Kye-San
    • Journal of Satellite, Information and Communications
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    • v.5 no.1
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    • pp.94-99
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    • 2010
  • In this paper, we discuss a proposed two hop relay network with PB/MC-CDMA(partial block MC-CDMA) technique. The main advantages of PB/MC-CDMA system are the increased cell capacity and the high quality of performances. In the system, we employ relay scheme to focus on the coverage reduction and hotspot problem, hotspot is a location where a cluster of users are blocked or dropped for the reason of insufficient frequency resources. Frequency resource allocation scheme is put forward in a three cells system according to each problem. The simulation result shows the performance of the two hop transmission is better than the direct transmission and the proposed network can support much more users to relief hotspot effect compared to the conventional one.

Effect of attachments and palatal coverage of maxillary implant overdenture on stress distribution: a finite element analysis (상악 임플란트 피개의치에서 유지장치 종류와 구개 피개 유무에 따른 응력분포에 대한 유한요소분석)

  • Park, Jong-Hee;Wang, Yuan-Kun;Lee, Jeong-Jin;Park, Yeon-Hee;Seo, Jae-Min;Kim, Kyoung-A
    • Journal of Dental Rehabilitation and Applied Science
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    • v.36 no.2
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    • pp.70-79
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    • 2020
  • Purpose: The purpose of this study was to evaluate the effect of attachments and palatal coverage on stress distribution in maxillary implant overdenture using finite element analysis. Materials and Methods: Four maxillary overdenture 3-D models with four implants placed in the anterior region were fabricated with computer-aided design. 1) Ball-F: Non-splinted ball attachment and full palatal coverage, 2) Ball-P: Non-splinted ball attachment and U-shaped partial palatal coverage, 3) Bar-F: Splinted milled bar attachment and full palatal coverage, 4) Bar-P: Splinted milled bar attachment and U-shaped partial palatal coverage. Stress distribution analysis was performed with ANSYS workbench 14. 100 N vertical load was applied at the right first molar unilaterally and maximum stress was calculated at the implant, peri-implant bone and mucosa. Results: The use of the ball attachment showed lower maximum stress on implant and peri-implant bone than the use of the milled bar attachment. But it showed contrary tendency in the mucosa. Regardless of attachment, full palatal coverage showed lower maximum stress on implant, peri-implant bone and mucosa. Conclusion: Within the limitation of this study, ball attachment improved stress distribution on implant and peri-implant bone rather than milled bar attachment in maxillary implant overdenture. Also, full palatal coverage is more favorable in stress distribution.