• Title/Summary/Keyword: segmental

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Anterior segmental maxillary osteotomy using a modified Couper's method with circumcrevicular incision : A Case Report (변형 구개 유경 판막을 이용만 상하악 전방골 본절 성형술 : 증례 보고)

  • Park, Young-Ju;Nam, Jeong-Hun;Yeon, Byoung-Moo;Song, Jun-Ho;Noh, Kyung-Lok;Pang, Eun-O;Kim, Da-Young;Kim, Jun-Hyeon;Ahn, Jang-Hun;Gang, Tae-In
    • The Journal of the Korean dental association
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    • v.47 no.6
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    • pp.373-378
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    • 2009
  • This article presents a modified palatal pedicled incision design in anterior segmental maxillary osteotomy. This method included the circumcrevicular incisions and two vertical relaxing incisions. Then, it is different from the Couper's method with vestibular horizontal incision and other anterior segmental osteotomy techniques. The main advantages of this method are an improved visibility of surgical field and favorable preservation of palatal pedicle. A patient who had been operated by anterior segmental maxillary and mandibular osteotomy without pre operative orthodontic treatment was analyzed for advantages and complications during the intraoperative and early post operative period. There are no specific major complications such as infection, gingival recession and dehiscence. And the patient had a pleasing esthetic facial appearance.

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Development of optimized TBM segmental lining design system (TBM 세그먼트 라이닝 최적 설계 시스템 개발)

  • Woo, Seungjoo;Chung, Eunmok;Yoo, Chungsik
    • Journal of Korean Tunnelling and Underground Space Association
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    • v.18 no.1
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    • pp.13-30
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    • 2016
  • This paper concerns the development of an optimized TBM segmental lining design system for a subsea tunnel. The subsea tunnel is normally laid down under the sea water and submarine ground which consists of soil or rock. The design system is the series of process which can predict segmental lining member forces by ANN (artificial neural network system), analyze suitable section for the designated ground, construction and tunnel conditions. Finally, this lining design system aims to be connected with a BIM system for designing the subsea tunnel automatically. The lining member forces are predicted based on the ANN which was calculated by a FEM (finite element analysis) and it helps designers determine its segmental lining dimension easily without any further FE calculations.

A Case of Segmental Nectotizing Jejunitis (분절성 괴사성 공장염(Segmental necrotizing jejunitis) 1례)

  • Yoo, Jee-Hyung;Kim, Hyo-Shin;Kim, Je-Woo;Chung, Ki-Sup;Han, Suk-Joo;Kim, Ho-Kun
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.2 no.2
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    • pp.222-226
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    • 1999
  • Segmental necrotizing jejunitis is characterized by severe abdominal pain of acute onset, bilious vomitings and foul smelling loose stools containing blood. Pathologic features include circumferential intestinal wall inflammation ranging from edema with minimal congestion to severe congestion, hemorrhage with necrosis, ulceration, and gangrene with perforation. Early diagnosis and suitable supportive measures prevent unnecessary laparatomy and complications. There was no report of this disease entity in children in Korea. We experienced a case of segmental necrotizing jejunitis with fever, abdominal pain and bloody stools, which was diagnosed by exploration and was treated successfully by antibiotics and supportive measures.

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Performance Assessment of Precast Concrete Segmental Bridge Columns with Shear Resistance Connecting Structure (전단저항 연결체를 갖는 프리캐스트 세그먼트 교각의 성능평가)

  • Kim, Tae-Hoon;Kim, Young-Jin;Kim, Seong-Woon;Shin, Hyun-Mock
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.28 no.4A
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    • pp.591-601
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    • 2008
  • The purpose of this study was to investigate the performance of precast concrete segmental bridge columns with shear resistance connecting structure. The system can reduce work at a construction site and makes construction periods shorter. A model of precast concrete segmental bridge columns with shear resistance connecting structure was tested under a constant axial load and a cyclically reversed horizontal load. A computer program, RCAHEST (Reinforced Concrete Analysis in Higher Evaluation System Technology), for the analysis of reinforced concrete structures was used. An bonded or unbonded tendon element based on the finite element method, that can represent the interaction between tendon and concrete of prestressed concrete member, is used. A joint element is newly modified to predict the inelastic behaviors of segmental joints. The proposed numerical method gives a realistic prediction of performance throughout the loading cycles for several test specimens investigated.

The Effect of Posteroanterior Joint Mobilization Applied to The 3rd Lumbar Vertebra Movement of Adjacent Segmental in Healthy Individuals

  • Kang-O Oh;Sang-Yeol Lee
    • Physical Therapy Rehabilitation Science
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    • v.12 no.3
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    • pp.240-250
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    • 2023
  • Objective: The purpose of this study was to characterize the movement of adjacent segments that occurred when posteroanterior joint mobilization was applied to the 3rd lumbar and thereby to provide basic clinical data. Design: Randomized controlled trial design. Methods: While the subjects were receiving posteroanterior joint mobilization of the 3rd lumbar vertebra, LD (lumbar displacement), LID (lumbar intervertebral distance), LIA (lumbar intervertebral angle), and LLA (lumbar lordosis angle) were measured using X-ray, and the data were then analyzed. Changes before and after posteroanterior joint mobilization were analyzed using a paired-sample t-test, and a one-way ANOVA of variance was performed to determine the difference between segmental movements. In addition, Pearson's correlation analysis was performed to determine the correlation between segmental movements. Results: The results revealed that there was a significant change in LD before and after the application of joint mobilization of the 3rd lumbar in all lumbar vertebrae (p<0.000), among which the 2nd lumbar vertebra, an adjacent segment, showed the most significant change. A significant change in LIA angle was observed in all segments (p<0.000), with the most significant change observed between the 2nd and 3rd lumbar vertebrae. There was a significant change in LLA before and after the application of posteroanterior joint mobilization (p<0.000). The correlation analysis showed a high correlation between displacement of the 3rd lumbar vertebra and displacement of all the other lumbar vertebrae. Conclusions: The presence of kinematic movements of the lumbar vertebrae when segmental movements were generated through the application of posteroanterior joint mobilization of the 3rd lumbar vertebra.

Factors Affecting Cage Obliquity and the Relationship between Cage Obliquity and Radiological Outcomes in Oblique Lateral Interbody Fusion at the L4-L5 Level

  • CheolWon Jang;SungHwan Hwang;Tae Kyung Jin;Hyung Jin Shin;Byung-Kyu Cho
    • Journal of Korean Neurosurgical Society
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    • v.66 no.6
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    • pp.703-715
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    • 2023
  • Objective : This retrospective study investigated the factors that affect cage obliquity angle despite orthogonal maneuvers performed during oblique lateral interbody fusion (OLIF) and assessed the relationship between cage obliquity angle and radiological outcomes post-surgery. Methods : Twenty-nine males who underwent L4-L5 OLIF for lumbar degenerative disease between 2019 and 2021 with a followup duration greater than 12 months were analyzed. Radiological parameters were measured including psoas muscle volume, total psoas area index (total psoas muscle area [cm2]/height squared [m2]), distance from the iliac artery to the origin of the psoas muscle (DIAPM), angle between the origin of the psoas muscle and the center of the vertebral disc (APCVD), iliac crest height, disc height, lumbar flexibility (lumbar flexion angle minus extension angle), cage location ratio, cage-induced segmental lumbar lordosis (LL) (postoperative index level segmental LL minus used cage angle), foraminal height changes, fusion grade. Results : DIAPM, APCVD, iliac crest height, postoperative index level segmental LL, and cage-induced segmental LL were significantly correlated with OLIF cage obliquity angle. However, other radiological parameters did not correlate with cage obliquity. Based on multiple regression analysis, the predictive equation for the OLIF cage obliquity angle was 13.062-0.318×DIAPM+0.325×1APCVD+0.174×iliac crest height. The greater the cage obliquity, the smaller the segmental LL compared to the cage angle used. Conclusion : At the L4-L5 level, OLIF cage obliquity was affected by DIAPM, APCVD, and iliac crest height, and as the cage obliquity angle increases, LL agnle achievable by the used cage could not be obtained.

Segmental Liver Stiffness Evaluated with Magnetic Resonance Elastography Is Responsive to Endovascular Intervention in Patients with Budd-Chiari Syndrome

  • Peng Xu;Lulu Lyu;HaitaoGe;Muhammad Umair Sami;Panpan Liu;Chunfeng Hu;Kai Xu
    • Korean Journal of Radiology
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    • v.20 no.5
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    • pp.773-780
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    • 2019
  • Objective: To assess segmental liver stiffness (LS) with MRI before and after endovascular intervention in patients with Budd-Chiari syndrome (BCS). Materials and Methods: Twenty-three patients (13 males and 10 females; mean age, 42.6 ± 12.6 years; age range, 31-56 years) with BCS as a primary liver disease were recruited for this study. Two consecutive magnetic resonance elastography (MRE) examinations were performed before the endovascular treatment. Fifteen patients who underwent endovascular intervention treatment also had follow-up MRE scans within three days after the procedure. LS was measured in three liver segments: the right posterior, right anterior, and left medial segments. Inter-reader and inter-exam repeatability were analyzed with intraclass correlation coefficients (ICCs) and Bland-Altman analysis. Segmental LS and clinical characteristics before and after the intervention were also compared. Results: Within three days of the endovascular intervention, all three segmental LS values decreased: LS of the right posterior segment = 7.23 ± 0.88 kPa (before) vs. 4.94 ± 0.84 kPa (after), LS of the right anterior segment = 7.30 ± 1.06 kPa (before) vs. 4.77 ± 0.85 kPa (after), and LS of the left medial segment = 7.22 ± 0.87 kPa (before) vs. 4.87 ± 0.72 kPa (after) (all p = 0.001). There was a significant correlation between LS changes and venous pressure gradient changes before and after treatments (r = 0.651, p = 0.009). The clinical manifestations of all 15 patients significantly improved after therapy. The MRE repeatability was excellent, with insignificant variations (inter-reader, ICC = 0.839-0.943: inter-examination, ICC = 0.765-0.869). Bland-Altman analysis confirmed excellent agreement (limits of agreement, 13.4-19.4%). Conclusion: Segmental LS measured by MRE is a promising repeatable quantitative biomarker for monitoring the treatment response to minimally invasive endovascular intervention in patients with BCS.

A Study on the Perceptual Aspects of an Emotional Voice Using Prosody Transplantation (운율이식을 통해 나타난 감정인지 양상 연구)

  • Yi, So-Pae
    • MALSORI
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    • no.62
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    • pp.19-32
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    • 2007
  • This study investigated the perception of emotional voices by transplanting some or all of the prosodic aspects, i.e. pitch, duration, and intensity, of the utterances produced with emotional voices onto those with normal voices and vice versa. Listening evaluation by 24 raters revealed that prosodic effect was greater than segmental & vocal quality effect on the preception of the emotion. The degree of influence of prosody and that of segments & vocal quality varied according to the type of emotion. As for fear, prosodic elements had far greater influence than segmental & vocal quality elements whereas segmental and vocal elements had as much effect as prosody on the perception of happy voices. Different amount of contribution to the perception of emotion was found among prosodic features with the descending order of pitch, duration and intensity. As for the length of the utterances, the perception of emotion was more effective with long utterances than with short utterances.

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Distribution of Renal Artery within Kidney of Korean Native Goat (한국재래산양(韓國在來山羊)의 신동맥(腎動脈)의 분포상태(分布狀態))

  • Kim, Yong Keun;Kim, Chong Sup;Kim, Moo Kwang
    • Korean Journal of Veterinary Research
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    • v.15 no.1
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    • pp.127-131
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    • 1975
  • By employing the vinylite-and neoprene latex-corrosion technique, ramification and arrangement of A. renalis were observed in fifty Korean native goats (100 kidneys). The obtained results were as follows: 1. A single renal artery, arising on each side from abdominal aorta, bifurcated into Ramus dorsalis and Ramus ventralis from which 3~6 segmental arteries originated. 2. The dorsal and ventral surfaces of the kidney were divided separately into 3~6 arterial segments by the running of the segmental artery into the parenchyma. Of them four segments were mostly frequent (in 77% of right kidney and 83% of left). 3. In 25 of all the kidneys, either dorsal or ventral surface of a kidney was supplied from interlobar or segmental arteries belong to the opposite Ramus. 4. In 3 goats, A. polaris superior was observed. 5. Generally, distribution of the renal artery of Korean native goat resembled that of the dog.

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ANTERIOR SEGMENTAL MAXILLARY OSTEOTOMY USING CUPAR'S METHOD : PRELIMINARY STUDY (쿠퍼씨 방법을 이용한 상악 전방부 골절단술)

  • Kim, So-Young;Kim, Su-Gwan;Lee, Sang-Ho;Kim, Soo-Heung;Chung, Tae-Young;Ahn, Tae-Hoon
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.23 no.5
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    • pp.422-427
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    • 2001
  • Anterior segmental osteotomy were performed in 8 patients with Angle's II malocclusion or anterior maxillary protrusion. Cupar's method was used for operation. The period of follow up for patients were 15 months by average. This study discussed the postoperative complications and soft tissue change after anterior segmental maxillary osteotomy. There are not specific major complications.

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