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Treatment of Nonsyndromic Craniosynostosis Using Multi-Split Osteotomy and Rigid Fixation with Absorbable Plates

  • Nam, Su Bong;Nam, Kyeong Wook;Lee, Jae Woo;Song, Kyeong Ho;Bae, Yong Chan
    • Archives of Craniofacial Surgery
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    • v.17 no.4
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    • pp.211-217
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    • 2016
  • Background: Nonsyndromic craniosynostosis is a relatively common craniofacial anomaly and various techniques were introduced to achieve its operative goals. Authors found that by using smaller bone fragments than that used in conventional cranioplasty, sufficiently rigid bone union and effective regeneration capacity could be achieved with better postoperative outcome, only if their stable fixation was ensured. Methods: Through bicoronal incisional approach, involved synostotic cranial bone together with its surrounding areas were removed. The resected bone flap was split into as many pieces as possible. The extent of this 'multi-split osteotomy' depends on the degree of dysmorphology, expectative volume increment after surgery and probable dead space caused by bony gap between bone segments. Rigid interosseous fixation was performed with variable types of absorbable plate and screw. In all cases, the pre-operational three-dimensional computed tomography (3D CT) was checked and brain CT was taken immediately after the surgery. Also about 12 months after the operation, 3D CT was checked again to see postoperative morphology improvement, bone union, regeneration and intracranial volume change. Results: The bony gaps seen in the immediate postoperative brain CT were all improved as seen in the 3D CT after 12 months from the surgery. No small bone fragment resorption was observed. Brain volume increase was found to be made gradually, leaving no case of remaining epidural dead space. Conclusion: We conclude that it is meaningful in presenting a new possibility to be applied to not only nonsyndromic craniosynostosis but also other reconstructive cranial vault surgeries.

Origin and Development of the Buddhist Rock Cave Temples of India - in Relation with Hinduism, Jainism, Ajivika - (인도 불교석굴사원의 사원과 전개 - 힌두교, 자이나교, 아지빅파의 관련과 함께 -)

  • Lee, Hee-Bong
    • Journal of architectural history
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    • v.17 no.4
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    • pp.129-152
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    • 2008
  • Early Buddhist rock cave temples of India, in spite of being an origin of Buddhist temples, has little been studied in Korea. After field studies and an interpretation of their forms in conjunction with religious life, precedent theories are supplemented and refuted as follows. Starting from the 2nd century B,C., Buddhist ascetic disciples digged residential rock caves, called vihara, for protection from monsoon rain and hot weather, A typical arrangement was settled -a courtyard type, with 3 side rows of tiny one-person bedroom and a front veranda with columns. Also digged were Chaitya caves, in line with viharas, to worship, which is the tumulus of Buddha's relics. I suggest that the original type of chaitya a simple circle cave with a stupa, suitable for circumambulating ceremonies. I refute the existing theory presenting Barabar caves of Ajivika as a chaitya origin, featuring empty circular room without a stupa. I also interpret a typical apsidal plan as being a simple result of adding a place of worshipping rites in front of the stupa. Enclosing columns around a cylindrical stupa is a result of reinforcing both the divine space and circumambulating ceremonies, with elongation toward hall. Finally the chaitya came to have a grandeur apsidal plan with high vault ceiling nave and a side aisle as in Western cathedrals with large frontal horseshoe arch windows. The Buddha image, which had become a new worshipping object, was integrated into the stupa and interior surface. First the stupa and then the statue was introduced to residential Viharas. Therefore, I suggest that the vihara should be renamed as 'chaitya' as a worshipping place, by establishing statue rooms without bedrooms at all. The functionally changed vihara is similar in form to a 'rectangular type of chaitya', little known and developed in different routes. A columned inner courtyard gradually becama an offering place, like Hindu mandapa, Buddhist caves ware changed to a kind of Tantric and Hindu temple by means of statue worshipping offering rituals.

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Normal Glenoid Size of the Korean in 7th and 8th Decades (한국인 60~70대의 정상 견갑골 관절와의 크기)

  • Moon, Young-Lae;Ha, Sang-Ho;Noh, Kyung-Hwan
    • Clinics in Shoulder and Elbow
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    • v.11 no.1
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    • pp.37-40
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    • 2008
  • Purpose: We wanted to evaluate the normal glenoid size of Koreans in their 7th and 8th decades by conducting Computed tomographic (CT) studies. Materials and Methods: The CT images were obtained from the normal scapulae of the patients (mean age: 68.8) who had humeral fracture. A display workstation version 2.0.73.315 was used to measure the scans to determine the maximal superoinferior (SI) and anteroposterior (AP) diameters of the glenoid vault. Results: The average diameters of curvature of the glenoid were 31.2 mm (range: 27 to 34 mm) in the superior-inferior direction and 26.1mm (range: 22 to 31mm) in the anterior-posterior direction. Conclusion: This study showed the normal glenoid size of Koreans and it is different from the size that the international literature reported. It should be an important factor for the treatment of fracture or in designing arthroplasty implants.

Sport Biomechanics Research Project at IAAF World Championships Daegu 2011 (2011 대구세계육상선수권대회 운동역학 프로젝트 수행 경과보고)

  • Bae, Young-Sang;Park, Young-Jin;Park, Jong-Jin;Lee, Joong-Sook;Chae, Woen-Sik;Park, Seung-Bum
    • Korean Journal of Applied Biomechanics
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    • v.21 no.5
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    • pp.503-510
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    • 2011
  • The purpose of this study was to find the biomechanical research project result carried out at 2011 IAAF World championship in Daegu. This project was approved by the International Amateur Athletic Federation(IAAF) and financially supported by the Ministry of Culture, Sports and Tourism(MCST) and, Korea Association of Athletics Federations(KAAF). The total number of the project members was 20, including the members of the Scientific Committee, the Korean Society of Sport Biomechanics(KSSB) and graduate students as assistants. The objective of this project has been to analyze the performance in the track events(100 m, 110 mH) and field events(Long Jump, High Jump, Triple Jump, Pole Vault, Javelin Throw and Shot Put). This project was focused on the biomechanical research only. This kind of analysis has been carried out at major competitions for more than a decade, as it provides coaches and athletes with very useful information as an aid to training programmes and competition preparation. The biomechanical analysis of the top athletes in the world in each specialty serves as a reference for assessing technique and rationalizing the results achieved. The results will be disseminated world-wide and coaches will be in a better position to design training strategies in line with current world trends.

On the Project of the Sport Biomechanics of IAAF World Championships Daegu 2011 (2011 대구세계육상선수권대회 운동역학 프로젝트 수행 방안)

  • Lee, Joong-Sook;Park, Jong-Jin;Bae, Young-Sang;Chae, Woen-Sik;Ryu, Jae-Kyun;Park, Seung-Bum
    • Korean Journal of Applied Biomechanics
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    • v.20 no.3
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    • pp.253-259
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    • 2010
  • The aim of IAAF's Biomechanics project, initially launched at the 1987 World Championships in Rome, is to support athletes and coaches in the optimization and improvement of their training and competition performance. The IAF and the IAAF supports biomechanical projects, as a service to their Member Federations, starting from the IAAF World Championships in Rome 1987. In 1997, at the IAAF World Championships of Athens. In 1995, at the IAAF World Championships in Goteborg and in co-operation with the Swedish Sport Institute of Karlstad and under the leadership of Anders Bergstrom a biomechanical research on "Throws" was conducted. In 2005, at the IAAF World Championships in Helsinki on 100m - Pole vault, High Jump, Triple Jump, Javelin, under the leadership of Prof. Paavo Komi. The IAAF published the final report in 2008 with a supplement of NSA. In 2007, at the IAAF World Championships of Osaka, in co-operation with Osaka University of Health and Sport Sciences and under the leadership of Prof. Michiyoshi Ae the IAAF received a final report on; short sprint, distance running, high jump, long jump, shot put and javelin. In 2009, at the IAAF World Championships of Berlin, in co-operation with the DLV and the leadership of Helmar Hommel (GER). The purpose of this study is to draw up a plan to perform an effective biomechanics project at 2011 IAAF World championship in Daegu.

Correction of Deviated Nose: Importance of Rasping of Non-affected Side Nasal Bone Flap and Trimming of Non-affected Side Dorsal Septum ("C"자형 만곡비변형의 교정: 건측 비골판줄질(Rasping of Nasal Bone Flap)과 건측 비배측 비중격절제술(Trimming of Dorsal Septum)의 중요성)

  • Han, Ki Hwan;Lee, Min Jae;Kim, Jun Hyung;Kim, Hyun Ji;Son, Dae Gu
    • Archives of Plastic Surgery
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    • v.32 no.6
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    • pp.710-716
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    • 2005
  • A total of 21 patients were operated. Via a columellar labial incision, the upper lateral cartilages were separated from the septum. A submucous resection of the septal cartilage was carried out. After rasping the convex lateral nasal wall of the unaffected side, a low-to-low lateral nasal osteotomy was conducted. Along the deviated dorsal line at the bony vault passing the submucous tunnel, a paramedian nasal osteotomy was performed. The convex side of the nasal bone flap was contoured by rasping. The convex side of the "T"-shaped dorsal septum was trimmed. A total direct septal extension graft of the septal cartilage was done and the alar cartilages were suspended to it. The postoperative results were evaluated by photogrammetric analysis processed by a "neon glow" filter in Adobe Photoshop. The distance from the nasal midline to the most deflective point at 5 levels was measured, and the proportion indices were obtained in regard to intercanthal distance. The results revealed improvement in all levels (p < 0.05), although not perfect. In summary, this technique can result in a clinically good-looking in spite of a slight deflection that still exists

Displacement pattern of the anterior segment using antero-posterior lingual retractor combined with a palatal plate

  • Seo, Kyung-Won;Kwon, Soon-Yong;Kim, Kyung A;Park, Ki-Ho;Kim, Seong-Hun;Ahn, Hyo-Won;Nelson, Gerald
    • The korean journal of orthodontics
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    • v.45 no.6
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    • pp.289-298
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    • 2015
  • Objective: To evaluate and compare the effects of two appliances on the en masse retraction of the anterior teeth anchored by temporary skeletal anchorage devices (TSADs). Methods: The sample comprised 46 nongrowing hyperdivergent adult patients who planned to undergo upper first premolar extraction using lingual retractors. They were divided into three groups, based on the lingual appliance used: the C-lingual retractor (CLR) group (group 1, n = 16) and two antero-posterior lingual retractor (APLR) groups (n = 30, groups 2 and 3). The APLR group was divided by the posterior tube angulation; posterior tube parallel to the occlusal plane (group 2, n = 15) and distally tipped tube (group 3, n = 15). A retrospective clinical investigation of the skeletal, dental, and soft tissue relationships was performed using lateral cephalometric radiographs obtained pretreatment and post en masse retraction of the anterior teeth. Results: All groups achieved significant incisor and canine retraction. The upper posterior teeth did not drift significantly during the retraction period. The APLR group had less angulation change in the anterior dentition, compared to the CLR group. By changing the tube angulation in the APLR, the intrusive force significantly increased in the distally tipped tube of group 3 patients and remarkably reduced the occlusal plane angle. Conclusions: Compared to the CLR, the APLR provides better anterior torque control and canine tipping while achieving bodily translation. Furthermore, changing the tube angulation will affect the amount of incisor intrusion, even in patients with similar palatal vault depth, without the need for additional TSADs.

The Mechanical Analysis of the Hand spring forward and Salto forward straight with 3/2 Turn on the Vault (도마 손 짚고 몸펴 앞 공중 돌아 540도 비틀기의 운동역학적 분석)

  • Yeo, Hong-Chul;Ryu, Jae-Kyun
    • Korean Journal of Applied Biomechanics
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    • v.14 no.1
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    • pp.13-26
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    • 2004
  • The purpose of this study was to investigate the differences of the kinematical and the kinetical factors that calculated from preflight to preflight of salto forward straight 3/2 turn motion between skillers and less-skillers. four S-VHS video cameras operating at 60Hz were used to record the performances. Five elite male gymnasts were participated in this study as subjects. Three-dimensional coordinates of 21 body landmarks during each trial were collected using a Direct Linear Transformation method. The raw 3-D coordinates of the 21 body landmarks were smoothed using a second order lowpass, recursive Butterworth digital filter and a cutoff frequency of 10Hz. Load cells attached on the beneath of a board were used to attain the kinetic variables. It was found that the more angular momentum in the longitudinal axis, the less vertical velocity and these angular momentum effected the height of peak in the preflight. Also, it was revealed that the larger angular momentum in the medio-lateral axis was rather than it in the longitudinal axis to increase vertical height and rotation force of the body. For the reaction force of springboard, the vertical and the horizontal reaction force were 16.52BW and 3.45BW, respectively. It was found that the higher value of the vertical reaction force induced the faster vertical velocity and the higher an ar momentum. of the whole body center of gravity.

A Study on the Mutual Credit Work of Fisheries Cooperatives in Korea (수산업협동조합의 상호금융사업에 관한 고찰)

  • 오환종
    • The Journal of Fisheries Business Administration
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    • v.16 no.1
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    • pp.31-54
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    • 1985
  • The mutual credit of Fisheries Cooperatives is reciprocal financing bring overs and shorts to settlement themselves by filling each other's needs among feeble fishermen economically. The spread of mutual credit through Fisheries Cooperatives reduces private loan dependence and private loan interest rate at fishery village, and that fills up policy financing being restricted by working scale. And seeing movement side of Fisheries Cooperatives, it has done an under board to settle self-supporting foundation of primary fisheries cooperatives early. The mutual credit deposit shows about 53 times increase past an interval of a ten years. This increase rate is an epoch-making record being unparalleled in other banking facilities except Fisheries Cooperatives. Then being unparalleled increase rate, time and savings deposits increase has been contributed a great deal than demand deposits. Thinking important function factors as mutual credit growth, we can classify interior and exterior factors. The exterior factor is income of fishery household in some measure, interior factors are the high deposits interest rate and the enlargement of facilities organization. As these, they have been in a better factors, also have been a restriction factors. The restriction factors are conflict cancellation between mutual credit and them bring into existence a village vault, mutual savings and finance companies, private finance. For the sake of continuance growth rate in mutual credit as past, we should eliminate restricted factors in growth. On the other hand the better factors in growth should be act upon affirmation side continually. Consequently under circumstances not to an amicable settlement bring the fisheries fund demand as policy financing, we should do continuous and sound development of fisheries financing by means of putting in good order of fisheries cooperatives mutual credit. Surveying a problem from these viewpoints, when we study more deep and a full into a subject about growth project of mutual credit, we think to expect continuous growth in mutual credit of Fisheries Cooperatives.

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Activation Reduction Method for a Concrete Wall in a Cyclotron Vault

  • Kumagai, Masaaki;Sodeyama, Kohsuke;Sakamoto, Yukio;Toyoda, Akihiro;Matsumura, Hiroshi;Ebara, Takayoshi;Yamashita, Taichi;Masumoto, Kazuyoshi
    • Journal of Radiation Protection and Research
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    • v.42 no.3
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    • pp.141-145
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    • 2017
  • Background: The concrete walls inside the vaults of cyclotron facilities are activated by neutrons emitted by the targets during radioisotope production. Reducing the amount of radioactive waste created in such facilities is very important in case they are decommissioned. Thus, we proposed a strategy of reducing the neutron activation of the concrete walls in cyclotrons during operation. Materials and Methods: A polyethylene plate and B-doped Al sheet (30 wt% of B and 2.5 mm in thickness) were placed in front of the wall in the cyclotron room of a radioisotope production facility for pharmaceutical use. The target was Xe gas, and a Cu block was utilized for proton dumping. The irradiation time, proton energy, and beam current were 8 hours, 30 MeV, and $125{\mu}A$, respectively. To determine a suitable thickness for the polyethylene plate set in front of the B-doped Al sheet, the neutron-reducing effects achieved by inserting such sheets at several depths within polyethylene plate stacks were evaluated. The neutron fluence was monitored using an activation detector and 20-g on de Au foil samples with and without 0.5-mm-thick Cd foil. Each Au foil sample was pasted onto the center of a polyethylene plate and B-doped Al sheet, and the absolute activity of one Au foil sample was measured as a standard using a Ge detector. The resulting relative activities were obtained by calculating the ratio of the photostimulated luminescence of each foil sample to that of the standard Au foil. Results and Discussion: When the combination of a 4-cm-thick polyethylene plate and B-doped Al sheet was employed, the thermal neutron rate was reduced by 78%. Conclusion: The combination of a 4-cm-thick polyethylene plate and B-doped Al sheet effectively reduced the neutron activation of the investigated concrete wall.