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The alveolar bone is an essential consideration when planning treatment for patients with tooth agenesis. This study evaluated the changes in the alveolar bone and adjacent teeth in patients with a congenitally missing mandibular lateral incisor using cone-beam computed tomography.Twenty-three nonorthodontically treated adults with a unilateral congenitally missing mandibular lateral incisor were the missing group (M group). The control group (C group) consisted of 23 nonorthodontically treated adults with normal occlusion and no missing teeth. First, the difference in the arch perimeter between the groups was compared at the cementoenamel junction (CEJ) level and the root apex (RA) level. Next, the root divergence of the anterior teeth in the M group was observed. Finally, the alveolar bone thickness ratio was compared between the M and C groups at different vertical levels.The arch perimeter was significantly decreased in the M group at the CEJ and RA levels (P 0.05). Root divergence was observed adjacent to the missing site (P 0.0001). There were a reduction in total and cancellous cortical alveolar bone thickness (ABT) ratios at the 3-, 6-, and 9-mm positions (P 0.05). The buccal cortical ABT ratios decreased at the 3-and 6-mm positions. The lingual ABT ratio increased at the 9-mm position (P 0.05).The congenitally missing mandibular lateral incisor caused a reduction in the arch perimeter in the CEJ area and the RA area. The root divergences were observed in the teeth adjacent to the missing areas. A significant decrease in the buccal cortical bone and cancellous bone was observed in the missing area.

Distinct, irregular, and hard, nodular labial protuberances (LPs) that were due to differential alveolar bone modeling can be noted on the labial gingival surface of the incisors after orthodontic treatment. Clinically, LPs cause patient discomfort and esthetic issues, but information on this phenomenon is limited. This study aimed to evaluate the incidence of LPs and demonstrate the etiology and clinical risk factors associated with this phenomenon.Differential alveolar bone modeling was defined as present (+) when ≥1 distinct LPs (diameter 1 mm) developed after orthodontic treatment by comparing pretreatment and posttreatment intraoral photographs and casts of an orthodontic patient cohort treated with fixed appliances (n = 872). The incidence rate, affected sites, and their association with age, sex, and orthodontic treatment modalities were evaluated.The incidence rate of differential alveolar bone modeling among orthodontic patients was 3.2% (28 out of 872). The maxillary lateral incisor region was the most frequently affected site. Males (vs females) (odds ratio, 2.56 [95% confidence interval, 1.155-5.604]), adults (aged ≥ 20 years) (vs teens) (12.84 [3.003-54.866]), and those who had orthodontic extraction (vs nonextraction) (11.60 [3.434-39.156]) demonstrated significantly higher odds of developing LPs after orthodontic treatment (P 0.05).The incidence rate of the development of notable LPs after orthodontic treatment was 3.2%. Adult males and those who undergo orthodontic extraction have a higher risk of developing LPs. Clinicians should be aware that distinct LPs may develop when large amounts of incisal retraction are planned in adults.

The objectives of this study were to compare the time-dependent changes in occlusal contact area (OCA) and bite force (BF) of the deviated and non-deviated sides in mandibular prognathic patients with mandibular asymmetry before and after orthognathic surgery and investigate the factors associated with the changes in OCA and BF on each side.The sample consisted of 67 patients (33 men and 34 women; age range 15-36 years) with facial asymmetry who underwent 2-jaw orthognathic surgery. OCA and BF were taken before presurgical orthodontic treatment, within 1 month before surgery, and 1 month, 3 months, 6 months, 1 year, and 2 years after surgery. OCA and BF were measured using the Dental Prescale System.The OCA and BF decreased gradually before surgery and increased after surgery on both sides. The OCA and BF were significantly greater on the deviated side than on the non-deviated side before surgery, and there was no difference after surgery. According to the linear mixed-effect model, only the changes in the mandibular plane angle had a significant effect on BF (There was a difference in the amount of the OCA and BF between the deviated and non-deviated sides before surgery. The change in mandibular plane angle affects the change, especially on the non-deviated side, during the observation period.

Current method of analyzing three-dimensional soft tissue data, especially in the frontal view, is subjective and has poor reliability. To overcome this limitation, the present study aimed to introduce a new method of analyzing soft tissue data reconstructed by marching cube algorithm (Program S) and compare it with a commercially available program (Program A). Cone-beam computed tomography images of 42 patients were included. Two orthodontists digitized six landmarks (pronasale, columella, upper and lower lip, right and left cheek) twice using both programs in two-week intervals, and the reliability was compared. Furthermore, computer-calculated point (CC point) was developed to evaluate whether human error could be reduced. The results showed that the intra- and inter-examiner reliability of Program S (99.7–100% and 99.9–100%, respectively) were higher than that of Program A (64.0–99.9% and 76.1–99.9%, respectively). Moreover, the inter-examiner difference of coordinate values and distances for all six landmarks in Program S was lower than Program A. Lastly, CC point was provided as a consistent single point. Therefore, it was validated that this new methodology can increase the intra- and inter-examiner reliability of soft tissue landmark digitation and CC point can be used as a landmark to reduce human error.

Torrance Test of Creative Thinking is the most widely used form of creativity test. Although creativity assessed using the figural form of Torrance Test of Creative Thinking has been considered non-unidimensional, the structural correlates for each separable dimension have yet to be explored. The present study investigated the underlying cortical structure of separable dimensions for creativity using the figural Torrance Test of Creative Thinking. To this end, we recruited healthy young adults and conducted a regression analysis of the figural Torrance Test of Creative Thinking scores of gray matter volume after factorizing the five subscales using exploratory factor analysis. As a result, two factors of the figural Torrance Test of Creative Thinking were identified: (1) ‘FO’ factor consisting of fluency and originality and (2) ‘RAS’ factor consisting resistance to premature closure, abstractness of titles, and sophistication/elaboration. Subsequently, the FO factor showed a positive association with cerebral volumes in the parieto-temporal regions of the left angular gyrus and the right inferior parietal lobule, inferior and middle temporal, and parahippocampal gyri, which overlapped the default network. The RAS factor showed a positive correlation with the fronto-temporal regions including the bilateral temporal area, the left inferior parietal, and the right dorsolateral prefrontal regions representing the semantic control network. Our findings revealed the morphological substrates for the figural Torrance Test of Creative Thinking depending on two creative dimensions. The implications of the results are discussed.

BACKGROUND Group B Streptococcus (GBS) and Escherichia coli are leading causes of late-onset sepsis (LOS) and bacterial meningitis in neonates and infants. This study aimed to describe clinical characteristics and outcomes of community-acquired (CA) LOS caused by GBS and E. coli. METHODS A retrospective observational study was performed in three university hospitals in Korea. All infants aged

This study aims at exploring a possibility of developing a creativity-based teaching program needed for enhancing prospective teachers’ creative potentials based on the theories of Sawyer and Renzulli. Neuroimaging tools such as fMRI were used to identify effects of the program on pre-service teachers’ neural activations on divergent thinking measured primarily by the Torrance Tests of Creative Thinking (TTCT). Since the research is still in progress, we present a theoretical model for the teaching program, and preliminary test results of comparing changes of neural recruitments in students’ brain participated in fMRI with the TTCT.

Background and purpose Torrance Tests of Creative Thinking (TTCT) is a well-known and commonly used measure of creativity. However, the TTCT-induced creative hemodynamic brain activity is rarely revealed. The purpose of this study is to elucidate the neural correlates of creative thinking in the setting of a modified version of the figural TTCT adapted for an functional magnetic resonance imaging (fMRI) experiment. Methods We designed a blocked fMRI experiment. Twenty-five participants (11 males, 14 females, mean age 19.9±1.8) were asked to complete the partially presented line drawing of the figural TTCT (creative drawing imagery; creative). As a control condition, subjects were asked to keep tracking the line on the screen (line tracking; control). Results Compared to the control condition, creative condition revealed greater activation in the distributed and bilateral brain regions including the left anterior cingulate, bilateral frontal, parietal, temporal and occipital regions as shown in the previous creativity studies. Conclusions The present revealed the neural basis underlying the figural TTCT using fMRI, providing an evidence of brain areas encompassing the figural TTCT. Considering the significance of a creativity test for dementia patients, the neural correlates of TTCT elucidated by this study may be valuable to evaluate the brain function of patients in the clinical field.

This study examines social discrimination in the attributions that top executives make about the performance of other firms with minority CEOs in their communications with journalists. Drawing from the literatures on intergroup relations and status competition, our theory suggests how out-group biases and negative forms of envy toward higher-status minority CEOs may increase the propensity for white male CEOs to make negative or internal attributions for the low performance of the minority CEOs’ firms. We also examine how CEOs’ internal attributions in conversations with journalists increase the tendency for those journalists to attribute performance to internal causes in reporting on the minority CEOs’ firms. We consider how the gender and race of journalists could moderate the influence of CEOs’ performance attributions on journalists’ reports, such that female or racial minority journalists would be less easily persuaded by white male CEOs’ internal attributions for the low performance of firms with female or racial minority CEOs, and thus less prone to issuing negative statements about the CEOs’ leadership. Empirical analyses based on original survey data from a large sample of CEOs and journalists provided strong support for our hypotheses. We discuss implications of the findings for theory and research on social discrimination in the corporate elite and social psychological determinants of corporate leader reputation.

A new notion of L(n)-hyponormality is introduced in order to provide a bridge between subnormality and paranormality, two concepts which have received considerable attention from operator theorists since the 1950s. Criteria for L(n)-hyponormality are given. Relationships to other notions of hyponormality are discussed in the context of weighted shift and composition operators.

Background Many people have an interest in the correction of facial scars or deformities caused by trauma. The increasing ability to correct such flaws has been one of the reasons for the increase in the popularity of facial plastic surgery. In addition to its roles in communication, breathing, eating, olfaction and vision, the appearance of the face also plays an important role in human interactions, including during social activities. However, studies on the importance of the functional role of facial appearance. As a function of the face are scare. Therefore, in the present study, we evaluated the importance of the functions of the face in Korea. Methods We conducted an online panel survey of 300 participants (age range, 20-70 years). Each respondent was administered the demographic data form, Facial Function Assessment Scale, Rosenberg Self-Esteem Scale, and standard gamble questionnaires. Results In the evaluation on the importance of facial functions, a normal appearance was considered as important as communication, breathing, speech, and vision. Of the 300 participants, 85% stated that a normal appearance is important in social activities. Conclusions The results of this survey involving a cross-section of the Korean population indicated that a normal appearance was considered one of the principal facial functions. A normal appearance was considered more important than the functions of olfaction and expression. Moreover, a normal appearance was determined to be an important facial function for leading a normal life in Korea.

Objective: To quantify the changes in the nose after bimaxillary surgery to correct skeletal Class III malocclusion and to test the hypothesis that there is no change in the nasal width following bimaxillary surgical correction of skeletal Class III when a nasal cinch is properly used. Materials and Methods: Sixty-five adult Korean skeletal Class III patients who had received maxillary advancement/impaction and mandibular set-back surgery in conjunction with an alar base cinch suture were evaluated. The anthropometric variables of the nasal region were measured directly on the soft-tissue surface before and 6 months after surgery. Results: After surgery, the alar width and alar base width had increased significantly (P < .001), while the nasal tip projection decreased (P < .001). The nostril morphology also showed widening (P < .001). There was a trend for females with a narrow alar width presurgically to have a larger amount of nasal widening compared with those with a broader alar width (P < .05). Conclusion: There is a high probability of nasal and nostril widening after bimaxillary surgery for skeletal Class III malocclusion in Koreans despite the careful performance of alar cinch suture. Nevertheless, the authors believe that alar cinch suture was positive in limiting the nasal widening to the minimum and would consider routine application during bimaxillary surgery for skeletal Class III especially for female patients with a narrow nose who are susceptible to these changes.

Critical Dimension of gate pattern in CMOS process is the most important parameter for transistor performance and Organic BARC is generally used for controlling gate CD by reducing the substrate reflectivity. After gate etch process, small poly-silicon block defects are formed and those are derived from BARC material. After S/W nitride deposition and etch process the defects become larger and formed block defects of Belly Button type. These “Belly Buttons” are blocking the active area of transistor, make the device characteristic worse and lead to yield loss. To reduce Belly Buttons, we have evaluated various BARC resist filtration methods including new filtration material and smaller size filter in 0.18~0.35 μm CMOS gate pattern process. It was possible to reduce Belly Buttons dramatically using optimized resist filtration method and we finally got the yield up.

191 Assistant Professor, Professor, Division of Orthodontics, Department of Dentistry, School of Medicine, Ewha Womans University. Visiting Scholar, Division of Orthodontics, Department of Dentistry, University of Nebraska Medical Center. Former Student, Department of Orthodontics, Graduate School of Clinical Dentistry, Ewha Womans University. Associate Professor, Division of Orthodontics, Department of Dentistry, College of Medicine, The Catholic University of Korea, St. Mary’s Hospital. Associate Professor, Department of Orthodontics, University of Ulsan College of Medicine, Asan Medical Center. Associate Professor, School of Mechanical and Automobile Engineering, Kunsan National University. Corresponding author: Youn-Sic Chun. Division of Orthodontics, Department of Dentistry, School of Medicine, Ewha Womans University, 911-1 Mok-dong, Yangcheon-gu, Seoul 158-710, Korea. +82 2 2650 5114; e-mail, yschun@ewha.ac.kr. Received August 27, 2010; Last Revision October 22, 2010; Accepted October 25, 2010. DOI:10.4041/kjod.2011.41.3.191 Effects of orthodontic mini-implant position in the dragon helix appliance on tooth displacement and stress distribution: a three-dimensional finite element analysis

Background: Chronic obstructive pulmonary disease (COPD) is a major health problem resulting in significant burden for patients and families. However, family caregivers' burden has not been well recognized. The objectives of this study were to evaluate the level of caregivers' burden and to explore the related factors based on family, patient, and social support factors. Methods: A face-to-face interview with 86 family caregivers who had been taking care of COPD patients was conducted. The participants answered a self-administered questionnaire. The questionnaire included the level of family caregivers' burden, health status and the relationship within the family, functional limitation of patients perceived by family caregivers and the social support. Results: The level of caregivers' burden among participants was considerably high. Risk factors for caregivers' burden included low educational level of family caregivers, low family income, hours of caregiving, and functional limitation of the patients. Protective factors for caregivers' burden were good relationship within the family and support from other family members or friends. Conclusion: It is proved that family caregivers are facing significant burden in taking care of COPD patients. To reduce family caregivers' burden, it is necessary to address socioeconomic status of the family and to provide various community resources including financial support and nursing services.

본 연구에서는 NiTi scissors-bite corrector를 세 가지 서로 다른 굵기 0.018" × 0.025", 0.016" × 0.022", 0.016"의 NiTi 와이어로 제작하였을 때 각각의 치아 이동 양상을 치아 이동 시뮬레이션 장치인 Calorific machine을 이용하여 3차원적으로 분석하고자 하였다. 가위교합에 이환된 상악 제2대구치 모형을 제작하고 제2소구치와 제1대구치 사이에 교정용 미니 임플랜트(orthodontic mini-implant)를 식립하여 제1대구치에 간접골성고정원을 설계하였다. 세 가지 굵기의 NiTi scissors-bite corrector를 부착하여 실험하였다. 치아의 이동 전후에 실험 모형은 computed tomography(CT)로 촬영하고 3차원 데이터로 변환하여 중첩하였다. 치아 이동 방향과 이동량을 계측하여, NiTi scissors-bite corrector 와이어 굵기에 따른 치아 이동 양상에 관한 통계적 유의성을 검정한 결과, 제2대구치 치관의 설측이동량은 0.018" × 0.025"군(2.65 mm)이 가장 많았으며, 0.016"군(1.96 mm)과 통계적으로 유의한 차이를 보였다(p 〈 0.05). 제2대구치 치관의 압하량은 0.018" × 0.025"군(2.35 mm), 0.016" × 0.022"군(1.18 mm), 0.016"군(1.00 mm)으로 0.018" × 0.025"군이 나머지 두 군과 유의한 차이를 보였고 (p 〈 0.05), 치근의 압하량은 0.018" × 0.025"군(4.19 mm), 0.016" × 0.022"군(3.29 mm), 0.016"군(2.24 mm)으로 세 군 간 모두 통계적 유의차를 보였다 (p 〈 0.05). 치아의 이동 양상을 관찰한 결과, 0.016"군에서는 제2대구치 치근의 협측 이동이 나타나지 않았다. 간접골성고 정원으로 사용된 제1대구치의 고정원 소실은 0.2 mm 이하로 나타났다. 이상의 결과를 토대로 0.018" × 0.025" NiTi 와이어로 제작한 NiTi scissors-bite corrector를 교정용 미니 임플랜트를 이용한 간접골성고정원과 함께 이용하였을 때, 최소한의 고정원의 소실과 함께 가장 큰 상악 제2대구치의 설측 이동 및 압하가 일어났다고 할 수 있다. (대치교정지 2009;39(1):43-53)

Introduction: Three-dimensional (3D) analysis is essential for making a precise diagnosis of craniofacial morphology. Two-dimensional (2D) x-ray films are used to understand 3D structures. However, 2D images have several limitations. This article proposes a new type of cephalometric analysis by using 3D computed tomography. Methods: Axial images of 30 subjects (16 men; mean age, 19.2 years; 14 women, mean age, 20.5 years) were reconstructed into 3D models by using Vworks 4.0 (Cybermed, Seoul, Korea). The 3D models were measured with Vsurgery (Cybermed). The zygoma, maxilla, mandible, and facial convexity were analyzed. Results: The measurements were compared with Korean normal averages, and no statistically significant differences were found. Landmark identification was reproducible. Conclusions: Three-dimensional computed tomography can provide information for use in diagnosis and treatment planning.