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      • KCI등재

        구개인두 기능부전을 갖는 구개열 환자에서 폐쇄장치를 이용한 보철 치료 증례

        허유리,김종욱,이경제,정재헌,Heo, Yu-Ri,Kim, Jong-Wook,Lee, Gyeong-Je,Chung, Chae-Heon 대한치과보철학회 2013 대한치과보철학회지 Vol.51 No.4

        Cleft lip and palate is congenital deformity in oral and maxillofacial area. Normal soft palate has velopharyngeal closure action by connecting oral cavity and nasal cavity at rest and moving upward at swallowing and specific pronunciation. Cleft palate patients with velopharyngeal insufficiency have difficulty in mastication, swallowing and pronunciation because velopharyngeal closure is incomplete. At this time, a prosthetic device used to cover palate defects is called a palatal obturator. A palatal obturator separates oral cavity and nasal cavity and recovers pronunciation, mastication, swallowing and esthetic function. The purpose of this case study is to report the results because it reaches a satisfactory result in functional and esthetic aspects through functional impression procedures using modeling compound and tissue conditioner for restoration of a cleft palate patient with velopharyngeal insufficiency. 구순 구개열은 구강 악안면 부위에 발생하는 선천적 기형이다. 정상적인 연구개는 휴식 시에는 구강과 비강을 연결해 주고, 연하나 특정 발음 시에는 상방으로 이동하여, 구강과 비강을 분리하는 구개인두 폐쇄 운동을 한다. 구개인두 기능부전을 갖는 구개열 환자에서는 이 운동이 불완전하여 저작, 연하, 발음 시에 어려움을 겪는다. 이때, 구개 결손부를 폐쇄하기 위해 사용하는 보철물을 구개 폐쇄장치라고 한다. 구개 폐쇄장치는 구강과 비강을 분리하여 발음, 저작, 연하, 심미적 기능을 회복한다. 본 증례의 환자는 구개인두 기능부전을 갖는 선천적 구개열 환자로 구개인두 폐쇄를 이루기 위하여 모델링 콤파운드와 점막 조정재를 이용한 기능인상 과정을 시행하여 제작한 구개 폐쇄장치를 장착하여 기능적인 면과 심미적인 면에서 만족할만한 결과를 얻었기에 이를 보고하는 바이다.

      • KCI등재

        Removable partial denture restoration using implant-supported surveyed crowns

        허유리 조선대학교 치의학연구원 2022 Oral Biology Research (Oral Biol Res) Vol.46 No.4

        Conventional dentures and implant-fixed prostheses are the treatment of choice for patients with multiple missing teeth. Implantassisted removable partial dentures (IARPD) represent a viable treatment option that combines these two treatment modalities to provide greater retention and stability compared to dentures alone. IARPDs also offer enhanced esthetic characteristics in patients with severe bone loss, and treatment outcomes can be improved further through careful diagnosis taking the degree of bone loss and the patient’s facial features into consideration. Accurate implant placement that is compatible with the partial denture design and the opposing dentition is also crucial for success. The current clinical series includes patients that underwent partial denture treatment using implant-supported surveyed crowns, and presented satisfactory functional and esthetic treatment outcomes.

      • KCI등재

        미니 임플란트 직경에 따른 피로파절강도의 비교 연구

        허유리,손미경,김희중,최한철,정재헌 大韓齒科補綴學會 2012 대한치과보철학회지 Vol.50 No.3

        Purpose: This study was conducted to obtain difference in fracture strength according to the diameter of one-body O-ring-type of mini implant fixture, to determine the resistance of mini implant to masticatory pressure, and to examine whether overdenture using O-ring type mini implant is clinically usable to maxillary and mandibular edentulous patients. Materials and methods: For this study, 13 mm long one body O-ring-type mini implants of different diameters (2.0 mm, 2.5 mm and 3.0 mm) (Dentis, Daegu, Korea) were prepared, 5 for each diameter. The sample was placed at 30 from the horizontal surface on the universal testing machine, and off-axis loading was applied until permanent deformation occurred and the load was taken as maximum compressive strength. The mean value of the 5 samples was calculated, and the compressive strength of implant fixture was compared according to diameter. In addition, we prepared 3 samples for each diameter, and applied loading equal to 80%, 60% and 40% of the compressive strength until fracture occurred. Then, we measured the cycle number on fracture and analyzed fatigue fracture for each diameter. Additionally, we measured the cycle number on fracture that occurred when a load of 43 N, which is the average masticatory force of complete denture, was applied. The difference on compressive strength between each group was tested statistically using one-way ANOVA test. Results: Compressive strength according to the diameter of mini implant was 101.5 ± 14.6 N, 149 ± 6.1 N and 276.0 ± 13.4 N, respectively, for diameters 2.0 mm, 2.5 mm and 3.0 mm. In the results of fatigue fracture test at 43 N, fracture did not occur until 2×106 cycles at diameter 2.0 mm, and until 5×106 cycles at 2.5 mm and 3.0 mm. Conclusion: Compressive strength increased significantly with increasing diameter of mini implant. In the results of fatigue fracture test conducted under the average masticatory force of complete denture, fracture did not occur at any of the three diameters. All of the three diameters are usable for supporting overdenture in maxillary and mandibular edentulous patients, but considering that the highest masticatory force of complete denture is 157 N, caution should be used in case diameter 2.0 mm or 2.5 mm is used. 연구 목적: 일체형의 o-ring type 미니 임플란트 고정체의 직경에 따른 파절강도의 차이를 비교하고자 한다. 연구 재료 및 방법: 길이 13 mm의 one body o-ring type의 미니 임플란트(Dentis, Daegu, Korea)를 직경2.0, 2.5, 3.0 mm 각각 5개씩 준비하였다. Instron universal testing machine 에 수직면에서 30도 각도로 샘플을 위치시키고 off-axis loading을 가하여 영구변형이 일어난 하중 값을 파절강도로 하고 5개의 시편의 평균을 구하여 각 직경에 따른 임플란트의 고정체의 파절강도를 비교하였다. 또한, 각 직경마다 3개의 시편을 준비하고 동적하중 피로 시험기를 이용하여, 파절이 발생할 때까지 파절강도의 80%, 60%, 40%의 loading 을 가하여 파절되는 cycle수를 측정하여 각 직경의 피로 파절을 분석하였다. 추가적으로 총의치의 평균 저작력인 43 N의 하중을 가하여 파절되는 cycle 수를 측정하였다. 각 군간의 차이를 검증하기 위해서 일원분산분석(one-way ANOVA test)을 시행하였고, 통계처리는 SPSS ver.12 (SPSS Inc. Chicago, IL, USA) 을 이용하여 실시하였다. 결과: 직경 3.0 mm 의 미니 임플란트는 평균 276.0 ± 13.4 N의 압축력을 받았을 때 영구 변형이 일어났고 직경 2.5 mm 미니 임플란트가 149.0 ± 6.1 N, 2.0 mm 미니 임플란트가 101.5 ± 14.6 N일 때 영구 변형이 일어났다. 각 군간의 파절강도에는 유의한 차이가 있었다(P<.001). 총의치의 평균 저작력 하중에서 실시한 피로 파절 실험 결과, 세직경 모두 5×106 cycle까지 파절이 일어나지 않았다. 결론: 미니 임플란트의 정적 하중 하에서 최대 압축강도는 직경이 증가할수록 유의적으로 증가하였다. 최대 압축강도는 세 직경 모두 총의치의 평균 저작력 보다는 크나 최대 교합력보다는 직경 3.0 mm에서만 크게 나타났다. 총의치의 평균 저작력 하중에서 실시한 피로 파절 실험 결과, 세 직경 모두 파절이 일어나지 않았다.

      • KCI등재

        Evaluation of Dental Implant Stability with or without Photoactivated Surface Treatment

        허유리,강재석,손미경 대한구강악안면임플란트학회 2021 대한구강악안면임프란트학회지 Vol.25 No.2

        Purpose: This study aimed to evaluate the stability of two implant groups treated either only with sandblasting and acid etching or photoactivation after sandblasting and acid etching, using resonance frequency analysis (RFA). Materials and Methods: We investigated 50 implants in 25 patients (12 men and 13 women). Twenty-five implants were treated with sandblasting and acid etching, and 25 with photoactivation. We recorded the implant stability quotient (ISQ) value on the day of implant placement and consecutively every 2 weeks for 16 weeks for each implant. RFA was used for the direct measurement of implant stability. We compared mean ISQ values using a repeated-measures analysis of variance test. Results: The mean ISQ values at surgery and 16 weeks in implants treated only with sandblasting and acid etching were 77.8 ± 6.7 and 83.2 ± 2.5, respectively, while in those treated with further photoactivation were 78.9 ± 5.3 and 84.1 ± 3.3, respectively. The photoactivated implants showed higher ISQ values than those without photoactivated surface treatment. However, there were no significant differences between the two implant groups. Conclusion: Both implant groups showed high implant stability in clinical practice. The photoactivated implant surface appears to have higher implant stability than that without photoactivation by increasing the hydrophilic surface.

      • KCI등재

        Contour of lingual surface in lower complete denture formed by polished surface impression

        허유리,김희중,손미경,정재헌 대한치과보철학회 2016 The Journal of Advanced Prosthodontics Vol.8 No.6

        PURPOSE. The aim of this study was to analyze the shapes of lingual polished surfaces in lower complete dentures formed by polished surface impressions and to provide reference data for use when manufacturing edentulous trays and lower complete dentures. MATERIALS AND METHODS. Twenty-six patients with mandibular edentulism were studied. After lower wax dentures were fabricated, wax was removed from the lingual side of the wax denture and a lingual polished surface impression was obtained with tissue conditioner. The definitive denture was scanned with a three-dimensional scanner, and scanned images were obtained. At the cross-sections of the lingual frenum, lateral incisors, first premolars, first molars, and anterior border of the retromolar pads, three points were marked and eight measurements were taken. The Kruskal-Wallis test and a post hoc analysis with the Mann-Whitney test were performed. RESULTS. Each patient showed similar values for the same areas on the left and right sides without a statistically significant difference. The height of the contour of the lingual polished surface at the lingual frenum was halfway between the occlusal plane and lingual border, it moved gradually in a downward direction. The angle from the occlusal plane to the height of the contour of the lingual polished surface was increased as it progressed from the lingual frenum towards the retromolar pads. CONCLUSION. The shape of the mandibular lingual polished surface was convex at the lingual frenum, lateral incisors and gradually flattened towards the first molars and retromolar pads.

      • KCI등재

        Why Do Students Drop Out of High School?: The Case Study of Kasi District in Lao PDR

        허유리,강규원 국제개발협력학회 2024 국제개발협력연구 Vol.16 No.1

        Purpose: This study explored why high school students decided to drop out in rural area of Lao PDR and further aimed to propose possible prevention to improve the drop out situation of the countries. Originality: Previous research that primarily focused on specific factors and dropout rate cannot explained why students decided to leave high school in early grade. Therefore, using comprehensive framework including individual and institutional factors, this study examined the dropout factors from individual perspective in qualitative way. Methodology: The study uses an explanatory sequential mixed method approach that employs both a questionnaire and interviews. Total 30 participants engaged in interviews including students and their parents, teachers and governmental officials. A thematic analysis was utilized for data analysis. Result: The results highlight that at the individual level, such as lack of motivation, peer pressure, early marriage, and cultural norms, pose barriers to high school attendance. Low household income and negative family dynamics also contribute significantly to dropout rates, with agricultural demands and family particular situations. Insufficient school resources, including materials and extracurricular activities, along with a shortage of qualified teachers, affect student engagement. Additionally, the community's low human and social capital increase dropout rates by limiting employment opportunities. Conclusions and Implication: The results indicated that both individual and institutional factors played a role in the dropout decision-making process. Furthermore, they suggested essential considerations such as examining job prospects for high school graduates in the local community, and evaluating the availability of resources within the school and community to assist students at risk of dropping out.

      • KCI등재

        특수교사의 성실실패 경험에 관한 질적 연구

        허유성(Heo Yu-sung),김정연(Kim Jeong-youn),김나연(Kim Na-yeon) 한국특수교육교과교육학회 2018 특수교육교과교육연구 Vol.11 No.3

        이 연구는 특수교사의 성실실패에 관한 인식을 탐색하기 위한 연구이다. 이러한 연구 목적에 따라 특수교사 15명을 대상으로 2회의 FGI를 실시하였다. 면담을 통해 특수교사가 경험한 성공과 실패에 관한 사례와 경험을 바탕으로 그 과정에서 갖게 된 성실실패에 관한 인식을 알아보았다. 참여자들의 공유된 경험과 사례를 바탕으로 수집된 자료는 전사하여 분석하였다. 그룹면담 자료를 분석한 결과 4개의 대주제와 21개의 하위 주제가 도출되었다. 도출된 4개 주제에 대한 주 내용은 다음과 같다. (1) 성공과 실패에 영향을 미치는 개인적 요인, (2) 성공과 실패에 영향을 미치는 외부적 요인, (3) 특수교사가 경험한 성실실패 사례, (4) 성실실패를 극복하기 위한 노력. 연구 결과에서는 특수교사의 성공과 실패의 경험을 바탕으로 성실했음에도 불구하고 실패감을 느끼고 있는 특수교사의 교직 수행 경험을 고찰하고, 성실실패를 벗어나서 좋은 특수교사로 성장하는 과정을 탐색하였다. 이러한 결과를 바탕으로 논의에서는 ‘성실’을 갖추고 있는 특수교사가 교육현장에서 유능하고 좋은 특수교사로 성장할 수 있도록 지원 방안에 관해 제언하였다. This study was to explore the cognizance of special education teachers on an honorable-failure. 15 teachers were subjected FGI two times for this purpose. Interviews were conducted to analyze the teachers’ perceptions based on the experiences and the cases of successes and failures. Collected data of shared experiences and cases among the participants were investigated. As a result, 4 ultimate themes and 21 sub themes were drawn. The 4 subjects are as followed: (1) individual variables and (2) external variables affecting successes and failures, (3) the cases of the honorable-failure experienced by special education teachers, (4) efforts to overcome an honorable-failure. In the conclusion, procedures of becoming a good teacher, after overcoming an honorable-failure, were examined based on the analysis of faithful, but failed teaching experiences of special education teachers and reflective thinking about those experiences. In the discussion, supportive measures for a teacher who have a ‘sincerity’ to become a competent and great special education teacher in the field were suggested.

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