치조골 소실과 심한 양악전돌을 동반한 성인환자에서의 피질골 절단술과 compression osteogenesis를 이용한 교정치료

This paper describes the case of a 50-year-old female with a Class II malocclusion who presented with severe bimaxillary protrusion and generalized alveolar bone loss due to adult periodontitis. The treatment plan consisted of extracting both upper and lower first premolars and periodontal treatment. Anterior segmental osteotomy (ASO) of the mandible and upper anterior segment retraction using compression osteogenesis after peri-segmental corticotomy (Speedy orthodontics) was performed. Correct overbite and overjet, facial balance, and improvement of lip protrusion were obtained. However, a slight root resorption tendency was observed on the lower anterior dentition. The active treatment period was 9 months and the results were stable for 27 months after debonding. This new type of treatment mechanics can be an effective alternative to orthognathic surgery. (Korean J Orthod 2009;39(1):54-65

Frequency of the Audiometric Notch Following Excessive Noise Exposure

The aim of the study was to determine the configuration of pathologic audiograms in patients with excessive noise exposure, and to calculate the frequency of notches in the audiogram in patients with and without excessive noise exposure by avoiding the effect of age-related hearing loss. We have analyzed 514 audiograms of 257 patients aged between 20 to 50 years: 240 patients (mean age of 38.7 years) with excessive noise exposure and 17 patients (mean age of 41.2 years) with notches in the audiogram, but without a history of excessive noise exposure. For statistical data analysis we have used the Chisquare test and Fisher exact test with the level of significance p < 0.05. Pathologic audiograms were classified into five different types: Slope at 4000 Hz (0.8%), Slope at 2000 Hz (15.1%), Notch at 4000 Hz (67.4%), Notch at 2000 Hz (0.8%), Flat (8.9%), and 7% were out of this classification. A total of 190 (79.2%) patients with excessive noise exposure had a notch in the audiogram. Left ear notches were the most common. Among the patients with notched audiograms, 91.8% had a history of excessive noise exposure, either occupational or nonoccupational, and 8.2% did not report any excessive noise exposure

Variability of chlorophyll-a and diatoms in the frontal ecosystem of Indian Ocean sector of the Southern Ocean

Phytoplankton composition plays a major role in biogeochemical cycles of the ocean. The intensity of carbon fixation and export is strongly dependent on the phytoplankton community. Yet, the contribution of different types of phytoplankton to the total production on various communities is still poorly understood in the Indian Ocean sector of Southern Ocean (SO). Therefore the variability of chlorophyll-a (Chl-a) and diatoms in the frontal ecosystems of the Indian sector of SO have been investigated along with the sea surface temperature (SST), sea surface wind (SSW), photosynthetically active radiation (PAR), and nutrients datasets for the period of 1998–2012. Combined analysis of in-situ, model and satellite observations indicate that the variability of Chl-a and diatoms were primarily influenced by light and wind. The Chl-a was higher at the sub-Antarctic front (SAF) followed by the sub-tropical front (STF) and the polar front (PF). The diatom concentration was higher at the SAF followed by the PF and STF. Maximum concentration of Chl-a and diatoms commonly observed at the SAF region are probably due to the moderate PAR, SST and wind. Dominance of diatoms at the PF may be attributed to their adaptability for low light conditions. The results from this study in the frontal ecosystems would help to understand the biogeochemical cycle of the Indian sector of the SO