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Arthroscopic assisted Core Decompression of Humeral Head Osteonecrosis - Technical Note - (상완 골두 골괴사증에서의 관절경하 핵심 감압술 - 수술 술기 -)

  • Cho, Chul-Hyun;Sohn, Sung-Won;Bae, Ki-Cheor;Kim, Dong-Hoo
    • Journal of the Korean Arthroscopy Society
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    • v.13 no.2
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    • pp.174-178
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    • 2009
  • Purpose: We introduce arthroscopic assisted core decompression for humeral head osteonecrosis. Operative technique: After diagnostic shoulder arthroscopy is performed using posterior and anterior portal, we make a 2 cm lateral skin incision approximately 3 cm distal to 1/3 of lateral margin of the acromion and place short gray cannula to prevent adjacent soft tissue injury when insert guide pin. Under C-arm fluoroscopic and arthroscopic guidance, 3 to 4 guide pins are inserted toward the necrotic area. Then we perform drilling using 7.0 mm reamer. Conclusion: We believe this technique is a less invasive approach and avoids the complications comparing to deltopectoral approach. Arthroscopic assisted core decompression is an effective procedure in management of early stage of the humeral head osteonecoris.

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Detection of Crosswalk for the Walking Guide of the Blind People (시각장애인 보행 안내를 위한 횡단보도 검출 및 방향 판단)

  • Kim, Seon-il;Jeong, Yu-Jin;Lee, Dong-Hee;Jung, Kyeong-Hoon
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2019.05a
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    • pp.45-48
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    • 2019
  • Detection of crosswalk is an important issue for the blind to walk without the help of others. There is a braille block on the sidewalk, which helps the blind to walk. On the other hand, crosswalk is more dangerous due to the moving vehicles. However, there is no appropriate means to induce the blind. In this paper, we propose a method to detect crosswalk in front of a blind and estimate its direction using an image sensor. We adopt multi-ROIs and make their binary versions. In order to determine whether it is a crosswalk, two features are extracted; one is the number of crossing in the binary image and the other is the ratio of white area. We can also estimate the direction of the crosswalk through the slope of the projection data. We evaluated the performance using experimental dataset and the proposed algorithm showed 80% accuracy of detection.

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ACL Reconstruction using Transtibial Femoral Tunnel at 10 or 2 O'clock Position - Technical Note - (10시 혹은 2시 방향의 경경골 대퇴 터널을 이용한 전방 십자 인대 재건술 - 수술 수기 -)

  • Cho, Sung-Do;Ko, Sang-Hun;Park, Mun-Soo;Jung, Kwang-Hwan;Cha, Jae-Ryong;Gwak, Chang-Youl;Kim, Sang-Woo
    • Journal of the Korean Arthroscopy Society
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    • v.10 no.2
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    • pp.209-213
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    • 2006
  • Purpose: Conventional transtibial approach for the anterior cruciate ligament (ACL) reconstruction tended to place the femoral tunnel in too vertical position (11 or 1 o'clock), which could provide the postoperative anteroposterior (AP) stability but not provided the rotational stability. Therefore we present a surgical technique to make the transtibial femoral tunnel at 10 or 2 o'clock position. Surgical approach: To make a transtibial femoral tunnel at the 10 or 2 o'clock position, the direction and position of the tibial drill guide was important. We set the tibial drill guide at $40{\sim}45$ degrees and the intraarticular guide tip was 1 mm anterior and medial to the conventional site. The starting point for the guide pin on the proximal tibia was proximal to the pes anserinus and anterior to the medial collateral ligament. The tibial tunnel was initially drilled 1mm less than the diameter of the graft. Then femoral offset guide could be easily placed at 10 or 2 o'clock position through the tibial tunnel. The tibial tunnel and the femoral tunnel of 30 mm in length were made with the reamer that was same size with the graft. Conclusion: We report a surgical technique to create a transtibial femoral tunnel at 10 or 2 o'clock position in ACL reconstruction to provide the rotational stability as well as the AP stability.

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Determination of 3D Object Coordinates from Overlapping Omni-directional Images Acquired by a Mobile Mapping System (모바일매핑시스템으로 취득한 중첩 전방위 영상으로부터 3차원 객체좌표의 결정)

  • Oh, Tae-Wan;Lee, Im-Pyeong
    • Journal of the Korean Society of Surveying, Geodesy, Photogrammetry and Cartography
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    • v.28 no.3
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    • pp.305-315
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    • 2010
  • This research aims to develop a method to determine the 3D coordinates of an object point from overlapping omni-directional images acquired by a ground mobile mapping system and assess their accuracies. In the proposed method, we first define an individual coordinate system on each sensor and the object space and determine the geometric relationships between the systems. Based on these systems and their relationships, we derive a straight line of the corresponding object point candidates for a point of an omni-directional image, and determine the 3D coordinates of the object point by intersecting a pair of straight lines derived from a pair of matched points. We have compared the object coordinates determined through the proposed method with those measured by GPS and a total station for the accuracy assessment and analysis. According to the experimental results, with the appropriate length of baseline and mutual positions between cameras and objects, we can determine the relative coordinates of the object point with the accuracy of several centimeters. The accuracy of the absolute coordinates is ranged from several centimeters to 1 m due to systematic errors. In the future, we plan to improve the accuracy of absolute coordinates by determining more precisely the relationship between the camera and GPS/INS coordinates and performing the calibration of the omni-directional camera

Prevention of Alpine Ski Injuries (알파인 스키 부상의 예방)

  • Eun Seung-Pyo
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.1 no.2
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    • pp.109-114
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    • 2002
  • The types of Alpine ski injuries have changed through the years in relationship to the development of skiing equipment. Modern skis, boots and bindings are better at protecting the tibia, which previously was almost as commonly injured as the knee. Since the 1980s, severe knee sprains, most of them involving the anterior cruciate ligament have tripled while injuries of the lower extremity below the knee diminished significantly. However, recent studies show no further improvements in either lower leg fractures or increase in the rates of ACL sprains has occurred. The use of carving skis presents an increased risk for sustaining isolated ACL injuries in more skilled skiers and less skilled skiers are more likely to sustain an ankle fracture than skiers using conventional skis. To restore the trend of diminishing lower leg injury rates, efforts will be needed to motivate skiers to have their equipment serviced by ski shop professionals following ASTM (American Society for Testing and Material) standard procedures. As of now, there are no boots, bindings or skis on the market designed to protect skiers from the ACL injury. The only method proven to reduce ACL injury Is a training program based on recognizing the circumstances that lead to ACL injury in skiing and to avoid these events.

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Effect of Dimethipin on the ${\alpha}-amylase$ Induction in Barley Seeds (보리종자에서 ${\alpha}-amylase$ 유도에 미치는 Dimethipin의 영향)

  • 전방욱
    • Journal of Plant Biology
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    • v.34 no.2
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    • pp.159-163
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    • 1991
  • The effect of dimethipin, one of the synthesized plant growth regulators, on the gibberellic acid-induced a-amylase activity in the barley de-embryonated seed system was investigated in order to elucidate the possible action mechanism of dimethipin. Dimethipin markedly inhibited the increase of mRNA and protein content, and a-amylase activity induced by gibberellic acid. The inhibitory effects were gradually decreased as the time interval between gibberellic acid treatment and dimethipin addition was made larger. Dimethipin inhibited the increase of mRNA content when added within 18 h from gibberellic acid treatment; however, it inhibited the increase of soluble protein content and a-amylase activity even added after 18 h from the treatment. These results suggest the possibility that dimethipin inhibit both mRNA synthesis and a-amylase protein synthesis.thesis.

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The effects of the face reinforcement at shallow tunnels in fractured rock masses (파쇄대 암반에서 얕은 심도의 터널 굴착시 막장보강효과에 관한 연구)

  • Nam, Kee-Chun;Heo, Young;You, Kwang-Ho
    • Journal of Korean Tunnelling and Underground Space Association
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    • v.5 no.4
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    • pp.323-336
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    • 2003
  • Recently, the development of tunnel reinforcement method has been required relating to the shallow tunnelling in soft ground. In this study, the improvement method on tunnel stability is proposed by evaluating the efficiency of face reinforcement which enables to control extrusion of advance core, however, it is often neglected in urban tunnelling under the poor ground conditions. Systematic pre-confinement ahead of the face improves the tunnel stability, subsequently, displacement of the crown and surface settlement can be restrained by proper method. 3-dimensional numerical analysis including horizontal reinforcement modelling on a face is applied to estimate the behaviour of a tunnel in relation to the ground and reinforcement conditions. Consequently, extrusion at the face decreases significantly after using the horizontal reinforcement and the effect of reinforcement is much increased in case of applying the supplemental reinforcement ahead of the face together. Especially, confinement effect around the tunnel and the core is proved by means of the core reinforcement in poor ground conditions.

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Numerical Investigation of Forward Flight Characteristics of Multi-Ducted Fan (다중 덕트 팬 전진 비행 특성에 대한 수치적 연구)

  • Roh, Nahyeon;Oh, Sejong;Park, Donghun
    • Journal of the Korean Society for Aeronautical & Space Sciences
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    • v.46 no.2
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    • pp.95-105
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    • 2018
  • Increasing cruise speed is an important issue for the development of the next generation rotorcraft. Among several concepts proposed by previous research, the rotorcraft with ducted fan demonstrates its possibility of high-speed flight. In this study, numerical simulations are conducted to investigate the aerodynamic and flow characteristics of multi-ducted fan in forward flight. The aerodynamic efficiency around front ducted fan is determined by interaction between free-stream velocity and the induced velocity. While flow characteristics of rear ducted fan are dominantly influenced by the front ducted fan. Separation in the front ducted fan occurs faster than that of rear ducted fan, and the separation at duct inlet induces an increase of fan thrust. As a result of interaction effect between each ducted fan, relatively aligned inflow enters to the rear ducted fan. Therefore, thrust of the rear fan is decreased steadily before separation, and sudden changes of thrust in fans occur simultaneously. Due to the pressure decrease on lower surface, the normal force of rotorcraft is reduced with forward speed.

Analysis on driver's visual behaviour at the curve sections of a national road for enhancing traffic safety (교통안전 증진을 위한 국도 곡선부에서의 운전자 시각행태 분석)

  • 김홍상;금기정;김명수;박영진
    • Journal of Korean Society of Transportation
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    • v.20 no.3
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    • pp.7-16
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    • 2002
  • It is very important to research drivers' visual behavior. Angle of vision is very important and accounts for more than 90% as the source of driving information. In curve sections, drivers can know the front circumstances and drive more safely and comfortably through facilities guiding their eye movements. Therefore, the standards of installation and effectiveness of these facilities to guide drivers' gaze need to be reconsidered considering characteristics of drivers' eyes The national road no. 34 (Jincheon IC, Buckamri-Yiriangmun section), which is a high-accident-frequency location, is chosen for experimental place. The aim of this study is to understand the process of drivers' visual movement which is drivers' visual behavior and to check the facilities to guide their eyes. Another goal of this study is to improve facilities to guide drivers' eyes on a result basis of considering drivers' visual behavior especially for traffic safety in a high-accident-frequency curve sections.

New Technique for the Reconstruction of Both Anteromedial & Posterolateral Bundles of ACL (전방십자인대의 전내측 다발 및 후외측 다발을 각각 재건하는 새로운 수술 수기)

  • Ha Chul-Won;Awe Soo-Ik
    • Journal of the Korean Arthroscopy Society
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    • v.6 no.2
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    • pp.195-199
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    • 2002
  • This article is to report a new technique for reconstruction of the anteromedial and posterolateral bundles of anterior cruciate ligament by separate tensioning and fixation of the each bundle. Method : Tibial and femoral tunnels were made with conventional technique of anterior cruciate ligament reconstruction. Tibial tunnel was enlarged $5\~7$ mm in anterior-posterior direction to make oval it in cross section. When preparing the Achilles tendon allograft, bone plug portion was trimmed as the conventional technique. The tendinous portion was trimmed as two separate bundles by dividing the tendinous portion longitudinally, so the graft is shaped like 'Y'. The bone plug portion of allograft was inserted into the femoral tunnel and fixed with absorbable cross pins. Two ligamentous portionss of the distal part of the grafts were tensioned separately at the external orifice. Anteromedial bundle was fastened under maximum tension with the knee flexed 90 degrees by post-tie method. The posterolateral bundle was fixed by the same technique with the knee in full extension. Then, an absorbable interference screw was inserted between the two bundles upto the upper end of the tibial tunnel, to get more initial rigidity of the reconstructed graft as well as to locate the two bundles in more anatomic position.

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