• Title/Summary/Keyword: APPROACH

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Simultaneous Paraspinal and Midline Approach for Upper Lumbar Disc Herniation : Technique to Prevent Lamina Fracture

  • Kim, Seok-Won;Shin, Ho
    • Journal of Korean Neurosurgical Society
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    • v.38 no.2
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    • pp.111-115
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    • 2005
  • Objective : Upper lumbar disc herniation is rare disease, compared with lower. The lamina of this high level lumbar vertebra is narrower than that of low level, and this have taken surgeon into important consideration for surgical methods because partial removal of lamina for discectomy weakens the base of the articular process and may result in fracture. The authors an accurate preoperative diagnosis that enables the surgeon to operative approach for preserving the facet joint. Methods : Thirteen patients with upper lumbar disc herniation have underone surgical procedure by midline approach for removal of ruptured disc fragment and paraspinal approach for removal of residual disc materials simultaneously without instrumentation. All patients who underwent surgery were analyzed and long-term follow-up was conducted. Results : At a mean follow-up of 24months, there were complete resolution of presenting radiating leg pain in 85% of the patients, 7.5% were left with minimal residual discomfort, and 7.5% derived little or no benefit from surgery. The follow-up radiologic findings of all patients shows that lamina and facet joint have preserved safely and no instability. Conclusion : Simultaneously, paraspinal with midline approach provides highly satisfactory operating methods by simplifying exposure and greatly limiting the risk of complications. This provides the basis for a planned surgical approach in which destruction of the facet joint can be avoided.

On using computational versus data-driven methods for uncertainty propagation of isotopic uncertainties

  • Radaideh, Majdi I.;Price, Dean;Kozlowski, Tomasz
    • Nuclear Engineering and Technology
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    • v.52 no.6
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    • pp.1148-1155
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    • 2020
  • This work presents two different methods for quantifying and propagating the uncertainty associated with fuel composition at end of life for cask criticality calculations. The first approach, the computational approach uses parametric uncertainty including those associated with nuclear data, fuel geometry, material composition, and plant operation to perform forward depletion on Monte-Carlo sampled inputs. These uncertainties are based on experimental and prior experience in criticality safety. The second approach, the data-driven approach relies on using radiochemcial assay data to derive code bias information. The code bias data is used to perturb the isotopic inventory in the data-driven approach. For both approaches, the uncertainty in keff for the cask is propagated by performing forward criticality calculations on sampled inputs using the distributions obtained from each approach. It is found that the data driven approach yielded a higher uncertainty than the computational approach by about 500 pcm. An exploration is also done to see if considering correlation between isotopes at end of life affects keff uncertainty, and the results demonstrate an effect of about 100 pcm.

Pterional or Subfrontal Access for Proximal Vascular Control in Anterior Interhemispheric Approach for Ruptured Pericallosal Artery Aneurysms at Risk of Premature Rupture

  • Park, Jaechan
    • Journal of Korean Neurosurgical Society
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    • v.60 no.2
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    • pp.250-256
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    • 2017
  • Objective : Cases of a ruptured pericallosal artery aneurysm with a high risk of intraoperative premature rupture and technical difficulties for proximal vascular control require a technique for the early and safe establishment of proximal vascular control. Methods : A combined pterional or subfrontal approach exposes the bilateral A1 segments or the origin of the ipsilateral A2 segment of the anterior cerebral artery (ACA) for proximal vascular control. Proximal control far from the ruptured aneurysm facilitates tentative clipping of the rupture point of the aneurysm without a catastrophic premature rupture. The proximal control is then switched to the pericallosal artery just proximal to the aneurysm and its intermittent clipping facilitates complete aneurysm dissection and neck clipping. Results : Three such cases are reported : a ruptured pericallosal artery aneurysm with a contained leak of the contrast from the proximal side of the aneurysm, a low-lying ruptured pericallosal artery aneurysm with irregularities on its proximal wall, and a multilobulated ruptured pericallosal artery aneurysm with the parasagittal bridging veins hindering surgical access to the proximal parent artery. In each case, the proposed combined pterional-interhemispheric or subfrontal-interhemispheric approach was successfully performed to establish proximal vascular control far from the ruptured aneurysm and facilitated aneurysm clipping via the interhemispheric approach. Conclusion : When using an anterior interhemispheric approach for a ruptured pericallosal artery aneurysm with a high risk of premature rupture, a pterional or subfrontal approach can be combined to establish early proximal vascular control at the bilateral A1 segments or the origin of the A2 segment.

Use of the facial dismasking flap approach for surgical treatment of a multifocal craniofacial abscess

  • Ishii, Yoshitaka;Yano, Tomoyuki;Ito, Osamu
    • Archives of Plastic Surgery
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    • v.45 no.3
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    • pp.271-274
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    • 2018
  • The decision of which surgical approach to use for the treatment of a multifocal craniofacial abscess is still a controversial matter. A failure to control disease progress in the craniofacial region can potentially put the patient's life at risk. Therefore, understanding the various ways to approach the craniofacial region helps surgeons to obtain satisfactory results in such cases. In this report, we describe a patient who visited the emergency department with a large swelling in his right cheek. A blood test and computed tomography revealed odontogenic maxillary sinusitis. The patient developed sepsis due to a progressive multifocal abscess. An abscess was seen in the temporal muscle, infratemporal fossa, and interorbital region. To control this multifocal abscess, we used the facial dismasking flap (FDF) approach. After debridement using the FDF approach, we succeeded in obtaining sufficient drainage of the abscess, and the patient recovered from sepsis. The advantages of the FDF approach are that it provides a wide surgical field, extending from the parietal region to the mid-facial region, and that it leaves no aesthetically displeasing scars on the face. The FDF approach may be one of the best options to approach multifocal abscesses in the craniofacial region.

Towards a Student-centred Approach to Translation Teaching

  • Almanna, Ali;Lazim, Hashim
    • Cross-Cultural Studies
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    • v.36
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    • pp.241-270
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    • 2014
  • The aim of this article is to review the traditional methodologies of teaching translation that concentrate on text-typologies and, as an alternative, to propose an eclectic multi-componential approach that involves a set of interdisciplinary skills with a view to improving the trainee translators' competences and skills. To this end, three approaches, namely a minimalist approach, a pre-transferring adjustment approach and a revision vs. editing approach are proposed to shift the focus of attention from teacher-centred approaches towards student-centred approaches. It has been shown that translator training programmes need to focus on improving the trainee translators' competences and skills, such as training them how to produce and select among the different versions they produce by themselves with justified confidence as quickly as they can (minimalist approach), adjust the original text semantically, syntactically and/or textually in a way that the source text supplely accommodates itself in the linguistic system of the target language (pre-transferring adjustment), and revise and edit others' translations. As the validity of the approach proposed relies partially on instructors' competences and skills in teaching translation, universities, particularly in the Arab world, need to invest in recruiting expert practitioners instead of depending mainly on bilingual teachers to teach translation.

An Effective Anomaly Detection Approach based on Hybrid Unsupervised Learning Technologies in NIDS

  • Kangseok Kim
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • v.18 no.2
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    • pp.494-510
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    • 2024
  • Internet users are exposed to sophisticated cyberattacks that intrusion detection systems have difficulty detecting. Therefore, research is increasing on intrusion detection methods that use artificial intelligence technology for detecting novel cyberattacks. Unsupervised learning-based methods are being researched that learn only from normal data and detect abnormal behaviors by finding patterns. This study developed an anomaly-detection method based on unsupervised machines and deep learning for a network intrusion detection system (NIDS). We present a hybrid anomaly detection approach based on unsupervised learning techniques using the autoencoder (AE), Isolation Forest (IF), and Local Outlier Factor (LOF) algorithms. An oversampling approach that increased the detection rate was also examined. A hybrid approach that combined deep learning algorithms and traditional machine learning algorithms was highly effective in setting the thresholds for anomalies without subjective human judgment. It achieved precision and recall rates respectively of 88.2% and 92.8% when combining two AEs, IF, and LOF while using an oversampling approach to learn more unknown normal data improved the detection accuracy. This approach achieved precision and recall rates respectively of 88.2% and 94.6%, further improving the detection accuracy compared with the hybrid method. Therefore, in NIDS the proposed approach provides high reliability for detecting cyberattacks.

Comparison of event tree/fault tree and convolution approaches in calculating station blackout risk in a nuclear power plant

  • Man Cheol Kim
    • Nuclear Engineering and Technology
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    • v.56 no.1
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    • pp.141-146
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    • 2024
  • Station blackout (SBO) risk is one of the most significant contributors to nuclear power plant risk. In this paper, the sequence probability formulas derived by the convolution approach are compared with those derived by the conventional event tree/fault tree (ET/FT) approach for the SBO situation in which emergency diesel generators fail to start. The comparison identifies what makes the ET/FT approach more conservative and raises the issue regarding the mission time of a turbine-driven auxiliary feedwater pump (TDP), which suggests a possible modeling improvement in the ET/FT approach. Monte Carlo simulations with up-to-date component reliability data validate the convolution approach. The sequence probability of an alternative alternating current diesel generator (AAC DG) failing to start and the TDP failing to operate owing to battery depletion contributes most to the SBO risk. The probability overestimation of the scenario in which the AAC DG fails to run and the TDP fails to operate owing to battery depletion contributes most to the SBO risk overestimation determined by the ET/FT approach. The modification of the TDP mission time renders the sequence probabilities determined by the ET/FT approach more consistent with those determined by the convolution approach.

Comparison of the DeSa Project and the Preliminary Decommissioning Plan for Shin-Kori Units 5 and 6 in Terms of Graded Approaches

  • Changju Song;Tae Young Kong;Seongjun Kim;Jinho Son;Woo Seok Choi;hwapyoung Kim;Jiung Kim;Hee Geun Kim
    • Journal of Radiation Industry
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    • v.17 no.2
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    • pp.143-150
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    • 2023
  • A graded approach applies safety requirements differentially, depending on the risk potential. An advantage of applying a graded approach is that safety assessments can be conducted repeatedly by focusing on areas with relatively higher risk than on those with low risk when decommissioning a nuclear power plant (NPP). The International Atomic Energy Agency (IAEA) recommends applying a graded approach to decommissioning NPPs worldwide. In Korea, the definition of the graded approach requires to be clarified. This study compared the decommissioning method used in Korean NPPs with the IAEA graded approach and examined whether the graded approach can be applied to decommissioning NPPs in Korea. As a result of the comparison, the preliminary decommissioning plan for Shin-Kori Units 5 and 6 showed that the decommissioning method for Korean NPPs is similar to the five-step IAEA graded approach.

The Teacher's and Parent's Beliefs about Literacy Acquisition (유아의 문식성 습득에 대한 교사와 부모의 신념)

  • Kim Jung-Wha;Lee Moon-Jung
    • Journal of Families and Better Life
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    • v.24 no.1 s.79
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    • pp.237-251
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    • 2006
  • The present study was to investigate the teacher's and the mother's beliefs about literacy acquisition and to analyse differences between them The subjects for this study were 134 teachers and 174 mothers of the kindergarten and daycare centers. The 25-item questionnaire constructed by Westwood, Knight and Redden(1997) was used in this study with a slight modification. Collected data were analyzed by one-way ANOVA to verify the differences of the teacher's beliefs according to an academic background and a career, and mother's according to an academic background and an occupation, and compared by t-test to verify the differences of the teacher's and mother's beliefs. The major findings were the most teachers and mothers showed balanced approach: more skill-based about reading than writing. The university graduated teachers took more meaning-based, child-centered approach than finisher of caregiver training center. According to career, more the experienced kept more skilled-based approach. In case of the mother, the university and graduated school graduates took more meaning-based, child-centered approach than finisher of college and High school. According to occupation, more the professional kept more meaning-based approach. Finally there were no meaningful difference in an income and mothers' age. And teachers took more meaning-based, child-centered approach than mothers. Especially about writing, teachers kept much more meaning-based approach than mothers.

Gasless Endoscopic Thyroidectomy Via Single Incision Axillary Approach (액와 단일절개 접근법을 이용한 내시경적 갑상선 절제술)

  • Kim, So Young;Ryu, Yoonjong;Jeong, Woo-Jin;Ahn, Soon-Hyun
    • Korean Journal of Head & Neck Oncology
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    • v.28 no.2
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    • pp.114-117
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    • 2012
  • Background and Objectives : To assure the surgical completeness of the gasless endoscopic thyroidectomy via single incision axillary approach using flexible videoscope which provide wide angle and working space, we compared single incision axillary approach and axillo-areolar approach by means of clinical, surgical outcomes. Materials and Methods : From March 2011 to July 2012, 24 patients who had underwent endoscopic thyroidectomy via transaxillary approach were enrolled. Of total, 17 patients underwent single incision axillary approach(group I) and the other 7 underwent axillo-areolar approach(group II). Results : Patient demographics, surgical indications were similar between the two groups. The operating time(group I 144.6min, group II 153.6 min ; p=.29), blood loss(group I : 55.4cc, group II : 35.7cc : p=.64), hospital stay(group I : 4.2days, group II : 4.4 days ; p=.65) were similar in the two groups. Overall, two patients in group I(2/17, 11.8%) experienced postoperative complications, including one hematoma and one seroma. Due to narrow working space, one patient was change to axillo-areolar approach during single incision axillary approach with $30^{\circ}$ rigid endoscope. Conclusion:Single incision axillary approach is safe and effective similar to other endoscopic thyroidectomy methods using flexible videoscope. Different with $30^{\circ}$ rigid endoscope, 10-mm flexible videoscope can put inside the axillary inicision site in different axis with endoscopic instruments. This difference in endoscopic axis help to prevent crash with endoscopic instrument.