• Title/Summary/Keyword: Approach

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Infratemporal fossa approach: the modified zygomatico-transmandibular approach

  • Kim, Soung Min;Paek, Sun Ha;Lee, Jong Ho
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.41
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    • pp.3.1-3.9
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    • 2019
  • Background: The infratemporal fossa (ITF) is an anatomical lateral skull base space composed by the zygoma, temporal, and the greater wing of the sphenoid bone. Due to its difficult approach, surgical intervention at the ITF has remained a heavy burden to surgeons. The aim of this article is to review basic skull base approaches and ITF structures and to avoid severe complications based on the accurate surgical knowledge. Methods: A search of the recent literature using MEDLINE (PubMed), Embase, Cochrane Library, and other online tools was executed using the following keyword combinations: infratemporal fossa, subtemporal fossa, transzygomatic approach, orbitozygomatic approach, transmaxillary approach, facial translocation approach, midface degloving, zygomatico-transmandibular approach, and lateral skull base. Aside from our Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) trial, there have been very few randomized controlled trials. The search data for this review are summarized based on the authors' diverse clinical experiences. Results: We divided our results based on representative skull base approaches and the anatomy of the ITF. Basic approaches to the ITF include endoscopic endonasal, transzygomatic, orbitozygomatic, zygomatico-transmandibular, transmaxillary, facial translocation, and the midfacial degloving approach. The borders and inner structures of the ITF (with basic lateral skull base dissection schemes) are summarized, and the modified zygomatico-transmandibular approach (ZTMA) is described in detail. Conclusions: An anatomical basic knowledge would be required for the appropriate management of the ITF pathology for diverse specialized doctors, including maxillofacial, plastic, and vascular surgeons. The ITF approach, in conjunction with the application of microsurgical techniques and improved perioperative care, has permitted significant advances and successful curative outcomes for patients having malignancy in ITF.

The Modified Eulerian-Lagrangian Formulation for Cauchy Boundary Condition Under Dispersion Dominated Flow Regimes: A Novel Numerical Approach and its Implication on Radioactive Nuclide Migration or Solute Transport in the Subsurface Environment

  • Sruthi, K.V.;Suk, Heejun;Lakshmanan, Elango;Chae, Byung-Gon;Kim, Hyun-su
    • Journal of Soil and Groundwater Environment
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    • v.20 no.2
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    • pp.10-21
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    • 2015
  • The present study introduces a novel numerical approach for solving dispersion dominated problems with Cauchy boundary condition in an Eulerian-Lagrangian scheme. The study reveals the incapability of traditional Neuman approach to address the dispersion dominated problems with Cauchy boundary condition, even though it can produce reliable solution in the advection dominated regime. Also, the proposed numerical approach is applied to a real field problem of radioactive contaminant migration from radioactive waste repository which is a major current waste management issue. The performance of the proposed numerical approach is evaluated by comparing the results with numerical solutions of traditional FDM (Finite Difference Method), Neuman approach, and the analytical solution. The results show that the proposed numerical approach yields better and reliable solution for dispersion dominated regime, specifically for Peclet Numbers of less than 0.1. The proposed numerical approach is validated by applying to a real field problem of radioactive contaminant migration from radioactive waste repository of varying Peclet Number from 0.003 to 34.5. The numerical results of Neuman approach overestimates the concentration value with an order of 100 than the proposed approach during the assessment of radioactive contaminant transport from nuclear waste repository. The overestimation of concentration value could be due to the assumption that dispersion is negligible. Also our application problem confirms the existence of real field situation with advection dominated condition and dispersion dominated condition simultaneously as well as the significance or advantage of the proposed approach in the real field problem.

Surgical Comparison of Pterional Approach with Interhemispheric Approach for High Positioned Anterior Communicating Artery Aneurysms (고위의 전교통동맥 동맥류에서의 Pterional Approach와 Interhemispheric Approach의 수술적 비교 분석)

  • Park, Kang Hwa;Jo, Chul Min;Kim, Hyung Dong
    • Journal of Korean Neurosurgical Society
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    • v.30 no.sup2
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    • pp.197-202
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    • 2001
  • Objective : The purpose of this study is to evaluate and compare surgical results of pterional(fronto-temporal) approach and interhemispheric approach for the high positioned anterior communicating artery aneurysm with our surgical experience. Methods : During the period between May 1990 and May 2001, 263 anterior communicating aneurysms were treated at the department of neurosurgery of Dong-A university hospital. Among them, 175 patients were operated by same operator. Thirty six out of the 175 cases were high positioned anterior communicating artery aneurysms located more than 15mm above the anterior clinoid process. Results : Pterional approaches were applied in 32 cases and interhemispheric approaches were applied in 4 cases of total 36 cases of the high positioned anterior communicating artery aneurysms. The 32 cases of pterional approach resulted in Good Recovery 20/32(63%), Moderate Disability 6/32(19%), Severe Disability 4/32(12%) and Dead 2/32(6%), and 4 cases of interhemispheric approach resulted in GR 3/4(75%) and MD 1/4(25%). Relatively, pterional approach showed poorer result on high positioned anterior communicating artery aneurysm located more than 19mm above the anterior clinoid process with GR 5/13(39%), MD 3/13(23%), SD 3/13(23%) and Dead 2/13(15%). Conclusion : Interhemispheric approach is preferable to pterional approach for certain cases of high positioned anterior communicating artery aneurysm located more than 19 mm above the anterior clinoid process because it provides adequate orientation to the regional anatomy, less retraction of frontal lobe and preservation of the olfactory tract and gyrus rectus without any surgical complications.

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Optimal Wave Source Position Determination Based on Wave Propagation Simulation (전자파 영향 평가를 통한 최적의 전파 기지국 위치 결정 방법)

  • 박성헌;박지헌
    • Korean Management Science Review
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    • v.18 no.1
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    • pp.41-54
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    • 2001
  • In this paper, we proposed a method to determine optimal wave source for mobile telephone communication. The approach is based on wave propagation simulation. Given a wave source we can determine wave propagation effects on every surfaces of wave simulation environment. The effect is evaluated as a cost function while the source’s position x, y, z work as variables for a parameter optimization. Wave propagated 3 dimensional space generates reflected waves whenever it hits boundary surface, it receives multiple waves which are reflected from various boundary surfacers in space. Three algorithms being implemented in this paper are based on a raytracing theory. If we get 3 dimensional geometry input as well as wave sources, we can compute wave propagation effects all over the boundary surfaces. In this paper, we present a new approach to compute wave propagation. First approach is tracing wave from a source. Source is modeled as a sphere casting vectors into various directions. This approach has limit in computing necessary wave propagation effects on all terrain surfaces. The second approach proposed is tracing wave backwards : tracing from a wave receiver to a wave source. For this approach we need to allocate a wave receiver on every terrain surfaces modeled, which requires enormous amount of computing time. But the second approach is useful for indoor wave propagation simulation. The last approach proposed in this paper is tracing sound by geometric computation. We allow direct, 1-relfe tion, and 2-reflection propagation. This approach allow us to save in computation time while achieving reasonable results. but due to the reflection limitaion, this approach works best in outdoor environment.

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Unruptured Supraclinoid Internal Carotid Artery Aneurysm Surgery : Superciliary Keyhole Approach versus Pterional Approach

  • Shin, Donguk;Park, Jaechan
    • Journal of Korean Neurosurgical Society
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    • v.52 no.4
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    • pp.306-311
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    • 2012
  • Objective : A superciliary keyhole approach is an attractive, minimally invasive surgical technique, yet the procedure is limited due to a small cranial opening. Nonetheless, an unruptured supraclinoid internal carotid artery (ICA) aneurysm can be an optimal surgical target of a superciliary approach as it is located in the center of the surgical view and field. Therefore, this study evaluated the feasibility and surgical outcomes of a superciliary keyhole approach for unruptured ICA aneurysms. Methods : The authors report on a consecutive series of patients who underwent a superciliary approach for clipping unruptured ICA aneurysms between January 2007 and February 2012. The data were compared with a historical control group who underwent a pterional approach between January 2003 and December 2006. Results : In the superciliary group, a total of 71 aneurysms were successfully clipped without a residual sac in 70 patients with a mean age of 57 years (range, 37-75 years). The maximum diameter of the aneurysms ranged from 4 mm to 14 mm (mean${\pm}$standard deviation, $6.6{\pm}2.3$ mm). No direct mortality or permanent morbidity was related to the surgery. The superciliary approach demonstrated statistically significant advantages over the pterional approach, including a shorter operative duration (mean, 100 min), no intraoperative blood transfusions, and no postoperative epidural hemorrhages. Conclusion : A superciliary keyhole approach provides a sufficient surgical corridor to clip most unruptured supraclinoid ICA aneurysms in a minimally invasive manner.

A Weighted Feature Voting Approach for Robust and Real-Time Voice Activity Detection

  • Moattar, Mohammad Hossein;Homayounpour, Mohammad Mehdi
    • ETRI Journal
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    • v.33 no.1
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    • pp.99-109
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    • 2011
  • This paper concerns a robust real-time voice activity detection (VAD) approach which is easy to understand and implement. The proposed approach employs several short-term speech/nonspeech discriminating features in a voting paradigm to achieve a reliable performance in different environments. This paper mainly focuses on the performance improvement of a recently proposed approach which uses spectral peak valley difference (SPVD) as a feature for silence detection. The main issue of this paper is to apply a set of features with SPVD to improve the VAD robustness. The proposed approach uses a weighted voting scheme in order to take the discriminative power of the employed feature set into account. The experiments show that the proposed approach is more robust than the baseline approach from different points of view, including channel distortion and threshold selection. The proposed approach is also compared with some other VAD techniques for better confirmation of its achievements. Using the proposed weighted voting approach, the average VAD performance is increased to 89.29% for 5 different noise types and 8 SNR levels. The resulting performance is 13.79% higher than the approach based only on SPVD and even 2.25% higher than the not-weighted voting scheme.

Extended pivot-based approach for bilingual lexicon extraction

  • Seo, Hyeong-Won;Kwon, Hong-Seok;Kim, Jae-Hoon
    • Journal of Advanced Marine Engineering and Technology
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    • v.38 no.5
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    • pp.557-565
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    • 2014
  • This paper describes the extended pivot-based approach for bilingual lexicon extraction. The basic features of the approach can be described as follows: First, the approach builds context vectors between a source (or target) language and a pivot language like English, respectively. This is the same as the standard pivot-based approach which is useful for extracting bilingual lexicons between low-resource languages such as Korean-French. Second, unlike the standard pivot-based approach, the approach looks for similar context vectors in a source language. This is helpful to extract translation candidates for polysemous words as well as lets the translations be more confident. Third, the approach extracts translation candidates from target context vectors through the similarity between source and target context vectors. Based on these features, this paper describes the extended pivot-based approach and does various experiments in a language pair, Korean-French (KR-FR). We have observed that the approach is useful for extracting the most proper translation candidate as well as for a low-resource language pair.

Implementation Strategy of Hypothesis Decision Using Rejection Region Approach and P-Value Approach (RR 접근방법과 P-Value 접근방법을 이용한 가설판정의 적용방안)

  • Choi, Sung-Woon
    • Proceedings of the Safety Management and Science Conference
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    • 2012.11a
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    • pp.431-434
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    • 2012
  • The paper reviews properties of hypothesis decision approaches using rejection region and significance probability. The study also presents the guidelines for quality practioners to implement most useful hypothesis testing techniques such as RR(Rejection Region) approach and P-Value approach.

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Analysis of Structural Behavior for Abutment Integral Approach Slabs (교대일체식 접속슬래브의 구조적 거동 분석)

  • Nam, Young-Kug;Lee, Heung-Su
    • Proceedings of the Korea Concrete Institute Conference
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    • 2009.05a
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    • pp.1-2
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    • 2009
  • Abutment Integral Approach Slabs are proposed to improve road traveling performance of bridge approaches and evaluated analysis application possibility of approach slabs in abutment integral approach slabs as comparing between Abutment Integral Approach Slabs and approach slabs in general bridges.

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A Model to Decide the Approach to Build Data Warehouse considering Project's Environmental Factors (프로젝트 환경요인을 고려한 Data Warehouse 구축방법의 선택 모형)

  • 노규성;윤재희
    • Proceedings of the Korea Inteligent Information System Society Conference
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    • 1999.03a
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    • pp.403-413
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    • 1999
  • Today's businesses are experiencing intensive global competition and the most accelerating pace of change ever. Competitors have sprung up that were not even on the business's radar. This environment impacts all decisions and strategies as business try to dominate their market or their marker or their industry merely to survive. So recently most of organizations are considering on building the data warehouse system to pursuit the business intelligence. We need the proper model to guide the approach to plan building data warehouse system when we want to plan it in considering the organizational status. Therefore we suggest a model to decide the approach to build data warehouse considering the project's environmental factors. First we review Ronald S. Swift(1998)'s five environmental factors that we have to consider when planing to build data warehouse. Then we propose a model to decide DW approach by the degree of those factors to be measured. DW approaches in this model are classified in conservative approach, increasing approach, enterprise wide approach, and ideal approach.

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