• Journal of Korean Neurosurgical Society
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• 제40권2호
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• pp.90-94
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• 2006

Objective : Acute vertebral burst fractures warrant extensive fixation and fusion on the spine. Osteoplasty [vertebroplasty with high density resin without vertebral expansion] has been used to treat osteoporotic vertebral compression fractures. We report our experiences with osteoplasty in acute vertebral burst fractures. Methods : Twenty-eight cases of acute vertebral burst fracture were operated with osteoplasty. Eighteen patients had osteoporosis concurrently. Preoperative MRI was performed in all cases to find fracture level and to evaluate the severity of injury. Preoperative CT revealed burst fracture in the series. The patients with severe ligament injury or spinal canal compromise were excluded from indication. Osteoplasty was performed under local anesthesia and high density polymethylmethacrylate[PMMA] was injected carefully avoiding cement leakage into spinal canal. The procedure was performed unilaterally in 21 cases and bilaterally in 7 cases. The patients were allowed to ambulate right after surgery. Most patients discharged within 5 days and followed up at least 6 months. Results : There were 12 men and 16 women with average age of 45.3[28-82]. Five patients had 2 level fractures and 2 patients had 3 level fractures. The average injection volume was 5.6cc per level Average VAS [Visual Analogue Scale] improved 26mm after surgery. The immediate postoperative X-ray showed 2 cases of filler spillage into spinal canal and 4 cases of leakage into the retroperitoneal space. One patient with intraspinal leakage was underwent the laminectomy to remove the resin. Conclusion : Osteoplasty is a safe and new treatment option in the burst fractures. Osteoplasty with minimally invasive technique reduced the hospital stay and recovery time in vertebral fracture patients.

• 대한의용생체공학회:의공학회지
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• 제31권4호
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• pp.321-327
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• 2010

Most of the ear shells of hearing aids are manufactured manually, and it is one of the reasons that the cost of the custom-made hearing aids can be increased. Thus it is required to manufacture the ready-made ear shell for the purpose of easy manufacturing and decrease in cost. In this study, we extract parameters in order to manufacture the ready-made ear shell for CIC type hearing aids and simulate to reconstruct the ear shell using the extracted parameters. To parameter extraction, we set up the eleven parameters for the ready-made ear shell based on anatomical characteristics of the ear canal, and we found values of the parameters from twenty-one impressions in their 20s and twelve impressions in their 60s using aperture detection and feature detection algorithms. Classifying the parameters by size, we also determine the parameters of ready-made ear shell into three types for people in their 20s and two types for people in their 60s. Each ready-made ear shell was simulated to reconstruct using figured parameters, and evaluated the rate of agreement with unused impressions for setting parameters. To evaluate the ready-made ear shell, we calculate the volume ratio and intersection between of the each impression and ready-made ear shell, and the intersection ratio using the intersection volume and ready-made ear shell volume. As a result, the volume ratio was about 70%, and volume match ratio was also up to 70%. It means that the ready-made ear shell we simulated is the significantly matched to impression.

• Journal of Medicine and Life Science
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• 제16권1호
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• pp.1-5
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• 2019

Our purpose was to evaluate usefulness of the contrast-enhanced 3 dimensional fluid attenuated inversion recovery (3D-FLAIR) technique of half brain volume to diagnose the patients with facial neuritis based on segment-based analysis. We assessed retrospectively 17 consecutive patients who underwent brain MR imaging at 3 tesla for facial neuritis: 11 patients with idiopathic facial neuritis and 6 with herpes zoster oticus. Contrast enhanced 3D-FLAIR sequences of the half brain volume were analyzed and 3D T1-weighted sequence of the full brain volume were used as the base-line exam. Enhancement of the facial nerve was determined in each segment of 5 facial nerve segments by two radiologists. Sensitivity, specificity and accuracy of enhancement of each segment were assessed. The authors experienced a prompt fuzzy CSF enhancement in the fundus of the internal auditory canal in patients with enhancement of the canalicular segment. Interobserver agreement of CE 3D-FLAIR was excellent(${\kappa}$-value 0.885). Sensitivity, specificity, and accuracy of each segment are 1.0, 0.823, 0.912 in the canalicular segment; 0.118, 1.0, 0.559 in the labyrinthine segment; 0.823, 0.294, 0.559 in the anterior genu; 0.823, 0.529, 0.676 in the tympanic segment; 0.823, 0.235, 0.529 in the mastoid segment, respectively. In addition, those of prompt fuzzy enhancement were 0.647, 1.0, and 0.824, respectively. Incidence of prompt fuzzy enhancement with enhancement of the canalicular segment was 11 sites(55%): 6 (54.5%) in idiopathic facial neuritis and 5 (83.3%) in herpes zoster. Enhancement of the canalicular segment and prompt fuzzy enhancement on CE 3D-FLAIR was significantly correlated with occurrence of facial neuritis (p<0.001). CE 3D-FLAIR technique of the half brain volume is useful to evaluate the patients with facial neuritis as an adjunct sequence in addition to contrast-enhanced 3D T1-weighted sequence. On segment-based analysis, contrast enhancement of the canalicular segment is the most reliable. Prompt fuzzy enhancement is seen in not only herpes zoster, but in idiopathic facial neuritis.

• Journal of Chest Surgery
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• 제23권6호
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• pp.1174-1179
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• 1990

Forty-five patients with double-outlet right ventricle[DORV] underwent complete intracardiac repair between July, 1983 and June, 1989. Patients with complete atrioventricular canal, atrioventricular discordance and uni-ventricular heart were excluded. The 32 male and 13 female patients ranged in age from 3 months to 15 years[mean 4 years]. Thirty-two patients had pulmonary stenosis. The early mortality was 11.ltd[5 /45] None of 27 died after a completely intraventricular repair. The mortality was 20%[1/5] for repair using transannular patch, 20% [1/5] for REV operation, 33.3%[1/3] for repair including extracardiac valved conduit, and 50% [1/2] for Jatene operation, respectively. Two modified Fontan procedures were performed without mortality. One died after Senning operation. Causes of early deaths included high residual right ventricular pressure[one patient] small left atrial and left ventricular volume[one patient], persisting severe pulmonary hypertension [one patient] and low cardiac output of unknown cause [two patients]. Complete heart block developed in one patient. Two late deaths occurred among the 40 operative survivors [5.0Po] from persisting severe pulmonary hypertension and bleeding at reoperation. Our results indicate that significant defects can be repaired with low mortality and morbidity.

• 대한조선학회논문집
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• 제48권4호
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• pp.317-324
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• 2011

When a ship proceeds in confined water, like canal, the water ahead of ship is pushed by hull. This pushed water returns to the side and under the hull, and this returned water will make fluid velocity higher at the side and under the hull, compared to the case in the infinite water depth. Due to the higher velocity, the pressure under the hull will decrease, resulting in the ship drop. This phenomenon is called "ship squat" and ship squat will result in various marine accidents. In this paper, for predicting ship squat, numerical calculation was carried out using commercial CFD code, FLUENT. To confirm wave pattern profile around the ship, VOF(Volume of Fluid) method was applied. The calculated results were compared with other paper's results and empirical methods.

• 국제학술발표논문집
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• The 3th International Conference on Construction Engineering and Project Management
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• pp.168-172
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• 2009

Shihmen reservoir was started in May 1963. The main purposes of Shihmen reservoir are for agriculture, power supply, flood control and tourism. Shihme Asn dam is an earth dam. Its crown height is 133m above mean sea level, with length 360 m, watershed 763.4 km², and maximum volume 309 million cms. Turbidity in Shihmen dam was severely affected by typhoons Aere (2004) and Masa (2005). Increased deposition after Aere was 28 million cms. Turbidity at Shihmen Canal Inlet is 3000 NTU (Nephelometry Turbidity Unit). Sediment sluicing strategies for downstream channel are demanded. Therefore, diversionary sediment preventing channel is planned in the upstream of Shihmen reservoir. Finally, turbid flow in tunnel channel is bypassed and diverted its flow down to downstream.

• Journal of Korean Neurosurgical Society
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• 제44권1호
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• pp.8-14
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• 2008

Objective : The purpose of this study was to determine the efficacy of short segment fixation following postural reduction for the re-expansion and stabilization of unstable burst fractures in patients with osteoporosis. Methods : Twenty patients underwent short segment fixation following postural reduction using a soft roll at the involved vertebra in cases of severely collapsed vertebrae of more than half their original height. All patients had unstable burst fracture with canal compromise, but their motor power was intact. The surgical procedure included postural reduction for 2 days and bone cement-augmented pedicle screw fixations at one level above, one level below and the fractured level itself. Imaging and clinical findings, including the level of the vertebra involved, vertebral height restoration, injected cement volume, local kyphosis, clinical outcome and complications were analyzed. Results : The mean follow-up period was 15 months. The mean pain score (visual analogue scale) prior to surgery was 8.1, which decreased to 2.8 at 7 days after surgery. The kyphotic angle improved significantly from $21.6{\pm}5.8^{\circ}$ before surgery to $5.2{\pm}3.7^{\circ}$ after surgery. The fraction of the height of the vertebra increased from 35% and 40% to 70% in the anterior and middle portion. There were no signs of hardware pull-out, cement leakage into the spinal canal or aggravation of kyphotic deformities. Conclusion : In the management of unstable burst fracture in patients with severe osteoporosis, short segment pedicle screw fixation with bone cement augmentation following postural reduction can be used to reduce the total levels of pedicle screw fixation and to correct kyphotic deformities.

• 구강회복응용과학지
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• 제37권4호
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• pp.274-280
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• 2021

의도적 재식술은 전통적인 근관치료의 대체적 치료법으로 사용될 수 있다. 본 증례 보고에서는 기존에 근관치료 된 하악 제2대구치에 6주 동안 정출성 교정력을 가한 후 해당 치아를 발거하여 치근의 처치를 시행한 후 즉각적으로 재식립하여 의도적 재식술을 수행한 증례를 보고하고자 한다. 교정력을 부여함으로서 증가된 동요도로 인해 발치의 용이성을 증가시켰고 치주인대 폭경이 증가하여 치은 재부착을 증진 시키는 효과로 양호한 예후를 기대할 수 있었다.

• The Korean Journal of Pain
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• 제37권2호
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• pp.132-140
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• 2024

Background: This study aimed to identify exact anatomical landmarks and ideal injection volumes for safe adductor canal blocks (ACB). Methods: Fifty thighs from 25 embalmed adult Korean cadavers were used. The measurement baseline was the line connecting the anterior superior iliac spine (ASIS) to the midpoint of the patellar base. All target points were measured perpendicular to the baseline. The relevant cadaveric structures were observed using ultrasound (US) and confirmed in living individuals. US-guided dye injection was performed to determine the ideal volume. Results: The apex of the femoral triangle was 25.3 ± 2.2 cm distal to the ASIS on the baseline and 5.3 ± 1.0 cm perpendicular to that point. The midpoint of the superior border of the vasto-adductor membrane (VAM) was 27.4 ± 2.0 cm distal to the ASIS on the baseline and 5.0 ± 1.1 cm perpendicular to that point. The VAM had a trapezoidal shape and was connected as an aponeurosis between the medial edge of the vastus medialis muscle and lateral edge of the adductor magnus muscle. The nerve to the vastus medialis penetrated the muscle proximal to the superior border of the VAM in 70% of specimens. The VAM appeared on US as a hyperechoic area connecting the vastus medialis and adductor magnus muscles between the sartorius muscle and femoral artery. Conclusions: Confirming the crucial landmark, the VAM, is beneficial when performing ACB. It is advisable to insert the needle obliquely below the superior VAM border, and a 5 mL injection is considered sufficient.

• 전기학회논문지
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• 제60권5호
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• pp.1055-1061
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• 2011

In this study, main parameters: aperture, first bend and second bend which express a structure of ear canal are extracted in order to modeling and manufacture the ready-made ear shells of hearing aids. The proposed parameter extraction method consists of 2 important algorithms, aperture detection and feature detection. In the aperture detection algorithm, aperture of 3-D scanned virtual ear impression and parameters relating to ear shell of hearing aid are determined. The feature detection algorithm detects first bend, second bend, and related parameters. Through these two algorithms, parameters for aperture, first bend, and second bend are extracted to model the ready-made ear shell of hearing aid. The values of these extracted parameters from 36 people's right ear impression are analyzed and measured statistically. As a result of the analysis, it has been found that it is possible to classify ready-made ear shell parameters by age and size. The ready-made ear shell parameters are classified 3-size for 20 years old and 2-size for 60 years olde. Using 3D rhino program, virtual ready-made ear shell is reconstructed by parameters of every type, and simulated to model it. A final product was produced by transferring simulation result with rapid prototyping system. The modeled ready-made ear shell is evaluated with the objective and subjective method. Objective method is the comparison volume ratio and overlapped volume ratio of ear impression from randomly chosen 18 people and ready-made ear shell. And subjective method is that the final product of ready-made ear shell is used by users and the satisfaction number drawn from well fitting and comfortable testing was evaluated. In the result of the evaluation, it has been found that volume ration is 70%, big and middle size ready-made ear shell products are possible, and the satisfaction number is high.