• Title/Summary/Keyword: Delay joint

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Initial Symptoms of Malignant Bone Tumors (악성 골 종양의 초기 증상)

  • Oh, Joo-Han;Lee, Sang-Hoon;Suh, Sung-Wook;Lee, Ho-Kyoo;Kim, Han-Soo
    • The Journal of the Korean bone and joint tumor society
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    • v.9 no.1
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    • pp.18-23
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    • 2003
  • Purpose: Delay in the diagnosis of the primary malignant bone tumors may critically influence the chance of the patients' survival and the limb sparing, but the primary malignant bone tumors are so rare that most doctors have little experience in these challenging diseases. The purpose of the current study is to examine the initial symptoms of osteosarcoma and chondrosarcoma, and to shorten the delay of diagnosis. Materials and Methods: The data was based on the questionnaires and the medical records from 139 patients whose histological diagnoses were confirmed in the authors' institution. There were 108 patients of osteosarcoma and 31 patients of chondrosarcoma. Eighty-six were male and fifty-three were female. The mean age of the patients was 20.2 years in osteosarcoma, and 42.4 years in chondrosarcoma. Results: The most common symptom that the patient consult the doctor was pain (93.5% of osteosarcoma patients and 61.3% of chondrosarcoma patients). Among them, 76.2% of osteosarcoma and 57.8% of chondrosarcoma patients complained the night pain. The history of trauma was evident in 48.5% of osteosarcoma patients and one patient of chondrosarcoma. At the first medical visit, the malignant bone tumor was suspected in 61.1% of osteosarcoma and 64.5% of chondrosarcoma patients. Fracture was the most common misdiagnosis in osteosarcoma (16.7%), and the osteomyelitis in chondrosarcoma (19.4%). Initial radiographic examination and the adult age were shown to increase the rate of correct diagnosis of both diseases (p<0.05). Patient's delay and doctor's delay were significantly longer in chondrosarcoma patients than in osteosarcoma. Initial radiography led to shorten the doctor's delay, and the axial location of the tumor lengthened the doctor's delay. Trauma and the young age were believed to shorten the patient's delay. Conclusion: Careful history taking, including the night pain and trauma, would be mandatory for the early diagnosis of the primary malignant bone tumors, and the initial radiographic examination and periodic follow-up can increase the rate of correct diagnosis.

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Effects of coagulation factor concentrate prophylaxis in moderate and severe hemophilia A patients at a single hemophilia center in Korea

  • Moon, Byung Suk;Choi, Jun Seok;You, Chur Woo
    • Clinical and Experimental Pediatrics
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    • v.56 no.7
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    • pp.291-297
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    • 2013
  • Purpose: The aim of this study was to investigate prophylactic treatment effects in Korean patients with severe hemophilia A. Methods: A prospective study of 32 severe hemophilia A patients was conducted with the approval of the Institutional Review Board at the Eulji University Hospital. Two patients received primary prophylaxis; whereas, the other 30 patients were divided into 2 groups-secondary prophylaxis (n=15) and on-demand (n=15)-on the basis of their consent for secondary prophylaxis. A 20-25 IU/kg dose of factor VIII concentrate was administered to the primary and secondary prophylaxis group patients every 3 days for 1 year. The prophylactic effect was evaluated by observing changes in the Pettersson scores, annual number of total and joint bleeds, and factor VIII consumption for 1 year. Results: No moderate or severe bleeding was observed, and the Pettersson scores remained unchanged during the prophylaxis period in the patients who received primary prophylactic treatment. After the treatment was changed from on-demand to secondary prophylaxis, the annual number of total and joint bleeds in the secondary prophylaxis group decreased by $64.4%{\pm}13.0%$ and $70.0%{\pm}15.2%$, respectively. The average increase in Pettersson scores within 1 year was $0.5{\pm}0.8$ and $1.3{\pm}1.1$ in the secondary prophylaxis and on-demand groups, respectively. Prophylactic effects were also observed in patients >17 years who had nearly the same initial Pettersson scores. Conclusion: Intermediate-dose prophylactic treatment may delay hemarthropathy progression and prevent its occurrence in Korean severe hemophilia A patients.

Spreading Beam Poastic Hinging Zone of the High-Strength R/C Beam-Column Joints Using the Vertically Anchored Intermediate Reinforcements (수직앵커형 중간철근으로 보강된 고강도 철근콘크리트 보_-기둥 접합부의 소성힌지 확산)

  • 유영찬;이원호;이리형
    • Magazine of the Korea Concrete Institute
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    • v.7 no.4
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    • pp.169-179
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    • 1995
  • The purpose of this study is to spread beam plastic hinging zone of the high-strength($f'_c=700kg/cm^2$) reinforced concrete beam-column joints away from the column face by vertically anchored intermediate reinforcements. The newly proposed intermediate reinforcements which are vertically anchored by interlinking each intermediate rebars are tested to insure the ductile behavior of R /C beam-column joins. Main variable is the shape of intermediate reinforcements. From the test results, the newly proposed intermediate rebar detail can move arid expand the beam plastic hinging zone about 1.Od from column face and can delay the strength decay of the high-strength R /C beam-column joint. Also energy dissipation capacity of specimen IV-1.OD10 which is reinforced by vertically anchored intermediate rebars about 1.0d is 1.6 times as high as the specimen CM-STAN which is designed by ACI318-89.

Performance Evaluation of VLBI Correlation Subsystem Main Product (VLBI 상관 서브시스템 본제품의 제작현장 성능시험)

  • Oh, Se-Jin;Roh, Duk-Gyoo;Yeom, Jae-Hwan;Oyama, Tomoaki;Park, Sun-Youp;Kang, Yong-Woo;Kawaguchi, Noriyuki;Kobayashi, Hideyuki;Kawakami, Kazuyuki
    • Journal of the Institute of Convergence Signal Processing
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    • v.12 no.4
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    • pp.322-332
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    • 2011
  • In this paper, we introduce the 1st performance evaluation of VLBI Correlation Subsystem (VCS) main product, which is core system of Korea-Japan Joint VLBI Correlator (KJJVC). The main goal of the 1st performance evaluation of VCS main product is that the perfection of overall system will be enhanced after checking the unsolved part by performing the experiments towards various test items at the manufacturer before installation of field. The functional test was performed by including the overflow problem occurred in the FFT re-quantization module due to the insufficient of effective bit at the VCS trial product in this performance test of VCS main product. Through the performance test for VCS main product in the factory, the problem such as FFT re-quantization discovered at performance test of VCS trial product in 2008 was clearly solved and the important functions such as delay tracking, daly compensation, and frequency bining were added in this VCS main product. We also confirmed that the predicted correlation results (fringe) was obtained in the correlation test by using real astronomical observed data(wideband/narrow band).

Resource Allocation for Heterogeneous Service in Green Mobile Edge Networks Using Deep Reinforcement Learning

  • Sun, Si-yuan;Zheng, Ying;Zhou, Jun-hua;Weng, Jiu-xing;Wei, Yi-fei;Wang, Xiao-jun
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • v.15 no.7
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    • pp.2496-2512
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    • 2021
  • The requirements for powerful computing capability, high capacity, low latency and low energy consumption of emerging services, pose severe challenges to the fifth-generation (5G) network. As a promising paradigm, mobile edge networks can provide services in proximity to users by deploying computing components and cache at the edge, which can effectively decrease service delay. However, the coexistence of heterogeneous services and the sharing of limited resources lead to the competition between various services for multiple resources. This paper considers two typical heterogeneous services: computing services and content delivery services, in order to properly configure resources, it is crucial to develop an effective offloading and caching strategies. Considering the high energy consumption of 5G base stations, this paper considers the hybrid energy supply model of traditional power grid and green energy. Therefore, it is necessary to design a reasonable association mechanism which can allocate more service load to base stations rich in green energy to improve the utilization of green energy. This paper formed the joint optimization problem of computing offloading, caching and resource allocation for heterogeneous services with the objective of minimizing the on-grid power consumption under the constraints of limited resources and QoS guarantee. Since the joint optimization problem is a mixed integer nonlinear programming problem that is impossible to solve, this paper uses deep reinforcement learning method to learn the optimal strategy through a lot of training. Extensive simulation experiments show that compared with other schemes, the proposed scheme can allocate resources to heterogeneous service according to the green energy distribution which can effectively reduce the traditional energy consumption.

Relationship between Rock Quality Designation and Blasting Vibration Constant "K" & Decay Constant "n" by Bottom Blasting Pattern (바닥발파에서 암질지수(RQD)와 발파진동상수 K, n의 관계)

  • 천병식;오민열
    • Geotechnical Engineering
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    • v.11 no.3
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    • pp.55-68
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    • 1995
  • This paper is the analysis of the relationship between RQD and decay constant, blasting vi bration constant of cube root scaling and square root scaling, through experimental blast ins test in subway construction for excavation of shaft hole by bottom blasting. The magnitude of particle velocity is largely effected by the distance from blasting source, the maximum charge per delay and the properties of ground. In order to verify the effects of ground properties on blast-induced vibration, the relation-ship between magnitude of blasting vibration and Rock Quality Disignation which stands for joint property was studied. The results of test are verified that blasting vibration constant "K" and the absolute value("n") of decay constant relatively increse as RQD increased. According to the result, it can be predict the particle velocity by the blast -induced vibration in bottom blasting pattern.om blasting pattern.

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FTCARP: A Fault-Tolerant Routing Protocol for Cognitive Radio Ad Hoc Networks

  • Che-aron, Zamree;Abdalla, Aisha Hassan;Abdullah, Khaizuran;Rahman, Md. Arafatur
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • v.8 no.2
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    • pp.371-388
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    • 2014
  • Cognitive Radio (CR) has been recently proposed as a promising technology to remedy the problems of spectrum scarcity and spectrum underutilization by enabling unlicensed users to opportunistically utilize temporally unused licensed spectrums in a cautious manner. In Cognitive Radio Ad Hoc Networks (CRAHNs), data routing is one of the most challenging tasks since the channel availability and node mobility are unpredictable. Moreover, the network performance is severely degraded due to large numbers of path failures. In this paper, we propose the Fault-Tolerant Cognitive Ad-hoc Routing Protocol (FTCARP) to provide fast and efficient route recovery in presence of path failures during data delivery in CRAHNs. The protocol exploits the joint path and spectrum diversity to offer reliable communication and efficient spectrum usage over the networks. In the proposed protocol, a backup path is utilized in case a failure occurs over a primary transmission route. Different cause of a path failure will be handled by different route recovery mechanism. The protocol performance is compared with that of the Dual Diversity Cognitive Ad-hoc Routing Protocol (D2CARP). The simulation results obviously prove that FTCARP outperforms D2CARP in terms of throughput, packet loss, end-to-end delay and jitter in the high path-failure rate CRAHNs.

Optimization for Relay-Assisted Broadband Power Line Communication Systems with QoS Requirements Under Time-varying Channel Conditions

  • Wu, Xiaolin;Zhu, Bin;Wang, Yang;Rong, Yue
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • v.11 no.10
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    • pp.4865-4886
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    • 2017
  • The user experience of practical indoor power line communication (PLC) applications is greatly affected by the system quality-of-service (QoS) criteria. With a general broadcast-and-multi-access (BMA) relay scheme, in this work we investigate the joint source and relay power optimization of the amplify-and-forward (AF) relay systems used under indoor broad-band PLC environments. To achieve both time diversity and spatial diversity from the relay-involved PLC channel, which is time-varying in nature, the source node has been configured to transmit an identical message twice in the first and second signalling phase, respectively. The QoS constrained power allocation problem is not convex, which makes the global optimal solution is computationally intractable. To solve this problem, an alternating optimization (AO) method has been adopted and decomposes this problem into three convex/quasi-convex sub-problems. Simulation results show the fast convergence and short delay of the proposed algorithm under realistic relay-involved PLC channels. Compared with the two-hop and broadcast-and-forward (BF) relay systems, the proposed general relay system meets the same QoS requirement with less network power assumption.

Corticosteroid-induced Avascular Necrosis of Talus after Cardiac Transplantation (심장이식 후 부신피질호르몬 투여로 인한 거골의 무혈성 괴사 - 1예 보고 -)

  • Park, Hong-Gi;Eom, Gi-Serk
    • Journal of Korean Foot and Ankle Society
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    • v.4 no.2
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    • pp.83-86
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    • 2000
  • A vascular necrosis of the talus has frequently been reported following trauma because talus has no muscle insertions, sixty percent of the surface of the talus is covered by hyaline cartilage, takes only a small area for entrance of a blood supply. Osteonecrosis is also associated with a variety of nontraumatic disorders. There are many indications for steroid usage, patient with rheumatoid arthritis, systemic lupus erythematosus, chronic obstructive pulmonary disease, and status- post renal or cardiac transplantation may be on long- term steroid usage, osteonecrosis may develop. A vascular necrosis of the talus secondary to chronic steroid usage is an unusual case. Delay in detection of osteonecrosis may lead to fragmentation and collapse of the talar body. When pain on range of motion is present and conservative treatment have been exhausted, surgical treatment is indicated, that is, fusion of the ankle joint. However it is important that conservative treatment may prevent its various sequelae with early diagnosis because steroid - treated patients have a more operative risk and increased risk for postoperative infection. We report a rare case of corticosteroid induced avascular necrosis of talus after cardiac transplantation.

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Investigation of Friction Hysteresis in Miniaturized Linear Table Lubricated Withgrease (그리스 윤활 소형 이송계 마찰력의 이력현상 측정 및 분석)

  • Ahn, Sung Woo;Jeong, Young Hun;Song, Chang Kyu
    • Journal of the Korean Society of Manufacturing Technology Engineers
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    • v.22 no.4
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    • pp.761-766
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    • 2013
  • A precision linear motion table plays a crucial role in manufacturing systems used in various industries such as machine tools, semiconductors, and nanofabrication. In particular, one of the most typical mechanisms for a linear motion table is to use a ballscrew and LM guides. However, this mechanism is inevitably influenced by friction because of the relative motion in its joint regions. One of the most complex phenomena in friction is the hysteresis behavior of dynamic friction, which was compared with the steady dynamic friction that was presented using a Stribeck curve in this study. Therefore, we investigated the dynamic friction and its hysteresis behavior using a miniaturized linear table equipped with a ballscrew and LM guides that were lubricated with grease. Subsequently, it could be seen that hysteresis could be considered a time delay after zero-velocity crossing and that it was influenced by acceleration.