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MRI and Arthroscopy of Osteochondral Lesion of the Talus which was not visible on Plasin Radiography (단순 방사선 상에서 발견할 수 없었던 거골 골연골 병변의 MRI 소견과 관절경 소견)

  • Lee, Woo-Chun;Shim, Jae-Chan;Choi, Deog-Shin
    • Journal of Korean Foot and Ankle Society
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    • v.6 no.2
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    • pp.195-200
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    • 2002
  • Purpose: To investigate the MRI and arthroscopic findings of osteochondral lesion of the talus which looked normal on plane radiography. Materials and methods: We investigated the MRI and arthroscopic findings of seven osteochondral lesions in which there were no abnormal finding on plane radiography and no cystic changes on MRI. Average age was 31 years(range, 19-43 years). Arthroscopic findings were classified according to the Ferkel's criteria. Results: History of injury was reported in all cases and the average duration from injury to presentation was 4 years and 4 months. Low signal change in T1WI was found in 6 of 7 lesions, no signal change in 1 case. Low signal change in T2WI was found in 4, no signal change in 3. 6 STIR images were obtained. High signal change was found in 3, no signal change in 2 and intermediate signal change was in 1. Arthroscopic grading was A in 1, C in 1, D in 2 , E in 1 and F in 2. We could not find any correlation between the findings on MRI and arthroscopic examination. Conclusion: We suggest arthroscopic examination is needed for accurate diagnosis of the osteochondral lesions of the talus which looked normal on plane radiography, because they have various MRl findings and high likelihood of existence of unstable cartilage lesions.

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The Modified Brostr$\ddot{O}$m Procedure for Chronic Ankle Lateral Instability without associated injury (동반 손상이 없는 만성 족관절 불안정성 환자에 대한 변형 Brostr$\ddot{O}$m 술식)

  • Lee, Kyung-Tai;Choi, Sung-I;Young, Ki-Won;Bae, Sang-Won;Lee, Seung-Hwan
    • Journal of Korean Foot and Ankle Society
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    • v.6 no.2
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    • pp.167-171
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    • 2002
  • Purpose: To analyze the result of Modified Brostr$\ddot{O}$m procedure for Chronic ankle lateral instability without associated injury. Materials and Methods: Forty-one patients(Forty-one feet) diagnosed and operated with chronic ankle lateral instability without associated injury were evaluated retrospectively from June 1995 to December 1999. Twenty-three patients were athletes. For the evaluation of clinical outcome, a subjective grading scale of modified Hamilton was used, and pain relief, relief of instability symptom and anterior drawer test were evaluated. Results: Among forty-one operations, there were six excellent, thirty-five good results as a whole. All cases showed over the grade good. The average time to ordinary life in the non-atheletes was 2.5 months and average time to sport activity in the athletes was 4 months postoperatively. Conclusion: The modified Brostr$\ddot{O}$m procedure seems to be effective method for chronic ankle lateral instability without associated injury.

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Calcium hydroxide intracanal medication effects on pain and flare-up: a systematic review and meta-analysis

  • Ibrahim, Ahmed Mohamed;Zakhary, Siza Yacoub;Amin, Suzan Abdul Wanees
    • Restorative Dentistry and Endodontics
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    • v.45 no.3
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    • pp.26.1-26.18
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    • 2020
  • Objectives: This study aimed to systematically review the pain and flare-up effects of calcium hydroxide (CH) as intracanal medication (ICM) in non-vital mature teeth. Materials and Methods: Electronic-databases searching for published and grey literature and manual searching were conducted. Only randomized clinical trials (RCTs) were included comparing CH to other ICMs in non-vital mature teeth. The risk of bias was assessed using the RoB 2.0 Cochrane tool. The main outcomes were pain and flare-up. Qualitative and quantitative analysis, wherever applicable, was performed. The certainty of evidence (CoE) was assessed using Grading of Recommendations Assessment, Development and Evaluation (GRADE). Results: Sixteen articles were included in 6 comparisons at different time points for different outcomes. CH reduced pain risk than no ICM within the 1-14-days interval (p < 0.05) and than triple-antibiotic paste within the first day (p < 0.05) and was similar to corticosteroid/antibiotics combination (p > 0.05). Chlorhexidine (CHX) or CH/CHX, however, reduced pain levels than CH alone (p < 0.05). CH showed higher flare-up risk than CHX (p < 0.05). CoE, however, ranged from very low to moderate. Conclusion: Most comparisons for different outcomes are based on very few studies, mostly low-powered, with an overall low CoE. Thus, the available evidence is considered insufficient to either support or refute CH effectiveness or to recommend one ICM over another. Therefore, further well-designed, larger RCTs are required.

Study on the GIS Based Environmental Assesment Techniques for Environmental Friendly Road Route Plan (환경친화적인 도로노선 계획을 위한 GIS 기반 환경성 평가기법 연구 - 도로노선대 선정방법 개발 -)

  • Kang, Ho-Geun;Park, Tae-Kwen;Kim, Heung-Lae;Kim, Sang-Tae;Lee, Sang-Eun
    • Journal of Korean Society of Environmental Engineers
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    • v.31 no.3
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    • pp.223-231
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    • 2009
  • This study intends to develop a GIS-based environmental assesment technique for environmental friendly road route plan using a spatial analysis function. After embodying an impact range based on the analysis of factors which cause the environmental damage by the road construction, a literature survey on a diverse grading cases and legal regulations was conducted. As a quantitative model for the spatial analysis, AHP was selected. As the environmental assessment, 8 items such as topography & geology, animals & plants, soil ecology, water quality, air quality, noise, land use, and landscape were selected. and then finally classified into three-grades using a pairwise comparison of the alate collected by a questionnaire surveying, weighting values were applied to there 8 items. The highest weight value, the grade 1 among eight was 0.191 for animals & plants. As the result of verifying the above method for the case region, the most environment-friendly road route could be generated.

Development of USLExls and its Application for the Analysis of the Impact of Soil-Filling Work on Soil Loss (USLExls를 이용한 복토법에 따른 필지 단위 토양유실량 분석)

  • Kim, Sorae;Yu, Chan;Lee, Sang-Whan;Ji, Won-Hyun;Jang, Min-Won
    • Journal of The Korean Society of Agricultural Engineers
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    • v.59 no.6
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    • pp.109-125
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    • 2017
  • This study aimed to develop a parcel-unit soil loss estimation tool embedded in Excel worksheet, USLExls, required for the design of contaminated farmland restoration project and to analyze the impact of the project carried out soil-filling work on soil loss. USLE method was adopted for the estimation of average annual soil loss in a parcel unit, and each erosivity factor in the USLE equation was defined through the review of previous studies. USLExls was implemented to allow an engineer to try out different combinations just by selecting one among the popular formulas by each factor at a combo box and to simply update parameters by using look-up tables. This study applied it to the estimation of soil loss before and after soil-filling work at Dong-a project area. The average annual soil loss after the project increased by about 2.4 times than before on average, and about 60 % of 291 parcels shifted to worse classes under the classification criteria proposed by Kwak (2005). Although average farmland steepness was lower thanks to land grading work, the soil loss increased because the inappropriate texture of the cover soil induced the soil erosion factor K to increase from 0.33 before to 0.78 after the soil-filling work. The results showed that the selection of cover soil for soil-filling work should be carefully considered in terms soil loss control and the estimation of change in soil loss should be mandatory in planning a contaminated farmland restoration project.

Differences Between Facial Electrodermal Activities of Paralyzed Side and Those of Normal Side in Acute Stage of Bell's Palsy Patients (발병초기 Bell's Palsy 환자의 안면부 피부전기활동성 차이에 관한 연구)

  • Han, Kyung-Sook;Nam, Tong-Hyun;Koh, Hyung-Kyun;Park, Young-Bae
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.9 no.2
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    • pp.72-82
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    • 2005
  • Background and purpose: Bell‘s Palsy is a condition that causes the facial muscles to weaken or become paralyzed. It's caused by trauma to the 7th cranial nerve, and is not permanent. The aim of this study is to be convinced of differences between facial electrodermal activities of paralyzed side and those of normal side in acute stage of Bell's Palsy patients Methods: Electrodermal activity (EDA) was performed within 1 week after the onset of facial palsy and facial nerve electromyography (EMG) at 2 weeks after the onset. The recovery of facial nerve function was documented by House and Brackmann grading. All the patients were followed up weekly until recovery or up to 6 weeks. Results: There was significant differences (conductivity A: t=3.319, p=0.002; conductivity C: t=2.699, p=0.010) between facial electrodermal conductivities of paralyzed side and those of normal side in acute stage of Bell's Palsy patients (N=45). And the result showed that logarithmic scale of electrodermal conductivity A value ratio obviousely decreased with logarithmic scale of EMG zygomatic branch amplitude ratio (r=-0.472, p=0.143); logarithmic scale of capacitance B, logarithmic scale of EMG temporal branch amplitude ratio (r=-0.422, p=0.133); logarithmic scale of conductivity C, logarithmic scale of EMG buccal branch amplitude ratio (r=-0.545, p=0.083) (N=12). Conclusion: Electrodermal conductivities increased in paralyzed facial side in acute stage of Bell's Palsy patients.

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New Carotid Artery Stenosis Measurement Method Using MRA Images (경동맥 MRA 영상을 이용한 새로운 내경 측정 방법)

  • 김도연;박종원
    • Journal of KIISE:Software and Applications
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    • v.30 no.12
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    • pp.1247-1254
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    • 2003
  • Currently. the north american symptomatic carotid endarterectomy trial, european carotid surgery trial, and common carotid method are used to measure the carotid stenosis for determining candidate for carotid endarterectomy using the projection angiography from different modalities such as digital subtraction angiography. rotational angiography, computed tomography angiography and magnetic resonance angiography. A new computerized carotid stenosis measuring system was developed using MR angiography axial image to overcome the drawbacks of conventional carotid stenosis measuring methods, to reduce the variability of inter-observer and intra-observer. The gray-level thresholding is one of the most popular and efficient method for image segmentation. We segmented the carotid artery and lumen from three-dimensional time-of-flight MRA axial image using gray-level thresholding technique. Using the measured intima-media thickness value of common carotid artery for each cases, we separated carotid artery wall from the segmented carotid artery region. After that, the regions of segmented carotid without artery wall were divided into region of blood flow and plaque. The calculation of carotid stenosis degree was performed as the following; carotid stenosis grading is(area measure of plaque/area measure of blood flow region and plaque) * 100%.

Immediate Breast Reconstruction with Deep Inferior Epigastric Perforator Free Flap (심부하복벽천공지 유리피판을 이용한 즉시 유방 재건술)

  • Ryu, Min Hee;Kim, Hyo Heon;Jeong, Jae Ho
    • Archives of Plastic Surgery
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    • v.34 no.2
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    • pp.229-236
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    • 2007
  • Purpose: Breast reconstruction with deep inferior epigastric perforator(DIEP) free flap is known to be the most advanced method of utilizing autologous tissue. The DIEP free flap method saves most of the rectus abdominis muscle as well as anterior rectus sheath. Therefore, the morbidity of the donor site is minimized and the risk of hernia is markedly decreased. Methods: We chose the internal mammary artery and its venae comitantes as recipient vessels, and deep inferior epigastric vessels as donor vessels. The number and location of the perforators derived from medial or lateral branch of deep inferior epigastric artery(DIEA) in 23 DIEP flaps were identified. Ten patients underwent evaluation of their abdominal wall function preoperatively and 6 months postoperatively by using Lacote's muscle grading system. Results: Of the 23 patients, a patient with one perforator from lateral branch of DIEA experienced partial necrosis of flap. Total flap loss occurred in one patient. Mild abdominal bulging was reported in one patient 4 months postoperatively probably because of early vigorous rehabilitational therapy for her frozen shoulder. Postoperative abdominal wall function tests in 10 patients showed almost complete recovery of muscle function upto their preoperative level of upper and lower rectus abdominis and external oblique muscle function at 6 months postoperatively. All patients have been able to resume their daily activities. Conclusion: The breast reconstruction with DIEP free flap is reliable and valuable method which provide ample soft tissue from abdomen without compromising the integrity of abdominal wall. Selection of reliable perforators is important and including more than two perforators may decrease fat necrosis and partial necrosis of flap.

Suggestion of the Domestic CCTV Inspection Sewer Pipe Defect Codeby Sewer Defect Frequency Analysis (국내 하수관로 결함빈도 분석을 통한 CCTV 조사 결함항목 코드 제안)

  • Son, Jooyoung;Lee, Jaehyun;Kim, Jungryul;Oh, Jeill;Yoon, Sungsoo
    • Journal of Korean Society of Water and Wastewater
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    • v.30 no.6
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    • pp.623-634
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    • 2016
  • Sewer condition assessment involves the determination of defective points and status of aged sewers by a CCTV inspection according to the standard manual. Therefore, it is important to establish a reliable and effective standard manual for identifying the sewer defect. In this study, analytic reviews of the CCTV inspection manuals of the UK, New Zealand, Canada and South Korea were performed in order to compare the defect codes and the protocols of condition assessment. Through this, we also established the standardized method for defect code and revised the calculation method of assigning the condition grade. Analyses of the types and frequencies of sewer defects that obtained by CCTV inspection of 7000 case results, showed that the joint defect and lateral defect were the most frequent defects that occurred in Korea. Some defect codes are found to be modified because those did not occur at all. This study includes a proposed new sewer defect codes based on sewer characteristics.

The Verification of Image Merging for Lumber Scanning System (제재목 화상입력시스템의 화상병합 성능 검증)

  • Kim, Byung Nam;Kim, Kwang Mo;Shim, Kug-Bo;Lee, Hyoung Woo;Shim, Sang-Ro
    • Journal of the Korean Wood Science and Technology
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    • v.37 no.6
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    • pp.556-565
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    • 2009
  • Automated visual grading system of lumber needs correct input image. In order to create a correct image of domestic red pine lumber 3.6 m long feeding on a conveyer, part images were captured using area sensor and template matching algorithm was applied to merge part images. Two kinds of template matching algorithms and six kinds of template sizes were adopted in this operation. Feature extracted method appeared to have more excellent image merging performance than fixed template method. Error length was attributed to a decline of similarity related by difference of partial brightness on a part image, specific pattern and template size. The mismatch part was repetitively generated at the long grain. The best size of template for image merging was $100{\times}100$ pixels. In a further study, assignment of exact template size, preprocessing of image merging for reduction of brightness difference will be needed to improve image merging.