• Title/Summary/Keyword: Grading operation

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To Assess Whether Lee's Grading System for Central Lumbar Spinal Stenosis Can Be Used as a Decision-Making Tool for Surgical Treatment (요추 중심 신경관 협착에 있어서 Lee's Grade를 통한 MRI 평가방법이 수술적 치료 결정에 유용한가에 대한 연구)

  • Do Yeon Ahn;Hee Jin Park;Jung Woo Yi;Ji Na Kim
    • Journal of the Korean Society of Radiology
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    • v.83 no.1
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    • pp.102-111
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    • 2022
  • Purpose To evaluate the correlation between Lee's grades and surgical intervention for central lumbar spinal stenosis (CLSS) and to assess whether this grading system can be used as a decision-making tool for the surgical treatment of this condition. Materials and Methods This retrospective study included 290 patients (M:F = 156:134; mean age, 46 ± 16 years). Radiologists assessed the presence and grade of CLSS at the stenosis point according to Lee's grading system, in which CLSS is classified into four grades according to the shape of the cauda equina. Correlation coefficients (rs) between Lee's grades and the operation were calculated with Spearman rank correlation. Results Among the operated patients, grade 2 was the most commonly assigned grade (50%-58%), grade 3 was less common (35%), and grade 0 was the least common (2%-3%). Among the non-operated patients, grade 1 was the most common (63%-65%), grade 0 was less common (15%-16%), and grade 3 was the least common (8%). The distribution of grades differed between the operated and non-operated groups (p < 0.001). Less than 25% of patients who underwent surgery were assigned grades 0 and 1, and more than 88% were assigned grades 2 and 3. A moderate correlation was found between the grade and surgical intervention (rs = 0.632 and rs = 0.583). Conclusion Lee's grade was moderately correlated with surgical intervention. Lee's grading system can be a decision-making tool for the surgical treatment of CLSS.

Performance Effectiveness Case Study of the Machine Guidance System for Dozer Eartwrok Grading Work (도저 정지작업 시 머신 가이던스 시스템 적용에 따른 토공성과 향상 사례분석)

  • Moon, Sungwoo;Kim, Sangtae
    • Korean Journal of Construction Engineering and Management
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    • v.21 no.1
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    • pp.78-86
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    • 2020
  • Dozer is an expensive construction equipment and has a significant performance impact on earthwork performance. A machine guidance system has been applied to dozer equipment as a solution that can improve the performance. The system can provide earthwork-related information to equipment operators so that earthworks can be carried out with minimum support from surveyors. Construction Equipment Machine guidance has the function of supporting earthwork according to an earthwork plan by providing excavation-related information to machine operators. The objective of this study is to evaluate the performance improvement of a machine guidance system for an dozer earthwork operation, and to compare the machine guidance method with the traditional method. The performance has been evaluated in two folds: 1) productivity and 2) accuracy. The productivity shows the quantity of earthwork for a given unit time. The accuracy shows the deviation of grading level from the designed level on the construction drawing for earthwork. The machine guidance system has been applied to a testing bed in a construction site. Data comparison analysis showed that the earth earthwork had 46.59% improvement in productivity as well as 46.96% improvement in accuracy, and is expected to provide a tool for applying smart constrction to the earthwork operation.

Effect of Size Grading on Growth, Feed Efficiency and Survival in Olive Flounder (Paralichthys olivaceus) (동일연령군에서 크기 선별에 따른 넙치(Paralichthys olivaceus) 성장, 사료효율 및 생존율의 비교)

  • Kim, Jong-Hyun;Kim, Hyun-Chul;Lee, Jeong-Ho;Noh, Jae-Koo;Lee, Mi-Sug;Kim, Kyung-Kil
    • Journal of Aquaculture
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    • v.18 no.3
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    • pp.154-159
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    • 2005
  • This study was conducted to evaluate the effects of size grading on growth, feed efficiency and survival of juvenile olive flounder. Juvenile flounder were divided into four groups by initial average size; Small group $(1.3{\pm}0.23g)$, medium group $(3.1{\pm}0.45g)$, large group $(4.9{\pm}0.57g)$ and ungraded group $(3.3{\pm}1.66g)$. Triplicate groups of 100 fish were reared over 8 weeks. In final body weight distribution, frequency of the small size flounder (10 g) was markedly higher in the ungraded group than in the small group. Specific growth rate, feed efficiency and survival in the ungraded group were significantly lower (P<0.05) than those in the pooled data of the othor three graded groups, although feed intake in the ungraded group was significantly higher (P<0.05) than that of the pooled data of the other three graded groups. These results show that the small flounder gained significantly faster growth and higher survival in the absence of the large flounder. Therefore, size grading seems to be an important and necessary operation to improve the growth and survival of juvenile olive flounder (1-5 g).

Association with Recurrence of Giant cell Tumor of Bone Between Immunohistochemical Marker (MCM3, Ki-67 and HH3) Expression Rate (골의 거대세포종양의 재발과 면역조직화학적 표지자(MCM3, Ki-67 그리고 HH3)의 발현율과의 연관성)

  • Ha, Jong-Kyoung;Jeong, Hoon;Kim, Yong-Ju;Lee, Kwan-Hee;Choi, Kyoung-Eob
    • The Journal of the Korean bone and joint tumor society
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    • v.13 no.2
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    • pp.67-74
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    • 2007
  • Purpose: To evaluate association of giant cell tumors recurrence between markers of proliferation cells (MCM3, Ki-67 and HH3) Materials and Methods: Ten case of giant cell tumor of bone were reviewed. The patients were six males and four females (mean age: 33 yrs). All patients were done operation after biopsy. The radiologic grading was determined according to Enneking grading system. The immunohistochemical stains of MCM3, HH3, and Ki-67 were done with Microarray block. Results: The three cases of 10 cases (30%) were recurred at same sites. Two case of recurrence was grade II according to radiologic features. The remaining case was grade I. The expression rate of immunohistochemical markers in radiologic grade 2 and 3 were more increased than grade 1. But there was not association between radiologic grading and proliferation of tumor cells because result data was not coherence. Mean MCM3 labeling index of non-recurred case was 11.2%, recurred case was 7.2%. Ki-67 was 12% vs. 8.9%, respectively and HH3 was 66.9 % vs. 75.4%, respectively. Thus there was no association between local recurrence and immunohistochemical Ki-67, MCM3 expression rate. But HH3 marker expression rate was increased in recurred cases compared to non-recurred cases. Conclusion: Our study suggests that HH3 immunohistochemical marker can be a useful prognostic factor.

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A Clinical Analysis on Traumatic Subarachnoid Hemorrhage (두부외상 후 발생한 지주막하 출혈에 대한 임상분석)

  • Goo, Tae Heon;Kim, Han Sik;Mok, Jin Ho;Lee, Kyu Chun;Park, Yong Seok;Lee, Young Bae
    • Journal of Korean Neurosurgical Society
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    • v.29 no.1
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    • pp.108-112
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    • 2000
  • Objective : Many authors suggest that patients with traumatic subarachnoid hemorrhage(tSAH) visible on first CT after heve injury had a significantly worse prognosis than patients who do not. The aim of this study is to identify patients with tSAH who present with a bad prognosis by reviewing their clinicoradiological features and plan appropriate treatments. Patients and Methods : We reviewed and analysed the factors that influenced discharge outcomes in 172 patients with tSAH for a 3-year period. The outcome was divided into good(good recovery and moderate disability of glasgow outcome scale) and good(severe disability, vegetative state and death). Results : A regression analysis of statistical significant factors(p<0.05) among the clinical and CT features ranked them by descending order of contribution to Glasgow Outcome Scale(GOS) scores at the time of discharge from acute hospitalization as follows 1) clinical : admission Glasgow Coma Scale(GCS), hypotension, CT grade, abnormal APTT, skull fracture, hyperglycemia(>160mg/dl), hypoxia, operation, 2) CT : basal cistern effacement(BCE), mass lesion, cortical sulcal effacement(CSE), midline shift. Conclusion : We have also experienced that the CT grading scale proposed by Green et al is a simple and useful prognostic factor. The authors believe that the patients with high CT grade need adjuvant therapies as of well surgery but it seems mandatory to consider early identification and correction of hypotension, hyperglycemia, and hypoxia in emergency setting.

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Aesthetic Microsurgical Reconstruction of Extremities (사지의 미용적 미세수술적 재건)

  • Yeo, Hyeon-Jung;Son, Dae-Gu;Kim, Jun-Hyung;Han, Ki-Hwan
    • Archives of Reconstructive Microsurgery
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    • v.20 no.1
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    • pp.1-7
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    • 2011
  • The aim of extremity reconstruction has focused on early wound coverage and functional recovery but rarely aesthetics. As the quality of life improves, however, the request for aesthetics has been growing. The authors has conducted retrospective reviews on the 86 cases that had extremity reconstruction using free flap, considering the characteristics of parts that had been assessed in primary operation between May 1996 and December 2010. Aesthetic grading was performed in four categories; color, texture, contour and marginal scar. Recipient sites were 42 hands, 19 feet, 14 lower extremities excluding feet and 10 upper extremities apart from the hand. Types of free flap were 16 latissimus dorsi free flaps, 13 anterolateral thigh free flaps, 12 dorsalis pedis free flaps, 8 transvers rectus abdominis free flaps, 7 gracillis free flaps, and 5 superficial temporal fascia free flaps. Total flap necrosis was seen in 8 cases(9.3%) and partial necrosis in 5 cases(5.8%). Secondary revision was done in 24 cases(27.9%) and the most common revision, debulking was done in 14 cases(16.3%). The authors has considered cosmetic aspects along with wound coverage and functional recovery in primary reconstruction. The results of aesthetic grading was 16.2 out of 20, and the secondary revision rate was reduced.

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Usefulness of $^{11}C-Methyl-L-and$ D-Methionine PET in Gliomas : with Special Attention to Recurrence

  • Cho, Won-Sang;Kim, Chi-Heon;Kim, Jeong-Eun;Chung, June-Key;Paek, Sun-Ha;Jung, Hee-Won
    • Journal of Korean Neurosurgical Society
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    • v.39 no.3
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    • pp.176-182
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    • 2006
  • Objective : This study concernes the usefulness of $^{11}C-methyl-L-and$ D-methionine[Met]-positron emission tomography[PET] for glioma grading and detection of recurrence in gliomas, compared with fluorine-18, 2-fluoro-deoxyglucose[FDG]-PET. Methods : Eighty patients underwent Met-PET study for evaluation of glioma : 37 astrocytomas [WHO grade II, 3; III, 8; IV, 26]. 27 oligodendrogliomas [WHO grade II, 16; III, 11]. and 12 suspicious recurrent gliomas. All images were taken within 2 weeks before operation. For suspicious recurrent cases on magnetic resonance images, both FDG-PET and Met-PET were performed. Results : In astrocytoma, Mean maximum standard uptake value[SUV] of region of interest[ROI] was not different between WHO grades [p=0.108]. but ROI/normal contralateral tissue SUV [T/N] ratio was statistically different between WHO grades [p=0.002]. T/N ratio was more closely related to visual scale than maximum SUV of ROI [p<0.001 and p=0.107 respectively]. In oligodendroglioma, there was no statistical difference between WHO grades in view of maximum SUV and T/N ratio. For recurrent gliomas, sensitivity of FDG-PET and Met-PET was 25% and 100%, while specificity of FDG-PET and Met-PET were 100% and 80%, respectively. Conclusion : Met-PET might be an appropriate tool for tumor grading in astrocytoma and be more sensitive for detection of recurrence in gliomas than FDG-PET.

Transit Time Diodes Using Velocity Overshoot Effects for Submillimeter-Wave Frequency Range Operation (속도 오버슈트 효과를 이용하여 서브밀리미터파 주파수 영역에서 동작하는 주행 시간 다이오드)

  • 송인채
    • Journal of the Institute of Electronics Engineers of Korea SD
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    • v.39 no.10
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    • pp.9-15
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    • 2002
  • We propose a new transit time device to extend the operating frequency to submillimeter-wave(extreme infrared) ranges by utilizing velocity overshoot effects in the drift region. We name it a velocity overshoot transit time (OVTT) diode. This device adopts fast heterostructure tunneling as injection mechanism and a short drift region to optimize the velocity overshoot effects. To enhance dc-to-RF conversion efficiencym the drift region is designed with a bandgap grading method. Simulation results demonstrate that a VOTT diode can be operated at THz ranges.

A Study of Pattern Making of Dooroomaky by Computer (컴퓨터에 의한 한복 여자 두루마기 원형제도에 관한 연구)

  • Kim Hee Sook
    • Journal of the Korean Society of Clothing and Textiles
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    • v.12 no.3 s.28
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    • pp.319-331
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    • 1988
  • The purpose of this study was to develop a computer program for pattern making of women's Dooroomaky. The following results were given through utilizing the Computer in pattern making of Dooroomaky for women. 1. Computerization of the pattern making process was expected to provide higher accuracy and efficiency in pattern making. 2. Basic pattern was drafted by the hand-operation. In this study, this Dooroomaky basic pattern was selected. And a computer program for drafting was developed. Refer to

    1. 3. Basic points which can be connected to depict basic pattern are represented with the numerical expression and the curved lines consist of the types of Arc Command. 4. In order to draft straight lines of the basic pattern, relative co-ordinate values of all standard points were prescrived and each two standard points were connected in straight lines respectively. 5. The patterns of Dooroomaky were automatically depicted by inputting the standard size (large, medium and small) find body measurement for pattern(bust girth, center back length, sleeve length, Dooroomaky length). 6. Grading of standard size was accomplished by using same method.

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  • Clinical effect of Thymectomy for Patients in Myasthenia Gravis (근무력증 환자의 외과적 치료)

    • 정원상
      • Journal of Chest Surgery
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      • v.23 no.1
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      • pp.152-157
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      • 1990
    • A clinical study for thymectomy for 23 patients in Myasthenia Gravis was done between May, 1982 and July, 1989. at the department of Thoracic and Cardiovascular Surgery, College of Medicine, Han Yang University. Among Z3 patients, male to female ratio was 11: 12 and Age of onset was ranged from 15 years-old to 52 years-old. Previous symptom duration from diagnosis until operation was ranged from 2 months to 96 months, and Mean duration was 28.74 months. The severity of disease was classified by Osserman`s classification preoperatively. In histopathology of thymus, Thymic hyperplasia 7 cases, Thymoma 7 cases, Invasive thymoma 3 cases, Within Normal Limit 5 cases, and Thymic Atrophy 1 case. Correlation between preoperative symptom duration and postoperative clinical course was statistically significant. The shorter of preoperative symptom duration, The better of postoperative clinical course. Grading of postoperative course was classified by Papatestas in 1975. Follow-up for postoperative course was ranged from 3 months to 7 year and 4 months, Cases of complete remission 1 year postoperative period were 9 cases and cases of Improvement were 8 cases, So totally 17 cases among 23 cases[73.91%] found good results.

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