• Journal of the Korean Society of Marine Environment & Safety
• /
• v.9 no.2
• /
• pp.73-77
• /
• 2003

This study focuses on illustrating the effect of a hill on current filed at a channel, and the topographic effects of the hill were studied with various numerical experiments. The model experiments showed that stratification as well as bottom topography had influence on current fields around the hill. Due to stratification effect, Karman vortex formed behind the hill by bottom topography made effects on water movement only in the deep layer. The vortex reduced density field around the hill which resulted in the stratification in the water column, and which also resulted in the movement of isopycnic surface to deep layer both in front and back of the hill. The water in the back of the hill moved upward along ispycnic surface afterward. From these effects, velocity pattern in vertical direction around the hill showed opposite direction, downwrad in front of the hill and upward in the back. However, the upward flows did not seem to have any significant influence on the water conditions in the surface layer, even though strong upward flows were found on both side of the hill.

• Journal of the Korean Arthroscopy Society
• /
• v.15 no.2
• /
• pp.121-124
• /
• 2011

Hill-Sachs lesion is the most common lesion in shoulder dislocation patient and it represented by postero-lateral bony defect of humerus. The lesion could be found in patients who dislocate shoulder joint first time, and it is reported that Hill-Sachs lesion proportionally increases as dislocation does. The location and presence of Hill-Sachs lesion play significant roles in shoulder instability. Authors experienced a double Hill-Sachs lesion in a recurrent anterior shoulder dislocation patient, and thereby report the case with a review of the literature.

• Journal of the Korean Institute of Rural Architecture
• /
• v.14 no.1
• /
• pp.57-66
• /
• 2012

This study focuses on the applicability of hill housing design in accordance with topographic characteristics on sloping sites. The urgency for housing still exists but hill sites have to be planned by gradual development using 'all available land' within any particular community. However, there is a reaction towards being more closely involved with nature and landscape. Sloping and hill sites must be developed by intelligent and sensitive planning, integrating the existing environmental factors. The results of this study are as follows : 1. The conditions of location are regarded as the concepts of spactial configuration. It should be developed on the basis of awareness that nature and human beings exist together. 2. It is inevitable that the development of the hill housing should be performed prefer to the topographic characteristics. 3. Planning elements of ecological residental blocks which are possible for constructing on the hill site can be developed and applied, on the basis of geographical characteristics, by housing types.

• The Academic Congress of Korean Shoulder and Elbow Society
• /
• 2009.03a
• /
• pp.185-185
• /
• 2009

관절와 및 상완골의 의미 있는 골결손을 동반한 불안정한 견관절에 대해 어떻게 최선의 치료를 할 것인가에 대한 의문은 남아있다. 어떤 저자들은 외회전과 외전을 제한하는 것으로 Hill-Sachs 병변의 진입을 예방하는 일종의 관혈적 관절낭 변위를 통한 제한된 상완와관절 운동을 주장해왔으며, 다른 관혈적 시술들은 극하근건과 관절낭을 Hill-Sachs 병변 내로 관혈적 전이시키는 것으로 기술되어왔다. 최근에는 여러 저자들에 의해 Hill-Sachs 병변의 진입을 치료하는 더 새로운 접근법들이 기술되었으며, Bankart 병변 복원술에 더하여 Hill-Sachs 병변을 채우기 위해 관절경 하 후방 관절낭 고정술과 극하근건 고정술로 이루어진 이른바 'Remplissage'술기가 소개된 바 있어, 이에 저자는 외상성 견관절 불안정성으로 관절경 하 Bankart 병변 복원술 및 관절낭 축화술 시행 후 외상으로 재발된 견관절 불안정성이 발생하여 관절경 하 Bankart 병변 복원술과 함께'Remplissage'술기를 이용한 Hill-Sachs 병변 복원술을 시행한 예를 보고하는 바이다.

• Clinics in Shoulder and Elbow
• /
• v.14 no.1
• /
• pp.134-139
• /
• 2011

Purpose: We wanted to review the arthroscopic Remplissage technique and introduce our experiences with it for treating recurrent shoulder instability with a large Hill-Sachs lesion. Materials and Methods: The arthroscopic Remplissage technique with Bankart repair is performed in patients with no osteoarthritis, no fracture around the shoulder, a history of recurrence more than 10 times, a large Hill-Sachs lesion more than 30 to 40% of the humeral articular surface and glenoid bone loss less than 20%. Results and Conclusion: For recurrent shoulder instability with a large Hill-Sachs lesion, the Remplissage technique resulted in a good outcome for the shoulder stability, and good clinical and functional results.

• Clinics in Shoulder and Elbow
• /
• v.24 no.2
• /
• pp.98-105
• /
• 2021

Background: Our aim is to determine the interobserver reliability for surgeons to detect Hill-Sachs lesions on magnetic resonance imaging (MRI), the certainty of judgement, and the effects of surgeon characteristics on agreement. Methods: Twenty-nine patients with Hill-Sachs lesions or other lesions with a similar appearance on MRIs were presented to 20 surgeons without any patient characteristics. The surgeons answered questions on the presence of Hill-Sachs lesions and the certainty of diagnosis. Interobserver agreement was assessed using the Fleiss' kappa (κ) and percentage of agreement. Agreement between surgeons was compared using a technique similar to the pairwise t-test for means, based on large-sample linear approximation of Fleiss' kappa, with Bonferroni correction. Results: The agreement between surgeons in detecting Hill-Sachs lesions on MRI was fair (69% agreement; κ, 0.304; p<0.001). In 84% of the cases, surgeons were certain or highly certain about the presence of a Hill-Sachs lesion. Conclusions: Although surgeons reported high levels of certainty for their ability to detect Hill-Sachs lesions, there was only a fair amount of agreement between surgeons in detecting Hill-Sachs lesions on MRI. This indicates that clear criteria for defining Hill-Sachs lesions are lacking, which hampers accurate diagnosis and can compromise treatment.

• Journal of Cardiovascular Imaging
• /
• v.31 no.1
• /
• pp.18-23
• /
• 2023

BACKGROUND: Three-dimensional (3D) transesophageal echocardiogram (TEE) is the gold standard for the diagnosis of degenerative mitral regurgitation (dMR) and preoperative planning for transcatheter mitral valve repair (TMVr). TEE is an invasive modality requiring anesthesia and esophageal intubation. The severe acute respiratory syndrome coronavirus 2 pandemic has limited the number of elective invasive procedures. Multi-detector computed tomographic angiography (MDCT) provides high-resolution images and 3D reconstructions to assess complex mitral anatomy. We hypothesized that MDCT would reveal similar information to TEE relevant to TMVr, thus deferring the need for a preoperative TEE in certain situations like during a pandemic. METHODS: We retrospectively analyzed data on patients who underwent or were evaluated for TMVr for dMR with preoperative MDCT and TEE between 2017 and 2019. Two TEE and 2 MDCT readers, blinded to patient outcome, analyzed: leaflet pathology (flail, degenerative, mixed), leaflet location, mitral valve area (MVA), flail width/gap, anterior-posterior (AP) and commissural diameters, posterior leaflet length, leaflet thickness, presence of mitral valve cleft and degree of mitral annular calcification (MAC). RESULTS: A total of 22 (out of 87) patients had preoperative MDCT. MDCT correctly identified the leaflet pathology in 77% (17/22), flail leaflet in 91% (10/11), MAC degree in 91% (10/11) and the dysfunctional leaflet location in 95% (21/22) of patients. There were no differences in the measurements for MVA, flail width, commissural or AP diameter, posterior leaflet length, and leaflet thickness. MDCT overestimated the measurements of flail gap. CONCLUSIONS: For preoperative TMVr planning, MDCT provided similar measurements to TEE in our study.

• Wind and Structures
• /
• v.19 no.1
• /
• pp.75-88
• /
• 2014

The computational fluid dynamic is used to explore new aspects of the hill flow. This analysis focuses on flow dependency and the comparison of results from measurements and simulations to show an optimization turbulent model and the possibility of replacing measurements with simulations. The first half of the paper investigates a suitable turbulence model for determining a suitable site for a wind turbine. Results of the standard k-${\varepsilon}$ model are compared precisely with the measurements taken in front of the hilltop, The Reynolds Stress Model showed exact results after 1.0 times of hill steepness but the standard k-${\varepsilon}$ model and standard k-${\omega}$ model showed greater underestimation. In addition, velocity flow over Pha Taem hill topography and the reference geometry shape were compared to find a suitable site for a turbine in case the actual hill structure was associated with the trapezoid geometric shape. Further study of geometry shaped hills and suitable sites for wind turbines will be reported elsewhere.

• Proceedings of the Korean Society for Agricultural Machinery Conference
• /
• 1996.06c
• /
• pp.996-998
• /
• 1996

The drum-type hill-drop unit, an important working device of the plastic -film-covered hill planter, can finish filling and separating seed precisely, perforating film and holing , and its seeding depth and spacing are stability . The unit is applied to hole seed many crops, for example, cotton, corn , soybean, etc. The drum-type hill-drop unit(DHU) , the key work unit to the plastic film-covered planter, mainly consists of distributor box , seeding parts, hole forming unit and drum , It can be operated to accomplish seeds distributing, hole forming , plastic film perforating . Moreover , its inner cavity can be used as seed box.

• The Korean Journal of Applied Statistics
• /
• v.25 no.1
• /
• pp.101-114
• /
• 2012

In car insurance, the loss ratio is the ratio of total losses paid out in claims divided by the total earned premiums. In order to minimize the loss to the insurance company, estimating extreme quantiles of loss ratio distribution is necessary because the loss ratio has essential prot and loss information. Like other types of insurance related datasets, the distribution of the loss ratio has heavy-tailed distribution. The Peaks over Threshold(POT) and the Hill estimator are commonly used to estimate extreme quantiles for heavy-tailed distribution. This article compares and analyzes the performances of various kinds of parameter estimating methods by using a simulation and the real loss ratio of car insurance data. In addition, we estimate extreme quantiles using the Hill estimator. As a result, the simulation and the loss ratio data applications demonstrate that the POT method estimates quantiles more accurately than the Hill estimation method in most cases. Moreover, MLE, Zhang, NLS-2 methods show the best performances among the methods of the GPD parameters estimation.