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Postoperative Flat Back : Contribution of Posterior Accessed Lumbar Interbody Fusion and Spinopelvic Parameters

  • Kim, Jin Kwon;Moon, Byung Gwan;Kim, Deok Ryeng;Kim, Joo Seung
    • Journal of Korean Neurosurgical Society
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    • v.56 no.4
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    • pp.315-322
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    • 2014
  • Objective : Posterior accessed lumbar interbody fusion (PALIF) has a clear objective to restore disc height and spinal alignment but surgeons may occasionally face the converse situation and lose lumbar lordosis. We analyzed retrospective data for factors contributing to a postoperative flat back. Methods : A total of 105 patients who underwent PALIF for spondylolisthesis and stenosis were enrolled. The patients were divided according to surgical type [posterior lumbar inter body fusion (PLIF) vs. unilateral transforaminal lumbar interbody fusion (TLIF)], number of levels (single vs. multiple), and diagnosis (spondylolisthesis vs. stenosis). We measured perioperative index level lordosis, lumbar lordosis, pelvic tilt, sacral slope, pelvic incidence, and disc height in standing lateral radiographs. The change and variance in each parameter and comparative group were analyzed with the paired and Student t-test (p<0.05), correlation coefficient, and regression analysis. Results : A significant perioperative reduction was observed in index-level lordosis following TLIF at the single level and in patients with spondylolisthesis (p=0.002, p=0.005). Pelvic tilt and sacral slope were significantly restored following PLIF multilevel surgery (p=0.009, p=0.003). Sacral slope variance was highly sensitive to perioperative variance of index level lordosis in high sacral sloped pelvis. Perioperative variance of index level lordosis was positively correlated with disc height variance ($R^2=0.286$, p=0.0005). Conclusion : Unilateral TLIF has the potential to cause postoperative flat back. PLIF is more reliable than unilateral TLIF to restore spinopelvic parameters following multilevel surgery and spondylolisthesis. A high sacral sloped pelvis is more vulnerable to PALIF in terms of a postoperative flat back.

The relationship of diet habits, obesity and level of oral health among elementary school children (초등학생의 식습관과 비만 및 구강건강수준과의 관련성)

  • Jang, Jong-Hwa
    • Journal of Korean society of Dental Hygiene
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    • v.8 no.4
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    • pp.229-240
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    • 2008
  • Objectives : This study was to investigate the impact of dietary habits and obesity on level of oral health in the elementary school children and to characterize the relationship among dietary habits, obesity and level of oral health by DMFT index and perceived oral health. Methods : Participants were 314 total students from one elementary school who lived Yeosan. Self-administered questionnaires were given to the subjects from March 25 through May 12, 2008, to identify their the degree of dietary habits, perceived oral health. A trained investigator made an oral examination of them in natural light using a mirror and explorer to determine their DMFT index. We classified the subjects into Data were analyzed with T-test, one-way ANOVA, and Duncan's multiple range test, pearson correlation coefficient and multiple regression using the SPSS WIN 12.0 program. Results : Regarding dietary habit, the subjects achieved a mean of 10.52${\pm}$3.80 out of a maximum 20 points. The DMFT index in the subject was 0.60${\pm}$2.03. The group of obesity by gender were 19.2% and 22.5%. Moreover, those who were children and had more severe level of obesity felt that their perceived oral health and DMFT index were higher. There was a significant assocciation of oral health among elementary school children with obesity. Conclusion : These results suggest that oral health behavioral and attitude, dietary habits and obesity influenced the level of oral health. Thus further research targeting to positive attitude toward effective management of childhood obesity combined with significant dietary habits, may lead to promotion of oral health.

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Detection of Cropland in Reservoir Area by Using Supervised Classification of UAV Imagery Based on GLCM (GLCM 기반 UAV 영상의 감독분류를 이용한 저수구역 내 농경지 탐지)

  • Kim, Gyu Mun;Choi, Jae Wan
    • Journal of the Korean Society of Surveying, Geodesy, Photogrammetry and Cartography
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    • v.36 no.6
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    • pp.433-442
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    • 2018
  • The reservoir area is defined as the area surrounded by the planned flood level of the dam or the land under the planned flood level of the dam. In this study, supervised classification based on RF (Random Forest), which is a representative machine learning technique, was performed to detect cropland in the reservoir area. In order to classify the cropland in the reservoir area efficiently, the GLCM (Gray Level Co-occurrence Matrix), which is a representative technique to quantify texture information, NDWI (Normalized Difference Water Index) and NDVI (Normalized Difference Vegetation Index) were utilized as additional features during classification process. In particular, we analyzed the effect of texture information according to window size for generating GLCM, and suggested a methodology for detecting croplands in the reservoir area. In the experimental result, the classification result showed that cropland in the reservoir area could be detected by the multispectral, NDVI, NDWI and GLCM images of UAV, efficiently. Especially, the window size of GLCM was an important parameter to increase the classification accuracy.

Socioeconomic Inequality in Malnutrition in Under-5 Children in Iran: Evidence From the Multiple Indicator Demographic and Health Survey, 2010

  • Kia, Abdollah Almasian;Rezapour, Aziz;Khosravi, Ardeshir;Abarghouei, Vajiheh Afzali
    • Journal of Preventive Medicine and Public Health
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    • v.50 no.3
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    • pp.201-209
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    • 2017
  • Objectives: The aim of this study was to assess the socioeconomic inequality in malnutrition in under-5 children in Iran in order to help policymakers reduce such inequality. Methods: Data on 8443 under-5 children were extracted from the Iran Multiple Indicator Demographic and Health Survey. The wealth index was used as proxy for socioeconomic status. Socioeconomic inequality in stunting, underweight, and wasting was calculated using the concentration index. The concentration index was calculated for the whole sample, as well as for subcategories defined in terms of categories such as area of residence (urban and rural) and the sex of children. Results: Stunting was observed to be more prevalent than underweight or wasting. The results of the concentration index at the national level, as well as in rural and urban areas and in terms of children's sex, showed that inequality in stunting and underweight was statistically significant and that children in the lower quintiles were more malnourished. The wasting index was not sensitive to socioeconomic status, and its concentration index value was not statistically significant. Conclusions: This study showed that it can be misleading to assess the mean levels of malnutrition at the national level without knowledge of the distribution of malnutrition among socioeconomic groups. Significant socioeconomic inequalities in stunting and underweight were observed at the national level and in both urban and rural areas. Regarding the influence of nutrition on the health and economic well-being of preschool-aged children, it is necessary for the government to focus on taking targeted measures to reduce malnutrition and to focus on poorer groups within society who bear a greater burden of malnutrition.

A Study on Establishment of the Optimal Target Exposure Index for Skull Radiography Based on Diagnostic Reference Level (진단참고수준 기반 두부 방사선검사의 최적 목표노출지수 설정에 관한 연구)

  • Park, Hye-Min;Yoon, Yong-Su;Kim, Eun-Hye;Jeong, Hoi-Woun;Kim, Jung-Su
    • Journal of radiological science and technology
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    • v.44 no.6
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    • pp.599-605
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    • 2021
  • The International Electrotechnical Commission (IEC) 62494-1 has defined the exposure index (EI) that have a proportional relationship with the dose incident on the image receptor, and target exposure index (EIT), deviation index (DI). In this study, an appropriate EIT for skull radiography was established through the diagnostic reference level (DRL) and changes in DI were confirmed. Entrance surface dose (ESD) and EI were obtained using the computed radiography system displayed the EI as per IEC on console and skull phantom by experiment based on the national average exposure conditions announced in 2012 and 2019. And appropriate EIT was established by applying the DRL in 2012 and 2019. As a results, the EIT is changed according to the change in the DRL, and the exposure condition that becomes the ideal DI according to the change in the EIT also has a difference of about 1.41 times. DRL is recommended to optimize the patient dose, however it is difficult to measure in real time at medical institutions whereas EI and DI are displayed on the console at the same time as exposure. When the EIT is set based on the DRL and the DI is closed to an ideal value, it is useful as a patient dose management tool. Therefore, when the EIT is periodically managed along with the revision of the DRLs, the patient dose can be optimized through the EI, EIT and DI.

Evaluating LIMU System Quality with Interval Evidence and Input Uncertainty

  • Xiangyi Zhou;Zhijie Zhou;Xiaoxia Han;Zhichao Ming;Yanshan Bian
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • v.17 no.11
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    • pp.2945-2965
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    • 2023
  • The laser inertial measurement unit is a precision device widely used in rocket navigation system and other equipment, and its quality is directly related to navigation accuracy. In the quality evaluation of laser inertial measurement unit, there is inevitably uncertainty in the index input information. First, the input numerical information is in interval form. Second, the index input grade and the quality evaluation result grade are given according to different national standards. So, it is a key step to transform the interval information input by the index into the data form consistent with the evaluation result grade. In the case of uncertain input, this paper puts forward a method based on probability distribution to solve the problem of asymmetry between the reference grade given by the index and the evaluation result grade when evaluating the quality of laser inertial measurement unit. By mapping the numerical relationship between the designated reference level and the evaluation reference level of the index information under different distributions, the index evidence symmetrical with the evaluation reference level is given. After the uncertain input information is transformed into evidence of interval degree distribution by this method, the information fusion of interval degree distribution evidence is carried out by interval evidential reasoning algorithm, and the evaluation result is obtained by projection covariance matrix adaptive evolution strategy optimization. Taking a five-meter redundant laser inertial measurement unit as an example, the applicability and effectiveness of this method are verified.

The Analysis of the characteristics of Korean peninsula Aircraft Icing Index using KWRF (KWRF를 활용한 한반도 착빙 지수 특성 분석)

  • Kim, Young-Chul
    • Journal of the Korean Society for Aviation and Aeronautics
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    • v.18 no.3
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    • pp.42-54
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    • 2010
  • The purpose of this study is to analyze the aircraft icing index of Korean peninsula using the numerical weather prediction model, KWRF and pilot weather report data. As comparing the pilot weather report data with the calculated icing index using the KWRF model result, SCLW, RAP, and AFGWC index are more useful than any other index, and IC2, NAWAU, and RSID index are different case by case. But IC1, SID1 and SID2 index show that these overestimated severe icing in every vertical level. Through this icing study, it is expected that this study will help to develop the proper icing index of Korean peninsula.

The Calculation Method with index for the Transfer Power limit to Capital Area (지수를 적용한 수도권 융통전력한계량 계산)

  • Lee, Woon-Hee;Kang, Myung-Jang;Song, Suk-Ha
    • Proceedings of the KIEE Conference
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    • 2008.11a
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    • pp.50-52
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    • 2008
  • We have limited the transfer power to capital area below a certain level which is called "The Capital Area Transfer Power Limit", and calculated on every Thursday for the application next week. This level is very important in our network operation, because if this level is not set properly, our power network can be fallen under great danger in case of a fault among the transfer power line. But the calculation procedure for the limit level is so complicated and iterative that it mace us spend much time and do much work. So, when a sudden trip of the related facility to the limit level we can't recalculate the limit level fast enough. And this can drop our network reliability below our standards, therefore our network can be dangerous. To avoid this kind of problems, we have figured out a method to calculate simply the limit level. That method uses the index related to the level. We think this method can make short of the calculation procedures for the level. This paper deals with the simplified method for the calculation of the level limit.

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Polychaete Taxocenes Variability Associated with Sediment Pollution Loading in the Peter the Great Bay (the East Sea/Japan Sea)

  • Belan Tatyana A.;Moschenko Alexander A.
    • Ocean Science Journal
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    • v.40 no.1
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    • pp.1-10
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    • 2005
  • Variations in species diversity and abundance of polychaete taxocenes that occurred in 1980-1989 under different contamination levels of bottom sediments were studied in three areas of Peter the Great Bay. The most polluted area was shown to be the Golden Horn Inlet where contaminant contents in the bottom sediments exceed the threshold values of negative biota alterations. Amursky Bay is characterized by a moderate level of contamination, while Ussuriysky Bay has the lowest level of contamination. Pollutant contents vary considerably within the same areas and their separate patches are polluted differently. An integral index characterizing the contamination of bottom sediments is proposed. This index is an average grade of the rank value of contaminant contents in sediments. The index was used to compare the contamination level and data on polychaete species diversity and abundance. The highest species diversity of polychaetes is found in the least affected zones. Monotonous decrease of the species number, as well as decrease in the indices of diversity and evenness, is correlated with pollution level increases. Significant growth of the average polychaete biomass and polychaete density is observed in the case of an increase of contamination from low to moderate levels. Conversely, the biomass and abundance of polychaetes decline following an increase in contamination.

Parameters affecting the seismic response of buildings under bi-directional excitation

  • Fontara, Ioanna-Kleoniki M.;Kostinakis, Konstantinos G.;Manoukas, Grigorios E.;Athanatopoulou, Asimina M.
    • Structural Engineering and Mechanics
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    • v.53 no.5
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    • pp.957-979
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    • 2015
  • The present paper investigates the influence of the orientation of the ground-motion reference axes, the seismic incident angle and the seismic intensity level on the inelastic response of asymmetric reinforced concrete buildings. A single storey asymmetric building is analyzed by nonlinear dynamic analyses under twenty bi-directional ground motions. The analyses are performed for many angles of incidence and four seismic intensity levels. Moreover three different pairs of the horizontal accelerograms corresponding to the input seismic motion are considered: a) the recorded accelerograms, b) the corresponding uncorrelated accelerograms, and c) the completely correlated accelerograms. The nonlinear response is evaluated by the overall structural damage index. The results of this study demonstrate that the inelastic seismic response depends on the orientation of the ground-motion reference axes, since the three individual pairs of accelerograms corresponding to the same ground motion (recorded, uncorrelated and completely correlated) can cause different structural damage level for the same incident angle. Furthermore, the use of the recorded accelerograms as seismic input does not always lead to the critical case of study. It is also shown that there is not a particular seismic incident angle or range of angles that leads to the maximum values of damage index regardless of the seismic intensity level or the ground-motion reference axes.