• 제목/요약/키워드: Joint of Branch

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족부 및 족관절 부위에서 비복 신경의 해부학 및 수술시의 의미 (Anatomy of the Sural Nerve in the Foot and Ankle and Its Surgical Implications)

  • 이우천;박현수;한영길;장병춘;임장운;라종득
    • 대한족부족관절학회지
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    • 제2권2호
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    • pp.88-92
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    • 1998
  • The course of the sural nerve in the calf has been well documented, but there is a general lack of information concerning the distal course of the nerve. The purpose of this study was to describe the distal course of the sural nerve and its surgical implications. Seven fresh amputated specimens were dissected to show the anatomy of the sural nerve in the foot and ankle. At the level of about 10cm proximal to the plantar surface, the sural nerve coursed anteriorly and inferiorly away from the Achilles tendon. 2 to 4 lateral calcaneal branches arose. The first branch of the lateral calcaneal branches coursed along the lateral border of the Achilles tendon, and it arose at 8cm proximal to the plantar surface in 2 specimens, 12cm proximal to the plantar surface in 4 specimens, and at 12cm proximal to the plantar surface in one specimen. The main nerve trunk continued distally plantar to the peroneal tendons and divided into two terminal branches and crossed peroneus longus tendon at the level of the inferior border of the calcaneo-cuboid joint, at about 3cm(range, $2.5\sim3.0$)cm from the plantar surface. In conclusion, a longitudinal incision lateral to the Achilles tendon would cross the path of the sural nerve at about 10cm proximal to the plantar surface. When the first branch of them arise more than 10cm above the plantar surface, a logitudinal incision lateral to the Achilles tendon may be made without damage. The other lateral calcaneal branches will be cut when we make transverse incision paralled to the plantar surface. The terminal branch also may be in danger by the same transverse incision.

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Designing Rich-Secure Network Covert Timing Channels Based on Nested Lattices

  • Liu, Weiwei;Liu, Guangjie;Ji, Xiaopeng;Zhai, Jiangtao;Dai, Yuewei
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • 제13권4호
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    • pp.1866-1883
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    • 2019
  • As the youngest branch of information hiding, network covert timing channels conceal the existence of secret messages by manipulating the timing information of the overt traffic. The popular model-based framework for constructing covert timing channels always utilizes cumulative distribution function (CDF) of the inter-packet delays (IPDs) to modulate secret messages, whereas discards high-order statistics of the IPDs completely. The consequence is the vulnerability to high-order statistical tests, e.g., entropy test. In this study, a rich security model of covert timing channels is established based on IPD chains, which can be used to measure the distortion of multi-order timing statistics of a covert timing channel. To achieve rich security, we propose two types of covert timing channels based on nested lattices. The CDF of the IPDs is used to construct dot-lattice and interval-lattice for quantization, which can ensure the cell density of the lattice consistent with the joint distribution of the IPDs. Furthermore, compensative quantization and guard band strategy are employed to eliminate the regularity and enhance the robustness, respectively. Experimental results on real traffic show that the proposed schemes are rich-secure, and robust to channel interference, whereas some state-of-the-art covert timing channels cannot evade detection under the rich security model.

An experimental study on the effect of CFRP on behavior of reinforce concrete beam column connections

  • Xie, Qiang;Sinaei, Hamid;Shariati, Mahdi;Khorami, Majid;Mohamad, Edy Tonnizam;Bui, Dieu Tien
    • Steel and Composite Structures
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    • 제30권5호
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    • pp.433-441
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    • 2019
  • The aim of this research is reinforcing of concrete with variety of fiber reinforced polymer (FRP) configurations and investigates the load capacity and ductility of these connections using an experimental investigation. Six scaled-down RC exterior joints were tested under moderately monotonic loads. The results show that, the shape of the FRP had a different effect on the joint capacity and the connection ductility coefficient. The greatest effect on increasing the ductility factor was seen in the sample where two reinforcement plates were used on both sides of the beam web (RCS5 sample). For the sample with the presence of FRP plates at the top and bottom of the beam (RCS3 sample), the ductility factor was reduced even the load capacity of this sample increased. Except for the RCS3 sample, the rest of the samples exhibited an increase in the ductility factor due to the FRP reinforcement.

Neutronic and thermohydraulic blanket analysis for hybrid fusion-fission reactor during operation

  • Sergey V. Bedenko ;Igor O. Lutsik;Vadim V. Prikhodko ;Anton A. Matyushin ;Sergey D. Polozkov ;Vladimir M. Shmakov ;Dmitry G. Modestov ;Hector Rene Vega-Carrillo
    • Nuclear Engineering and Technology
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    • 제55권7호
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    • pp.2678-2686
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    • 2023
  • This work demonstrates the results of full-scale numerical experiments of a hybrid thorium-containing fuel plant operating in a state close to critical due to a controlled source of D-T neutrons. The proposed facility represented a level of generated power (~10-100 MWt) in a small pilot. In this work, the simulation of the D-T neutron plasma source operation in conjunction with the facility blanket was performed. The fission of fuel nuclei and the formation of spatial-energy release were studied in this simulation, in pulsed and stationary modes of the facility operation. The optimization results of neutronic and fluid dynamics studies to level the emerging offsets of the radial energy formed in the volume of the facility multiplying part due to the pulsed operation of the D-T neutron plasma source were presented. The results will be useful in improving the power control-based subcriticality monitoring method in coupled systems of the "pulsed neutron source-subcritical fuel assembly" type.

The Effect of Radiofrequency Neurotomy of Lower Cervical Medial Branches on Cervicogenic Headache

  • Park, Seung-Won;Park, Yong-Sook;Nam, Taek-Kyun;Cho, Tack-Geun
    • Journal of Korean Neurosurgical Society
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    • 제50권6호
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    • pp.507-511
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    • 2011
  • Objective : Cervicogenic headache (CGH) is known to be mainly related with upper cervical problems. In this study, the effect of radiofrequency neurotomy (RFN) for lower cervical (C4-7) medial branches on CGH was evaluated. Methods : Eleven patients with neck pain and headache, who were treated with lower cervical RFN due to supposed lower cervical zygapophysial joint pain without symptomatic intervertebral disc problem or stenosis, were enrolled in this study. CGH was diagnosed according to the diagnostic criteria of the cervicogenic headache international study group. Visual analogue scale (VAS) score and degree of VAS improvement (VASi) (%) were checked for evaluation of the effect of lower cervical RFN on CGH. Results : The VAS score at 6 months after RFN was $2.7{\pm}1.3$, which were significantly decreased comparing to the VAS score before RFN, $8.1{\pm}1.1$ ($p$<0.001). The VASi at 6 months after RFN was $63.8{\pm}17.1%$. There was no serious complication. Conclusion : Our data suggest that lower cervical disorders can play a role in the genesis of headache in addition to the upper cervical disorders or independently.

Pressure analysis in grouting and water pressure test to achieving optimal pressure

  • Amnieh, Hassan Bakhshandeh;Masoudi, Majid;Kolahchi, Reza
    • Geomechanics and Engineering
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    • 제13권4호
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    • pp.685-699
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    • 2017
  • In order to determine the rate of penetrability, water pressure test is used before the grouting. One of the parameters which have the highest effect is pressure. Mathematical modeling is used for the first time in this study to determine the optimum pressure. Thus, the joints that exist in the rock mass are simulated using cylindrical shell model. The joint surroundings are also modeled through Pasternak environment. In order to validate the modeling, pressure values obtained by the model were used in the sites of Seymareh and Aghbolagh dams and the relative error rates were measured considering the differences between calculated and actual pressures recorded in these operations. In water pressure test, in Seymareh dam, the error values were equal to 4.75, 3.93, 4.8 percent and in the Aghbolagh dam, were 22.43, 5.22, 2.6 percent and in grouting operation in Seymareh dam were equal to 9.09, 32.50, 21.98, 5.57, 29.61 percent and in the Aghbolagh dam were 2.96, 5.40, 4.32 percent. Due to differences in rheological properties of water and grout and based on the overall results, modeling in water pressure test is more accurate than grouting and this error in water pressure test is 7.28 percent and in grouting is 13.92 percent.

Factors Affecting Employee Loyalty: A Case of Small and Medium Enterprises in Tra Vinh Province, Viet Nam

  • NGUYEN, Ha Hong;NGUYEN, Trung Thanh;NGUYEN, Phong Thanh
    • The Journal of Asian Finance, Economics and Business
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    • 제7권1호
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    • pp.153-158
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    • 2020
  • The study aims to identify the factors affecting employee loyalty in the case of small and medium enterprises (SMEs) in Tra Vinh province, Viet Nam and to find out critical factors affecting the loyalty of employees in SMEs. This is implemented with the method of collecting primary data of 320 employees working at SMEs in 5 districts including: Cau Ngang, Tra Cu, Chau Thanh, Cang Long, Tieu Can) and Tra Vinh City, Viet Nam. Using the multivariate regression method, the researchers have found 6 factors affecting employee loyalty: colleagues, leaders, job characteristics, remuneration policies, organizational culture, and working environment. Particularly, learning opportunities may not be not statistically significant for employees' loyalty towards small and medium-sized enterprises in Tra Vinh province. From the above research results, the authors have proposed implicational piolicies such as: focusing on colleague relationships, improving leadership of business owners, attaching importance to appropriate work arrangement, having appropriate remuneration policies for laborers, building effective organizational culture and working environment to improve employee loyalty at SMEs. From the above policy implications, helping business owners realize the aspirations of workers in small and medium-sized enterprises more closely in the future, in order to sustainably develop the business system in Vietnam.

나카가미 페이딩 환경하에서 다이버시티기법과 에러 정정부호화 기법을 채용한 MFSK-MDPSK/DS-CDMA 시스템의 성능 분석 (Performance Analysis of MFSK-MDPSK/DS-CDMa System Employing Diversity Techniquies and Error Coding Technique in Nakagami Fading Environment)

  • 양원일;강희조
    • 한국전자파학회논문지
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    • 제11권4호
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    • pp.553-564
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    • 2000
  • 본 논문에서는 DS-CDMA 시스템의 성능 열화의 주요 원인인 다중 경로 페이딩이 존재하는 이동통신 채널 환경에서 성능 개선 기법으로 MRC 다이버시티 기법과 에러 정정 부호화 기법을 채용한 경우의 MFSK MDPSK/DS-CDMA 시스템의 성능 개선을 수치해석에 의해 정량적으로 분석하였다. 고려한 변조방식은 비동기식 MFSK와 MFSK에 기반한 MDPSK를 이용한 결합주파수 위상변조 방식이다. 결과에 의하면 MFSKM MDPSK/DS-CDMA 시스템과 기존의 MFSK/DS-CDMA와 MDPSK/DS-CDMA 시스댐을 비교하면 MFSK M MDPSK/DS-CDMA 시스댐의 성능이 우수함을 알았다. 또한. 나카가미 페이딩 환경하에서 MFSK-MDPSK/DS-CDMA 시스템은 다이버시티 가지수의 증가와 부호화의 이득에 의해 에러 성능이 향상되었다.

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신경 성형술 후 초음파 유도하 내측 분지 차단술의 유용성 (Benefit of Ultrasound-guided Therapeutic Medial Branch Blocks after Percutaneous Epidural Neuroplasty)

  • 문상호;이송;정재현;신원식
    • 대한정형외과 초음파학회지
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    • 제7권1호
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    • pp.33-38
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    • 2014
  • 목적: 신경성형술로 치료한 추간판 탈출증 환자들 중 호전되지 않은 환자들을 대상으로 초음파 유도하 내측 분지 차단술을 시행하여 치료적으로 유용한가를 분석하고자 하였다. 대상 및 방법: 2011년 11월에서 2013년 2월까지 추간판 탈출증으로 신경성형술을 받은 만성 요통 환자 559명 중 시술후에도 요통 혹은 하지 연관통 증상을 보여, 초음파 유도하 내측 분지 차단술을 시행받고 1개월 추시가 가능하였던 88명과 이 중 6개월 추시가 가능하였던 39명의 환자들을 대상으로 하였다. 한 명의 의사가 모든 증례를 시술하였으며 방사선 피폭의 위험을 없애고자 방사선 투시 하가 아닌, 초음파 유도하에 23 G, 10 cm 주사 바늘을 삽입하고 약제를 주사하였다. 내측 분지를 목표로 하기 위하여 횡축 영상에서 상 관절 돌기와 횡 돌기의 교차점에 바늘이 놓이도록 하였다. 시술 후 각 시점에서 Visual Analog Scale (VAS) score와 Oswestry Disability Index (ODI)를 측정하여 시술 전과 통증의 정도와 기능의 변화를 비교 분석하였다. 의미 있는 통증 및 기능의 호전 기준은 VAS 50% 이상의 감소, ODI 40% 이상의 감소를 기준으로 하였다. 결과: 시술 전 VAS는 평균 $7.35{\pm}1.68$점, ODI는 평균 $32.82{\pm}8.77$점이었다. 이에 대하여 시술 후 1개월에 VAS는 평균 $3.36{\pm}2.98$점, ODI는 평균 $15.14{\pm}14.01$점으로 의미있게 감소하였으며(p<0.05) 시술후 6개월에는 VAS는 평균 $3.05{\pm}2.27$점, ODI는 평균 $12.97{\pm}8.82$점으로 의미있게 감소하였다(p<0.05). 1개월 군에서는 통증이 64.49%에서 의미있게 감소하였으며 59.81%에서 기능이 유의하게 향상되었다. 3개월 군에서는 통증이 64.10%에서 의미있게 호전되었고 61.54%에서 의미있게 기능이 향상되었다. 결론: 초음파 유도하 내측 분지 차단술은 추간판 질환으로 인해 이차적으로 발생한 후방 관절의 문제에 대한 치료로서 효과적이라고 생각한다.

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Is the association of continuous metabolic syndrome risk score with body mass index independent of physical activity? The CASPIAN-III study

  • Heshmat, Ramin;shafiee, Gita;Kelishadi, Roya;Babaki, Amir Eslami Shahr;Motlagh, Mohammad Esmaeil;Arefirad, Tahereh;Ardalan, Gelayol;Ataie-Jafari, Asal;Asayesh, Hamid;Mohammadi, Rasool;Qorbani, Mostafa
    • Nutrition Research and Practice
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    • 제9권4호
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    • pp.404-410
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    • 2015
  • BACKGROUND/OBJECTIVES: Although the association of body mass index (BMI) with metabolic syndrome (MetS) is well documented, there is little knowledge on the independent and joint associations of BMI and physical activity with MetS risk based on a continuous scoring system. This study was designed to explore the effect of physical activity on interactions between excess body weight and continuous metabolic syndrome (cMetS) in a nationwide survey of Iranian children and adolescents. SUBJECTS/METHODS: Data on 5,625 school students between 10 and 18 years of age were analyzed. BMI percentiles, screen time activity (STA), leisure time physical activity (LTPA) levels, and components of cMetS risk score were extracted. Standardized residuals (z-scores) were calculated for MetS components. Linear regression models were used to study the interactions between different combinations of cMetS, LTPA, and BMI percentiles. RESULTS: Overall, 984 (17.5%) subjects were underweight, whereas 501 (8.9%) and 451 (8%) participants were overweight and obese, respectively. All standardized values for cMetS components, except fasting blood glucose level, were directly correlated with BMI percentiles in all models (P-trend < 0.001); these associations were independent of STA and LTPA levels. Linear associations were also observed among LTPA and standardized residuals for blood pressure, high-density lipoprotein, and waist circumference (P-trend < 0.01). CONCLUSIONS: Our findings suggest that BMI percentiles are associated with cMetS risk score independent of LTPA and STA levels.