• Title/Summary/Keyword: Joint of Branch

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

  • Lee, Woo-Chun;Park, Hyun-Soo;Han, Young-Kil;Chang, Byeong-Chun;Rim, Jang-Woon;Rha, Jong-Deuk
    • Journal of Korean Foot and Ankle Society
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    • v.2 no.2
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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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    • v.13 no.4
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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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    • v.30 no.5
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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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    • v.55 no.7
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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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    • v.50 no.6
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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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    • v.13 no.4
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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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    • v.7 no.1
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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.

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

  • 양원일;강희조
    • The Journal of Korean Institute of Electromagnetic Engineering and Science
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    • v.11 no.4
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    • pp.553-564
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    • 2000
  • In this thesis, mobile communication channel with multi-path fading which is major factor of performance degradation of DS-CDMA system has been considered. An MRC diversity and error correcting coding technique have been used to improve performance of MFSK-MDPSK/DS-CDMA system. The MFSK-MDPSK/DS-CDMA system performance has been obtained quantitatively by the numerical analysis. the modulations under consideration are noncoherent M-ary frequency shift keying(MFSK) and an MFSK based joint frequency phase modulation utilizing MFSK/DS-CDMA and MDPSK-DS-CDMA systems the MFSK-MDPSK/DS-CDMA system obtain a better performance . Also, the error performance of MFSK-MDPSK/DS-CDMA system in Nakagami fading environments is improved by increasing the number of diversity branch and coding gain.

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

  • Moon, Sang Ho;Lee, Song;Jung, Jae-Hyun;Shin, Won Shik
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.7 no.1
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    • pp.33-38
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    • 2014
  • Purpose: To determine the therapeutic effectiveness of ultrasound-guided medial branch block (MBB) for the herniated lumbar disc patients who did not relieve their symptoms after percutaneous epidural neuroplasty (PEN). Materials and Methods: From August 2011 to February 2013, 559 patients with herniated lumbar disc have undergone PEN. Among them, ultrasound-guided MBBs were performed for the patients who had sustained low back pain and refered pain to lower extremities. Eighty eight patients were followed at 1 month and 39 patients could be followed at 6 month. All procedures have been performed by the one operator, and 23 G, 10 cm needle was placed and 0.5% lidocaine was injected under ultrasound guide. To target medial branches from L1 to L5, the groove at the root of transverse process and the base of superior articular process has been identified on transverse scan. Patients were evaluated by Visual Analog Scale (VAS) and Oswestry Disability Index (ODI) at each follow-up. Significant pain relief was described as a 50% or more reduction in VAS and significant improvement in function was described as at least a 40% reduction in ODI. Results: VAS showed that preprocedure pain ($7.35{\pm}1.68$; $mean{\pm}SD$) significantly decreased 1 month after block ($3.36{\pm}2.98$) and 6 month ($3.05{\pm}2.27$) (p<0.05). ODI also showed that preprocedure score ($32.82{\pm}8.77$) significantly decreased at 1 month ($15.14{\pm}14.01$) and 6 month ($12.97{\pm}8.82$) (p<0.05). Significant pain relief was observed in 64.49% at 1 month and 64.10% at 6 month. Significant functional improvement in 59.81% at 1 month and 61.54% at 6 month. Conclusion: Ultrasound-guided medial branch block may sufficiently treat the facet problems secondary from disc disease.

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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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    • v.9 no.4
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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.