• Clinics in Shoulder and Elbow
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• v.21 no.4
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• pp.234-239
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• 2018

Background: In elbow fracture-dislocation, partial excision of the comminuted radial head fracture that is not amenable to fixation remains controversial considering the accompanying symptoms. This study was undertaken to evaluate the results of radial head partial excision when the comminuted radial head fracture involved <50% of the articular surface in all-arthroscopic repair of elbow fracture-dislocation. Methods: Patients were divided into two groups based on the condition of the radial head fracture. In Group A, the patients had a radial head comminuted fracture involving <50% of the articular surface, and underwent arthroscopic partial excision. Group B was the non-excision group comprising patients with stable and non-displacement fractures. Follow-up consultations were conducted at 6 weeks and at 3, 6, 12, and 24 months after surgery. Results: In all, 19 patients (Group A: 11; Group B: 8) met the inclusion criteria and were enrolled in the study. At the final follow-up, all 19 patients showed complete resolution of elbow instability. No significant differences were observed in the range of motion, visual analogue scale score, and Mayo elbow performance score between groups. Radiological findings did not show any complications of the radiocapitellar joint. However, nonunion of the coracoid fracture was observed in 3 patients (Group A: 1; Group B: 2), without any accompanying instability and clinical symptoms. Conclusions: Considering that the final outcome is coronoid fracture fixation and lateral collateral ligament complex repair for restoring elbow stability, arthroscopic partial excision for radial head comminuted fractures involving <50% of articular surface is an effective and acceptable treatment for elbow fracture-dislocation.

• Neurospine
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• v.15 no.4
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• pp.368-375
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• 2018

Objective: To evaluate the results of operative management of subaxial spine injuries managed with 2-level anterior cervical corpectomy and fusion with a cervical locking plate and autologous bone-filled titanium mesh cage. Methods: This study included 23 patients with a subaxial spine injury who matched the inclusion criteria, underwent 2-level anterior cervical corpectomy and fusion at our institution between 2013 and 2016, and were followed up for neurological recovery, axial pain, fusion, pseudarthrosis, and implant failure. Results: According to Allen and Ferguson classification, there were 9 cases of distractive extension; 4 of compressive extension; 3 each of compressive flexion, vertical compression, and distractive flexion; and 1 of lateral flexion. Sixteen patients had a score of 6 on the Subaxial Injury Classification system, and the rest had a score of more than 6. The mean follow-up period was 19 months (range, 12-48 months). Neurological recovery was observed in most of the patients (78.21%). All patients experienced relief of axial pain. None of the patients received a blood transfusion. Twenty-one patients (91.3%) showed solid fusion and 2 (8.69%) showed possible pseudarthrosis, with no complications related to the cage or plate. Conclusion: Two-level anterior cervical corpectomy and fusion, along with stabilization with a cervical locking plate and autologous bone graft-filled titanium mesh cage, can be considered a feasible and safe method for treating specific subaxial spine injuries, with the benefits of high primary stability, anatomical reduction, and direct decompression of the spinal cord.

• Geomechanics and Engineering
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• v.19 no.3
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• pp.201-215
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• 2019

A new approach of analyzing the displacements and stress of the surrounding rock for shallow tunnels excavated under non-axisymmetric displacement boundary conditions on a vertical surface is investigated in this study. In the proposed approach, by using a virtual image technique, the shear stress of the vertical ground surface is revised to be zero, and elastic solutions of the surrounding rock are obtained before stress revision. To revise the vertical normal stress and shear stress of horizontal ground surface generated by the combined action of the actual and image sinks, the harmonic functions and corresponding stress function solutions were adopted. Based on the Boussinesq's solutions and integral method, the horizontal normal stress of the vertical ground surface is revised to be zero. Based on the linear superposition principle, the final solution of the displacements and stress were proposed by superimposing the solutions obtained by the virtual image technique and the stress revision on the horizontal and vertical ground surfaces. Furthermore, the ground settlements and lateral displacements of the horizontal and vertical ground surfaces are derived by the proposed approach. The proposed approach was well verified by comparing with the numerical method. The discussion based on the proposed approach in the manuscript shows that smaller horizontal ground settlements will be induced by lower tunnel buried depths and smaller limb distances. The proposed approach for the displacement and stress of the surrounding rocks can provide some practical information about the surrounding rock stability analysis of shallow tunnels excavated under non-axisymmetric displacement boundary conditions on a vertical surface.

• International Journal of Internet, Broadcasting and Communication
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• v.13 no.1
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• pp.47-53
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• 2021

Gait kinematics and kinetics have a similar tendency between men and women, yet it remains unclear how walking while carrying a load affects the gait mechanism. Twenty adults walked with preferred velocity on level ground of 20 m relative to change of a load carriage (no load, 15%, 30% of the body weights) aimed to observe gait mechanism. We measured gait posture using the three-dimensional image analysis and ground reaction force system during stance phase on left foot. In main effect of gender difference, men showed increased displacement of center of gravity (COG) compared to women, and it showed more extended joint angle of hip and knee in sagittal plane. In main effect of a load difference, knee joint showed more flexed postuel relative to increase of load carriage. In main effect of load difference on the kinetic variables, medial-lateral force, anterior-posterior force (1st breaking, 2nd propulsive), vertical force, center of pressure (COP) area, leg stiffness, and whole body stiffness showed more increased values relative to increase of load carriage. Also, men showed more increased COP area compared to women. Interaction showed in the 1st anterior-posterior force, and as a result of one-way variance analysis, it was found that a load main effect had a greater influence on the increase in the magnitude of the braking force than the gender. The data in this study explains that women require little kinematic alteration compared to men, while men in more stiff posture accommodate an added load compared to women during gait. Additionally, it suggests that dynamic stability is maintained by adopting different gait strategies relative to gender and load difference.

• Journal of the Korean Geotechnical Society
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• v.36 no.12
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• pp.125-132
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• 2020

Embedded joints in the rock mass are a major constituent influencing its mechanical behavior. Numerical analysis requires a rigorous modeling methodology for the rock mass with detailed information regarding joint properties, orientation, spacing, and persistence. This paper provides a mechanical model for a jointed rock mass based on the implicit joint-continuum approach. Stiffness tensors for rock mass are evaluated for an assemblage of intact rock separated by sets of joint planes. It is a linear summation of compliance of each joint sets and intact rock in the serial stiffness system. In the application example, kinematic analysis for a planar failure of rock slope is comparable with empirical daylight envelope and its lateral limits. Since the developed implicit joint-continuity model is formulated on a continuum basis, it will be a major tool for the numerical simulations adopting published plenteous thermal-hydro-chemical experimental results.

• Earthquakes and Structures
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• v.20 no.1
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• pp.1-12
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• 2021

The occurrence of progressive collapse induced by the removal of the vertical load-bearing element in the structure, because of fire or earthquake, has been a significant challenge between structural engineers. Progressive collapse is defined as the complete failure or failure of a part of the structure, initiating with a local rupture in a part of the building and can threaten the stability of the structure. In the current study, the behavior of the structures equipped with a cylindrical friction damper, when the vertical load-bearing elements are eliminated, is considered in two cases: 1-The load-bearing element is removed under the gravity load, and 2-The load-bearing element is removed due to the earthquake lateral forces. In order to obtain a generalized result in the seismic case, 22 pair motions presented in FEMA p 695 are applied to the structures. The study has been conducted using the vertical push down analysis for the case (1), and the nonlinear time-history analysis for the second case using OpenSEES software for 5,10, and 15-story steel frames. Results indicate that, in the first case, the load coefficient, and accordingly the strength of the structure equipped with cylindrical friction dampers are increased considerably. Furthermore, the results from the second case demonstrate that the displacements, and consequently the forces imposed to the structure in the buildings equipped with the cylindrical friction damper substantially was reduced. An optimum slip load is defined in the friction dampers, which permits the damper to start its frictional damping from this threshold load. Therefore, the optimum slip load of the damper is calculated and discussed for both cases.

• Journal of Auto-vehicle Safety Association
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• v.13 no.2
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• pp.35-41
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• 2021

In this study, improved path tracking control algorithm based on pure pursuit algorithm is newly proposed by using improved lane detection algorithm through real time post-processing with interpolation methodology. Since the original pure pursuit works well only at speeds below 20 km/h, the look-ahead distance is implemented as a sigmoid function to work well at an average speed of 45 km/h to improve tracking performance. In addition, a smoothing filter was added to reduce the steering angle vibration of the original algorithm, and the stability of the steering angle was improved. The post-processing algorithm presented has implemented more robust lane recognition system using real-time pre/post processing method with deep learning and estimated interpolation. Real time processing is more cost-effective than the method using lots of computing resources and building abundant datasets for improving the performance of deep learning networks. Therefore, this paper also presents improved lane detection performance by using the final results with naive computer vision codes and pre/post processing. Firstly, the pre-processing was newly designed for real-time processing and robust recognition performance of augmentation. Secondly, the post-processing was designed to detect lanes by receiving the segmentation results based on the estimated interpolation in consideration of the properties of the continuous lanes. Consequently, experimental results by utilizing driving guidance line information from processing parts show that the improved lane detection algorithm is effective to minimize the lateral offset error in the diverse maneuvering roads.

• PNF and Movement
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• v.18 no.3
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• pp.343-350
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• 2020

Purpose: The purpose of this study was to determine how a shoulder complex stabilization exercise affects ball control and ball speed in elementary school baseball players with an instable scapula. Methods: The subjects of the study were 16 baseball players attending S elementary school in Kwangju Metropolitan City. A shoulder complex stabilization exercise was conducted three times per week for one hour for four weeks. Then, the participants were divided into a scapular instability group or stability group based on their lateral scapular slide test scores. The measurement tool was measured using the target, the ball speed tester (PR1000-BC). All inspections were measured before and after the mediation period to examine the change in the subjects according to the mediation period. Results: As a result of measuring ball control, there was a statistically significant difference in the variation over time (p < 0.05), and there was no statistically significant difference in the interaction between time and group (p > 0.05). As a result of the test of effectiveness between subjects, there was no statistically significant difference found among the groups (p > 0.05). In terms of ball speed, there was no statistically significant difference found in the variation over time (p > 0.05) as well as in the interaction between time and group (p > 0.05). In terms of the effectiveness between subjects, there was no statistically significant difference found among the groups (p > 0.05). Conclusion: It was found that the shoulder complex stabilization exercise could improve ball control for elementary school baseball players. It is believed that this will help prevent and solve possible sport damages experienced during training or competitions, thereby helping athletes use training methods to improve their exercise capacity and continue their careers.

• Journal of The Korean Society of Integrative Medicine
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• v.11 no.1
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• pp.21-29
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• 2023

Purpose : Using a smartphone while walking districts attention and increases the risk of losing balance or falling. Ankle instability is caused by decreased muscle strength and decreased neuromuscular ability leading to postural control problems. Dual tasks increases the risk of falls by reducing postural control in adults with ankle instability. This study aimed to investigate the effect of performing a dual task on balance and muscle activity in adults with ankle instability using a smartphone. Methods : Forty-nine individuals with ankle instability participated in this study. A game of finding the wrong picture was performed using a smartphone in the dual task, and only looking at the blank screen of a smartphone was evaluated in the single task. The participants randomly performed single and dual task to evalutate balance and muscle atcitivy. Balance was evaluated using the Biodex balance system (BBS), and muscle activity was evaluated using surface EMG. Muscle activity of the gastrocnemius and tibialis anterior was measured at the same time as balance. Results : The results of this study showed that overall, anteior/posterior, and medial/lateral balance indices all showed significant differences when performing the dual task compared with those during the single task (p<.05). The muscle activity results showed a significant difference compared with that of the gastronemius muscle on the nondominant side during the dual task (p>.05). Conclusion : The results of this study showed that maintaining balance is more difficult when performing the dual task than during the single task, and only the muscle activity of the nondominant gastrocnemius muscle decreased. The dual task causes a decrease in concentration for postural control, which negatively affects postural stability. Individuals with ankle ankle instability should refrain from performing dual tasks, such as using smartphones, to prevent ankle damage.

• Journal of the Korean Geotechnical Society
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• v.39 no.4
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• pp.5-17
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• 2023

The advancement in large-scale underground excavation in urban areas necessitates monitoring and predicting technologies that can pre-emptively mitigate risk factors at construction sites. Traditionally, two methods predict the deformation of retaining walls induced by excavation: empirical and numerical analysis. Recent progress in artificial intelligence technology has led to the development of a predictive model using machine learning techniques. This study developed a model for predicting the deformation of a retaining wall under construction using a boosting-based algorithm and an ensemble model with outstanding predictive power and efficiency. A database was established using the data from the design-construction-maintenance process of the underground retaining wall project in a manifold manner. Based on these data, a learning model was created, and the performance was evaluated. The boosting and ensemble models demonstrated that wall deformation could be accurately predicted. In addition, it was confirmed that prediction results with the characteristics of the actual construction process can be presented using data collected from ground measurements. The predictive model developed in this study is expected to be used to evaluate and monitor the stability of retaining walls under construction.