• Title/Summary/Keyword: Level Plate

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A Prospective Study with Cage-Only or Cage-with-Plate Fixation in Anterior Cervical Discectomy and Interbody Fusion of One and Two Levels

  • Kim, Sam Yeol;Yoon, Seung Hwan;Kim, Dokeun;Oh, Chang Hyun;Oh, Seyang
    • Journal of Korean Neurosurgical Society
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    • v.60 no.6
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    • pp.691-700
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    • 2017
  • Objective : The authors prospectively analyzed the effect of one-level or two-level anterior cervical discectomy and fusion (ACDF), comparing stand-alone cages and cage-with-plate fixation constructs with respect to clinical outcomes and radiologic changes. Methods : A total of 84 patients who underwent one-level (n=52) or two-level ACDF (n=32) for cervical disc disease and who completed 2 years of follow-up were included in this study. The patients were divided by cervical level and grouped into ACDF-Cage-only and ACDF-Cage-with-plate groups. The following parameters were assessed using radiographs : subsidence, C2-C7 lordosis angle, fusion segment angle, adjacent disc space narrowing, and fusion status. Clinical outcomes were assessed using the neck disability index (NDI) and visual analog scale scores for arm pain. Results : In the comparison of one-level ACDF-cage-only and ACDF-cage-with-plate groups, the NDI score was better in the cage-only group at the 3-, 12-, and 24-month follow-ups : however, no significant difference in clinical outcomes was observed. In the comparison of two-level ACDF-cage-only and ACDF-cage-with-plate groups, no difference in any clinical outcome was observed between the two groups. At the 24-month follow-up, subsidence was observed in 45.8% of patients in the one-level cage-only group and 32.1% of patients in the one-level cage-with-plate fixation group. There was no statistically significant difference in the incidence rate between the two groups (p=0.312). Subsidence in the two-level cage-only group (66.6%) was significantly more frequent than in the two-level cage-with-plate fixation group (30%; p=0.049). The fusion rate for patients in the one-level cage-only group was not significantly different from that in the one-level cage-with-plate fixation group (cage-only, 87.5%; cage-with-plate fixation, 92.9%; p=0.425) ; fusion rate in the two-level patients were also similar between groups (cage-only, 83.3%; cage-with-plate fixation, 95%; p=0.31). Conclusion : Our clinical results showed that for single-level cases, plate fixation had no additional benefit versus cage-only; for two-level ACDF cases, the fusion rate and clinical outcomes were similar, although the cage-with-plate fixation group had a lower incidence of cage subsidence than did the cage-only group. We conclude that physicians should be aware of this possible disadvantage associated with using cervical plates in one-level ACDF. However, in two-level ACDF, subsidence is more likely to occur without plate fixation, and thus the addition of plate fixation should be considered.

A Study on Plate Bending Analysis Using Boundary Element Method

  • Son, Jae-hyeon;Kim, Yooil
    • Journal of Ocean Engineering and Technology
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    • v.36 no.4
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    • pp.232-242
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    • 2022
  • This study presents a method for level ice-structure interaction analysis to estimate the fatigue damage of arctic structures by applying plate theory to the behavior of level ice. The boundary element method (BEM), which incurs a lower computational cost than the finite element method (FEM), was introduced to solve the plate bending problem. The BEM formulation was performed by applying the BEM to plate theory. Finally, to check the validity of the proposed method, the BEM results and FEM results obtained using the ABAQUS commercial software were compared. The response results of the BEM analysis agreed well with those of the FEM analysis. Based on the results of the analysis, the BEM approach is considered to be very powerful in level ice-structure interaction analysis for estimating level ice-induced fatigue damage. Further work is being conducted to perform level ice fracture analysis based on the stress field calculated using the boundary element method.

Comparison of Fusion with Cage Alone and Plate Instrumentation in Two-Level Cervical Degenerative Disease

  • Joo, Yong-Hun;Lee, Jong-Won;Kwon, Ki-Young;Rhee, Jong-Joo;Lee, Hyun-Koo
    • Journal of Korean Neurosurgical Society
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    • v.48 no.4
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    • pp.342-346
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    • 2010
  • Objective : This study assessed the efficacy of anterior cervical discectomy and fusion (ACDF) with cage alone compared with ACDF with plate instrumentation for radiologic and clinical outcomes in two-level cervical degenerative disease. Methods : Patients with cervical degenerative disc disease from September 2004 to December 2009 were assessed retrospectively. A total of 42 patients received all ACDF at two-level cervical lesion. Twenty-two patients who underwent ACDF with cage alone were compared with 20 patients who underwent ACDF with plate fixation in consideration of radiologic and clinical outcomes. Clinical outcomes were assessed using Robinson's criteria and posterior neck pain, arm pain described by a 10 point-visual analog scale. Fusion rate, subsidence, kyphotic angle, instrument failure and the degenerative changes in adjacent segments were examined during each follow-up examination. Results : VAS was checked during each follow-up and Robinson's criteria were compared in both groups. Both groups showed no significant difference. Fusion rates were 90.9% (20/22) in ACDF with the cage alone group, 95% (19/20) in ACDF with the plate fixation group (p = 0.966). Subsidence rates of ACDF with cage alone were 31.81% (7/22) and ACDF with plate fixation were 30% (6/20) (p = 0.928). Local and regional kyphotic angle difference showed no significant difference. At the final follow-up, adjacent level disease developed in 4.54% (1/22) of ACDF with cage alone and 10% (2/20) of ACDF with plate fixation (p= 0.654). Conclusion : In two-level ACDF, ACDF with cage alone would be comparable with ACDF with plate fixation with regard to clinical outcome and radiologic result with no significant difference. We suggest that the routine use of plate and screw in 2-level surgery may not be beneficial.

[ $H{\infty}$ ] Control of Level Maintaining Device (수평유지장치의 $H{\infty}$ 제어)

  • Oh, Young-Jin;Suh, Young-Soo
    • The Transactions of the Korean Institute of Electrical Engineers D
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    • v.52 no.2
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    • pp.77-84
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    • 2003
  • This paper is concerned with level control of a upper plate in a vehicle. The objective of control is to maintain the upper plate at level regardless of road slopes. The road slope is detected using an accelerometer-type inclinometer and H infinity control method is used to simultaneously reduce effects of road slopes and sensor noises. By the simulation, it is shown that the upper plate is successfully maintained at level.

Character Level and Word Level English License Plate Recognition Using Deep-learning Neural Networks (딥러닝 신경망을 이용한 문자 및 단어 단위의 영문 차량 번호판 인식)

  • Kim, Jinho
    • Journal of Korea Society of Digital Industry and Information Management
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    • v.16 no.4
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    • pp.19-28
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    • 2020
  • Vehicle license plate recognition system is not generalized in Malaysia due to the loose character layout rule and the varying number of characters as well as the mixed capital English characters and italic English words. Because the italic English word is hard to segmentation, a separate method is required to recognize in Malaysian license plate. In this paper, we propose a mixed character level and word level English license plate recognition algorithm using deep learning neural networks. The difference of Gaussian method is used to segment character and word by generating a black and white image with emphasized character strokes and separated touching characters. The proposed deep learning neural networks are implemented on the LPR system at the gate of a building in Kuala-Lumpur for the collection of database and the evaluation of algorithm performance. The evaluation results show that the proposed Malaysian English LPR can be used in commercial market with 98.01% accuracy.

Characterization of ultra Precision Grinding Plate for GMR Head Manufacturing by Measuring Frictional Force (마찰력 측정을 통한 GMR 헤드 제작용 초정밀 연마판의 특성화)

  • 노병국;김기대
    • Journal of the Korean Society for Precision Engineering
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    • v.20 no.7
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    • pp.78-83
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    • 2003
  • Characterization of an ultra precision grinding plate for GMR head manufacturing is performed by measuring frictional forces between the grinding plate and the advanced ceramic Two kinds of methods of producing the precision grinding plates are presented: texturing and micro-channeling. Texturing is effective in terms of production time but micro-channeling excels in quality control. It is found that the frictional coefficient of a precision grinding plate decreases as the impregnation of diamond grain onto the precision-grinding plate progresses, and remains unchanged once the impregnation process is successfully completed, even after 100 revolutions of the precision-grinding plate against the advanced ceramic under 40 N of normal force. Therefore, the measurement of the frictional coefficient can replace costly and time-consuming process of estimating the level of impregnation of diamond grain on the precision-grinding plate, which has been performed by using scanning electron microscope, and be employed as an index to determine the level of impregnation of diamond grain.

Vibration and Radiated Noise Analysis of Plate Covered with Damping Material (제진재가 피복된 평판의 진동 및 방사소음)

  • Lee, Chang-Myung;Lee, Jun
    • Transactions of the Korean Society for Noise and Vibration Engineering
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    • v.12 no.5
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    • pp.317-322
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    • 2002
  • A solution procedure of vibration and radiated noise of the plate covered with damping material has been studied. To predict the vibration level and the radiated noise level of the plate covered with damping material, FEM and BEM have been utilized, respectively. A property of damping material has been measured by using a composite beam. Two different kinds of measuring procedure for the composite beam have been introduced by comparing its characteristics. The numerical prediction of vibration level of the Plate covered with damping material has been proved with experimental data.

Plate waste study among hospitalised patients receiving texture-modified diet

  • Razalli, Nurul Huda;Cheah, Chui Fen;Mohammad, Nur Mahirah Amani;Manaf, Zahara Abdul
    • Nutrition Research and Practice
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    • v.15 no.5
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    • pp.655-671
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    • 2021
  • BACKGROUND/OBJECTIVES: While plate waste has been widely investigated in hospitals, there have been minimal studies specific to the texture-modified diet (TMD). This study aims to determine the percentage of plate waste among patients prescribed with TMD and its contributory factors. SUBJECTS/METHODS: This was a single-centre study conducted in the university hospital on three types of TMD (blended diet, mixed porridge, minced diet) during lunch and dinner meals. Weighing method and visual estimation method assisted by digital photograph were adopted in this study. Face to face interview was carried out to investigate on 1) the food/food service quality factors in terms of patients' satisfaction level towards sensorial quality of food and food services provided and 2) the clinical/external factors including appetite, the provision of oral nutrition support, time taking the diet, the need for feeding assistance and the length of hospital stay. RESULTS: The mean percentage of overall plate waste of 95 patients receiving TMD was high (47.5%). Blended diet was identified as the most wasted diet (65%) followed by minced diet (56%) and mixed porridge (35%). Satisfaction level among patients was moderate. Patients on TMD in general had higher satisfaction level on the aspect of food service as compared to food quality. Substantial association between sensorial qualities of food and plate waste were varied according to individual TMD type. A multiple linear regression showed that only the satisfaction level toward the aspects of appearance and variety of foods were the predictors of TMD plate waste (R2 = 0.254, P < 0.05). CONCLUSIONS: A significant relationship between the percentage of plate waste and the overall satisfaction level of patients receiving TMD suggests that vigorous strategies are needed to reduce the food waste of TMD which will lead to a better nutritional status and clinical outcomes among the patients.

HIGH LEVEL SHAPE CONTROL FOR PLATE ROLLING BY USING PAIR CROSS MILL (후판압연에서의 형상제어의 고도화)

  • 김영헌;남구원
    • Proceedings of the Korean Society for Technology of Plasticity Conference
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    • 1999.08a
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    • pp.447-451
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    • 1999
  • The plate crown and shape control of plate rolling has become important to obtain not only improved quality but also better yield of products and higher work ratio of rolling. Therefore, the development of a new plate crown and shape control system has been demanded in plate rolling mill. The 3rd Plate Rolling Works of POSCO introduced the new unique system

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Clinical and Radiologic Results Comparing the Periarticular Proximal Humerus Locking Plate and Polarus Nail for Displaced Proximal Humerus Fractures

  • Min, Young-Kyoung;Lee, Seung-Jun;Gwak, Heui-Chul;Kang, Sang-Woo;Suh, Kuen-Tak
    • Clinics in Shoulder and Elbow
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    • v.20 no.4
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    • pp.208-216
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    • 2017
  • Background: This study compared the clinical and radiological outcomes of the single calcar screw plate and Polarus nail techniques for the treatment of the proximal humerus fractures. Methods: Seventy-two patients diagnosed with displaced proximal humerus fracture were enrolled for the study. Of these, 50 patients underwent the locking plate surgery with a single calcar screw (plate group), whereas 22 patients underwent the Polarus nail surgery (nail group). The plate group was further divided into plate 1 group (with medial support), and plate 2 group (without medial support). The radiological and functional results of both groups were compared to the nail group. Results: The ${\alpha}$ angle 1 year after surgery was significantly different between plate 1 and plate 2, and plate 2 and nail groups (p=0.041, p=0.043, respectively). The ratio that does not satisfy the reference value of ${\gamma}$ angle was 2.8% in plate 1, 7.1% in plate 2 and 22.7% in nail group (p=0.007); there was a significant difference between plate 1 and nail group, and plate 2 and nail group (p=0.014, p=0.033, respectively). Conclusions: No significant differences were observed in the clinical results between locking plate and Polarus nail. However, in the plate 2 group and nail group, the rate of failure to maintain reduction during the 1-year period after surgery was statistically and significantly higher than the plate 1 group (level of evidence: level IV, case series, treatment study).