• 제목/요약/키워드: Los Angeles

검색결과 285건 처리시간 0.026초

Comparison of Clinical and Structural Outcomes of Open and Arthroscopic Repair for Massive Rotator Cuff Tear

  • Cho, Nam Su;Cha, Sang Won;Shim, Hee Seok;Juh, Hyung Suk;Rhee, Yong Girl
    • Clinics in Shoulder and Elbow
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    • 제19권2호
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    • pp.60-66
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    • 2016
  • Background: Management of massive rotator cuff tears can be challenging because of the less satisfactory results and a higher retear rate regardless of the use of open or arthroscopic repair technique. Methods: We retrospectively analyzed 102 cases of massive rotator cuff tear treated with either open or arthroscopic repair. Open repair was performed in 38 patients; and arthroscopic repair, in 64 patients. The mean age at the time of surgery was 59.7 years in the open group and 57.6 years in the arthroscopic group. Results: The Constant score increased from the preoperative mean of 55.9 to 73.2 at the last follow-up in the open repair group and from 53.8 to 67.6 in the arthroscopic repair group (p<0.001 and <0.001, respectively). The University of California at Los Angeles (UCLA) score increased from a preoperative mean of 17.7 to 30.8 at the last follow-up in the open group and from 17.5 to 28.7 in the arthroscopic group (p<0.001 and <0.001, respectively). No statistically significant difference in the Constant and UCLA scores was observed between the two groups at the last follow-up (p=0.128 and 0.087, respectively). Retear was found in 14 patients (36.8%) in the open group and 39 patients (60.9%) in the arthroscopic group (p=0.024). Conclusions: Open and arthroscopic repairs of massive rotator cuff tears may provide satisfactory clinical results with no significant difference. However, a significantly lower retear rate was observed for the open repair group compared with the arthroscopic repair group.

Clinical and Radiological Outcome after Surgical Treatment in Displaced Clavicular Midshaft Fracture

  • Gwak, Heui-Chul;Kim, Jung-Han
    • Clinics in Shoulder and Elbow
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    • 제19권2호
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    • pp.73-77
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    • 2016
  • Background: The first purpose of this study is to compare the clinical and radiological outcomes of surgical treatment for displaced midshaft clavicle fracture (Robinson type 2B1 vs. 2B2) with 3.5-mm low profile clavicular locking compression plate. The second purpose is to evaluate the difference of the results depending on the presence of accompanying injuries. Methods: Forty-nine patients who underwent an operation for the fractures were reviewed retrospectively. Fracture patterns were classified according to group 2B1 and 2B2 using Robinson's classification. For radiological outcome, time to union after operation was evaluated and for clinical outcome, American Shoulder and Elbow Society (ASES) score, University of California in Los Angeles (UCLA) score, visual analogue scale (VAS), and range of motion (ROM) were evaluated from preoperative period to last follow-up period. Results: The mean time for union was not significantly different in the 2B1 group and 2B2 group (p=0.062). No statistically significant difference in ASES score, UCLA score, and VAS was observed between 2B1 and 2B2 (p=0.619, p=0.896, p=0.856, respectively). In ROM, significant higher mean forward flexion and abduction was observed in 2B2 (p=0.025, p=0.017, respectively) and there was no difference in external rotation and external rotation at shoulder $90^{\circ}$ abduction position (p=0.130, p=0.180, respectively). There was no significant difference in clinical outcomes according to the accompanying injuries. Conclusions: There was no difference in clinical and radiological outcome between Robinson 2B1 and 2B2 type fracture after the operation. Accompanying injuries may not affect the clinical result of displaced midshaft clavicle fractures.

The Experience of Miners Relocated to Alternative Positions due to Silicosis in the Andean of CODELCO, Chile, 2010

  • Delgado, Diemen;Aguilera, Maria De Los Angeles;Delgado, Fabian;Rug, Ani
    • Safety and Health at Work
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    • 제3권2호
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    • pp.140-145
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    • 2012
  • Objectives: To understand the personal experiences of mine workers that have experienced job relocation due to silicosis at the Andina Division of Corporaci$\acute{o}$n Nacional del Cobre (CODELCO), Chile. The purpose of the study was to provide useful information for the development of new local, business and public policies for the care of workers with silicosis. Methods: A qualitative study based on a practical case study of 5 workers. The information was collected by means of structured individual interviews. The method of analysis was phenomenology. Results: The corporal axis was the most commented upon. It included awareness of the illness, body pains, fatigue, and antagonistic mood disorders (sadness, or the difficulty in finding meaning in life). As far as personal relationships, there was evidence of strong relationships with family, coworkers and friends, as well as extended family. Over all, the experience of relocation was positive with periods of impatience and uncertainty. The job reassignment provided a new and pleasant context for the relocated workers and in the process improved their perception of their quality of life. Conclusions: A multidisciplinary team should attend mine workers relocated because of silicosis by addressing the mental and physical aspects of their disease, along with the integral participation of close family members. It is suggested that this investigation be maintain over time to record the personal experiences in the medium-term, adding new cases with the intention of shedding more light on the phenomenon being studied. As a preventive measure, continual workshops are needed on the proper use of respiratory protection in addition, a group of monitors is required.

애드 흑 네트워크에서 부하 균등을 고려한 라우팅 프로토콜 (A Load-balancing Routing Protocol in Ad Hoc Networks)

  • 안상현;임유진;김경춘
    • 한국정보과학회논문지:정보통신
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    • 제30권2호
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    • pp.252-259
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    • 2003
  • AODV나 DSR과 같은 대부분의 기존 애드 혹 라우팅 프로토콜은 현재 사용중인 경로가 혼잡하다 하더라도 네트워크 토폴로지가 변하기 이전에는 새로운 경로를 찾지 못하므로, 노드의 이동성이 낮은 환경에서는 트래픽외 집중 현상이 심화된다. 이동 기기들은 그 성능과 배터리에 한계가 있기 때문에 트래픽이 몇몇 기기들에게 집중되는 경우 다른 노드들에 대한 데이타 중계 서비스를 제공하는데 자신의 자원 대부분을 낭비하도록 강요받게 된다. 따라서 본 논문에서 혼잡 상태외 노드는 더 이상의 데이타 패킷 중계를 포기하고 이를 해당 소스에게 알림으로써 소스가 새로운 우회경로를 설정하도록 하여 트래픽의 집중 현상을 완화시키는 새로운 프로토콜인 SLAP(Simple Load-balancing Ad-hoc routing Protocol)를 제안한다. 또한 중계 트래픽 분산 측면에서 SLAP의 성능을 AODV 및 DSR과 비교한다.

Pore Structure of Calcium Sulfoaluminate Paste and Durability of Concrete in Freeze-Thaw Environment

  • de Bruyn, Kyle;Bescher, Eric;Ramseyer, Chris;Hong, Seongwon;Kang, Thomas H.K.
    • International Journal of Concrete Structures and Materials
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    • 제11권1호
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    • pp.59-68
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    • 2017
  • Mercury intrusion and nitrogen sorption porosimetry were employed to investigate the pore structure of calcium sulfoaluminate ($C{\bar{S}}A$) and portland cement pastes with cement-to-water ratio (w/c) of 0.40, 0.50, and 0.60. A unimodal distribution of pore size was drawn for $C{\bar{S}}A$ cement pastes, whereas a bimodal distribution was established for the portland cement pastes through analysis of mercury intrusion porosimetry. For the experimental results generated by nitrogen sorption porosimetry, the $C{\bar{S}}A$ cement pastes have a smaller and coarser pore volume than cement paste samples under the same w/c condition. The relative dynamic modulus and percentage weight loss were used for investigation of the concrete durability in freeze-thaw condition. When coarse aggregate with good freeze-thaw durability was mixed, air entrained portland cement concrete has the same durability in terms of relative dynamic modulus as $C{\bar{S}}A$ cement concrete in a freeze-thaw environment. The $C{\bar{S}}A$ cement concrete with poor performance of durability in a freeze-thaw environment demonstrates the improved durability by 300 % over portland cement concrete. The $C{\bar{S}}A$ concrete with good performance aggregate also exhibits less surface scaling in a freeze-thaw environment, losing 11 % less mass after 297 cycles.

아로요 파크웨이 조경설계 (Streetscape Design of Arroyo Parkway, Pasadena, California)

  • 정욱주
    • 한국조경학회지
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    • 제32권4호
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    • pp.105-117
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    • 2004
  • The Pasadena Freeway follows the Arroyo Seco through foothills and scenic passes to link Downtown Los Angeles with Pasadena. The approximately 10 mile road was the first freeway built in the West during the 1930's and is today designated as a Historic Parkway. As it approaches Pasadena, it terminates at a traffic light intersection at Glenarm Street, and then becomes a commercial road the Arroyo Parkway. This one and a quarter mile long, north south road moves significant volumes of traffic both into and out of Pasadena. The Arroyo Parkway is thus a major 'gateway' and an important axis of orientation and movement, terminating in the City's core civic, commercial and retail district. Planting, lighting, signage, paving, furnishing and fixtures ought to all be properly designed and coordinated to create a distinctive 'gateway' experience arriving to Pasadena and driving along the Arroyo Parkway. Alternate design studies, developed in discussion with City officials and others involved in the redevelopment of the area, would need to be done to properly decide on the best direction. Issues of heritage and traditional streetscape will likely have to be reconciled with both the reality of the vehicular character of the road and more contemporary themes. Obviously with such large parcels of property available in the Arroyo Fair Oaks corridor, there is a huge potential for redevelopment and building. This potential would only be strengthened by the Light Rail Line and its stations, the improvements to the Arroyo Parkway, and the redevelopment of the Arts Center College of Design. Guides and controls to the development process, including programming and physical design studies, would need to be developed in order to ensure that the maximum potential for the corridor be realized. This concept proposal suggests that the whole strip might be developed as a Arts and Technology corridor, with special emphases on education, public culture, media and lifestyle. The full programming possibilities need to be further developed. Additionally, appropriate urban design guidelines to ensure high quality development also need to be incorporated into an overall development plan.

지진으로 인한 교통망 피해추정 기법 (Seismic Performance of Transportation Networks)

  • 김상훈;;김종인
    • 한국지진공학회논문집
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    • 제8권3호
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    • pp.43-52
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    • 2004
  • 본 연구는 캘리포니아 내 고속도로망을 대상으로 지진발생 후 교통흐름의 변화를 평가하는 기법에 대하여 이루어졌으며, 고속도로망 상에 위치한 교량의 손상정도가 평가기법의 가장 기본적인 요소로 사용되었다. 본 연구에 사용된 교량의 지진취약도는 PGA 또는 PGV의 함수로 나타내어졌고, 1994년 Northridge 지진과 일련의 시나리오 지진에 대하여 교통망 손상 평가를 수행하였다. 또한 교량 보수 및 보강 후 교통망에 대한 피해정도를 정량화하기 위해 확률모델을 개발하였으며, 그 피해정도는 시간(Drivers Delay)으로 나타내었다. 본 연구가 캘리포니아를 대상으로 이루어져 국내적용 및 활용가능성에 대해서는 후속 연구가 뒤따라야 할 것으로 사료된다.

철골 모멘트 골조의 지진해석을 위한 등가 단자유도시스템 (Equivalent SDF Systems Representing Steel Moment Resisting Frames)

  • 한상환;문기훈;김진선
    • 한국지진공학회논문집
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    • 제12권3호
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    • pp.21-28
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    • 2008
  • 다자유도 시스템의 내진 성능을 평가하기 위해서는 반복적인 비선형 시간 이력 해석이 필요하며 이를 위해 많은 계산과정과 노력이 필요하다. 이와 같이 해석에 따르는 어려움을 보완하기 위해 복잡한 다자유도 시스템을 반영할 수 있는 등가 단자유도 시스템을 개발하였다. 등가 단자유도의 이력 모델로는 일반적으로 이선형 모델과 삼선형 모델이 사용된다. 이러한 모델은 탄성 거동 이후 음강성을 가질 수 있도록 하여 지진 발생 시 중력하중에 의한 발생되는 효과를 반영하기 위해서이다. 본 연구에서는 철골모멘트 골조의 실제 응답을 예측하기 위하여 이러한 이력 모델들로 거동하는 등가단자유도 시스템의 필요조건에 대하여 평가하였다. 이를 위해 본 연구에서는 로스엔젤레스 지역의 SAC 9층 모멘트 저항 골조를 비선형 다자유도 시스템과 등가단자유도 시스템으로 모델링하여 반복하중 푸쉬오버 해석, 비선형 시간 이력해석 및 IDA(Incremental Dynamic Analysis)를 수행하여 비교 검토하였다. 또한 본 연구에서는 강도저감 모델에 대해서도 평가를 수행하였다.

Electromyographic evidence for a gestural-overlap analysis of vowel devoicing in Korean

  • Jun, Sun-A;Beckman, M.;Niimi, Seiji;Tiede, Mark
    • 음성과학
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    • 제1권
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    • pp.153-200
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    • 1997
  • In languages such as Japanese, it is very common to observe that short peripheral vowel are completely voiceless when surrounded by voiceless consonants. This phenomenon has been known as Montreal French, Shanghai Chinese, Greek, and Korean. Traditionally this phenomenon has been described as a phonological rule that either categorically deletes the vowel or changes the [+voice] feature of the vowel to [-voice]. This analysis was supported by Sawashima (1971) and Hirose (1971)'s observation that there are two distinct EMG patterns for voiced and devoiced vowel in Japanese. Close examination of the phonetic evidence based on acoustic data, however, shows that these phonological characterizations are not tenable (Jun & Beckman 1993, 1994). In this paper, we examined the vowel devoicing phenomenon in Korean using data from ENG fiberscopic and acoustic recorders of 100 sentences produced by one Korean speaker. The results show that there is variability in the 'degree of devoicing' in both acoustic and EMG signals, and in the patterns of glottal closing and opening across different devoiced tokens. There seems to be no categorical difference between devoiced and voiced tokens, for either EMG activity events or glottal patterns. All of these observations support the notion that vowel devoicing in Korean can not be described as the result of the application of a phonological rule. Rather, devoicing seems to be a highly variable 'phonetic' process, a more or less subtle variation in the specification of such phonetic metrics as degree and timing of glottal opening, or of associated subglottal pressure or intra-oral airflow associated with concurrent tone and stricture specifications. Some of token-pair comparisons are amenable to an explanation in terms of gestural overlap and undershoot. However, the effect of gestural timing on vocal fold state seems to be a highly nonlinear function of the interaction among specifications for the relative timing of glottal adduction and abduction gestures, of the amplitudes of the overlapped gestures, of aerodynamic conditions created by concurrent oral tonal gestures, and so on. In summary, to understand devoicing, it will be necessary to examine its effect on phonetic representation of events in many parts of the vocal tracts, and at many stages of the speech chain between the motor intent and the acoustic signal that reaches the hearer's ear.

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서울시 노원구 도로상 극미세입자 오염도 공간분포 특징 (Characteristics of spatial distribution of ultrafine particle number concentration on the roads of Nowon-gu, Seoul)

  • 이승복;이동훈;이승재;진현철;배귀남
    • 한국입자에어로졸학회지
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    • 제7권1호
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    • pp.21-30
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    • 2011
  • The spatial distributions of air pollutants, in particular, ultrafine particles near traffic congestion roads at urban areas need to reduce human exposure levels for protecting public health. In this study, the number concentrations of ultrafine particles larger than 5 nm were measured every second during driving on the major roads of Nowon-gu, Seoul for 1.6 h using a mobile emission laboratory on October 5, 2010. The ultrafine particle number concentrations ranged from 7,009 to $265,600particles/cm^3$ with an average of $55,570particles/cm^3$, and these levels were comparable to concentrations of ultrafine particles larger than 3 or 7 nm on the arterial roads at urban areas in Los Angeles, USA and Zurich, Switzerland. It was frequently observed that the ultrafine particle number increased rapidly when vehicle speed was accelerated and it decreased sharply when vehicle speed was decelerated. The high peak events of ultrafine particle concentration larger than $200,000particles/cm^3$ were observed seven times during the measurement period. From the three repeated measurements during the short period of 50 min, it was concluded that the ultrafine particle number concentration on the road was significantly time-dependent. This on-road measurement approach can be utilized to manage vehicle-related air pollution in urban.