• Title/Summary/Keyword: MIS 5a

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Minimally Invasive Transforaminal Lumbar Interbody Fusion Using a Single Interbody Cage and a Tubular Retraction System : Technical Tips, and Perioperative, Radiologic and Clinical Outcomes

  • Lee, Chang-Kyu;Park, Jeong-Yoon;Zhang, Ho-Yeol
    • Journal of Korean Neurosurgical Society
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    • v.48 no.3
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    • pp.219-224
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    • 2010
  • Objective : A minimally invasive transforaminal lumbar interbody fusion (MIS TLlF) has recently been introduced. However, MIS TLlF is a technically challenging procedure. The authors performed retrospective analysis about MIS TLlF using a single interbody cage. Methods : Twenty-eight consecutive patients were treated by MIS TLlF. Of these 28 patients, 20 patients were included in this retrospective study. Perioperative, clinical, and radiologic outcomes were assessed. Clinical outcomes were assessed using Oswestry Disability Index (ODI) and Visual Analogue Scores (VAS). Fusion rates and cross-sections of operated spinal canals were assessed by CT. Results : Twelve patients underwent MIS TLlF at one segment and 8 patients at two segments (L3/4: 4, L4/5: 17, L5/S1: 7). Operation time for a single segment was 131.7 min and for two segment was 201.4 min, and corresponding blood losses were 208.3 mL and 481.2 mL, respectively. ODI and VAS scores were significantly improved at 6 months postop (ODI from 30.32 to 15.54, VAS from 7.80 to 2.20, p = 0.001) Twenty-two segments (78.6%) achieved grade I fusion, 4 segments (14.3%) achieved grade II, 2 segments (7.1%) achieved grade III and 0 segments achieved grade IV at 12 months. Postoperatively at 12 months, spinal canal cross sectional areas at disc spaces significantly increased from 157.5 to $294.3\;mm^2$ (p = 0.012). Conclusion : MIS TLlF achieved good clinical outcomes and high fusion rates. Our findings show that MIS TLlF performed with a single Interbody cage and a tubular retractor system can be used as a standard MIS TLlF technique.

Formative Age of Coastal Terraces and Uplift Rate in the East Coast of South Korea (우리나라 동해안의 해안단구 형성시기와 융기율)

  • Park, Chung-Sun;Kihm, You Hong;Nahm, Wook-Hyun;Lee, Gwang-Ryul
    • Journal of The Geomorphological Association of Korea
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    • v.24 no.4
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    • pp.43-55
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    • 2017
  • This study tries to examine papers on coastal terrace in the East Coast of South Korea and to summarize formative age and elevation of the terrace. Spatial and temporal variations of uplift rate in the Coast based on absolute age published are also reviewed. The terrace in the middle part in the Coast from Goseong to Samcheok distributes in an elevation of 10-20 m and its formative age is MIS 5a. The terraces during MIS 5e and 7 develop on an elevation of 20-35 m and 60-80 m, respectively. The mid-southern part in the Coast from Uljin to Yeongil Bay has the terraces with elevations of 10-25 m and 25-45 m and their ages are MIS 5a or 5c and 5e, respectively. The terraces with elevations of 10-25 m and 30-45 m correspond to MIS 5a and 5e, respectively, in the southern part in the Coast from Homigot to Busan. Assuming that elevation of sea level during the formation of each terrace is the same as in the present time, uplift rates in the Coast range from 0.05 to 1.36 m/ky with an average of approximately 0.33 m/ky. The highest and lowest rates since MIS 5 are found in the Gyeongju (approximately 0.39 m/ky) and Pohang (approximately 0.19 m/ky) areas. With a consideration of elevation of sea level at that time, however, the middle, midsouthern and southern parts in the Coast show uplift rates of 0.16-0.28 m/ky, 0.20-0.36 m/ky and 0.24- 0.36 m/ky since MIS 5, respectively, suggesting that the southern part in the Coast has experienced relatively higher uplift rate.

A Marine Terrace Correlated to MIS 5e on the Basis of Pollen Analysis at Sanha-Dong, Ulsan, Southeastern Coast of the Korean Peninsula (화분분석에 의한 한국 남동부 해안 산하동 일대의 MIS 5e 대비 해성단구 동정)

  • Choi, Seong Gil;Shin, Hyeoncho;Park, Ji Hoon
    • Journal of The Geomorphological Association of Korea
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    • v.24 no.3
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    • pp.1-11
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    • 2017
  • The pollen analysis on the deposits of the lower marine terrace I of the estimated paleoshoreline height of 18m was performed in order to estimate the formation age of this terrace developed at the Sanha-dong coast, Ulsan, southeastern coast of the Korean peninsula. The pollen assemblage of the peat layer of SH-1 pollen zone (Quercus-Ulmus/Zelkova zone), lying directly on the marine rounded pebble layer of this terrace, shows that the climatic environment of the deposition period of SH-1 pollen zone was almost similar to that of the Postglacial climatic optimum period, but slightly cooler than that of the late warm stage of Last Interglacial(MIS 5a) in the eastern coast of Korea. This heightens the possibility that the deposition period of the marine rounded pebble layer which was covered by the above SH-1 peat layer is the MIS 5e which has been estimated by a previous study of the sedimentary facies of this terrace deposits (Choi, 2016). The pollen assemblage of SH-2 pollen zone (Pinus-Quercus zone) shows that the climate of this period was almost similar to that of the late Postglacial, but slightly cooler than that of the period of SH-1 pollen zone. This means that the climate around the Sanha-dong was still warmer in the deposition period of the peat layer of SH-2 pollen zone. Thus, the peat layer of SH-2 pollen zone was considered to have been deposited during the period from the early regression stage of the MIS 5d which is the estimated final stage in the deposition period of the above peat layer of SH-1 pollen zone to any stage in which the warmer environment of MIS 5 has still lasted. The humic silt layer of SH-3 pollen zone (Pinus-Ulmus/Zelkova-Abies zone) is assumed to have been deposited during the interstadial of the Last Glacial (MIS 3).

Mis-Match Limit Load Analyses and Approximate J-Integral Estimates for Similar Metal Weld with Weld-Center Crack Under Tension Load (용접부 중앙에 표면균열이 존재하는 인장 평판에 대한 강도 불일치 한계하중 해석 및 간략 J-적분 예측)

  • Song, Tae-Kwang;Kim, Yun-Jae;Kim, Jong-Sung;Jin, Tae-Eun
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.32 no.5
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    • pp.411-418
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    • 2008
  • In this work, the effect of strength mismatch on plastic limit loads is quantified for similar metal weld plates with cracks under tension load, via three-dimensional, small strain elastic-perfectly plastic finite element analyses. Relevant variables related to plate geometry and crack length are systematically varied, in addition to the weld width. An important finding is that mis-match limit loads can be uniquely quantified through strength mis-match ratio and one geometry-related parameter. Based on the proposed limit load solutions, reference stress based J-integral estimates is also investigated. When the reference stress is defined by the mis-match limit load, predicted J-integral values agree overall well with FE results.

Morphological Correlation and Chronology of Lower Terrace Formations of Southeastern Coast of Korea (한국 남동해안 저위단구 퇴적층의 지형대비 및 형성시기 고찰)

  • Choi, Weon-Hack;Kim, Ju-Yong
    • Proceedings of the Korean Quaternary Association Conference
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    • 2005.10a
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    • pp.48-54
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    • 2005
  • Terrace morphology is so conspicuous in the south eastern coastal areas. Coastal terraces can be divided into 5 main surfaces, including beach and coastal alluvial plain(AP, $4{\sim}5m$), Low Terrace(LT, 8 $^{\sim}$ 25m), Middle Terrace(MT, 36 $^{\sim}$ 55m), High Terrace(HT, 63 $^{\sim}$ 86m) and upper High Terrace(uHT, above 90m). Among them Lower Terrace Formation is distributed between 8m and 20m in altitude. Both Tephra deposited of LT2 formation and OSL datings of sand layers in LT 2 and LT 3 Formations support the age of the LT 2 formation is MIS 5d or 5e, most probably 5e. The age of LT 3 is interpreted MIS 5a, based on tephra production in organic mud layers and OSL dating of sand deposits just above the beach pebbles of the LT 3. Particularly the transgression, possibly equivalent to the well-known Monastirrian episode in the Mediterranean Sea.

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Marine Terrace of Daebo-Guryongpo-Gampo, SE Korea(II) (대보-구룡포-감포 지역의 해안단구(II))

  • 최성자
    • Economic and Environmental Geology
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    • v.37 no.2
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    • pp.245-253
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    • 2004
  • The 36km-long Daebo-Campo coast has a well-developed marine terraces divided to six steps by elevation of paleoshoreline : 0.5 m(T1), 10 m(T2), 30 m(T3), 40 m(T4), 60 m(T5) and 75 m(T6). The 2$^{nd}$ and 3$^{nd}$ platforms in Daebo to Guryongpo are wider and more distinctive than those of Guryongpo to Gampo. The 3$^{nd}$ terrace of 30 m high is subdivided to two flights as lower(T3b) and upper(T3a) by old sea cliff. Platform age is unclear because of coral fossil free. However, the terrace age could be determined with convergent OSL ages from beach sediments on 2$^{nd}$ step(T2). OSL ages of the terrace of 10 m high range in 60-70 ka. It reveals that the 2$^{nd}$ -step platform correlates to Oxygen Isotope Time scale, substage 5a(ca. 80 ka), and that uplift rate is ca. 0.19 m/ka for 2$^{nd}$ terrace at Daebo-Campo coast. If considering equivalent uplift rate for all terraces since the Late Pleistocene, the 3$^{rd}$ and 4$^{th}$ terraces would be 5e substage and 7 stage. The 30 m-high terrace provides a good indicator for uplift at Daebo-Gampo coast since 125,000 yrs(MIS 5e). It suggests that the local neotectonic deformation might cause an optional uplift rate of ca. 0.19 m/ka along the SE coast of Korea.

Real-world Nationwide Outcomes of Minimally Invasive Surgery for Advanced Gastric Cancer Based on Korean Gastric Cancer Association-Led Survey

  • Sin Hye Park;Mira Han;Hong Man Yoon;Keun Won Ryu;Young-Woo Kim;Bang Wool Eom;The Information Committee of the Korean Gastric Cancer Association
    • Journal of Gastric Cancer
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    • v.24 no.2
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    • pp.210-219
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    • 2024
  • Purpose: The study aimed to investigate real-world surgical outcomes of minimally invasive surgery (MIS) for advanced gastric cancer using Korean Gastric Cancer Association (KGCA)-led nationwide data. Materials and Methods: A nationwide survey of patients who underwent surgical treatment for gastric cancer in 2019 was conducted by the KGCA. A total of 14,076 patients from 68 institutions underwent surgery, and 4,953 patients diagnosed with pathological stages IB-III gastric cancer were included. Among them, 1,689 patients who underwent MIS (MIS group) and 1,689 who underwent the open approach (open group) were matched using propensity score in a 1:1 ratio. Surgical outcomes were compared, and multivariate analysis was performed to identify the independent factors for overall morbidity. Results: The MIS group had a lower proportion of D2 lymphadenectomy, total omentectomy, and combined resection. However, the number of harvested lymph nodes was higher in the MIS group. Better surgical outcomes, including less blood loss and shorter hospital stay, were observed in the MIS group, and the overall morbidity rate was significantly lower in the MIS group (17.5% vs. 21.9%, P=0.001). The mortality rates did not differ significantly between the 2 groups. In the multivariate analysis, the minimally invasive approach was a significant protective factor against overall morbidity (odds ratio, 0.799; P=0.006). Conclusions: Based on the Korean nationwide data, MIS for stage IB-III gastric cancer had better short-term outcomes than the open approach, including lower rates of wound complications, intra-abdominal abscesses, and cardiac problems.

Optically Stimulated Luminescence Dating on the Quaternary deposits in Yonghan-ri, Heunghae-eup, Pohang City, South Korea (포항시 흥해읍 용한리지역에 분포하는 제4기 퇴적층의 OSL 연대)

  • JUNG, Hea Kyung;Kim, Cheong Bin
    • Journal of The Geomorphological Association of Korea
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    • v.26 no.4
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    • pp.141-145
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    • 2019
  • This study investigated Quaternary sand deposits in the process of surveying Quaternary deposits distributed in Yonghan-ri, Heunghae-eup, Pohang city. Field geological surveys were conducted and OSL dating samples were taken. The altitude of the Quaternary sand deposits layer is about 15m, and there are two upper and lower sand dune layers, and a peat layer is developed between them. The sampling point are just above the peat layer, and the altitude level is about 13.4m (YHO-1) and about 13.7m (YHO-2). OSL dating was performed for YHO-1 and YHO-2 and the results were 69 ± 6 ka and 62 ± 5 ka, respectively. The date analyzed are interpreted as MIS 4. On the other hand, the formation time of the peat layer at an altitude of about 13.2 to 13.7m can be compared with the results of the OSL dating of the above sandy deposits. The peat layer can be inferred to have formed during MIS 5a or earlier.

Analysis of the Factors Affecting MIS Success : Focusing on the Small Business of Manufacturing Industry in Korea (경영정보시스템의 성공과 실패에 대한 요인 분석 : 우리나라 제조업 분야의 중소기업을 중심으로)

  • Kang, Byeong-Gu
    • Asia pacific journal of information systems
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    • v.5 no.1
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    • pp.236-257
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    • 1995
  • Not much attention has been paid to the characteristics of successful MIS in small business in Korea. This study compares the characteristics of successful MIS with those of less successful MIS of manufacturing industry in Korea in terms of micro level, macro level, and personal level. The micro level consists of those variables relating to the system development and maintenance while the macro level consists of the environmental variables relating to the information systems. The personal level measures a personal EDP experience. A mail survey was sent to small manufacturing companies to collect the data for the hypothesis tests. And 81 usable questionnaires were returned for data analysis. This study performs the validity of the categorization of variables in terms of three levels. The results shows that this categorization is appropriate but the personal level. As the personal experiences of EDP in Korea used to come up with those of the organization, the variables in the personal level have high correlations with those in the macro level in empirical testing. As the personal level, however, is different dimension from the macro level in theoretical aspect, the level is maintained separately throughout the study. The data were analyzed with MANOVA and two group discriminant analysis. The analyses reveal that the characteristics of successful MIS are different from those of less successful MIS in terms of three levels. And the micro level is more important than the macro level to develop successful MIS. That is because the organizations have relatively few experience in dealing with information systems, they have not developed unique information systems which are adjusted to their organizational characteristics. Those findings seems to be important determinants of success for the MIS in a firm.

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Characteristics of Pd-MIS devices on hydrogen gas sensing (Pd-MIS 소자의 수소가스 검지 특성)

  • Yi, Cheal W.;Cha, Won I.;Shin, Chee B.;Yun, Kyung S.;Ju, Jeh B.
    • Transactions of the Korean hydrogen and new energy society
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    • v.3 no.2
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    • pp.17-24
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    • 1992
  • Hydrogen gas sensors were fabricated after the form of metal/insulator/semiconductor(MIS) structure on a p-type silicon wafer and a insulating layer (silicon dioxide) thickness was changed from $500{\AA}$ to $5000{\AA}$. Their electrical properties were investigated with the variation of the hydrogen gas concentration at room temperature. At the applied forward bias of lV to both ends of Pd-MIS sensors the current was decreased logarithmically with the increase of hydrogen concentration in air. In the case of a thin $SiO_2$ layered ($500{\AA}$) sensor the current ratio was decreased to 25 % at 1 % of hydrogen concentration in air and 50% for a thick $SiO_2$ layered ($5000{\AA}$) sensor. And the response time of the thick insulating layered sensor to 1% hydrogen containing air was about 50 seconds and regeneration time was 2.5 minutes. When a 0.5mA current was appied to the thick insulating layered sensor the maximun voltage shift was calculated to 0.8V in the case of ${\theta}$ = 1 and the Pd surface coverage of hydrogen was increased logarithmically with hydrogen partial pressure.

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