• Hip & pelvis
• /
• v.35 no.3
• /
• pp.157-163
• /
• 2023

Purpose: This study examined the methods for treatment of femoral neck fracture (FNF) preferred by members of the Korean Hip Society (KHS) and identified factors that influence decisions regarding the surgical intervention of choice. Materials and Methods: A total of 97 members of the KHS responded to the 16-question survey which included questions about the mean number of surgeries performed each month for treatment of femoral neck fractures, the cut-off age for deciding between internal fixation and arthroplasty, the implant used most often, usage of cement, and factors influencing each decision. Results: The mean cut-off age used when deciding between internal fixation and arthroplasty was 64 years old. Hemiarthroplasty (HA) (70%) was the most preferred option for treatment of displaced FNFs in cases where arthroplasty was indicated (total hip arthroplasty [THA] 19% and dual mobility THA 11%). The main reasons for selection of arthroplasty over reduction with internal fixation were age and pre-fracture ambulatory status. Pre-trauma ambulatory status and/or sports activity were the main factors in selection of HA over THA. Cement was used by 33% of responders. Poor bone quality and a broad femoral canal were factors that influenced the usage of cement. Conclusion: Management of FNFs in the elderly is a major health problem worldwide; thus, remaining alert to current trends in treatment is essential for surgeons. The mean cut-off age used in deciding between internal fixation and arthroplasty was 64 years old. HA is the preferred method for treatment of displaced FNFs for members of the KHS.

• Journal of the Korean Society of Radiology
• /
• v.83 no.2
• /
• pp.304-316
• /
• 2022

Purpose To evaluate the effect of the emergence of coronavirus disease-19 (COVID-19) on pediatric intussusception. Materials and Methods Patients (< 18 years) who were diagnosed with intussusception and received enema reduction from 2011 to 2020 were included. We reviewed the demographics, yearly/monthly/seasonal incidence of intussusception, method and failure rate of enema reduction, recurrence rate of intussusception, surgical record, and pathologic report. Subsequently, we investigated the differences in mean age, failure rate of enema reduction, and recurrence rate of intussusception between the cases in 2020 and those in the period from 2011 to 2019. Results A total of 859 enema reductions were performed during the past decade, more in males and in the age < 1 year (mean age, 22.2 months). The yearly incidence was highest in 2014 and lowest in 2020, and the monthly incidence was highest on December and September. The cases in 2020 (n = 27) had a lower mean age (18.1 months vs. 22.8 months), higher failure rate of enema reduction (7.4% vs. 2.4%), and higher recurrence rate of intussusception (14.8% vs 7.3%) compared with those that occurred between 2011 and 2019 (n = 832). However, these results did not show statistical significance (p = 0.07, p = 0.15, p = 0.14, respectively). Conclusion With the emergence of COVID-19, the number of enema reductions was remarkably decreased with a lower mean age, higher failure rate, and higher recurrence rate.

• Journal of Mechanical Science and Technology
• /
• v.16 no.7
• /
• pp.986-998
• /
• 2002

Flow and spray characteristics are critical factors that affect the performance and exhaust emissions of a direct injection diesel engine. It is well known that the swirl control system is one of the useful ways to improve the fuel consumption and emission reduction rate in a diesel engine. However, until now there have only been a few studies on the effect of flow on spray. Because of this, the relationship between the flow pattern in the cylinder and its influence on the behavior of the spray is in need of investigation. First, in-cylinder flow distributions for 4-valve cylinder head of DI (Direct Injection) Diesel engine were investigated under steady-state conditions for different SCV (Swirl Control Valve) opening angles using a steady flow rig and 2-D LDV (Laser Doppler Velocimetry). It was found that swirl flow was more dominant than that of tumble in the experimented engine. In addition, the in-cylinder flow was quantified in terms of swirl/tumble ratio and mean flow coefficient. As the SCV opening angle was increased, high swirl ratios more than 3.0 were obtained in the case of SCV -70° and 90°. Second, spray characteristics of the intermittent injection were investigated by a PDA (Phase Doppler Anemometer) system. A Time Dividing Method (TDM) was used to analyze the microscopic spray characteristics. It was found that the atomization characteristics such as velocity and SMD (Sauter Mean Diameter) of the spray were affected by the in-cylinder swirl ratio. As a result, it was concluded that the swirl ratio improves atomization characteristics uniformly.

• Journal of Korean Neurosurgical Society
• /
• v.42 no.1
• /
• pp.16-19
• /
• 2007

Objective : This report describes the clinical study of the surgical method of lateral third infraclavicular implantation of vagal nerve stimulation (VNS) generator through the axillary wrinkle incision. Methods : In a retrospective study, the data for 20 patients with medically intractable epilepsy treated by this approach were examined. The mean age was 31.4 years (range : 14-50), and the mean follow-up period was 12.15 months (range : 4-21 months). The male to female ratio was 2.3 : 1. The subcutaneous pocket for the generator was located in the lateral third infraclavicular area through the axillary wrinkle. Our method was a modification of the standard VNS generator implantation in the mid-infraclavicular pocket through anterior axillary incision. Results : There were the excellent or good cosmetic satisfaction in 95% of the cases and fair in 5%. The generator was located outside the lung field in 15%, periphery of the lung field in 45%, and crossed over the lung field in 40%. Discomfort from shoulder motion occurred transiently in 35% of cases. Other complications were minimal. Conclusion : These results demonstrate that the lateral third infraclavicular apporach will offers cosmetic benefits and reduction of obscuration of the lung field without serious complications. Thus, this technique provides an attractive alternative among the surgical techniques for the vagal nerve stimulation.

• Journal of Korean Foot and Ankle Society
• /
• v.17 no.1
• /
• pp.52-59
• /
• 2013

Purpose: The purpose of this study is to evaluate treatment results of multidisciplinary approach of critical ischemic limb with diabetic foot. Materials and Methods: From March 2005 to March 2012, 674 diabetic foot patients were analyzed. Among them, 85 patients were neuroarthropathic type, 383 patients were infectious type, and 206 patients were ischemic type. The subjects were 206 patients who had critical ischemic limbs and major or minor amputations were done. Various single or combined treatment method before amputation was performed. We investigated their ABI, HbA1c, main occlusion lesion, limb salvage and hospitalization period by various treatment method. Results: Major amputation was 27 cases, minor amputation was 179 cases. Mean HbA1c was 8.2%, and mean ABI was 0.66. Main occlusion lesion was 6 cases at common iliac artery, 13 cases at external iliac artery, 9 cases at internal iliac artery, 11 cases at common femoral artery, 23 cases at deep femoral artery, 52 cases at superficial femoral artery, 35 cases at popliteal artery, 40 cases at posterior tibia artery, 35 cases at anterior tibial artery, 28 cases at peroneal artery, and 13 cases at dorsalis pedis artery. Major amputations were decreased, minor amputations were increased, and hospitalization period was reduced by treatment of multidisciplinary approach. Conclusion: Treatment of multidisciplinary approach, which include preoperation percutaneus transluminal angioplasty, vascular surgery, and amputation, of critical ischemic limb with diabetic foot had advantages of limb salvage and hospitalization period reduction.

• Journal of Biomedical Engineering Research
• /
• v.37 no.2
• /
• pp.61-67
• /
• 2016

This paper presented a method for random forest based the arrhythmia classification using both heart rate (HR) and heart rate variability (HRV) features. We analyzed the MIT-BIH arrhythmia database which contains half-hour ECG recorded from 48 subjects. This study included not only the linear features but also non-linear features for the improvement of classification performance. We classified abnormal ECG using mean_NN (mean of heart rate), SD1/SD2 (geometrical feature of poincare HRV plot), SE (spectral entropy), pNN100 (percentage of a heart rate longer than 100 ms) affecting accurate classification among combined of linear and nonlinear features. We compared our proposed method with Neural Networks to evaluate the accuracy of the algorithm. When we used the features extracted from the HRV as an input variable for classifier, random forest used only the most contributed variable for classification unlike the neural networks. The characteristics of random forest enable the dimensionality reduction of the input variables, increase a efficiency of classifier and can be obtained faster, 11.1% higher accuracy than the neural networks.

• Journal of Environmental Science International
• /
• v.13 no.12
• /
• pp.1109-1115
• /
• 2004

This study was investigated the residual contents of sulfur dioxide on the 373 kinds of herbal medicine distributed from Korea, China, and Japan. A modified Monier-Williams method was described for the determination of $SO_{2}$ contents in herbal medicines. The residual contents of $SO_{2}$ were not detected at 221 products$(59.8{\%})$ in total 373 products. Regardless of region, $SO_{2}$ contents were not found at Farfarae Flos, Zizyphi Spinosi Semen, Castanea crenata, and Strychni Ignatii Semen. But it's found at Asparagi Radix, Codonopsitis Radix, Lilii Bulbus, and Kaempferiae Rhizoma of every region collected the samples. Also, $SO_{2}$ contents were not detected at the herbal medicines which collected cultural fields of dometic. $SO_{2}$ contents ranged 11$\~$3990 mg/kg(mean 152 mg/kg) at domestic samples, 11$\~$3440 mg/kg(mean 603 mg/kg) at imported samples. After treated with water wash and hot water extraction, the reduction rates of sulfur dioxide were appeared with $24.4{\%}\~68.7{\%}\;and\;83.8{\%}\~100.0{\%},$ respectively. These data will be used to establish a criteron of residual sulfur dioxide in herbal medicines.

• Korean Journal of Remote Sensing
• /
• v.23 no.4
• /
• pp.273-285
• /
• 2007

Most stereo matching methods use intensity values in small image patches to measure the correspondence between two points. If the noisy pixels are used in computing the corresponding point, the matching performance becomes low. For this reason, the noise plays a critical role in determining the matching performance. In this paper, we propose a method for combining intensity and edge filters robust to the noise in order to improve the performance of stereo matching using high resolution satellite imagery. We used intensity filters such as Mean, Median, Midpoint and Gaussian filter and edge filters such as Gradient, Roberts, Prewitt, Sobel and Laplacian filter. To evaluate the performance of intensity and edge filters, experiments were carried out on both synthetic images and satellite images with uniform or gaussian noise. Then each filter was ranked based on its performance. Among the intensity and edge filters, Median and Sobel filter showed best performance while Midpoint and Laplacian filter showed worst result. We used Ikonos satellite stereo imagery in the experiments and the matching method using Median and Sobel filter showed better matching results than other filter combinations.

• Smart Structures and Systems
• /
• v.16 no.1
• /
• pp.141-162
• /
• 2015

The magneto-rheological visco-elastomer (MRVE) is used as a smart core to control the stochastic micro-vibration of a sandwich plate with supported mass. The micro-vibration response of the sandwich plate with MRVE core and supported mass under stochastic support motion excitations is studied and compared to evaluate the vibration suppression capability. The effects of the supported mass and localized magnetic field on the stochastic micro-vibration response of the MRVE sandwich plate are taken into account. The dynamic characteristics of the MRVE core in micro-vibration are described by a non-homogeneous complex modulus dependent on vibration frequency and controllable by applied magnetic fields. The partial differential equations for the coupled transverse and longitudinal motions of the MRVE sandwich plate with supported mass are derived from the dynamic equilibrium, constitutive and geometric relations. The simplified ordinary differential equations are obtained for the transverse vibration of the MRVE sandwich plate under localized magnetic fields. A frequency-domain solution method for the stochastic micro-vibration response of sandwich plates with supported mass is developed based on the Galerkin method and random vibration theory. The expressions of frequency-response functions, response power spectral densities and root-mean-square velocity responses of the plate in terms of the one-third octave frequency band are obtained for micro-vibration evaluation. Finally, numerical results are given to illustrate the large response reduction capacity of the MRVE sandwich plate with supported mass under stochastic support motion excitations, and the influences of MRVE parameters, supported mass and localized magnetic field placement on the micro-vibration response.

• Asian-Australasian Journal of Animal Sciences
• /
• v.16 no.10
• /
• pp.1438-1442
• /
• 2003

A method for the determination of nitrogen in ruminant feedstuffs, products and excreta (e.g. milk and urine) using a spectrophotometer is developed, where samples processed for P determination are also used to determine N. Samples are digested with sulphuric acid and subsequently with hydrogen peroxide in Kjeldahl tubes. Digested solutions along with phenol and buffered alkaline hypochlorite reagents are incubated in a water bath at $37^{\circ}C$ for 30 min and presented in the spectrophotometer. The spectrophotometer set at 625 nm measures the concentration of N of each sample. Nitrogen in 261 of the samples was also determined by the classical Kjeldahl method in order to develop a relationship between N determined by the Kjeldahl method (Y) and the colorimetric method (X). The mean value of Y was as high as that of X (0.92 vs. 0.96; p>0.05). The colorimetric method predicted Kjeldahl N highly significantly (Y=0.985X-0.024, $R^2=0.993$, p<0.001; or more simply Y=0.974X, $R^2=0.993$, p<0.001). An analysis of regression found no difference (p>0.05; both t-test and F-test) between colorimetric (0.96% N) and adjusted (0.96% N) N. In comparison with the Kjeldahl method, the analytical capacity of N by colorimetric method increases greatly, where 200-300 determinations of N are possible in a working day. In addition, the system provides an opportunity to use not only the same digested solution for both N and P determination of a particular sample, but also uses the same spectrophotometer to assay both N and P. Therefore, the system may be attractive in situations where both elements of a sample are to be determined. In conclusion, the speed of N determination, low cost, efficient use of labour, time and reagents, fewer items of equipment, and the reduction of environmental pollution by reducing effluent and toxic elements are the advantages of this method of N determination.