• Title/Summary/Keyword: Mesh Fusion

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The Efficacy of Titanium Mesh Cage in Tuberculous Spondylitis Treated with Anterior Intervertebral Fusion (척추 결핵의 전방유합술시 Titanium Mesh Cage의 효과)

  • Jeong, Ju-Ho;Lee, Sang-Gu;Yoo, Chan-Jong;Han, Ki-Soo;Kim, Woo-Kyung;Kim, Young-Bo;Park, Cheol-Wan;Lee, Uhn
    • Journal of Korean Neurosurgical Society
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    • v.30 no.8
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    • pp.998-1003
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    • 2001
  • Objective : The maintenance of the correction of kyphotic deformity is one of the difficult problem in tuberculous spondylitis after anterior debriment and fusion with tricortical bone graft. The goal of this study is to find out the efficacy of titanium mesh cage impacted with autogenous bone chip in tuberculous spondylitis treated with anterior intervertebral fusion. Materials and Method : Twelve patients were treated with anterior intervertebral fusion using titanium mesh cage for tuberculous spondylitis from January 1996 to June 1999. We analized the changes in the correction of kyphotic deformity, changes of ESR and CRP, fusion state and recurrence after anterior intervertebral fusion with titanium mesh cage. Results : Clinical symptoms were improved in all twelve patients without any neurologic complications. The mean kyphotic angle corrected was 7.3 degrees immediately after operation, but the loss of correction of kyphotic angle was 2.2 degrees after 3 months and 2.6 degrees after 6 months. We found that the loss of correction of kyphotic deformity occurred mainly within the first 3 months after surgery. Only one patient, suffered from acute hepatic failure after first operation and had an insufficient anti-tuberculous medication therapy, showed recurrence of tuberculous spondylitis after 6 months. The patient underwent a second operation with posterior fixation procedure with good outcome. The changes of ESR and CRP were not specifically important factor to reveal recurrence of tuberculosis of the spine in our series. Conclusion : The surgical procedure of tuberculous spondylitis using titanium mesh cage with bone chip seems to be an effective procedure to minimize loss of the correction of kyphotic deformity without any aggravating inflammatory change and recurrence with titanium mesh cage, when sufficient debridement and anti-tuberculous chemotherapy are achieved.

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A Study of Time Synchronization Methods for IoT Network Nodes

  • Yoo, Sung Geun;Park, Sangil;Lee, Won-Young
    • International journal of advanced smart convergence
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    • v.9 no.1
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    • pp.109-112
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    • 2020
  • Many devices are connected on the internet to give functionalities for interconnected services. In 2020', The number of devices connected to the internet will be reached 5.8 billion. Moreover, many connected service provider such as Google and Amazon, suggests edge computing and mesh networks to cope with this situation which the many devices completely connected on their networks. This paper introduces the current state of the introduction of the wireless mesh network and edge cloud in order to efficiently manage a large number of nodes in the exploding Internet of Things (IoT) network and introduces the existing Network Time Protocol (NTP). On the basis of this, we propose a relatively accurate time synchronization method, especially in heterogeneous mesh networks. Using this NTP, multiple time coordinators can be placed in a mesh network to find the delay error using the average delay time and the delay time of the time coordinator. Therefore, accurate time can be synchronized when implementing IoT, remote metering, and real-time media streaming using IoT mesh network.

Esophageal Fistula Related to Anterior Cervical Spine Surgery after Severe Cervical Trauma (심한 경추부 외상후에 전방 경추부 수술후 발생한 식도의 누공)

  • Paeng, Sung Hwa
    • Journal of Trauma and Injury
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    • v.25 no.4
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    • pp.278-282
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    • 2012
  • An esophageal perforation following anterior cervical fusion is rare. Early development of an esophageal perforation after anterior cervical fusion is usually due to iatrogenic injury from retraction, injury associated with the original traumatic incident, improperly placed instruments or a bone graft. A 31-year-old man had a cervical dislocation and spinal cord injury because of severe cervical trauma after a traffic accident. He was quadriplegic and had no feeling below T4 dermatome. Anterior decompression of the cervical spine and anterior fusion with mesh with autobone were performed. An esophagocutaneous fistula occurred 7 days after anterior cervical surgery. A second anterior surgery was done because of pus drainage. The mesh was changed with an iliac bone graft, and the esophagocutaneous fistula site was primary repaired, but pus continued to drain. Conservative treatment, which consisted of wound drainage and intravenous administration of antibiotics, was tried, but was unsuccessful. After all, we removed the plate and screws, but did not removed the iliac bone graft, We closed the esophageal fistula, and transposed the sternocleidomastoid muscle flap to the interspace between the esophagus and the cervical spine. The wound to the esophagus was well repaired. In conclusion, precautionary measures are needed to avoid the complication, and adequate treatment is necessary to resolve those complications when they occur.

Multi-Level Anterior Interbody Fusion with Internal Fixation in Cervical Spine (다분절 경추 유합 및 내고정 수술결과)

  • Jeon, Woo-Youl;Bae, Jang-Ho;Jung, Byoung-Woo;Kim, Seong-Ho;Kim, Oh-Lyong;Choi, Byung-Yon;Cho, Soo-Ho
    • Journal of Korean Neurosurgical Society
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    • v.30 no.sup1
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    • pp.55-60
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    • 2001
  • Objective : The purpose of the present study was to examine neurologic changes, fusion rate and degree of kyphosis from the surgical results of those patients who underwent multi-level anterior interbody fusion and internal fixation. Methods : Among 63 cases of the patients who received multi-level anterior interbody fusion and internal fixation in 5 years between 1995 to 1999 at the neurosurgery department, we performed a retrospective study in 52 cases that could be followed up with dynamic view imaging ; the results were compared and analyzed. The analysis was based on the results of history taking, physical findings and radiologic findings, and Odom criteria were used to classify those cases with neurologic changes. Results : Among those 52 cases in whom the follow-up was possible for at least a year and dynamic view imaging was possible, bone fusion was seen in 93% of the trauma cases and 95% in the non-trauma cases and overall bone fusion was observed in 94% of the cases. Bone fusion was seen in 93% of the autobone cases, 95% of the allobone cases, and 94% of the Mesh cases. Radiologic changes were observed by comparing the lateral view after surgery ; kyphosis was seen in 53% of the autobone cases, in 70% of the allobone cases, and in 35% of Mesh cases ; in 45% and 60% of the non-trauma cases and trauma cases, respectively ; and in 55% of the 2 level fusion cases and 46% of the 3 level fusion cases. Neurologic changes classified according to Odom criteria showed excellent result in 48% of all the cases, good in 23%, fair in 4%, and poor in 25%. Conclusion : Even those cases with multi-level fusion, a high fusion rate could be obtained by performing anterior interbody fusion and internal fixation ; those cases with kyphosis were related more with the presence or absence of posterior compartment injury rather than the fusion level ; and those trauma cases showed not much difference in the fusion rate compared with non-trauma cases but had a high possibility of kyphosis.

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Functional Outcomes of Subaxial Spine Injuries Managed With 2-Level Anterior Cervical Corpectomy and Fusion: A Prospective Study

  • Jain, Vaibhav;Madan, Ankit;Thakur, Manoj;Thakur, Amit
    • 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.

Transparent Rectangular Patch Antenna Using Square Metal Mesh Transparent Electrode (정방형 메탈메쉬 투명전극을 이용한 투명 사각 패치 안테나)

  • Kang, Seok Hyon;Jung, Chang Won
    • The Journal of Korean Institute of Electromagnetic Engineering and Science
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    • v.29 no.4
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    • pp.277-284
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    • 2018
  • This paper reports the transparent electrode, which would be applied to transparent displays and smart glasses. Herein, a squared metal mesh with the most widely used copper wire in microwaves is studied for the alternating thin-film-type transparent and conducting indium tin oxide(ITO), with a low conductivity(sheet resistance > $5{\Omega}/sq.$). The electromagnetic performance of a patch antenna with metal mesh is analyzed. This paper presents the results of the optical(OT, optical transparent) and electrical(sheet resistance) characteristics of a squared metal mesh, which is a basic design. To improve the OT, copper wire(w=0.2 mm) is used in fabricating the squared metal mesh and the relationship between the OT and the antenna performance(radiation gain, radiation pattern) was analyzed according to the mesh size(l=1, 2 mm). The measurement results show that the antenna performance and the optical characteristic are in inverse proportion to each other. In real applications, the optical and electrical characteristics, and the costs of production are to be considered.

A Study on Discharge Characteristics of Spherically Convergent Beam Fusion Device (구형 집속 빔 핵융합 장치의 방전특성 연구)

  • Park, Jeong-Ho;Ju, Heung-Jin;Kim, Bong-Seok;Ko, Kwang-Cheol
    • Proceedings of the KIEE Conference
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    • 2004.07c
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    • pp.1823-1825
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    • 2004
  • Spherically convergent beam fusion device accelerate ions, which are generated between outer anode and inner grid cathode, toward the spherical center. The collision of opposite direction ions give rise to fusion reactions. Spherically convergent beam fusion device is very simple and compact, therefore the device has a potential that is applied to a portable neutron source. An experimental device consist of a 20cm-diameter spherical mesh-type anode and 7cm-diameter open spherical grid cathode and was maintained at a constant pressure of about 1333 Pa by feeding argon gas.

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Moving Mesh Application for Thermal-Hydraulic Analysis in Cable-In-Conduit-Conductors of KSTAR Superconducting Magnet

  • Yoon, Cheon-Seog;Qiuliang Wang;Kim, Keeman;Jinliang He
    • Journal of Mechanical Science and Technology
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    • v.16 no.4
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    • pp.522-531
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    • 2002
  • In order to study the thermal-hydraulic behavior of the cable-in-conduit-conductor (CICC), a numerical model has been developed. In the model, the high heat transfer approximation between superconducting strands and supercritical helium is adopted. The strong coupling of heat transfer at the front of normal zone generates a contact discontinuity in temperature and density. In order to obtain the converged numerical solutions, a moving mesh method is used to capture the contact discontinuity in the short front region of the normal zone. The coupled equation is solved using the finite element method with the artificial viscosity term. Details of the numerical implementation are discussed and the validation of the code is performed for comparison of the results with thse of GANDALF and QSAIT.

Oral Extrusion of Screw after Anterior Cervical Interbody Fusion

  • Lee, Jin-Soo;Kang, Dong-Ho;Hwang, Soo-Hyun;Han, Jong-Woo
    • Journal of Korean Neurosurgical Society
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    • v.44 no.4
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    • pp.259-261
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    • 2008
  • We present a case of delayed oral extrusion of a screw after anterior cervical interbody fusion in a 68-year-old man with osteoporosis. Fifteen months earlier, he had undergone C5 corpectomy and anterior cervical interbody fusion at C4-6 for multiple spinal stenoses. The patient was nearly asymptomatic, except for a foreign body sensation in his throat. We conclude that the use of a mesh graft or other instrument in elderly patients and those with osteoporosis or problematic bone quality should be considered carefully and that if surgery were to be performed, periodic postoperative follow-up evaluations are mandatory.

The Study on the Preparation of PSZ from the Domestic Zircon Sand its Applications I. Preparation of the High Purity Zirconia Powder form Domestic Zircon Sand (국산 지르콘사로부터 부분 안정화 지르코니아의 제조 및 그 응용에 관한 연구 I. 국산 지르콘사로부터 고순도 지르코니아 분말의 제조)

  • Kim. H.;Sunwoo, S.;Shin, K.C.;Hwang, K.H.
    • Journal of the Korean Ceramic Society
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    • v.24 no.2
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    • pp.186-192
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    • 1987
  • ZrO2 powders having high purity were prepared from domestic zircon sand using the caustic fusion method and the soda ash sintering process. In the caustic fusion method, ZrO2 recovery was reached to 96% when 100/140 mesh zircon was reacted with NaOH at the NaOH/Zircon mole ratio 6 and at 650$^{\circ}C$ for 2 hours. And in the soda ash sintering process, ZrO2 was recovered to 88.5% when -325 mesh zircon was reacted with Na2CO3 at the Na2CO3/Zircon mole ratio 1.1 and 1050$^{\circ}C$ for 2 hours. In both cases, Zr component was extracted to ZrOCl2, subsequently crystallized to ZrOCl2$.$8H2O to increase the purity, and converted to ZrO2 by precipitation. And to increase the sinter ability of powder, Cl- ion was removed and strong agglomeration was avoided by methanol distribution of Zr(OH)4 precipitates.

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