• Title/Summary/Keyword: Multi-Level

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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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Trends and Costs of External Electrical Bone Stimulators and Grafting Materials in Anterior Lumbar Interbody Fusion

  • D'Oro, Anthony;Buser, Zorica;Brodke, Darrel Scott;Park, Jong-Beom;Yoon, Sangwook Tim;Youssef, Jim Aimen;Meisel, Hans-Joerg;Radcliff, Kristen Emmanuel;Hsieh, Patrick;Wang, Jeffrey Chun
    • Asian Spine Journal
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    • v.12 no.6
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    • pp.973-980
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    • 2018
  • Study Design: Retrospective review. Purpose: To identify the trends in stimulator use, pair those trends with various grafting materials, and determine the influence of stimulators on the risk of revision surgery. Overview of Literature: A large number of studies has reported beneficial effects of electromagnetic energy in healing long bone fractures. However, there are few clinical studies regarding the use of electrical stimulators in spinal fusion. Methods: We used insurance billing codes to identify patients with lumbar disc degeneration who underwent anterior lumbar interbody fusion (ALIF). Comparisons between patients who did and did not receive electrical stimulators following surgery were performed using logistic regression analysis, chi-square test, and odds ratio (OR) analysis. Results: Approximately 19% of the patients (495/2,613) received external stimulators following ALIF surgery. There was a slight increase in stimulator use from 2008 to 2014 (multi-level $R^2=0.08$, single-level $R^2=0.05$). Patients who underwent multi-level procedures were more likely to receive stimulators than patients who underwent single-level procedures (p<0.05; OR, 3.72; 95% confidence interval, 3.02-4.57). Grafting options associated with most frequent stimulator use were bone marrow aspirates (BMA) plus autograft or allograft for single-level and allograft alone for multi-level procedures. In both cohorts, patients treated with bone morphogenetic proteins were least likely to receive electrical stimulators (p<0.05). Patients who received stimulation generally had higher reimbursements. Concurrent posterior lumbar fusion (PLF) (ALIF+PLF) increased the likelihood of receiving stimulators (p<0.05). Patients who received electrical stimulators had similar revision rates as those who did not receive stimulation (p>0.05), except those in the multilevel ALIF+PLF cohort, wherein the patients who underwent stimulation had higher rates of revision surgery. Conclusions: Concurrent PLF or multi-level procedures increased patients' likelihood of receiving stimulators, however, the presence of comorbidities did not. Patients who received BMA plus autograft or allograft were more likely to receive stimulation. Patients with and without bone stimulators had similar rates of revision surgery.

Determination of management water level for the storage and flood controls in the underflow type of multi-stage movable weir using artificial neural network (인공신경망을 이용한 다단 배치된 하단배출형 가동보의 저류 및 홍수 조절을 위한 관리수위 결정)

  • Lee, Ji Haeng;Han, Il Yeong;Choi, Heung Sik
    • Journal of Korea Water Resources Association
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    • v.50 no.2
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    • pp.111-119
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    • 2017
  • The underflow type movable weirs were arranged in a multi-stage way along a reach at the Chiseong River, where flooding has been observed frequently. With management water level of the movable weirs the control effects of storage and flood were suggested and the control effects were compared with those of existed weir system. The water level for the targeted storage and flood elevation was suggested by building the artificial neural network model. When the underflow type of movable weirs were arranged in a multi-stage way, the peak flood elevation decreased by 68.28% in the downstream compared with the existed weir system, and the total storage of the target section of multi-stage movable weirs increased by 216%. As a result of numerical simulation to build the artificial neural network model, 60%, 20%, and 20% among 216 data were used for the training, validation, and test, respectively. The training result of mean square error was $0.1681m^2$ and the high coefficients of determination were 0.9961, 0.9967, and 0.9943 in the training, validation, and test, respectively. As a result the water level management of each movable weir for the controls of flood elevation in the targeted downstream and targeted storage was suggested by using the artificial neural network.

A Study on Performance Characteristics of Multi-level PDP Driver Circuit in Accordance of Signal Timing Variation (Multi-Level을 사용한 PDP 구동회로에서 Timing 변화에 따른 특성 변화에 관한 연구)

  • Kim Jung-Soo;Roh Chung-Wook;Hong Sung-Soo;Sakong Sug-Chin
    • The Transactions of the Korean Institute of Power Electronics
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    • v.10 no.6
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    • pp.560-568
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    • 2005
  • The proposed Multi-level PDP sustain Driver is composed of the semiconductor devices with low voltage rating compared to those used in the prior circuit proposed by L. Wether, and it has two resonant periods during the charging (rising period) and discharging (falling period) the PDP in the sustaining voltage waveforms. In accordance with the change of timing phase$(T_{r1},\;T_{i1},\;T_{r2})$, the performance characteristics of a commercial PDP module has been carried out and compared the characteristic with the 42V6, made of LG Electronics co., Experimental results show that the performance characteristics of PDP module are greatly influenced by the variation of $T_{i1}\;and\;T_{r2}$. The variation of $T_{r1}$ do not influence much on the performances of PDP. With the conditions that $T_{r1}=60ns,\;T_{i1}=120ns,\;and\;T_{r2}=350ns$, we could get the performances listed as the luminance is increased $14.6\%$, the power consumptions is decreased $5.9\%$, the panel efficiency is increased $24.2\%$, module efficiency is increased $21.2\%$, compared to those shown in the commercial PDP module (42V6). Therefore, the proposed multi-level PDP sustain driver expected to be suitable to actual PDP module application.

Design and Implementation of Query Classification Component in Multi-Level DBMS for Location Based Service (위치기반 서비스를 위한 다중레벨 DBMS에 질의 분류 컴포넌트의 설계 및 구현)

  • Jang Seok-Kyu;Eo Sang Hun;Kim Myung-Heun;Bae Hae-Young
    • The KIPS Transactions:PartD
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    • v.12D no.5 s.101
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    • pp.689-698
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    • 2005
  • Various systems are used to provide the location based services. But, the existing systems have some problems which have difficulties in dealing with faster services for above million people. In order to solve it, a multi-level DBMS which supports both fast data processing and large data management support should be used. The multi-level DBMS with snapshots has all the data existing in disk database and the data which are required to be processed for fast processing are managed in main memory database as snapshots. To optimize performance of this system for location based services, the query classification component which classifies the queries for efficient snapshot usage is needed. In this paper, the query classification component in multi-level DBMS for location based services is designed and implemented. The proposed component classifies queries into three types: (1) memory query, (2) disk query, (3) hybrid query, and increases the rate of snapshot usage. In addition, it applies division mechanisms which divide aspatial and spatial filter condition for partial snapshot usage. Hence, the proposed component enhances system performance by maximizing the usage of snapshot as a result of the efficient query classification.

Performance of 4-level Modulation Code for Holographic Data Storage (홀로그래픽 데이터 저장장치를 위한 4-레벨 변조 부호의 성능 비교)

  • Park, Keunhwan;Lee, Jaejin
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.40 no.9
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    • pp.1672-1677
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    • 2015
  • The multi-level holographic storage system can store more than one bit per pixel. In this paper, we introduce a 6-pixel 4-level modulation code and compare with 4-level 6/9 modulation code and 2/3 modulation code. The proposed 6-pixel modulation code has the minimum Euclidean distance 3. The 6-pixel modulation code is approximately 1dB better than the other modulation codes.

Three-level Skip-lot sampling plan split by two stages (2단으로 분할된 3단계 스킵-로트 샘플링 검사계획)

  • 최병철;이은주
    • The Korean Journal of Applied Statistics
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    • v.8 no.2
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    • pp.55-64
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    • 1995
  • Three-level Skip-lot sampling plan split by two stages (Split2-SkSP0 is proposed by modifying multi-level skip-lot sampling plan proposed by Choi(1993), which has normal and terrace inspections on the first and the second stages, respectively. The plan is designed to work more higher level inspections when the quality of the submitted products are good, otherwise, return to the normal or the terrace inspection as fast as possible. Also, the formula of the operating characteristic function for the split skip-lot sampling plan is derived using the Markov chain approach. Also, operating characteristic properties of the proposed plans are studied and graphically compared with those of the multi-level skip-lot sampling plans.

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New Pre-charging Method for Modular Multi-level Converter Operated in Nearest Level Control Modulation (근사 계단 제어 변조로 동작하는 모듈형 멀티 레벨 컨버터를 위한 새로운 초기 충전 기법)

  • Kim, Kyo-Min;Kim, Jae-Hyuk;Kim, Do-Hyun;Han, Byung-Moon
    • The Transactions of The Korean Institute of Electrical Engineers
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    • v.65 no.10
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    • pp.1655-1663
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    • 2016
  • Recently the researches on Modular Multi-level Converter (MMC) are being highlighted because high quality and efficient power transmission are key issues in the High Voltage Direct Current (HVDC) transmission system. This paper proposes an improved pre-charging method for the sub-module capacitors in MMC that operates in Nearest Level Control (NLC) modulation. The proposed method does not require additional circuits or Pulse Width Modulation (PWM) techniques. The feasibility of proposed method was verified through computer simulations for a scaled 3-phase 10kVA MMC with 12 sub-modules per each arm. Hardware experiments with a scaled prototype were performed in the lab to confirm the simulation results.

A BI-Level Programming Model for Transportation Network Design (BI-Level Programming 기법을 이용한 교통 네트워크 평가방법 연구)

  • Kim, Byung-Jong;Kim, Won-Kyu
    • Journal of Korean Society of Transportation
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    • v.23 no.7 s.85
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    • pp.111-123
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    • 2005
  • A network design model has been proposed. which represents a transportation facility investment decision problem. The model takes the discrete hi-level programming form in which two types of decision makers, government and travelers, are involved. The model is characterized by its ability to address the total social costs occurring in transportation networks and to estimate the equilibrium link volumes in multi-modal networks. Travel time and volume for each link in the multi-modal network are predicted by a joint modal split/traffic assignment model. An efficient solution algorithm has been developed and an illustrative example has been presented.

A 0.25-$\mu\textrm{m}$ CMOS 1.6Gbps/pin 4-Level Transceiver Using Stub Series Terminated Logic Interface for High Bandwidth

  • Kim, Jin-Hyun;Kim, Woo-Seop;Kim, Suki
    • Proceedings of the IEEK Conference
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    • 2002.06b
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    • pp.165-168
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    • 2002
  • As the demand for higher data-rate chip-to-chip communication such as memory-to-controller, processor-to-processor increases, low cost high-speed serial links\ulcorner become more attractive. This paper describes a 0.25-fm CMOS 1.6Gbps/pin 4-level transceiver using Stub Series Terminated Logic for high Bandwidth. For multi-gigabit/second application, the data rate is limited by Inter-Symbol Interference (ISI) caused by channel low pass effects, process-limited on-chip clock frequency, and serial link distance. The proposed transceiver uses multi-level signaling (4-level Pulse Amplitude Modulation) using push-pull type, double data rate and flash sampling. To reduce Process-Voltage-Temperature Variation and ISI including data dependency skew, the proposed high-speed calibration circuits with voltage swing controller, data linearity controller and slew rate controller maintains desirable output waveform and makes less sensitive output. In order to detect successfully the transmitted 1.6Gbps/pin 4-level data, the receiver is designed as simultaneous type with a kick - back noise-isolated reference voltage line structure and a 3-stage Gate-Isolated sense amplifier. The transceiver, which was fabricated using a 0.25 fm CMOS process, performs data rate of 1.6 ~ 2.0 Gbps/pin with a 400MHB internal clock, Stub Series Terminated Logic ever in 2.25 ~ 2.75V supply voltage. and occupied 500 * 6001m of area.

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