Kim, Hee-Yul;Kim, Hyeun-Sung;Kim, Seok-Won;Ju, Chang-Il;Lee, Sung-Myung;Park, Hyun-Jong
Journal of Korean Neurosurgical Society
/
v.51
no.4
/
pp.203-207
/
2012
Objective: The purpose of this prospective study was to evaluate the efficacy and safety of screw fixation without bone fusion for unstable thoracolumbar and lumbar burst fracture. Methods: Nine patients younger than 40 years underwent screw fixation without bone fusion, following postural reduction using a soft roll at the involved vertebra, in cases of burst fracture. Their motor power was intact in spite of severe canal compromise. The surgical procedure included postural reduction for 3 days and screw fixations at one level above, one level below and at the fractured level itself. The patients underwent removal of implants 12 months after the initial operation, due to possibility of implant failure. Imaging and clinical findings, including canal encroachment, vertebral height, clinical outcome, and complications were analyzed. Results: Prior to surgery, the mean pain score (visual analogue scale) was 8.2, which decreased to 2.2 at 12 months after screw fixation. None of the patients complained of worsening of pain during 6 months after implant removal. All patients were graded as having excellent or good outcomes at 6 months after implant removal. The proportion of canal compromise at the fractured level improved from 55% to 35% at 12 months after surgery. The mean preoperative vertebral height loss was 45.3%, which improved to 20.6% at 6 months after implant removal. There were no neurological deficits related to neural injury. The improved vertebral height and canal compromise were maintained at 6 months after implant removal. Conclusion: Short segment pedicle screw fixation, including fractured level itself, without bone fusion following postural reduction can be an effective and safe operative technique in the management of selected young patients suffering from unstable burst fracture.
Journal of Korean Society of Coastal and Ocean Engineers
/
v.23
no.6
/
pp.414-421
/
2011
In determination of the crest height of a vertical structure against attacking of obliquely incident waves, most of existing studies have suggested to use the overtopping reduction factor due to incident angles. However, they have not considered the amplification of wave heights and the spatial distribution of wave overtopping. In this study, a spatial distribution of overtopping due to the amplification of wave heights along a vertical structure is investigated experimentally. It is recommended that the crest height can be determined by the same manner as that for normally incident waves up to 3 significant wave lengths from the one end of the structure. However, the rest part of the structure can be done by employing the overtopping reduction factor with considering the amplification of wave heights and the spatial distribution of wave overtopping.
Purpose: The performance of implant surgery in the posterior maxilla often poses a challenge due to insufficient available bone. Sinus floor elevation was developed to increase the needed vertical height to overcome this problem. However, grafting materials used for the sinus lift technique eventually show resorption. The present study radiographically compared and evaluated the changes in height of the grafting materials after carrying out maxillary sinus elevation with a window opening procedure. This study also evaluated the difference between two xenogenic bone materials when being used for the sinus lifting procedure. Methods: Twenty-one patients were recruited for this study and underwent a sinus lift procedure. All sites were treated with either bovine bone (Bio-$Oss^{(R)}$) with platelet-rich plasma (PRP) or bovine bone (OCS-$B^{(R)}$)/PRP. A total of 69 implants were placed equally 6-8 months after the sinus lift. All sites were clinically and radiographically evaluated right after the implant surgery, 7-12 months, 13-24 months, and 25-48 months after their prosthetic loading. Results: Changes of implant length/bone length with time showed a statistically significant decreasing tendency (P<0.05). There was no significant change in the Bio-$Oss^{(R)}$ group (P>0.05). In contrast, the OCS-$B^{(R)}$ group showed a significant decrease with time (P<0.05). However, no significant difference was observed between the two groups (P>0.05). Conclusions: The results showed that there was significant reduction in comparison with data right after placement, after 7 to 12 months, 13 to 24 months, and over 25 months; however, reduction rates between each period have shown to be without significance. No significant difference in height change was observed between the Bio-$Oss^{(R)}$ and the OCS-$B^{(R)}$ groups.
The objective of this study was to estimate the pollutant loads from paddy fields by cultivation practices using a non-point-sources models. One of them is CREAMS-PADDY model that was developed considering the water balance and mass balance of paddy fields. The CREAMS-PADDY model was applied to provide basic data to reduce runoff loadings under various scenarios such as various water management control and various fertilizer condition. The model was verified against T-N, T-P and runoff flow data collected during cropping periods at 2000. The model results agreed well with the measured data in verification. The results showed that the model could be used for estimating the runoff loadings from irrigated paddy fields by cultivation practices was possible. Comparison of simulated the standard height and the sluice management of T-N and T-P runoff loadings from paddy fields were +32.4%, +10.3% in 10 mm below the standard height, -29.2%, -35.9% in 20 mm above the standard height, 52.6%, 59.0% in 40 mm above the standard height, respectively. Comparison of simulated the standard fertilizer and the fertilizer control of T-N and T-P runoff loadings from paddy fields were -1.3%, -21.7%in reduction of conventional fertilizer 30%, -1.0%, -12.5% in reduction of standard fertilizer 30%, respectively. Therefore, reducing nonpoint-sources nutrient loading by reducing fertilization may not work well in the range of normal paddy rice farming practices, and instead it could be achieved by reducing surface drainage outflow.
Arbash, Mahmood Ali;Parambathkandi, Ashik Mohsin;Baco, Abdul Moeen;Alhammoud, Abduljabbar
Asian Spine Journal
/
v.12
no.6
/
pp.1053-1059
/
2018
Study Design: Retrospective review. Purpose: To detect the effect of cannulated (poly-axial head) and solid (mono-axial head) screws on the local kyphotic angle, vertebral body height, and superior and inferior angles between the screw and the rod in the surgical management of thoracolumbar fractures. Overview of Literature: Biomechanics studies showed that the ultimate load, yield strength, and cycles to failure were significantly lower with cannulated (poly-axial head) pedicle comparing to solid core (mono-axial head). Methods: The medical charts of patients with thoracolumbar fractures who underwent pedicle screw fixation with cannulated or solid pedicle screws were retrospectively reviewed; the subjects were followed up from January 2011 to December 2015. Results: Total 178 patients (average age, $36.1{\pm}12.4years$; men, 142 [84.3%]; women, 28 [15.7%]) with thoracolumbar fractures who underwent surgery and were followed up at Hamad Medical Corporation were classified, based on the screw type as those with cannulated screws and those with solid screws. The most commonly affected level was L1, followed by L2 and D12. Surgical correction of the local kyphotic angle was significantly different in the groups; however, there was no significant difference in the loss of correction of the local kyphotic angle of the groups. Surgical correction of the reduction in the vertebral body height showed statistical significance, while the average loss of correction in the reduction of the vertebral body height was not significantly different. The measurement of the angles made by the screws on the rods was not significantly different between the cannulated (poly-axial head) and solid (mono-axial head) screw groups. Conclusions: Solid screws were superior in terms of providing increased correction of the kyphotic angle and height of the fractured vertebra than the cannulated screws; however, no difference was noted between the screws in the maintenance of the superior and inferior angles of the screw with the rod.
A power frequency magnetic field reduction method using passive loop is presented. This method can be used to reduce magnetic fields generated within the restricted area near transmission lines by alternating current overhead transmission lines. A reduction algorithm is described and related equations for magnetic field reduction are explained. The proposed power frequency magnetic field reduction method is applied to a scaled-down transmission line model. The lateral distribution of reduction ratio between magnetic fields before and after passive loop installation is calculated to evaluate magnetic field reduction effects. Calculated results show that the passive loop can be used to cost-effectively reduce power frequency magnetic fields in the vicinity of transmission lines generated by overhead transmission lines, compared with other reduction methods, such as active loop, increase in transmission line height, and power transmission using underground cables.
Kim, Jong-Sik;Seo, Hyun-Soo;Kim, Ki-Young;Song, Yun-Jung;Kim, Seon-Ah;Hong, Soon-Min;Park, Jun-Woo
Journal of the Korean Association of Oral and Maxillofacial Surgeons
/
v.34
no.1
/
pp.99-107
/
2008
Objective : The objective of this review was to provide reliable comparative results regarding the effectiveness of any interventions either open or closed that can be used in the management of fractured mandibular condyle Patients and Methods : Research of studies from MEDLINE and Cochrane since 1990 was done. Controlled vocabulary terms were used. MeSH Terms were "Mandibular condyle" AND "Fractures, bone". Only comparative study were considered in this review using the "limit" function. According to the criteria, two review authors independently assessed the abstracts of studies resulting from the searches. The studies were divided according to some criteria, and following were measured: Ramus height, condyle sagittal displacement, condyle Towns's image displacement, Maximum open length, Protrusion & Lateral excursion, TMJ pain, Malocclusion, and TMJ disorder. Results : Many studies were analyzed to review the post-operative result of the two methods of treatment. Ramus height decreased more in when treated by closed reduction as opposed to open reduction. Sagittal condyle displacement was shown to be greater in closed reduction. Condyle Town's image condyle displacement had greater values in closed reduction. Maximum open length showed lower values in closed reduction. In protrusive and lateral movement, closed reduction was less than ORIF. Closed reduction showed greater occurrence of malocclusion than ORIF. However, post-operative pain and discomfort was greater in ORIF. Conclusion : In almost all categories, ORIF showed better results than CRIF. However, the use of the open reduction method should be considered due to the potential surgical morbidity and increased hospitalization time and cost. To these days, Endoscopic surgical techniques for ORIF (EORIF) are now in their infancy with the specific aims of eliminating concern for damage to the facial nerve and of reducing or eliminating facial scars. Before performing any types of treatment, patients must be understood of both of the treatment methods, and the best treatment method should be taken on permission.
Kim, Seong-Yong;Ryu, Jae-Young;Cho, Jin-Yong;Kim, Hyeon-Min
Journal of the Korean Association of Oral and Maxillofacial Surgeons
/
v.40
no.6
/
pp.297-300
/
2014
Objectives: To compare the clinical and radiological outcomes after closed reduction (CR) and open reduction and internal fixation (ORIF) in the management of subcondylar fractures. Materials and Methods: Forty-eight patients presenting with subcondylar fracture between January 2010 and March 2013 were evaluated retrospectively. Fifteen patients were treated with CR and 33 patients with ORIF. The clinical and radiologic parameters were evaluated during follow-up (mean, 7.06 months; range, 3 to 36 months). Results: In the CR group, no patients had any problems with regard to the clinical parameters. The average period of maxillomandibular fixation (MMF) was 5.47 days. The preoperative average tangential angulation of the fractured fragment was $3.67^{\circ}$, and loss of ramus height was 2.44 mm. In the ORIF group, no clinical problems were observed, and the average period of MMF was 6.33 days. The preoperative average tangential angulation of the subcondylar fragment was $8.66^{\circ}$, and loss of ramus height was 3.61 mm. Conclusion: CR provided satisfactory clinical results, though ORIF provided more accurate reduction of the fractured fragment. So there is no distinct displacement of fractured fragment, CR should be selected than ORIF because of no need for surgery.
Kim Gyu-Bo;Cho Seung-Wan;Lee Jong-Ho;Jeong Dong-Soo;Chang Young-June;Jeon Chung-Hwan
Transactions of the Korean Society of Mechanical Engineers B
/
v.30
no.10
s.253
/
pp.973-981
/
2006
Recently there is an increasing interest in particulate matter emission because of new emission regulations, health awareness and environmental problems. It requires to improve particulate measurement techniques as well as to reduce soot emissions from combustion systems. As mentioned above, it is demanded that reduction techniques together with measurement techniques of exhausted particulate matters in combustion systems such as vehicles. However, measurement techniques of particulate matters should be prior to reduction techniques of that because it is able to know an increase and a decrease of exhausted particulate matters when measured particulate matters. Therefore, in this study, we report the measurement of soot primary-particle size using time-resolved laser induced incandescence (TIRE-LII) technique in laminar ethylene diffusion flame. As an optical method, laser induced incandescence is one of well known methods to get information for spatial and temporal soot volume fraction and soot primary particle size. Furthermore, TIRE-LII is able to measure soot primary particle size that is decided to solve the decay ate of signal S $(t_1)$ and S $(t_2)$ at two detection time. In laminar ethylene diffusion flame, visual flame height is 40 mm from burner tip and measurement points are height of 15, 20, 27.5, 30 mm above burner tip along radial direction. As increasing the height of the flame from burne. tip, primary particle size was increased to HAB(Height Above Burner tip)=20mm, and then decreased from HAB=27.5 mm to 30 mm. This results show the growth and oxidation processes for soot particles formed by combustion.
PURPOSES : A study on the efforts to minimize the road traffic noise has been underway. An attempt has been made to measure the noise level using a noise map; however, the attempt is limited to certain areas only. In general, a noise barrier is employed to prevent road traffic noise; however, unplanned noise barriers developed without considering the surrounding environment, including excessively high walls, cause problems such as infringement on prospect right. Noise ceiling at daytime in Korea is 68 dB(A), which is relatively higher than in other countries. METHODS: The noise barrier used mainly for road noise reduction was analyzed to estimate the optimal height. Related variables such as road width, the height of the upper part, distance to the building, and angle (for instance, $30^{\circ}$). RESULTS : A formula to calculate the optical height of the noise barrier, considering the road environment (i.e., parameters such as road width and distance to building), was developed in this study in an attempt to mitigate the noise generated from the road. CONCLUSIONS : The formula to calculate the noise barrier is expected to lead to cost saving, accurate installation of barriers, and protection of the right of prospect.
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