• Journal of Korean Foot and Ankle Society
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• v.8 no.2
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• pp.191-194
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• 2004

Purpose: Anatomic configuration of the ankle joint is useful information during various ankle procedures. This study was prospectively designed to investigate the sagittal inclination pattern of the ankle joint. Materials and Methods: Lateral standing ankle radiographs from one-hundred people (age: $17{\sim}68$, M:F=45:55) and magnetic resonance (MR) sagittal ankle images from twenty-four people (age: $16{\sim}65$, M:F=14:10) were studied. Post-traumatic, arthritic, or grossly deformed ankles at any reason were excluded. The posterior inclination angle (PIA) of the distal tibia was measured and compared between the lateral and the medial segment. Results: On plain radiographic data, the average PIA of the distal tibia was $6.14^{\circ}{\pm}3.56^{\circ}$ (range $0^{\circ}$ to $14^{\circ}$) in the lateral segment and $13.16^{\circ}{\pm}3.05^{\circ}$ (range $6^{\circ}$ to $22^{\circ}$) in the medial segment. On MR imaging data, the average PIA of the distal tibia was $5.08^{\circ}{\pm}4.26^{\circ}$ (range $1^{\circ}$ to $10^{\circ})$ in the lateral segment and $10.16^{\circ}{\pm}4.87^{\circ}$(range $5^{\circ}$ to $17^{\circ}$) in the medial segment. The PIA between two segments was significantly different. Conclusion: The sagittal configuration of the medial area ankle joint and the lateral area ankle joint has difference in the degree of posterior inclination and shape of curvature.

• Journal of Korea Multimedia Society
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• v.11 no.3
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• pp.292-300
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• 2008

An algorithm for detecting a line segment in an image is presented using incremental pixel extension. We use a different approach from conventional algorithms, such as the Hough transform approach and the line segment grouping approach. The Canny edge is calculated and an arbitrary point is selected among the edge elements. After the arbitrary point is selected, a base line approximating the line segment is calculated and edge pixels within an arbitrary radius are selected. A weighted value is assigned to each edge pixel, which is selected by using the error of the distance and the direction between the pixel and the base line. A line segment is extracted by Jilting a line using the weighted least square method after determining whether selected pixels are linked or delinked using the sum comparison of the weights. The proposed algorithm is compared with two other methods and results show that our algorithm is faster and can detect the real line segment.

• Journal of Korean Neurosurgical Society
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• v.42 no.3
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• pp.184-190
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• 2007

Objective : The authors retrospectively analyzed clinical and radiographic features of patients who developed symptomatic adjacent segment degeneration (ASD) that required re-operation. Methods : From 1995 to 2004, among 412 patients who underwent posterior lumbar fusion surgery, the authors experienced twenty-six patients who presented symptomatic ASD. Records of these patients were reviewed to collect clinical data at the first and second operations. Results : The patients were 9 males and 17 females whose mean age was $63.5{\pm}8.7$ years. Among 319 one segment and 102 multi-segment fusions, 16 and 10 patients presented ASD, respectively. Seventeen ASDs were noticed at the cephalad to fusion (65%), eight at the caudad (31%), and one at the cephalad and caudad, simultaneously (4%). All patients underwent decompression surgery. Nine patients underwent additional fusion surgeries to adjacent degenerated segments. In 17 patients who underwent only decompression surgery without fusion, the success rate was 82.4%. In fusion cases. the success rate was observed as 55.5%. There were no statistically significant factors to be related to development of ASD. However, in cases of multi-level fusion surgery, there was a tendency toward increasing ASD. Conclusion : Multi-segment fusion surgery could be associated with a development of ASD. In surgical treatment of symptomatic ASD, selective decompression without fusion may need to be considered as a primary procedure, which could reduce the potential risk of later occurrence of the other adjacent segment disease.

• Journal of Korean Neurosurgical Society
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• v.45 no.2
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• pp.81-84
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• 2009

Objective : Many biomechanical and clinical studies on adjacent segment degeneration (ASD) have addressed cranial segment. No study has been conducted on caudal segment degeneration after upper segment multiple lumbar fusions. This is a retrospective investigation of the L5-S1 segment after spinal fusion at and above L4-5, which was undertaken to analyze the rate of caudal ASD at L5-S1 after spinal fusion on and above L4-5 and to determine that factors that might have influenced it. Methods : The authors included 67 patients with L4-5, L3-5, or L2-5 posterior fusions. Among these patients, 28 underwent L4-5 fusion, 23 L3-5, and 16 L2-5 fusions. Pre- and postoperative radiographs were analyzed to assess degenerative changes at L5-S1. Also, clinical results after fusion surgery were analyzed. Results : Among the 67 patients, 3 had pseudoarthrosis, and 35 had no evidence of ASD, cranially and caudally. Thirteen patients (19.4%) showed caudal ASD, 23 (34.3%) cranial ASD, and 4 (6.0%) both cranial and caudal ASD. Correlation analysis for caudal ASD at L5-S1 showed that pre-existing L5-S1 degeneration was most strongly correlated. In addition, numbers of fusion segments and age were also found to be correlated. Clinical outcome was not correlated with caudal ASD at L5-S1. Conclusion : If caudal and cranial ASD are considered, the overall occurrence rate of ASD increases to 50%. The incidence rate of caudal ASD at L5-S1 was significantly lower than that of cranial ASD. Furthermore, the occurrence of caudal ASD was found to be significantly correlated with pre-existing disc degeneration.

• Journal of the Korea Institute of Information and Communication Engineering
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• v.15 no.10
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• pp.2223-2230
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• 2011

ECG is used to diagnose heart diseases such as myocardial ischemia, arrhythmia and myocardial infarction. Particularly, myocardial ischemia causes the shape change of the ST segment, this change is transient and may occur without symptoms. So it is important to detect the transient change of ST segment through long term monitoring. ST segment classification algorithm for making diagnosis myocardial ischemia is presented in this paper. The first step in the ST segment shape classification process is to detect R wave point and feature points based adaptive threshold and window. And then, the suggested algorithm detects the ST level change, To classify the ST segment shape, the suggested algorithm uses the slope values of the four points between the S and T wave. The ECG data in the European ST-T database were used to verify the performance of the developed algorithm. The best correct rate was 99.40% and the worst correct rate was 68.48%.

• The korean journal of orthodontics
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• v.50 no.5
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• pp.324-335
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• 2020

Objective: To compare postoperative positional changes in the mandibular proximal segment between the conventional orthognathic surgery (CS) and the surgery-first approach (SF) using intraoral vertical ramus osteotomy (IVRO) in patients with Class III malocclusion. Methods: Thirty-eight patients with skeletal Class III malocclusion who underwent bimaxillary surgery were divided into two groups according to the use of preoperative orthodontic treatment: CS group (n = 18) and SF group (n = 20). Skeletal changes in both groups were measured using computed tomography before (T0), 2 days after (T1), and 1 year after (T2) the surgery. Three-dimensional (3D) angular changes in the mandibular proximal segment, condylar position, and maxillomandibular landmarks were assessed. Results: The mean amounts of mandibular setback and maxillary posterior impaction were similar in both groups. At T2, the posterior portion of the mandible moved upward in both groups. In the SF group, the anterior portion of the mandible moved upward by a mean distance of 0.9 ± 1.0 mm, which was statistically significant (p < 0.001). There were significant between-group differences in occlusal changes (p < 0.001) as well as in overjet and overbite. However, there were no significant between-group differences in proximal segment variables. Conclusions: Despite postoperative occlusal changes, positional changes in the mandibular proximal segment and the position of the condyles were similar between CS and SF, which suggested that SF using IVRO achieved satisfactory postoperative stability. If active physiotherapy is conducted, the proximal segment can be adapted in the physiological position regardless of the occlusal changes.

• Journal of Korean Neurosurgical Society
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• v.46 no.4
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• pp.340-345
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• 2009

Objective : We investigated the locations of compressing vessels in hemifacial spasm. To approach compression sites, we described and evaluated the efficacy of the infranuchal infrafloccular (INIF) approach. Methods : A retrospective review of 31 consecutive patients who underwent microvascular decompression (MVD) through INIF with a minimum follow-up of 1 year was performed. Along the intracranial facial nerve, we classified the compression sites into the transitional zone (TRZ), the central nervous system (CNS) segment and the peripheral nervous system (PNS) segment. The INIF approach was used to inspect the CNS segment and the TRZ. Subdural patch graft technique was used in order to achieve watertight dural closure. The cranioplasty was performed using polymethylmethacrylate. The outcome and procedure-related morbidities were evaluated. Results : Twenty-nine patients (93%) showed complete disappearance of spasm. In two patients, the spasm was resolved gradually in 2 and 4 weeks, respectively. Late recurrence was noted in one patient (3%). The TRZ has been identified as the only compression site in 19 cases (61.3%), both the TRZ and CNS segment in 11 (35.5%) and the CNS segment only in 1 (3.2%). There was no patient having a compressing vessel in the PNS segment. Infection as a result of cerebrospinal fluid leak occurred in one patient (3%). Delayed transient facial weakness occurred in one patient. Conclusion : The TRZ and the CNS segment were more vulnerable area to the compression of vessels. We suggest that surgical avenue with the INIF approach provides early identification of this area.

• Journal of the Korean Society of Clothing and Textiles
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• v.17 no.4
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• pp.608-621
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• 1993

The Purposes of this study were 1)to find the body surface total line and segment line significantly(${\alpha}$=0.05) changed by the leg movement including all movement direction of hip joint, knee joint and ankle joint for the more functional clothing. 2)to classify them into 3 types-expansion type, contraction type, expansion & contraction type, and 3)to identify the characteristics of the body surface length changes. 10 Crosswise and 5 lengthwise body surface total lines and 48 crosswise & 39 lengthwise body surface segment lines of 26 female college students aged from 18 to 24 years were measured directly on the body surface and were analyzed by ANOVA & Multiple Comparison Test (Tukey). The results were as following : Body surface total lines significantly changed were all the body surface total lines except abdoman girth, 1/2thigh girth of lower leg and ankle girth, and these were classified into 3 types : Center front leg line belonged to expansion & contraction type, whereas lateral leg line, legscye girth, and total crotch length belonged to contraction type. The rest belonged to expansion type. Knee girth showed maximum expansion, whereas center front leg line showed maximum contraction. Body surface total lines have shown large expansion crosswise whereas lengthwise they have mainly shown contraction. At least more than one component segment line of each body surface total lines except abdoman girth and ankle girth have shown significant change. Top segment of inner leg line showed maximum expansion. whereas just below top segment of center front leg line showed maximum contraction. Crosswise all the body surface segment lines have shown expansion except inner back segments of thigh girth and 1/2thigh girth of upper leg which have shown contraction. Lengthwise they have shown both expansion and contraction according to the location of front or back, and below or upper 1/2thigh girth line except the component segment lines of lateral leg line, which has shown contraction only.(cf. figure 2. figure 3. and table 2-2).

• Journal of Korean Tunnelling and Underground Space Association
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• v.19 no.2
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• pp.179-194
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• 2017

The segment lining design for shield tunnel is generally carried out by using the beam-spring model and the induced member forces from the model are strongly influenced by the components of the model such as imposed load, coefficient of subgrade reaction, location of segment joint and its stiffness. The structural models and stiffness of its connection part found used in abroad design cases is usually obtained as it is for the domestic design of segment of shield tunnel. Those models and stiffness in existing design cases are conventionally applied to a new tunnel design without any suitability review for the project. In this study, the application method of base components of the model such as the coefficient of subgrade reaction and modelling method to the segment lining design was suggested by carrying out the comparative study of the base elements for the member forces estimation of segment lining of shield tunnel.

• Journal of Korean Tunnelling and Underground Space Association
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• v.17 no.1
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• pp.11-23
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• 2015

In this study, the new segment assembling method using cable tensible force was developed to improve the problem of bolt assembling method of shield tunnel. In the field test construction, cable assembling method reduced the assembling time of segment in comparison with bolt assembling method because of guide role of segment shear-key. In the result of measuring the necessary time for segment assembling process, it took 420sec to assemble one segment in bolt method and 400sec to assemble one segment in cable method, but in case of using the cable automatic feeder, it could reduce the necessary time as 60sec in comparison with bolt assembling method. The cable automatic system modeling using BIM, that connected shield TBM also will be utilized in the area of design TBM, excavation plan, method process understanding, construction management and so on.