• Title/Summary/Keyword: T1 slope

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A Lower T1 Slope as a Predictor of Subsidence in Anterior Cervical Discectomy and Fusion with Stand-Alone Cages

  • Lee, Su Hun;Lee, Jun Seok;Sung, Soon Ki;Son, Dong Wuk;Lee, Sang Weon;Song, Geun Sung
    • Journal of Korean Neurosurgical Society
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    • v.60 no.5
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    • pp.567-576
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    • 2017
  • Objective : Preoperative parameters including the T1 slope (T1S) and C2-C7 sagittal vertical axis (SVA) have been recognized as predictors of kyphosis after laminoplasty, which is accompanied by posterior neck muscle damage. The importance of preoperative parameters has been under-estimated in anterior cervical discectomy and fusion (ACDF) because there is no posterior neck muscle damage. We aimed to determine whether postoperative subsidence and pseudarthrosis could be predicted according to specific parameters on preoperative plain radiographs. Methods : We retrospectively analyzed 41 consecutive patients (male : female, 22 : 19; mean age, $51.15{\pm}9.25years$) who underwent ACDF with a stand-alone polyether-ether-ketone (PEEK) cage (>1 year follow-up). Parameters including SVA, T1S, segmental angle and range of motion (ROM), C2-C7 cervical angle and ROM, and segmental inter-spinous distance were measured on preoperative plain radiographs. Risk factors of subsidence and pseudarthrosis were determined using multivariate logistic regression. Results : Fifty-five segments (27 single-segment and 14 two-segment fusions) were included. The subsidence and pseudarthrosis rates based on the number of segments were 36.4% and 29.1%, respectively. Demographic data and fusion level were unrelated to subsidence. A greater T1S was associated with a lower risk of subsidence (p=0.017, odds ratio=0.206). A cutoff value of T1S<$28^{\circ}$ significantly predicted subsidence (sensitivity : 70%, specificity : 68.6%). There were no preoperative predictors of pseudarthrosis except old age. Conclusion : A lower T1S (T1S<$28^{\circ}$) could be a risk factor of subsidence following ACDF. Surgeons need to be aware of this risk factor and should consider various supportive procedures to reduce the subsidence rates for such cases.

Creep Crack Growth Properties of Rotor Steel under Constant Load and $C_t$ Condition (일정하중 및 일정$C_t$에서 로터강의 크리프 균열전파특성)

  • Jeong, Soon-Uk;Lee, Hun-Sik;Kim, Young-Dae
    • Proceedings of the KSME Conference
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    • 2001.06a
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    • pp.501-506
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    • 2001
  • The creep crack growth properties in 3.5NiCrMoV steel were investigated at $550^{\circ}C$ by using CT specimen under constant $C_t$ condition that was held during crack growth of 1mm distance. $C_t$ lely on load line displacement rate and $C^*$ usually increase with crack length though load is reduced in order to maintain constant $C_t$ value as crack growth. Fully coalesced area(FCA) ahead of crack tip tend to increase as $C_t$ increase to the critical value, and after that value FCA decrease. For the tertiary creep stage of crack growth test, the most of displacement is due to the steady state creep, except only small part due to the primary creep and other effects. Therefore, tests were mainly interrupted in the tertiary stage to obtain high value of $C_t$. At constant load and $C_t$ region, crack growth slope was 0.900 and 0.844 each, on the other hand $C^*$ slope was 0.480.

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A study of prosodic features of patients with idiopathic Parkinson's disease (파킨슨병 환자와 정상노인 간의 문장 읽기에 나타난 운율 특성 비교)

  • Kang, Young-Ae;Seong, Cheol-Jae;Yoon, Kyu-Chul
    • Phonetics and Speech Sciences
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    • v.3 no.1
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    • pp.145-151
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    • 2011
  • In view of the hypothesis that the effects of Parkinson's disease on voice production can be detected before pharmacological intervention, the prosodic features of patients with idiopathic Parkinson's disease (IPD) and a healthy aging group were diagnostically analyzed with the long term object of establishing, for clinical purposes, early disease-progression biomarkers. Twenty patients (male 8; female 12) with IPD (prior to pharmacological intervention) and a healthy control group of 22 (male 10; female 12) were selected. Ten sentences were recorded with a head-worn microphone. One sentence was chosen for the analysis of this paper. Relevant parameters, i.e. 3-dimensional model (F0, intensity, duration) and pitch and intensity related slopes (maxEnergy, maxF0, meanAbS, semiT, meanEnergy, meanF0), were analyzed by two-group discriminant analysis. The stepwise estimation method of discriminant analysis was performed by gender. The discriminant functions predicted 83.9% of the male test data correctly while the prediction rate was 93.1% for the female group. The results showed that meanF0_slope and semiT_slope were more important parameters than the others for the male group. For the female group, the meanEnergy_slope and maxEnergy_slope were the important ones. These findings indicate that significant parameters are different for the male and female group. Gender lifestyle may be responsible for this difference. Dysprosodic features of IPD show not simultaneously but progressively in terms of F0, intensity and duration.

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Change in the Alignment and Distal Junctional Kyphosis Development after Posterior Cervical Spinal Fusion Surgery for Cervical Spondylotic Myelopathy - Risk Factor Analysis

  • Lee, Jung Jae;Park, Jin Hoon;Oh, Young Gyu;Shin, Hong Kyung;Park, Byong Gon
    • Journal of Korean Neurosurgical Society
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    • v.65 no.4
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    • pp.549-557
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    • 2022
  • Objective : This study analyzed the risk factors in patients who developed distal junctional kyphosis (DJK) after posterior cervical fusion. Methods : We retrospectively analyzed the clinical and radiographic outcomes of 64 patients, aged ≥18 years (51 and 13 male and female patients, respectively), who underwent single-staged multilevel (3-6 levels) posterior cervical fusion surgery due to multiple cervical spondylotic myelopathy. The surgeries were performed by a single spinal surgeon between January 2012 and December 2017. Demographic data, clinical outcomes, and radiological results were collected. We divided the patients into a DJK group and a non-DJK group according to the presence of DJK and investigated the risk factors by comparing the differences between the two groups. Results : Of the 64 patients, 13 developed DJK. No significant differences in clinical results were observed between the two groups before and immediately after the surgery. At the final follow-up, a higher visual analog score for neck pain was observed in the DJK group compared to the non-DJK group (p<0.01). The DJK group had a significantly lower T1 slope and a significantly higher C2-7 sagittal vertical axis (SVA) before surgery compared to the non-DJK group (p=0.03 and p<0.01, respectively). Immediately after surgery, the difference between the two groups decreased and no significant difference was observed. However, at the last follow-up, a significantly higher C2-7 SVA was observed in the DJK group (p<0.01). At the last follow up, there is no discrepancy in T1S-CL. In multiple logistic regression analysis, preoperative higher C2-7 SVA and preoperative lower T1 slope were identified as independent risk factors (p=0.03 and p<0.01, respectively). As a result, it was confirmed that DJK occurred along the process of returning to preoperative values. Conclusion : DJK can be considered to be caused by cervical misalignment due to excessive change in the surgical site in patients with low T1 slope and high C2-7 SVA before surgery. This also affects the clinical outcome after surgery. It is recommended to refrain from excessive segmental lordosis changes during multilevel cervical post fusion surgery, especially in patients with a small preoperative T1 slope and a large SVA value.

STUDY OF THE MARINE CLOUD STRUCTURE WITH AQUA AMSR-E

  • Shoom, Mariya Yu.
    • Proceedings of the KSRS Conference
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    • v.2
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    • pp.1007-1010
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    • 2006
  • This study investigates the spatial structure of the total cloud liquid water content Q fields over the Northwest Pacific Ocean during winter monsoon. The distributions of Q have been estimated from the brightness temperatures of the ocean - atmosphere system $T_B(f)$, where f is frequency, measured by AQUA AMSR-E in January -March 2003. Marine strati (St) and stratocumuli (Sc) are typical for winter monsoon season. They were analysed using mainly high-frequency channel at f = 36.5 GHz, vertical polarisation. $T_B$ data were accompanied by the data on near surface wind speed, air temperature and humidity from the nearest meteorological stations. Tow one-dimensional spectra were computed for downwind and crosswind sections of Q fields. The AMSR-E antenna field of view (14-8 km) and the cloud field sizes (100-1000 km) restricted the spatial scales. The results of case study Jan 31 2003 are presented. Scale-invariant spectrum is typical. In the cases of extended St levels a spectral slope equals about -1.7, conforming to classical -5/3 of turbulence theory. For Sc cases the absolute magnitude of spectral slope is rather higher, as a rule. The value is about -2. In the case when cloud streets are presented, a strait line form of spectrum is less reliable with a slope being rather lower (about -1.4).

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A Study On Field Test of IGBT Type Propulsion System fo Electric oilway (전동차용 IGBT형 추진제어장치의 본선시험에 관한 연구)

  • 정만규;고영철;방이석;서광덕
    • The Transactions of the Korean Institute of Power Electronics
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    • v.5 no.5
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    • pp.515-521
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    • 2000
  • This paper describes the field test results of IGBT VVVF inverter for the railway propulsion system. The 1,650kVA IGBT VVVF inverter has been developed. Therefore, the field test is performed in SMG 6 Line to confirm its the reliability and performance. The train consists of 4M4T and the electrical equipment for field test are as follows : VVVF inverter 4 sets, 16 traction motors and 2 SIVs. The propulsion system is composed with 1C4M(1-Controller 4-Motors). The results of propulsion system which have the excellent acceleration/deceleration and the jerk characteristics as well as starting ability on slope are taken through the field test.

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Analysis of Slope Fracturing using a Terrestrial LiDAR (지상라이다를 이용한 사면파괴 거동분석)

  • Yoo, Chang-Ho;Choi, Yun-Soo;Kim, Jae-Myeong
    • Spatial Information Research
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    • v.16 no.3
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    • pp.279-290
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    • 2008
  • Landslide, one of the serious natural disasters, has Incurred a large loss of human and material resources. Recently, many forecasting or alarm systems based on various kinds of measuring equipment have been developed to reduce the damage of landslide. However, only a few of these equipments are guaranteed to evaluate the safety of whole side of land slope with their accessibility to the slope. In this study, we performed some experiments to evaluate the applicability of a terrestrial LiDAR as a surveying tool to measure the displacement of a land slope surface far a slope collapsing protection system. In the experiments, we had applied a slope stability method to a land slope and then forced to this slope with a load increasing step by step. In each step, we measured the slope surface with both a total station and a terrestrial LiDAR simultaneously. As the result of Slope Fracturing analysis using all targets, the LiDAR system showed that three was 1cm RMSE on X-axis, irregularity errors on Y-axis and few errors on Z-axis compare with Total Station. As the result of Slope Fracturing analysis using continuous targets, the pattern of Slope Fracturing was different according to the location of continuous targets and we could detect a continuous change which couldn't be found using Total station. The accuracy of the LiDAR data was evaluated to be comparable to that of the total station data. We found that a LiDAR system was appropriate to measuring the behaviour of land slope. The LiDAR data can cover the whole surface of the land slope, whereas the total station data are available on a small number of targets. Moreover, we extracted more detail information about the behavior of land slope such as the volume and profile changes using the LiDAR data.

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Prediction of Defibrillation Success of Ventricular Fibrillation ECG Signals using Time-Frequency Analysis (시-주파수 분석을 이용한 심실세동시 심전도 분석을 통한 제세동 예측에 관한 연구)

  • Sung, Hong-Mo;Shin, Jae-Woo;Lee, Hyun-Sook;Hwang, Sung-Ho;Yoon, Young-Ro
    • The Transactions of the Korean Institute of Electrical Engineers D
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    • v.55 no.4
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    • pp.181-188
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    • 2006
  • The purpose of this study is to predict the defibrillation success of a ventricular Fibrillation ECG signal using time-frequency analysis. During CPR, coronary perfusion pressure and electrocardiogram were measured. Parameters extracted from time-frequency domain were served as predictor of resuscitation success. Time frequency distribution(TFD) of ECG signals was estimated from the smoothed pseudo Wigner-Ville distribution(SPWVD). Median frequency, peak frequency, 1/f slope, frequency band ratios$(2{\sim}4Hz,\;4{\sim}6Hz,\;6{\sim}8Hz,\;8{\sim}10Hz,\;10{\sim}12Hz,\;12{\sim}15Hz)$ were extracted from each TFD as function of time. Paired t-test was used to determine the differences in ROSC and non-ROSC groups. In the statistical results, we selected four significant parameters - median frequency, 1/f slope, $2{\sim}4Hz$ band ratio, $8{\sim}10Hz$ band ratio. We made an attempt to predict defibrillation success by combining features extracted from time frequency distribution. Independent t-test was used to determine the differences ROSC and non-ROSC groups. Consequently, we selected four significant parameters-median frequency, 1/f slope, $2{\sim}4Hz$ band ratio, $8{\sim}10Hz$ band ratio. The relationship between coronary perfusion pressure and ECG parameters was analyzed with linear regression analysis. R-square value was 55%. 1/f slope and $8{\sim}10Hz$ band ratio had the significant relationship with coronary perfusion pressure.

A STUDY OF THE TEMPOROMANDIBULAR JOINT IN NORMAL OCCLUSION USING T.M.J TOMOGRAM AND CEPHALOGRAM (단층 및 두부 방사선 계측사진을 이용한 정상교합자의 악관절에 관한 연구)

  • Baik, Hyoung-Seon
    • The korean journal of orthodontics
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    • v.16 no.1
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    • pp.85-106
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    • 1986
  • The purpose of this investigation was to know the means of the T.M.J. space and to compare spational differences in centric relation and centric occlusion by the T.M.J. Tomogram and to study the correlation between the articular eminence slope and the lingual surface slope of the maxillary central incisor by the Cephalogram in near normal occlusion subjects. These results could give contribution for the diagnosis of orthodontic treatment and T.M.J. dysfunction and the assessment of orthopedic treatment and orthognathic surgery. 44 young adults (28 men and 16 women, 21 to 27 years of age) were selected from the Dental students in Yonsei Univ. Criteria for selection was normal occlusion, no clinical signs and T.M.J. dysfunction, no history of orthodontic treatment, and no missing tooth. After submental vertex view analysis. each subject was given the T.M.J. Tomogram in centric relation and centric occlusion and the Cephalogram was given with Quint Sectograph. All data was recorded and statistically processed with the CYBER computer system. Results were analyzed: the following findings and conclusions were derived. 1. The mean value for the combined right and left anterior joint space was 2.549mm, the posterior space was 2.260mm, and superior space was 3.31mm in centric relation. The anterior space was 2.316mm, posterior space was 2.474mm, and superior space was 3.435mm in centric occlusion. 2. In the centric relation position, both condyles were placed more posterioly and superioly in their fossae than in the centric occlusion position by the spatial difference. 3. In the centric occlusion position, both condyles were more symmetrically placed in their fossae with equal anterior-posterioly rather than in the centric relation position. 4. The mean articular eminence angle was $48.19^{\circ}$ and the mean fossa height was 7.911mm. A strong positive correlation between the articular eminence angle and fossa height in T.M.J. Tomogram was found. 5. In Cephalometric analysis, there was a strong positive correlation between the articular eminence slope and the lingual surface slope of the upper central incisor to the FH plane, occlusal plane, and S-N plane. 6. There was moderate positive correlation between the S-E measurements and the fossa height, articular eminence angle, and DcGn < F-H.

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A Study on the Improvement of Evaluation Methods for Roadside Slope Revegetation - Focus on the Cut-soil Slope - (도로비탈면 녹화공사 평가방법의 개선 방안 연구 - 절토부 토사를 중심으로 -)

  • Kim, Nam-Choon
    • Journal of the Korean Society of Environmental Restoration Technology
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    • v.23 no.6
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    • pp.187-200
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    • 2020
  • Despite the eco-friendly route plan, road slopes were collapsed due to road construction, resulting in human and property damage. To solve this problem, the Ministry of Land, Transport and Maritime Affairs established guidelines in 2009 to conduct a test-bed for slope recording considering the conditions of the site and the ecological environment, and divided them into recording quality and economic evaluation. The following results were obtained by analyzing 183 construction methods of cut-soil sections at 60 sites from 2012 to 2018 for road slope afforestation research. Straw net+seedspray, vegetation media spray method 1T, 3T were used the most, and vegetation media spray method 3T(patent) was excellent in quality, and straw net+seedspray was excellent in economics. As a result of analyzing the market unit price and the construction unit price, vegetation media spray method submitted the construction unit price at up to 60% lower than the market unit price. As a result of the analysis of the key factors of the greening method evaluation, the economic assessment had the greatest influence on all evaluation items. Problems in the evaluation method of revegetation were first identified as problems in the allocation of points and secondly as problems in the evaluation criteria. As for the improvement of the economic assessment criteria, the method was proposed to evaluate the same method based on market unit price when the same method was constructed, and not to conduct an economic assessment if there was a difference in market unit price between methods, or to add weight to the scores. Based on the monitoring data of 60 road slopes, this study drew up problems and improvement measures. However, with regard to scoring, research on appropriate scoring is needed by examining the current status.