• Hip & pelvis
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• 제35권1호
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• pp.32-39
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• 2023

Purpose: A staged revision with placement of a temporary antibiotic-loaded cement spacer after removal of the implant is the "gold standard" for treatment of chronic prosthetic joint infection (PJI). It enables local delivery of antibiotics, maintenance of limb-length and mobility, easier reimplantation. However, bacterial colonization of spacers and mechanical complications can also occur. The aim of this study is to evaluate functional results and infection control in two-stage treatment of total hip arthroplasty (THA) PJI with and without a spacer. Materials and Methods: A retrospective review of 64 consecutive patients was conducted: 34 underwent two-stage revision using a cement spacer (group A), 30 underwent two-stage revision without a spacer (group B). At the final follow-up, functional evaluation of patients with a THA in site, without PJI recurrence, was performed using the Harris hip score (HHS). Measurement of limb-length and off-set discrepancies was performed using anteroposterior pelvic X-rays. Results: Most patients in group B were older with more comorbidities preoperatively. Thirty-three patients (97.1%) in group A underwent THA reimplantation versus 22 patients (73.3%) in group B (P<0.001). No significant differences in limb-length and off-set were observed. The results of functional evaluation performed during the final follow-up (mean, 41 months) showed better function in patients in group A (mean HHS, 76.3 vs. 55.9; P<0.001). Conclusion: The use of antibiotic-loaded cement spacer seems superior in terms of functional outcomes and reimplantation rate. Resection arthroplasty might be reserved as a first-stage procedure in patients who are unfit, who might benefit from a definitive procedure.

• Hip & pelvis
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• 제35권4호
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• pp.277-280
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• 2023

Dislocation after a total hip arthroplasty occurs in approximately 1% of patients; however, the frequency is much higher after revision surgery. To prevent dislocation, use of a larger femoral head is recommended, and a dual mobility femoral head has been introduced. However, reducing the dual mobility femoral head to the acetabular component is difficult in cases involving contracture in the soft tissue around the joint. A 72-year-old male patient who developed a periprosthetic joint infection underwent two-stage revision surgery using MUTARS^®. Two months after the revision, the hip joint became dislocated and manual reduction was attempted; however, dislocation occurred again. During another revision using a dual mobility bearing, the soft tissue around the hip joint was too tight to reduce. The problem was overcome by first repositioning the dual mobility head into the acetabular socket, followed by assembly of the diaphyseal portion of the implant.

• 한국문헌정보학회지
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• 제20권
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• pp.35-63
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• 1991

DDC, LCC, and CC can be said as the major schemes for mordern general library classification. Among these, DDC, since its publication in 1876, has been continuously studies and revised by many scholars and practitioners to publish 20th edition in 1989: LCC also has been studied and revised by the specialists in each subject, since 1904; and CC(first edition 1933) is now on the stage of 7th edition(1987). Even though studied, revised and developed by many classificationists, all these schemes maintain the general framework of the beginning, only with the partial revision and expansion to reflect the developments of the subjects. and antioipated tremendous amount of works resulted from reclassification also can be a reason that disturbs the full innovative revision of the scheme, because these are used in many libraries as a basic tools for the classification. But all these schemes mainly based on the state of the discipline at the time of their creation, the beginning of 20the century, and so in some aspect it is natural for them to have many problems. This study aims to investigate the problems in these major schemes, to find some ways to solve the problems, and to suggest the ideas for the basic design of a new modern library classification scheme. This plan is prepared to be applied to the situation of all countries equally without any revision. And in its notation, it uses two digits of Arabic numerals as centesimal, and so it is named provisionally to Plan for Centesimal Classification (PCC).

• 제어로봇시스템학회논문지
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• 제15권9호
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• pp.909-915
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• 2009

This work is to develop a vision system for high precision alignment between upper and lower plates required at the imprinting process of the large LCD flat panel. We compose a gantry-stage that has highly repeated accuracy for high precision alignment and achieves analysis about thermal transformations of stage itself. Position error in the stage is corrected by feedback control from the analysis. This system can confirm alignment mark of upper and lower plates by using two cameras at a time for the alignment of two plates. Pattern matching that uses geometric feature is proposed to consider the recognition problem for alignment mark of two plates. It is algorithm to correct central point and angle for the alignment from the recognized mark of upper and lower plates based on the special characteristics. At the alignment process, revision for error position is performed through Look and Move techniques.

• Clinical and Experimental Otorhinolaryngology
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• 제11권4호
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• pp.233-241
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• 2018

Objectives. As endoscopic instrumentation, techniques and knowledges have significantly improved recently, endoscopic ear surgery has become increasingly popular. Transcanal endoscopic ear surgery (TEES) can provide better visualization of hidden areas in the middle ear cavity during congenital cholesteatoma removal. We aimed to describe outcomes for TEES for congenital cholesteatoma in a pediatric population. Methods. Twenty-five children (age, 17 months to 9 years) with congenital cholesteatoma confined to the middle ear underwent TEES by an experienced surgeon; 13 children had been classified as Potsic stage I, seven as stage II, and five as stage III. The mean follow-up period was 24 months. Recurrence of congenital cholesteatoma and surgical complication was observed. Results. Congenital cholesteatoma can be removed successfully via transcanal endoscopic approach in all patients, and no surgical complications occurred; only one patient with a stage II cholesteatoma showed recurrence during the follow-up visit, and the patient underwent revision surgery. The other patients underwent one-stage operations and showed no cholesteatoma recurrence at their last visits. Two patients underwent second-stage ossicular reconstruction. Conclusion. Although the follow-up period and number of patients were limited, pediatric congenital cholesteatoma limited to the middle ear cavity could be safely and effectively removed using TEES.

• 대한토목학회논문집
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• 제29권4A호
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• pp.337-346
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• 2009

타정식 현수교의 보강형 가설중의 경계조건과 하중조건의 변화를 고려하여 초기형상을 결정하기 위한 구조해석 모델링 방법 및 해석 알고리즘을 제안하였다. 타정식 현수교의 가설단계를 보강형의 가설시점을 기준으로 보강형 가설단계인 1단계와 완공단계의 2단계로 구분하였으며 이러한 가설단계를 고려하여 초기형상해석 단계를 1차 형상해석과 2차 형상보정해석의 2단계로 구분하였다. 각 해석단계에 대한 보강형의 경계조건과 작용하중의 모델링 방법 및 반복해석 알고리즘을 제안하였으며 실 교량에 대해 수치해석을 수행하여 기존 해석방법에 의한 초기형상해석결과와 비교, 분석하였다. 실 교량에 대한 수치해석 결과 기존 초기형상해석방법의 문제점을 파악할 수 있었으며 본 연구에서 제안된 방법을 적용할 경우 기존 방법의 문제점을 해결할 수 있음을 확인하였다.

• Clinics in Shoulder and Elbow
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• 제27권1호
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• pp.18-25
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• 2024

Background: The Discovery Elbow System (DES) utilizes a polyethylene bearing within the ulnar component. An exchange bearing requires preoperative freezing and implantation within 2 minutes of freezer removal to allow insertion. We report our outcomes and experience using this technique. Methods: This was an analysis of a two-surgeon consecutive series of DES bearing exchange. Inclusion criteria included patients in which exchange was attempted with a minimum 1-year follow-up. Clinical and radiographic review was performed 1, 2, 3, 5, 8 and 10 years postoperative. Outcome measures included range of movement, Oxford Elbow Score (OES), Mayo Elbow Performance Score (MEPS), complications and requirement for revision surgery. Results: Eleven DESs in 10 patients were included. Indications were bearing wear encountered during humeral component revision (n=5); bearing failure (n=4); and infection treated with debridement, antibiotics and implant retention (DAIR; n=2). Bearing exchange was conducted on the first attempt in 10 cases. One case required a second attempt. One patient developed infection postoperatively managed with two-stage revision. Mean follow-up of the bearing exchange DES was 3 years. No further surgery was required, with no infection recurrence in DAIR cases. Mean elbow flexion-extension and pronosupination arcs were 107°(±22°) and 140° (±26°). Mean OES was 36/48 (±12) and MEPS was 83/100 (±19). Conclusions: Our results support the use of DES bearing exchange in cases of bearing wear with well-fixed stems or acute infection. This series provides surgeons managing DES arthroplasty with management principles, successful and reproducible surgical techniques and expected clinical outcomes in performing DES polyethylene bearing exchange. Level of evidence: IV.

• Journal of Korean Neurosurgical Society
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• 제64권3호
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• pp.437-446
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• 2021

Objective : To investigate the radiographic characteristics of the uppermost instrumented vertebrae (UIV) and UIV+1 compression fractures that are predictive of revision surgery following long-segment spinal fixation. Methods : A total 27 patients who presented newly developed compression fracture at UIV, UIV+1 after long segment spinal fixation (minimum 5 vertebral bodies, lowest instrumented vertebra of L5 or distal) were reviewed retrospectively. Patients were divided into two groups according to following management : revisional surgery (group A, n=13) and conservative care (group B, n=14). Pre- and postoperative images, and images taken shortly before and after the occurrence of fracture were evaluated for radiologic characteristics Results : Despite similar degrees of surgical correction of deformity, the fate of the two groups with proximal junctional compression fractures differed. Immediately after the fracture, the decrement of adjacent disc height in group A (32.3±7.6 mm to 23.7±8.4 mm, Δ=8.5±6.9 mm) was greater than group B (31.0±13.9 mm to 30.1±15.5 mm, Δ=0.9±2.9 mm, p=0.003). Pre-operative magnetic resonance imaging indicated that group A patients have a higher grade of disc degeneration adjacent to fractured vertebrae compared to group B (modified Pfirrmann grade, group A : 6.10±0.99, group B : 4.08±0.90, p=0.004). Binary logistic regression analysis indicated that decrement of disc height was the only associated risk factor for future revision surgery (odds ratio, 1.891; 95% confidence interval, 1.121-3.190; p=0.017). Conclusion : Proximal junctional vertebral compression fractures with greater early-stage decrement of adjacent disc height were associated with increased risk of future neurological deterioration and necessity of revision. The condition of adjacent disc degeneration should be considered regarding severity and revision rate of proximal junctional kyphosis/proximal junction failures.

• 한국기술사회:학술대회논문집
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• 한국기술사회 1983년도 한일기술사 합동 심포지움
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• pp.71-73
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• 1983

I. History of the Gijutsushi Act revised II. The Revised Parts of the Act (1) The Revision of the Act; the Gijutsushi-in-Training newiy established 1) The Preliminary Examination was abolished. 2) The Normal Examination consists of two parts, i.e. 1st Stage Examination and 2nd Stage Examination. 3) Those who have passed the 1st Stage Examination are entitled to be Gijutsushi in Training: those who have passed the 2nd Stage Examination are entitled to be Gijutsushi. 4) The Gijutsushi-in-Training will register with the Science and Technology Agency and assist the professional business of Gijutsushi by using the title of Gijutsushi in Training. 5) Requirements for the Examinations. (a) No professional experience will be required for those who wish to apply for the 1st Stage Examination. (b) Those who wish to apply for the 2nd Stage Examination are required to have assisted Gijutsushi as Gijutsushi in Training for the period designated in the ordinance issued from the Prime Ministers' Office (7 years, probably) or mere. (c) All restrictions due to educational careers were abolished as to both kinds of Examinations. 6) Under certain conditions, the 1st Stage Examination will partially be waived. (2) The Subrogation of the Examinations The Director-General of the Science and Technology Agency is able to designate another agency to conduct, on its behalf, the affairs related to the Examinations. (3) The Subrogation of Affairs related to the Registrations The Director-General of the Science and Technology Agency is able to designate another agency to conduct the affairs related to the registration of Gijutsushi and Gijutsushi-in- Training. (4) The Symplification of Registration, etc. 1) The address will be deleted from the matters to be registered. 2) The address and the site of office will be deleted from the matters to be inserted in the Certificate of Registration.

• ETRI Journal
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• 제33권3호
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• pp.423-433
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• 2011

This paper introduces an adaptive and integrated utterance verification (UV) framework using minimum verification error (MVE) training as a new set of solutions suitable for real applications. UV is traditionally considered an add-on procedure to automatic speech recognition (ASR) and thus treated separately from the ASR system model design. This traditional two-stage approach often fails to cope with a wide range of variations, such as a new speaker or a new environment which is not matched with the original speaker population or the original acoustic environment that the ASR system is trained on. In this paper, we propose an integrated solution to enhance the overall UV system performance in such real applications. The integration is accomplished by adapting and merging the target model for UV with the acoustic model for ASR based on the common MVE principle at each iteration in the recognition stage. The proposed iterative procedure for UV model adaptation also involves revision of the data segmentation and the decoded hypotheses. Under this new framework, remarkable enhancement in not only recognition performance, but also verification performance has been obtained.