• Title/Summary/Keyword: Wide dynamic

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Posterior Interspinous Fusion Device for One-Level Fusion in Degenerative Lumbar Spine Disease : Comparison with Pedicle Screw Fixation - Preliminary Report of at Least One Year Follow Up

  • Kim, Ho Jung;Bak, Koang Hum;Chun, Hyoung Joon;Oh, Suck Jun;Kang, Tae Hoon;Yang, Moon Sool
    • Journal of Korean Neurosurgical Society
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    • v.52 no.4
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    • pp.359-364
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    • 2012
  • Objective : Transpedicular screw fixation has some disadvantages such as postoperative back pain through wide muscle dissection, long operative time, and cephalad adjacent segmental degeneration (ASD). The purposes of this study are investigation and comparison of radiological and clinical results between interspinous fusion device (IFD) and pedicle screw. Methods : From Jan. 2008 to Aug. 2009, 40 patients underwent spinal fusion with IFD combined with posterior lumbar interbody fusion (PLIF). In same study period, 36 patients underwent spinal fusion with pedicle screw fixation as control group. Dynamic lateral radiographs, visual analogue scale (VAS), and Korean version of the Oswestry disability index (K-ODI) scores were evaluated in both groups. Results : The lumbar spine diseases in the IFD group were as followings; spinal stenosis in 26, degenerative spondylolisthesis in 12, and intervertebral disc herniation in 2. The mean follow up period was 14.24 months (range; 12 to 22 months) in the IFD group and 18.3 months (range; 12 to 28 months) in pedicle screw group. The mean VAS scores was preoperatively $7.16{\pm}2.1$ and $8.03{\pm}2.3$ in the IFD and pedicle screw groups, respectively, and improved postoperatively to $1.3{\pm}2.9$ and $1.2{\pm}3.2$ in 1-year follow ups (p<0.05). The K-ODI was decreased significantly in an equal amount in both groups one year postoperatively (p<0.05). The statistics revealed a higher incidence of ASD in pedicle screw group than the IFD group (p=0.029) Conclusion : Posterior IFD has several advantages over the pedicle screw fixation in terms of skin incision, muscle dissection and short operative time and less intraoperative estimated blood loss. The IFD with PLIF may be a favorable technique to replace the pedicle screw fixation in selective case.

On-site Application of a Vehicle Tunnel Ventilation Simulator (도로터널 환기시뮬레이션 모델 현장적용 연구)

  • 이창우;김효규
    • Tunnel and Underground Space
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    • v.11 no.4
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    • pp.319-327
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    • 2001
  • Introduction of new design tools has been required to optimally design and operate the ventilation system of long vehicle tunnels.. The demand has led to wide spread use of the simulation technique throughout the would to analysis the dynamic relationship among the variables associated with vehicle tunnel ventilation. This paper aims at performing on-site study at local tunnels to test the applicability of NETVEN, a simulation model vehicle tunnel ventilation. The study was carried out at four urban as well as highway tunnels model of vehicle tunnel ventilation. The study was carried out at four urban as well as highway tunnels employing different ventilation systems as well as traffic methods. There were some discrepancies sound between the simulation output and measurements and the following four factors are considered to mainly cause those disagreement. (1) The real situation shows distinctive transient and retarding characteristics with respect to air flow and contaminant dispersion, while ventilation forces are not steady-state and in particular those traffic and climatic variables show significant instantaneous variation. (3) Near the exit portal, the CO levels show bigger differences. The general trend is that data with higher CO concentrations carry bigger discrepancies. Turbulent diffusion is though to be the main reason for it and also contribute to the fact hat the highest CO concentrations are found at the locations somewhat inward, not at the exit portals. (4) Higher traffic rate results in higher discrepancies of ventilation velocity. Along with the exhaust characteristics, the vehicle aerodynamic characteristics need to be studied continuously in order to reduce the velocity disagreement.

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Methodologic Aspect of LINAC-based Stereotactic Radiosurgery (선형가속기 기반 뇌정위 방사선 수술기법)

  • Choi, Tae Jin
    • Progress in Medical Physics
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    • v.23 no.3
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    • pp.127-137
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    • 2012
  • A conversing beam is firstly designed for radiosurgery by a neurosugern Lars Leksell in 1949 with orthogonal x-rays tube moving through horizontal moving arc to focusing the beam at target center. After 2 decades he composits 201 source of the Co-60 for gamma knife which beams focused at locus. Sveral linac-based stereotactic radiosurgery using the circular collimated beam which size range for 0.4~4.0 cm in a diameter by non-coplanar multiarc have been developed over the decades. The irregular lesions can be treated by superimposing with several spherical shots of radiation over the tumour volume. Linac based techniques include the use of between 4 and 11 non-co-planar arcs and a dynamic rotation technique and use photon beam energies in the range of 6~10 MV. Reviews of the characteristics of several treatment techniques can be found in the literature (Podgorsak 1989, Schell 1991). More in recent, static conformal beams defined by custom shaped collimators or a mini- or micro-multileaf collimator (mMLC) have been used in SRS. Finally, in the last few years, intensity-modulated mMLC SRS has also been introduced. Today, many commercial and in-house SRS programs have also introduced non-invasive immobilization systems include the cyberknife and tomotherapy and proton beam. This document will be compared the characteristics of dose distribution of radiosurgery as introduced gamma knife, BrainLab include photon knife in-house SRS program and cyberknife in currently wide used for a cranial SRS.

Rheological Behavior of Semi-Solid Ointment Base (Vaseline) in Steady Shear Flow Fields (정상전단유동장에서 반고형 연고기제(바셀린)의 레올로지 거동)

  • Song, Ki-Won;Kim, Yoon-Jeong;Lee, Chi-Ho
    • Journal of Pharmaceutical Investigation
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    • v.37 no.3
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    • pp.137-148
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    • 2007
  • Using a strain-controlled rheometer [Rheometrics Dynamic Analyzer (RDA II)], the steady shear flow properties of a semi-solid ointment base (vaseline) have been measured over a wide range of shear rates at temperature range of $25{\sim}60^{\circ}C$. In this article, the steady shear flow properties (shear stress, steady shear viscosity and yield stress) were reported from the experimentally obtained data and the effects of shear rate as well as temperature on these properties were discussed in detail. In addition, several inelastic-viscoplastic flow models including a yield stress parameter were employed to make a quantitative evaluation of the steady shear flow behavior, and then the applicability of these models was examined by calculating the various material parameters (yield stress, consistency index and flow behavior index). Main findings obtained from this study can be summarized as follows : (1) At temperature range lower than $40^{\circ}C$, vaseline is regarded as a viscoplastic material having a finite magnitude of yield stress and its flow behavior beyond a yield stress shows a shear-thinning (or pseudo-plastic) feature, indicating a decrease in steady shear viscosity as an increase in shear rate. At this temperature range, the flow curve of vaseline has two inflection points and the first inflection point occurring at relatively lower shear rate corresponds to a static yield stress. The static yield stress of vaseline is decreased with increasing temperature and takes place at a lower shear rate, due to a progressive breakdown of three dimensional network structure. (2) At temperature range higher than $45^{\circ}C$, vaseline becomes a viscous liquid with no yield stress and its flow character exhibits a Newtonian behavior, demonstrating a constant steady shear viscosity regardless of an increase in shear rate. With increasing temperature, vaseline begins to show a Newtonian behavior at a lower shear rate range, indicating that the microcrystalline structure is completely destroyed due to a synergic effect of high temperature and shear deformation. (3) Over a whole range of temperatures tested, the Herschel-Bulkley, Mizrahi-Berk, and Heinz-Casson models are all applicable and have an almostly equivalent ability to quantitatively describe the steady shear flow behavior of vaseline, whereas the Bingham, Casson,and Vocadlo models do not give a good ability.

The Study on the Patterns and Formation Factors of the International Conflicting Area (국제분쟁지역의 유형 및 형성요인에 관한 연구)

  • Lee, Han-Bang
    • Journal of the Korean association of regional geographers
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    • v.8 no.2
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    • pp.199-215
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    • 2002
  • The socio-economic and environmental systems of world are in turmoil. International conflicts are placed in their geographical context through the integration of maps. Changes in the world political map have often been the outcome of wars and conflicts associated with major geopolitical transitions. We identify five basic types--proto-nationalism, unification nationalism, separation nationalism, liberation nationalism and renewal nationalism. Political leaders in a wide range of contexts have been able to appeal to the nationalist doctrine to justify their actions. In recent years indigenous peoples have found a new voice in their struggle for survival. Although colonial empire's ending followed long and bloody struggles in some places. We really cannot understand the modem world as a whole if we do not understand the dynamic of that part of it which has endured and struggled against colonialism. The patterns of the international conflicting area are divided internal conflict type, mixed conflict type, international conflict type. The formation factors of the international conflicting area are divided ethnic group, religion, colonialism, resource, territory. There has recently been a resurgence of Islam's importance in world affairs. The oil crises of the 1970s gave new international leverage to several Muslim states.

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Modification in the Responsiveness of Cat Dorsal Horn Cells during Carrageenin-Induced Inflammation (피부염에 의해 유발된 척수후각세포의 Activity 변동에 관한 연구)

  • Kim, Kee-Soon;Shin, Hong-Kee;Kim, Jin-Hyuk;Lee, Ae-Joo;Kang, Suck-Han
    • The Korean Journal of Physiology
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    • v.23 no.1
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    • pp.151-167
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    • 1989
  • The present study was undertaken to investigate modification in electrophysiological characteristics of cat dorsal horn cells resulting from carrageenin-induced inflammation. The followings were studied; 1) the time-course of changes in responses of the WDR (wide dynamic range) cell 1-3h after subcutaneous injection of carrageenin in its receptive field; 2) the responses of the same dorsal hern cells before and after induction of inflammation; 3) the effect of inflammation on the responsiveness of dorsal horn neurons to algogens (bradykinin & potassium); and 4) the effect of inflammation on the activity of WDR cell following administration of indomethacin and clonidine. Though responses of WDR neuron were increased dramatically during first 1h, the maximal enhancement was observed 3h after induction of inflammation especially by repetitive light tactile stimulus. Following carrageenin injection the majority of WDR neurons (10/15 units) showed enhanced responses to all the mechanical stimuli while in 3 cases responsiveness were intensified during activation by one tactile stimulus (brush or pressure). One cell was unaffected by inflammation and in another case the response was enhanced only to noxious stimulus. Five of 9 cells that could initially be driven by noxious stimulus were activated more strongly by same stimulus and even by tactile stimulus (pressure) following inflammation. In 2 cases neurons were sensitized only to noxious stimulus whereas in another 2 cells that did not show enhanced responses to noxious stimulus responses to light tactile stimulus (pressure) appeared after inflammation. Of 16 LT cells tested 6 responded to squeeze while 4 showed the characteristics of WDR cell following inflammation. No modification in responsiveness was recognized in 3 cells whereas response to only brush was enhanced in another 3 neurons. Following carrageenin injection responses of LT cell to bradykinin or $K^{+}$ were not altered whereas those of WOR neurons to bradykinin or $K^{+}$ were suppressed in 22.2% and 33.3% of cases, respectively. In two of 8 activity of HT cells were inhibited by bradykinin while in five of 8 responsiveness to $K^{+}$ were rather enhanced by inflammation. In the rest inflammation was ineffective. In inflammation-induced animal the receptive field of LT cell was not changed whereas those of WDR cell and HT cell were tremendously expanded. The enhanced responses of WDR neurons to mechanical stimuli resulted from inflammation were suppressed by intravenously injected indomethacin and clonidine suggesting that postaglandin is involved in inflammation-induced sensitization of these cells. The involvement of peripheral and central mechanisms in the modification in responsiveness of dorsal horn cells in the carrageenin-induced inflammation was discussed.

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A Dynamic Analysis of the Women's Labor Market Transition: With a Focus on the Relationship between Productive and Reproductive Labor (여성의 생산노동과 재생산노동의 상호연관성이 취업에 미치는 영향에 관한 경험적 연구)

  • 이재열
    • Korea journal of population studies
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    • v.19 no.1
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    • pp.5-44
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    • 1996
  • Wornen's lahor market participation as well as the policy concern for wider utilization of married women, have continuously grown up. However, research efforts on the determinants of women's labor market participation, in the context of the relationship hetween life courses and active entry into lahor market, has been far behind the growing interest in this field. This study has conducted an event histoiry analysis of women's labor market transition utilizing personal occupational history data collected by the Korea Institute for Women's Development in 1991. The analysis is divided into tow parts: First part introduces logit regression to analyze the determinants of women's labor market participation and exit. The second part employs Cox regression to see the variation of transition rate between employment and non-employment. The result shows that there is a wide variation in women's labor market participation according to age, cohort, and family formation. Special note is needed for the significantly negative effect of marriage and child birth on labor market participation. The transition pattern of lower class women with less education fits well to the prediction of neo-classical economics; but the tendency of highly educated women's regression to non-employment reveals the strong influence of the unfavorable labor market structure, which can be better explained by the neo-structuralist perspective. There is a strong trade-off between productive and reproductive labor of women, which can only be corrected by strong policy implementation, such as extended child care facilities, abolition of discriminatory employment practices, and expansion of flexible part-time employment.

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Research for The Environmental Optimization of Dose and Image quality in Digital Radiography (디지털 방사선촬영 환경에서 선량의 최적화 및 영상품질에 대한 연구)

  • Lee, Kwang Jae;Kim, MinGi;Lee, Jong Woong;Kim, Ho Cheol
    • Journal of the Institute of Electronics and Information Engineers
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    • v.50 no.2
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    • pp.203-209
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    • 2013
  • Digital Radiography (DR) has improved a quality of resolution based on a wide dynamic range, high detective quantum efficiency (DQE), and modulation transfer function (MTF), compared with film/screen(F/s). Unlike expectation that a low level of radiation can be used in examination, high level of signal to noise ratio(SNR) due to over-exposure caused increase of exposed dose to patients. Also, the auto exposure control (AEC) using Kilovolage(kVp) in F/S can cause over-exposure. Hence, in this study, we proposed a proper method for using DR, in which effect of tubing Kilovolage on device's image, DR MTF measurement with changes of tubing current (mA), and the quantitative evaluation of skull phantom captured images' PSNR were evaluated. Changes of contrast with tubing Kilovolage can be improved by retouching, and MTF changes according to tubing current(1.41~1.39 lp/mm in 50% area, and 3.19~2.8 lp/mm in 10% area) does not influence on resolution of image. As a result, high tubing Kilovoltage, and tubing current will be suitable to use of DR.

Current Trends and Recent Advances in Diagnosis, Therapy, and Prevention of Hepatocellular Carcinoma

  • Wang, Chun-Hsiang;Wey, Keh-Cherng;Mo, Lein-Ray;Chang, Kuo-Kwan;Lin, Ruey-Chang;Kuo, Jen-Juan
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.9
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    • pp.3595-3604
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    • 2015
  • Hepatocellular carcinoma (HCC) has been one of the most fatal malignant tumors worldwide and its associated morbidity and mortality remain of significant concern. Based on in-depth reviews of serological diagnosis of HCC, in addition to AFP, there are other biomarkers: Lens culinaris agglutinin-reactive AFP (AFP-L3), descarboxyprothrombin (DCP), tyrosine kinase with Ig and eprdermal growth factor (EGF) homology domains 2 (TIE2)-espressing monocytes (TEMs), glypican-3 (GPC3), Golgi protein 73 (GP73), interleukin-6 (IL-6), and squamous cell carcinoma antigen (SCCA) have been proposed as biomarkers for the early detection of HCC. The diagnosis of HCC is primarily based on noninvasive standard imaging methods, such as ultrasound (US), dynamic multiphasic multidetector-row CT (MDCT) and magnetic resonance imaging (MRI). Some experts advocate gadolinium diethyl-enetriamine pentaacetic acid (Gd-EOB-DTPA) MRI and contrast-enhanced US as the promising imaging madalities of choice. With regard to recent advancements in tissue markers, many cuting-edge technologies using genome-wide DNA microarrays, qRT-PCR, and proteomic and inmunostaining studies have been implemented in an attempt to identify markers for early diagnosis of HCC. Only less than half of HCC patients at initial diagnosis are at an early stage treatable with curative options: local ablation, surgical resection, or liver transplant. Transarterial chemoembolization (TACE) is considered the standard of care with palliation for intermediate stage HCC. Recent innovative procedures using drug-eluting-beads and radioembolization using Yttrium-90 may exhibit beneficial effects in HCC treatment. During the past few years, several molecular targeted agents have been evaluated in clinical trials in advanced HCC. Sorafenib is currently the only approved systemic treatment for HCC. It has been approved for the therapy of asymptomatic HCC patients with well-preserved liver function who are not candidates for potentially curative treatments, such as surgical resection or liver transplantation. In the USA, Europe and particularly Japan, hepatitis C virus (HCV) related HCC accounts for most liver cancer, as compared with Asia-Pacific regions, where hepatitis B virus (HBV) may play a more important role in HCC development. HBV vaccination, while a vaccine is not yet available against HCV, has been recognized as a best primary prevention method for HBV-related HCC, although in patients already infected with HBV or HCV, secondary prevention with antiviral therapy is still a reasonable strategy. In addition to HBV and HCV, attention should be paid to other relevant HCC risk factors, including nonalcoholic fatty liver disease due to obesity and diabetes, heavy alcohol consumption, and prolonged aflatoxin exposure. Interestingly, coffee and vitamin K2 have been proven to provide protective effects against HCC. Regarding tertiary prevention of HCC recurrence after surgical resection, addition of antiviral treatment has proven to be a rational strategy.

The research trends of fashion studies and fashion design·aesthetics·fashion history field - Focused on 2004~2013 and - (패션연구 및 패션디자인·미학·복식사 분야 관련 연구동향 - 2004~2013년 및 <복식문화연구>를 중심으로 -)

  • Hahn, Sooyeon;Kim, Yonson
    • The Research Journal of the Costume Culture
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    • v.22 no.4
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    • pp.579-594
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    • 2014
  • The areas of fashion research and fashion design aesthetics & fashion history have been studied under a common research heading as a Humanities subject in the UK and the USA, and as Clothing and Textiles Studies in Korea. The purpose of this paper was to analyze the 2004~2013 research tendencies in terms of reporting methods and contents from 181 world-renowned Fashion Theory research papers within the UK and USA fashion research corpus, and 359 Korean research papers from The Research Journal of Costume Culture related to fashion design aesthetics & costume history field. The subject areas, periods, methodologies, and differences in the topics of the studies were examined. The results of the research are as follows. Regarding the research authorship and length of the research papers, in Fashion Theory most papers were written by a single English-speaking or other foreign language-speaking author and were on average longer than 21 pages, while in The Research Journal of Costume Culture, many papers were jointly written by two Korean researchers and were between 11 and 20 pages. Regarding the content, Fashion Theory was connected to relatively wide and diverse periodical and regional boundaries including the body, clothing, the fashion media, and the overall fashion system, while The Research Journal of Costume Culture revolved around the body and clothing, textiles, the fashion media, and costumes. In addition, since the late $20^{th}$ century, the studies appeared to be related to the current Western world overall or to the country of the author. Regarding the research methodology, Fashion Theory used diverse research subjects and methodologies, and research was conducted on topics relating to fashion culture or fashion aesthetics. On the other hand, The Research Journal of Costume Culture featured relatively more dynamic studies aimed at suggesting developments or solutions to problems. It was found that a large share of that research focused on detailed style analyses and suggestions for aspects such as design elements and design developments. Such differences are considered to be caused by the inherent differences between the academic departments for the Humanities, and the Human Ecology. The above research results are expected to provide fundamental information in setting a direction for future research to assist the globalization of domestic research.