• Journal of Korean Neurosurgical Society
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• 제62권6호
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• pp.700-711
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• 2019

Objective : The treatment of multiple thoracolumbar spine fractures according to fracture continuity has rarely been reported. Herein we evaluate the clinical features and outcomes of multiple thoracolumbar fractures depending on continuous or noncontinuous status. Methods : From January 2010 to January 2016, 48 patients with acute thoracic and lumbar multiple fractures who underwent posterior fusion surgery were evaluated. Patients were divided into two groups (group A : continuous; group B : noncontinuous). We investigated the causes of the injuries, the locations of the injuries, the range of fusion levels, and the functional outcomes based on the patients' general characteristics. Results : A total of 48 patients were enrolled (group A : 25 patients; group B : 23 patients). Both groups had similar pre-surgical clinical and radiologic features. The fusion level included three segments (group A : 4; group B : 5) or four segments (group A : 19; group B : 5). Group B required more instrumented segments than did group A. Group A scored 23.5 and group B scored 33.4 on the Korean Oswestry Disability Index (KODI) at the time of last follow-up. In both groups, longer fusion was associated with worse KODI score. Conclusion : In this study, due to the assumption of similar initial clinical and radiologic features in both group, the mechanism of multiple fractures is presumed to be the same between continuous and noncontinuous fractures. The noncontinuous fracture group had worse KODI scores in long-term follow-up, thought to be due to long fusion level. Therefore, we recommend minimizing the number of segments that are fused in multiple thoracolumbar and lumbar fractures when decompression is not necessary.

• 대한통합의학회지
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• 제8권4호
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• pp.291-305
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• 2020

Purpose : The duration of speech segments reflects children's speech motor development. The purpose of this study was to determine whether segmental sound and word duration varies by age among preschool children. Methods : A total of 60 children aged 4~5 years participated in this study. Participants took the picture-naming test to produce single-word speech data. The duration of the consonant at the initial position of the word and the final position of the word, the voice onset time of plosive, the duration of the vowel following the initial consonant, and the duration of the word were measured. Results : As age increased, the duration of the initial consonant, the duration of the word, and the voice onset time decreased significantly. The main effects of age, manner of articulation, and place of articulation on the duration of the initial consonant were significant. The duration of consonants in the nasal sound and plosives and the duration of bilabial and alveolar sound differed significantly between groups. The main effects of age and vocal type on voice onset time were significant. The main effect of age on the duration of the consonant in the final position of word and on the duration of the vowel were not statistically significant. Conclusion : The results of this study showed that the duration of segmental sound and the word were associated with speech development between 4 and 5 years old. Accordingly, duration of the segmental sound and the word may serve as an acoustic cue as they reflect speech development and speech motor control maturity.

• 음성과학
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• 제12권1호
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• pp.89-105
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• 2005

This paper is a production study of the effects of Korean prosody on two voiceless coronal fricatives /$s^h$/ and /s*/. The target segments were embedded in four prosodic positions: initial to the Intonational Phrase or the Accentual Phrase, and medial to the Accentual Phrase or to the Prosodic Word. Acoustic measurements showed that the durational differences associated with the /$s^h$/ versus /s*/ contrast vary in magnitude in different prosodic positions, confirming the proposal that segmental properties are affected by prosodic categories. This suggests that any speech synthesizer should take into consideration prosodically conditioned durational variation.

• Journal of Chest Surgery
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• 제26권1호
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• pp.64-66
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• 1993

We experienced 2 cases of surgical immobilization with Judet`s strut for flail chest with multiple rib fractures. The patients were undertaken explorative thoracotomy for unevacuated hematoma and chest wall fixation for paradoxically moving segments of ribs after initial trials of internal fixation, i.e. mechanical ventilation with endotracheal intubation. Immediately after operation, the patient`s general condition and respiratory status were improved remarkably. Mechanical ventilation and endotracheal intubtion were removed on postoperative second day without any events.

• Journal of Korean Neurosurgical Society
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• 제61권2호
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• pp.224-232
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• 2018

Objective : Cervical ossification of the posterior longitudinal ligament (OPLL) can be treated via anterior or posterior approach, or both. The optimal approach depends on the characteristics of OPLL and cervical curvature. Although most patients can be successfully treated by a single surgery with the proper approach, renewed or newly developed neurological deterioration often requires repeat surgery. Methods : Twenty-seven patients with renewed or newly developed neurological deterioration requiring salvage surgery for multi-segment cervical OPLL were enrolled. Ten patients (group AP) underwent anterior approach, and 17 patients (group PA) underwent posterior approach at the initial surgery. Clinical and radiological data from initial and repeat surgeries were obtained and analyzed retrospectively. Results : The intervals between the initial and repeat surgeries were $102.80{\pm}60.08months$ (group AP) and $61.00{\pm}8.16months$ (group PA) (p<0.05). In group AP, the main OPLL lesions were removed during the initial surgery. There was a tendency that the site of main OPLL lesions causing renewed or newly developed neurological deterioration were different from that of the initial surgery (8/10, p<0.05). Repeat surgery was performed for progressed OPLL lesions at another segment as the main pathology. In group PA, the main OPLL lesions at the initial surgery continued as the main pathology for repeat surgery. Progression of kyphosis in the cervical curvature (Cobb's angle on C2-7 and segmental angle on the main OPLL lesion) was noted between the initial and repeat surgeries. Group PA showed more kyphotic cervical curvature compared to group AP at the time of repeat surgery (p<0.05). Conclusion : The reasons for repeat surgery depend on the type of initial surgery. The main factors leading to repeat surgery are progression of remnant OPLL at a different segment in group AP and kyphotic change of the cervical curvature in group PA.

• 한국약용작물학회지
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• 제12권6호
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• pp.448-453
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• 2004

Transformed roots of Schisandra chinensis were obtained following co-cultivation of in vitro cultivated plantlet segments with Agrobaterium rhizogens ATCC15834. This root was examined for its growth and gomisin J contents under various culture conditions. Among the six basal culture media tested, WPM (Lloyd & McCown, 1980) medium supplemented with 5% sucrose was the best roots growth 6.2 (g D.W/flask) and gomisin J accumulation 1.56 $(X10^{-3}\;ug/g\;D.W)$. Initial inoculum size correlated with the yield of biomass while gomisin J contents was not affect. Gomisin J production was influenced by the initial sucrose concentration and the highest production yield was achieved at the concentration of 7%. The optimal shaking speeds for roots growth and gomisin J production was 120 and 140 rpm, respectively.

• Journal of International Society for Simulation Surgery
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• 제2권2호
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• pp.67-70
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• 2015

We propose an automatic vessel segmentation method of vertebral arteries in CT angiography using combined circular and cylindrical model fitting. First, to generate multi-segmented volumes, whole volume is automatically divided into four segments by anatomical properties of bone structures along z-axis of head and neck. To define an optimal volume circumscribing vertebral arteries, anterior-posterior bounding and side boundaries are defined as initial extracted vessel region. Second, the initial vessel candidates are tracked using circular model fitting. Since boundaries of the vertebral arteries are ambiguous in case the arteries pass through the transverse foramen in the cervical vertebra, the circle model is extended along z-axis to cylinder model for considering additional vessel information of neighboring slices. Finally, the boundaries of the vertebral arteries are detected using graph-cut optimization. From the experiments, the proposed method provides accurate results without bone artifacts and eroded vessels in the cervical vertebra.

• Journal of applied mathematics & informatics
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• 제20권1_2호
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• pp.575-584
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• 2006

In this paper we introduce a discrete tangent vector of a polygon defined on each vertex by a linear combination of forward difference and backward difference, and show that if the polygon is originated from a smooth curve then direction of the discrete tangent vector is a second order approximation of the direction of the tangent vector of the original curve. Using this discrete tangent vector, we also introduced the geometric cubic Hermite interpolation of a polygon with controlled initial and terminal speed of the curve segments proportional to the edge length. In this case the whole interpolation is $C^1$. Experiments suggest that about $90\%$ of the edge length is the best fit for the initial and terminal speeds.

• 한국통신학회논문지
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• 제22권7호
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• pp.1523-1533
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• 1997

Image registration is concerned with the establishment of correspondence between images of the same scene with translational, rotational, and scaling differences. The estimated transformation parameters between images are very important information in the field of many applications. In this paper, we propose a shape matching scheme for finding correspondence points for images with various differences, Tranditional solutions to this area are unreliable for the rotational and schaling changes between images, and the feature extraction of partially occluded scene. To solve those problems, dominant points on digital curves are detected by scale-space filtering, and initial matching is performed by similarity measure of cumulative curvatures for dominant points. For initial matching segments pairs, optimal matching points are calculated using dynamic programming.Finally, transformation parameters are estimated.

• 한국시뮬레이션학회논문지
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• 제12권1호
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• pp.11-19
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• 2003

Dubins showed that any shortest path of a car-like robot consists of exactly three path segment which are either arcs of circles of radius r(denoted C), or straight line segments(denoted S). Possible six types classified into two families, i.e. CSC and CCC. CSC includes 2 types(LRL and RLR) and CSC includes 4 types(LSL, RSR, LSR, RSL). This paper proposes new formulae for CSC family to find the shortest smooth path between the initial and final configurations of a car-like robot. The formulae is used for finding connection points explicitly between C\longrightarrowS and S\longrightarrowC which are necessary for real applications. The formulae have simple forms mainly because they are transformed into origin of their original coordinates of initial and target configuration, and derived from a standard forms which are a representative configuration of LSL and LSR type respectively. The proposed formulae, which are derived from the standard forms, are simple and new method.