• Title/Summary/Keyword: simple procedure

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Evaluation of safety and usefulness of submental intubation in panfacial trauma surgery

  • Singaram, Mohanavalli;Ganesan, Ilango;Kannan, Radhika;Kumar, Rajesh
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.42 no.2
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    • pp.99-104
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    • 2016
  • Objectives: Submental intubation has been advocated as an alternative to classical tracheostomy for certain indicated panfacial trauma surgeries. Surgeons should have various options for airway management in maxillofacial trauma patients. Most maxillofacial injuries involve occlusal derangements, which might require intraoperative occlusal corrections; hence, orotracheal intubation is not ideal. Maxillofacial surgeons generally prefer nasotracheal intubation; however, in cases with concomitant skull base fracture or nasal bone fracture, nasotracheal intubation might not be suitable; in these situations, tracheostomy is typically performed. However, the possible complications of tracheostomy are well known. Due to trauma situations and to avoid the complications of tracheostomy, submental intubation would be an ideal alternative procedure in selected maxillofacial trauma surgery patients. This study aimed to evaluate the safety and usefulness of a submental intubation technique for panfacial trauma surgery. Moreover, we intended to share our experience of submental intubation and to recommend this simple, safe procedure for certain panfacial trauma surgeries. Materials and Methods: In five panfacial trauma patients, we performed submental intubation for airway management; the mean time required for the procedure was only eight minutes. Results: We were able to execute this procedure safely in a short time without any intraoperative or postoperative complications. Conclusion: Submental intubation is a safe and simple technique for airway management in indicated panfacial trauma surgery patients.

A Black and White Comics Generation Procedure for the Video Frame Image using Region Extension based on HSV Color Model (HSV 색상 모델과 영역 확장 기법을 이용한 동영상 프레임 이미지의 흑백 만화 카투닝 알고리즘)

  • Ryu, Dong-Sung;Cho, Hwan-Gue
    • Journal of KIISE:Computer Systems and Theory
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    • v.35 no.12
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    • pp.560-567
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    • 2008
  • In this paper, we discuss a simple and straightforward binarization procedure which can generate black/white comics from the video frame image. Generally, the region of human's skin is colored white or light gray, while the dark region is filled with the irregular but regular patterns like hatching in most of the black/white comics. Note that it is not enough for simple threshold method to perform this work. Our procedure is decoupled into four processes. First, we use bilateral filter to suppress noise color variation and reserve boundaries. Then, we perform mean-shift segmentation for each similar colored pixels to be clustered. Third, the clustered regions are merged and extended by our region extension algorithm considering each color of their regions. Finally, we decide which pixels are on or off using by our dynamic binarization method based on the HSV color model. Our novel black/white cartooning procedure was so successful to render comic cuts from a well-known cinema in a resonable time and manual intervention.

Minimally Invasive Posterior Lumbar Interbody Fusion with Threaded Fusion Cage(TFC) (Threaded Fusion Cage(TFC)를 이용한 최소 침습적 요추체 후방융합술)

  • Kim, Hyeok Joon;Cho, Ki Hong;Shin, Yong Sam;Yoon, Soo Han;Cho, Kyung Gi
    • Journal of Korean Neurosurgical Society
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    • v.30 no.sup2
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    • pp.247-253
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    • 2001
  • Objective : In general, to perform posterior lumbar interbody fusion(PLIF), it has been used more invasive procedure than simple discectomy. However we try to perform PLIF with TFC with smaller invasion almost same as in simple discectomy. This study is about its procedure and clinical results. Materials and Methods : The authors retrospectively analyzed 43 cases of minimally invasive PLIF with TFC from July 1998 to May 2000. Operative procedure, operative complication, change of disc height, blood loss, ambulation time, hospitalization period, clinical success rate, and bony fusion rate were analyzed. Results : 40 patients were capable to walk on the 2nd day of the post-operation. The average hospitalization period is 5.6 days. The average blood loss was 0.19L/level with no transfusion or wound drainage. The height of disc changed from 8.84mm to 13.54mm. Clinical success rate is 95% when evaluated by the Prolo's scale. The complication was delayed wound infection(2) and transient paresthesis(1). The bony fusion was shown in 17 patients (94.4%) out of 18 patients who passed one year. Conclusion : As a result of minimally invasive PLIF, pain was decreased and early ambulation and short hospitalization was possible. Complication was similar or lower than other studies, and the bony fusion rate and clinical success rate were also similar during follow-up.

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Numerical Modeling of Sloping Ground under Earthquake Loading Using UBCSAND Model (UBCSAND모델을 이용한 사면의 동적거동해석)

  • Park Sung-Sik;Kim Young-Su;Kim Hee-Joong
    • Journal of the Korean Geotechnical Society
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    • v.22 no.4
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    • pp.61-71
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    • 2006
  • A numerical procedure is presented fur evaluating seismic liquefaction on sloping ground sites. The procedure uses a fully coupled dynamic effective stress analysis with a plastic constitutive model called UBCSAND. The model was first calibrated against laboratory element behavior. This involved cyclic simple shear tests performed on loose sand with and without initial static shear stress. The numerical procedure is then verified by predicting a centrifuge test with a slope performed on loose Fraser River sand. The predicted excess pore pressures, accelerations and displacements are compared with the measurements. The results are shown to be in good agreement. The shear stress reversal patterns depend on static and cyclic shear stress levels and are shown to play a key role in evaluating liquefaction response in sloping ground sites. The sand near the slope has low effective confining stress and dilates more. When no stress reversals occur, the sand behaves in a stiffer manner that curtails the accumulated downslope displacements. The numerical procedure using UBCSAND can serve as a guide for design of new soil structures or retrofit of existing ones.

in Vitro Embryo Production Following Transvaginal Follicular Oocyte Aspiration from Holstein Cows Using a Simple Aspiration Apparatus (간이 난자채취기를 이용한 젖소로부터 난초란의 채취와 체외수정란의 생산)

  • 김일화;손동수;이호준;이동원;최선호;서국현;양병철;이광원
    • Journal of Embryo Transfer
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    • v.12 no.1
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    • pp.111-116
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    • 1997
  • The present study was carried out to produce in vitro fertilized embryos with immature follicular oocytes collected by transvaginal aspiration from Holstein cows. A simple aspiration apparatus consists of two stainless steel tubes, an inner tube (needle holder; 1.2cmdiameter, 55cm long) and an outer tube (1.5cm diameter, 4Scm long), and a hand-operated vacuum pump was used. Under epidural anesthesia, the needle guide was passed into the vagina of the cow to a point next to the cervix. An ovary was placed against the wall of the vagina over the end of the aspiration needle by rectal manipulation. As the needlepassed into the ovary, an assistant was asked to apply vacuum(l00mrnHg) and the ovary was manipulated back and forth in all directions over the needle. When all sites of the ovary was aspirated, the needle was withdrawn and the needle guide was moved to the other side of ovary and the procedure was repeated. When the oocyte aspiration procedure was finished, collected fluid was transported to laboratory. Oocytes surrounded with at least 1 layer of cumulus cells were matured, fertilized and cultured in vitro. The results were as follows; Ninety seven oocytes were collected by transvaginal aspiration from seventeen Holstein cows(5.7 /head). The number of oocytes surrounded with at least 1 layer of cumulus cells were 60(61.9%). Following in vitro maturation, fertilization and culture, the cleavage and development rate to morula+blastocyst were 83.3% and 30.0%, respectively. From this study, transferable in vitro fertilized embryos could be produced with imma- ture follicular oocytes collected by transvaginal aspiration from Holstein cows using a simple aspiration apparatus.

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Limitations and improvement of the in situ measurements of ground thermal conductivity in Korea (국내 지중열전도도 측정 방법의 한계 및 개선 방향)

  • Shim, Byoung Ohan
    • 한국신재생에너지학회:학술대회논문집
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    • 2011.05a
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    • pp.195.2-195.2
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    • 2011
  • The borehole heat exchanger of Geothermal Heat Pump (GHP) system should be sustainable and cost effective for long term operation. To guaranty the performance of the system thermal Response Tests (TRTs) with simple recommended procedures have been applied in many countries. Korea government developed a standard TRT procedure in order to control the quality on GHP projects. In the TRT procedure interpretation method has a rule that data set has to be interpreted by the line source model(LSM). The LSM employes some assumptions that surrounding medium is homogeneous and the line source is infinite and constant heat flux, however real ground condition is unisotropic and heterogeneous, and showing regional or local ground water flows in many cases. We need to develope improved evaluation models to estimate accurate ground thermal conductivity with respect to geological and influence of ground water because current TRT standard test procedure has limitations to be applied for every locations and system. This study surveyed the uncertainty of the thermal parameters from the interpretation method considering different evaluation period. The interpretation of 208 TRT data sets represents limitations of LSM application that some obtained ground thermal conductivities are statistically unstable and convergence time of ground thermal conductivity over test period shows trends responding the length of test period. This evaluation study will be helpful to provide some effective procedure for the thermal parameter estimation and to complement current TRT standard procedure.

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Shear stress indicator to predict seismic performance of residential RC buildings

  • Tekeli, Hamide;Dilmac, Hakan;Demir, Fuat;Gencoglu, Mustafa;Guler, Kadir
    • Computers and Concrete
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    • v.19 no.3
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    • pp.283-291
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    • 2017
  • A large number of residential buildings in regions subjected to severe earthquakes do not have enough load carrying capacity. The most of them have been constructed without receiving any structural engineering attention. It is practically almost impossible to perform detailed experimental evaluation and analytical analysis for each building to determine their seismic vulnerability, because of time and cost constraints. This fact points to a need for a simple evaluation method that focuses on selection of buildings which do not have the life safety performance level by adopting the main requirements given in the seismic codes. This paper deals with seismic assessment of existing reinforced concrete residential buildings and contains an alternative simplified procedure for seismic evaluation of buildings. Accuracy of the proposed procedure is examined by taking into account existing 250 buildings. When the results of the proposed procedure are compared with those of the detailed analyses, it can be seen that the results are quite compatible. It is seen that the accuracy of the proposed procedure is about 80% according to the detailed analysis results of existing buildings. This accuracy percentage indicates that the proposed procedure in this paper can be easily applied to existing buildings to predict their seismic performance level as a first approach before implementing the detailed and complex analyses.

Efficient seismic analysis of multi-story buildings

  • Lee, Dong Guen;Kim, Hee Cheul
    • Structural Engineering and Mechanics
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    • v.4 no.5
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    • pp.497-511
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    • 1996
  • The equivalent static force procedure and the response spectrum analysis method are widely used for seismic analyses of multi-story buildings. The equivalent static force procedure is one of the most simple but less accurate method in predicting possible seismic response of a structure. The response spectrum analysis method provides more accurate results while it takes much longer computational time. In the response spectrum method, dynamic response of a multi-story building is obtained by combining modal responses through a proper procedure such as SRSS or CQC method. Since all of the analysis results are expressed in absolute values, structural engineers have difficulties to combine them with the results obtained from the static analysis. Design automation is interrupted at this stage because of the difficulty in the decision of the most critical design load. Pseudo-dynamic analysis method proposed in this study provides more accurate seismic analysis results than those of the equivalent static force procedure since the dynamic characteristics of a structure is considered. And the proposed method has an advantage in combination of the analysis results due to gravity loads and seismic loads since the direction of the forces can be considered.

A Tentative Methodology for Quality Control of Trackbed Fills Using Field and Laboratory P-Wave Measurements

  • Park, Chul-Soo;Park, In-Beom;Kim, Eun-Jung;Mok, Young-Jin
    • International Journal of Railway
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    • v.1 no.2
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    • pp.64-71
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    • 2008
  • The quality of track-bed fills of railways has been controlled by field measurements of density $({\gamma}_d)$ and the results of plate-load tests. The control measures are compatible with the design procedures whose design parameter is $k_{30}$ for both ordinary-speed railways and high-speed railways. However, one of fatal flaws of the design procedures that there are no simple laboratory measurement procedures for the design parameters ($k_{30}$ or, $E_{v2}$ and $E_{v2}/E_{v1}$) in design stage. A new quality control procedure, in parallel with the advent of the new design procedure, is being proposed. This procedure is based upon P-wave velocity involving consistently the evaluation of design parameters in design stage and the field measurements during construction. The Key concept of the procedure is that the target value for field compaction control is the P-wave velocity determined at OMC using modified compaction test, and direct-arrival method is used for the field measurements during construction. The procedure was verified at a test site and the p-wave velocity turned out to be an excellent control measure. The specifications for the control also include field compaction water content of OMC${\pm}$2% as well as the p-wave velocity.

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Optimum Design of Piled Raft Foundations using Genetic Algorithm (유전자 알고리즘을 이용한 Piled Raft 기초의 최적설계)

  • 김홍택;강인규;황정순;전응진;고용일
    • Proceedings of the Korean Geotechical Society Conference
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    • 1999.10a
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    • pp.415-422
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    • 1999
  • This paper describes a new optimum design approach for piled raft foundations using the genetic algorithm. The objective function considered is the cost-based total weight of raft and piles. The genetic algorithm is a search or optimization technique based on nature selection. Successive generation evolves more fit individuals on the basis of the Darwinism survival of the fittest. In formulating the genetic algorithm-based optimum design procedure, the analysis of piled raft foundations is peformed based on the 'hybrid'approach developed by Clancy(1993), and also the simple genetic algorithm proposed by the Goldberg(1989) is used. To evaluate a validity of the optimum design procedure proposed based on the genetic algorithm, comparisons regarding optimal pile placement for minimizing differential settlements by Kim et at.(1999) are made. In addition using proposed design procedure, design examples are presented.

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