• Title/Summary/Keyword: Final height

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Modified Proximal Scarf Osteotomy for Hallux Valgus

  • Young, Ki Won;Lee, Hong Seop;Park, Seong Cheol
    • Clinics in Orthopedic Surgery
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    • v.10 no.4
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    • pp.479-483
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    • 2018
  • Background: We developed a modified proximal scarf osteotomy technique for moderate to severe hallux valgus in an attempt to obtain better correction of the deformity. In addition, we compared the clinical and radiographic results of this modified technique with those of the classic scarf osteotomy reported in other studies. Methods: Between December 2004 and July 2009, 44 cases of modified proximal scarf osteotomy was performed in 35 patients with moderate hallux valgus. The American Orthopedic Foot and Ankle Society (AOFAS) score, visual analogue scale (VAS) score, range of motion of the first metatarsophalangeal joint, and radiographic results were evaluated. Results: The mean hallux valgus angle and the mean first intermetatarsal angle improved from an average of $32.2^{\circ}$ and $14.3^{\circ}$, respectively, to an average of $12.5^{\circ}$ and $8.6^{\circ}$, respectively. The distal metatarsal articular angle improved from an average of $18.7^{\circ}$ to $12.4^{\circ}$. The preoperative mean AOFAS and VAS scores were 47 points and 7 points, respectively, which improved to 86 points and 1 point, respectively, at the final follow-up. Limited range of motion occurred in two cases postoperatively. The height of the first metatarsal-cuneiform joint, which was an average of 15.9 mm preoperatively, did not change. The first metatarsal-talus angle increased from an average of $4.1^{\circ}$ to $7.1^{\circ}$. Conclusions: The modified proximal scarf osteotomy for the treatment of moderate hallux valgus showed similar results with the classic scarf osteotomy with regard to changes in the first intermetatarsal angle and postoperative satisfaction. Therefore, we suggest the modified proximal scarf osteotomy be considered as well as other proximal osteotomy in the treatment of moderate to severe hallux valgus.

A Design of Mooring Line for the Buoy-Enabled Underwater Surveillance System (부이형 수중감시 시스템에서 계류라인의 구조 설계)

  • Byun, Yang-Hun;Choi, Bum-Kyu;Oh, Tae-Won
    • The Journal of Korean Institute of Information Technology
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    • v.16 no.12
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    • pp.41-47
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    • 2018
  • The buoy-enabled underwater surveillance system is a device that is installed in a particular sea area and operated for a certain period of tine and moved to another sea area after recovery. In this paper, a mooring method which is applied for a buoy-enabled underwater surveillance system was selected to maintain installation and enure stable operation. Also, the structure of the mooring line was designed. Two-point mooring method was selected considering interference with the communication cable of array-assembly. The composite structure of buoy chain, nylon rope, and anchor chain is designed as the basic component of mooring line. For the verification of design, a numerical simulation and wave tank experiment were performed. Their results were confirmed similarity in test condition. Finally, the mooring lines were designed for the environment of the sea trial location. The mooring line produced by the final design confirmed the stability above the significant wave height considered in the design on the sea trial.

Strut Support with Tricortical Iliac Allografts in Unstable Proximal Humerus Fractures: Surgical Indication and New Definition of Poor Medial Column Support

  • Lee, Seung-Jin;Hyun, Yoon-Suk;Baek, Seung-Ha
    • Clinics in Shoulder and Elbow
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    • v.22 no.1
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    • pp.29-36
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    • 2019
  • Background: The execution of fibular allograft augmentation in unstable proximal humerus fractures (PHFs) was technically demanding. In this study, the authors evaluated the clinical and radiographic outcomes after tricortical iliac allograft (TIA) augmentation in PHFs. Methods: We retrospectively assessed 38 PHF patients treated with locking-plate fixation and TIA augmentation. Insertion of a TIA was indicated when an unstable PHF showed a large cavitary defect and poor medial column support after open reduction, regardless of the presence of medial cortical comminution in preoperative images. Radiographic imaging parameters (humeral head height, HHH; humeral neck-shaft angle, HNSA; head mediolateral offset, HMLO; and status of the union), Constant score, and range of motion were evaluated. Patients were grouped according to whether the medial column support after open reduction was poor or not (groups A and B, respectively); clinical outcomes were compared for all parameters. Results: All fractures healed radiologically (average duration to complete union, 5.8 months). At final evaluation, the average Constant score was 73 points and the mean active forward flexion was $148^{\circ}$. Based on the Paavolainen assessment method, 33 patients had good results and 5 patients showed fair results. The mean loss of reduction was 1.32 mm in HHH and 5.02% in HMLO. None of the parameters evaluated showed a statistically significant difference between the two groups (poor and not poor medial column support). Conclusions: In unstable PHFs, TIA augmentation can provide good clinical and radiological results when there are poor medial column support and a large cavitary defect after open reduction.

Dietary turmeric (Curcuma longa L.) supplementation improves growth performance, short-chain fatty acid production, and modulates bacterial composition of weaned piglets

  • Recharla, Neeraja;Balasubramanian, Balamuralikrishnan;Song, Minho;Puligundla, Pradeep;Kim, Soo-ki;Jeong, Jin Young;Park, Sungkwon
    • Journal of Animal Science and Technology
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    • v.63 no.3
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    • pp.575-592
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    • 2021
  • In livestock nutrition, natural feed additives are gaining increased attention as alternatives to antibiotic growth promoters to improve animal performance. This study investigated the effects of dietary turmeric supplementation on the growth performance and gut health of weaned piglets. A total of 48 weaned piglets (Duroc × [Landrace × Yorkshire]) were used in a 6-week feeding trial. All piglets were allotted to two dietary treatments: corn-soybean meal basal diet without turmeric (control) and with 1% weight per weight (w/w) turmeric powder (turmeric). The results showed that dietary inclusion of turmeric with the basal diet improved final body weight and total average daily gain (p < 0.05). The concentrations of short-chain fatty acids in the fecal samples, including acetic, butyric, and propionic acids, were higher in the turmeric group (p < 0.05). The villus height-to-crypt depth ratio was higher in the ileum of turmeric-fed piglets (p = 0.04). The 16S rRNA gene sequencing of fecal microbiota indicated that, at the phylum level, Firmicutes and Bacteroidetes were the most predominant taxa in all fecal samples. Bacteroidetes were significantly decreased in the turmeric group compared to the control group (p = 0.021). At the genus level, turmeric showed a decreased abundance of Prevotella (p = 0.021) and an increasing trend of Lactobacillus (p = 0.083). Among the total detected species, nine bacterial species showed significant differences between the two groups. The results of this study indicated that turmeric altered the gut microbiota and shortchain fatty acid production. This suggests that turmeric could be used as a potential alternative growth promoter for piglets.

A Systematic Review of Economic Analysis on Idiopathic Short Stature (특발성 저신장의 경제성 평가 연구 경향 분석: 체계적 문헌고찰)

  • Lee, Boram;Kwon, Chan-Young;Jang, Soobin
    • The Journal of Pediatrics of Korean Medicine
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    • v.35 no.2
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    • pp.1-10
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    • 2021
  • Objectives We aimed to examine health-related economic analysis of available interventions on idiopathic short stature (ISS). Methods Eight studies were reviewed from English, Korean, and Chinese databases which were published up to December 24, 2020. Effectiveness, utility, and cost data were extracted from the studies and descriptive analysis of the individual studies was conducted Results Five studies were chosen. In the two economic evaluation studies, the incremental cost-effectiveness ratio (ICER) of growth hormone (GH) treatment was presented by performing cost-effectiveness analysis based on the deterministic decision tree approach for the GH and untreated group. Final adult height and direct medical costs were analyzed as effectiveness and cost outcomes. In 1 review article, an ICER of GH was presented based on systematic review on the effects of the GH treatment. In the two clinical trials, the effectiveness and cost of the 12 months Oriental medicine combination treatment were presented in comparison with the GH treatment alone. There were no literatures that provided utility data of available intervention on ISS. Conclusions The results of this study will be used as basic data for the economic analysis of Oriental medicine treatment on ISS in the future.

Damage detection in structures using modal curvatures gapped smoothing method and deep learning

  • Nguyen, Duong Huong;Bui-Tien, T.;Roeck, Guido De;Wahab, Magd Abdel
    • Structural Engineering and Mechanics
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    • v.77 no.1
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    • pp.47-56
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    • 2021
  • This paper deals with damage detection using a Gapped Smoothing Method (GSM) combined with deep learning. Convolutional Neural Network (CNN) is a model of deep learning. CNN has an input layer, an output layer, and a number of hidden layers that consist of convolutional layers. The input layer is a tensor with shape (number of images) × (image width) × (image height) × (image depth). An activation function is applied each time to this tensor passing through a hidden layer and the last layer is the fully connected layer. After the fully connected layer, the output layer, which is the final layer, is predicted by CNN. In this paper, a complete machine learning system is introduced. The training data was taken from a Finite Element (FE) model. The input images are the contour plots of curvature gapped smooth damage index. A free-free beam is used as a case study. In the first step, the FE model of the beam was used to generate data. The collected data were then divided into two parts, i.e. 70% for training and 30% for validation. In the second step, the proposed CNN was trained using training data and then validated using available data. Furthermore, a vibration experiment on steel damaged beam in free-free support condition was carried out in the laboratory to test the method. A total number of 15 accelerometers were set up to measure the mode shapes and calculate the curvature gapped smooth of the damaged beam. Two scenarios were introduced with different severities of the damage. The results showed that the trained CNN was successful in detecting the location as well as the severity of the damage in the experimental damaged beam.

Taguchi method-optimized roll nanoimprinted polarizer integration in high-brightness display

  • Lee, Dae-Young;Nam, Jung-Gun;Han, Kang-Soo;Yeo, Yun-Jong;Lee, Useung;Cho, Sang-Hwan;Ok, Jong G.
    • Advances in nano research
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    • v.13 no.2
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    • pp.199-206
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    • 2022
  • We present the high-brightness large-area 10.1" in-cell polarizer display panel integrated with a wire grid polarizer (WGP) and metal reflector, from the initial design to final system development in a commercially feasible level. We have modeled and developed the WGP architecture integrated with the metal reflector in a single in-cell layer, to achieve excellent polarization efficiency as well as brightness enhancement through the light recycling effect. After the optimization of key experimental parameters via Taguchi method, the roll nanoimprint lithography employing a flexible large-area tiled mold has been utilized to create the 90 nm-pitch polymer resist pattern with the 54.1 nm linewidth and 5.1 nm residual layer thickness. The 90 nm-pitch Al gratings with the 51.4 nm linewidth and 2150 Å height have been successfully fabricated after subsequent etch process, providing the in-cell WGPs with high optical performance in the entire visible light regime. Finally we have integrated the WGP in a commercial 10.1" display device and demonstrated its actual operation, exhibiting 1.24 times enhancement of brightness compared to a conventional film polarizer-based one, with the contrast ratio of 1,004:1. Polarization efficiency and transmittance of the developed WGPs in an in-cell polarizer panel achieve 99.995 % and 42.3 %, respectively.

Stability analysis of coal face based on coal face-support-roof system in steeply inclined coal seam

  • Kong, Dezhong;Xiong, Yu;Cheng, Zhanbo;Wang, Nan;Wu, Guiyi;Liu, Yong
    • Geomechanics and Engineering
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    • v.25 no.3
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    • pp.233-243
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    • 2021
  • Rib spalling is a major issue affecting the safety of steeply inclined coal seam. And the failure coal face and support system can be affected with each other to generate a vicious cycle along with inducing large-scale collapse of surrounding rock in steeply inclined coal seam. In order to analyze failure mechanism and propose the corresponding prominent control measures of steeply inclined coal working face, mechanical model based on coal face-support-roof system and mechanical model of coal face failure was established to reveal the disaster mechanism of rib spalling and the sensitive analysis of related factors was performed. Furthermore, taking 3402 working face of Chen-man-zhuang coal mine as engineering background, numerical model by using FLAC3D was built to illustrate the propagation of displacement and stress fields in steeply inclined coal seam and verify the theory analysis as mentioned in this study. The results show that the coal face slide body in steeply inclined working face can be observed as the failure height of upper layer smaller than that of lower layer exhibiting with an irregular quadrilateral pyramid shape. Moreover, the cracks were originated from the upper layer of sliding body and gradually developed to the lower layer causing the final rib spalling. The influence factors on the stability of coal face can be ranked as overlying strata pressure (P) > mechanical parameters of coal body (e.g., cohesion (c), internal fraction angle (φ)) > support strength (F) > the support force of protecting piece (F') > the false angle of working face (Θ). Moreover, the corresponding control measures to maintain the stability of the coal face in the steeply inclined working face were proposed.

Prediction and Assessment on Consolidation Settlement for Soft Ground by Hydraulic Fill (준설매립 연약지반에 대한 압밀침하 예측 및 평가)

  • Jeon, Je-Sung;Koo, Ja-Kap;Oh, Jeong-Tae
    • Journal of the Korean Geotechnical Society
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    • v.24 no.9
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    • pp.33-40
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    • 2008
  • This paper describes the performance of ground improvement project using prefabricated vertical drains of condition, in which approximately 10m dredged fill overlies original soft foundation layer in the coastal area composed of soft marine clay with high water content and high compressibility. From field monitoring results, excessive ground settlement compared with predicted settlement in design stage developed during the following one year. In order to predict the final consolidation behavior, recalculation of consolidation settlements and back analysis using observed settlements were conducted. Field monitoring results of surface settlements were evaluated, and then corrected because large shear deformation occurred by construction events in the early stages of consolidation. To predict the consolidation behavior, material functions and in-situ conditions from laboratory consolidation test were re-analyzed. Using these results, height of additional embankment is estimated to satisfy residual settlement limit and maintain an adequate ground elevation. The recalculated time-settlement curve has been compared with field monitoring results after additional surcharge was applied. It might be used for verification of recalculated results.

Retrospective analysis of keratinized tissue augmentation using a xenogeneic collagen matrix for resolving peri-implant mucositis and peri-implantitis

  • Jung Soo Park;Yeek Herr;Jong-Hyuk Chung;Seung-Il Shin;Hyun-Chang Lim
    • Journal of Periodontal and Implant Science
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    • v.53 no.2
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    • pp.145-156
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    • 2023
  • Purpose: The significance of keratinized tissue for peri-implant health has been emphasized. However, there is an absence of clinical evidence for the use of a xenogeneic collagen matrix (XCM) to manage peri-implant mucositis and peri-implantitis. Therefore, the purpose of this study was to investigate outcomes after keratinized tissue augmentation using an XCM for the management of peri-implant diseases. Methods: Twelve implants (5 with peri-implant mucositis and 7 with peri-implantitis) in 10 patients were included in this study. Non-surgical treatments were first performed, but inflammation persisted in all implant sites. The implant sites all showed a lack of keratinized mucosa (KM) and vestibular depth (VD). Apically positioned flaps with XCM application were performed. Bone augmentation was simultaneously performed on peri-implantitis sites with an intrabony defect (>3 mm). The following clinical parameters were measured: the probing pocket depth (PPD), modified sulcular bleeding index (mSBI), suppuration (SUP), keratinized mucosal height (KMH), and VD. Results: There were no adverse healing events during the follow-up visits (18±4.6 months). The final KMHs and VDs were 4.34±0.86 mm and 8.0±4.05 mm, respectively, for the sites with peri-implant mucositis and 3.29±0.86 mm and 6.5±1.91 mm, respectively, for the sites with peri-implantitis. Additionally, the PPD and mSBI significantly decreased, and none of the implants presented with SUP. Conclusions: Keratinized tissue augmentation using an XCM for sites with peri-implant mucositis and peri-implantitis was effective for increasing the KMH and VD and decreasing peri-implant inflammation.