Purpose: Chronic tophaceous gout is a painful and disabling inflammatory disease. Surgical treatment for chronic tophaceous gout is very difficult with many complications. This study evaluated the efficacy of shortening scarf osteotomy on the treatment of chronic tophaceous gout in the 1st metatarso-phalangeal (MTP) joint. Materials and Methods: From January 2006 to December 2015, 14 patients (19 cases) who underwent axial shortening scarf osteotomy for chronic tophaceous gout were reviewed. All patients were male. The average age at the time of surgery was 59.6 years (42~66 years). The minimum follow-up was 24 months. Total removal of the tophi mass with the adhered medial capsule of the 1st MTP joint was attempted. Axial shortening scarf osteotomy was done on the 1st metatarsal shaft. The visual analogue scale (VAS) for pain and the American Orthopaedic Foot and Ankle Society (AOFAS) forefoot score was assessed preoperatively and postoperatively. The range of motion (ROM) of the 1st MTP joint was also compared pre- and postoperatively. Results: The average size of the extracted tophaceous mass was 32 mm. The mean amount of the length of metatarsal shortening was 4.9 mm. The mean ROM of the 1st MTP joint was improved from $30.4^{\circ}$ to $62.3^{\circ}$. The mean AOFAS forefoot score improved from 51.4 to 86.6 points. The mean VAS for pain improved from 4.6 to 0.3 points. Conclusion: The axial shortening scarf osteotomy used on chronic tophaceous gout could reconstruct the 1st MTP joint with an improved ROM and was free of pain. Axial shortening scarf osteotomy is suggested as a useful and effective method for the treatment of chronic tophaceous gout.
Objective : The efficacy of preoperative embolization for hypervascular metastatic spine disease (MSD) such as renal cell and thyroid cancers has been reported. However, the debate on the efficacy of preoperative embolization for non-hypervascular MSD still remains unsettled. The purpose of this study is to determine whether preoperative embolization for non-hypervascular MSD decreases perioperative blood loss. Methods : A total of 79 patients (36 cases of preoperative embolization and 43 cases of non-embolization) who underwent surgery for metastatic spine lesions were included. Representative hypervascular tumors such as renal cell and thyroid cancers were excluded. Intraoperative and perioperative estimated blood losses (EBL), total number of transfusion and calibrated EBL were recorded in the embolization and non-embolization groups. The differences in EBL were also compared along with the type of surgery. In addition, the incidence of Adamkiewicz artery and complications of embolization were assessed. Results : The average age of 50 males and 29 females was $57.6{\pm}13.5$ years. Lung (30), hepatocellular (14), gastrointestinal (nine) and others (26) were the primary cancers. The demographic data was not significantly different between the embolization and the non-embolization groups. There were no significant differences in intraoperative EBL, perioperative EBL, total transfusion and calibrated EBL between two groups. However, intraoperative EBL and total transfusion in patients with preoperative embolization were significantly lower than in non-embolization in the corpectomy group (1645.5 vs. 892.6 mL, p=0.017 for intraoperative EBL and 6.1 vs. 3.9, p=0.018 for number of transfusion). In addition, the presence of Adamkiewicz artery at the index level was noted in two patients. Disruption of this major feeder artery resulted in significant changes in intraoperative neuromonitoring. Conclusion : Preoperative embolization for non-hypervascular MSD did not reduce perioperative blood loss. However, the embolization significantly reduced intraoperative bleeding and total transfusion in corpectomy group. Moreover, the procedure provided insights into the anatomy of tumor and spinal cord vasculature.
Journal of the Korean Society of Fisheries and Ocean Technology
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v.57
no.3
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pp.236-245
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2021
In this study, a drifting test using a experimental vessel (2,966 tons) in the northern waters of Jeju was carried out for the first time in order to obtain the fundamental data for drift. During the test, it was shown that the average leeway speed and direction by GPS position were 0.362 m/s and 155.54° respectively and the leeway rate for wind speed was 8.80%. The analysis of linear regression modes about leeway speed and direction of the experimental vessel indicated that wind or current (i.e. explanatory variable) had a greater influence upon response variable (e.g. leeway speed or direction) with the speed of the wind and current rather than their directions. On the other hand, the result of multiple regression model analysis was able to predict that the direction was negative, and it was demonstrated that predicted values of leeway speed and direction using an experimental vessel is to be more influential by current than wind while the leeway speed through variance and covariance was positive. In terms of the leeway direction of the experimental vessel, the same result of the leeway speed appeared except for a possibility of the existence of multi-collinearity. Then, it can be interpreted that the explanatory variables were less descriptive in the predicted values of the leeway direction. As a result, the prediction of leeway speed and direction can be demonstrated as following equations. Ŷ1= 0.4031-0.0032X1+0.0631X2-0.0010X3+0.4110X4 Ŷ2= 0.4031-0.6662X1+27.1955X2-0.6787X3-420.4833X4 However, many drift tests using actual vessels and various drifting objects will provide reasonable estimations, so that they can help search and rescue fishing gears as well.
Park, Seo Hye;Jun, Hojong;Ahn, Seong Kyu;Lee, Jinyoung;Yu, Sung-Lim;Lee, Sung Keun;Kang, Jung-Mi;Kim, Hyunwoo;Lee, Hee-Il;Hong, Sung-Jong;Na, Byoung-Kuk;Bahk, Young Yil;Kim, Tong-Soo
Parasites, Hosts and Diseases
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v.58
no.5
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pp.543-550
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2020
Mosquitoes are globally distributed and important vectors for the transmission of many human diseases. Mosquito control is a difficult task and the cost of preventing mosquito-borne diseases is much lower than that for curing the associated diseases. Thus, chemical control remains the most effective tool for mosquito. Due to the long-term intensive use of insecticides to control mosquito vectors, resistance to most chemical insecticides has been reported. This study aimed to investigate the relationship between insecticide resistance and target site mutation of L1014 kdr and G119 ace alleles in 5 species/species group of mosquitoes (Aedes vexans, Ae. albopictus, Anopheles spp., Culex pipiens complex, and Cx. tritaeniorhynchus) obtained from 6 collection sites. For Anopheles spp., the proportion of mosquitoes with mutated alleles in L1014 was 88.4%, homozygous resistant genotypes were observed in 46.7%, and heterozygous resistant genotypes were observed in 41.8%. For the Cx. pipiens complex and Cx. tritaeniorhynchus species, homozygous resistant genotypes were found in 25.9% and 9.8%, respectively. However, target site mutation of L1014 in the Ae. vexans nipponii and Ae. albopictus species was not observed. Anopheles spp., Cx. pipiens complex, and Cx. tritaeniorhynchus mosquitoes were resistant to deltamethrin and chlorpyriphos, whereas Ae. vexans nipponii and Ae. albopictus were clearly susceptible. We also found a correlation between the resistance phenotype and the presence of the L1014 kdr and G119 ace mutations only in the Anopheles spp. population. In this study, we suggest that insecticide resistance poses a growing threat and resistance management must be integrated into all mosquito control programs.
We have studied a tiled-aperture coherent-beam-combining system based on constructive interference, as a way to overcome the power limitation of a single laser. A 1-watt-level, 3-channel coherent fiber laser and a 3-channel fiber array of triangular tiling with tip-tilt function were developed. A monitoring system, phase controller, and 3-channel phase modulator formed a closed-loop control system, and the SPGD algorithm was applied. Eventually, phase-locking with a rate of 5-67 kHz and peak-intensity efficiency comparable to the ideal case of 53.3% was successfully realized. We were able to develop the essential elements for a tiled-aperture coherent-beam-combining system that had the potential for highest output power without any beam-combining components, and a multichannel coherent-beam-combining system with higher output power and high speed is anticipated in the future.
Kim, Seung-il;Noh, Yoojeong;Kang, Young-jin;Park, Sunhwa;Ahn, Byungha
Journal of the Computational Structural Engineering Institute of Korea
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v.34
no.1
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pp.25-33
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2021
With the development of machine learning techniques, various types of data such as vibration, temperature, and flow rate can be used to detect and diagnose abnormalities in machine conditions. In particular, in the field of the state monitoring of rotating machines, the fault diagnosis of machines using vibration data has long been carried out, and the methods are also very diverse. In this study, an experiment was conducted to collect vibration data from normal and abnormal compressors by installing accelerometers directly on rotary compressors used in household air conditioners. Data segmentation was performed to solve the data shortage problem, and the main features for the fault classification model were extracted through the chi-square test after statistical and physical features were extracted from the vibration data in the time domain. The support vector machine (SVM) model was developed to classify the normal or abnormal conditions of compressors and improve the classification accuracy through the hyperparameter optimization of the SVM.
UAV in the agricultural application are capable of collecting ultra-high resolution image. It is possible to obtain timeliness images for phenological phases of the crop. However, the UAV uses a variety of sensors and multi-temporal images according to the environment. Therefore, it is essential to use normalized image data for time series image application for crop monitoring. This study analyzed the variability of UAV reflectance and vegetation index according to Aviation Image Making Environment to utilize the UAV multispectral image for agricultural monitoring time series. The variability of the reflectance according to environmental factors such as altitude, direction, time, and cloud was very large, ranging from 8% to 11%, but the vegetation index variability was stable, ranging from 1% to 5%. This phenomenon is believed to have various causes such as the characteristics of the UAV multispectral sensor and the normalization of the post-processing program. In order to utilize the time series of unmanned aerial vehicles, it is recommended to use the same ratio function as the vegetation index, and it is recommended to minimize the variability of time series images by setting the same time, altitude and direction as possible.
In order to produce crop information using remote sensing, we use classification and growth monitoring based on crop phenology. Therefore, time-series satellite images with a short period are required. However, there are limitations to acquiring time-series satellite data, so it is necessary to use fusion with other earth observation satellites. Before fusion of various satellite image data, it is necessary to overcome the inherent difference in radiometric characteristics of satellites. This study performed Korea Multi-Purpose Satellite-3 (KOMPSAT-3) cross calibration with Landsat-8 as the first step for fusion. Top of Atmosphere (TOA) Reflectance was compared by applying Spectral Band Adjustment Factor (SBAF) to each satellite using hyperspectral sensor band aggregation. As a result of cross calibration, KOMPSAT-3 and Landsat-8 satellites showed a difference in reflectance of less than 4% in Blue, Green, and Red bands, and 6% in NIR bands. KOMPSAT-3, without on-board calibrator, idicate lower radiometric stability compared to ladnsat-8. In the future, efforts are needed to produce normalized reflectance data through BRDF (Bidirectional reflectance distribution function) correction and SBAF application for spectral characteristics of agricultural land.
Park, Hyung-Youl;Kim, Young-Hoon;Ahn, Joo-Hyun;Ha, Kee-Yong;Kim, Sang-Il;Jung, Jae-Woong
Journal of Korean Neurosurgical Society
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v.65
no.2
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pp.287-296
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2022
Objective : Although radiotherapy (RT) is recommended for multiple myeloma (MM) involving spine, the treatment of choice between reconstructive surgery with RT and RT alone for pathologic vertebral fractures (PVFs) associated with structural instability or neurologic compromises remains controversial. The purpose of this study was to evaluate the clinical efficacies of reconstructive surgery with adjuvant RT for treatment of MM with PVFs by comparing with matched cohorts treated with RT alone. Methods : Twenty-eight patients underwent reconstructive surgery followed by RT between 2008 and 2015 in a single institution, for management of PVFs associated with structural instability of the spine and/or neurologic compromises (group I). Twenty-eight patients were treated with RT alone (group II) after propensity score matching in a 1-to-1 format based on instability of the spine, as well as age and performance. Clinical outcomes including the overall survival rates, duration of independent ambulation, neurological status, and numeric rating scale (NRS) for back pain were compared. Results : Clinical and radiological features before treatment were similar in both groups. The median survival period was similar between the two groups. However, the mean duration of independent ambulation was significantly longer in group I (88.8 months; 95% confidence interval [CI], 66.0-111.5) than in group II (39.4 months; 95% CI, 25.2-53.6) (log rank test; p=0.022). Deterioration of Frankel grade (21.4% vs. 60.7%, p=0.024) and NRS for back pain (2.7±2.2 vs. 5.0±2.7, p=0.000) at the last follow-up were higher in the group II. Treatment-related complications were similar in both groups. Conclusion : In patients with unstable PVFs due to MM, reconstructive surgery may yield superior clinical outcomes compared with RT alone in maintaining independent ambulation and neurological status, as well as pain control despite similar median survival and complications.
In order to secure pedestrians' right to walk, we have up-cycled second hand mobile phones to overcome limitations of the existing survey methods, analysis methods, and diagnosis to reduce pedestrian traffic accidents. Second hand mobile phones were up-cycled to produce mobile CCTVs and installed in areas where pedestrian deaths rate is high to secure image data sets for the period of more than 24 hours. It was analyzed by applying image visualization technology and clouding reporting technology, and more precise and accurate results were derived through modeling based on artificial intelligence learning and GIS-based diagnostic guidance. As a result, it was possible to analyze the risk factors and number of pedestrian safety, and even factors that were not known in the existing method could be derived. In addition, the traffic accident risk index was derived by converting data into one year to verify whether second hand mobile phone up-cycling mobile CCTV will be an objective tool for finding pedestrian risk factors. Up-cycling mobile CCTV of second hand mobile phones newly applied through research can be used as a new tool to find pedestrian risk factors, and it can be used as a service to protect the safety of the traffic vulnerable other than pedestrians.
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