• Clinics in Shoulder and Elbow
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• 제17권1호
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• pp.2-9
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• 2014

Background: Indirect reduction technique offers a valid option in the treatment of proximal humerus fracture. The purpose of this study is to evaluate the functional outcome and the complication rate after indirect reduction and internal fixation of unstable proximal humeral fractures with use of a locking plate. Methods: Twenty four patients with acute proximal humerus fracture were managed with indirect reduction and internal fixation with a locking plate. The mean follow-up period was 15.5 months. Results: The anatomical reduction of the medial cortex buttress was seen in 16 patients (66%) of the Group A and the non-anatomical reduction was seen in 8 patients (33%) of the Group B. Mean union time was $3.2{\pm}1.9$ months; it was $2.2{\pm}0.6$ months in the Group A and $5.3{\pm}2.2$ months in the Group B (p < 0.05). In our series, there were 6 cases of complications and these include 2 cases of varus malunion, 2 cases of shoulder stiffness, 1 case of heterotrophic ossification, 2 cases of screw perforation and 1 case of impingement. Conclusions: We conclude from our studies that indirect reduction and internal fixation using locking plate for acute proximal humerus fracture can give good results with bony union and predictable good overall functional outcome. If the medial cortex buttress is well maintained, a better anatomical reduction would be achieved, the union would be prompted, the pain would be further reduced and the range of the motion would be recovered more promptly.

• Nuclear Engineering and Technology
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• 제38권2호
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• pp.109-118
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• 2006

Various indirect power cycle options for a helium cooled gas cooled fast reactor (GFR) with particular focus on a supercritical $CO_2(SCO_2)$ indirect cycle are investigated as an alternative to a helium cooled direct cycle GFR. The balance of plant (BOP) options include helium-nitrogen Brayton cycle, supercritical water Rankine cycle, and $SCO_2$ recompression Brayton power cycle in three versions: (1) basic design with turbine inlet temperature of $550^{\circ}C$, (2) advanced design with turbine inlet temperature of $650^{\circ}C$ and (3) advanced design with the same turbine inlet temperature and reduced compressor inlet temperature. The indirect $SCO_2$ recompression cycle is found attractive since in addition to easier BOP maintenance it allows significant reduction of core outlet temperature, making design of the primary system easier while achieving very attractive efficiencies comparable to or slightly lower than, the efficiency of the reference GFR direct cycle design. In addition, the indirect cycle arrangement allows significant reduction of the GFR &proximate-containment& and the BOP for the $SCO_2$ cycle is very compact. Both these factors will lead to reduced capital cost.

• 한국소음진동공학회:학술대회논문집
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• 한국소음진동공학회 2006년도 춘계학술대회논문집
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• pp.238-241
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• 2006

For the effective reduction of structural vibration level it is important to obtain the exciting force components. But, sometimes direct force measurement is infeasible due to the geometric limitation of sensor placement. In this case, indirect force identification becomes useful tool for obtaining input force information. In this paper, indirect force technique was applied to air-jet weaving machine and shows some numerical results.

• Journal of Trauma and Injury
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• 제30권4호
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• pp.212-215
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• 2017

The choice of the most appropriate treatment for thoracolumbar or lumbar spine burst fracture remains controversial from conservative treatment to fusion through a posterior or anterior approach. There are many cases where ligamentotaxis is used to reduce the burst fracture. However, indirect reduction using ligamentotaxis is often limited in the magnitude of the reduction that it can achieve. In our patient with severe burst fracture, we were able to restore an almost normal level of vertebral height and secure spinal canal widening by using only ligamentotaxis by posterior instrumentation. Before the operation, the patient had more than 95% encroachment of the spinal canal. This was reduced to less than 10% after treatment.

• 한국대기환경학회지
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• 제33권4호
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• pp.393-402
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• 2017

In this study, greenhouse gas (GHG) reductions from bioenergy (biogas, biomass) have been estimated in Korea, 2015. This study for construction of reduction inventories as direct and indirect reduction sources was derived from IPCC 2006 guidelines for national greenhouse gas inventories, guidelines for local government greenhouse inventories published in 2016, also purchased electricity and steam indirect emission factors obtained from KPX, GIR respectively. As a result, the annual GHG reductions were estimated as $1,860,000tonCO_{2eq}$ accounting for 76.8% of direct reduction (scope 1) and 23.2% of indirect reduction (scope 2). Estimation of individual greenhouse gases (GHGs) from biogas appeared that $CO_2$, $CH_4$, $N_2O$ were $90,000tonCO_2$ (5.5%), $55,000tonCH_4$ (94.5%), $0.3tonN_2O$ (0.004%), respectively. In addition, biomass was $250,000tonCO_2$ (107%), $-300tonCH_4$ (-3.2%), $-33tonN_2O$ (-3.9%). For understanding the values of estimation method levels, field data (this study) appeared to be approximately 85.47% compared to installed capacity. In details, biogas and biomass resulting from field data showed to be 76%, 74% compared to installed capacity, respectively. In the comparison of this study and CDM project with GHG reduction unit per year installed capacity, this study showed as 42% level versus CDM project. Scenario analysis of GHG reductions potential from bioenergy was analyzed that generation efficiency, availability and cumulative distribution were significantly effective on reducing GHG.

• 한국임상수의학회지
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• 제34권1호
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• pp.47-49
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• 2017

Fracture stabilization techniques continue to evolve and provide approaches that minimize the iatrogenic trauma associated with surgical procedures. Minimally invasive plate osteosynthesis (MIPO) is a recently described method of biological internal fixation performed by introducing a bone plate via small insertional incisions that are remote to the fracture site. Indirect reduction techniques can generally be utilized when performing MIPO. In this case report, we describe MIPO of a radius-ulna fracture by indirect reduction using circular external fixation for alignment and distraction in a dog.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제47권6호
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• pp.432-437
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• 2021

Objectives: The mandible and other parts of the maxillofacial region suffer significant morbid injuries following road traffic accidents. Our study gives epidemiological description of mandibular fractures in Ghana and also evaluates the relevance of closed reduction and indirect fixation for managing mandibular fractures in low-resource health facilities in low-income countries like Ghana. Patients and Methods: This is a retrospective study involving 268 patients who reported to the Department of Oral and Maxillofacial Surgery of the Sunyani Regional Hospital with mandibular fractures from January 2010 to December 2019. Patient medical records were assessed for information on age, sex, fracture etiology, anatomic location of fracture, time of day of road traffic accident, and other associated injuries. Results: A total of 268 patients were included in this study (males, 216 [80.6%]; females, 52 [19.4%]). Motor vehicular accident (MVA) was the leading cause of mandibular fractures (202 injuries, 75.4%). Other etiologies included assault (39, 14.6%), gunshot (13, 4.9%), falls (12, 4.5%), and industrial accidents (2, 0.7%). Of the 161 male cases caused by MVA, 121 (75.2%) occurred at night and in the evening while the remaining 40 (24.8%) occurred in the morning and afternoon. Among all managed 222 patients, 212 (79.1%) were treated with closed reduction and indirect fixation technique while 10 (3.7%) were treated with open reduction and direct fixation. Conclusion: Closed reduction with indirect fixation could successfully be used to manage mandibular fractures in low resourced health facilities, especially in low-income countries. The poor lightening system on roads in Ghana is a major contributory factor to motor vehicular accidents.

• 방사성폐기물학회지
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• 제3권2호
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• pp.105-112
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• 2005

650$^{\circ}C$의 LiCl-Li$_{2}$O 용융염계에서 10 g U$_{3}$O$_{8}$/batch 규모의 장치를 이용해서 우라늄산화물의 전해환원 특성에 대한 평가를 수행하였다. 일체형 음극은 고체전극, 우라늄산화물과 우라늄산화물을 담아주는 다공성 용기(멤브레인)로 구성된다. 멤브레인 재료로는 325-mesh 스테인레스강막과 다공성 마그네시아 도가니를 사용하였다. 일체형 음극의 재질에 따른 LiCl-3 wt$\%$ Li$_{2}$O계와 U$_{3}$O$_{8}$-LiCl-3 wt$\%$ Li$_{2}$O계의 순환 전압측정법 결과로부터 전해환원 반웅 메커니즘을 규명하였다. 일체형 음극의 재질에 따른 우라늄산화물의 직접 및 간접 전해환원에 대한 실험을 수행하였다. 그 결과, 325-mesh스테인레스강막을 사용하여 직접 및 간접 전해환원으로 금속전환을 수행하였을 때 낮은 전류효율로 인해 우라늄산화물을 금속우라늄으로 환원시키지 못했으며, 마그네시아 다공성 도가니를 사용하여 간접 전해환원으로 금속전환을 수행하였을 때는 높은 전류효율로 인해 우라늄산화물을 금속우라늄으로 환원시킬 수 있었다

• 오토저널
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• 제13권6호
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• pp.90-100
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• 1991

This paper represents the analysis of the sheet drawing by applying the Matrix method to Hill's slip-line field for small reduction and indirect type slip-line field in case of large reduction. Results of the analysis represent the relation between the reduction ratio and the die wall pressure, mean drawing stress through rough die. The limitation on the use of this slip-line field is described. When the reduction ratio is given, the optimum die angle is analyzed in this paper.

• 융합신호처리학회논문지
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• 제13권4호
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• pp.201-206
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• 2012

간접접촉 심전도 측정(Indirect-Contact ECG)은 일상생활에서의 무구속 무자각 측정에 적합한 심전도 측정 방법이다. 본 연구는, 간접접촉 심전도 측정에서 크게 관측되는 60Hz 전원선 잡음을 줄이기 위한 새로운 방법으로, 공통모드 구동 차폐 방식을 제안하였다. 공통 모드 구동 차폐 방식은, 간접 접촉 심전도에서 사용되는 용량성 결합 능동 전극(Capacitive coupling active electrode)을 둘러싼 전기적 차폐(electric shield)의 전압을 공통 모드 전압과 동일하게 유지하는 방법이다. 이 방법은 공통모드 전압의 크기는 그대로 유지하지만, 의복 임피던스 차에 의한 공통모드 전압의 차동 모드 전환에 의한 잡음은 효과적으로 줄일 수 있다. 따라서 두 전극 사이의 의복의 임피던스 차이가 커서 공통 모드 전원 잡음이 심각한 간접 접촉 심전도 측정에서, 효과적으로 공통 모드 잡음을 줄일 수 있다. 실제 간접 접촉 심전도 측정에 제안된 방법을 적용한 결과로 이론적 예상보다는 60Hz 잡음 감소비가 적었지만, 60Hz 잡음이 크게 줄어드는 것을 확인할 수 있었다. 특히 의복 임피던스 차가 크게 발생하는 경우, 예상대로 잡음 감소비가 커짐을 볼 수 있었다. 제안된 방법은 접지 특성이 좋지 않은 측정 조건에서 전원 잡음을 줄이는데 유용할 것으로 기대된다.