• 대한족부족관절학회지
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• 제11권1호
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• pp.45-50
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• 2007

Purpose: To evaluate the short-term clinical outcomes of total ankle arthroplasty for the post-traumatic osteoarthritis. Materials and Methods: Fourteen patients who had undergone total ankle arthroplasty from February 2005 to June 2006 were reviewed. Eleven patients were male and three patients were female. The mean age was 52.8 years (range, 33 to 69 years). The mean follow-up duration was 15.9 months (range, 12 to 24 months). Primary injuries were pilon fractures in eight cases, malleolar fractures in three, ankle syndesmotic injury in one, talus fracture and dislocation in one, and distal tibial physeal injury in one. Visual analogue scale (VAS), Range of motion (ROM), American Orthopaedic Foot and Ankle Society (AOFAS) score and complications were evaluated. Results: The mean VAS improved from 8.6 preoperatively to 2.6 at last follow-up. The mean ROM improved from 24.6 degrees preoperatively to 33.1 degrees postoperatively. The mean AOFAS score improved from 44.5 points preoperatively to 75.1 points postoperatively. Radiographically, all components were stable, but there were component malpositions in two cases, including one varus malposition of tibial component and one increased anterior translation of talar component. Complications were deep infection in one case, intraoperative malleolar fracture in three, marginal wound necrosis in two, and heterotopic ossification in one. One prosthesis was revised because of deep infection. Conclusion: Total ankle arthroplasty for the post-traumatic osteoarthritis is believed to be an useful method for preservation of the motion, relief of the pain and high satisfaction of patients in short-term results.

• Archives of Reconstructive Microsurgery
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• 제21권1호
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• pp.1-7
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• 2012

Purpose: This retrospective study was to determine the functional results of patients who were amputated of their fingertip between patients who were treated with replantation and patients who were treated with thenar flap. Materials and Methods: From 2004 to 2007, we identified and operated 159 patients who were diagnosed with fingertip amputations. Of 159 patients, Eighty-two patients were treated by replantation (67 in men and 14 in women) and the mean age at the operation was 41 years (range, 15-68 years). Seventy-nine patients was treated with thenar flap(54 in men and 25 in women) and the mean age at the operation was 43 years(range, 21-70 years). We compared variables between two groups including, age, gender, diagnosis, duration of hospital admission, grip strength, two-point discrimination, Semmes Weinstein monofilament test, active range of motion (ROM) of the proximal and distal interphalangeal (PIP and DIP) joint, pain (or tenderness), paresthesia, cold intolerance, the Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire, and finger for activities of daily living (ADLs). Results: The duration of admission was longer in Replantation group than in Thenar flap group(p=0.001). However, the grip strength (p=0.003) and Semmes Weinstein monofilament test (p=0.029) in the Replanation group were statistically superior to the Thenar flap group. The average DASH disability (p=0.003)/symptom score (p=0.007) and ADLs (p<0.001) in the Replantation group was statistically better. In addition, cold intoleranace test of Thenar flap group is worse than the Replantation group. Conclusion: This study demonstrate that fingertip replantation have demonstrated not only to obtain the best appearance but also to gain better functional outcome. However, it is impossible to perform replatation, the thenar flap can be limited alternative method for fingertip amputation in aspect of preservation of range of motion and hospitalization time.

• Journal of Computing Science and Engineering
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• 제5권3호
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• pp.210-222
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• 2011

In this work, we study the problem of privacy-preservation data publishing in moving objects databases. In particular, the trajectory of a mobile user in a plane is no longer a polyline in a two-dimensional space, instead it is a two-dimensional surface of fixed width $2A_{min}$, where $A_{min}$ defines the semi-diameter of the minimum spatial circular extent that must replace the real location of the mobile user on the XY-plane, in the anonymized (kNN) request. The desired anonymity is not achieved and the entire system becomes vulnerable to attackers, since a malicious attacker can observe that during the time, many of the neighbors' ids change, except for a small number of users. Thus, we reinforce the privacy model by clustering the mobile users according to their motion patterns in (u, ${\theta}$) plane, where u and ${\theta}$ define the velocity measure and the motion direction (angle) respectively. In this case, the anonymized (kNN) request looks up neighbors, who belong to the same cluster with the mobile requester in (u, ${\theta}$) space: Thus, we know that the trajectory of the k-anonymous mobile user is within this surface, but we do not know exactly where. We transform the surface's boundary poly-lines to dual points and we focus on the information distortion introduced by this space translation. We develop a set of efficient spatiotemporal access methods and we experimentally measure the impact of information distortion by comparing the performance results of the same spatiotemporal range queries executed on the original database and on the anonymized one.

• 방송공학회논문지
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• 제7권1호
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• pp.45-54
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• 2002

본 논문에서는 비디오 시퀸스의 공간적인 유사성을 이용한 웨이브렛 기반의 압축과 복원 알고리즘을 제안한다. 제안한 알고리즘은 인간의 시각 체계를 이용함으로써 영상의 화질을 보증하는 반면에 낮은 비트율과 더 빠른 실행 시간을 제공한다. 먼저, 각 비디오 시퀸스는 이산 웨이브렛 변환의 다해상도 분석에 의해 다양한 해상도를 갖는 부영상의 계층적 구조로 분해된다. 이 분해대역에서 영상의 가장 중요한 정보를 포함하는 저주파 부대역으로부터 두 개의 이웃한 프레임간의 유사성을 얻으며 그런 유사성의 결과로 움직임 정보를 추출하였다. 4개의 영역 설정 필터는 유사성의 결과에 따라 설계되어 졌고 압축은 고주파 부대역의 보존영역과 대치영역의 계수를 부호화함으로써 수행된다. 영역 설정 필터는 유사성의 결과를 기본으로 한 보존영역과 대치영역의 고주파 부대역으로 분류하고 대치영역의 계수들은 기준 프레임과 연속적인 프레임들 사이의 블록 기반 유사성에 따라 기준프레임의 계수로 대치되어지거나 0으로 제거된다. 부호화는 보존영역과 대치영역으로 분리하여 웨이브렛 계수들을 양자화하고 산술부호화함으로써 수행된다. 또한 제안한 알고리즘은 만약 프레임간의 유사성 결과를 곡선으로 그렸을 때 움직임이 없어졌다가 다시 나타나는 순간의 오목한 패턴 즉, 유사성 곡선의 최하점에서 기준 프레임 설정을 새롭게 갱신하게 된다. 시뮬레이션 결과. 제안한 알고리즘은 적절한 화질을 유지하면서 높은 압축률을 제공하는 것을 보였다 또한 시각적인 영상의 화질, 압축률, 실행시간에서 기존의 Milton의 알고리즘에 비해 보다 효율적인 결과를 보였으며 352${\times}$240 크기의 표준적인 비디오 영상의 결과, 전체적으로 0.2bpp 이하의 압축률. 32dB의 PSNR, 그리고 약 10ms의 실행시간을 보였다.

• 대한정형외과스포츠의학회지
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• 제2권1호
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• pp.6-14
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• 2003

전방십자인대재건술의목표는안정된관절과 pivot shift 현상을 제거하고, 반월상 연골을 보호하고, 관절운동범위를 유지하고, 술후슬개-대퇴관절의문제를최소화하도록재활하여수상전의운동수준으로복귀시키는것이다. 그래서전방십자인대 재건술은급성기에수술은피하고, 수술 전에재활치료를통하여관절운동범위와 대퇴사두고근의근력을얻은다음, 환자가육체적으로나정신적으로준비가될때까지수술을연기한다. 수술후재활치료는슬관절의완전신전과closed kinetic chain 운동을강조하며, 수술후정기적인방문으로재활치료를지도해주고장기추시해야하는것이중요하다.

• Archives of Reconstructive Microsurgery
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• 제15권1호
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• pp.33-37
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• 2006

Purpose: The aim of this study was to evaluate the efficacy of lateral middle phalangeal finger flap for pulp and palmar defect of the finger. Materials and methods: We performed the lateral middle phalangeal finger flap in thumb pulp defect 4 cases and the palmar defect of other finger 3 cases. Mean age was 38(25-53) years old and there were male 6 cases and female 1 case. Sensate flap was performed in 4 cases of thumb pulp defects. Mean follow-up period was 14(7-22) months. Results: All flaps were survived. Mean static two-pint discrimination of sensate flap 4 cases was 8(6-10) mm. The sensation of donor finger tip was normal in all cases. Limitation of range of motion of the donor fingers was absent. Patients complained of transient cold intolerance 1 month after surgery but didn't complain of that in all cases at last follow-up. Conclusions: The advantages of the lateral middle phalangeal finger flap are the preservation of the ipsilateral palmar digital nerve, good sensory reconstruction of the fingertip, well maintained donor finger mobility with minimal exposure of the extensor tendon, cosmetically good appearances of donor finger, and easy raising as a large flap. So we suggest that this flap is versatile for reconstructing of relatively large pulp defect of the thumb and the palmar defects involving the joint of finger.

• Neurospine
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• 제15권4호
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• pp.296-305
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• 2018

Cervical disc arthroplasty (CDA), or total disc replacement, has emerged as an option in the past two decades for the management of 1- and 2-level cervical disc herniation and spondylosis causing radiculopathy, myelopathy, or both. Multiple prospective randomized controlled trials have demonstrated CDA to be as safe and effective as anterior cervical discectomy and fusion, which has been the standard of care for decades. Moreover, CDA successfully preserved segmental mobility in the majority of surgical levels for 5-10 years. Although CDA has been suggested to have long-term efficacy for the reduction of adjacent segment disease in some studies, more data are needed on this topic. Surgery for CDA is more demanding for decompression, because indirect decompression by placement of a tall bone graft is not possible in CDA. The artificial discs should be properly sized, centered, and installed to allow movement of the vertebrae, and are commonly 6 mm high or less in most patients. The key to successful CDA surgery includes strict patient selection, generous decompression of the neural elements, accurate sizing of the device, and appropriately centered implant placement.

• International Journal of Knowledge Content Development & Technology
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• 제14권3호
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• pp. 7-18
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• 2024

The present study focuses on the activities and efforts of the National Mission for Manuscripts (NMM) in the Uttar Pradesh region, which is known for its vast area, population, and rich cultural heritage. The aim is to examine the digitization work carried out by the NMM in this area, as digitization plays a crucial role in preserving our country's rich ancient heritage. The importance of safeguarding cultural heritage is universally acknowledged, and digitization serves as a vital tool in this endeavour. Through digitization, we can protect and preserve our heritage for future generations. The government has implemented several commendable initiatives for manuscript digitization, and the NMM stands as a prominent organization dedicated to the conservation of cultural heritage. The NMM possesses a diverse range of cultural heritage resources, including photographic slides, photographs, digital images, photo-negatives, motion pictures, audio spools, microfiche, LP records, endangered manuscripts, audio and videotapes, digital images, microfilms, digital audio and video files, and more. The mission has undertaken extensive digitization efforts to conserve and provide access to a significant portion of its collection. This study is unique as it explores the digital conservation and digitization practices of a premier institute working in the field of art and cultural heritage in Uttar Pradesh. With its extensive network of institutions, the mission aims to cover all manuscripts, digitize them, and consolidate them on a common platform for easy access and utilization.

• 한국항해항만학회:학술대회논문집
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• 한국항해항만학회 2004년도 추계학술대회
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• pp.159-166
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• 2004

바다와 육지의 경계에 있는 해변은 매우 동적인 해역으로 여기에 해수의 운동이 퇴적물, 육지의 바위 또는 인공구조물과 상호 작용한다. 심한 태풍이나 폭풍이 야기한 파랑의 영향으로부터 해변의 침식을 막거나 지연시키기 위해 영구적인 구조물을 설치하지만 해양경관을 해침은 물론 이의 파급효과로 또 다른 침식현상이 일어나기도 한다. 파가 부숴지는 쇄파대와 쇄파선 밖의 외해에서 표사의 이동 및 침식을 가속시키는 관련 에너지를 고려할 때에는 파고 및 파의 주기를 고려하여야 한다. 본 연구에서는 이러한 부차적인 영향을 나타내지 않으면서 파력을 줄일 수 있는 해저 구조물로 인공 Bio-reef를 도입하고 이를 통한 해양생태계의 복원의 예와 아울러 수치모델을 도입하여 가장 근원이 되는 파랑의 저감효과를 분석하여 적용가능성을 제시하고자 하였다. 해변을 보호하기 위한 새로운 기술은 인공적 및 자연적 켈프 또는 해양식물을 식생시킨 해저리프에 의한다. 연안리프의 형상을 공학적으로 접근하여 각각의 파랑저감력을 최적화할 수 있다 높고 넓은 긴 인공 리프는 파랑에너지를 막을 수 있는 좋은 장벽이 되나 공사재료의 양, 항해위험, 건설방법 및 다른 인자에서 리프의 전체 설계에 대해 공학적인 고려가 필요하다.

• Journal of Korean Neurosurgical Society
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• 제61권6호
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• pp.680-688
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• 2018

Objective : To mitigate the risk of iatrogenic instability, new posterior decompression techniques able to preserve musculoskeletal structures have been introduced but never extensively investigated from a biomechanical point of view. This study was aimed to investigate the impact on spinal flexibility caused by a unilateral laminotomy for bilateral decompression, in comparison to the intact condition and a laminectomy with preservation of a bony bridge at the vertebral arch. Secondary aims were to investigate the biomechanical effects of two-level decompression and the quantification of the restoration of stability after posterior fixation. Methods : A universal spine tester was used to measure the flexibility of six L2-L5 human spine specimens in intact conditions and after decompression and fixation surgeries. An incremental damage protocol was applied : 1) unilateral laminotomy for bilateral decompression at L3-L4; 2) on three specimens, the unilateral laminotomy was extended to L4-L5; 3) laminectomy with preservation of a bony bridge at the vertebral arch (at L3-L4 in the first three specimens and at L4-L5 in the rest); and 4) pedicle screw fixation at the involved levels. Results : Unilateral laminotomy for bilateral decompression had a minor influence on the lumbar flexibility. In flexion-extension, the median range of motion increased by 8%. The bone-preserving laminectomy did not cause major changes in spinal flexibility. Two-level decompression approximately induced a twofold destabilization compared to the single-level treatment, with greater effect on the lower level. Posterior fixation reduced the flexibility to values lower than in the intact conditions in all cases. Conclusion : In vitro testing of human lumbar specimens revealed that unilateral laminotomy for bilateral decompression and bone-preserving laminectomy induced a minor destabilization at the operated level. In absence of other pathological factors (e.g., clinical instability, spondylolisthesis), both techniques appear to be safe from a biomechanical point of view.