• Title/Summary/Keyword: Open Approach

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The Outcomes of Open Ankle Fractures in Patients Managed by Early or Delayed Definitive Fixation: A Comparative Analysis of 73 Patients

  • Raghavendra Kaganur;Bhaskar Sarkar;Pragadeeshwaran Jaisankar;Nirvin Paul;Md Quamar Azam;Anurag Bhakhar
    • Journal of Korean Foot and Ankle Society
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    • v.28 no.1
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    • pp.8-14
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    • 2024
  • Purpose: Ankle fracture fixation is the gold standard of treatment but it does have its own complications. There is inadequate data regarding the comparative effectiveness of early vs. delayed fixation for open ankle fracture outcomes. This study compares the clinical and functional outcomes of open ankle fractures treated by early or delayed definitive fixation and identifies the limitations of both methods. Materials and Methods: All 73 patients enrolled in the study underwent surgical intervention within 24 hours of injury. The early fixation group (group A) consisting of 39 patients underwent definitive fixation as an index procedure, while the delayed fixation group (group B) consisted of 34 patients who underwent debridement and external fixator application as an index procedure and definitive fixation when soft tissue condition was conducive. All patients were evaluated at 2, 6, and 12 weeks postoperatively and then three monthly for a year. Results: Enneking and American Orthopaedic Foot and Ankle Society scores were markedly higher in the early fixation group at 6 months postoperatively (p-values <0.001 and 0.011, respectively). However, no discernible intergroup difference was evident at 12 months postoperatively. Between 6 and 12 months, group functional outcome scores were significantly different. At 6 months, there was a substantial difference in dorsiflexion between the two groups (p-values 0.001 and <0.001, respectively), but no difference was observed at 12 months postoperatively. At 6 and 12 months, group average plantar flexions were non-significantly different. Conclusion: Early definitive fixation of complex ankle fractures using a targeted approach produced promising results for lower grade open fractures (grades 1 and 2), and delayed definitive fixation, after initial external fixation to allow for soft tissue stabilization, produced promising results for higher grade open fractures (grades 3A and 3B). At 12-month follow-ups, clinical and functional outcomes achieved using these strategies were equivalent.

A Study on the Problems and Policy Implementation for Open-Source Software Industry in Korea: Soft System Methodology Approach (소프트시스템 모델 방법론을 통해 진단한 국내 공개 SW 산업의 문제점과 정책전략 연구)

  • Kang, Songhee;Shim, Dongnyok;Pack, Pill Ho
    • The Journal of Society for e-Business Studies
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    • v.20 no.4
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    • pp.193-208
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    • 2015
  • In knowledge based society, information technology (IT) has been playing a key role in economic growth. In recent years, it is surprisingly notable that the source of value creation moved from hardware to software in IT industry. Especially, among many kinds of software products, the economic potential of open source was realized by many government agencies. Open source means software codes made by voluntary and open participation of worldwide IT developers, and many policies to promote open source activities were implemented for the purpose of fast growth in IT industry. But in many cases, especially in Korea, the policies promoting open source industry and its ecosystem were not considered successful. Therefore, this study provides the practical reasons for the low performance of Korean open source industry and suggests the pragmatic requisites for effective open source policy. For this purpose, this study applies soft system model (SSM) which is frequently used in academy and industry as a methodology for problem-solving and we link the problems with corresponding policy solutions based on SSM. Given concerns which Korean open source faces now, this study suggests needs for the three different kinds of government policies promoting multiple dimensions of industry: research and development (R&D)-side, supply-side, and computing environment-side. The implications suggested by this research will contribute to implement the practical policy solutions to boost open source industry in Korea.

A Hybrid Search Method of A* and Dijkstra Algorithms to Find Minimal Path Lengths for Navigation Route Planning (내비게이션 경로설정에서 최단거리경로 탐색을 위한 A*와 Dijkstra 알고리즘의 하이브리드 검색법)

  • Lee, Yong-Hu;Kim, Sang-Woon
    • Journal of the Institute of Electronics and Information Engineers
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    • v.51 no.10
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    • pp.109-117
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    • 2014
  • In navigation route planning systems using A* algorithms, the cardinality of an Open list, which is a list of candidate nodes through which a terminal node can be accessed, increases as the path length increases. In this paper, a method of alternately utilizing the Dijkstra's algorithm and the A* algorithm to reduce the cardinality of the Open list is investigated. In particular, by employing a depth parameter, named Level, the two algorithms are alternately performed depending on the Level's value. Using the hybrid searching approach, the Open list constructed in the Dijkstra's algorithm is transferred into the Open list of the A* algorithm, and consequently, the unconstricted increase of the cardinality of the Open list of the former algorithm can be avoided and controlled appropriately. In addition, an optimal or nearly optimal path similar to the Dijkstra's route, but not available in the A* algorithm, can be found. The experimental results, obtained with synthetic and real-life benchmark data, demonstrate that the computational cost, measured with the number of nodes to be compared, was remarkably reduced compared to the traditional searching algorithms, while maintaining the similar distance to those of the latter algorithms. Here, the values of Level were empirically selected. Thus, a study on finding the optimal Level values, while taking into consideration the actual road conditions remains open.

Implementation of a unified live streaming based on HTML5 for an IP camera (IP 카메라를 위한 HTML5 기반 통합형 Live Streaming 구현)

  • Ryu, Hong-Nam;Yang, Gil-Jin;Kim, Jong-Hun;Choi, Byoung-Wook
    • Journal of the Korean Institute of Illuminating and Electrical Installation Engineers
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    • v.28 no.9
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    • pp.99-104
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    • 2014
  • This paper presents a unified live-streaming method based on Hypertext Mark-up Language 5(HTML5) for an IP camera which is independent of browsers of clients and is implemented with open-source libraries. Currently, conventional security systems based on analog CCTV cameras are being modified to newer surveillance systems utilizing IP cameras. These cameras offer remote surveillance and monitoring regardless of the device being used at any time, from any location. However, this approach needs live-streaming protocols to be implemented in order to verify real-time video streams and surveillance is possible after installation of separate plug-ins or special software. Recently, live streaming is being conducted through HTML5 using two different standard protocols: HLS and DASH, that works with Apple and Android products respectively. This paper proposes a live-streaming approach that is linked on either of the two protocols which makes the system independent with the browser or OS. The client is possible to monitor real-time video streams without the need of any additional plug-ins. Moreover, by implementing open source libraries, development costs and time were economized. We verified usefulness of the proposed approach through mobile devices and extendability to other various applications of the system.

PHILOS Plate Osteosynthesis in Metaphyseal Fractures of the Distal Humerus through an Anterolateral Approach

  • Park, Jung Ho;Kim, Jung Wook;Oh, Chi Hun;Choi, Keun Seok;Hong, Jae Young;Kim, Jae Gyoon
    • Clinics in Shoulder and Elbow
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    • v.18 no.3
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    • pp.128-132
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    • 2015
  • Background: We described a surgical method for osteosynthesis and reported the resultant strength after application of a PHILOS plate through the anterolateral approach for the treatment of fractures of the distal humerus. Methods: Between February 2010 and March 2012, open reduction and internal fixation operations with the PHILOS plate for treatment of fracture of the distal humerus were performed on a total of nine patients (five men, four women). The mean age was 40.8 years (range, 24-50 years), and the average follow-up period was 9.1 months (range, 6-15 months). Clinical evaluations were performed 6 months after the operation. Clinical assessment included determination of the range of motion of the elbow, the Mayo and Oxford elbow scores, and any postoperative complications. Results: Fracture union was noted in all patients, with an average period of 12.4 weeks. The average Mayo elbow and Oxford elbow scores were 87.2 (of a total of 100) and 43.3 (of a total of 48), respectively. For the postoperative range of motion of the elbow, all patients showed complete recovery to the preoperative range of motion. No other conditions, such as neurolepsis, plate breakage, or rotational deformity, were observed. Conclusions: Open reduction and internal fixation of distal humerus fractures with a PHILOS plating system via anterolateral approach can be effective. A high rate of union with good outcomes can be assumed.

Thoracoscopic Anterior Release of the Spine in Total en Bloc Spondylectomy for Primary Thoracic Spinal Tumor -A case report- (원발성 흉추종양에 대한 전 척추 일괄 절제술 시 흉강경을 이용한 척추 전방 박리술 -1예 보고-)

  • Cho Deog Gon;Rhyu Kee Won;Kang Yong Koo;Cho Kyu Do;Jo Min Seop;Wang Young Pil
    • Journal of Chest Surgery
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    • v.39 no.1 s.258
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    • pp.80-84
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    • 2006
  • A combined anterolateral and posterior approach with thoracotomy has been recommended as the traditional surgical approach for the tumors of the thoracic spine. Recently, because of the morbidity associated with open thoracotomy, the thoracoscopically assisted surgical technique was introduced successfully in thoracic spinal surgery. Herein, we report a combined surgical technique for giant cell tumor of the thoracic spine (T10) consisting of bilateral thoracoscopic anterior release of the spine followed by a posterior on bloc spondylectomy and reconstruction by orthopedic surgeons. The thoracoscopic spinal surgery is safe and effective alternative for other open thoracotomic procedures in the approach to the anterior thoracic spine, avoiding the disadvantage inherent to thoracotomy.

Predicting Bug Severity by utilizing Topic Model and Bug Report Meta-Field (토픽 모델과 버그 리포트 메타 필드를 이용한 버그 심각도 예측 방법)

  • Yang, Geunseok;Lee, Byungjeong
    • KIISE Transactions on Computing Practices
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    • v.21 no.9
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    • pp.616-621
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    • 2015
  • Recently developed software systems have many components, and their complexity is thus increasing. Last year, about 375 bug reports in one day were reported to a software repository in Eclipse and Mozilla open source projects. With so many bug reports submitted, developers' time and efforts have increased unnecessarily. Since the bug severity is manually determined by quality assurance, project manager or other developers in the general bug fixing process, it is biased to them. They might also make a mistake on the manual decision because of the large number of bug reports. Therefore, in this study, we propose an approach of bug severity prediction to solve these problems. First, we find similar topics within a new bug report and reduce the candidate reports of the topic by using the meta field of the bug report. Next, we train the reduced reports by applying Naive Bayes Multinomial. Finally, we predict the severity of the new bug report. We compare our approach with other prediction algorithms by using bug reports in open source projects. The results show that our approach better predicts bug severity than other algorithms.

Long-term Outcomes of Laparoscopic Versus Open Transhiatal Approach for the Treatment of Esophagogastric Junction Cancer

  • Lee, Yoontaek;Min, Sa-Hong;Park, Ki Bum;Park, Young Suk;Ahn, Sang-Hoon;Park, Do Joong;Kim, Hyung-Ho
    • Journal of Gastric Cancer
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    • v.19 no.1
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    • pp.62-71
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    • 2019
  • Purpose: The laparoscopic transhiatal approach (LA) for adenocarcinoma of the esophagogastric junction (AEJ) is advantageous since it allows better visualization of the surgical field than the open approach (OA). We compared the surgical outcomes of the 2 approaches. Materials and Methods: We analyzed 108 patients with AEJ who underwent transhiatal distal esophagectomy and gastrectomy with curative intent between 2003 and 2015. Surgical outcomes were reviewed using electronic medical records. Results: The LA and OA were performed in 37 and 71 patients, respectively. Compared to the OA, the LA was associated with significantly shorter duration of postoperative hospital stay (9 vs. 11 days, P=0.001), shorter proximal resection margins (3 vs. 7 mm, P=0.004), and extended operative times (240 vs. 191 min, P=0.001). No significant difference was observed between the LA and OA for intraoperative blood loss (100 vs. 100 mL, P=0.392) or surgical morbidity rate ($grade{\geq}II$) for complications (8.1% vs. 23.9%, P=0.080). Two cases of anastomotic leakage occurred in the OA group. The number of harvested lymph nodes was not significantly different between the LA and OA groups (54 vs. 51, P=0.889). The 5-year overall and 3-year relapse-free survival rates were 81.8% and 50.7% (P=0.024) and 77.3% and 46.4% (P=0.009) for the LA and OA groups, respectively. Multivariable analyses revealed no independent factors associated with overall survival. Conclusions: The LA is feasible and safe with short- and long-term oncologic outcomes similar to those of the OA.

Investigating the effects of span arrangements on DDBD-designed RC buildings under the skew seismic attack

  • Alimohammadi, Dariush;Abadi, Esmaeel Izadi Zaman
    • Structural Engineering and Mechanics
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    • v.77 no.1
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    • pp.115-135
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    • 2021
  • This paper focuses on examining the effects of span arrangements on displacement responses of plan-symmetric RC frame buildings designed using the direct displacement-based design (DDBD) method by employing non-linear analyses and the skew seismic attack. In order to show the desired performance of DDBD design approach, the force-based design approach is also used to examine the seismic performance of the selected structures. To realize this objective, 8-story buildings with different plans are selected. In addition, the dynamic behavior of the structures is evaluated by selecting 3, 7, and 12-story buildings. In order to perform non-linear analyses, OpenSees software is used for modeling buildings. Results of an experimental model are used to validate the analytical model implemented in OpenSees. The results of non-linear static and non-linear dynamic analyses indicate that changing span arrangements does not affect estimating the responses of structures designed using the DDBD approach, and the results are more or less the same. Next, in order to apply the earthquake in non-principle directions, DDBD structures, designed for one-way performance, are designed again for two-way performance. Time history analyses are performed under a set of artificial acceleration pairs, applied to structures at different angles. It is found that the mean maximum responses of earthquakes at all angles have very good agreement with the design-acceptable limits, while the response of buildings along the height direction has a relatively acceptable and uniform distribution. Meanwhile, changes in the span arrangements did not have a significant effect on displacement responses.

ASTC Block-Size Determination Method based on PSNR Values (PSNR 값 기반의 자동화된 ASTC 블록 크기 결정 방법)

  • Nah, Jae-Ho
    • Journal of the Korea Computer Graphics Society
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    • v.28 no.2
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    • pp.21-28
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    • 2022
  • ASTC is one of the standard texture formats supported in OpenGL ES 3.2 and Vulkan 1.0 (and later versions), and it has been increasingly used on mobile platforms (Android and iOS). ASTC's most important feature is the block size configuration, thereby providing a trade-off between compression quality and rates. With the higher number of textures, however, it is difficult to manually determine the optimal block sizes of each texture. To solve the problem, we present a new approach based on PSNR values to automatically determine the ASTC block size. A brute-force approach, which compresses a texture on all block sizes and compares the PSNR values of the compressed textures, can increase the compression time by up to 14 times. In contrast, our three-step approach minimizes the compression-time overhead. According to our experiments on a texture set including 64 various textures, our method determined the block sizes from 4×4 to 12×12 and reduced the size of compressed files by 68%.