• Title/Summary/Keyword: Open Approach

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Open Surgical Evacuation of Spontaneous Putaminal Hematomas: Prognostic Factors and Comparison of Outcomes between Transsylvian and Transcortical Approaches

  • Shin, Dong-Sung;Yoon, Seok-Mann;Kim, Sung-Ho;Shim, Jai-Joon;Bae, Hack-Gun;Yun, Il-Gyu
    • Journal of Korean Neurosurgical Society
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    • 제44권1호
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    • pp.1-7
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    • 2008
  • Objective : The purpose of this study was to investigate the factors affecting the surgical outcome and to compare the surgical results between transsylvian and transcortical approaches in patients with putaminal hematomas. Methods : Retrospective review of charts and CT scan images was conducted in 45 patients (20 transsylvian and 25 transcortical approaches) who underwent open surgical evacuation of putaminal hematomas. Mean Glasgow coma scale (GCS) score and hematoma volume were $7.5{\pm}3.2$ and $78.1{\pm}29.3\;cc$, respectively. The factors affecting the functional mortality were investigated using a multivariate logistic regression analysis. In addition, surgical results between transsylvian and transcortical approaches were compared. Results : None of the patients had a good recovery after the surgery. Overall functional survival rate and mortality were 37.7% and 31%, respectively. The only risk factor for functional mortality was GCS motor score after controlling age, history of hypertension, side of hematoma, hematoma amount midline shift, presence of intraventricular hemorrhage and surgical approach (p=0.005). Even though a transcortical approach was shorter in operative time (4.4 versus 5.1 hour) and showed a higher mortality rate (40% versus 20%) and lower functional survival (45% versus 35%) compared to the transsylvian approach, the differences were not statistically significant between the two groups. Conclusion : In patients who have large amounts of hematoma and require open surgical evacuation, the only significant risk factor for functional survival is the preoperative GCS score. Cortical incision methods such as transsylvian and transcortical approaches have no influence on the surgical outcome. To decompress the swollen brain rapidly, transcortical approach seems to be more suitable than transsylvian approach.

A Study on Singularly Perturbed Open-Loop Systems by Delta Operator Approach

  • Shim, Kyu-Hong;M. Edwin Sawan
    • Transactions on Control, Automation and Systems Engineering
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    • 제3권4호
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    • pp.242-249
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    • 2001
  • In this paper, the open-loop state response of the two-time-scale systems by unified approach using the $\delta$-operator is presented with an example of the aircraft longitudinal dynamics. First, the $\delta$-operator system unifies both the continuous system and the discrete system simultaneously, and the $\delta$-operator approach improves the finite word-length characteristics. This saves more computing time than that of the discrete system. Second, the singular perturbation method by block diagonalization reduces the sizes and orders of the systems. This also reduces the floating-point operations (flops). The advantage of those two approaches is shown by comparing our results with the earlier ones in the illustrative example of the longitudinal motion of F-8 aircraft.

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관절 내 종골 골절에서 거골하 관절경술의 이용 (Use of Subtalar Arthroscopy in Intra-Articular Calcaneus Fractures)

  • 우인하;박철현
    • 대한족부족관절학회지
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    • 제27권1호
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    • pp.1-6
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    • 2023
  • Displaced intra-articular calcaneal fractures are difficult to treat because of complex anatomy and high soft tissue complications. Various surgical approaches have been introduced to solve these problems, but the treatment remains complex. Recently, clinically and radiographically superior results were reported using a subtalar arthroscopy in reducing the posterior facet in both percutaneous and open approaches. In the percutaneous approach, the arthroscopically assistant percutaneous approach must be selected carefully for mild-to-moderately displaced fractures because of the limited view. In the open approach, there is little evidence of the utility of subtalar arthroscopy. Therefore, intraoperative arthroscopy should always be used in conjunction with fluoroscopy to achieve reduction and assess the internal fixation placement.

전외측 도달법을 이용한 소절개 회전근 개 봉합술 (Mini-open Rotator Cuff Repair Using Anterolateral Approach)

  • 조철현;여경기;이성윤;정구희
    • Clinics in Shoulder and Elbow
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    • 제13권1호
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    • pp.86-91
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    • 2010
  • 목적: 회전근 개 파열에서의 전외측 도달법을 이용한 소절개 봉합술을 소개하고 임상적 결과 및 그 효용성을 알아보고자 하였다. 대상 및 방법: 전외측 도달법을 이용한 소절개 봉합술을 시행하고 1년 이상 추시 관찰이 가능하였던 59예를 대상으로 하였다. 평균 연령은 56.6 (39~71)세였고, 남자가 39예, 여자가 20예였으며, 평균 추시 기간은 26 (12~41)개월이었다. VAS 점수 및 ADL 지수를 이용하여 동통 및 기능적 평가를 시행하였고, 임상적 결과의 판정은 ASES 점수를 이용하였다. 결과: VAS 점수는 술 전 7.04점에서 최종 추시시 1.02점으로, ADL 지수는 12.37점에서27.20점으로 호전되었으며, ASES 점수는 술 전 35.32점에서 최종 추시시 90.08점으로 향상되었다(p=0.000). 임상적 결과는 우수 41예, 양호 11예, 보통 2예, 불량 5예로 52예 (88.1%)에서 만족할 만한 임상적 결과를 나타내었다. 나이, 성별, 증상 기간, 파열의 크기, 술 전 견관절 강직과 최종 추시 ASES 점수와의 통계학적 유의성은 없었다 (p>0.05). 결론: 전외측 도달법을 이용한 소절개 봉합술은 만족할 만한 임상적 결과를 보였으며 시야 확보에 유리한 술식으로 사료된다.

Investigation on hydrodynamic performance of a marine propeller in oblique flow by RANS computations

  • Yao, Jianxi
    • International Journal of Naval Architecture and Ocean Engineering
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    • 제7권1호
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    • pp.56-69
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    • 2015
  • This paper presents a numerical study on investigating on hydrodynamic characteristics of a marine propeller in oblique flow. The study is achieved by RANS simulations on an open source platform - OpenFOAM. A sliding grid approach is applied to compute the rotating motion of the propeller. Total force and moment acting on blades, as well as average force distributions in one revolution on propeller disk, are obtained for 70 cases of combinations of advance ratios and oblique angles. The computed results are compared with available experimental data and discussed.

An Anti-Overload Model for OpenStack Based on an Effective Dynamic Migration

  • Ammar, Al-moalmi;Luo, Juan;Tang, Zhuo
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • 제10권9호
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    • pp.4165-4187
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    • 2016
  • As an emerging technology, cloud computing is a revolution in information technology that attracts significant attention from both public and private sectors. In this paper, we proposed a dynamic approach for live migration to obviate overloaded machines. This approach is applied on OpenStack, which rapidly grows in an open source cloud computing platform. We conducted a cost-aware dynamic live migration for virtual machines (VMs) at an appropriate time to obviate the violation of service level agreement (SLA) before it happens. We conducted a preemptive migration to offload physical machine (PM) before the overload situation depending on the predictive method. We have carried out a distributed model, a predictive method, and a dynamic threshold policy, which are efficient for the scalable environment as cloud computing. Experimental results have indicated that our model succeeded in avoiding the overload at a suitable time. The simulation results from our solution remarked the very efficient reduction of VM migrations and SLA violation, which could help cloud providers to deliver a good quality of service (QoS).

개방형 혁신여건 조성을 통한 정부 R&D투자의 성과 제고 (Performance Improvement of Government R&D Investments Through Creating Open Innovation Conditions)

  • 김재홍
    • 디지털융복합연구
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    • 제8권2호
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    • pp.29-42
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    • 2010
  • 그동안 정부는 R&D투자의 성과 제고를 위해 R&D 시스템 내의 구조와 프로세스를 개선하는데 많은 노력을 기울여 왔다. 그러나 대내외 기술 환경이 급변하고 투자규모가 지속적으로 증가함에 따라, 정부 R&D 또한 다양한 외부자원의 활용을 통해서 규모의 수확을 이룰 수 있는 혁신적인 접근방법이 필요한 상황이다. 이러한 관점에서 '개방형 혁신'은 외부자원에 대한 흡수능력 (absorptive capacity)을 향상시키고, 다양한 혁신주체 간 협력과 참여를 제고시킬 수 있다는 점에서 '정부실패'의 가능성을 최소화 시킬 수 있다. 본 논문은 정부 R&D투자의 성과에 관한 선행연구와 정부정책을 평가하고, 개방형 혁신이 정부 R&D투자의 성과 제고에 기여할 수 있는 연계성을 보여주고 있다.

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오픈마켓에서 신뢰가치성이 구매의도에 미치는 영향: 신뢰와 불신을 중심으로 (The Effect of Trustworthiness on Purchase Intention in Open Markets: Focusing on Trust and Distrust)

  • 최슬비;안현철;곽기영
    • 한국정보시스템학회지:정보시스템연구
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    • 제26권1호
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    • pp.171-188
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    • 2017
  • Purpose This study investigates the effects of trust and distrust on intention to purchase in open market, based on the idea that trust and distrust can co-exist. Specifically, this study approached the effects of trust and distrust of the open market on the intention to purchase from a two-dimensional perspective, and examined trustworthiness as the antecedents of trust and distrust. Design/Methodology/Approach In this study, we conducted a questionnaire survey on consumers who have actually purchased a product from open markets in Korea for two months. As a result, 141 users are chosen for the sample. We apply PLS (Partial Least Squares) structural equation modeling (SEM) to verify our theoretical model using the software application SmartPLS 3.0. Findings First, trust in open market positively affects intention to purchase, whereas distrust in open market negatively affects intention to purchase. Second, the three antecedents of trust (i.e. three factors constituting trustworthiness such as ability, benevolence and integrity) affect trust in open market. Third, integrity negatively affects distrust in open market. Since integrity plays an important role in building both trust and distrust in open market, the operators of open market should pay attention to managing their integrity.

오픈하우징의 구조적 유형화에 관한 연구 (A Typological Approach to Structural Characteristics in Open Housing)

  • 모정현;이연숙
    • KIEAE Journal
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    • 제4권3호
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    • pp.45-52
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    • 2004
  • The purpose of this research was to identify the structural characteristics of open housing typologically and systematically. The main method of this study was content analysis and literature review on open housing. This study found that the typological analysis on terminology and the details of the constituents concerning structural patterns in open housing indicated that the main approaches were classified into three criteria such as 'Organization Element', 'Construction Element', and 'Equipment Element'. Organization Element was classified into 'Main Dwelling Unit Area and its Form', 'Room Organization Method', 'Relationship with the Main Dwelling Unit's External Constituents', and 'Combination Method of Support and Infill'. Construction Element was classified into 'Method of Structure' and 'Structural Element Technology'. Equipment Element was classified into 'Method of Using Duct' and 'Wet Zone Method'. The attributes were determined based on these classifications. The results of this study can be used to construct an evaluation tool and further to develop a framework in understanding open housing. Technical research should be conducted on the variables that affect the flexibility of space.

PC에 기반을 둔 개방형 로봇제어시스템 : PC-ORC (A PC-Based Open Robot Control System : PC-ORC)

  • 김점구;최경현;홍금식
    • 제어로봇시스템학회논문지
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    • 제6권5호
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    • pp.415-425
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    • 2000
  • An open architecture manufacturing strategy intends to integrate manufacturing components on a single platform so that a particular component can be easily added and/or replaced. Therefore, the control scheme based upon the open architecture concept is hardware-independent. In this paper, a modular and object oriented approach for a PC-based open robot control system is investigated. A standard reference model for robot systems, which consists of three modules; hardware module, operating system module, and application software module, is first proposed. Then, a PC-based Open Robot Controller(PC-ORC), which can reconfigure robot control systems in various production environments, is developed. The PC-ORC is built upon the object-oriented method, and allows an easy implementation and modification of various modules. The PC-ORC consists of basic softwares, application objects, and additional hardware device on the PC Platform. The application objects are: sequencer, computation unit, servo control, ancillary equipment, external sensor control, and so on. In order to demonstrate the applicability of the PC-ORC, the proposed PC-ORC configuration is applied to an industrial SCARA robot system.

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