• 제목/요약/키워드: Rapid restoration

검색결과 215건 처리시간 0.027초

Retroperitoneal Extrapleural Approach for Corpectomy of the First Lumbar Vertebra : Technique and Outcome

  • Zidan, Ihab;Khedr, Wael;Fayed, Ahmed Abdelaziz;Farhoud, Ahmed
    • Journal of Korean Neurosurgical Society
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    • 제62권1호
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    • pp.61-70
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    • 2019
  • Objective : Corpectomy of the first lumbar vertebra (L1) for the management of different L1 pathologies can be performed using either an anterior or posterior approach. The aim of this study was to evaluate the usefulness of a retroperitoneal extrapleural approach through the twelfth rib for performing L1 corpectomy. Methods : Thirty consecutive patients underwent L1 corpectomy between 2010 and 2016. The retroperitoneal extrapleural approach through the 12th rib was used in all cases to perform single-stage anterior L1 corpectomy, reconstruction and anterior instrumentation, except for in two recurrent cases in which posterior fixation was added. Visual analogue scale (VAS) was used for pain intensity measurement and ASIA impairment scale for neurological assessment. The mean follow-up period was 14.5 months. Results : The sample included 18 males and 12 females, and the mean age was 40.3 years. Twenty patients (67%) had sensory or motor deficits before the surgery. The pathologies encountered included traumatic fracture in 12 cases, osteoporotic fracture in four cases, tumor in eight cases and spinal infection in the remaining six cases. The surgeries were performed from the left side, except in two cases. There was significant improvement of back pain and radicular pain as recorded by VAS. One patient exhibited postoperative neurological deterioration due to bone graft dislodgement. All patients with deficits at least partially improved after the surgery. During the follow-up, no hardware failures or losses of correction were detected. Conclusion : The retroperitoneal extrapleural approach through the 12th rib is a feasible approach for L1 corpectomy that can combine adequate decompression of the dural sac with effective biomechanical restoration of the compromised anterior loadbearing column. It is associated with less pulmonary complication, no need for chest tube, no abdominal distention and rapid recovery compared with other approaches.

재난 구호품의 효과적 분배를 위한 혼합정수계획 모형 (A Mixed-Integer Programming Model for Effective Distribution of Relief Supplies in Disaster)

  • 김흥섭
    • 산업경영시스템학회지
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    • 제44권1호
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    • pp.26-36
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    • 2021
  • The topic of this study is the field of humanitarian logistics for disaster response. Many existing studies have revealed that compliance with the golden time in response to a disaster determines the success or failure of relief activities, and logistics costs account for 80% of the disaster response cost. Besides, the agility, responsiveness, and effectiveness of the humanitarian logistics system are emphasized in consideration of the disaster situation's characteristics, such as the urgency of life-saving and rapid environmental changes. In other words, they emphasize the importance of logistics activities in disaster response, which includes the effective and efficient distribution of relief supplies. This study proposes a mathematical model for establishing a transport plan to distribute relief supplies in a disaster situation. To determine vehicles' route and the amount of relief for cities suffering a disaster, it mainly considers the urgency, effectiveness (restoration rate), and uncertainty in the logistics system. The model is initially developed as a mixed-integer nonlinear programming (MINLP) model containing some nonlinear functions and transform into a Mixed-integer linear programming (MILP) model using a logarithmic transformation and piecewise linear approximation method. Furthermore, a minimax problem is suggested to search for breakpoints and slopes to define a piecewise linear function that minimizes the linear approximation error. A numerical experiment is performed to verify the MILP model, and linear approximation error is also analyzed in the experiment.

건축물 내 방송통신설비를 위한 면진장치의 동적거동 (Dynamic Responses of Base Isolation Devices for Telecommunication Equipment in Building Structures)

  • 정새벽;최형석;서영득;정동혁
    • 한국구조물진단유지관리공학회 논문집
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    • 제26권1호
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    • pp.39-48
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    • 2022
  • 지진 발생 시 방송통신서비스는 현장 구조 및 효과적인 복구 작업에 직결된다. 최근에 다양한 면진장치들이 방송통신설비의 심각한 피해를 방지하기 위하여 건물 층과 방송통신설비의 바닥부 사이에 설치하는 방법이 널리 사용되고 있다. 하지만 긴 고유주기를 가진 건물은 공진현상에 따른 예상치 못한 응답증폭으로 인하여 더 큰 피해가 발생할 수도 있다. 따라서 본 연구에서는 두 개의 면진장치를 선정 후 중층, 고층건물의 해석적, 실험적 연구를 통하여 면진장치가 바닥부에 설치된 방송통신설비의 내진 안전성을 평가를 목표로 한다. 해석적 연구를 수행하여 가진 시 중층, 고층건물 최고층의 저주파수 영역대의 동적응답을 확인하였다. 또한 해석적 연구에서 확보한 층응답을 바닥부에 면진장치가 설치된 방송통신 설비를구비하여 실증 실험을 통해 내진안정성을 평가하였다.

강원도 양양군 쌍호, 가평리습지, 궁개호, 염개호의 20세기 경관 변화 (Landscape Changes during the 20th Century of Ssangho, Gapyeongri wetland, Gunggaeho and Yeomgaeho, Yangyang-gun, Gangwon Province)

  • 윤순옥;황상일;박충선;진민경
    • 한국지형학회지
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    • 제17권4호
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    • pp.41-52
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    • 2010
  • 양양군 오산리 일대에는 쌍호, 가평리습지, 궁개호와 염개호 등 4개의 석호가 높은 밀도로 나타난다. 쌍호는 동해안의 대표 석호군과 함께 해진극상기에 하구부가 익곡되어 현재까지 호수를 유지하고 있으나, 가평리습지와 궁개호, 염개호는 사빈의 제간습지에 형성되었다. 20세기동안 4개 석호는 대체로 축소 및 위치변화 정도가 심한데, 그 원인을 자연적인 요인과 인간의 영향, 그리고 기타 요인으로 구분하여 검토하였다. 지형발달에 따른 매적단계와 함께 20세기동안 급속하게 진행된 산업화와 개발에 따른 매립, 소규모 석호의 존재가치에 대한 인식 부족이나 지도 작성시 오류, 그리고 측량기술의 낙후성에 기인한다. 따라서 경관 복원 계획은 석호의 성격에 따라 다르게 진행되어야 하며, 쌍호를 우선적으로 복원하는 것이 권장되며, 인간의 영향이 최소한 미쳤던 1920년대의 지형으로 되돌리는 것이 바람직하다.

Novel non-invasive molecular identification method for two tree frogs, Dryophytes suweonensis and Dryophytes japonicus, based on high resolution melting(HRM) analysis

  • Nakyung Yoo;Keun-Yong Kim;Jung Soo Heo;Ju-Duk Yoon;Keun-Sik Kim
    • 환경생물
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    • 제40권2호
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    • pp.199-205
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    • 2022
  • Two tree frogs, Dryophytes suweonensis and Dryophytes japonicus, inhabiting Korea, are morphologically similar and share the same habitats. Therefore, they are identified mainly through their calls, especially for males. Dryophytes suweonensis is registered as an endangered (IUCN: EN grade) and protected species in South Korea. Thus, it is necessary to develop a method to rapidly identify and discriminate the two species and establish efficient protection and restoration plans. We identified significant genetic variation between them by sequencing a maternally-inherited mitochondrial 12S ribosomal DNA region. Based on the sequence data, we designed a pair of primers containing 7bp differences for high resolution melting(HRM) analysis to rapidly and accurately characterize their genotypes. The HRM analysis using genomic DNA showed that the melting peak for D. suweonensis was 76.4±0.06℃, whereas that of D. japonicus was 75.0±0.05℃. The differential melt curve plot further showed a distinct difference between them. We also carried out a pilot test for the application of HRM analysis based on immersing D. suweonensis in distilled water for 30 min to generate artificial environmental DNA(eDNA). The results showed 1.10-1.31℃ differences in the melting peaks between the two tree frog samples. Therefore, this HRM analysis is rapid and accurate in identifying two tree frogs not only using their genomic DNA but also using highly non-invasive eDNA.

Low Impact Urban Development For Climate Change and Natural Disaster Prevention

  • Lee, Jung-Min;Jin, Kyu-Nam;Sim, Young-Jong;Kim, Hyo-Jin
    • 국제학술발표논문집
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    • The 6th International Conference on Construction Engineering and Project Management
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    • pp.54-55
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    • 2015
  • Increase of impervious areas due to expansion of housing area, commercial and business building of urban is resulting in property change of stormwater runoff. Also, rapid urbanization and heavy rain due to climate change lead to urban flood and debris flow damage. In 2010 and 2011, Seoul had experienced shocking flooding damages by heavy rain. All these have led to increased interest in applying LID and decentralized rainwater management as a means of urban hydrologic cycle restoration and Natural Disaster Prevention such as flooding and so on. Urban development is a cause of expansion of impervious area. It reduces infiltration of rain water and may increase runoff volume from storms. Low Impact Development (LID) methods is to mimic the predevelopment site hydrology by using site design techniques that store, infiltrate, evaporate, detain runoff, and reduction flooding. Use of these techniques helps to reduce off-site runoff and ensure adequate groundwater recharge. The contents of this paper include a hydrologic analysis on a site and an evaluation of flooding reduction effect of LID practice facilities planned on the site. The region of this Case study is LID Rainwater Management Demonstration District in A-new town and P-new town, Korea. LID Practice facilities were designed on the area of rainwater management demonstration district in new town. We performed analysis of reduction effect about flood discharge. SWMM5 has been developed as a model to analyze the hydrologic impacts of LID facilities. For this study, we used weather data for around 38 years from January 1973 to August 2014 collected from the new town City Observatory near the district. Using the weather data, we performed continuous simulation of urban runoff in order to analyze impacts on the Stream from the development of the district and the installation of LID facilities. This is a new approach to stormwater management system which is different from existing end-of-pipe type management system. We suggest that LID should be discussed as a efficient method of urban disasters and climate change control in future land use, sewer and stormwater management planning.

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Photosynthetic characteristics and chlorophyll of Vitex rotundifolia in coastal sand dune

  • Byoung-Jun Kim;Sung-Hwan Yim;Young-Seok Sim;Yeon-Sik Choo
    • Journal of Ecology and Environment
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    • 제47권3호
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    • pp.103-116
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    • 2023
  • Background: This study analyzed the physiological adaptations of a woody plant, Vitex rotundifolia, in Goraebul coastal sand dunes from May to September 2022. Environmental factors and physiological of plants growing under field and controlled (pot) conditions were compared. Results: Photosynthesis in plants growing in the coastal sand dunes and pots was the highest in June 2022 and July 2022, respectively. Chlorophyll fluorescence indicated the presence of stress in the coastal sand dune environment. The net photosynthesis rate (PN) and Y(II) were highest in June in the coastal sand dune environment and July in the pot environment. In August and September, Y(NPQ) increased in the plants in the coastal sand dune environment, showing their photoprotective mechanism. Chlorophyll a and b contents in the pot plant leaves were higher than those in the coastal sand dune plant leaves; however, chlorophyll-a/b ratio was higher in the coastal sand dune plant leaves than in the pot plant leaves, suggesting a relatively high photosynthetic efficiency. Carotenoid content in the coastal sand dune plant leaves was higher in August and September 2022 than that in the pot plant leaves. Leaf water and soluble carbohydrate contents of the coastal sand dune plant leaves decreased in September 2022, leading to rapid leaf abscission. Diurnal variations in photosynthesis and chlorophyll fluorescence in both environments showed peak activity at 12:00 hour; however, the coastal sand dune plants had lower growth rates and Y(II) than the pot plants. Plants in the coastal sand dunes had higher leaf water and ion contents, indicating that they adapted to water stress through osmotic adjustments. However, plants growing in the coastal sand dunes exhibited reduced photosynthetic activity and accelerated decline due to seasonal temperature decreases. These findings demonstrate the adaptation mechanisms of V. rotundifolia to water stress, poor soils, and high temperature conditions in coastal sand dunes. Conclusions: The observed variations indicate the responses of the V. rotundifolia to environmental stress, and may reveal its survival strategies and adaptation mechanisms to stress. The results provide insights into the ecophysiological characteristics of V. rotundifolia and a basis for the conservation and restoration of damaged coastal sand dunes.

생활권에 분포하는 소규모 습지 기능 간편평가기법(RAMS) 연구 (Rapid Assessment Method for Small Wetlands Function (RAMS) Distributed in the Living Area)

  • 박미옥;구본학
    • 한국습지학회지
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    • 제26권1호
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    • pp.114-125
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    • 2024
  • 생활권 습지는 지역주민의 일상생활이나 혹은 영농행위의 기반이 되는 중요한 생태자원으로서 생태계서비스와 그린인프라 등 생태적 가치가 높다. 본 연구는 소규모 생활권 습지에 최적화된 기능평가 방법론(RAMS)을 개발하기 위해 수행되었다. 전문가에 의한 현장평가와 설문 및 심층면접을 바탕으로 생물다양성 및 건강성, 친수문화 장소성, 물순환, 탄소흡수 등 4개 기능항목와 15개 세부지표, 각 세부지표별 평가등급은 5점척도로 구성된 평가도구를 개발하였다. 본 연구 결과 제안된 소규모 생활권 습지에 최적화된 평가방법론(RAMS)은 국내외 소규모 생활권 습지의 보전 복원 및 관리를 위한 기초 자료로 활용될 수 있을 것이다.

침 치료 및 전침 치료로 호전된 길랑바레증후군 환자의 균형 및 보행 개선 : 증례보고 (Improvement in Balance and Walking in a Patient with Guillain-Barre Syndrome Treated with Acupuncture and Electroacupuncture: A Case Report)

  • 강선이;지상호;김지우;소영조;김철현;이상관
    • 대한한방내과학회지
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    • 제45권2호
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    • pp.199-207
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    • 2024
  • Introduction: Gullain-Barre syndrome (GBS) is a rapid, symmetric muscle weakness that often follows respiratory or gastrointestinal infections. Standard treatments include plasmapheresis and intravenous immunoglobulin, but outcomes can vary among patients. The integration of Korean medicine, notably unexplored in quantitative assessments of balance and walking, provides a novel approach to treatment. Case presentation: A 53-year-old male diagnosed with GBS presented to the hospital 8 days post-onset. He received treatments consisting of acupuncture, electroacupuncture, and rehabilitation over a period of approximately 4 weeks. Upon admission, the patient exhibited symptoms of both limb weakness and paresthesia, requiring the use of a wheelchair. Post-treatment, muscle strength and balance were significantly improved, leading to the restoration of independent ambulation, including running. Conclusions: This case illustrates the potential of integrated Korean and conventional medical treatments to accelerate recovery in GBS patients, overcoming typical prognosis timelines. The improvements in gait and balance were substantiated by quantitative assessments, suggesting a promising area for further research into the effects of combined therapeutic approaches to GBS recovery.

Robotic-assisted Total Hip Arthroplasty and Spinopelvic Parameters: A Review

  • Steven J. Rice;Anthony D'Abarno;Hue H. Luu
    • Hip & pelvis
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    • 제36권2호
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    • pp.87-100
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    • 2024
  • Total hip arthroplasty (THA) is an effective treatment for osteoarthritis, and the popularity of the direct anterior approach has increased due to more rapid recovery and increased stability. Instability, commonly caused by component malposition, remains a significant concern. The dynamic relationship between the pelvis and lumbar spine, deemed spinopelvic motion, is considered an important factor in stability. Various parameters are used in evaluating spinopelvic motion. Understanding spinopelvic motion is critical, and executing a precise plan for positioning the implant can be difficult with manual instrumentation. Robotic and/or navigation systems have been developed in the effort to enhance THA outcomes and for implementing spinopelvic parameters. These systems can be classified into three categories: X-ray/fluoroscopy-based, imageless, and computed tomography (CT)-based. Each system has advantages and limitations. When using CT-based systems, preoperative CT scans are used to assist with preoperative planning and intraoperative execution, providing feedback on implant position and restoration of hip biomechanics within a functional safe zone developed according to each patient's specific spinopelvic parameters. Several studies have demonstrated the accuracy and reproducibility of robotic systems with regard to implant positioning and leg length discrepancy. Some studies have reported better radiographic and clinical outcomes with use of robotic-assisted THA. However, clinical outcomes comparable to those for manual THA have also been reported. Robotic systems offer advantages in terms of accuracy, precision, and potentially reduced rates of dislocation. Additional research, including conduct of randomized controlled trials, will be required in order to evaluate the long-term outcomes and cost-effectiveness of robotic-assisted THA.