Purpose: Cervical dislocations with locked facets account for more than 50% of all cervical injuries. Thus, investigating a suitable management of cervical locked facets is important. This study examined factors of close reduction failure in traumatically locked facets of the subaxial cervical spine patients to determine suitable surgical management. Methods: We retrospectively analyzed of the case histories of 28 patients with unilateral/bilateral cervical locked facets from Nov. 2004 to Dec. 2010. Based on MRI evaluation of disc status at the injury level, we found unilateral dislocations in 9 cases, and bilateral dislocations in 19 cases, The patients were investigated for neurologic recovery, closed reduction rate, factors of the close reduction barrier, fusion rate and period, spinal alignment, and complications. Results: The closed reduction failed in 23(82%) patients. Disc herniation was an obstacle to closed reduction (p=0.015) and was more frequent in cases involving a unilateral dislocation (p=0.041). The pedicle or facet fracture was another factor, although some patients showed aggravation of neurologic symptoms, most patients had improved by the last follow up. The kyphotic angle were statistically significant (p=0.043). Sixs patient underwent anterior decompression/fusion, and 15 patients underwent circumferential fusion, and 7 patients underwent posterior fusion. All patients were fused at 3 months after surgery. The complications were 1 case of CSF leakage and 1 case of esphageal fistula, 1 case of infection. Conclusion: We recommend closed reduction be performed as soon as possible after injury to maximize the potential for neurological recovery. Patients fot whom closed reduction of the cervical locked facets have a higher incidence of anatomic obstacles to reduction, including facet fractures and disc herniation. Immediate direct open anterior reduction or circumferential fixation/fusion of locked cervical facets is recommended as a treatment of choice for traumatic locked cervical facet patients after closed reduction failure.
Purpose: The purpose of this study was to identify the effect of electroacupuncture(EA) and transcutaneous electric nerve stimulation(TENS) after sciatic nerve crush injury in rats. Methods: The EA for experimental group I (Exp I, n=15) and TENS for experimental group II (Exp II, n=15) was applied from post-injury day(PD) 1 to PD 14 after sciatic nerve injury using low frequency stimulator that gave electrical stimulation(15min/60Hz). In order observe the effect of EA and TENS, this study examined GAP-43 expression in rat lumbar spinal cord at the PD 1, PD 7 and PD 14. In addition, the stride length(SL) and toe out angle(TOA) were measured at the PD 7 and PD 4. Results; Exp I and Exp II had higher GAP-43 immunoreactivity than control group(PD 1, 7, 14). The SL of Exp I and Exp II were significantly higher than control group(PD 7, 14). The TOA of Exp I and Exp II were significantly lower than control group(PD 7, 14). Conclusion: EA and TENS application increased motor nerve recovery and expression of GAP-43 immunoreactivity after sciatic nerve crush injury. Therefore effect of TENS and EA had similar effect on nerve regeneration and functional recovery.
This study investigated effects of physical and chemical cleaning methods on the initial flux recovery of fouled membrane in membrane distillation process. A laboratory scale direct contact membrane distillation (DCMD) experiment was performed to treat digested livestock wastewater with 3.89 mg/L suspended solids, 874.7 mg/L COD, 543.7 mg/L nitrogen, 15.6 mg/L total phosphorus, and pH of 8.6. A hydrophobic PVDF membrane with an average pore size of $0.22{\mu}m$ and a porosity of 75 % was installed inside a direct contact type membrane distillation module. The temperature difference between feed and permeate side was maintained at $40^{\circ}C$ with the feed and permeate stream velocity of 0.18 m/s. The results showed that the permeate flux decreased from $22.1L{\cdot}m^{-2}{\cdot}hr^{-1}$ to $19.0L{\cdot}m^{-2}{\cdot}hr^{-1}$ after 75 hours of distillation. The fouled membrane was cleaned first by physical flushing and consecutively by chemicals with NaOCl and citric acid. After the physical cleaning the flux was recovered to 92 % as compared with the initial clean water flux of the virgin membrane. Then 94 % of the flux was recovered after cleaning by 2,000 ppm NaOCl for 90 minutes and finally 97 % of flux recovered after 3 % citric acid for 90 minutes. SEM-EDS and FT-IR analysis results presented that the foulants on the membrane surface were removed effectively after each cleaning step. The contact angle measurement showed that the hydrophobicity of the membrane surface was also restored gradually after each cleaning step to reach nearly the same hydrophobicity level as the virgin membrane.
Journal of the Korean Society of Propulsion Engineers
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v.24
no.6
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pp.16-27
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2020
For the operation of the scramjet engine in the wide flight range, the design of the inlet must show stable performance in various flight conditions. In this study, the design methods of a 2D fixed inlet for stable performance in wide flight ranges of Mach number 4 to 6 and angle -6° to 6°, is performed. After proposing the design method and design focus, performance prediction and analysis were performed by various initial compression angles and design Mach numbers, which are essential design factors in total pressure recovery and inlet capture area ratio in the wide flight range. Based on the analysis results, we present the selection criteria for the two main design elements to represent stable performance in the wide flight range.
Lee, Yang Ji;Yang, Inyoung;Lee, Kyung Jae;Oh, Jung Hwan;Choi, Jin
Journal of the Korean Society of Propulsion Engineers
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v.26
no.4
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pp.10-20
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2022
The performance analysis test of the scramjet engine intake was conducted under the Mach 5 condition of the scramjet engine test facility, a free-jet ground test facility of the Korea Aerospace Research Institute. A pitot/static pressure rake installed at the rear of the isolator was designed and manufactured to measure the total pressure recovery rate and mass capture ratio, which are typical performance factors of the scramjet engine intake. The effect of the rake mounted at the rear of the isolator on the intake, the performance analysis measured by the rake, and the change in wall static pressure distribution according to the angle of attack were performed. Finally, the point at which the intake unstart occurred was confirmed by using the rear back pressure adjusting device, which simulates pressure rise in the combustor, and the results are summarized in this paper.
Surface of Polymethylmethacrylate (PMMA) was modified by ion assisted reaction in which ion beam of Ar or$ O_2$is irradiated on polymer in reaction gas environment. Ion beam energy was changed from 600 to 1000eV, and ion doses were varied from $5\times10^{14} ions/cm^2 to 1\times10^{17} ions/cm^2$. Contact angle and surface energy of modified PMMA were measured by contact angle micrometer using distilled water and formamide. In the case of $Ar^+$ ion irradiation only, the contact angle reduced from $68^{\circ} to $35^{\circ}$ and the surface energy was changed from 46 dyne/cm to 60 dyne/cm. The contact angle significantly decreased to $14^{\circ}$and the surface energy increased to 72 dyne/cm when the surface of PMMA was modified by oxygen ion irradiation in oxygen gas environment. Improvement of wettability results from the formation of new hydrophilic group which is identified as C-O chain by XPS analysis. Recovery of wettability in dry air and maintenance of it in water condition were explained in view of the formation of hydrophilic group.
In this paper, the stability standards of slopes reclaimed by soils mixed with stone dust were proposed to manage the stone dust as recovery soils. First of all, the mixed ratio between stone dust and natural soil is classified into 5 groups, and a series of soil test was performed in each group. As the results of tests, the shear strength and the maximum dry unit weight were increased in decrease of the mixed ratio of stone dust. On the basis of the investigation to the safety factor standards of embankment slopes in and outside the country, a slope stability rank of slopes reclaimed by mixed soils were divided into 3 stages such as unstable stage, attention stage and stable stage. The slope angle, the slope height and the mixed ratio with stone dust were proposed by the result of stability analysis of slopes reclaimed by mixed soils. As the result of slope stability analysis, the slope angle of 1 : 1.8 at the reclaimed slope should be constructed in case of the slope height of 10 m. Also, the slope angle of 1 : 1.8 and the mixed ratio of stone dust less than 50% should be constructed in case of the slope height of 15 m. The analysis result of reclaimed slope constructed inside the quarry is similar to that of reclaimed slope constructed on the open ground in same conditions of the slope angle, the slope height and the mixed ratio with stone dust. The proposed stability standards of slopes reclaimed by soils mixed with stone dust can be used practically at the quarrying site.
Kim, Eui-Soon;Seo, Hyun-Mo;Lee, Kyu-Min;Choi, Hun-Hwi;Moon, Myung-Sang;Lee, Man-Hee;Choi, Won-Tae
Journal of Korean Foot and Ankle Society
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v.7
no.2
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pp.238-249
/
2003
Purpose: To report the clinical result of the intraarticular calcaneus fracture after open reduction and internal fixation with plate by lateral approach. Materials and Methods: Thirty-six calcaneal fractures of 33 patients(29 men and 4 women) were treated by open reduction and internal fixation using an lateral approach from March, 1997 to May, 2002 and were followed more than one year. The autogenous iliac bone graft was done in 2 cases but the others didn't. Radiographically B?hler angle and Gissane angle on simple lateral radiograph were measured and in the 15 cases, the step-off(gap) of posterior facet joint on post-operative CT images were followed. The Salama method was used for evaluation of clinical results. Results: According to Sanders classification, 19 cases of the 36 cases were classified as type II. Type III fracture were found in 12 cases and type IV in 5 cases. The following results were obtained: twenty-two cases(61.1%) out of 36 cases were estimated as good or excellent. The good results or more were obtained in 15 cases(78.9%) in type II and 7 cases(58.3%) in type ill, but no case in type IV. B?hler angles were improved from preoperative average 1.6?to postoperative average 23.4?, Gissane angle was improved from preoperative 107.2?to postoperative 122.8?, respectively. Among 36 cases, Computed tomography was carried out in 15 cases. The postoperative step-off (gap) of posterior facet joint on computed tomography was filled with cancellous bone. Satifactory results was obtained in 7 cases with 2mm gap or less and in 6 cases of 2-5mm. There were no satifactory results in 2 cases with 5mm gap or more. Conclusion: Open reduction and internal fixation for intra-articular fracture of calcaneus was thought to be a good treatment modality. It is thought that the lateral approach is one of the good one for surgical treatment, and that accurate reduction of the posterior facet, acceptable recovery of B?hler angle are more important to obtain best results.
Journal of the Korean Society for Aeronautical & Space Sciences
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v.49
no.3
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pp.221-231
/
2021
In the present study, numerical simulation was performed to investigate aerodynamic characteristics of a ducted fan-upper/lower vanes system in hover. Sensitivity analysis of aerodynamic forces for a system component was conducted with the deflection angle of upper vanes varying but at the constant rotational speed and the collective pitch angle of fan blades. Then, vane control performance and duct airload distributions were analyzed in detail to physically understand operating mechanisms of individual vane and interference effect between duct and vanes. Finally, new control concept of operating upper vanes has been proposed to improve the control performance of the full configuration. It is found that the side force and rolling moment of upper vanes increase linearly with the variation of those deflection angle; however, the total side force is significantly small due to the reaction force acted on the duct. It is also found that upper vanes close to the duct contraction side have a key role in changing vane control forces. It is revealed that the duct suction pressure is induced by the interaction with the suction side of upper vanes, while duct pressure recovery by the interaction with the pressure side, leading to increase in duct asymmetric force. When four upper vanes are kept in situ at 0° deflection angle or removed, the total control performance was improved with duct asymmetric force reduced and the total magnitude of roll remarkably increasing up to 80%.
Background: The purpose of this study was to investigate the effects of WBC (whole-body cryotherapy)on the MVIC (maximal voluntary isometric contraction)and active ROM (range of motion) recovery of after EIMD (exercise-induced muscle injury). Design: Randomized Controlled Trial. Methods: Thirty subjects who are student in their 20s at a university participated in this study, these subjects were assigned into three groups, a control group (n=10), experiment group I(n=10), and experiment group II (n=10). The subjects in the experimental group II were intervened by WBC (-130℃, 3 minutes) before induced EIMD, the experimental group were intervened by WBC (-130℃, 3 minutes) after induced EIMD, and the control group weren't by any intervened after induced EIMD. Results: First, In the comparison of the MVIC, there were significant variations with the lapse the time in three groups (p<.001) and there was a significant interaction of time and group (p<.001). In the among group comparison, the MVIC of experimental group II was significantly larger than those of other groups (p<.001). Second, In the comparison of the active extension angle, there were significant variations with the lapse the time in three groups (p<.001) and there was a significant interaction of time and group (p<.001). In the among group comparison, the active extension angle of experimental group II was significantly smaller than those of other groups (p<.001). Third, In the comparison of the active flexion angle, there were significant variations with the lapse the time in three groups (p<.01) and there was a significant interaction of time and group (p<.001). In the among group comparison, the active flexion angle of experimental group II was significantly larger than those of other groups (p<.05). Conclusion: The above results revealed that the WBC intervention after an exercise had a positive effect of muscle function after EIMD. Therefore we can consider the WBC as a considerable intervention method to prevent or reduce an exercise injury.
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