• Title/Summary/Keyword: Stable angle

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Correction of Spondylolisthesis by Lateral Lumbar Interbody Fusion Compared with Transforaminal Lumbar Interbody Fusion at L4-5

  • Ko, Myeong Jin;Park, Seung Won;Kim, Young Baeg
    • Journal of Korean Neurosurgical Society
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    • v.62 no.4
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    • pp.422-431
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    • 2019
  • Objective : In an aging society, the number of patients with symptomatic degenerative spondylolisthesis (DS) is increasing and there is an emerging need for fusion surgery. However, few studies have compared transforaminal lumbar interbody fusion (TLIF) and lateral lumbar interbody fusion (LLIF) for the treatment of patients with DS. The purpose of this study was to investigate the clinical and radiological outcomes between TLIF and LLIF in DS. Methods : We enrolled patients with symptomatic DS at L4-5 who underwent TLIF with open pedicle screw fixation (TLIF group, n=41) or minimally invasive LLIF with percutaneous pedicle screw fixation (LLIF group, n=39) and were followed-up for more than one year. Clinical (visual analog scale and Oswestry disability index) and radiological outcomes (spondylolisthesis rate, segmental sagittal angle [SSA], mean disc height [MDH], intervertebral foramen height [FH], cage subsidence, and fusion rate) were assessed. And we assessed the changes in radiological parameters between the postoperative and the last follow-up periods. Results : Preoperative radiological parameters were not significantly different between the two groups. LLIF was significantly superior to TLIF in immediate postoperative radiological results, including reduction of spondylolisthesis rate (3.8% and 7.2%), increase in MDH (13.9 mm and 10.3 mm) and FH (21.9 mm and 19.4 mm), and correction of SSA ($18.9^{\circ}$ and $15.6^{\circ}$) (p<0.01), and the changes were more stable from the postoperative period to the last follow-up (p<0.01). Cage subsidence was observed significantly less in LLIF (n=6) than TLIF (n=21). Fusion rate was not different between the two groups. The clinical outcomes did not differ significantly at any time point between the two groups. Complications were not statistically significant. However, TLIF showed chronic mechanical problems with screw loosening in four patients and LLIF showed temporary symptoms associated with the surgical approach, such as psoas and ileus muscle symptoms in three and two cases, respectively. Conclusion : LLIF was more effective than TLIF for spondylolisthesis reduction, likely due to the higher profile cage and ligamentotactic effect. In addition, LLIF showed mechanical stability of the reduction level by using a cage with a larger footprint. Therefore, LLIF should be considered a surgical option before TLIF for patients with unstable DS.

Evaluation of the Stability of Ipseok-dae Columnar Joints in Mudeungsan National Park Using 3DEC (3DEC을 이용한 무등산국립공원 입석대 주상절리대의 안정성 평가)

  • Noh, Jeongdu;Kang, Seong Sueng
    • The Journal of Engineering Geology
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    • v.32 no.3
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    • pp.351-361
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    • 2022
  • Numerical analysis performed to predict the behavior of Ipseok-dae columnar joints in Mudeungsan National Park to understand their stability and movement. The numerical analysis technique, 3DEC, is based on the discrete element method that can analysis discontinuities. The analysis used data for material properties derived from laboratory tests, which found that average density was 2.68 kN/m3, average normal stiffness was 3.15 GPa/m, average shear stiffness was 1.00 GPa/m, average cohesion was 0.51 MPa, and the average friction angle was 33°. The Ipseok-dae columnar joints were modeled on the basis of the field survey data for 15 joints located between the observation platform and the hiking trail. The numerical analysis assessed the behavior of each columnar joint by interpreting the displacement of the edges of its upper and lower surfaces. The greatest maximum displacement was found in columnar joint No. 6, and the greatest minimum displacement was found in joint No. 11. Analyzing the movements of five discontinuities in joint No. 11 indicated that the maximum displacement occurred at the 2nd level. The other levels were ordered 5th, 4th, 1st, and 3rd in terms of subsequent greatest displacements. Considering the total displacement in the 15 studied joints, the Ipseok-dae columnar joints are judged to be stable. However, considering the cultural and historical value of Mudeungsan National Park, it is regarded that the currents slope stability should be maintained by monitoring the individual rock blocks of the joints.

Development of Expandable Steel Pipe Piles to Improve Bearing Capacity (지지력 향상을 위한 확장형 강관말뚝에 관한 연구)

  • Kim, Uiseok;Kim, Junghoon;Kim, Jiyoon;Min, Byungchan;Choi, Hangseok
    • Journal of the Korean GEO-environmental Society
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    • v.22 no.12
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    • pp.5-13
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    • 2021
  • Expandable steel pipe piles have been developed to ensure stability and reduce construction costs during underground floor remodeling and extension work. Expandable steel pipe piles are more economical and stable than micropiles. Extensible steel pipe pile is a method of improving the performance of steel pipes by expanding steel pipes underground. In this paper, the changes in buckling strength according to the shape of steel pipes in an extended steel pipe pile were identified, a numerical analysis model was developed to determine the expended part effect of bumps due to steel pipe expansion, and the optimal steel pipe expansion was calculated through material tests. The larger the expansion diameter of the steel pipe and the greater the number of expanded part, the greater the buckling strength. Numerical results showed that the number of expanded part has a greater effect on buckling strength than the expansion rate. When the expansion rate is more than 1.2 times, it can be seen that as the number of expanded part increases, the effect of increasing buckling strength increases significantly. It was also noted that the expanded part effect of the bumps occur significantly when the extension angle is less than 45° and the expansion rate is 1.3 times higher. When the steel pipe is failure, the expanded rate is 20 to 32%, averaging 25.4%. Through the material test, it was analyzed that it is desirable to limit the maximum expansion rate for performing steel pipes to 16%.

A case of oral rehabilitation using implant fixed prosthesis (skeletal class III malocclusion patient) (골격성 III급 부정교합을 가진 환자에서 임플란트 지지 고정성 보철을 이용한 구강회복 증례)

  • Minjung Kang;Minji Sun;Hong Seok Moon;Jong-Eun Kim
    • The Journal of Korean Academy of Prosthodontics
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    • v.61 no.2
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    • pp.125-134
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    • 2023
  • When the patient with class III malocclusion needs extensive oral rehabilitation due to multiple missing teeth, accurate diagnosis, and careful analysis, such as the patient's occlusal relationship, facial changes, and evaluation of the temporomandibular joint are essential. Orthognathic surgery is often performed for aesthetic improvement, depending on the patient's chief complaint. If it is not possible due to certain circumstances, partial aesthetic improvement can be achieved through minimal elevation of the vertical dimension. As this patient may have unexpected issues, such as temporomandibular joint disorder, oral habits like bruxism, and masticatory muscle tension, it was determined whether the patient could adjust to a reversible temporary removable partial denture. After this, the maxillary implant-supported fixed prostheses and the mandibular fixed prostheses were used to achieve stable posterior support and to partially improve the maxillary anterior esthetics. The patient was satisfied with the results both aesthetically and functionally. The prognosis is expected to be good if regular check-ups are conducted.

Comparative analysis of craniofacial asymmetry in subjects with and without symptoms of temporomandibular joint disorders: a cross-sectional study

  • Anita Pradhan;Preeti Bhattacharya;Shivani Singh;Anil Kumar Chandna;Ankur Gupta;Ravi Bhandari
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.49 no.3
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    • pp.125-134
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    • 2023
  • Objectives: The aim of the study was to quantify and compare craniofacial asymmetry in subjects with and without symptoms of temporomandibular joint disorders (TMDs). Materials and Methods: A total of 126 adult subjects were categorized into two groups (63 with a TMDs and 63 without a TMDs), based on detection of symptoms using the Temporomandibular Joint Disorder-Diagnostic Index (TMD-DI) questionnaire. Posteroanterior cephalograms of each subject were traced manually and 17 linear and angular measurements were analyzed. Craniofacial asymmetry was quantified by calculating the asymmetry index (AI) of bilateral parameters for both groups. Results: Intra- and intergroup comparisons were analyzed using independent t-test and Mann-Whitney U test, respectively, with a P<0.05 considered statistically significant. An AI for each linear and angular bilateral parameter was calculated; higher asymmetry was found in TMD-positive patients compared with TMD-negative patients. An intergroup comparison of AIs found highly significant differences for the parameters of antegonial notch to horizontal plane distance, jugular point to horizontal plane distance, antegonial notch to menton distance, antegonial notch to vertical plane distance, condylion to vertical plane distance, and angle formed by vertical plane, O point and antegonial notch. Significant deviation of the menton distance from the facial midline was also evident. Conclusion: Greater facial asymmetry was seen in the TMD-positive group compared with the TMD-negative group. The mandibular region was characterized by asymmetries of greater magnitude compared with the maxilla. Patients with facial asymmetry often require management of temporomandibular joint (TMJ) pathology to achieve a stable, functional, and esthetic result. Ignoring the TMJ during treatment or failing to provide proper management of the TMJ and performing only orthognathic surgery may result in worsening of TMJ-associated symptoms (jaw dysfunction and pain) and re-occurrence of asymmetry and malocclusion. Assessments of facial asymmetry should take into account TMJ disorders to improve diagnostic accuracy and treatment outcomes.

Effects of Environmental Conditions on Vegetation Indices from Multispectral Images: A Review

  • Md Asrakul Haque;Md Nasim Reza;Mohammod Ali;Md Rejaul Karim;Shahriar Ahmed;Kyung-Do Lee;Young Ho Khang;Sun-Ok Chung
    • Korean Journal of Remote Sensing
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    • v.40 no.4
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    • pp.319-341
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    • 2024
  • The utilization of multispectral imaging systems (MIS) in remote sensing has become crucial for large-scale agricultural operations, particularly for diagnosing plant health, monitoring crop growth, and estimating plant phenotypic traits through vegetation indices (VIs). However, environmental factors can significantly affect the accuracy of multispectral reflectance data, leading to potential errors in VIs and crop status assessments. This paper reviewed the complex interactions between environmental conditions and multispectral sensors emphasizing the importance of accounting for these factors to enhance the reliability of reflectance data in agricultural applications.An overview of the fundamentals of multispectral sensors and the operational principles behind vegetation index (VI) computation was reviewed. The review highlights the impact of environmental conditions, particularly solar zenith angle (SZA), on reflectance data quality. Higher SZA values increase cloud optical thickness and droplet concentration by 40-70%, affecting reflectance in the red (-0.01 to 0.02) and near-infrared (NIR) bands (-0.03 to 0.06), crucial for VI accuracy. An SZA of 45° is optimal for data collection, while atmospheric conditions, such as water vapor and aerosols, greatly influence reflectance data, affecting forest biomass estimates and agricultural assessments. During the COVID-19 lockdown,reduced atmospheric interference improved the accuracy of satellite image reflectance consistency. The NIR/Red edge ratio and water index emerged as the most stable indices, providing consistent measurements across different lighting conditions. Additionally, a simulated environment demonstrated that MIS surface reflectance can vary 10-20% with changes in aerosol optical thickness, 15-30% with water vapor levels, and up to 25% in NIR reflectance due to high wind speeds. Seasonal factors like temperature and humidity can cause up to a 15% change, highlighting the complexity of environmental impacts on remote sensing data. This review indicated the importance of precisely managing environmental factors to maintain the integrity of VIs calculations. Explaining the relationship between environmental variables and multispectral sensors offers valuable insights for optimizing the accuracy and reliability of remote sensing data in various agricultural applications.

Sediment Discharge and Invasion of Plants on the Slope of the Forest Roads(II) - Invasion of Trees on the Banking Slope - (임도사면(林道斜面)의 토사유출(土砂流出)과 식생침입(植生侵入)에 관한 연구(硏究)(II) - 성토사면(盛土斜面)의 목본식물침입(木本植物侵入)을 중심(中心)으로 -)

  • Chun, Kun Woo;Oh, Jae Man
    • Journal of Korean Society of Forest Science
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    • v.82 no.4
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    • pp.354-365
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    • 1993
  • The purpose of this investigation is to point out the physical fixation and stability of banking slopes of forest roads by invasion of trees. We investigated the situations of sediment discharge and coverage of invaded trees at banking slopes of forest roads. The coverage of invaded trees were calculated from crown injection based on the stable slope and was compared with length of slope, slope gradient, and passage years after construction of forest road. 1. We investigated on the sediment discharge and the invasion of trees at banking slopes, which were actually observed 8 forest roads of Kyonggi-Do and Kangwon-Do. 2. There was no physical stability of the banking slope due to the surface erosion and slope failure, but the tree invasions were active at the stable plots. 3. The length of slope was constructed to 4.0m to 61.0m and recent forest road was mainly constructed to the slopes longer than 30m. There was strong regional effect between the length of slope and the coverage of invaded trees and the above two factors were inversely proportional to each other. 4. There was no significant relationship between the slope gradient and the coverage of invaded trees and the slope constructed within the angle of repose showed the relatively high coverage of invaded trees. 5. There was no significant relationship between the passage years and the coverage of invaded trees in the same investigative region after the construction of forest road. But there was a gradually increasing relationship of tree invasion between above two factors. However, there was some limitation to expect the invasion of the tree species. 6. In the light of the above results, we suggest that the construction of forest road may need foundation work and vegetation work simultaneously for the physical stability to make the environment of tree plantation and that the reasonable increase of construction cost of forest road may be prior to the other factors.

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Equilibrium Fractionation of Clumped Isotopes in H2O Molecule: Insights from Quantum Chemical Calculations (양자화학 계산을 이용한 H2O 분자의 Clumped 동위원소 분배특성 분석)

  • Sehyeong Roh;Sung Keun Lee
    • Korean Journal of Mineralogy and Petrology
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    • v.36 no.4
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    • pp.355-363
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    • 2023
  • In this study, we explore the nature of clumped isotopes of H2O molecule using quantum chemical calculations. Particularly, we estimated the relative clumping strength between diverse isotopologues, consisting of oxygen (16O, 17O, and 18O) and hydrogen (hydrogen, deuterium, and tritium) isotopes and quantify the effect of temperature on the extent of isotope clumping. The optimized equilibrium bond lengths and the bond angles of the molecules are 0.9631-0.9633 Å and 104.59-104.62°, respectively, and show a negligible variation among the isotopologues. The calculated frequencies of the modes of H2O molecules decrease as isotope mass number increases, and show a more prominent change with varying hydrogen isotopes over those with oxygen isotopes. The equilibrium constants of isotope substitution reactions involving these isotopologues reveal a greater effect of hydrogen mass number than oxygen mass number. The calculated equilibrium constants of clumping reaction for four heavy isotopologues showed a strong correlation; particularly, the relative clumping strength of three isotopologues was 1.86 times (HT18O), 1.16 times (HT17O), and 0.703 times (HD17O) relative to HD18O, respectively. The relative clumping strength decreases with increasing temperature, and therefore, has potential for a novel paleo-temperature proxy. The current calculation results highlight the first theoretical study to establish the nature of clumped isotope fractions in H2O including 17O and tritium. The current results help to account for diverse geochemical processes in earth's surface environments. Future efforts include the calculations of isotope fractionations among various phases of H2O isotopologues with a full consideration of the effect of anharmonicity in molecular vibration.

Depth Control and Sweeping Depth Stability of the Midwater Trawl (중층트롤의 깊이바꿈과 소해심도의 안정성)

  • 장지원
    • Journal of the Korean Society of Fisheries and Ocean Technology
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    • v.9 no.1
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    • pp.1-18
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    • 1973
  • For regulating the depth of midwater trawl nets towed at the optimum constant speed, the changes in the shape of warps caused by adding a weight on an arbitrary point of the warp of catenary shape is studied. The shape of a warp may be approximated by a catenary. The resultant inferences under this assumption were experimented. Accordingly feasibilities for the application of the result of this study to the midwater trawl nets were also discussed. A series of experiments for basic midwater trawl gear models in water tank and a couple of experiments of a commercial scale gears at sea which involve the properly designed depth control devices having a variable attitude horizontal wing were carried out. The results are summarized as follows: 1. According to the dimension analysis the depth y of a midwater trawl net is introduced by $$y=kLf(\frac{W_r}{R_r},\;\frac{W_o}{R_o},\;\frac{W_n}{R_n})$$) where k is a constant, L the warp length, f the function, and $W_r,\;W_o$ and $W_n$ the apparent weights of warp, otter board and the net, respectively, 2. When a boat is towing a body of apparent weight $W_n$ and its drag $D_n$ by means of a warp whose length L and apparent weight $W_r$ per unit length, the depth y of the body is given by the following equation, provided that the shape of a warp is a catenary and drag of the warp is neglected in comparison with the drag of the body: $$y=\frac{1}{W_r}\{\sqrt{{D_n^2}+{(W_n+W_rL)^2}}-\sqrt{{D_n^2+W_n}^2\}$$ 3. The changes ${\Delta}y$ of the depth of the midwater trawl net caused by changing the warp length or adding a weight ${\Delta}W_n$_n to the net, are given by the following equations: $${\Delta}y{\approx}\frac{W_n+W_{r}L}{\sqrt{D_n^2+(W_n+W_{r}L)^2}}{\Delta}L$$ $${\Delta}y{\approx}\frac{1}{W_r}\{\frac{W_n+W_rL}{\sqrt{D_n^2+(W_n+W_{r}L)^2}}-{\frac{W_n}{\sqrt{D_n^2+W_n^2}}\}{\Delta}W_n$$ 4. A change ${\Delta}y$ of the depth of the midwater trawl net by adding a weight $W_s$ to an arbitrary point of the warp takes an equation of the form $${\Delta}y=\frac{1}{W_r}\{(T_{ur}'-T_{ur})-T_u'-T_u)\}$$ Where $$T_{ur}^l=\sqrt{T_u^2+(W_s+W_{r}L)^2+2T_u(W_s+W_{r}L)sin{\theta}_u$$ $$T_{ur}=\sqrt{T_u^2+(W_{r}L)^2+2T_uW_{r}L\;sin{\theta}_u$$ $$T_{u}^l=\sqrt{T_u^2+W_s^2+2T_uW_{s}\;sin{\theta}_u$$ and $T_u$ represents the tension at the point on the warp, ${\theta}_u$ the angle between the direction of $T_u$ and horizontal axis, $T_u^2$ the tension at that point when a weights $W_s$ adds to the point where $T_u$ is acted on. 5. If otter boards were constructed lighter and adequate weights were added at their bottom to stabilize them, even they were the same shapes as those of bottom trawls, they were definitely applicable to the midwater trawl gears as the result of the experiments. 6. As the results of water tank tests the relationship between net height of H cm velocity of v m/sec, and that between hydrodynamic resistance of R kg and the velocity of a model net as shown in figure 6 are respectively given by $$H=8+\frac{10}{0.4+v}$$ $$R=3+9v^2$$ 7. It was found that the cross-wing type depth control devices were more stable in operation than that of the H-wing type as the results of the experiments at sea. 8. The hydrodynamic resistance of the net gear in midwater trawling is so large, and regarded as nearly the drag, that sweeping depth of the gear was very stable in spite of types of the depth control devices. 9. An area of the horizontal wing of the H-wing type depth control device was $1.2{\times}2.4m^2$. A midwater trawl net of 2 ton hydrodynamic resistance was connected to the devices and towed with the velocity of 2.3 kts. Under these conditions the depth change of about 20m of the trawl net was obtained by controlling an angle or attack of $30^{\circ}$.

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A STUDY ON THE POSTOPERATIVE STABILITY OF OCCLUSAL PLANE IN ORTHOGNATHIC SURGERY PATIENTS DEFENDING ON THE DIFFERENCE OF OCCLUSAL PLANE (악교정 수술시 교합평면의 차이에 따른 술후 안정성에 관한 연구)

  • Hwang, Chung-Ju;Lim, Seon-A
    • The korean journal of orthodontics
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    • v.28 no.2 s.67
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    • pp.237-253
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    • 1998
  • Surgical-orthodontic treatment is performed for the skeletal Class III patients with no remaining growth and too big a skeletal discrepancy (or camouflage treatment, and two jaw surgery is needed in order to have maximum effect in such patients. In two jaw surgery cases, surgical alteration of the occlusal plane is necessary to establish optimal function, esthetics and postoperative sability, therefore the establishment of the occlusal plane is essential in diagnosis and treatment. The object of this study is to evaluate the stability of the indiviual ideal occlusal plane bsaed on the architectural and structural craniofacial analysis of Delaires. Thus, the subjects of this study were 48 patients who underwent two jaw surgery, and divided in two groups. Each group were composed of 24patients, A group were operated with ideal occlusal plane and B group were not. Two groups were compared at the preoperative, immediate postoperative (average 4.3days), and long-term postoperative (average 1.3years) lateral cephalometric radiographs. The following results were obtained: 1. There was no significance in occlusal plane angulation between $T_2\;and\;T_3$. Average long term follow-up changes of occlusal Plane angle were $0.24^{\circ}{\pm}2.43$, with FH plane and $0.15{\circ}{\pm}2.16{\circ}$ with SN plane in all 48 patients. These results demonstrated that the occlusal plane after two jaw surgery in skeletal Class III malocclusion was stable. 2. There was no significance in postoperative stability of occlusal plane between A and B group. 3. There was no significance in postoperative stability of occlusal plane depending on surgeon and operative method within each group. 4. The postoperative changes of occlusal plane were correlated to the postoperative changes of jaw rather than tooth position. 5. There was no correlation between the postoperative changes of occlusal plane and maxillary impaction and mandibular setback with surgery.

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