• Title/Summary/Keyword: Superior approach

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Treatment of Posttraumatic Facial Deformity Patient with Brown's Syndrome: Case Report (외상 후 브라운 증후군을 동반한 안면 변형 환자의 치험례)

  • Park, Byung-Chan;Kim, Yong-Ha;Kim, Tae-Gon;Lee, Jun-Ho;Kim, Myung-Mi
    • Archives of Craniofacial Surgery
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    • v.11 no.1
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    • pp.33-36
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    • 2010
  • Purpose: Brown's syndrome is characterized by the limited elevation in adduction from mechanical causes around the superior oblique tendon trochlea complex. In this particular case, post-traumatic facial deformity accompanied by Brown's syndrome was observed. We would like to report the satisfying cosmetic results obtained by reconstructing orbital roof and superior orbital rim and repositioning of zygoma. Methods: A 12-year-old patient was observed with facial deformity with strabismus in her right eye and orbital dystopia after the car accident and was eventually diagnosed with traumatic Brown's syndrome. Reconstructive surgeries could not be performed at the time of trauma due to the cerebral hemorrhage. At the second year after the trauma, a depressed fracture of the right orbital roof and superior orbital rim were reconstructed via the intracranial approach, and orbital dystopia was corrected via the zygoma triple ostectomy. In addition, a strabismus surgery was performed one year after her plastic surgery. Results: Facial deformity with orbital dystopia and strabismus was confirmed to be fully reconstructed after the surgery. Moreover, when the patient came in for a follow-up thirteen years after the operation, a developmental imbalance of the facial bones, diplopia, or any other surgical complications were not to be found. Conclusion: After the trauma, the patient with Brown's Syndrome accompanied by post-traumatic facial deformity, who went under the corrective surgeries after the meticulous examination and assessment pre-surgically, was able to acquire cosmetic satisfaction via those operations.

Optimum Design of Sandwich Panel Using Hybrid Metaheuristics Approach

  • Kim, Yun-Young;Cho, Min-Cheol;Park, Je-Woong;Gotoh, Koji;Toyosada, Masahiro
    • Journal of Ocean Engineering and Technology
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    • v.17 no.6
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    • pp.38-46
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    • 2003
  • Aim of this article is to propose Micro-Genetic Simulated Annealing (${\mu}GSA$) as a hybrid metaheuristics approach to find the global optimum of nonlinear optimisation problems. This approach combines the features of modern metaheuristics such as micro-genetic algorithm (${\mu}GAs$) and simulated annealing (SA) with the general robustness of parallel exploration and asymptotic convergence, respectively. Therefore, ${\mu}GSA$ approach can help in avoiding the premature convergence and can search for better global solution, because of its wide spread applicability, global perspective and inherent parallelism. For the superior performance of the ${\mu}GSA$, the five well-know benchmark test functions that were tested and compared with the two global optimisation approaches: scatter search (SS) and hybrid scatter genetic tabu (HSGT) approach. A practical application to structural sandwich panel is also examined by optimism the weight function. From the simulation results, it has been concluded that the proposed ${\mu}GSA$ approach is an effective optimisation tool for soloing continuous nonlinear global optimisation problems in suitable computational time frame.

Mitral Valve Operation Via Extended Transseptal Approach (확장된 경중격 접근방식을 통한 승모판수술)

  • 김학제
    • Journal of Chest Surgery
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    • v.26 no.12
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    • pp.909-914
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    • 1993
  • Complete and optimal visualization of the mitral apparatus is a prerequisite for accurate repair or replacement of the mitral valve. A vertical left atriotomy just posterior to the interatrial groove is the most commonly used approach. However,exposure can be difficult under certain circumstances,such as small left atrium or reoperation. Other approaches have been advocated to deal with this difficult situations. We used an extended transseptal approach in 10 patients and good clinical results and excellent educational effects were obtained. The extended transseptal approach combines two semicircular atrial incisions circumscribing the tricuspid and mitral annuli anteriorly and superiorly,allowing exposure of the mitral valve by deflecting the ventricular side using stay sutures. The right atrium is opened anteriorly along the atrioventricular sulcus. The atrial septum is incised vertically through the fossa ovalis. Right atrial and septal incisions are joined at the superior end of the interatrial septum and extended across the dome of the left atrium to the left atrial appendage. The mitral valve was replaced in all 10 patients. Four of 10 patients had other simultaneous valve procedure: one had aortic valve replacement: 2 underwent tricuspid annuloplasty: 1 had aortic valve replacement and tricuspid annuloplasty. There was no hospital death and complication. Among the 5 patients who had atrial fibrillation preoperatively,4 had atrial fibrillation postoperatively,1 converted to sinus rhythm. The five patients who were in normal sinus rhythm preoperatively remained in sinus rhythm after replacement. A review of our results with this approach confirms the efficacy and safty of this method. So we recommanded this approach for routine mitral valve procedure,especially difficult situations,such as a small left atrium or the redo operation.

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A new approach for content-based video retrieval

  • Kim, Nac-Woo;Lee, Byung-Tak;Koh, Jai-Sang;Song, Ho-Young
    • International Journal of Contents
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    • v.4 no.2
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    • pp.24-28
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    • 2008
  • In this paper, we propose a new approach for content-based video retrieval using non-parametric based motion classification in the shot-based video indexing structure. Our system proposed in this paper has supported the real-time video retrieval using spatio-temporal feature comparison by measuring the similarity between visual features and between motion features, respectively, after extracting representative frame and non-parametric motion information from shot-based video clips segmented by scene change detection method. The extraction of non-parametric based motion features, after the normalized motion vectors are created from an MPEG-compressed stream, is effectively fulfilled by discretizing each normalized motion vector into various angle bins, and by considering the mean, variance, and direction of motion vectors in these bins. To obtain visual feature in representative frame, we use the edge-based spatial descriptor. Experimental results show that our approach is superior to conventional methods with regard to the performance for video indexing and retrieval.

Approach of Self-mixing Interferometry Based on Particle Swarm Optimization for Absolute Distance Estimation

  • Li, Li;Li, Xingfei;Kou, Ke;Wu, Tengfei
    • Journal of the Optical Society of Korea
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    • v.19 no.1
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    • pp.95-101
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    • 2015
  • To accurately extract absolute distance information from a self-mixing interferometry (SMI) signal, in this paper we propose an approach based on a particle swarm optimization (PSO) algorithm instead of frequency estimation for absolute distance. The algorithm is utilized to search for the global minimum of the fitness function that is established from the self-mixing signal to find out the actual distance. A resolution superior to $25{\mu}m$ in the range from 3 to 20 cm is obtained by experimental measurement, and the results demonstrate the superiority of the proposed approach in comparison with interpolated FFT. The influence of different external feedback strength parameters and different inertia weights in the algorithm is discussed as well.

A Systematic Approach for Designing a Self-Tuning Power System Stabilizer Based on Artificial Neural Network

  • Sedaghati, Alireza
    • 제어로봇시스템학회:학술대회논문집
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    • 2005.06a
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    • pp.281-286
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    • 2005
  • The main objective of the research work presented in this article is to present a systematic approach for designing a multilayer feed-forward artificial neural network based self-tuning power system stabilizer (ST-ANNPSS). In order to suggest an approach for selecting the number of neurons in the hidden layer, the dynamic performance of the system with ST-ANNPSS is studied and hence compared with that of conventional PSS. Finally the effect of variation of loading condition and equivalent reactance, Xe is investigated on dynamic performance of the system with ST-ANNPSS. Investigations reveal that ANN with one hidden layer comprising nine neurons is adequate and sufficient for ST-ANNPSS. Studies show that the dynamic performance of STANNPSS is quite superior to that of conventional PSS for the loading condition different from the nominal. Also it is revealed that the performance of ST-ANNPSS is quite robust to a wide variation in loading condition.

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A Review of Subbrow Approach in the Management of Non-Complicated Anterior Table Frontal Sinus Fracture

  • Kim, Jeenam;Choi, Hyungon
    • Archives of Craniofacial Surgery
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    • v.17 no.4
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    • pp.186-189
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    • 2016
  • Frontal sinus fractures, particularly anterior sinus fractures, are relatively common facial fractures. Many agree on the general principles of frontal fracture management; however, the optimal methods of reduction are controversial. The subbrow approach enables accurate reduction and internal fixation of the fractures in the anterior table of the frontal sinus by allowing direct visualization of the fracture. Given the surgical success in reduction and rigid fixation, patient satisfaction, and aesthetic benefits, the transcutaneous approach through a subbrow incision is superior to other reduction techniques used in the management of an anterior table frontal sinus fracture.

Stochastic Simulation Model for non-stationary time series using Wavelet AutoRegressive Model

  • Moon, Young-Il;Kwon, Hyun-Han
    • Proceedings of the Korea Water Resources Association Conference
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    • 2007.05a
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    • pp.1437-1440
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    • 2007
  • Many hydroclimatic time series are marked by interannual and longer quasi-period features that are associated with narrow band oscillatory climate modes. A time series modeling approach that directly considers such structures is developed and presented. The essence of the approach is to first develop a wavelet decomposition of the time series that retains only the statistically significant wavelet components, and to then model each such component and the residual time series as univariate autoregressive processes. The efficacy of this approach is demonstrated through the simulation of observed and paleo reconstructions of climate indices related to ENSO and AMO, tree ring and rainfall time series. Long ensemble simulations that preserve the spectral attributes of the time series in each ensemble member can be generated. The usual low order statistics are preserved by the proposed model, and its long memory performance is superior to the direction application of an autoregressive model.

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Measurement of Vibration Mode Shape By Using Hilbert Transform (Hilbert Transform을 이용한 진동모드 측정)

  • Kang, Min-Sig
    • Proceedings of the KSME Conference
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    • 2001.06b
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    • pp.392-397
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    • 2001
  • This paper concerns on modal analysis of mechanical structures by using a continuous scanning laser Doppler vibrometer. In modal analysis the Hilbert transform based approach is superior to the Fourier transform based approach because of its fine accuracy and its flexible experimental settings. In this paper the Hilbert transform based approach is extended to measure area mode shape data of a structure by simply modifying the scanning pattern ranging the entire surface of the structure. The effectiveness of this proposed method is illustrated along with results of numerical simulation for a rectangular plate.

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

  • Inha Woo;Chul Hyun Park
    • Journal of Korean Foot and Ankle Society
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    • v.27 no.1
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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.