• Title/Summary/Keyword: Unstable Region

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Comparative Analysis of Surgical Outcomes of C1-2 Fusion Spine Surgery between Intraoperative Computed Tomography Image Based Navigation-Guided Operation and Fluoroscopy-Guided Operation

  • Lee, Jun Seok;Son, Dong Wuk;Lee, Su Hun;Ki, Sung Soon;Lee, Sang Weon;Song, Geun Sung
    • Journal of Korean Neurosurgical Society
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    • v.63 no.2
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    • pp.237-247
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    • 2020
  • Objective : Fixation of the C1-2 segment is challenging because of the complex anatomy in the region and the need for a high degree of accuracy to avoid complications. Preoperative 3D-computed tomography (CT) scans can help reduce the risk of complications in the vertebral artery, spinal cord, and nerve roots. However, the patient may be susceptible to injury if the patient's anatomy does not match the preoperative CT scans. The intraoperative 3D image-based navigation systems have reduced complications in instrument-assisted techniques due to greater accuracy. This study aimed to compare the radiologic outcomes of C1-2 fusion surgery between intraoperative CT image-guided operation and fluoroscopy-guided operation. Methods : We retrospectively reviewed the radiologic images of 34 patients who underwent C1-2 fusion spine surgery from January 2009 to November 2018 at our hospital. We assessed 17 cases each of degenerative cervical disease and trauma in a study population of 18 males and 16 females. The mean age was 54.8 years. A total of 139 screws were used and the surgical procedures included 68 screws in the C1 lateral mass, 58 screws in C2 pedicle, nine screws in C2 lamina and C2 pars screws, four lateral mass screws in sub-axial level. Of the 34 patients, 19 patients underwent screw insertion using intraoperative mobile CT. Other patients underwent atlantoaxial fusion with a standard fluoroscopy-guided device. Results : A total of 139 screws were correctly positioned. We analyzed the positions of 135 screws except for the four screws that performed the lateral mass screws in C3 vertebra. Minor screw penetration was observed in seven cases (5.2%), and major pedicle screw penetration was observed in three cases (2.2%). In one case, the malposition of a C2 pedicle screw was confirmed, which was subsequently corrected. There were no complications regarding vertebral artery injury or onset of new neurologic deficits. The screw malposition rate was lower (5.3%) in patients who underwent intraoperative CT-based navigation than that for fluoroscopy-guided cases (10.2%). And we confirmed that the operation time can be significantly reduced by surgery using intraoperative O-arm device. Conclusion : Spinal navigation using intraoperative cone-beam CT scans is reliable for posterior fixation in unstable C1-2 pathologies and can be reduced the operative time.

Comparison of Plantar Foot Pressure and Shift of COP among Level walking, Stairs and Slope Climbing (평지 보행 그리고 계단과 경사로 오르기 동안 압력중심 이동경로 및 족저압 비교)

  • Han, Jin-Tae;Kim, Kyoung;Lim, Seung-Geon
    • Korean Journal of Applied Biomechanics
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    • v.18 no.4
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    • pp.59-65
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    • 2008
  • The purpose of this study was to investigate the shift of COP pathway and the plantar foot pressure among level walking and stairs and ramp climbing in young and elderly people. Plantar foot pressure was measured by MatScan system(Tekscan, USA). Statistical analysis was used One-way ANOVA to know the characteristics of peak plantar pressure during walking with different the facilities. In young adults, COP pathway during stairs climbing was slightly shorten and trended to abduct at forefoot. COP pathway during ramp climbing was also shorten but trend to adduct at forefoot. Peak plantar pressure of 2-3 metatarsal head and heel during ramp climbing was more decreased than level walking. In elderly people, COP pathway during stairs climbing was more shorten and abducted than leve walking and COP pathway during ramp climbing was more unstable than level walking. Peak plantar pressure of first metatarsal head increased at stair climbing and decreased at ramp climbing. That of second metatarsal head and heel was more decreased at ramp climbing. Conclusionally, Peak plantar pressures of each foot region generally increased and more changed during ramp climbing.

Synthesis and Crystal Structure of Amorphous Calcium Carbonate by Gas-Liquid Reaction of System CaO-$C_2 H_5 OH$-$CO_2$ (CaO-$C_2 H_5 OH$-$CO_2$계의 기.액반응에 의한 비정질 탄산칼슘의 합성 및 결정구조)

  • Im, Jae-Seok;Im, Goeng
    • The Journal of Engineering Research
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    • v.6 no.1
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    • pp.97-109
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    • 2004
  • The synthesis and crystal structure of amorphous calcium carbonate obtained from gas-liquid reaction of CaO-$C_2 H_5 OH$-$CO_2$ system according to change of added amount of calcium oxide by blowing $CO_2$ gas and reaction time using ethanol and ethylene glycol were investigated by electric conductivity, X-ray diffraction, and scanning electron microscope. The powdery or gelatinous phases were prepared by passing $CO_2$ gas at a flow rate of 1$\ell$/min into the suspensions containing 10~40g of CaO in mixing solutions 900ml of $C_2 H_5 OH$- and 100ml of ethylene glycol. By rapid filtration and drying the both phases at $60^{\circ}C$ under reduced pressure, the phases converted to the spherical vaterite and amorphous phase. The stable phase of amorphous calcium carbonate(ACC) was formed in the region pH 7-9 but the formation regions of amorphous phase were remarkably affected by pH in the mother liquor. It seems that a part of ACC changed into chain calcite as an intermediate products. The initial reactants prior to the formation of precipitated calcium carbonate is ACC. And ACC is unstable in the aqueous solution and crystallizes finally to calcite by the through-solution reaction. Especially ACC was produced or gelatinous phase which precipitated from the reaction of CaO-$C_2 H_5 OH$-$CO_2$ system.

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The Comparison of Various Turbulence Models of the Flow around a Wall Mounted Square Cylinder (벽면에 부착된 사각 실린더 주변 유동에 대한 난류모델 비교연구)

  • Bae, Jun-Young;Song, Gi-Su
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.26 no.4
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    • pp.419-428
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    • 2020
  • The flow past a wall mounted square cylinder, a typical and basic shape of building, bridge or offshore structure, was simulated using URANS computation through adoption of three turbulence models, namely, the k-ε model, k-ω model, and the v2-f model. It is well known that this flow is naturally unstable due to the Karman vortex shedding and exhibits a complex flow structure in the wake region. The mean flow field including velocity profiles and the dominant frequency of flow oscillation that was from the simulations discussed earlier were compared with the experimental data observed by Wang et al. (2004; 2006). Based on these comparisons it was found that the v2-f model is most accurate for the URANS simulation; moreover, the k-ω model is also acceptable. However, the k-ε model was found to be unsuitable in this case. Therefore, v2-f model is proved to be an excellent choice for the analysis of flow with massive separation. Therefore, it is expected to be used in future by studies aiming to control the flow separation.

An Analysis of Landcover Change and Temporal Landscape Structure in the Main Ridge Area of the Baekdu Daegan Mountain System (백두대간 마루금 지역의 시계열적 토지피복 변화 및 경관구조 분석)

  • Oh, Jeong-Hak;Kim, Young-Kul;Kwon, Jino
    • Journal of the Korean Association of Geographic Information Studies
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    • v.10 no.3
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    • pp.49-57
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    • 2007
  • The purpose of this study is to analyze contemporary changes of landcover patterns and landscape structure in order to provide basic data and methods for sustainable management and conservation in Baekdu Daegan region using GIS and landscape indices. According to the results based on the pattern analysis of landcover changes using the change detection matrix between 1975 and 2000, addition on $3.6km^2$ became urbanized areas. Otherwise, $85.7km^2$ of forest area shift into agriculture($72.2km^2$) and grass area($10.1km^2$) for the vegetables in highland condition and stock farm. According to the landscape structure analysis using landscape indices, forest areas were unstable forest structures because of fragmentation. Thus, to improve forest ecosystem, significant amount of forest through a new forest management policy considering local environmental conditions are needed. And, the connectivity of forests in local regions should be considered as well.

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Numerical Simulations of Nonlinear Behaviors of Pulsating Instabilities in Counterflow Diffusion Flames (대향류 확산화염에서 맥동 불안정성의 비선형 거동에 대한 수치해석)

  • Lee, Su-Ryong
    • Transactions of the Korean Society of Mechanical Engineers B
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    • v.34 no.9
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    • pp.859-866
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    • 2010
  • Nonlinear dynamics of pulsating instability-diffusional-thermal instability with Lewis numbers sufficiently higher than unity-in counterflow diffusion flames, is numerically investigated by imposing a Damkohler number perturbation. The flame evolution exhibits three types of nonlinear behaviors, namely, decaying pulsating behavior, diverging behavior (which leads to extinction), and stable limit-cycle behavior. The stable limit-cycle behavior is observed in counterflow diffusion flames, but not in diffusion flames with a stagnant mixing layer. The critical value of the perturbed Damkohler number, which indicates the region where the three different flame behaviors can be observed, is obtained. A stable simple limit cycle, in which two supercritical Hopf bifurcations exist, is found in a narrow range of Damkohler numbers. As the flame temperature is increased, the stable simple limit cycle disappears and an unstable limit cycle corresponding to subcritical Hopf bifurcation appears. The period-doubling bifurcation is found to occur in a certain range of Damkohler numbers and temperatures, which leads to extend the lower boundary of supercritical Hopf bifurcation.

Study on Landslide Hazard Possibility for Mt. Hwangryeong in Busan Metropolitan City Using the Infinite Slope Model (무한사면 모델을 이용한 부산 황령산 산사태 재해 평가 가능성 검토)

  • Kim, Jae Min;Choi, Jung Chan
    • The Journal of Engineering Geology
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    • v.26 no.3
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    • pp.413-422
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    • 2016
  • With the rapidly increasing population density and development of infrastructure, the loss of life and property damage caused by landslides has increased gradually in urban area. Especially, Because Busan has high percentage of mountainous terrain among the metropolitan in Korea, it is unavoidable to develop mountainous region excessively. The objective of this evaluation is to study on landslide hazard possibility for Mt. Hwangryeong in Busan Metropolitan City using the infinite slope model considering the groundwater level. All data related to creating the thematic maps was carried out using ArcGIS 10.0. The results show that FS (Factor of Safety) for landslide is inversely proportional to groundwater level change as expected. Most area indicates stable state in dry condition, and unstable area increase due to high pore water pressure when the groundwater level rise. However, several places in high lineament density area where landslide has been previously occurred, are more stable than other places according to the analysis. This inconsistency between real situation and analysis results indicates that additional analytical method would be necessary to solve the problem. Therefore, we suggest that development of new infiltration theory for unsaturated zone would be helpful to evaluate groundwater level distribution as time goes by.

Evaluation on Thermal Performance of Thermosyphon by Numerical Analysis (열사이펀의 열성능 산정을 위한 수치해석 연구)

  • Jang, Changkyu;Choi, Changho;Lee, Jangguen;Lee, Chulho
    • Journal of the Korean Geotechnical Society
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    • v.30 no.9
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    • pp.57-66
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    • 2014
  • The ground in cold region consists of active and permafrost layers. The active layer at the unstable state may cause ground corrosion and uplift, when the temperature of frozen ground increases due to seasonal changes. The thermosyphon is one of the stabilization methods to maintain the ground stability in the frozen ground. The thermosyphon is a closed two-phase convection device that extracts heat from the ground and discharges it into the atmosphere. In this study, ground freezing experiment using a thermosyphon and simulated ground with the isolation material was conducted to evaluate the thermal performance of the thermosyphon. In order to consider the thermal performance of the thermosyphon, commercial numerical program (TEMP/W) was adopted. Likewise, the thermal performance of thermosyphon and thermal properties of ground were applied in the numerical model. In a series of comparisons with experiment results and numerical study, thermal performance of thermosyphon can be evaluated.

A Biomechanical Analysis or the Stress Distribution of Dental Implant and Alveolar Bone Utilizing Finite Element Method (유한요소법을 이용한 치과용 고정체와 치조골에서의 응력분포에 대한 생체 역학적 분석)

  • Jung, J.K.;Shin, J.W.;Lee, S.J.;Kim, Y.K.;Kim, J.S.;Park, J.H.
    • Proceedings of the KOSOMBE Conference
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    • v.1997 no.11
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    • pp.511-514
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    • 1997
  • The objective of this study is to propose a finite element based design of the dental implant replacing unction and shape of natural teeth. For this, geometric actors were varied to investigate stress distribution of the alveolar bone around dental implant. In this study, the results were obtained based on the theory of linear elastic, with geometrically axisymmetric assumption. Geometric actors determining implant shape are ranged as 0.2mm-0.6mm, 0.04mm-0.1mm, 0.46mm-0.84mm or height of thread, radius of curvature of thread, and pitch, respectively. The stresses in the alveolar bone caused by biting force playa major role in determining implant stability. Especially, the stress concentration in the cortical bone causes bone resorption and finally makes the implant unstable. Therefore, the stress distributions were investigated on the side of the alveolar bone focusing on the area of cortical bone. The maximum von Mises stress was found to increase up to 6% as the height of thread increases, while its value was to decrease to 19% when the radius of curvature increase within the assigned ranges. For the variation of pitch, the larger size of pitch results in greater maximum von Mises stress when the length of the implant under consideration is fixed. The existence of the neck below the shoulder did not affect the stress distribution in the region of alveolar bone. However, the stresses on the side of the implant near the neck were found to be different by 20% approximately. Therefore, the neck can provide the stability of the implant against continuing biting movement. As a conclusion, the finite element based study shows a potential in designing the dental implant systematically.

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Effects of Burnout on Job Stress and Ego-Resilience of Fire Officials (소방공무원의 직무스트레스와 자아탄력성에서 소진의 영향)

  • Lee, Hae-Young;Kim, Yeob-Rae
    • Fire Science and Engineering
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    • v.31 no.2
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    • pp.106-112
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    • 2017
  • This study examined the burnout intermediates between Fire officials' job stress and Ego-resilience. The objective of this study is to suggest a policy that improves Fire officials' Ego-resilience. This survey was given to 365 fire officials in northern Gyeonggi-do region and the data was analyzed by correlation analysis and regression analysis using SPPS 22.0. The hypothesis is the Fire officials' burnout would be related to Ego-resilience and the effect on Fire officials' job stress regarding Ego-resilience is associated with burnout. The results of the study are that unstable work and inadequate reward affect the measure of burnout, which manifests as sarcasm and job efficacy and reduces the Fire officials' Ego-resilience that results in a positive pointing of the future, emotion control and interest. The meaning of policy is as follows: First, Fire officials need to be given confidence in their work stability. Second, they have to receive social or financial rewards. Third, they require a continuous supporting policy that solves their tension, physical and mental fatigue. Finally, developing diverse educational programs will be needed to promote their Ego-resilience.