• Journal of Advanced Navigation Technology
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• v.25 no.1
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• pp.52-59
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• 2021

According to the International Air Transport Association (IATA), 61% of the accidents occurred during the approach and landing phase of the flight, with 16% of the accidents caused by unstable access of the commercial aircraft. It was identified that the pilot's unstable approach and poor manipulation of correction led to accidents by continuing the excessive approach without go-around manuever. The causes of unstable access may vary, including airport approach procedures, pilot error, misplanning, workload, ATC (Air Traffic Contol) congestion, etc. In this study, we use the flight data analysis system to select domestic case airports and aircraft type where unstable approach events occur repeatedly. Through flight data analysis, including main events, airport approach procedures, pilot operations, as well as various environmental factors such as weather and geographical conditions at the airport. It aims to identify and eliminate the tendency of unstable approach events and the causes and risks of them to derive implications for mitigating unstable approach events and for developing navigation safety measures.

• Journal of the Korean Society for Aviation and Aeronautics
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• v.26 no.3
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• pp.1-8
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• 2018

Aviation industry is growing rapidly, and this growth is expected to continue. However, aircraft accident rate is still high, and 65 percent of accidents occur during landing phase due to unstable approach. Therefore, this research analyzed causes and countermeasures of unstable approach. In order to derive countermeasures, this study selected P International Airport as an example case. In addition, this research analyzed A airline's FOQA data, regional Standard Operating Procedures, and 5 years of environmental factors to identified correlation of those contributing factors. In conclusion, his research concluded following results. First of all, because of P International Airport's geological features, pilots are required to conduct Circling Approach, and this advanced maneuver increases workload at the final stage of flight. Secondarily, meteorological factors such as crosswind, seasonal rain front, local visibility contributes unstable approach. Lastly, these geological and meteorological factors are interrelated, and this uncommon environment can decrease circumstantial judgement ability of pilots and jeopardize aviation safety. As a consequence, it is recommended to reinforce the Crew Resource Management and Threat & Error Management systems so that pilots can perceive identical safety target.

• Journal of Korean Neurosurgical Society
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• v.40 no.1
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• pp.22-27
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• 2006

Objective : The purpose of this study is to investigate the clinical results of anterior and posterior stabilization by one stage posterolateral approach for the unstable fracture of thoracolumbar and lumbar spine. Methods : By posterolateral approach with curved skin incision, unilateral facet and pedicle were removed. Through this route, corpectomy was performed, and then this space was replaced with mesh cage filled up with autologous bone graft. Both side pedicle screw fixation was followed to upper and lower levels. Results : Six of seven patients of this study showed neurological improvement. The other one patient showed no neurological change. One patient had postoperative infection, another patient had postoperative kyphosis. The other patient had epidural hematoma on operation site after surgery. And all patinets on this study made to have spinal stability except one patient happened postoperative kyphosis. Conclusion : In the unstable fracture of thoracolumbar and lumbar spine, one stage anterior and posterior stabilization and fusion by posterolateral approach seems to be an effective procedure, if we have more care and supplementation.

• Archives of Craniofacial Surgery
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• v.15 no.2
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• pp.59-62
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• 2014

Background: The zygoma is the most prominent portion of the face. Almost all simple zygomatic arch fractures are treated in a closed fashion with a Dingman elevator. However, the open approach should be considered for unstable zygomatic arch fractures. The coronal approach for a zygomatic arch fracture has complications. In this study, we introduce our method to reduce a special type of unstable zygomatic fracture. Methods: We retrospectively reviewed zygomatic arch view and facial bone computed tomography scans of 424 patients who visited the Wonju Severance Christian Hospital from 2007 to 2010 with zygomaticomaxillary fractures, among whom 15 patients met the inclusion criteria. Results: We used a Dingman elevator and K-wire simultaneously to manage this type of zygomatic arch fracture. Simple medial rotation force usually collapses the posterior fractured segment, and the fracture becomes unstable. Thus, the posterior fracture segment must be concurrently elevated with a Dingman elevator through Keen's approach with rotation force applied through the K-wire. All fractures were reduced without any instability using this method. Conclusion: We were able to reduce unstable and difficult zygomatic arch fractures without an open incision or any external fixation device.

• International Journal of Naval Architecture and Ocean Engineering
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• v.3 no.1
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• pp.53-64
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• 2011

The present study considers multi-level approach for the analysis of parametric roll phenomena. Three kinds of computation method, GM variation, impulse response function (IRF), and Rankine panel method, are applied for the multi-level approach. IRF and Rankine panel method are based on the weakly nonlinear formulation which includes nonlinear Froude-Krylov and restoring forces. In the computation result of parametric roll occurrence test in regular waves, IRF and Rankine panel method show similar tendency. Although the GM variation approach predicts the occurrence of parametric roll at twice roll natural frequency, its frequency criteria shows a little difference. Nonlinear roll motion in bichromatic wave is also considered in this study. To prove the unstable roll motion in bichromatic waves, theoretical and numerical approaches are applied. The occurrence of parametric roll is theoretically examined by introducing the quasi-periodic Mathieu equation. Instability criteria are well predicted from stability analysis in theoretical approach. From the Fourier analysis, it has been verified that difference-frequency effects create the unstable roll motion. The occurrence of unstable roll motion in bichromatic wave is also observed in the experiment.

• Journal of Trauma and Injury
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• v.29 no.1
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• pp.14-21
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• 2016

Purpose: The purpose of this research was to analyze the results of the combined and posterior approaches for treating thoracolumbar and lumbar burst fractures and to find an adequate method of treatment. Methods: We retrospectively analyzed the cases of 46 patients with unstable thoracolumbar and lumbar burst fractures who had been surgically treated. All cases were divided into two groups based on the operation method used. Eleven patients had undergone the combined approach, while 35 patients had undergone the posterior approach. Radiological and clinical evaluations were performed before surgery, after surgery, and at the final follow-up. Results: The stenotic ratios of the area occupied by the retropulsed bony fragments to the estimated area of the original spinal canal were 68.2% and 45.6% for the combined and the posterior approaches, respectively. No significant differences in the neurological improvement or the corrected state of the sagittal index were noted, but the patients who had been treated with the combined approach group had better results than those who had been treated with the posterior approach group in terms of correction and maintenance of the sagittal index. The average kyphosis corrections at the final follow-up were 15.3 degrees for the patients in the combined approach group and 10.0 degrees for those in the posterior approach group. Surgical time and estimated blood loss were all significantly higher for patients in the combined approach group. Conclusion: The combined and the posterior approaches showed similar results in the improvements of the neurologic state and the corrected state of the sagittal index. However, use of the combined approach is recommended for patients with severe kyphosis and with severe canal encroachment.

• Structural Engineering and Mechanics
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• v.35 no.5
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• pp.555-570
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• 2010

Shallow fixed arches have a nonlinear primary equilibrium path with limit points and an unstable postbuckling equilibrium path, and they may also have bifurcation points at which equilibrium bifurcates from the nonlinear primary path to an unstable secondary equilibrium path. When a shallow fixed arch is subjected to a central step load, the load imparts kinetic energy to the arch and causes the arch to oscillate. When the load is sufficiently large, the oscillation of the arch may reach its unstable equilibrium path and the arch experiences an escaping-motion type of dynamic buckling. Nonlinear dynamic buckling of a two degree-of-freedom arch model is used to establish energy criteria for dynamic buckling of the conservative systems that have unstable primary and/or secondary equilibrium paths and then the energy criteria are applied to the dynamic buckling analysis of shallow fixed arches. The energy approach allows the dynamic buckling load to be determined without needing to solve the equations of motion.

• Hip & pelvis
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• v.34 no.2
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• pp.79-86
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• 2022

Purpose: The purpose of this study was to determine whether the direct anterior approach (DAA) can be applied to hemiarthroplasty for treatment of unstable femoral intertrochanteric fractures in elderly patients. Materials and Methods: We conducted a retrospective review of 34 cases (34 patients) who underwent bipolar hemiarthroplasty using a DAA from February 2019 to April 2020. The mean age of the patients was 82.68 years (range, 67-95 years). A cementless distal fixation hip system was used in all cases. Operation time, total amount of blood loss, intraoperative and postoperative fractures, infections, and reoperations were measured. The patients performed weight-bearing walking as tolerated immediately after surgery. Measurement of migration of the greater trochanter (GT) and progressive subsidence of the femoral stem was performed using follow-up radiographs. Results: The mean operative time was 83.50 minutes (range, 60-120 minutes). The mean amount of bleeding was 263.53 mL (range, 112-464 mL). Walking started a mean of 3.03 days (range, 3-4 days) after surgery. There was no case of progressive migration of the GT more than 5 mm even though it was not fixed. There were no cases of infection, dislocation, or reoperation. Conclusion: Bipolar hemiarthroplasty using the DAA for treatment of unstable femoral intertrochanteric fractures could be considered a useful option that provides many advantages in elderly patients.

• Journal of Trauma and Injury
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• v.29 no.4
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• pp.139-145
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• 2016

Purpose: The major pelvic trauma results in high mortality with associated fatal other injuries. During early stage of resuscitation, multidisciplinary approach is essential to improve the survival and outcomes. This study aims to report the effect and positive outcome of the trauma team approach on the management of hemodynamically unstable pelvic bone fracture. Methods: This retrospective review included all patients with hemodynamically unstable pelvic bone fracture admitted between March 2007 and December 2015. Patients were divided into group A, which comprised those admitted before the trauma team approach was started, and group B, which comprised those admitted after the approach was started. The advanced trauma life support protocol was followed for all patient. The comparisons between the two groups were based on medical records. Study variables included demographics, initial vital sign, injury severity score, fracture type, and injury mechanism. We analyzed the outcomes in each group with respect to the time interval for doctors' arrival, total length of stay in the emergency department (ED), time interval for computed tomography evaluation, 24-hour mortality, time interval for definitive fixation, and definitive fixation in the time-window of opportunity. Results: Fifty-three patients met the inclusion criteria. No statistically significant differences in demographic data existed between the two groups. The time interval for doctors' arrival (min, $63.09{\pm}50.48$ vs $21.48{\pm}17.75$; p=0.038) and total length of stay in the ED (min, $269.33{\pm}105.96$ vs $115.49{\pm}56.24$; p=0.023) were significantly improved. The 24-hour mortality was not significantly different between the two groups.(%, 14.3 vs 12.0; p=1.000) However, the time interval for definitive fixation and definitive fixation in the time-window of opportunity showed better results. Conclusion: The trauma team approach has positive effects, which include initial resuscitation through multidisciplinary approach and shortening the time interval to definitive fixation, on the management of hemodynamically unstable pelvic bone fracture.

• International Journal of Computer Science & Network Security
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• v.21 no.1
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• pp.64-69
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• 2021

In this paper, we have proposed a new internal model control structure (IMC). It is aimed at unstable overactuated multivariable systems whose transfer matrices are singular and unstable. The model inversion problem is essential to understand this structure. Indeed, the precision between the output of the process and the setpoint is linked to the quality of the inversion. This property is preserved in the presence of an additive disturbance at the output. This inversion approach proposed in this article can be applied to multivariable systems with no minimum phase or minimum phase shift with or without delays in their transfer matrices. It is proven by an example of simulation through which we have shown its good performance as a guarantee of stability, precision as well as rapidity of system responses despite the presence of external disturbances and we have tested this control structure in the frequency domain hence the robustness of the IMC.