• Archives of Plastic Surgery
• /
• v.51 no.1
• /
• pp.52-61
• /
• 2024

Background Although prepectoral implant-based breast reconstruction has recently gained popularity, dual-plane reconstruction is still a better option for patients with poor-quality mastectomy skin flaps. However, shoulder morbidity is aggravated by subpectoral reconstruction, especially in irradiated patients. This study aimed to demonstrate shoulder exercise improvement in subpectoral reconstruction by delayed prepectoral conversion with an acellular dermal matrix (ADM) inlay graft technique at the time of expander-to-implant exchange after irradiation. Methods Patients with breast cancer treated for expander-to-implant exchange after subpectoral expander insertion and subsequent radiotherapy between January 2021 and June 2022 were enrolled. An ADM inlay graft was inserted between the pectoralis major muscle and the previously inserted ADM. The ADM was sutured partially overlapping the pectoralis muscle from the medial side with the transition part, to the muscle border at the lateral side. Perioperative shoulder joint active range-of-motion (ROM) for forward flexion, abduction, and external rotation was also evaluated. Results A total of 35 patients were enrolled in the study. Active shoulder ROM significantly improved from 163 degrees preoperatively to 176 degrees postoperatively in forward flexion, 153 to 175 degrees in abduction, and 69 to 84 degrees in external rotation. There was no difference in patient satisfaction regarding the final outcome between the conventional prepectoral reconstruction group and the study group. Conclusion Shoulder exercises in irradiated patients who underwent subpectoral reconstruction were improved by delayed prepectoral conversion using an ADM inlay graft. It is recommended that subpectoral reconstruction not be ruled out due to concerns regarding muscle contracture and shoulder morbidity in radiation-planned patients with poor mastectomy skin flaps.

• Clinics in Shoulder and Elbow
• /
• v.26 no.4
• /
• pp.373-379
• /
• 2023

Background: The purpose of this study was to determine the association between smoking and clinical outcomes of hook plate fixation for acute acromioclavicular (AC) joint injuries. Methods: This study retrospectively investigated 82 patients who underwent hook plate fixation for acute AC joint dislocation between March 2014 to June 2022. The patients were grouped by smoking status, with 49 in group N (nonsmokers) and 33 in group S (smokers). Functional scores and active range of motion were compared among the groups at the 1-year follow-up. Coracoclavicular distance (CCD) was measured, and difference with the uninjured side was compared at initial injury and 6 months after implant removal. Results: No significant differences were observed between the two groups in demographic factors such as age and sex, as well as parameters related to initial injury status, which included time from injury to surgery, the preoperative CCD difference value, and the Rockwood classification. However, the postoperative CCD difference was significantly higher in group S (3.1±2.6 mm) compared to group N (1.7±2.4 mm). Multivariate regression analysis indicated that smoking and the preoperative CCD difference independently contributed to an increase in the postoperative CCD difference. Despite the radiographic differences, the postoperative clinical outcome scores and active range of motion measurements were comparable between the groups. Conclusions: Smoking had a detrimental impact on ligament healing after hook plate fixation for acute AC joint dislocations. This finding emphasizes the importance of smoking cessation to optimize reduction maintenance after AC joint injury. Level of evidence: III.

• The Bulletin of The Korean Astronomical Society
• /
• v.36 no.1
• /
• pp.37.2-37.2
• /
• 2011

Our previous study on tiny pores (R < 2") observed by HINODE/Solar Optical Telescope (SOT) revealed that the plasma in the pores at the photosphere is always moving down and the pores are surrounded by the strong downward motions (highly red-shifted) of neighboring granulations. From this study, we speculated that the flow motions above the pore should be related with the motions at the photosphere, since the pore is strong magnetic field region. Meanwhile, SNU and KASI installed Fast Imaging Solar Spectrograph (FISS) in the Cude room of the 1.6 m New Solar Telescope (NST) at Big Bear Solar Observatory. FISS is a unique system that can do imaging of H-alpha and Ca II 8542 band simultaneously, which is quite suitable for studying of dynamics of chromosphere. To get some clue on the relationship between the photospheric and low-chromospheric motions at the pore region, we took a coordinate observation with NST/FISS and Hinode/SOT for new emerging active region (AR11117) on October 26, 2010. In the observed region, we could find two tiny pores and two small magnetic islands (SMIs), which have similar magnetic flux with the pores but does not look dark. Magnetic flux density and Doppler velocities at the photosphere are estimated by applying the center-of-gravity (COG) method to the HINODE/spectropolarimeter (SP) data. The line-of-sight motions above the photosphere are determined by adopting the bisector method to the wing spectra of Ha and CaII 8542 lines. As results, we found the followings. (1) There are upflow motion on the pores and downflow motion on the SMIs. (2) Towards the CaII 8542 line center, upflow motion decrease and turn to downward motion in pores, while the speed of down flow motion increases in the SMIs. (3) There is oscillating motion above pores and the SMIs, and this motion keep its pattern along the height. (4) As height increase, there is a general tendency of the speed shift to downward on pores and the SMIs. This is more clearly seen on the other regions of stronger magnetic field. In this talk, we will present preliminary understanding of the coupling of pore dynamics between the photosphere and the low-chromosphere.

• Journal of the Korea Society of Computer and Information
• /
• v.3 no.1
• /
• pp.81-94
• /
• 1998

In order to extract the contour of interesting object in the image, Kass suggested the Active Contour Model called "Snakes". Snakes is a model which defines the contour of image energy. It also can find the contour of object by minimizing these energy functions. The speed of this model is slow and this model is sensitive of initialization. In order to improve these problems, Gunn extracted the accurate contour by using two initialization. and operated to less sensitive of initialization. This method could extract more accurate contour than the existing method, but it had no effect in the speed and it was sensitive of noise. This paper applied to the Energy Minimization Algorithm about only the pixel within the window applying the window of 8$\times$8 size at each contour point consisting Snakes in order to solve these problems. The method offered in this paper is applied to extract the contour of original image and cup image added to gaussian noise. By tracking the face using this offered method, it is applied to virtual reality and motion tracking. tracking.

• Structural Engineering and Mechanics
• /
• v.40 no.3
• /
• pp.431-451
• /
• 2011

Time delay inevitably exists in active control systems, and it may cause the degradation of control efficiency or instability of the systems. So time delay needs to be compensated in control design in order to eliminate its negative effect on control efficiency. Today time delay in linear systems has been more studied and some treating methods had been worked out. However, there are few treating methods for time delay in nonlinear systems. In this paper, an active controller for a nonlinear and hysteretic building structure with time delay is studied. The nonlinear and hysteretic behavior of the system is illustrated by the Bouc-Wen model. By specific transformation and augmentation of state parameters, the motion equation of the system with explicit time delay is transformed into the standard state space representation without any explicit time delay. Then the fourth-order Runge-Kutta method and instantaneous optimal control method are applied to the controller design with time delay. Finally, numerical simulations and comparisons of an eight-story building using the proposed time-delay controller are carried out. Simulation results indicate that the control performance will deteriorate if time delay is not taken into account in the control design. The simulations also prove the proposed time delay controller in this paper can not only effectively compensate time delay to get better control effectiveness, but also work well with both small and large time delay problems.

• Journal of the Korea Institute of Information and Communication Engineering
• /
• v.10 no.5
• /
• pp.950-955
• /
• 2006

This paper prosed modelling and design method in suspension system sesign to analyze sky hook damper system by adopting active suspension control theory. Recent in the field of suspension system design it is general to adopt active control scheme for stiffness and damping, and connection with other vehicle stability control equipment is also intricate, it is required for control system scheme to design more robust, higher response and precision control equipment. It is hon that sky hook suspension system is better than passive spring-damper system in designing suspension equipment. We analyze location of damper in sky hook system and its motion equation then design robust control system. Numerical example is shown for validity of robust control system design in active sky hook suspension system.

• Archives of Plastic Surgery
• /
• v.36 no.4
• /
• pp.450-457
• /
• 2009

Purpose: The second toe PIP joint free flap is a method of reconstruction used for abnormalities of the PIP joint of the finger. We report the results of the additional tenolysis in patients with a difference between passive ROM and active ROM after second toe PIP joint free flap. Methods: From March 2001 to July 2008, tenolysis was performed in patients with a difference in their active and passive ROM after second toe PIP joint free transfer, performed on 14 fingers. We performed a retrospective analysis of the medical records, noting the clinical and radiological findings. In addition, we measured the preoperative and postoperative range of motion of the PIP joint. Results: The average active ROM was $22.5^{\circ}$ at the three months after the joint transfer surgery, and was $38^{\circ}$ after additional tenolysis between five months and twelve months after the joint transfer. Conclusions: Additional tenolysis, after the second toe PIP joint free flap, might be a good option for improved results in patients with difference in active and passive ROM of a transferred PIP joint.

• The Journal of Korea Institute of Information, Electronics, and Communication Technology
• /
• v.2 no.3
• /
• pp.53-60
• /
• 2009

The vision-based driver fatigue detection is one of the most prospective commercial applications of facial expression recognition technology. The facial feature tracking is the primary technique issue in it. Current facial tracking technology faces three challenges: (1) detection failure of some or all of features due to a variety of lighting conditions and head motions; (2) multiple and non-rigid object tracking; and (3) features occlusion when the head is in oblique angles. In this paper, we propose a new active approach. First, the active IR sensor is used to robustly detect pupils under variable lighting conditions. The detected pupils are then used to predict the head motion. Furthermore, face movement is assumed to be locally smooth so that a facial feature can be tracked with a Kalman filter. The simultaneous use of the pupil constraint and the Kalman filtering greatly increases the prediction accuracy for each feature position. Feature detection is accomplished in the Gabor space with respect to the vicinity of predicted location. Local graphs consisting of identified features are extracted and used to capture the spatial relationship among detected features. Finally, a graph-based reliability propagation is proposed to tackle the occlusion problem and verify the tracking results. The experimental results show validity of our active approach to real-life facial tracking under variable lighting conditions, head orientations, and facial expressions.

• Proceedings of the Korean Institute of Information and Commucation Sciences Conference
• /
• 2004.05b
• /
• pp.603-607
• /
• 2004

The vision-based driver fatigue detection is one of the most prospective commercial applications of facial expression recognition technology. The facial feature tracking is the primary technique issue in it. Current facial tracking technology faces three challenges: (1) detection failure of some or all of features due to a variety of lighting conditions and head motions; (2) multiple and non-rigid object tracking and (3) features occlusion when the head is in oblique angles. In this paper, we propose a new active approach. First, the active IR sensor is used to robustly detect pupils under variable lighting conditions. The detected pupils are then used to predict the head motion. Furthermore, face movement is assumed to be locally smooth so that a facial feature can be tracked with a Kalman filter. The simultaneous use of the pupil constraint and the Kalman filtering greatly increases the prediction accuracy for each feature position. Feature detection is accomplished in the Gabor space with respect to the vicinity of predicted location. Local graphs consisting of identified features are extracted and used to capture the spatial relationship among detected features. Finally, a graph-based reliability propagation is proposed to tackle the occlusion problem and verify the tracking results. The experimental results show validity of our active approach to real-life facial tracking under variable lighting conditions, head orientations, and facial expressions.

• Journal of the Korea Institute of Information and Communication Engineering
• /
• v.10 no.6
• /
• pp.1147-1152
• /
• 2006

This paper proposed modelling and design method in suspension system design to analyze sky hook damper system by adopting active robust control theory. Recent in the field of suspension system design it is general to adopt active control scheme for stiffness and damping, and connection with other vehicle stability control equipment is also intricate, it is required for control system scheme to design more robust, higher response and precision control equipment. It is known that sky hook suspension system is better than passive spring-damper system in designing suspension equipment. We analyze location of sensor and actuator in sky hook system and its motion equation, then design robust control system. Numerical example is shown for validity of robust control system design in active sky hook suspension system.