• 제목/요약/키워드: fusion index

검색결과 232건 처리시간 0.027초

Contribution of Lateral Interbody Fusion in Staged Correction of Adult Degenerative Scoliosis

  • Choi, Seung Won;Ames, Christopher;Berven, Sigurd;Chou, Dean;Tay, Bobby;Deviren, Vedat
    • Journal of Korean Neurosurgical Society
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    • 제61권6호
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    • pp.716-722
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    • 2018
  • Objective : Lateral interbody fusion (LIF) is attractive as a less invasive technique to address anterior spinal pathology in the treatment of adult spinal deformity. Its own uses and benefits in treatment of adult degenerative scoliosis are undefined. To investigate the radiographic and clinical outcomes of LIF, and staged LIF and posterior spinal fusion (PSF) for the treatment of adult degenerative scoliosis patients, we analyzed radiographic and clinical outcomes of adult degenerative scoliosis patients who underwent LIF and posterior spinal fusion. Methods : Forty consecutive adult degenerative scoliosis patients who underwent LIF followed by staged PSF at a single institution were retrospectively reviewed. Long-standing 36" anterior-posterior and lateral radiographs were taken preoperatively, at inter-stage, 3 months, 1 year, and 2 years after surgery were reviewed. Outcomes were assessed through the visual analogue scale (VAS), 36-Item Short Form Health Survey (SF-36), and Oswestry Disability Index (ODI). Results : Forty patients with a mean age of 66.3 (range, 49-79) met inclusion criteria. A mean of 3.8 levels (range, 2-5) were fused using LIF, while a mean of 9.0 levels (range, 3-16) were fused during the posterior approach. The mean time between stages was 1.4 days (range, 1-6). The mean follow-up was 19.6 months. Lumbar lordosis was significantly restored from $36.4^{\circ}$ preoperatively up to $48.9^{\circ}$ (71.4% of total correction) after LIF and $53.9^{\circ}$ after PSF. Lumbar coronal Cobb was prominently improved from $38.6^{\circ}$ preoperatively to $24.1^{\circ}$ (55.8% of total correction) after LIF, $12.6^{\circ}$ after PSF respectively. The mean pelvic incidence-lumbar lordosis mismatch was markedly improved from $22.2^{\circ}$ preoperatively to $8.1^{\circ}$ (86.5% of total correction) after LIF, $5.9^{\circ}$ after PSF. Correction of coronal imbalance and sagittal vertebral axis did not reach significance. The rate of perioperative complication was 37.5%. Five patients underwent revision surgery due to wound infection. No major perioperative medical complications occurred. At last follow-up, there were significant improvements in VAS, SF-36 Physical Component Summary and ODI scores. Conclusion : LIF provides significant corrections in the coronal and sagittal plane in the patients with adult degenerative scoliosis. However, LIF combined with staged PSF provides more excellent radiographic and clinical outcomes, with reduced perioperative risk in the treatment of adult degenerative scoliosis.

척추전방전위증 요추 후방유합술 이후 만성통증 환자 2례를 대상으로 추나 치료를 적용한 한방복합치료 효과와 영상의학적 특성: 증례 보고 (The Effect of Complex Korean Medicinal Treatment with Chuna Manual Therapy and Radiological Characteristics on 2 Cases of Chronic Pain after Spondylolisthesis Posterior Lumbar Fusion Surgery: Cases Report)

  • 정현교;김유곤;김대호;임진웅;김용화;강덕;정회준;신경문;신동훈;양재우;오지훈
    • 척추신경추나의학회지
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    • 제16권2호
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    • pp.79-86
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    • 2021
  • Objectives This study aimed to assess the role of complex Korean medicinal treatment with Chuna manual therapy in two patients with chronic pain after posterior lumbar fusion surgery. Methods A retrospective analysis was performed on 2 patients postoperatively based on their medical records. The surgery regions were verified using T2-weighted axial magnetic resonance imaging. Patients with chronic pain after spondylolisthesis posterior lumbar fusion surgery received complex Korean medicinal treatment with Chuna manual therapy during hospitalization. Numeric rating scale (NRS) in the degree of 0-10 and Oswestry disability index (ODI) were measured before and after treatment. Results Case 1 had an improved NRS score from 7 to 4, and Case 2 had an improved NRS score from 7 to 5. In addition, ODI score improved in both cases. Conclusions Complex Korean medicinal treatment with Chuna manual therapy is effective for relief from chronic pain after posterior lumbar fusion surgery.

청소년기 비만도 지수와 굴절력과의 상관성 연구 (Study on Relationship between the Obesity Index and the Refractive Power in Adolescent)

  • 이완석;예기훈;신범주
    • 한국안광학회지
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    • 제18권3호
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    • pp.329-339
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    • 2013
  • 목적: 본 연구는 영양소 섭취가 중요한 시기인 청소년기에 비만도와 굴절력과의 관계를 분석하였다. 방법: 본 연구는 보건복지부 산하 질병관리본부에서 시행한 2010 국민건강영양조사 자료를 기준으로 하였으며, 비만도는 브로카지수(80.0%미만이면 저체중, 80.0~89.9%이면 체중부족, 90.0~109.9%이면 정상, 110.0~119.9%이면 과체중, 120.0%이상 이면 비만)와 체질량지수(18.5이하이면 저체중, 18.6~22.9이면 정상, 23.0~24.9이면 과체중, 25.0이상이면 비만)로 분류하여 청소년을 대상으로 비만도와 굴절력과의 상관성을 조사하였다. 결과: 브로카지수와 체질량지수분류에 따른 등가구면 굴절력의 분산분석에서 알 수 있듯이 청소년기 15~18세 사이 집단에서 브로카지수와 체질량지수에 따라 등가구면 굴절력과의 유의한 차이를 보였다. 브로카지수가 정상이면서 정시인 기준안을 기준으로 영양소 섭취를 비교한 결과 저체중 집단은 식이섬유 43.84%, 비타민 C 56.55%, 철 35.20%, 인 31.84%, 그리고 칼륨 38.03%등의 영양 섭취를 적게 섭취하는 것으로 나타났다. 결론: 시력발달에 중요한 성장의 시기에 다양한 영양소의 균형 잡힌 고른 섭취 및 좋은 식습관에 의한 적정 비만도 유지는 건강과 더불어 건강한 시력을 유지하는데 영향을 주는 것으로 판단된다.

MODIS영상의 고해상도화 수법을 이용한 오창평야 NDVI의 평가 (Assessment of the Ochang Plain NDVI using Improved Resolution Method from MODIS Images)

  • 박종화;나상일
    • 한국환경복원기술학회지
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    • 제9권6호
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    • pp.1-12
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    • 2006
  • Remote sensing cannot provide a direct measurement of vegetation index (VI) but it can provide a reasonably good estimate of vegetation index, defined as the ratio of satellite bands. The monitoring of vegetation in nearby urban regions is made difficult by the low spatial resolution and temporal resolution image captures. In this study, enhancing spatial resolution method is adapted as to improve a low spatial resolution. Recent studies have successfully estimated normalized difference vegetation index (NDVI) using improved resolution method such as from the Moderate Resolution Imaging Spectroradiometer (MODIS) onboard EOS Terra satellite. Image enhancing spatial resolution is an important tool in remote sensing, as many Earth observation satellites provide both high-resolution and low-resolution multi-spectral images. Examples of enhancement of a MODIS multi-spectral image and a MODIS NDVI image of Cheongju using a Landsat TM high-resolution multi-spectral image are presented. The results are compared with that of the IHS technique is presented for enhancing spatial resolution of multi-spectral bands using a higher resolution data set. To provide a continuous monitoring capability for NDVI, in situ measurements of NDVI from paddy field was carried out in 2004 for comparison with remotely sensed MODIS data. We compare and discuss NDVI estimates from MODIS sensors and in-situ spectroradiometer data over Ochang plain region. These results indicate that the MODIS NDVI is underestimated by approximately 50%.

Si3N4 립-광도파로의 두-수평모드 파워결합과 소산파 기반 집적광학 바이오센서 설계 (Design of Integrated-Optic Biosensor Based on the Evanescent-Field and Two-Horizontal Mode Power Coupling of Si3N4 Rib-Optical Waveguide)

  • 정홍식
    • 센서학회지
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    • 제29권3호
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    • pp.172-179
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    • 2020
  • We studied an integrated-optic biosensor configuration that operates at a wavelength of 0.63 ㎛ based on the evanescent-wave and two horizontal mode power coupling of Si3N4 rib-optical waveguides formed on a Si/SiO2/Si3N4/SiO2 multilayer thin films. The sensor consists of a single-mode input waveguide, followed by a two-mode section which acts as the sensing region, and a Y-branch output for separating the two output waveguides. The coupling between the two propagating modes in the sensing region produces a periodically repeated optical power exchanges along the propagation. A light power was steered from one output channel to the other due to the change in the cladding layer (bio-material) refractive index, which affected the effective refractive index (phase-shift) of two modes through evanescent-wave. Waveguide analyses based on the rib optical waveguide dimensions were performed using various numerical computational software. Sensitivity values of 12~23 and 65~165 au/RIU, respectively for the width and length of 4 ㎛, and 3841.46 and 26250 ㎛ of the two-mode region corresponding to the refractive index range 1.36~1.43 and 1.398~1.41, respectively, were obtained.

The Effect of Body Mass Index on Intra-Abdominal Pressure and Blood Loss in Lumbar Spine Surgery

  • Han, In-Ho;Son, Dong-Wuk;Nam, Kyoung-Hyup;Choi, Byung-Kwan;Song, Geun-Sung
    • Journal of Korean Neurosurgical Society
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    • 제51권2호
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    • pp.81-85
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    • 2012
  • Objective : The purpose of this prospective study was to evaluate the effects of body mass index (BMI) on intra-abdominal pressure (IAP) and intraoperative blood loss (IBL) during lumbar spinal surgery. Methods : Thirty patients scheduled for single level posterior lumbar interbody fusion were allocated equally to a normal group (Group 1, BMI;$18.5-22.9kg/m^2$), an overweight group (Group 2, BMI; $23-24.9kg/m^2$), and an obese group (Group 3, BMI; $25.0-29.9kg/m^2$) according to BMI. IAP was measured using a urinary bladder catheter; 1) supine after anesthesia induction, 2) prone at skin incision, 3) prone at the end of surgery. In addition, IBL was also measured in the three groups. Results : IAP in the supine position was not significantly different in groups 1, 2, and 3 (2.7 mm Hg, 3.0 mm Hg, and 4.2 mm Hg, respectively) ($p$=0.258), and IAP in the prone position at incision increased to 7.8 mm Hg, 8.2 mm Hg, and 10.4 mm Hg, respectively, in the three groups, and these intergroup differences were significant, especially for Group 3 ($p$=0.000). IAP at the end of surgery was slightly lower (7.0 mm Hg, 7.7 mm Hg, and 9.2 mm Hg, respectively). IBLs were not significantly different between the three groups. However, IBLs were found to increase with IAP in the prone position ($p$=0.022) and BMI ($p$<0.05). Conclusion : These results show that BMI affects IAP in the prone position more than in the supine position during lumbar spinal surgery. In addition, IBLs were found to increase with IAP in the prone position and with BMI. Thus, IBLs can be expected to be higher in morbidly obese patients due to an increased IAP.

작물 스트레스 평가를 위한 드론 초분광 영상 기반 광화학반사지수 산출 및 다중분광 영상에의 적용 (Photochemical Reflectance Index (PRI) Mapping using Drone-based Hyperspectral Image for Evaluation of Crop Stress and its Application to Multispectral Imagery)

  • 나상일;박찬원;소규호;안호용;이경도
    • 대한원격탐사학회지
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    • 제35권5_1호
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    • pp.637-647
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    • 2019
  • 작물의 스트레스를 탐지하는 것은 생산량 감소를 평가하는데 매우 중요하다. 광화학 반사 지수 (PRI)는 LUE의 원격 감지 지표로서 개발되었으며, 많은 연구자들에 의해 식생의 스트레스 탐지에 효과적으로 사용할 수 있음이 입증되었다. 그러나 원격탐사 영상에 기반한 PRI를 이용한 연구는 매우 드물다. 낮은 분광해상도로 인하여 드론 및 위성영상 기반의 PRI 모니터링이 어렵기 때문이다. 본 연구에서는 다중분광 센서 기반의 PRI를 산정하기 위하여 인접한 밴드를 이용한 융합 방법을 제안하였다. 제안한 기법을 초분광 및 다중분광 영상에 적용한 결과 산출된 PRI는 79%의 설명력을 나타내었으며, 지상고정형 센서의 관측값과도 유사한 변동 특성을 나타내었다. 따라서 밴드 융합에 의한 PRI는 작물 스트레스 평가에 적용이 가능할 것으로 판단된다.

Innovation in Telecom Services -Framework and Analysis Based on the Case of International Pre-paid Calling Cards in Japan

  • Kumiko, Miyazaki;Wiggers, Edmar
    • 기술혁신연구
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    • 제13권2호
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    • pp.45-70
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    • 2005
  • Much work on innovation has focused on the manufacturing sector. In this paper, we propose a framework for analyzing innovation in services centred on capability and technology integration. We illustrate the theoretical points made by conducting a case study on an international telephone communications provider Brastel, which introduced significant innovations in international calling services, in the form of rechargeable pre-paid calling card, through effective application of standard IT. Brastel is situated against its main competitors, considering two dimensions of price and service breadth and convenience. A novel technique for measuring competitiveness based on price and service index is introduced. The following competitors were selected: NTT, KDDI, Japan Telecom, Fusion Communications, J-Call / World Link, G-Call, ASP Check, Primus, QuickPhone, and MCI. To create the service index, factors such as ease of use, convenience, number of languages in which the services are available, and additional features were taken into account. The company itself and the rechargeable card innovation were analyzed through in-depth interviews and data collection. It was shown that a competitive advantage was maintained through internal and external capabilities.

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A comprehensive evaluation method study for dam safety

  • Jia, Fan;Yang, Meng;Liu, Bingrui;Wang, Jianlei;Gao, Jiaorong;Su, Huaizhi;Zhao, Erfeng
    • Structural Engineering and Mechanics
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    • 제63권5호
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    • pp.639-646
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    • 2017
  • According to the multi-index system of dam safety assessment and the standard of safety, a comprehensive evaluation model for dam safety based on a cloud model is established to determine the basic probability assignment of the Dempster-Shafer theory. The Dempster-Shafer theory is improved to solve the high conflict problems via fusion calculation. Compared with the traditional Dempster-Shafer theory, the application is more extensive and the result is more reasonable. The uncertainty model of dam safety multi-index comprehensive evaluation is applied according to the two theories above. The rationality and feasibility of the model are verified through application to the safety evaluation of a practical arch dam.

Growth Strategy of The International Journal of Industrial Distribution & Business

  • Suh, Eung-Kyo;Shin, Dong-Jin;Kim, Dongho;Youn, Myoung-Kil
    • 산경연구논집
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    • 제10권4호
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    • pp.7-12
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    • 2019
  • Purpose - The purpose of this study is to analyze the current status of various fusion research journals and its operational strategies, comparing them to those of IJIDB. Research design, data, and methodology - This study focused on the content analysis and strategies of operations for other convergence journals, comparing them to IJIDB in terms of the number of publication journals, publications, academic scope, and the impact factor. Results - IJIDB is relatively new and in its developmental stages compared to other convergence journals. But, IJIDB also shows much promise in that it came second in the field of economic publications of 54 journals in 2017. In order to To elevate IJIDB journal to the top in Korea Citation Index Journals, KODISA should host more international conferences to increase its international recognition levels, develop its managerial functions for increased stability, and open more opportunities for Candidates of Ph.D and Masters degree students to publish for fostering and building potential leaders and innovators. Conclusions - IJIDB is a newly born academic journal. In the future, IJIDB will be able to develop exponentially and be one of the leading journals in the Korea Citation Index by continually learning and developing its operational strategies.