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Can Right-Handed Surgeons Insert Upper Thoracic Pedicle Screws in much Comfortable Position? Right-Handedness Problem on the Left Side

  • Akyoldas, Goktug;Senturk, Salim;Yaman, Onur;Ozdemir, Nail;Acaroglu, Emre
    • Journal of Korean Neurosurgical Society
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    • v.61 no.5
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    • pp.568-573
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    • 2018
  • Objective : Thoracic pedicles have special and specific properties. In particular, upper thoracic pedicles are positioned in craniocaudal plane. Therefore, manipulation of thoracic pedicle screws on the left side is difficult for right-handed surgeons. We recommend a new position to insert thoracic pedicle screw that will be much comfortable for spine surgeons. Methods : We retrospectively reviewed 33 patients who underwent upper thoracic pedicle screw instrumentation. In 15 patients, a total of 110 thoracic pedicle screws were inserted to the upper thoracic spine (T1-6) with classical position (anesthesiologist and monitor were placed near to patient's head. Surgeons were standing classically near to patient's body while patients were lying in prone position). In 18 patients, a total of 88 thoracic pedicle screws were inserted to the upper thoracic spine with the new standing position-surgeons stand by the head of the patient and the anesthesia monitor laterally and under patient's belt level. All the operations performed by the same senior spine surgeons with the help of C-arm. Postoperative computed tomography scans were obtained to assess the screw placement. The screw malposition and pedicle wall violations were divided and evaluated separately. Cortical penetration were measured and graded at either : 1-2 mm penetration, 2-4 mm penetration and >4 mm penetration. Results : Total 198 screws were inserted with two different standing positions. Of 198 screws 110 were in the classical positioning group and 88 were in the new positioning group. Incorrect screw placement was found in 33 screws (16.6%). The difference between total screw malposition by both standing positions were found to be statistically significant (p=0.011). The difference between total pedicle wall violations by both standing positions were found to be statistically significant (p=0.003). Conclusion : Right-handedness is a problem during the upper thoracic pedicle screw placement on the left side. Changing the surgeon's position standing near to patient's head could provide a much comfortable position to orient the craniocaudal plane of the thoracic pedicles.

Development and use of Supporting Device for Patellar X-ray Imaging (슬개골 엑스선 영상 촬영을 위한 보조기구의 개발과 활용)

  • Rhee, Do-Byung;Seo, Seung-Jun;Choi, Hyun-Woo;Lee, Sang-Hun;Kim, Jong-Ki
    • Journal of Biomedical Engineering Research
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    • v.41 no.4
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    • pp.165-171
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    • 2020
  • In this study, it focuses on the development of radiographic devices for patellar imaging. On the previous X-ray examination of patella and patellofemoral joint, it analyzed the problems which could affect the results: unstable patients' pose, radiation exposure, and deterioration of image quality. The purpose of the research is to propose a future use of a developed device with an explanation of the process, function, and advantage of the device including the methods. The device is developed to focus on the diagnosis of the longitudinal and longitudinal fractures of the patella and patella/femoral joint, displacement such as dislocation, bone formation, stenosis of the patella/femorla joint, and cartilage wear. Due to the patient's anxious posture, it caused a shaking image, overlapping structures, and etcs, these factors challenge to diagnose accurately. In addition, the existing Settegast method and Hughston method, which are most frequently performed in the hospital field, are not suitable for the presence or absence of features or dislocation due to the heavy load on the patella of the patient. The developed device requires patients in a lying position and placing only their leg on the device, it increases the conveniences of the examination and decreases unnecessary radiation exposure of the patient except the patellar examination area. Moreover, one of the systems in the device fixes the detector, where the patients no longer need to hold the detector nor be in unstable posture, but describes the structure of the patella/femoral joint more clearly. Hoping the device will apply to more patients.

EEG & Pitch data based learning concentration determination system (EEG & Pitch 데이터 기반의 학습 집중 판단 시스템)

  • Kim, Jeong-Sang;Kim, Jin-Woo;Kim, Jae-Hyeong;Seo, Jeong-Wook
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2018.05a
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    • pp.687-689
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    • 2018
  • The current EEG device can determine the concentration, but can not determine the concentration of the state. Therefore, we distinguish attitude based on Mindwave Attention data and additionally Pitch data to distinguish whether or not we are looking at a video object, and suggest a method to obtain better performance. Attention data were measured in the state where the images were viewed and concentrated. In the case of the Pitch data, Sit was measured when sitting on a desk and Lie when lying down. Attention value was 38 or more. When the value of the Pitch is smaller than -48, it is judged that it is in a prone state. When the concentration and sitting state were satisfied with this threshold value, it was judged that they focused on watching the actual video.

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Studies on the Subgross Anatomy of the Conine Viscera by the Vinylite-Corrosion Technique 1. The Distribution of Bronchial Branches and BloodVessels in the Lung (합성수지주입법(合成樹脂注入法)에 의한 개내장(內臟)의 준조대해부학적(準粗大解剖學的) 연구(硏究) 제(第)1보(報) 폐(肺)의 기관분지(氣管分枝) 및 혈관분포(血管分布)에 관(關)하여)

  • Mo, Ki Choul
    • Korean Journal of Veterinary Research
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    • v.6 no.1
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    • pp.57-75
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    • 1966
  • This study was conducted to observe the condition of the ramifications of the bronchus and pulmonary blood vascular system by injecting the vinylite into the bronchial tree and pulmonary blood vessels in 100 normal adult dogs. The results obtained were summarized as follows: 1. Lungs of dog were composed of the same pulmonary territories as in lungs of human. 2. Cardiac lobe corresponding to R.medio-bassalis of human lungs was well developed and situated as a independent cardiac lobe, in ventral side of right lung. 3. Bronchial tree were in the patterns of axial divergency and blood vascular systems were (in general) branched along the bronchial tree, arteries lying near the bronchial tree but veins apart from it. 4. Among the branching patterns of bronchus pulmonary artery and pulmonary vein in each lobe, the type presented most frequently were noted, which were designated basic type by the author. 5. Pulmonary blood vessels were not always branched in accordance with bronchial tree, diverged inmore complex patterns, especially in venous vascular system. 6. Ramus anterior (lobe apicalis) was always observed in all casting specimen. 7. There was a case of peculiar variation patterns of the ramification in the bronchi directing into the left apical and cardiac lobe, arose respectivelly, at independent origin of bifurcation in the left bronchial stem, and a case of peculiar variation pattern of the artery entering left apical lobe and cardiac lobe, had a same origin of the bifurcation at rami pulmonary artery, and then divided respectivelly into the rami medi artery and rami left apical lobe artery. 8. In the classification based on the patterns of bronchial and blood vasculor divergencys, there were a lot of significant combination cases in their patterns.

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A Study on the Formation and Urban Dwellings of Chinese Town in Malaysia (말레이시아 화인거리의 형성과정과 도시주거에 관한 연구 -말레이시아 말라카와 싱가포르를 중심으로-)

  • Lee, Sang-Hun;Yoon, In-Suk
    • Journal of architectural history
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    • v.7 no.4 s.17
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    • pp.175-190
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    • 1998
  • The formation of Chinese Town in Malacca of Malaysia and Singapore would explain that Chinese gradually played an important role of commerce and urban service according to the Western European advance to southeast Asia and the construction of colonial cities from the 16th century to 19th and massed residence in many cites of southeast Asia. Chinese was usually separated from the Western European by western colonial policy and city planning. Common architectural characteristics in Chinese towns of Malaysia can refer to the transmission of the Chinese architectural material, the combination of dwelling and commerce in a house and the space organization centered on a court or an air well in the narrow and long site, lying adjacent to street etc. The Chinese dwellings in Malaysia rooted with Chinese settlement in southeast Asia. The Chinese dwellings was not always a shop on 1th floor and a dwelling on 2nd floor before the 19th century. But as Chinese immigration and commercial activity progressed in earnest in the early of 19th century, the row house of Chinese for dwelling was autonomously changed to two functional shophouse for dwelling and commerce. Chinese row house can refer to the use of Malay regional material, change of symmetrical Chinese traditional housing type by the narrow and long site and the tendency of the eclectic elevation of Western and China. Another architectural characteristics of the shophouse is an appearance of the continuous verandah with a cover regulated by Stamford Raffles in Singapore. This regulation was applied to architecture in Chinese Town as Stamford Raffles constructed Singapore. It was spread to South China reversely and became the regulation of streetscape for the modern city. Shophouse of Chinese towns in Southeast Asia and south China can be understood by context of Chinese immigration, colonialism, housing type of commerce and dwelling and the Western European city planning.

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A Study on Security Hole Attack According to the Establishment of Policies to Limit Particular IP Area (특정 IP 영역 제한정책 설정에 따른 보안 취약점 공격에 관한 연구)

  • Seo, Woo-Seok;Jun, Moon-Seog
    • The Journal of the Korea institute of electronic communication sciences
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    • v.5 no.6
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    • pp.625-630
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    • 2010
  • With regard to the examples of establishing various sorts of information security, it can be seen that there are gradual, developmental procedures including Firewall and VPN (Virtual Private Network), IDS (Intrusion Detection System), or ESM(Enterprise Security Management). Each of the security solutions and equipments analyzes both defense and attack for information security with the criteria of classifying the problems of security policies by TCP/IP layers or resulted from attack patterns, attack types, or invasion through specialized security technology. The direction of this study is to examine latency time vulnerable to invasion which occurs when L2-stratum or lower grade equipments or policies are applied to the existing network through TCP/IP layer's L3-stratum or higher grade security policies or equipments and analyze security holes which may generate due to the IP preoccupation in the process of establishing policies to limit particular IP area regarding the policies for security equipments to figure out technological problems lying in it.

Design of Smart Pillow System for Managing Sleep Apnea (수면무호흡증을 관리를 위한 스마트 베개 시스템의 설계)

  • Lee, Jong Chan
    • Journal of the Korea Convergence Society
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    • v.11 no.1
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    • pp.33-39
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    • 2020
  • Specialists have developed pillows that take into account sleep science and ergonomics, such as comfort for lying on your side. This pillow is made of natural latex material, and improved resilience after a certain period of time. A new idea was added to the pillow, which was naturally used for sleep, but could it add additional features for health care. Here, health care targets sleep apnea, which is known to be associated with serious illness. The purpose of this paper is to design a comprehensive service that uses a pressure sensor and a voice sensor to obtain information and to identify abnormal symptoms related to diseases from this information and to refer them to a specialist. It also covers the basic design and implementation to confirm the success of this system. Based on this design, the information obtained will be converted into a DB, and a server system for consultation with a specialist will be completed to upgrade the role of assistive health devices for sleep apnea.

Effects of Surfactant PDFO on Photoluminescence of Porous Silicon (다공질 실리콘의 광발광에 관한 계면활성제 PDFO 효과)

  • Kim Buem-Suck;Yoon Jeong-Hyun;Bae Sang-Eun;Lee Chi-Woo;Oh Won-Jin;Lee Geun-Woo
    • Journal of the Korean Electrochemical Society
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    • v.4 no.1
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    • pp.10-13
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    • 2001
  • Effects of an anionic surfactant pentadecafluorooctanoic acid on the photoluminescence of porous silicon was investigated, which was prepared by photoelectrochemical etching at 4V of single crystalline n-type silicon (100) with the specific resistivity of $0.4\~0.8{\Omega}{\cdot}cm$. Photoluminescence shifted to shorter wavelength and its intensity decreased when the concentration of the surfactant increased. FT-IR and contact angle data supported the presence of the surfactant lying on the surface of porous silicon.

The Stress of Patients in the Coronary Care Unit (심장내과 중한자실 입원 환자의 스트레스)

  • Yoo, Yang-Sook;Bong, Seung-Ok;Kim, Kyung-Lim;Choi, Kyung-Ok;Jeong, Hye-Sun
    • Journal of Korean Biological Nursing Science
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    • v.9 no.2
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    • pp.135-142
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    • 2007
  • Purpose: This study was conducted to investigate degree of stress level in CCU patients, and to give a baseline data in developing nursing intervention program to reduce the stress. Method: Subjects of this study were the 100 hospitalized patients of C University Hospital in Seoul City from February to December 2003. The collected data was analyzed by using the SAS program: t-test, Scheff$\acute{e}$ test, and ANOVA analysis were employed to find differences in stress level. Result: The highest stress factor was 'Concern', and next were 'Dependency & limitation', 'Uncertainty', 'Treatment procedure', 'Sleep disturbance', 'Environment' in order. The perceived stress level of CCU patients was 1.65 scores; the highest scored item was 'have to void urine and feces on the bed', next were 'have to use the toilet bowel lying on the bed' in order. The stress level according to characteristics of the subjects was significantly different with the marital status, the presence of religion, the hospitalized days, the economic status, and the admission experience. Conclusion: The stress level of patients in the coronary care unit was high in concern of a disease, family and economic state, in limitation and dependency, and in uncertainty about prognosis of a disease. Further researches are necessary to develop and apply the intervention method of reducing stress level of CCU patients. In addition studies on family members of CCU patients are also recommended.

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Algebraic Method for Computation of Natural Frequency and Mode Shape Sensitivities (고유진동수와 모드의 민감도를 계산하기 위한 대수적 방법)

  • Jung, Gil-Ho;Kim, Dong-Ok;Lee, Chong-Won;Lee, In-Won
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.21 no.5
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    • pp.707-718
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    • 1997
  • This paper presents an efficient numerical method for the computation of eigenpair derivatives for a real symmetric eigenvalue problem with distinct and multiple eigenvalues. The method has a very simple algorithm and gives an exact solution. Furthermore, it saves computer sotrage and CPU time. The algorithm preserves not only the symmetricity but also the band width of the matrices, allowing efficient computer storage and solution techniques. Results from the proposed method for calculating the eigenpair derivatives are compared with those from Rudisill and Chu's method and Nelson's method which is known efficient one in the case of distinct natural frequencies. As an example to demonstrate the efficiency of the proposed method in the case of distinct eigenvalues, a cantilever plate is considered. The design parameter of the cantilever plate is its thickness. For the eigenvalue problem with multiple natural frequencies, the adjacent eigenvectors are used in the algebraic equation as side conditions, lying adjacent to the multiplicity of multiple natural frequency distinct eigenvalues, which appear when design parameter varies. A cantilever beam is used to demonstrate the efficiency of the proposed method in the case of multiple natural frequencies. Results form the proposed method for calculating the eigenpair derivatives are compared with those from Dailey's method(an amendation of Ojalvo's work) which finds the exact eigenvector derivatives. The design parameter of the cantilever beam is its height. Data is presented showing the amount of CPU time used to compute the first ten eigenpair derivatives by each method. It is important to note that the numerical stability of the proposed method is proved.