• 제목/요약/키워드: reduction device

검색결과 1,286건 처리시간 0.035초

Minimum 2-Year Follow-Up Result of Degenerative Spinal Stenosis Treated with Interspinous U ($Coflex^{TM}$)

  • Park, Seong-Cheol;Yoon, Sang-Hoon;Hong, Yong-Pyo;Kim, Ki-Jeong;Chung, Sang-Ki;Kim, Hyun-Jib
    • Journal of Korean Neurosurgical Society
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    • 제46권4호
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    • pp.292-299
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    • 2009
  • Objective : Clinical and radiological results of posterior dynamic stabilization using interspinous U (ISU, $Coflex^{TM}$, Paradigm Spine $Inc.^{(R)}$, NY, USA) were analyzed in comparison with posterior lumbar interbody fusion (PLIF) in degenerative lumbar spinal stenosis (LSS). Methods : A retrospective study was conducted for a consecutive series of 61 patients with degenerative LSS between May 2003 and December 2005. We included only the patients completed minimum 24 months follow up evaluation. Among them, 30 patients were treated with implantation of ISU after decompressive laminectomy (Group ISU) and 31 patients were treated with wide decompressive laminectomy and posterior lumbar interbody fusion (PLIF; Group PLIF). We evaluated visual analogue scale (VAS) and Oswestry Disability Index (ODI) for clinical outcomes (VAS, ODI), disc height ratio disc height (DH), disc height/vertebral body length ${\times}100$), static vertebral slip (VS) and depth of maximal radiolucent gap between ISU and spinous process) in preoperative, immediate postoperative and last follow up. Results : The mean age of group ISU ($66.2{\pm}6.7$ years) was 6.2 years older than the mean age of group PLIF ($60.4{\pm}8.1$ years; p=0.003). In both groups, clinical measures improved significantly than preoperative values (p<0.001). Operation time and blood loss was significantly shorter and lower in group ISU than group PLIF (p<0.001). In group ISU, the DH increased transiently in immediate postoperative period ($15.7{\pm}4.5%{\rightarrow}18.6{\pm}5.9%$), however decreased significantly in last follow up ($13.8{\pm}6.6%$, p=0.027). Vertebral slip (VS) of spondylolisthesis in group ISU increased during postoperative follow-up ($2.3{\pm}3.3{\rightarrow}8.7{\pm}6.2$, p=0.040). Meanwhile, the postoperatively improved DH and VS was maintained in group PLIF in last follow up. Conclusion : According to our result, implantation of ISU after decompressive laminectomy in degenerative LSS is less invasive and provides similar clinical outcome in comparison with the instrumented fusion. However, the device has only transient effect on the postoperative restoration of disc height and reduction of slip in spondylolisthesis. Therefore, in the biomechanical standpoint, it is hard to expect that use of Interspinous U in decompressive laminectomy for degenerative LSS had long term beneficial effect.

Update Frequency Cache Consistency for Reducing Wait Time in Mobile Computing (이동 컴퓨팅 환경에서 대기 시간을 감소시키는 갱신 빈도 캐쉬 일관성 기법)

  • Lee, Chan-Seob;Kim, Dong-Hyuk;Baek, Joo-Hyun;Choi, Eui-In
    • The KIPS Transactions:PartD
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    • 제9D권6호
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    • pp.1017-1024
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    • 2002
  • According as mobile computing environment is generalized by development of wireless networking technology and communication device, mobile host uses local cache for extensibility and early response time. and reduction of limited bandwidth. This time, between mobile host and mobile support station cache need consistency interested person of done data accordingly much techniqueses propose. Existent consistency techniques because detection based techniqueses are used mainly and broadcast periodic invalid message considering frequent disconnection. However, these techniqueses increase abort step through increase or delay of transmission message number by accuracy examination of data. Therefore, because mobile host deletes cached data, and extensity are decreased. Techniques that is proposed in this paper did to perform refering update frequency about object that page request or when complete update operation happens to solve these problem. Therefore, have advantage that response is fast because could run write intention declaration or update by update frequency electively asynchronously when update operation consists and abort step decreases. Also, improved extensity running delete or propagation electively according to update frequency about periodic invalid message gone since disconnection.

A Study of High-Precision Time-Synchronization for TDoA-Based Location Estimation (TDoA 기반의 위치 추정을 위한 초정밀 시각동기에 관한 연구)

  • Kim, Jae Wan;Eom, Doo Seop
    • KIPS Transactions on Computer and Communication Systems
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    • 제2권1호
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    • pp.7-14
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    • 2013
  • Presently, there are many different technologies used for position detection. However, as signal-receiving devices operating in different locations must detect the precise position of objects located at long distances, it is essential to know the precise time at which an object's or a user's terminal device sends a signal. For this purpose, the existing time of arrival (ToA) technology is not sufficiently reliable, and the existing time difference of arrival (TDoA) technology is more suitable. If a TDoA-based electric surveillance system and other tracking devices fail to achieve precise time-synchronization between devices with separation distance operation, it is impossible to obtain correct TDoA values from the signals sent by the signal-receiving devices; this failure to obtain the correct values directly affects the location estimation error. For this reason, the technology for achieving precise time synchronization between signal-receiving devices in separation distance operation, among the technologies previously mentioned, is a core technology for detecting TDoA-based locations. In this paper, the accuracy of the proposed time synchronization and the measurement error in the TDoA-based location detection technology is evaluated. The TDoA-based location measurement error is significantly improved when using the proposed method for time-synchronization error reduction.

Pressure Ulcer Risk Factors and Preventive Intervention in Long-Term Care Facilities : A Mixed method study (노인요양기관의 욕창발생 위험요인과 욕창예방 관리: 혼합연구)

  • Yun, Haesun;Park, Jeeyeon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • 제21권3호
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    • pp.147-155
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    • 2020
  • The purpose of this study was to compare the risk factors of pressure sores and preventive intervention strategies and to provide basic data for the management of pressure sores prevention for long-term care facilities. It was a mixed method study using a systematic literature review and focus group interviews for analysis. A PRISMA flow diagram was prepared in accordance with the research selection process for the systemic literature review. The studies were retrieved from domestic and international studies from 2010 to June, 2019. A total of 8 studies were selected according to the selection criteria. The studies were searched electronically using a search engine with the key words of 'pressure ulcers', 'bedsore', 'decubitus ulcers', 'intervention', 'prevention', 'elderly', and 'long term'. Focus group interviews were conducted through a semi-structured questionnaire for nurses who had worked for more than three years in long-care facilities. The study results suggest that position change and pressure reduction device reduced the incidence of pressure sores and were important for prevention. The use of standardized care protocols is necessary. Multidisciplinary cooperation was an important issue.

Development and Field Application of Portable Tensioning System Using Segmental CFT Member (분절형 CFT부재를 이용한 이동식 프리텐션 제작대의 개발 및 활용)

  • Lee, Doo Sung;Kim, Tae Kyun;Lee, Sung Chul
    • KSCE Journal of Civil and Environmental Engineering Research
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    • 제34권3호
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    • pp.965-975
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    • 2014
  • Pretension PSC (Prestressed Concrete) members are subjected to a certain limit of size as they are generally produced in the off-site plant and transferred to the site due to the large scale of the product on system. In this study, a portable pretensioning production system has been developed, which allow us to apply the pretension method on site. Considering that a 50m span PSC girder using the pretension method requires a pressing device to endure a large jacking force, the portable pretension production system has to ensure safety against such a large pretension jacking force. In this study, the portable pretensioning system to produce a 50m span pretension girder was manufactured by using CFT (Concrete Filled steel Tube) members. In order to understand the stability of the system and the behavior of the elements, a static loading test was conducted and the stability of the proposed portable pretensioning production system was confirmed. The developed portable pretension system was applied to several construction sites and was investigated the problems on site. During the pretension girder and slab members that was producted by this pretension system in construction site, it has be found the several advantages such as simple fabrication processes, reduction of prestress-loss, and a decrease of 15% compared with the fabrcation cost of post-tension girder. After due consideration of the problems, this portable pretension system will be improved.

Reduction of Pollutant Concentrations in Urban Stormwater Runoff by Settling (침강에 의한 도시 강우 유출수 오염물질 저감 특성 분석)

  • Seo, Dongil;Kim, Jaeyoung
    • Journal of Korean Society of Environmental Engineers
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    • 제38권4호
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    • pp.210-218
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    • 2016
  • The pollutant removal efficiencies of stormwater runoff by settling were analyzed using field samples collected in 4 different raining events in a test bed installed in the Gwanpyung-Cheon stream in Daejeon. A 1.8 m high with 30 cm diameter cylindrical settling device was used for the settling test by measuring concentration of TSS, TP and TN for time and height. The pollutants removal rate was relatively high in the first 4 hours while 24 hours seem to be necessary to reach steady state in pollutant concentrations. However, there were no considerable differences in concentrations for height at a given time. This indicates most of particulate pollutant in the test seems to show independent settling with no interference to each other. Much part of particle sizes were distributed in the range of $10{\sim}100{\mu}m$. Average particulate fractions of TP and TN were estimated as 52.4% and 23.5%, respectively. This results explain why TN is difficult to remove by simple settling. This study indicates that a simple settling can provide effective method to remove significant amount of TSS and TP effectively and this can be used to protect urban river water quality.

Evaluation and Design of Infiltration and Filtration BMP Facility (침투 여과형 비점오염저감시설의 설계 및 평가)

  • Choi, Ji-Yeon;Maniquiz, Marla Chua;Lee, So-Young;Kang, Chang-Guk;Lee, Jung-Yong;Kang, Hee-Man;Kim, Lee-Hyung
    • Journal of Environmental Impact Assessment
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    • 제19권5호
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    • pp.475-481
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    • 2010
  • Lots of pollutants typically originating from urban transportation are accumulating on the paved surfaces during dry periods and are washed-off directly to the river during a storm. Also, paved surfaces are contributing to increase in peak flows and volume of stormwater flows. These are the main reasons why the water quality of rivers and lakes remain polluted and still below standards. Currently, several management practices are being applied in developed countries but the design standards are still lacking. This research was conducted to develop a treatment technology that can be useful to address the problems concerning runoff quality and quantity. A lab scale infiltration device consisting of a pretreatment tank and media zone was designed and tested for various flow regimes characterizing the low, average and high intensity rainfall. Based on the experiments, the high intensity flow resulted to increase in outflow event mean concentration (EMC) of pollutants, about twice as much as the average outflow EMC. However, 78 to 88% of the total suspended solids were captured and retained in the pretreatment tank because of sedimentation. The removal of heavy metals such as zinc and lead was greatly affected by the vertical placement of woodchip layer prior to the media zone. It was observed that the high carbon content (almost 50%) in the woodchip provided opportunity for enhancing its uptake of metal by adsorption. The findings implied that the reduction of pollutants can be greatly achieved by means of proper pretreatment to allow for settling of particles with a combination of using high carbon source media like woodchip and a geotextile mat to reduce the flow before filtering into the media zone and finally discharging to the drainage system.

Study of 4π Compton Suppression Spectrometer by Monte Carlo Simulation (몬테카를로 시뮬레이션을 통한 4π 컴프턴 억제 분광기 연구)

  • Jang, Eun-Sung;Lee, Hyo-Yeong
    • Journal of the Korean Society of Radiology
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    • 제11권3호
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    • pp.123-129
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    • 2017
  • Compton suppression apparatus using the Compton scattering response, by inhibiting part of the spectrum Compton continuum Compton continuum in the area of the peak analysis of the gamma rays that enables a clearer device. In order to find out the geometry structure of high-purity germanium detector(HPGe) -NaI(TI) and to optimize the effect of movement, Monte Carlo simulation was used to grasp the behavioral characteristics of Compton suppression and compare several layout structures. And applied to the cylinder beaker used for the environmental measurement by using the efficiency according to the distance. For the low-energy source such as 81 keV, the Compton continuum is scarcely developed and the suppression effect is also insignificant because the scattering cross-section of the Compton effect is relatively low. In the spectrum for the remaining energy, it can be seen that the Compton continuum part is suppressed in a certain energy range. Compton suppression effect was not significantly different from positional shift. average reduction factor(ARF) value was about 1.08 for 81 keV and about 1.23 for 1332.4keV energy at the highest value. It can be seen that suppression over the Compton continuum region of the energy spectrum is a more appropriate arrangement. Therefore, it can be applied to various environmental sample measurement through optimized structure.

A Study on Safety Improvement of Safety Devices at Entrance of Expressway Tunnels (터널 입구부 안전시설물 안전성 증대방안 연구)

  • Lee, Jeom-Ho;Kim, Jang-Wook;Kim, Deok-Soo;Lee, Soo-Beom
    • International Journal of Highway Engineering
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    • 제10권4호
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    • pp.235-245
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    • 2008
  • Since rapidly increase of tunnel with increasing of expressway, the study on safety improvement of safety device at entrance of expressway tunnels is necessary. The existence of tunnel occurs more speed reduction than an upward slope by itself, the collision accident of tunnel entrance causes heavier damage than that of general accident on the road. So, many kinds of safety devices such as poly-ethylene barrier, guard-rail are placed on the road side. But these devices affect the drivers as an obstacle. Although there are various safety devices that are placed at tunnel entrance, this study is related to following 2-cases. One is that the poly-ethylene barrier is placed and the other is that a safety devices is not placed. The reason that these two cases are selected, is that poly-ethylene barrier is usually placed at many tunnel entrances and safety devices can affect the drivers as an obstacle. This study is related to the difference of right-hand side clearance between inside tunnel and outside tunnel, too. The average difference observed car speed and VDS(vehicle detect system) speed nearby the tunnel is analysed. Through the statistical analysis of the average difference, this study suggests an alternatives on safety improvement of safety devices at entrance of expressway tunnels. It is concluded that the small difference of right-hand side clearance is desirable to drivers when a poly-ethylene barrier is placed. And when the difference of right-hand side clearance is large, no safety devices is desirable, and when the difference of right-hand side clearance is small, poly-ethylene barrier should be placed to improve safety.

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A Study on Automatic Threshold Selection in Line Simplification for Pedestrian Road Network Using Road Attribute Data (보행자용 도로망 선형단순화를 위한 도로속성정보 기반 임계값 자동 선정 연구)

  • Park, Bumsub;Yang, Sungchul;Yu, Kiyun
    • Journal of the Korean Society of Surveying, Geodesy, Photogrammetry and Cartography
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    • 제31권4호
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    • pp.269-275
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    • 2013
  • Recently, importance of pedestrian road network is getting emphasized as it is possible to provide mobile device users with both route guidance services and surrounding spatial information. However, it costs a tremendous amount of budget for generating and renovating pedestrian road network nationally, which hinder further advances of these services. Hence, algorithms extracting pedestrian road network automatically based on raster data are needed. On the other hand, road dataset generated from raster data usually has unnecessary vertices which lead to maintenance disutility such as excessive turns and increase in data memory. Therefore, this study proposed a method of selecting a proper threshold automatically for separate road entity using not only Douglas-Peucker algorithm but also road attribute data of digital map in order to remove redundant vertices, which maximizes line simplification efficiency and minimizes distortion of shape of roads simultaneously. As a result of the test, proposed method was suitable for automatic line simplification in terms of reduction ratio of vertices and accuracy of position.