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Accuracy and Safety in Pedicle Screw Placement in the Thoracic and Lumbar Spines : Comparison Study between Conventional C-Arm Fluoroscopy and Navigation Coupled with O-Arm$^{(R)}$ Guided Methods

  • Shin, Myung-Hoon;Ryu, Kyeong-Sik;Park, Chun-Kun
    • Journal of Korean Neurosurgical Society
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    • v.52 no.3
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    • pp.204-209
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    • 2012
  • Objective : The authors performed a retrospective study to assess the accuracy and clinical benefits of a navigation coupled with O-arm$^{(R)}$ system guided method in the thoracic and lumbar spines by comparing with a C-arm fluoroscopy-guided method. Methods : Under the navigation guidance, 106 pedicle screws inserted from T7 to S1 in 24 patients, and using the fluoroscopy guidance, 204 pedicle screws from T5 to S1 in 45 patients. The position of screws within the pedicle was classified into four groups, from grade 0 (no violation cortex) to 3 (more than 4 mm violation). The location of violated pedicle cortex was also assessed. Intra-operative parameters including time required for preparation of screwing procedure, times for screwing and the number of X-ray shot were assessed in each group. Results : Grade 0 was observed in 186 (91.2%) screws of the fluoroscopy-guided group, and 99 (93.4%) of the navigation-guided group. Mean time required for inserting a screw was 3.8 minutes in the fluoroscopy-guided group, and 4.5 minutes in the navigation-guided group. Mean time required for preparation of screw placement was 4 minutes in the fluoroscopy-guided group, and 19 minutes in the navigation-guided group. The fluoroscopy-guided group required mean 8.9 times of X-ray shot for each screw placement. Conclusion : The screw placement under the navigation-guidance coupled with O-arm$^{(R)}$ system appears to be more accurate and safer than that under the fluoroscopy guidance, although the preparation and screwing time for the navigation-guided surgery is longer than that for the fluoroscopy-guided surgery.

A Gigabit Serial Transceiver Design Using FPGA for Satellite Communication Transponder (위성통신 중계기에서의 FPGA를 이용한 Gigabit 시리얼 송수신기 설계)

  • Hong, Keun-Pyo;Lee, Jung-Sub;Jin, Byoung-Il;Ko, Hyun-Suk;Seo, Hak-Geum
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.39A no.8
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    • pp.481-487
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    • 2014
  • In this paper, we have proposed gigabit serial transceiver based on backplane architecture at the satellite communication digital transponder. The transponder supports the full combinational switching function with broadband multi-channel using programmable device - Xilinx space-grade Virtex-5 FPGA. In order to implement the switching function, GTX transceiver solution inside Virtex-5 FPGA is used. Also hardware implementation is simple because of no additional component. In order to use a GTX transceiver, signal integrity(SI) simulation of PCB design is essential. We investigate the characteristics of the S-parameter, eye diagram, channel jitter of GTX transmission line and conform that GTX Transceiver operates without error. Finally the proposed PCB design will be utilized at satellite communication digital transponder EQM-2(Engineering Qualification Model-2).

A Case Study on a Patient with Non-alcoholic Fatty Liver Disease(NAFLD) Improved on Sonography by Oriental Obesity Therapy (한방비만치료 후 초음파 영상에서 비알코올성 지방간의 호전을 보인 환자 치험 1례)

  • Park, Kyoung-Sun;Hwang, Deok-Sang;Cho, Jung-Hoon;Lee, Chang-Hoon;Lee, Kyung-Sub
    • Journal of Korean Medicine for Obesity Research
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    • v.9 no.1
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    • pp.79-86
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    • 2009
  • Objectives The purpose of this study was to investigate the clinical effect of oriental obesity therapy on obese patient with non-alcoholic fatty liver disease(NAFLD). Methods The patient was treated from November 17, 2008 to May 15, 2009 for obesity treatment. And the patient had intensive care through admission treatment from November 17, 2008 to November 29, 2008. Electrolipolysis, auricular acupuncture, herbal medicine, low calorie diet and aerobic exercise were done during the treatment period. Results His body Weight decreased from 102.8kg to 82.7kg. The BMI decreased from 35.2kg/m$^2$ to 28.9kg/m$^2$. NAFLD effectively improved on sonography form grade II${\sim}$III to grade I${\sim}$II after oriental obesity therapy, AST decreased from 65 to 19. ALT decreased from 152 to 18. Oriental obesity therapy could be effective to treat obese patient with NAFLD. Conclusions The obese patient with NAFLD improved on sonography by oriental obesity therapy.

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Re-irradiation of recurrent esophageal cancer after primary definitive radiotherapy

  • Kim, Young Suk;Lee, Chang Geol;Kim, Kyung Hwan;Kim, Taehyung;Lee, Joohwan;Cho, Yona;Koom, Woong Sub
    • Radiation Oncology Journal
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    • v.30 no.4
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    • pp.182-188
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    • 2012
  • Purpose: For recurrent esophageal cancer after primary definitive radiotherapy, no general treatment guidelines are available. We evaluated the toxicities and clinical outcomes of re-irradiation (re-RT) for recurrent esophageal cancer. Materials and Methods: We analyzed 10 patients with recurrent esophageal cancer treated with re-RT after primary definitive radiotherapy. The median time interval between primary radiotherapy and re-RT was 15.6 months (range, 4.8 to 36.4 months). The total dose of primary radiotherapy was a median of 50.4 Gy (range, 50.4 to 63.0 Gy). The total dose of re-RT was a median of 46.5 Gy (range, 44.0 to 50.4 Gy). Results: The median follow-up period was 4.9 months (range, 2.6 to 11.4 months). The tumor response at 3 months after the end of re-RT was complete response (n = 2), partial response (n = 1), stable disease (n = 2), and progressive disease (n = 5). Grade 5 tracheoesophageal fistula developed in three patients. The time interval between primary radiotherapy and re-RT was less than 12 months in two of these three patients. Late toxicities included grade 1 dysphagia (n = 1). Conclusion: Re-RT of recurrent esophageal cancer after primary radiotherapy can cause severe toxicity.

Technology for the Preparation of Ash-free Coal from Low Rank Coal(LRC) (저등급 석탄으로부터 초청정석탄 제조 기술)

  • Lee, Sihyun;Kim, Sangdo
    • Korean Chemical Engineering Research
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    • v.46 no.3
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    • pp.443-450
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    • 2008
  • Efficient use of low rank coals (LRC) have been investigated as a method to cope with recent high oil price. Among the coals used in industry, lignite and sub-bituminous coals are belong to the LRC, and have abundant deposit and are distributed worldwide, but high moisture contents and self ignition properties inhibits their utilization. In this paper, chemical coal cleaning to produce ash-free coal from LRC has been investigated. Two technologies, that is, UCC(Ultra Clean Coal) process removing ash from coal and Hyper Coal process extracting combustibles from coal were compared with. UCC process has merits of simple and reliable when it compared with Hyper Coal process, but the remaining ash contents werehigher than Hyper Coal. Hyper Coal has ash contents under the 200ppm when raw coal is treated with appropriate solvent and ion exchange materials to remove alkali materials in extracted solution. The ash-free coal which is similar grade with oil can be used as alternate oil in the industry, and also used as a high grade fuel for IGCC, IGFC and other advanced combustion technology.

A Study on the Learning Attitude of some Dental of Dental Technology Department students (일부 치기공학과 학생들의 학습태도에 관한 연구)

  • Lee, Ju-Hee;Lee, Hye-Eun
    • Journal of Technologic Dentistry
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    • v.40 no.3
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    • pp.163-172
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    • 2018
  • Purpose: The research comprehends learning attitude level of Dental Technology Department students, searches variable element to affect and is trying to provide basic material of method arrangement to induce change of positive learning attitude. Methods: It was conducted survey 410 students, who understand purpose of the research, consentient to involve research, in universities which is located in Daegu area, Daejeon City, Gangwon province from Aug., 1stto Nov.,10th2017, Questionnaires were distributed to 410 students totally. it was finally analyzed 374 questionnaires except 36 questionnaires that answer was not sufficient. Results: The positive answer over 'Average (3)' among study attitude factors was presented highly in order of 'Targeting & Execution' (3.351). 'Effective Content Summary' (3.307), 'Study Plan' (3.173), 'Priority and Self-Management' (3.116), and 'Study Habit & Enhancement' (2.925) showed negative trend under average. The five sub-factors of learning attitude were examined according to general characteristics and there were statistically significant differences according to gender, grade, high school of origin, academic aptitude(p<0.01, p<0.001). Conclusion : As male students show more positive learning attitude than female students, we need to develop more special programs to encourage them. Meanwhile we also need to find out a motive to bring positive effect to change the academic aptitude and learning attitude of female students, or methods to improve their learning attitude in a complementary way by their high school, gender and grade.

Optimal Life-Cycle Cost Design of Steel Box Girders (강박스 거더의 생애주기비용 최적설계)

  • Shin Yung-Seok;Park Jang-Ho;Lee Hyun-Sub;Ahn Ye-Jun
    • Journal of the Computational Structural Engineering Institute of Korea
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    • v.18 no.4 s.70
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    • pp.445-452
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    • 2005
  • This paper presents a design method to minimize Life Cycle Cost (LCC) of steel box girders. The LCC considered in this paper includes initial cost, expected life-cycle maintenance cost and repair cost. A load carrying capacity curve is derived from a condition grade curve of steel girders and load tarrying capacity that is measured in safety diagnostic test. And then, optimal design of steel box girders is performed on the basis of load carrying capacity curve. In this paper time and number of times for repair of steel girders are determined based on the calculated load carrying capacity curve. Also, annual costs considering real discount rate are compared and analyzed in various cases. It is concluded that the optimal design of steel box gilders considering LCC by the presented method will lead to more economical and safer girders than conventional design.

A Study on Quality of Life according to Social Support of Elderly in the Rural Area (일 지역 농촌 노인의 사회적 지지에 따른 삶의 질에 관한 연구)

  • Choi, Yeon-Hee
    • Korean Journal of Adult Nursing
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    • v.17 no.1
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    • pp.3-11
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    • 2005
  • Purpose: This study was conducted to investigate quality of life according to social support of elderly in the rural area. Method: The subjects of this study were 199 people aged over 60 who had been living in three rural areas. Date was collected through questionnaires from July 10th, to August 10th, 2003. Result: The most socially supportive people they answered were friends(80.9%), followed by children(74.9%), neighbors(71.9%), siblings(55.8%), spouse(53.3%), in descending order. Mean social support score for spouse was 13.36, for children 13.27, for friends 11.40, for neighbors 10.21, for siblings 10.20. A comparison of the average grade points per items according to the offerers of social support revealed spouse support(13.36 out of 18), children support(13.27), friends support(11.40), neighbor support(10.21), siblings support(10.20). The average of the quality of life score was 132.26 out of 220. A comparison of the average grade points per items within sub-areas of quality of life revealed the highest score of neighbor relationships(4.29 out of 5.00) and the lowest score of economic conditions (2.61) Quality of life scores correlated positively with social support scores(r=.734, p<.001). Variables significantly influencing quality of life were spouse support(36.1%), neighbor support (5.1%), age(2.2%), religion(1.7%). These variables explained 45.1% of the variance in quality of life. Conclusion: Social support for elderly people in rural areas identified this as a greatly effective factor for their quality of life. Therefore, it is necessary to develop health promotion programs connected with social support in order to enhance the quality of elderly people in rural areas.

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Effect of welding variables on the crack arrest toughness of thick steel plate (선급 극후물재의 취성균열 전파 정지 인성에 미치는 용접변수의 영향)

  • Ryu, Kang-Mook;An, Gyu-Baek;Kim, Tae-Su;Lee, Tae-Yeung;Lee, Jong-Sub
    • Proceedings of the KWS Conference
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    • 2009.11a
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    • pp.103-103
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    • 2009
  • As the size of containership increased over 14,000TEU, thick steel plate with high strength has been used. The plate thickness increased over 70mm and yield strength of the steel plate was around $47kg_f/mm^2$. Many researchers reported that the thick welded plate has low crack arrest toughness. They noticed the crack arrest ability is dependent on the plate thickness. In other words, brittle crack propagates straightly along the welded line and make abrupt fracture in the thick plate which causes low $K_{ca}$. In this study, the other factors, especially welding heat input, to cause low crack arrest toughness was investigated for thick steel plate welds. EH grade steel plates were used in this study and 50 to 80 thick plates were tested to confirm thickness sensitivity. Electro gas welding (EGW) and flux cored arc welding (FCAW) were adopted to prepare the welded joints. Temperature gradient ESSO test was performed to measure $K_{ca}$ values with the variation of welding variables. As a result of this study, regardless of plate thickness, welding heat input to cause welding residual stress around crack path is a key factor to control the brittle crack propagation in welded joints.

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National Assessment of Educational Achievement in 2002 - The Result Analysis of Achievement Levels in Mathematics - (2002년 국가수준 학업성취도 평가 결과 분석(I) -수학과의 성취수준 비율을 중심으로-)

  • 조영미;이봉주;나귀수
    • School Mathematics
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    • v.6 no.3
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    • pp.301-312
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    • 2004
  • The aim of the National Assessment of Educational Achievement (NAEA) is to produce specific and reliable resources required for the diagnosis and quality control of teaching and learning by measuring the level of students achievement based on the national curriculum. In 2002, we introduced ‘modified Angoff Method’ to obtain more systematic and rational results about the achievement levels. The result indicated the differences of achievement level according to the differences of sexes. Female students achieved higher scores than male students in Grade 6. Male students achieved higher scores than female students in Grade 9 and 10. Furthermore it disclosed a problematic phenomenon that students in small towns and rural areas showed significantly lower scores in all six sub-areas of Mathematics compared with students in metropolitan and cities. The results from the NAEA listed above could be used as the authentic data for improving national curriculum and teaching and learning methods, the establishment of educational policies, and many other areas.

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