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As an emergency encountered in orthopedic practice requiring prompt diagnosis and aggressive treatment, necrotizing fasciitis around the hip must be discriminated from Fournier gangrene. The current case report describes a patient who suffered from bilateral type I necrotizing fasciitis around the hips, which was alleviated by prompt surgical debridement and intensive postoperative care.

산업의 고도화 및 새로운 기계의 도입, 화학물질 사용 등 산업재해의 다양한 양상과 더불어 생산설비들의 자동화, 대형화로 인해 산업재해 발생의 양상이 점차 다양해지고 있다. 국내 산업재해는 OECD(Organization for Economic Cooperation and Development) 경제협력개벌기구대비, 상대적 하위수준에 있어 기업 발생 산업재해는 근로자들의 심리적 및 치교와 보상 손실에도 타격이 되어 기업 총생산과 이윤 추구에도 중요문제가 야기되고 있다. 더불어, 장애자와 사망유족들의 증가로 생활 안정문제 등 사회적 문제도 제기된다. 이러한 동기에서 본 논문은 산업재해 통계와 산재예방 사업을 분석하고, 시스템다이내믹스 법론의 이용하여 산업재해율을 예측하고 평가하는 모델을 개발하였다. 모델은 근로자수 모델, 재해자수 모델, 재해율 모델 등 총 12개의 모델로 구성되었고, 규모별 분석에서는 근로자수를 기준으로 12개 그룹으로, 업종별 분석에서는 제조업, 건설업 등 총 10개의 업종으로 구분하여 개발하였다. 개발된 모델을 토대로 업종별 규모별 산업재해율을 예측하고 산재예방사업을 다각도로 평가하는 방법론을 제시하였다.

APP based on the smart phone is being utilized to various scopes such as medical services in hospitals, financing services at banks and credit card companies, and ubiquitous technologies in companies and homes etc. In this service environment, exposures of smart phones cause loss of assets including leaks of official/private information by outsiders. Though secret keys, pattern recognition technologies, and single image authentication techniques are being applied as protective methods, but they have problems in that accesses are possible by utilizing static key values or images like pictures. Therefore, this study proposes a face authentication technology for protecting smart phones from these dangerous factors and problems. The proposed technology authenticates users by extracting key frames of user`s facial images by real time, and also controls accesses to the smart phone. Authentication information is composed of multiple key frames, and the user` access is controlled by distinction algorism of similarity utilizing DC values of image`s pixel and luminance.

To address the scalability of phase change memory (PCM), we study a 1-D thickness scaling effect on threshold switching voltage (Vth), Vth drift, high resistance state (RESET) resistance (RRESET) drift, and crystallization temperature (Tcrys). We use a pseudo three-terminal device to accurately correlate the amorphous region thickness to the observed characteristics. The pseudo 3-terminal device is a fully functional PCM cell and enables 1-D thickness scaling study down to 6 nm without the need for ultrafine lithography. Vth scales down to 0.65-0.5 V (at 25°C-75°C) for 6-nm-thick Ge2Sb2Te5 (GST), showing that stable read operation is possible in scaled PCM devices. The Vth drift measurement suggests that Vth drift can be attributed to threshold switching field (Eth) drift, whereas Vth0, i.e., Vth at zero thickness, stays almost constant. RRESET drift shows no dependence on the amorphous GST thickness. Tcrys is ~175°C for the device with 6-nm-thick GST, compared with ~145°C of thick GST. From the 1-D scaling study, no significant hurdles against scaling are found down to 6 nm. Further study of scaling effect on endurance and development of scalable selection device is needed to assess the ultimate scalability of PCM.

Recent years, as a rapid development of multimedia technology, video database system to retrieve video data efficiently seems to core technology in the oriented society. This thesis describes an efficient automatic frame detection and location method for content based retrieval of video. Frame extraction part is consist of incoming / outgoing car frame extraction and car number frame extraction stage. We gain star/end time of car video also car number frames. Frames are selected at fixed time interval from video and key frames are selected by color scale histogram and edge operation method. Car frame recognized can be searched by content based retrieval method.

In this study, two factors are simultaneously considered for assessing tunnel face stability. The first is the effective stress acting on the tunnel face calculated by upper bound solution, and the other is the seepage force calculated by numerical analysis under the condition of steady-state groundwater flow. The seepage forces calculated by numerical analysis are compared with the results of a model test. The upper bound solution taking into consideration the seepage force acting on the tunnel face, shows that the minimum support pressure for the face stability is equal to the sum of the effective support pressure that is obtained from the upper bound solution based on effective stress and the seepage pressure acting on the tunnel face. It was found that the average seepage pressure acting on the tunnel face is proportional to the hydrostatic pressure at the same elevation, and the magnitude is about 22% of the hydrostatic pressure for the drainage type tunnel and about 28% for the waterproof type tunnel. The seepage forces obtained from the results of a model test showed similar trends as those calculated by numerical analysis.Key words: face stability, upper bound solution, seepage force, model test.

Gout is characterized by recurrent attacks of arthralgia, and deposition of monosodium urate crystals in and around the joints of the extremities and soft tissues. Monosodium urate crystals are observed most frequently at the 1st metatarsophalangeal joint and usually presented in the ankle and wrist joint. However, no case of an intratendinous tophus in the patellar tendon has been reported in Korean literature. In this report, we found monosodium urate crystals in the patellar tendon on magnetic resonance imaging images and intratendinous tophus were visible to the naked eye by excision. We reported on the case of a patient who experienced an unusual intratendinous tophus in the patellar tendon.

This report was designed to investigate a rare case that brachialis tear and hematoma caused by acute elbow posterior dislocation. We studied a 20-year-old male patient with right elbow joint pain after outstretched injury. Physical examination showed instability of hright elbow joint and simple radiography indicated a posterolateral dislocation of right elbow joint. Computed tomography taken after closed reduction using Parvin technique revealed a few small bone fragment located on posterior humerus capitulum. Magnetic resonance imaging showed complete tear of brachialis and anterior articular capsule with hematoma. The patient was managed with long arm splint and hinge brace for an elbow dislocation with brachialis rupture and hematoma. The elbow joint range of motion was recovered to be in a normal range, and pain was diminished. There are few reported cases of acute elbow posterior dislocation combined with brachialis rupture and hematoma. The patient showed good clinical outcome after conservative treatment.

Objectives: To analyze the influence of fracture patterns and the result of bone mineral density on cement leakage after percutaneous vertebroplasty for osteoporotic vertebral compression fractures. Summary of Literature Review: Leakage of bone cement after vertebroplasty has known to be related with the direction of cortical disruption of fractured vertebral body and low bone mineral density (BMD). Materials and Methods: One hundred eighty-two patients with osteoporotic vertebral compressions were studied from January 2009 to August 2013. The patients’ fracture levels and patterns were compared. Among them, the cement leakage patterns were analyzed in 105 patients who had undergone vertebroplasty. The findings were compared with fracture patterns including cortical disruption and BMD. Results: Seventy-five cases of cement leakage were observed. Among them, intradiscal leakage was the most common type of leakage. In the patient group with low BMD, there was a high incidence of lower and posterior cortical disruption in the fractures. Patients with posterior cortical disruption demonstrated a higher incidence of leakage into the spinal canal and anterior cortex. No significant correlation was observed between fracture patterns and leakage. Conclusions: A surgeon should use caution in performing vertebroplasty in patients with low BMD and posterior disruption of the vertebral cortex.

Study Design: A case report. Objectives: To investigate the outcomes of recapping laminoplasty for the treatment of atraumatic spinal interdural hematoma. Summary of Literature Review: There are several causes for a spinal hematoma. The occurrence of spinal hematoma is rare; in particular, the ones arising atraumaticaly are considered extremely rare. Materials and Methods: We studied a 33 year old male patient without any known risk factor. Magnetic resonance image has revealed an intraspinal epidural cyst compressing on the spinal nerve. After performing recapping laminoplasty, followed by partial excision of dura mater and resection of hematoma, we were able to observe another layer of dura mater, confirming the location of hematoma within two epidural layers, i.e., an interdural hematoma. Results: Performing recapping laminoplasty is a more effective and less invasive procedure for removing cyst than conventionally used laminectomy. Patients were found to have synostosis after three months post-op, and they have exhibited neither lumbosacral pain nor lower limb motor weakness after six months follow-up. There were no recurrences or complications reported on our study. Conclusion: There are a few reported cases of atraumatic spinal interdural hematoma. Our study shows that performing pars osteotomy with recapping laminoplasty yield good clinical outcome for the treatment of atraumatic spinal interdural hematoma.