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        Computer-Assisted Rotational Acetabular Osteotomy for Patients with Acetabular Dysplasia

        Yutaka Inaba,Naomi Kobayashi,Hiroyuki Ike,So Kubota,Tomoyuki Saito 대한정형외과학회 2016 Clinics in Orthopedic Surgery Vol.8 No.1

        Rotational acetabular osteotomy (RAO) is a well-established surgical procedure for patients with acetabular dysplasia, and excellent long-term results have been reported. However, RAO is technically demanding and precise execution of this procedure requires experience with this surgery. The usefulness of computer navigation in RAO includes its ability to perform three-dimensional (3D) preoperative planning, enable safe osteotomy even with a poor visual field, reduce exposure to radiation from intraoperative fluoroscopy, and display the tip position of the chisel in real time, which is educationally useful as it allows staff other than the operator to follow the progress of the surgery. In our results comparing 23 hips that underwent RAO with navigation and 23 hips operated on without navigation, no significant difference in radiological assessment was observed. However, no perioperative complications were observed in the navigation group whereas one case of transient femoral nerve palsy was observed in nonnavigation group. A more accurate and safer RAO can be performed using 3D preoperative planning and intraoperative assistance with a computed tomography-based navigation system.

      • Flow Balancing Hardware for Parallel TCP Streams on Long Fat pipe Network

        Yutaka Sugawara,Mary Inaba,Kei Hiraki 보안공학연구지원센터 2008 International Journal of Software Engineering and Vol.2 No.2

        Parallel TCP streams are used for data transfer between clusters in today's high performance applications. When parallel TCP streams are used on LFN, part of streams fail to get enough bandwidth because of congestion generated by the parallel TCP streams themselves [5]. As a result, data transfer throughput is bottlenecked by the slow streams. In this paper, we propose the Stream Harmonizer that schedules packet transmission of parallel TCP streams to balance the bandwidth. The purpose of the Stream Harmonizer is to reduce the congestion that is generated by the parallel TCP streams themselves to improve the performance of the slow streams. The Stream Harmonizer reduces congestion by reducing the bandwidth of fast streams by increasing the round trip time (RTT) of them. A hardware based lightweight scheduling algorithm is used to realize wire-rate intensive scheduling at highspeed backbone network. The Stream Harmonizer is able to schedule packets without exchanging additional information with end hosts. In this paper, we implement the Stream Harmonizer using TGNLE-1, an FPGA (Field Programmable Gate Array) based 10Gbit Ethernet experimental testbed. In addition, we evaluate the Stream Harmonizer using an FPGA based network emulator.

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      • Breast Cancer Clustering in Kanagawa, Japan: A Geographic Analysis

        Katayama, Kayoko,Yokoyama, Kazuhito,Yako-Suketomo, Hiroko,Okamoto, Naoyuki,Tango, Toshiro,Inaba, Yutaka Asian Pacific Journal of Cancer Prevention 2014 Asian Pacific journal of cancer prevention Vol.15 No.1

        Background: The purpose of the present study was to determine geographic clustering of breast cancer incidence in Kanagawa Prefecture, using cancer registry data. The study also aimed at examining the association between socio-economic factors and any identified cluster. Materials and Methods: Incidence data were collected for women who were first diagnosed with breast cancer during the period from January to December 2006 in Kanagawa. The data consisted of 2,326 incidence cases extracted from the total of 34,323 Kanagawa Cancer Registration data issued in 2011. To adjust for differences in age distribution, the standardized mortality ratio (SMR) and the standardized incidence ratio (SIR) of breast cancer were calculated for each of 56 municipalities (e.g., city, special ward, town, and village) in Kanagawa by an indirect method using Kanagawa female population data. Spatial scan statistics were used to detect any area of elevated risk as a cluster for breast cancer deaths and/or incidences. The Student t-test was performed to examine differences in socio-economic variables, viz, persons per household, total fertility rate, age at first marriage for women, and marriage rate, between cluster and other regions. Results: There was a statistically significant cluster of breast cancer incidence (p=0.001) composed of 11 municipalities in southeastern area of Kanagawa Prefecture, whose SIR was 35 percent higher than that of the remainder of Kanagawa Prefecture. In this cluster, average value of age at first-marriage for women was significantly higher than in the rest of Kanagawa (p=0.017). No statistically significant clusters of breast cancer deaths were detected (p=0.53). Conclusions: There was a statistically significant cluster of high breast cancer incidence in southeastern area of Kanagawa Prefecture. It was suggested that the cluster region was related to the tendency to marry later. This study methodology will be helpful in the analysis of geographical disparities in cancer deaths and incidence.

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        Radiologic simulation of leg length change after double level osteotomy in preoperative surgical planning

        ( Shuntaro Nejima ),( Ken Kumagai ),( Shunsuke Yamada ),( Masaichi Sotozawa ),( Yutaka Inaba ) 대한슬관절학회 2023 대한슬관절학회지 Vol.35 No.-

        Background To evaluate the expected postoperative total leg length change using preoperative radiographs during surgical planning of four different methods of double level osteotomy (DLO). Methods This study included 34 patients (44 knees) who underwent DLO for varus knee osteoarthritis. Surgical planning was performed so that the postoperative weight bearing line ratio was 62.5%. In DLO, lateral closed or medial open wedge distal femoral osteotomy (LCWDFO, MOWDFO) was performed so that the postoperative mechanical lateral distal femoral angle was 85°, and residual deformity was corrected with medial open or lateral closed wedge high tibial osteotomy (MOWHTO, LCWHTO). Pre- and surgical planning X-rays in the one-leg standing position were compared to assess the change in leg length, and the factors affecting it, in the various surgical groups. The proportion of cases in which Δ total leg length was greater than 6 mm (symptomatic change) was investigated. Results The mean postoperative total leg length increased significantly with LCWDFO + MOWHTO, MOWDFO + MOWHTO, and MOWDFO + LCWHTO, while it decreased with LCWDFO + LCWHTO. The proportion of cases with a postoperative total leg length change > 6 mm was 72.7%, 2.3%, 100%, and 6.8% in LCWDFO + MOWHTO, LCWDFO + LCWHTO, MOWDFO + MOWHTO, and MOWDFO + LCWHTO, respectively. In addition, the preoperative hip-knee-ankle angle correlated negatively with the postoperative total leg length change in LCWDFO + MOWHTO, MOWDFO + MOWHTO, and MOWDFO + LCWHTO, but not in LCWDFO + LCWHTO. Conclusions MOWDFO + MOWHTO had the largest postoperative leg length change and MOWDFO + LCWHTO had the smallest. Symptomatic leg length change (> 6 mm) should be considered in MOWDFO + MOWHTO and LCWDFO + MOWHTO.

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