• 제목/요약/키워드: Controversy

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Reviewing Contract of the Buenosaires Water Concession Case with System Dynamics (시스템 다이나믹스를 이용한 부에노스아이레스 수도사업 양여계약사례의 고찰)

  • Lee, Sangeun;Cha, Donghoon;Park, Heekyung
    • Journal of Korean Society of Water and Wastewater
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    • v.20 no.1
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    • pp.104-114
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    • 2006
  • Recently, the PPP (Public-Private-Participate) program on water and wastewater services in Korea has been under an active debate. However, the controversy has reached the limits of getting more valuable implications from past foreign experience beyond conceptual and/or qualitative case studies. This paper analyze scientifically and quantitatively the Buenos Aires Water Concession Project focused on propriety of the contract using system dynamics modeling. The results show that Buenos Aires's Project has several problems in the contract phase even though Argentina government spent much time to design it. Analysis results suggest that estimation of K factor considering delay effect and future uncertainty, reduction of the first fixed terms of contract, etc., are needed for a proper contract.

Clinical Consideration of Trigger Point Injection/Dry Needling Therapy: A Narrative Review

  • Jung, Jae-Kwang;Byun, Jin-Seok;Choi, Jae-Kap
    • Journal of Oral Medicine and Pain
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    • v.42 no.3
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    • pp.53-61
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    • 2017
  • Myogenous temporomandibular disorder is a collective term for pathologic conditions of the masticatory muscles, mainly characterized by pain and dysfunction associated with various pathophysiological processes. Among the subtypes of myogenous temporomandibular disorder, myofascial pain is one of the most common muscle disorders, characterized by the presence of trigger points (TrPs). Various modalities, such as ultrasound, manipulative therapy, spray-and-stretch technique, transcutaneous electrical nerve stimulation, injection/dry needling, and low-level laser therapy are used to inactivate TrPs. Needling/injection on the TrPs is one of the most common treatments for myofascial pain. Despite the evidence, there is continued controversy over defining the biological and clinical characteristics of TrPs and the efficacy of injection/dry needling. This review discusses the current concept of injection/needling to relieve TrPs.

Exploring Quality Issues of Dairy Supply Chain and Proposing IOT-enabled Tracking Systems in Developing Country

  • Lee, Chul Ho
    • Agribusiness and Information Management
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    • v.9 no.1
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    • pp.1-6
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    • 2017
  • Recent scandals of milk additives in several developing countries provoked controversy about quality issue of dairy products, grapping academic attention to the dairy supply chain. In this paper, we first focus on moral hazard problem of self-interested entities about the quality across the dairy supply chain, due to unobservable and unverifiable quality management efforts of all entities - including dairy producers, stations, and a final producer - and high inspection cost for the quality. Based on the identified moral hazard problem, we understand why the adoption of IoT-based tracking systems about quality produced from each entity is a must, different from RFID-based tracking systems.

Marital Satisfaction and Marital Stability : A Comparison of Two Theoretical Models (결혼만족도와 결혼안정성 : 두 이론의 비교)

  • 윤경자
    • Journal of the Korean Home Economics Association
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    • v.35 no.4
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    • pp.31-46
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    • 1997
  • The controversy between Lewis and Spanier's theory and Thomas and kleber's theory on marital satisfaction and marital stability was tested empirically. The results show that while marital satisfaction was the best predictor for marital stability the impact of alternative attractions and external pressures to remaim married was more complicated than both theories predicted depending on the nature of alternative attractions. Thomas and Kleber's theory was supported in most of groups Contrary to Lewis and Spanier's theory alternative atteractions did not negatively affect marital stability of marriages of high qulity. Contrary to both theories external pressures to remain married was not an important predictor of marital stability . In some cases high external pressures to remain married even lowered marital stability. The validity of both theories are discussed.

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International Arbitration and Forum Selection Agreements (법정지선택합의(法定地選擇合意)와 중재계약(仲裁契約)의 적용범위(適用範圍))

  • Kim, Sung-Hoon
    • Management & Information Systems Review
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    • v.9
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    • pp.165-177
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    • 2002
  • The purpose of this comparative study is to compare and evaluate international arbitration and forum selection agreements. Recent decades have seen an unparalleled expansion of global trade and investment. Business enterprises of every description ann find themselves entangled in legal proceedings with foreign companies or government entities. Thus, the costs of these proceedings and the consequences of losing are often substantial. Almost, every international commercial controversy poses a critical preliminary question - 'where, and by whom, will this dispute be decided?' the answer to this question often decisively affects a dispute's eventual outcome. It can mean the difference between winning and losing. between de minimis damages and a multimillion dollar award. The same dispute can have materially different outcomes in different forums. Because of the importance of forum selection, parties to international contracts often include contractual dispute resolution provisions in their agreements. These provisions significantly reduce the uncertainties inherent in international commercial disputes, and can offer a substantial measure of partisan advantage. as a consequence, it is almost always advisable to include a contractual dispute resolution provision in any international contract. These provisions typically take the form of : (1) forum selection clauses, or (2) arbitration agreements.

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Chronic Lateral Ankle Instability (만성 족관절 외측 불안정증)

  • Jung, Hong-Geun;Park, Jae-Yong;Park, Jong-Tae
    • Journal of Korean Foot and Ankle Society
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    • v.16 no.2
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    • pp.73-78
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    • 2012
  • Severe ankle sprain secondarily leads to chronic lateral ankle instability in 20-30%. Many surgical procedures have been presented for reconstruction of the lateral ankle instability, but controversy still remains for the ideal surgical option. Br$\ddot{o}$strom procedure or its modifications have been widely used but they have some limitations for the instabilities for the over-weight, physically high demanding patients and especially for significantly deficient or attenuated ligaments. Moreover the tenodesis procedures using peroneus brevis tendon are non-anatomical and sacrifice important lateral stabilizing tendon. Therefore recently, many reconstructive procedures for lateral ankle instability utilizing free allograft or autograft tendon have been introduced to anatomically stabilize the lateral ligaments to various degrees.

Management of Displaced Intra-articular Calcaneal Fracture (전위된 관절 내 종골 골절의 치료)

  • Lee, Jun Young;Na, Woong Chae
    • Journal of Korean Foot and Ankle Society
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    • v.19 no.4
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    • pp.137-141
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    • 2015
  • Recently, open reduction and internal fixation has been the treatment of choice for displaced intra-articular calcaneal fractures for many orthopaedic surgeons. However controversy still surrounds the optimal treatment with regard to whether displaced intra-articular calcaneal fractures should be treated operatively or conservatively. Conservative treatments include use of splint, rest, leg elevation, icing, use of analgesics and early mobilization. Operative treatment is open reduction and internal fixation, performed through an extensile lateral approach with interfragmentary screws and application of a neutralization plate. We reviewed the question of whether operative treatment by open reduction and internal fixation provides a benefit compared with conservative treatment for displaced intra-articular calcaneal fractures.

The Treatment of Failed Kidner Procedure for Adolescent Prehallux (A Case Report) (실패한 청소년기 부주상골 절제술의 치료 (1예 보고))

  • Park, Jong-Hoon;Choi, Sun-Jin;Ha, Jung-Min
    • Journal of Korean Foot and Ankle Society
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    • v.11 no.2
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    • pp.244-247
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    • 2007
  • Cause of flexible flat foot is predominantly idiopathic but pediatric flexible flatfoot is typically congenital. Neuromuscular disorders, tarsal coalition and prehallux are possible causes and there has been a controversy for diagnosis and surgical treatment guideline. Therefore we present 11-year old male with prehallux and flexible flat foot who was treated with Kidner procedure and subtalar arthroereisis using Kalix endoprothesis and reported good clinical outcome at 2-years follow up postoperatively.

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Histologic and Cytologic Follow-up in Atypical Squamous Cells of Undetermined Significance(ASCUS) on Cervical Smears (자궁경부도말에서 Atypical Squamous Cells of Undetermined Significance(ASCUS)의 조직학적 및 세포학적인 추적 관찰)

  • Shin, Mi-Kyung
    • The Korean Journal of Cytopathology
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    • v.9 no.1
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    • pp.29-35
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    • 1998
  • In 1988, The Bethesda System for reporting cervical and vaginal cytologic diagnoses was introduced and this was revised in 1991. The new diagnostic category "atypical squamous cells of undetermined significance(ASCUS)" introduced by The Bethesda System is an area of controversy about the diagnostic category, clinical significance and appropriate treatment. A retrospective 2 years and 9 months study(April, 1994-December, 1996) was performed to evaluate the significance of reporting ASCUS on cervical smears. Sixtyseven(1.17%) of 5,730 smears were diagnosed as ASCUS and 21 cases were followed by cervical biopsies and/or endocervical curettages in 4 cases(19%), and repeat cervical smears in 17 cases(81%). Tissue diagnoses were benign in 2 cases and squamous cell carcinoma in situ in 2 cases. Cytologic diagnosis of follow up smear were negative in 14 cases(82.4%) and persistent ASCUS in 3 cases(17.6%).

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Controversy in Rotator Cuff Tear Pathophysiology: Degenerative Tear

  • Kim, Yeong-Gyu
    • The Academic Congress of Korean Shoulder and Elbow Society
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    • 2008.03a
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    • pp.141-146
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    • 2008
  • 퇴행성 변화에 의한 회전근 개 파열은 보통 관절면측에서 파열이 먼저 시작되어 전층 파열로 진행되는 것이 보편적인 반면 점액낭면 파열은 견봉하 충돌 증후군에 의해 주로 발생하지만 충돌 증후군에 의해 관절면 또는 건내 파열도 발생할 수 있다. 따라서 연령에 따른 퇴행성 변화와 더불어 생역학적 기전 등의 내적 요인과 충돌 증후군 또는 외상 등의 외적인 요인이 복합적으로 작용하는 회전근 개 파열은 관절면과 점액낭면에 파열이 공존할 수 있다. 결론적으로 회전근 개 파열은 보통 퇴행성 변화가 가장 기본적인 원인으로 생각되나 하나의 원인을 독립적으로 생각하기 보다는 다양한 원인이 동시에 혹은 단계적으로 작용하여 임상적으로 의미있는 병적인 상태로 진행한다고 보는 것이 타당하리라 생각된다.

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