• 제목/요약/키워드: Revision, joint

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턱관절 질환의 한의진료 임상현황조사를 위한 웹기반 설문조사 (A Web-based Survey for Assessment of Korean Medical Treatment Clinical Practice Patterns for Temporomandibular Disorders)

  • 김창은;도호정;송현섭;신재권;이원준;김종호;이근재;윤영석;김노현;서창용;이윤재;김미령;조재흥;권미정;하인혁
    • 한방재활의학과학회지
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    • 제28권1호
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    • pp.73-84
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    • 2018
  • Objectives While Temporomandibular disorders (TMD) is highly prevalent in Korea, studies examining its Korean medical treatment are currently lacking. The aim of this study was to assess current Korean medical treatment practice patterns for TMD. Methods A preliminary questionnaire was developed to investigate current practice patterns of TMD treatment and underwent further revision through external review. The final questionnaire was distributed as a web-based survey to 18,289 potential respondents by email. Results The response rate was 2.23%. Most participants replied that they received multiple Korean medicine interventions for TMD treatment consisting of such methods as acupuncture, chuna manipulation, electroacupuncture. The percentage of treatment services among uncovered services, which need to be covered by national health insurance was high in the order of pharmacopuncture, chuna manipulation, and herbal medicine. The most commonly used diagnostic examination tools for TMD was Physical examination and next was Imaging diagnosis. The frequency of TMD treatment was the highest at 2~3 times per week (76%) and the period was from 4 to 12 weeks (63%). Conclusions This survey study helps determine current practice patterns of TMD, and recognizes the need for use of diagnostic devices in TMD treatment. These results are further anticipated to provide basic data for clinical practice guide lines (CPGs).

탄력성 있는 골수강 내고정물과 회전경첩형 슬관절 전치환물을 조합한 종양인공관절로 자가골의 골 용해를 감소시킬 수 있는가? (Do the Rotating Hinge-Flexible Intramedullary Nail Composites Alleviate Junctional Osteolysis in Megaprothesis Reconstruction for Bone Tumor?)

  • 송원석;조완형;조상현;전대근
    • 대한골관절종양학회지
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    • 제13권2호
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    • pp.96-104
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    • 2007
  • 목적: 슬관절 주위에서 탄력성 있는 골수강 내고정물과 회전경첩 슬관절 전치환물을 이용한 재건술이 종양인공관절과 자가골 경계부위의 골 흡수를 억제할 수 있는지를 35례에서 분석하였다. 대상 및 방법: 재건 술식은 다음과 같다. 1) 종양 절제, 2) 근위부나 원위부의 골수강에 다수의 Ender 정 삽입, 3) Ender 정과 Endo-Link 형 슬관절 전치환물을 강선 과 골 시멘트를 이용하여 결합 결과: 평균 추시기간은 53개월(30~79개월) 이었다. 최종 추시 상 29명의 환자가 가동관절을 유지하였다. 장관골 길이의 40% 이상을 절제한 군에서 종양인공관절과 자가골 경계부위 골질의 비후가 나타났다(p=0.028). 내고정 금속정의 파괴가 8례 있었으며, 조기 및 지연 감염으로 8례의 내고정물을 제거하였다. 본 재건술의 생존율은 6년에 33%였다. Musculoskeletal Tumor Society System 평가 법에 따른 기능적 결과는 26.8(89.3%)였다. 결론: 본 술식의 단-중기적 결과는 양호하였으며 합병증 발생시 재수술이 매우 용이하였다. 본 술식에서 관찰된 종양인공관절-자가골 이행 부위의 골 비후 소견은 추후 더 연구해 볼 문제로 생각된다.

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Age Differences in Signs and Symptoms of Patients with Temporomandibular Disorders

  • Jo, Jung Hwan;Park, Ji Woon;Kim, Ji Rak;Seo, Hyong Duk;Jang, Ji Hee;Chung, Jin Woo
    • Journal of Oral Medicine and Pain
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    • 제40권2호
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    • pp.55-62
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    • 2015
  • Purpose: The aims of this study were to evaluate the differences in subjective symptoms, clinical characteristics, distribution according to Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) subgroup, psychological profile of TMD patients, and to identify the prevalence and trend according to age. Methods: A total of 1,052 patients (261 men and 791 women; mean age, $34.40{\pm}15.73$ years) who visited the Orofacial Pain Clinic of the Department of Oral Medicine, Seoul National University Dental Hospital complaining of TMD symptoms of were evaluated. All patients were questioned for medical history, clinical symptoms and contributing factors. Clinical examination and patient grouping based on RDC/TMD was conducted. Radiographies were taken. The Korean version of RDC/TMD axis II and Symptom Checklist-90-Revision (SCL-90-R) were administered to evaluate pain-related disability level and psychological status of the patients. Results: Prevalence peaked in the 20-year-old age group. There were more women than men in all groups. The highest T-score among SCL-90-R dimensions was somatization in each group, except for teenagers who showed the highest T-score in interpersonal sensitivity. The 30-year-old age group showed the highest distribution of high disability based on the graded chronic pain scale. Age was positively associated with pain intensity (r=0.100), number of positive muscles on palpation (r=0.137) and negatively associated with maximum mouth opening (r=-0.168). Conclusions: Subjective symptoms and clinical characteristics of TMD patients show distinct tendencies according to different age groups. Treatment should be customized and personalized according to age for efficient symptom resolution and patient satisfaction.

국내 주파수 공동사용 활성화를 위한 정책 도입방안 연구 (Study on the Introduction of Spectrum Policy to Revitalize the Domestic Spectrum Sharing)

  • 최주평;이원철
    • 한국전자파학회논문지
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    • 제29권3호
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    • pp.200-213
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    • 2018
  • 본 논문은 미국의 도심형 주파수 공동사용 서비스인 CBRS(Citizens Broadband Radio Service)에 대한 최근의 법제도 개정 추진현황 및 영국의 주파수 공동사용 프레임워크(framework for spectrum sharing)를 기반으로 진행되고 있는 3.8~4.2 GHz 대역에 대한 주파수 공동사용 도입방안에 대해 소개하였다. 이를 통해 다계층 사용자 구조를 갖는 주파수 공동사용 서비스 체계에서의 무선국 면허 부여 방식, 지역적 주파수 할당 방식, 적용가능 서비스 종류에 대한 최근의 논의사항을 살펴보았으며, 향후 국내에서의 주파수 공동사용 도입 시, 관련 산업 활성화를 위해 고려해야 될 것으로 판단되는 공동사용 후보채널 선정방안을 제안하였다. 이와 함께 주파수 공동사용을 위한 무선국 면허제도 도입방안을 비롯하여, 인센티브 경매 도입방안, 주파수 공동사용 적용가능 서비스에 대해 제안하였다.

Coracoclavicular Ligament Suture Augmentation with Anatomical Locking Plate Fixation for Distal Clavicle Fracture

  • Lim, Tae Kang;Shon, Min Soo;Ryu, Hyung Gon;Seo, Jae Sung;Park, Jae Hyun;Ko, Young;Koh, Kyoung-Hwan
    • Clinics in Shoulder and Elbow
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    • 제17권4호
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    • pp.175-180
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    • 2014
  • Background: For Neer type IIB fracture of distal clavicle with coracoclavicular ligament injury, various surgical treatments have been used in literatures. However, there was no consensus on the optimal treatment. The aim of this study is to report the clinical and radiological results of open reduction and internal fixation of unstable distal clavicle fracture and suture augmentation of disrupted coracoclavicular ligament. Methods: A prospective study was performed in 23 patients with Neer type IIB distal clavicle fracture in Seoul Medical Center, Eulji Hospital, and National Medical Center. Firstly, suture anchors are inserted in the base of coracoid process and preliminary reduction was achieved by tie-off of three suture limbs around the clavicle. Then, the final fixation was completed with anatomical locking plate. Bony union and the distance between coracoclavicular ligaments were evaluated. Clinical results and complications including stiffness and secondary procedures were evaluated. Results: Bony union was achieved in all cases except one (22 of 23). At mean 14.9 months, no significant difference in the mean coracoclavicular distance was observed compared to uninjured shoulder ($8.2{\pm}7.9mm$ versus $7.3{\pm}3.4mm$, p=0.14). Pain visual analogue scale, American Shoulder and Elbow Surgeons score, Constant score, and Disabilities of the Arm, Shoulder and Hand score were 0.5, 83.4, 78.5, and 6.2, respectively. Revision surgery was performed in one case of nonunion. Four patients who complained of skin irritation underwent implant removal. Conclusions: In cases of an unstable distal clavicle fracture with coracoclavicular ligament disruption, satisfactory clinical results were obtained by locking plate fixation and coracoclavicular ligament suture augmentation concurrently.

영미목록규칙 제2판의 개정 규칙과 변경사항에 대한 고찰 (A Study on the Second Edition of the Anglo-American Cataloguing Rules)

  • 정용선
    • 한국문헌정보학회지
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    • 제7권
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    • pp.225-259
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    • 1980
  • The second edition of the Anglo-American Cataloguing Rules (AACR 2) was published in December 1978. In 1974 representatives Qf five bodies from Canada, the United Kingdom and the United States established the Joint Steering Committee for Revision of AACR, and set the aims, structure, and content of AACR 2. Although the goal of a single text for Britain and North America was achieved in AACR 2, the American library community expressed concern about cost-effectiveness of adoption of the new code, and consquently the LC implementation plan called for some minor departures from AACR 2. LC's plan to depart from a number of provisions of the new code will cause a continuation of the problems presented by past practices of superimposition. The purpose of this paper is to examine the revisions made in AACR 2 in the hope that it will contribute to efforts of Korean librarians seeking to focus on the major questions requiring discussion and decisions before adoption of AACR 2 by Korean research libraries who have already adopted Anglo-American Cataloging Rules for Western materials. In this paper attempts were made to follow the order of subjects treated in the code, beginning with general revisions, followed by a discussion of each of the parts of the code, the first for bibliographic description and the second for choice and form of access points. The differences between AACR 1 and AACR 2 that will be most significant to cataloguers are compared with examples. Comparative analysis of optional and alternative rules are viewed from a historical background, and their practical applications for the different types of libraries / or materials are discussed. Specifications of the options adapted by the Library of Congress are presented. Adaption of AACR 2 poses continual problems in Korea. It is very important to maintain consistent sets of information consistently presented in the catalogue regardless of its language. The recognition by cataloguers of the urgent need for conformity and campatability of catalogue between Western mateirals and Oriental materials is recommended, if AACR 2 is to be adapted. It would be intolerable for the catalogue users, if different standards of description and headings were to apply in the same catalogue.

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고형연료의 배출특성 연구 (A Study on the Characteristics of Solid-Fuel Combustion)

  • 장기원;허선화;임승영;김대곤;정용원;강대일
    • 한국대기환경학회지
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    • 제33권4호
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    • pp.351-360
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    • 2017
  • In this study, we developed emission factors from solid-fuel fired combustors. In order to increase the reliability of emission factors, we conducted a joint research with the Institute of Health and Environment. As a result, PM average concentration was $8.19mg/m^3$. $SO_2$ and $NO_x$ were respectively 8.46 ppm, 50.64 ppm. Hazardous air pollutants such as Cr, Pb and Hg were detected in trace amounts continuously for 2 years in some solid-fuel fired combustors. The emission factors for the three kinds of PM, $SO_x$, $NO_x$ were developed based on the measurement data. For the PM emission factors, that of SRF was 15.93 g/kg and that of Bio-SRF was 14.18 g/kg. Compared with those of US. EPA, emission factors of this study showed the results of low values. $SO_x$ emission factors were 4.42 g/kg for SRF and 1.39 g/kg for Bio-SRF. $NO_x$ emission factors were 13.21 g/kg and 4.43 g/kg, respectively. Through the results of this study, we would support atmospheric administration policies such as the emission factor notification revision.

일본의 사회과 교과서 분석을 통한 도서관활용수업의 적용 방안에 관한 연구 (A Study for the Application of Library Assisted Instruction(LAI) Through the Analysis of Japanese Social Studies Text-Books)

  • 노진영;변우열;이병기
    • 한국문헌정보학회지
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    • 제42권1호
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    • pp.155-175
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    • 2008
  • 본 연구는 도서관활용수업과 도서관협력수업에 적합한 형태로 구성되어 있는 일본의 중학교 사회과 교과서(중학교의 지리(中學校の地理), 중학교의 역사(中學校の歷史))를 분석함으로써 도서관활용수업에 적합한 교과서 개편 방안을 제시하는데 목적이 있다. 일본의 사회과 교과서를 분석한 결과 우리나라의 교육과정에 해당하는 '신학습지도요령(新學習指導要領)'에 학교도서관 자료의 이용에 관한 사항을 명시하고, 교과서가 다양한 자료를 활용하여 수업을 전개할 수 있도록 구성되어 있어서 교과내용의 전달에 그치지 않고, 학습하는 방법, 자료 활용을 통한 학습을 유도하고 있음을 발견할 수 있었다. 이러한 분석 결과를 바탕으로 도서관활용수업과 도서관협력수업을 학교 현장에 정착시키기 위한 방안을 제도개선의 측면, 교과서 재개발의 측면, 도서관활용수업 교재 개발의 측면으로 구분하여 제시하였다.

심판연구관제도의 도입에 관한 연구 (A Study on the Introduction of the Research Official for the Maritime Accidents Inquiry System)

  • 이철환
    • 해양환경안전학회지
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    • 제8권2호
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    • pp.71-78
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    • 2002
  • For the first Maritime Accident Inquiry System in Korea, Central Marine Accidents Inquiry Committee were founded in Seoul and District Marine Accidents Inquiry Committee in Busan city In 1963 to determine the circumstances of the accidents and causes. At the present day, it was settled as Maritime Safety Tribunal tough several revision of the Law and regulations regarding the Maritime Accident Inquiry System. In Korea, there occurred about m cases of marine accident, and as a result, about 200 people were lost human lives in average per year. In accordance with the change of circumstances such as traffic increasing and being bigger in size, being faster in speed, etc., the causes of the marine accidents become complicated year by year. Accordingly, in this moment, it is meaningful that the introduction of the Research Official who assists the Judges probing the cases fair and square. In this Paper, with the consideration of the several kinds of Research Official System, such as the Research Official of the Korean Supreme Court, the Supreme Public Prosecutors' Office and the Constitutional Court, Japanese Supreme Court, Law Clerk in USA, etc., the selection, numbers, duty of the Research Official were studied. The results of the study are as follows; 1. The Research Official to be appointed among the person having long enough career as a Judge, Investigator engaged in the Maritime Safety Tribunal due to he sho띨d have capability to confirm perfectly logical judgement and to collect enough material for the conclusion of the causes of the case. The one who understands the foreign language is preferred for the study of the foreign cases; 2. It will be logical to post 3 joint Research Officials in Korea Maritime Safety Tribunal in Seoul after due consideration the cases treated a year; 3. It will be logical for the Research Official to perform the collection of material and inspection of the scene for the trial and inquiry of the cases, to attend the cases filed suit to the Supreme Court, to make commentarial papers regarding the judged cases, to collect statistics of marine accidents and to devise a reform measure through in-depth analysis of the accidents frequently occurred, to study for the improvement of the Maritime Accident Inquiry System;

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사이버안보 추진체계의 제도적 개선과제 연구 (A Study on Tasks for the Legal Improvement for the Governance System in Cybersecurity)

  • 박상돈;김인중
    • 융합보안논문지
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    • 제13권4호
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    • pp.3-10
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    • 2013
  • 사이버공격은 단순 범죄의 차원을 넘어 테러의 성격을 보이고 있으며 국가안보를 위협하고 있다. 오늘날 사이버안보 위협 양상은 국가 기밀과 개인정보의 유출 및 확산, 기반시설 제어시스템에 대한 직접적인 공격의 현실화, 정치 사회적 목적을 지닌 핵티비즘 대두 등으로 나타나고 있으며, 한국의 경우는 남북분단에 따른 북한의 위협이라는 특수한 상황이 더해져 있다. 따라서 사이버공격을 국가안보적 측면에서 다루면서 사이버안보 추진체계를 점검하고 문제점을 확인하여 개선해야 한다. 정부는 국가 사이버안보 종합대책을 발표하는 등 노력을 기울이고 있으나 제도적으로 미흡한 점이 있다. 사이버안보 추진체계의 제도적 개선을 위한 과제로는 관계부처 기관 역할의 법적 근거 정비, 국가차원 합동대응 강화, 정보공유 체계 정립 및 활성화, 산업육성 및 인력양성을 통한 기반조성, 연구개발 강화를 통한 방어수단 확보 등이 있다. 이러한 과제를 해결하기 위해서는 관련 법률의 제 개정에 많은 관심을 기울이고 법제도 개선을 실천하여야 한다.