• Title/Summary/Keyword: Revision period

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The Dome Technique for Managing Massive Anterosuperior Medial Acetabular Bone Loss in Revision Total Hip Arthroplasty: Short-Term Outcomes

  • Tyler J. Humphrey;Colin M. Baker;Paul M. Courtney;Wayne G. Paprosky;Hany S. Bedair;Neil P. Sheth;Christopher M. Melnic
    • Hip & pelvis
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    • v.35 no.2
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    • pp.122-132
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    • 2023
  • Purpose: The dome technique is a technique used in performance of revision total hip arthroplasty (THA) involving intraoperative joining of two porous metal acetabular augments to fill a massive anterosuperior medial acetabular bone defect. While excellent outcomes were achieved using this surgical technique in a series of three cases, short-term results have not been reported. We hypothesized that excellent short-term clinical and patient reported outcomes could be achieved with use of the dome technique. Materials and Methods: A multicenter case series was conducted for evaluation of patients who underwent revision THA using the dome technique for management of Paprosky 3B anterosuperior medial acetabular bone loss from 2013-2019 with a minimum clinical follow-up period of two years. Twelve cases in 12 patients were identified. Baseline demographics, intraoperative variables, surgical outcomes, and patient reported outcomes were acquired. Results: The implant survivorship was 91% with component failure requiring re-revision in only one patient at a mean follow-up period of 36.2 months (range, 24-72 months). Three patients (25.0%) experienced complications, including re-revision for component failure, inter-prosthetic dual-mobility dissociation, and periprosthetic joint infection. Of seven patients who completed the HOOS, JR (hip disability and osteoarthritis outcome score, joint replacement) survey, five patients showed improvement. Conclusion: Excellent outcomes can be achieved using the dome technique for management of massive anterosuperior medial acetabular defects in revision THA with survivorship of 91% at a mean follow-up period of three years. Conduct of future studies will be required in order to evaluate mid- to long-term outcomes for this technique.

A Comparative Study on the Articles between 1982 ISC(Cargo) and 2009 ISC(Cargo) (1982 협회동맹파업약관(적하)와 2009 협회동맹파업약관(적하)의 비교 연구)

  • Kwon, O
    • International Commerce and Information Review
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    • v.12 no.3
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    • pp.335-359
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    • 2010
  • The purpose of this study is to interpret the articles revision of the 2009 ISC(Cargo) compared to the 1982. The result of this study is summarized as followings: 1) the 'clause' attached to article in 1982 ISC(Cargo) was deleted in the revision of 2009 ISC(Cargo). 2) 2009 ISC(Cargo) is characterized as the marine insurance firms' acceptance of new environment change, limitation in causation and subject-matter insured, expansion of insurance period, and limited revision. 3) The assured has a large range of choice in 2009 ISC(Cargo) even though both 1982 ISqCargo) and 2009 ISC(Cargo) would be existed further. 4) There are few studies which have a focus on the impact of the relationship between responsibility of the insurer and opportunity of the assured on rate of premium. In the future, the studies on clauses, relationship among clauses, relationship between clause and rate of premium are needed in the 2009 ICC(Air), 2009 IWC(Air Cargo), 2009 ISC(Air Cargo), 2009 IWC(sending by post) et al.

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Monitoring Management Plan for Changed Region with respect to Revision Periods (변화지역에 대한 갱신주기별 모니터링 운영방안)

  • Han, You Kyung;Yeom, Jun Ho;Kim, Yong Il;Lee, Byoung Kil
    • Journal of the Korean Society of Surveying, Geodesy, Photogrammetry and Cartography
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    • v.31 no.5
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    • pp.401-410
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    • 2013
  • Due to the increasing need for spatial information, there have been a lot of research related with monitoring and revision of changed regions for the acquisition of the accurate and latest information. In this paper, the optimal monitoring management plan for changed regions with respect to the revision periods was proposed. For this purpose, the representative monitoring methods, which are based on database, professional manpower and crowdsourcing of continuous revision, and aerial imagery, satellite imagery and LiDAR of cyclic revision, were investigated. Then, the properties and application status of monitoring systems in Korea were illustrated according to the methods. Finally, the optimal monitoring management plan for continuous and cyclic revisions was suggested through the comparison of properties and revisionable objects of each method. From the result, it was shown to be appropriate for the optimal monitoring management plan of continuous revision as using Internet-Architectural Information System (e-AIS) database cooperated with professional manpower and crowdsourcing, and cyclic revision as using domestic high-resolution satellite images and LiDAR data processed semi-automatically.

Efficient and Low-Cost Metal Revision Techniques for Post Silicon Repair

  • Lee, Sungchul;Shin, Hyunchul
    • JSTS:Journal of Semiconductor Technology and Science
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    • v.14 no.3
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    • pp.322-330
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    • 2014
  • New effective techniques to repair "small" design errors in integrated circuits are presented. As semiconductor chip complexity increases and the design period becomes tight, errors frequently remain in a fabricated chip making revisions required. Full mask revision significantly increases the cost and time-to-market. However, since many "small" errors can be repaired by modifying several connections among the circuit blocks and spare cells, errors can frequently be repaired by revising metal layers. Metal only revision takes significantly less time and involves less cost when compared to full mask revision, since mask revision costs multi-million dollars while metal revision costs tens of thousand dollars. In our research, new techniques are developed to further reduce the number of metal layers to be revised. Specifically, we partition the circuit blocks with higher error probabilities and extend the terminals of the signals crossing the partition boundaries to the preselected metal repair layers. Our partitioning and pin extension to repair layers can significantly improve the repairability by revising only the metal repair layers. Since pin extension may increase delay slightly, this method can be used for non-timing-critical parts of circuits. Experimental results by using academia and industrial circuits show that the revision of the two metal layers can repair many "small" errors at low-cost and with short revision time. On the average, when 11.64% of the spare cell area and 24.72% of the extended pins are added to the original circuits, 83.74% of the single errors (and 72.22% of the double errors) can be corrected by using two metal revision. We also suggest methods to use our repair techniques with normal commercial vender tools.

The History of Transformation of Outdoor Landscape in Apartment Complex - Focused on the Enactment and Revision of laws and Regulations - (아파트 옥외공간의 조경 변천에 관한 연구 - 법규와 법조문의 변화를 중심으로 -)

  • Kim, Dae-Hyun
    • Journal of the Korean Society of Environmental Restoration Technology
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    • v.6 no.2
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    • pp.39-47
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    • 2003
  • This research traces the history of legislative matters regarding the enactment and revision of laws and regulations related to the outdoor landscape in apartment complex. The years before 1976 can be classified as 'a period of darkness' for the landscape in apartment complex due to absence of landscape legislation. From the year of 1977 when the landscape planting and mere necessities were carried out according to the local administration's building standard to the year of 1990 can be classified as 'a period of quickening'. The year of after 1991 when the enactment of the code#32 called "the green space in site" in the "Korea Building Code" and the "Korea Housing Standard & Regulation" was made, and various construction regulations and provisions were revised in order to improve the scantiness of the apartment complex and its environment should be called 'a period of development'.

Dislocation after Revision Total Hip Arthroplasty: A Comparison between Dual Mobility and Conventional Total Hip Arthroplasty

  • Hyun Sik Shin;Dong-Hong, Kim;Hyung Seok Kim;Hyung Seob Ahn;Yeesuk Kim
    • Hip & pelvis
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    • v.35 no.4
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    • pp.233-237
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    • 2023
  • Purpose: The objective of this study was to analyze the results from a cohort of patients who underwent a revision total hip arthroplasty (THA) using a dual mobility cup (DMC) implant. Materials and Methods: A retrospective review of revised THAs was conducted using the database from a single tertiary referral hospital. A total of 91 revision THAs from 91 patients were included in the study. There were 46 male hips and 45 female hips. The mean age was 56.3±14.6 years, and the mean follow-up period was 6.4±5.9 years. In performance of revision THAs, the DMC implants were used in 18 hips (19.8%), and the conventional implants were used in 73 hips (80.2%). Results: During the follow-up period, three dislocations were identified, and the overall dislocation rate was 3.3%. Early dislocation (at one month postoperatively) occurred in one patient, while late dislocation (at a mean of 7.5 years) occurred in two patients. There was no occurrence of dislocation in the DMC group (0%), and three dislocations were detected in the conventional group (4.1%). However, no significant difference in the rate of dislocation was observed between the two groups (P=0.891). Conclusion: Although the rate of dislocation was higher in the conventional group, there were no statistically significant differences between the two groups due to the small number of patients. Nevertheless, we believe that the dual mobility design is advantageous in terms of reducing dislocation rate and can be recommended as an option for a revision THA.

A Study on Period Division According to Overall Revision of 「Security Services Industry Act」 (「경비업법」제·개정에 따른 민간경비의 시대적 구분)

  • Park, Su Hyeon;Kim, Byung Tae;Choi, Dong
    • Korean Security Journal
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    • no.58
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    • pp.195-213
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    • 2019
  • 「Security Services Industry Act」made in 1976 for the purpose of contributing to the good operation of services industry by establishing the requirements for promotion, development and systematic management of services industry has been since 26 times of overall revisions. Period division of private security through overall revision of 「Security Services Industry Act」 can be roughly divided into three periods. The first is a settlement period. It is a period when the present five business areas were completed rom 1976 to 2001. Beginning with facility and escort security in 1996, five types of jobs have been prepared. so far by adding personal protection in 1996, and machine and special security in 2001. The second is a quantitative growth period. It is a period when quantitative development is made on the institutional basis. As various culture, sports and arts events are increasing based on the demand of security services due to an increase in the people's sense of security, quantitative development was made, which additionally influenced the downward trend of capital and the possibility of having two jobs through revisions. The third is a qualitative growth period. From 2013 to the present is a period when quantitative growth has slowed and qualitative growth has been made. After the period of quantitative growth, the growth slowed down. However, by raising the criteria for permission of services industry through creation of a rule for the group civil petition, by raising capital, by institutionally compensating for diverse punishment regulations, by realizing the training hours for new security guards, by permitting private education, etc, the reliability and professionality of a security guard job has been to be recovered.

A Study of Revision of the History Class(900) for the KDC 6th Edition (한국십진분류법 역사(900) 분야 개정에 대한 연구)

  • Kwak, Chul-Wan
    • Journal of the Korean BIBLIA Society for library and Information Science
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    • v.20 no.3
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    • pp.149-161
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    • 2009
  • The purpose of this study is to investigate and analyse the revised contents of the history class in the Korean Decimal Classification(KDC), 5th edition, and then identify problems and propose the revised contents for the KDC, 6the edition. Major analysed areas are divided into four. First, geographic area table is discussed. It includes extension of the geographic area table, emphasis of hierarchical structure in the geographical area, revision of North Korean geographical names, extension of subgeographical structure of major nations in the world, and revision of nations in the central and west Asia. Second, Korean time period is extended. Third, the notes of entries of the Chinese and Japanese history areas are shorten. Fourth, the geographical and personal names are changed their native pronunciation, specially Chinese and Japanese. For the revision of the KDC, 6th edition, four areas are discussed: first, Korean geographic areas would be categorized by broaden area, second, the areas are arranged from the capital of the nation to others, third, foreign geographical names would be used their native names, and last, time period would be categorized by years.

Dual Mobility Cup for Revision of Dislocation of a Hip Prosthesis in a Dog with Chronic Hip Dislocation

  • Jaemin Jeong;Haebeom Lee
    • Journal of Veterinary Clinics
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    • v.39 no.6
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    • pp.390-394
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    • 2022
  • A 6-year-old, 36.5 kg castrated male Golden Retriever presented for revision surgery for left total hip replacement. The patient underwent removal of the cup and head implants due to unmanageable prosthetic hip dislocation, despite revision surgery. On physical examination, the dog showed persistent weight-bearing lameness after exercise of the left hindlimb with mild muscle atrophy. Radiographic examination revealed dorsolateral displacement of the femur with a remnant stem and bony proliferation around the cranial and caudal acetabulum rims. The surgical plan was to apply the dual mobility cup to increase the range of motion and jump distance to correct soft tissue elongation and laxity caused by a prolonged period of craniodorsal dislocation of the femur. The preparation of the acetabulum for cup fixation was performed with a 29-mm reamer, and the 29.5-mm outer shell was fixed with five 2.4-mm cortical screws. The head and medium neck of the dual-mobility system were placed on the cup, and the hip joint was reduced between the neck and stem. The dog exhibited slight weight bearing on a controlled leash walk the day after surgery. The patient was discharged 2 weeks postoperatively without any complications. Six months postoperatively, osseointegration and a well-positioned cup implant were observed, and the dog showed excellent limb function without hip dislocation until 18 months of phone call follow-up.

Outcomes of Take-Back Operations in Breast Reconstruction with Free Lower Abdominal Flaps

  • Yim, Ji Hong;Yun, Jiyoung;Lee, Taik Jong;Kim, Eun Key;Cho, Jonghan;Eom, Jin Sup
    • Archives of Plastic Surgery
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    • v.42 no.6
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    • pp.741-745
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    • 2015
  • Background Microvascular complications after free-flap breast reconstructions are potentially devastating problems that can increase patient morbidity and lead to flap loss. To date, no comprehensive study has examined the rates of salvage and the methods of microvascular revision in breast reconstruction. We reviewed the treatment of microvascular complications of free-flap breast reconstruction procedures over a seven-year period. Methods A retrospective review of all patients who underwent microvascular breast reconstruction at our institution between April 2006 and December 2013 was conducted. Based on their surgical records, all patients who required emergency re-exploration were identified, the rate of flap salvage was determined, the factors associated with flap salvage were evaluated, and the causes and methods of revision were reviewed. Results During the review period, 605 breast reconstruction procedures with a free lower abdominal flap were performed. Seventeen of these flaps were compromised by microvascular complications, and three flaps were lost. The overall salvage rate was 82.35%. No significant differences between the salvaged group and the failed group were observed with regard to age, BMI, axillary dissection, number of anastomotic arteries and veins, recipient vessel types, or use of the superficial inferior epigastric vein in the revision operation. Successful salvage of the flap was associated with a shorter time period between recognizing the signs of flap compromise and the take-back operation. Conclusions The salvage rate of compromised lower abdominal flaps was high enough to warrant attempting re-exploration. Immediate intervention after the onset of flap compromise signs is as important as vigilant postoperative monitoring.