• Hip & pelvis
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• 제35권2호
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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.

• 통상정보연구
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• 제12권3호
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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.

• 한국측량학회지
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• 제31권5호
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• pp.401-410
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• 2013

최근에 공간정보에 대한 수요가 증가함에 따라, 이에 대한 지속적인 모니터링과 변화지역에 대한 효과적인 갱신을 수행하여 정보의 최신성을 확보하고 보다 정확한 정보를 취득하기 위한 다양한 연구가 진행되고 있다. 이러한 연구의 일환으로, 본 연구에서는 변화지역에 대한 갱신주기별 최적의 모니터링 운영방안을 도출하고자한다. 이를 위해, 갱신주기를 실시간갱신과 주기갱신으로 나누어 각각에 대한 대표적인 모니터링 방법의 특성과 현재 우리나라의 적용현황에 대해 서술하였다. 각 방법에 대한 장단점을 파악하여 실무 적용 가능성을 평가해보았으며, 이를 토대로 최종적으로 실시간갱신과 주기갱신 각각에 대한 최적의 모니터링 운영방안을 도출하였다.

• JSTS:Journal of Semiconductor Technology and Science
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• 제14권3호
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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.

• 한국환경복원기술학회지
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• 제6권2호
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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'.

• Hip & pelvis
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• 제35권4호
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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.

• 시큐리티연구
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• 제58호
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• pp.195-213
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• 2019

경비업의 육성 및 발전과 그 체계적 관리에 관하여 필요한 사항을 정해 경비업의 건전한 운영에 이바지함을 목적으로 1976년에 만들어진 「경비업법」은 법의 제정 이후 「경비업법」이 26차례의 제·개정을 거치면서 현재에 이르고 있다. 「경비업법」의 제·개정을 통한 민간 경비의 시대적 구분은 크게 3가지 시기로 나눠볼 수 있다. 첫 번째 정착기이다. 1976년~2001년까지 지금의 5가지 업무영역이 완성되는 시기이다. 1976년에 시설경비와 호송경비를 시작으로 1996년 신변보호, 2001년에 기계경비와 특수경비업무가 추가되면서 지금의 5가지 업무형태로 갖추게 되었다. 두 번째 성장기(양적)이다. 2002년~2013년까지 제도적인 기반 위에 양적인 발전을 이루는 시기이다. 국민의 안전의식 증가로 안전서비스의 수요를 바탕으로 각종 문화·체육·예술 행사가 증가하면서 양적인 발전이 일어났고, 더불어 개정을 통한 자본금 하양과 겸업의 가능이 영향을 미쳤다. 세 번째 성장기(질적)이다. 2013년~현재까지 양적인 성장이 둔해지고 질적인 성장을 이루는 시기이다. 양적인 성장기 이후에 성장세는 둔화하였지만, 집단민원현장에 대한 규정을 두고, 자본금의 상향으로 경비업 허가기준을 높이고, 각종 처벌규정의 제도적인 보완, 경비원 신임교육시간의 현실화와 개인 교육 허용 등으로 경비원 직업의 신뢰와 전문성을 회복하려고 하였다.

• 한국비블리아학회지
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• 제20권3호
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• pp.149-161
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• 2009

본 연구의 목적은 "한국십진분류법(KDC) 제5판"이 발간됨에 따라 역사(900) 분야에 대한 개정된 내용을 조사 분석하여, "한국십진분류법(KDC) 제6판"의 개정 방향을 제시하는데 있다. 주요 분석 내용은 크게 네 가지로 구분할 수 있다. 첫째, 지역구분에 대한 부분으로 지역구분표의 확장, 지역구분에서 계층구조의 강조, 북한 지역을 행정구역 명칭으로 변경, 외국의 주요 국가에 대해서 세부적인 지역구분, 중앙 및 서남 아시아 국가들의 위치 조정 등이 포함되었다. 둘째, 대한민국의 시대구분을 확장하였다. 셋째, 중국과 일본의 항목 주기를 간소화하였다. 넷째, 용어의 조정으로 중국 및 일본의 지명과 인명을 자국발음으로 변경하였고, 외국 지명에 대해 한국어로 번역하는 것을 지양하고 원음 그대로 적용하였다. 6판의 개정방향으로 한국지역구분에서 계층구조를 적용한 광역단위 전개, 해당 국가의 수도를 중심으로 한 지역전개, 자국에서 사용하는 지명표기, 시대별 연도구분을 제시하였다.

• 한국임상수의학회지
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• 제39권6호
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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.

• Archives of Plastic Surgery
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• 제42권6호
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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.