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Limb Salvage Surgery with Tumor Prosthesis for the Malignant Bone Tumors Involving the Proximal Femur (대퇴골 근위부 악성 골종양 환자에서 종양 대치물을 이용한 사지 구제술)

  • Chun, Young Soo;Baek, Jong Hun;Lee, Seung Hyuk;Lee, Chung Hwan;Han, Chung Soo
    • The Journal of the Korean bone and joint tumor society
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    • v.20 no.1
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    • pp.7-13
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    • 2014
  • Purpose: As well as patient survival, the restoration of postoperative function such as ambulation is important in limb salvage operations for treatment of malignant bone tumors involving the proximal femur. The authors analyzed clinical outcomes of limb salvage operations using tumor prostheses for metastatic or primary malignant bone tumors in the proximal femur. Materials and Methods: From February 2005 to January 2014, 20 cases (19 patients) with malignant bone tumor involving the proximal femur with pain or complicated pathologic fracture were treated with segmental resection and limb salvage operations with tumor prostheses. Mean age was 63.1 years (range 35-86). Fourteen patients were male and six ones were female. The mean follow-up period was 20 months (1-94 months). There were 15 cases of metastatic bone tumor, 4 cases of osteosarcoma, and 1 case of multiple myeloma. The primary tumors of the metastatic bone tumors included 4 lung cancers, 3 hepatocellular carcinomas, and 3 renal cell carcinomas. Other primary tumors were breast cancer, thyroid cancer, colon cancer, prostate cancer, and malignant spindle cell tumor, each in 1 case. Modular tumor prostheses were used in all cases; (Kotz's$^{(R)}$ Modular Tumor prosthesis (Howmedica, Rutherford, New Jersey) in 3 cases, MUTARS$^{(R)}$ proximal femur system (Implantcast, Munster, Germany) in 17 cases). Perioperative pain was assessed with Visual Analogue Scales (VAS). Postoperative functional outcome was assessed with Musculoskeletal Tumor Society (MSTS) grading system. Results: Out of 20 cases (19 patients), 11 cases (10 patients) survived at the last follow-up. Average postoperative survival of the 9 deceased patients was 10.1 months (1-38 months). VAS score improved from pre-operative average of 8.40 (5-10) to 1.35 (0-3) after operation. Average postoperative MSTS function score was 19.65 (65.50%, 7-28). The associated complications were 2 local recurrences, 3 hematomas, 3 infections, 2 scrotal swellings, and 1 dislocation. There was no case of periprosthetic fracture or loosening. Conclusion: Limb salvage operation with tumor prosthesis is an appropriate treatment for early pain reduction and functional restoration in malignant bone tumors in the proximal femur with pain an/or complicated pathologic fractures.

HYDROLYTIC DEGRADATION OF POSTERIOR RESIN RESTORATIVE MATERIALS (구치부 레진 수복 재료의 가수분해)

  • Yang, Kuy-Ho;Park, Mi-Ran;Choi, Nam-Ki;Park, Eun-Hae
    • Journal of the korean academy of Pediatric Dentistry
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    • v.28 no.4
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    • pp.673-682
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    • 2001
  • The use of resin composites has continued to increase over the last several years. In spite of their growing popularity, composites continue to exhibit a number of undesirable characteristics. One of the major deficiencies of composite restorative resins is their inadequate resistance to wear. Of the multitude of factors that have been associated with wear, subsurface degradation within the restoration is considered to be one. The aim of this study was to evaluate the resistance to degradation of four commercial composite resins in an alkaline solution. This solution with a high concentration of hydroxyl ions is a convenient medium for accelerated degradation of silane coupling and filler particles. The brands studies were Definite($Degussa-H\ddot{u}ls$ AG, Germany), Prodigy(Kerr, USA), Pyramid(Bisco, USA) and Synergy(Coltene, Swiss). Preweighed discs of each brand were exposed to 0.1N NaOH solution at $60^{\circ}C$. After 14 days they were removed, neutralized with HCl, washed with water and dried. Resistance to degradation was evaluated on the basis of following parameters : (a) mass loss(%)-determined from pre-and post-exposed specimen weights : (b) Si loss(ppm)-obtained from ICP-AE analysis of solution exposed to specimens; and (c) degradation $depth({\mu}m)$-measured microscopically (SEM) from polished circular sections of exposed specimens. The results were follows: 1. Mass loss of Synergy was $1.24{\pm}0.002%$, it was the highest, there was no significant difference among the materials. 2. The degree of degradation layer depth of Synergy was $107.83{\pm}2.52{\mu}m$, it was the highest, there was no significant difference among any other materials than Synergy. 3. There was no difference among the four materials in Si loss. 4. The correlation coefficient between mass loss and degradation depth was relatively high(r=0.06, p<0.05). 5. There was no coefficient correlation between Si loss and mass loss, the degree of degradation layer depth and Si loss. 6. When observed with SEM, destruction of bonding is observed between resin matrix and filler.

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Current Trend of European Competition Damage Actions (유럽 경쟁법상 손해배상 청구제도의 개편 동향과 그 시사점)

  • Lee, Se-In
    • Journal of Legislation Research
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    • no.53
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    • pp.525-551
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    • 2017
  • This Article discusses the current trend of European competition damage actions focused on the recent Damage Directive and its transposition by the United Kingdom and Germany. The relevant Directive was signed into law in November 2014, and it requires the EU Member States to adopt certain measures to support competition damage actions. The required measures and principles by the Directive include right to full compensation, rebuttable presumption of harm, extensive disclosure of evidence, use of pass-on for defense and indirect purchaser suits. Although many Member States did not meet the deadline to transpose the Directive, the end of 2016, it is reported that 23 Member States have now, as of September 2017, made enactments according to the Directive. When we look at the transposition done by the United Kingdom and Germany, the revisions on their competition laws closely follow the contents of the Directive. However, it will take quite a long time before the amended provisions apply to actual cases since most of the new provisions apply to the infringement that take place after the date of the amendment. A similar situation regarding application time may happen in some other Member States. Furthermore, even if the terms of the competition laws of the Member States become similar following the Directive, the interpretations of the laws may differ by the courts of different countries. EU also does not have a tool to coordinate the litigations that are brought in different Member States under the same facts. It is true that the EU made a big step to enhance competition damage actions by enacting Damage Directive. However, it needs to take more time and resources to have settled system of competition private litigation throughout the Member States. Korea has also experienced increase in competition damage actions during the last fifteen years, and there have been some revisions of the relevant fair trade law as well as development of relevant legal principles by court decisions. Although there are some suggestions that Korea should have more enactments similar to the EU Directive, its seems wiser for Korea to take time to observe how EU countries actually operate competition damage actions after they transposed the Directive. Then, it will be able to gain some wisdom to adopt competition action measures that are suitable for Korean legal system and culture.

Study on Plans for the Establishment of Strategy on Climate Change Adaptation in Korea (국가 기후변화 적응 전략 수립 방안에 관한 연구)

  • Kwon, Won-Tae;Baek, Hee-Jeong;Choi, Kyung-Cheol;Chung, Hyo-Sang
    • Atmosphere
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    • v.15 no.4
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    • pp.213-227
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    • 2005
  • The global mean surface temperature has already increased by $0.6{\pm}0.2^{\circ}C$ over the last century, and warming in Korea is approximately twice as large as the global average. The Intergovernmental Panel on Climate Change (IPCC) has concluded that the majority of warming over the past 50 years could be attributed to human activities (IPCC, 2001a). In addition, the global surface temperature is expected to increase by 1.4 to $5.8^{\circ}C$ depending on the greenhouse gas emission scenarios during the $21^{st}$ century.Climate change resulting from increased greenhouse gas concentrations has the potential to harm societies and ecosystems. Reductions in emissions of greenhouse gases and their concentration in the atmosphere will reduce the degree and likelihood of significant adverse conditions due to the anticipated climate change. Mitigation policy has generally been the primary focus of public attention and policy efforts on climate change. However, some degree of climate change is inevitable due to the combination of continued increases in emissions and the inertia of the global climate system. Adaptation actions and strategies are needed for a complementary approach to mitigation. The United Nations Framework Convention on Climate Change (UNFCCC) currently addresses vulnerability and adaptation in the context of climate change negotiations and in future adaptation may be an important element of work under the Kyoto Protocol. There are several on-going programs to develop effective adaptation strategies and their implementation. But in general, many other countries are still on an initiating stage. The climate change science programs of the United States, Japan, England, and Germany are initiated to understand the current status of climate change science and adaptation researches in the developed countries. In this study, we propose the improvement on systems in policy and research aspects to effectively perform the necessary functions for development of nation-wide adaptation measures and their implementation. In policy aspect, the Korean Panel on Climate Change (KPCC) is introduced as a coordinating mechanism between government organizations related with climate change science, impact assessment and adaptation. Also in research aspect, there is a strong consensus on the need for construction of a national network on climate change research as trans-disciplinary research network.

A Study on Various Soil Stiffness Evaluation Methods with Field Test (현장시험을 통한 다양한 지반강성 평가방법에 대한 연구)

  • Yoo, Wan-Kyu;Kim, Byoung-Il;Kim, Ju-Hyong;Park, Keun-Bo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.11 no.4
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    • pp.1373-1380
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    • 2010
  • The plate loading test(PLT) and the field density test are mainly used on the construction of embankments to control the compaction of a limited layer thickness. These two test methods are very time consuming and inefficient, but they are still commonly used as the methods of quality control for soil compaction. In the last 3 decades, many devices such as geogauge, light falling weight deflectometer(LFWD) and dynamic cone penetrometer(DCP) etc., have been introduced into the engineering market with the objective of acquiring in situ stiffness properties of the compacted soil layers. Recently, a new type of sensor, called compactometer, which in mounted on the drum of a roller and measures impact forces continuously with GPS, called as Continuous Compaction Control(CCC), has come into use in many countries such as America, Germany, Japan and so on. The main objective of this paper is to assess the potential use of these new devices as quality control and assurance devices for compacted soil layers. Based on this study, compactometer and the LFWD results werestrongly correlated with the result obtained from the PLT and the field density test.

An Economic Ripple Effect Analysis of Domestic Supercomputing Modeling and Simulation (슈퍼컴퓨팅 모델링 및 시뮬레이션의 산업연관분석 기반 경제적 파급효과 분석)

  • Kim, Myungil;Park, Sung-Uk;Kim, Jaesung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.11
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    • pp.340-347
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    • 2016
  • Since the 1970s, manufacturing has been one of the key driving forces that has led to Korea's economic growth. However, this growth rate has been reduced significantly since the 2000s, and shows that revenues and employment are steadily decreasing. In addition, while manufacturing investment in Korea has dropped sharply, the United States, Germany, Japan, and other major countries have increased investment in manufacturing. These countries have promoted manufacturing innovation strategies that include the convergence of information and communications technologies (ICT) and manufacturing. For manufacturing innovation, it is important for time and cost savings required for product development to be achieved by changes in the production process, especially product design. Modeling and simulation (M&S) is a process that replaces physical product design, mockup making, and testing, with virtual product creation (modeling) and engineering analysis (simulation). In this paper, we analyze the economic ripple effect of supercomputing M&S using an input-output model technique based on the input-output tables published by the Bank of Korea. When we set the M&S budget (about US$16 million for the last 10 years) of the Korea Institute of Science and Technology Information (KISTI) as input coefficients, the effect on production inducement, value-added inducement, and employment inducement was analyzed to be US$24 million, US$13.4 million, and 267, respectively.

Recycling Technologies of Waste Lubricating Oils and Their Promotion Policies in Korea and Foreign Countries (국내외 폐윤활유의 재활용기술 현황 및 재활용 촉진대책 조사분석)

  • Bae, Jae-Heum;Kwon, Sun-Dae
    • Clean Technology
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    • v.12 no.3
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    • pp.113-127
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    • 2006
  • Waste lubricating oil(WLO)s have been recycled as energy source through direct fuel in cement kilns and fossil power plants, or as fuel oils, or re-refined lubricating base oils. In our country, they have been recycled as low grade fuel oil through chemical treatment process. In 2003, extended producer responsibility (EPR) system was adopted from deposit system on sale of lubricating oils in order to promote their recycleing rate. However, our recycling rate of WLOs have been stagnant(below 70%) for last 5 years. And there has been no research work on recycling of WLOs as re-refined base oil until now in this country. Stabilization technology of thermally cracked oils to reduce tar and malodor and to improve their color for production of high grade fuel oil, and a novel process production of high grade re-refined lubricating base oil from WLOs have been developed and commercialized recently in Canada and U.S.A., respectively. Several countries like Australia, Italy, Germany and U.S.A., etc. are encouraging recycling companies to recycle WLOs as re-refined lubricating oil by giving greater subsidies or benefits compared to other recycling methods. They also adopt a policy to purchase re-refined lubricating oil preferentially in the federal or local governments and to recommend consumers to purchase it willingly. Based on the facts that several advanced countries have adopted a policy to recycle WLOs as re-refined base oil for saving of petroleum resource and reduction of environmental pollution, it is right time to be considered that our present policy for recycling of WLOs should be reevaluated and the new policy of their environmental-friendly and sustainable recycling should be established.

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A Critical Review of the Transfer of Presidential Security Work to the Police (대통령경호업무 경찰 이관에 대한 비판적 소고)

  • Jo, Sung-gu
    • Korean Security Journal
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    • no.58
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    • pp.177-194
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    • 2019
  • Last year, the Moon Jae-In administration made an attempt to abolish the presidential security office overseeing the presidential security and to transfer the work to the presidential security service under the National Police Agency. Currently, all of the G7 nations maintain a security system spearheaded by the police, so the policy of transferring the presidential security to the National Police Agency may be discussed. However, it is necessary to focus on the following reality. First, the current presidential security system is consisted of the overlapping security organizations classified into (1) inner ring of the presidential security agency, (2) middle ring of the police agency, and (3) outer ring of the capital defense command. If the presidential security agency is abolished, a vacuum will result as per the principle of class. Second, for the efficient security guard of the President, currently, the presidential security agency at the Presidential Security Safety Measure Committee plays the role of coordinating the tasks. If the National Police Agency becomes the control tower of the presidential security, whether command will be available for the military and diplomatic aspects of the presidential security work should also be considered. Third, Korea is currently in a truce with North Korea, so there is a big difference in terms of the security environment with such G7 nations as the UK, Germany, France, and Japan.

The Formation and Development of the Archival System in the Primorskii Krai of the Russian Federation (러시아 연해변강주(沿海邊疆州)에서의 기록관리업무의 성립과 발전)

  • Cho, Ho-yeon
    • The Korean Journal of Archival Studies
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    • no.12
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    • pp.237-272
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    • 2005
  • This paper aims to research the historical development of the archival systems in the Primorskii Krai of the Russian Federation. The history of the archives in this region might be divided into the three periods. The first period extended from the territorial acquisition of the Far East to 1938, when the international situation reached the crisis. From then to the end of the Second World War the history of the archives of the Primorskii Krai underwent the second period. The third period has ranged from 1945 to the present day. As the imperialistic countries, including England, Germany and Russia, claimed and conquered the lands in China in the last decade of the nineteenth century, the Russian government was forced to produce a lot of records, which resulted in the establishment of the several archival institutions in the Far East region. Although the Soviet government issued "Decree On the Reorganization and Centralization of Archival Affairs in the Russian Socialist Federated Soviet Republic" in 1918, the political turmoils prevented the Primorskii region from constructing the archival system. However, A. P. Georgievskii and his colleagues made desperate efforts to arrange the archival administration. Thanks to their struggles, the Far Eastern Republic, a buffer state, which existed from April 6, 1920 to November 14, 1922, passed the autonomous regulation, which defined the organization of the committee for the archival administration in the Primorskii region. The Primorskii Krai Archive originated from the committee. As the international situation became aggravated in the East Asia, the Soviet government made a decision to evacuate the records from the Far East region to the western Siberian cities like Tomsk, Omsk and Minusinsk. It was on August 1943 that the Central National Archive of the Far East of RSFSR was established in Tomsk. After the end of the Second World War, the main archival institutions of the Primorskii Krai, that is, the Central National Archive of the Far East of RSFSR and the Primoskii Krai Archive have played an important role in the archival administration in this region. The archivists have not only prepared the catalogues, but also proceeded the descriptions of the archival collections. Furthermore, the archival institutions of the Primorskii Krai have published a series of archives and contributed to the development of the archival system in the Far East of the Russian Federation. It might be concluded that the archives of the Primorskii Krai, reaching were the products of the desperate efforts which the archivists of this region made from the 19th century to the present day, regardless of the political changes.

Comprehensive Literature Study on Efficacy of Marine Therapeutic Resources (해양치유자원의 효능관련 기존의 연구문헌 분석)

  • Kim, Choong-Gon;Cho, Hyeon-Jin
    • Journal of The Korean Society of Integrative Medicine
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    • v.10 no.4
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    • pp.121-136
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    • 2022
  • Purpose : Marine therapy is an activity that promotes public health such as constitution improvement, immunity improvement, and anti-aging by utilizing marine therapeutic resources such as seawater, mud, seaweed, salt and sea climate. In Europe developed countries, the marine therapy industry has been developing for centuries, with France, Germany, and Israel leading the way. Currently, it has achieved great industrial achievements and is of great help in improving the human health. The purpose of this study is to investigate how marine therapeutic resources benefit to human health, as well as how to study and utilize their efficacy. We analyzed previous research articles related to the effects of marine therapeutic resources. Methods : The study included a total of 830 published literatures in the last 20 years from the Republic of Korea and other contries. PubMed and Google Scholar were utilized to collect the foreign source while the local scientific publications were accessed through the Korean Education and research Information Service (KERIS) and Korean studies Information Service System (KISS). The keywords used to search foreign literature were "marine therapy", "Thalassotherapy", "seawater", "deep seawater", "saline groundwater", "sand therapy", "mud therapy", "hydrotherapy", "seaweed", "Sun light", "sea salt", "marine animal", and "marine microorganisms" were combined, and for the domestic literature, the keywords were "marine therapy", "marine therapeutic resources", "seawater", and "sand". Results : A total of 830 research papers were found as a result of searching for domestic and international papers related to marine therapeutic resources. The collected documents were classified into 175 seawater resources, 259 marine mineral resources, 41 marine environment, and 355 marine organisms. The efficacy of each marine therapeutic resources was analyzed. By resources type, there were about 213 papers on the efficacy of seaweed, followed by about 175 papers on seawater, 142 on microorganisms, 124 on mud/peat, and sand, salt, minerals and others are appeared in order (Table 1). Conclusion : Korea has the highest marine biodiversity index, excellent tidal flats, four distinct seasons, and various sea environments of the East sea, Yellow sea, South sea and Jeju sea. For this reason, Korea has a much more diverse marine therapeutic resources than other advanced countries in the marine therapy industry. prebiously, we thought that the sea was only valuable as a shipping port and fishery industry. But now, it been shown that the ocean can become a new industrial field which can contribute to human health and well-being by providing healing and therapy to people through the gift of marine resources.