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Outcomes of arthroscopic capsulolabral reconstruction for anterior instability with greater than 20% glenoid bone defects: are Latarjet procedures absolutely indicated for these patients?

  • Kim, Sae Hoon;Jung, Whanik;Rhee, Sung-Min;Kim, Ji Un;Oh, Joo Han
    • Clinics in Shoulder and Elbow
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    • v.23 no.2
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    • pp.62-70
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    • 2020
  • Background: Recent studies have reported high rates of recurrence of shoulder instability in patients with glenoid bone defects greater than 20% after capsulolabral reconstruction. The purpose of the present study was to evaluate the failure rate of arthroscopic capsulolabral reconstruction for the treatment of anterior instability in the presence of glenoid bone deficits >20%. Methods: Retrospective analyses were conducted among cases with anterior shoulder instability and glenoid bone defects of >20% that were treated by arthroscopic capsulolabral reconstruction with a minimum 2-year follow-up (30 cases). We included the following variables: age, bone defect size, instability severity index score (ISIS), on-/off-track assessment, incidence recurrent instability, and return to sports. Results: The mean glenoid bone defect size was 25.8%±4.2% (range, 20.4%-37.2%), and 18 cases (60%) had defects of >25%. Bony Bankart lesions were identified in 11 cases (36.7%). Eleven cases (36.7%) had ISIS scores >6 points and 21 cases (70%) had off-track lesions. No cases of recurrent instability were identified over a mean follow-up of 39.9 months (range, 24-86 months), but a sense of subluxation was reported by three patients. Return to sports at the preinjury level was possible in 24 cases (80%), and the average satisfaction rating was 92%. Conclusions: Arthroscopic soft tissue reconstruction was successful for treating anterior shoulder instability among patients with glenoid bone defects >20%, even enabling return to sports. Future studies should focus on determining the range of bone defect sizes that can be successfully managed by soft tissue repair.

Development of an Strategic Model for the Selection of a National IT R&D Strategic Project (국가 IT R&D 전략과제 선정 모형개발)

  • Ryu, Dong-Hyun;Park, Jeong-Yong;Lee, Woo-Jin
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.15 no.3
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    • pp.501-509
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    • 2011
  • In this paper, we offer a new strategic Portfolio Model for national IT R&D project selection in Korea. A risk and return (R-R) Portfolio Model was developed using an objectively quantified index on the two axes of risk and return, in order to select a strategic project and allocate resources in compliance with a national IT R&D strategy. We strategize using the R-R Portfolio Model to solve the non-strategy and subjectivity problems of the existing national R&D project selection Model. We also use the quantified evaluation index of the IT technology road map (TRM) and the technology level Survey (TLS) for the subjectivity of project selection, and try to discover the weights using the analytic hierarchy process (AHP). In addition, we intend to maximize the chance for a successful national IT R&D project, by selecting a strategic Portfolio project and balancing the allocation of resources effectively and objectively.

Proposal and Application of Water Deficit-Duration-Frequency Curve using Threshold Level Method (임계수준 방법을 이용한 물 부족량-지속기간-빈도 곡선의 제안 및 적용)

  • Sung, Jang Hyun;Chung, Eun-Sung
    • Journal of Korea Water Resources Association
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    • v.47 no.11
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    • pp.997-1005
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    • 2014
  • This study evaluated hydrological drought the using the annual minimum flow and the annual maximum deficit method and proposed the new concept of water deficit-duration-frequency curves similar to rainfall intensity-duration-frequency curves. The analysis results of the annual minimum flow, the return periods of hydrological drought in the most duration of 1989 and 1996yr were the longest. The analysis results of the annual maximum deficit, the return periods of 60-days and 90-day deficit which are relatively short duration were the longest in 1995yr, about 35-year, Hydrological drought lasted longer was in 1995, the return period was about 20-year. Though duration as well as magnitude is a key variable in drought analysis, it was found that the method using the annual minimum flow duration not distinguish duration.

Detection Mechanism against Code Re-use Attack in Stack region (스택 영역에서의 코드 재사용 공격 탐지 메커니즘)

  • Kim, Ju-Hyuk;Oh, Soo-Hyun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.5
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    • pp.3121-3131
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    • 2014
  • Vulnerabilities related to memory have been known as major threats to the security of a computer system. Actually, the number of attacks using memory vulnerability has been increased. Accordingly, various memory protection mechanisms have been studied and implemented on operating system while new attack techniques bypassing the protection systems have been developed. Especially, buffer overflow attacks have been developed as Return-Oriented Programing(ROP) and Jump-Oriented Programming(JOP) called Code Re-used attack to bypass the memory protection mechanism. Thus, in this paper, I analyzed code re-use attack techniques emerged recently among attacks related to memory, as well as analyzed various detection mechanisms proposed previously. Based on the results of the analyses, a mechanism that could detect various code re-use attacks on a binary level was proposed. In addition, it was verified through experiments that the proposed mechanism could detect code re-use attacks effectively.

Guaranteed Reserve Projections for the Guaranteed Interest Contract of Collective DC Funds (통합운영 DC의 이율보증 준비금 추정에 관한 연구)

  • Sung, Joo-Ho;Seo, Dong-Won;Lee, Dong-Hwa
    • Journal of the Korea Society for Simulation
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    • v.28 no.3
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    • pp.57-63
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    • 2019
  • This study suggests the level of guaranteed reserves that should be accumulated in order to provide guaranteed interest contracts to pension members. To calculate the guaranteed reserve, this study employs the method using variable insurance contracts with guaranteed interest options. The average return of three major pensions (national pension, private teacher's pension, civil servants pension) funds, from 2010 to 2018, is set as the target rate of return and then we establish 0%, 1.0%, 1.5% and 2.0% each as our minimum guaranteed returns for their respective guaranteed reserves. Our results firstly show that gaps between each guaranteed reserves are increasing as times goes on. Second, the probability of shortfall reserve is on the decrease as the pension fund is mature. Conclusively, a long-term conservative balance between risk and return is one of the best investing strategies in pension funds providing the guaranteed interest.

Impacts of Seasonal Pumping on Stream Depletion (계절양수가 하천건천화에 미치는 영향)

  • Lee, Hyeonju;Koo, Min-Ho;Lim, Jinsil;Yoo, Byung-Ho;Kim, Yongcheol
    • Journal of Soil and Groundwater Environment
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    • v.21 no.1
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    • pp.61-71
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    • 2016
  • Visual MODFLOW was used for quantifying stream-aquifer interactions caused by seasonal groundwater pumping. A hypothetical conceptual model was assumed to represent a stream-aquifer system commonly found in Korea. The model considered a two-layered aquifer with the upper alluvium and the lower bedrock and a stream showing seasonal water level fluctuations. Our results show that seasonal variation of the stream depletion rate (SDR) as well as the groundwater depletion depends on the stream depletion factor (SDF), which is determined by aquifer parameters and the distance from the pumping well to the stream. For pumping wells with large SDF, groundwater was considerably depleted for a long time of years and the streamflow decreased throughout the whole year. The impacts of return flow were also examined by recalculating SDR with an assumed ratio of immediate irrigation return flow to the stream. Return flow over 50% of pumping rate could increase the streamflow during the period of seasonal pumping. The model also showed that SDR was affected by both the conductance between the aquifer and the stream bed and screen depths of the pumping well. Our results can be used for preliminary assessment of water budget analysis aimed to plan an integrated management of water resources in riparian areas threatened by heavy pumping.

A study of Recognition level of Factors for the Successful implementation of the 'Return to Farm and Rural' of the local Government' Policies (군지자체 귀농·귀촌정책의 성공적인 추진을 위한 요인의 중요도 인식 수준)

  • Oh, Sang-young
    • Journal of Digital Convergence
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    • v.17 no.1
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    • pp.37-42
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    • 2019
  • This study investigated the policies of return to farm & rural of the local government 's local communities. Through this, we intend to provide information for the successful establishment of the policies of the local village. The local economy is difficult due to the declining population. Therefore, it is also important as a way to increase the population. It is also important as a way to revitalize agriculture. The results of this study are as follows. The main factors are education, self-sufficiency, adaptation, funding, and consulting. In addition, the importance of these was highest in the self-supporting environment (28%). Followed by adaptation (21%) and funding (20%). Followed by consulting (17%) and education (15%). We can conclude that the factors that show a somewhat lower proportion are less important, but we can also conclude that the importance of the factors is high due to the high maturity of the factors. The importance analysis used AHP technique. The results of this study can be a guide for government policy.

Effects of glenohumeral corticosteroid injection on stiffness following arthroscopic rotator cuff repair: a prospective, multicentric, case-control study with 18-month follow-up

  • Amyn M. Rajani;Urvil A Shah;Anmol RS Mittal;Sheetal Gupta;Rajesh Garg;Alisha A. Rajani;Gautam Shetty;Meenakshi Punamiya;Richa Singhal
    • Clinics in Shoulder and Elbow
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    • v.26 no.1
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    • pp.64-70
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    • 2023
  • Background: This study aimed to analyze the efficacy of single-dose corticosteroid injection (CSI) administered at 6 weeks postoperative to treat stiffness following arthroscopic rotator cuff repair (ARCR). Methods: In this prospective, multicentric, case-control study, post-ARCR stiffness at 6 weeks was treated with either a single dose of intra-articular CSI (CSI group) or physical therapy with oral analgesics (non-CSI group). Pain intensity according to visual analog scale (VAS), functional outcome using the Constant Murley Shoulder Score, time to return to activities of daily living (ADLs), and retear rate were recorded at 6 weeks, 9 weeks, 12 weeks, 6 months, 12 months, and 18 months postoperatively in both groups. Results: A total of 149 patients (54.5%) in the CSI group and 124 patients (45.5%) in the non-CSI group were included in this study. Pain and function were significantly better in the CSI group at 9-week, 12-week, and 6-month (P<0.001) follow-up, whereas they were not significantly different when the groups were compared at 12- and 18-month follow-up. The mean duration to return to ADLs was significantly shorter (P<0.001) in the CSI group. The incidence of retears was not significantly different (P=0.36) between groups at the end of 18 months of follow-up. Conclusions: Single-dose intra-articular CSI administered at 6 weeks postoperative to treat post-ARCR stiffness significantly improved pain, function, and duration of return to ADLs without increasing the risk of retears compared to patients who did not receive intra-articular CSI. Level of evidence: III.

Return to Sports Activity After Anterior Cruciate Ligament Reconstruction (전방십자인대 재건술 후 스포츠 활동 복귀)

  • Park, Jong-Hyuk;Lee, Jun-Mo;Bae, Hyun-Kyung;Im, Jong-Han;Lee, Ju-Hong
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.8 no.2
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    • pp.95-101
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    • 2009
  • Purpose: The purpose of this study was to determine how many of our patients who had had anterior cruciate ligament (ACL) reconstruction returned to their previous levels of sports and to identify why not doing so. Material and Methods: We evaluated 43 knees with a minimum of two years follow-up among whom undergoing 109 ACL reconstruction from September 2003. The mean age of patients was 26 years (17 to 45 years) Clinical results was evaluated according to the Lysholm Knee scores, Tegner activity score, subjective IKDC questionnaires, objective IKDC evaluation form and KT-1000 arthrometer. Results: The overall clinical results demonstrated significant improvement at the final follow-up comparing to preoperative data (P<0.05). Among 43 patients, 25 patients (58%) returned to their previous level of sports and 18 patients (42%) did not. Of whom, 11 patients (61%) were not able to return to sports due to fear to re-injury and 7 patients (39%) suffered from instability and pain. The differences in the Lysholm Scores, KT-1000 arthrometer and subjective IKDC in the 3 groups of patients by ANOVA test were found to be statistically significant (P<0.001). Although there is no difference in objective IKDC and KT-1000 arthrometer, the difference was observed in Tegner activities, subjective IKDC obtained by those who returned to sport and those who had fear to reinjury (P<0.001). Conclusion: This study showed that a quater of patients could not return to their previous level of sport after ACL reconstruction because of fear to reinjury. We thought that not only improving the technique of ACL reconstruction and systemic rehabilitation but also considering psychological factor of patients could allow more patients to return to the previous level of sports.

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Three-level Skip-lot sampling plan split by two stages (2단으로 분할된 3단계 스킵-로트 샘플링 검사계획)

  • 최병철;이은주
    • The Korean Journal of Applied Statistics
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    • v.8 no.2
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    • pp.55-64
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    • 1995
  • Three-level Skip-lot sampling plan split by two stages (Split2-SkSP0 is proposed by modifying multi-level skip-lot sampling plan proposed by Choi(1993), which has normal and terrace inspections on the first and the second stages, respectively. The plan is designed to work more higher level inspections when the quality of the submitted products are good, otherwise, return to the normal or the terrace inspection as fast as possible. Also, the formula of the operating characteristic function for the split skip-lot sampling plan is derived using the Markov chain approach. Also, operating characteristic properties of the proposed plans are studied and graphically compared with those of the multi-level skip-lot sampling plans.

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