• 제목/요약/키워드: Controversies

검색결과 319건 처리시간 0.026초

족근 관절 경비 인대 결합 손상 (Ankle Syndesmotic Injury)

  • 곽희철;권용욱
    • 대한족부족관절학회지
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    • 제15권4호
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    • pp.187-194
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    • 2011
  • Ankle injuries may involve the distal tibiofibular syndesmosis and can be associated with a variable degree of trauma to the soft tissue and osseous structures that play an important role in ankle joint stability. Ankle syndesmotic injury may occur solely as a soft tissue injury or in association with variable ankle fractures. Ankle syndesmotic injury does not necessarily lead to ankle instability; however, the coexistence of deltoid ligament injury critically destabilizes the ankle joint. The prevalence of these injuries may be higher than previously reported. The diagnosis of syndesmotic injury as not always easy because isolated ankle sprains may be missed in the absence of a frank diastasis and syndesmotic instability may be unnoticed in the presence of bimalleolar ankle fractures. Controversies arise at almost every phase of treatment includings : type of fixation(screw size, type of implant), number of cortices required for fixation and of need for hardware removal. Regardless of controversies, the most important goal should be restore and maintain the normal tibiofibular relationship to allow for healing of the ligamentous structures of the syndesmosis.

불완전 성대 마비: 논란과 합의 (Vocal Fold Paresis: Controversies and Consensus)

  • 김태욱;손영익
    • 대한후두음성언어의학회지
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    • 제21권1호
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    • pp.27-31
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    • 2010
  • Mild vocal fold hypomobility is a common finding of which clinical significance is incompletely understood. Recently, electrophysiologic investigations have shown that vocal fold hypomobility is a continuum of neurogenic dysfunction ; partial denervation (paresis), complete denervation (paralysis), and variable degrees and patterns of reinnervation. Despite a sound pathophysiological basis for its existence, interest in and acceptance of the diagnosis of vocal fold paresis is relatively recent. Vocal fold paresis may be a relatively common and often overlooked condition that can be difficult to diagnose since laryngoscopy does not reliably distinguish innocent laryngeal asymmetry from hypomobility caused by paresis. Although not entirely free from error, laryngeal electromyography seems to hold more promise as a means of reliable diagnosis than laryngoscopy, and should be employed systematically in the evaluation of suspected paresis. The means to help most patients with paresis already exists in the repertoire of interventions developed to treat paralysis. However, since the vocal fold retains substantial movement, more conservative treatment strategy is recommended as a first line of treatment. The authors reviewed the representative reports of vocal fold paresis and summarized the controversies and consensus regarding the vocal fold paresis.

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사회구성주의의 재검토: 기술사와의 논쟁을 중심으로 (Social Constructivism Revisited Focusing on the Controversies with History of Technology)

  • 송성수
    • 과학기술학연구
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    • 제2권2호
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    • pp.55-89
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    • 2002
  • 이 논문의 목적은 기술사의 관점에서 사회구성주의의 주요 이슈를 검토하고 평가하는 데 있다. 사회구성주의 기술학은 기술변화에 대한 대안적 설명으로서 다양한 비판에 적극적으로 대응하는 가운데 자신의 논지를 발전시켜 왔다. 특히 사회구성주의와 기술사는 $\ulcorner$기술과 문화$\lrcorner$를 통해 서술과 이론에 관한 논쟁, 신뢰성과 퍼포먼스에 관한 논쟁, 자전거 변천과정의 사례에 관한 논쟁을 전개해 왔다. 기술사 연구자의 입장에서 볼 때 사회구성주의는 새로운 전문용어를 남용하고 있고 역사적 자료의 사용이 엄밀하지 못하며 연구 대상에 따른 제약을 충분히 고려하지 않고 있다. 또한 사회구성주의를 한국에 적용하기 위해서는 역사적 자료의 미비, 기술학습의 중요성, 관련사회집단의 특수성 등의 문제에 주의를 기울여야 한다.

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간질 치료에서 뇌파의 임상적 유용성에 관한 논란: 긍정과 부정적 관점에서 (Controversies in Usefulness of EEG for Clinical Decision in Epilepsy: Pros. and Cons.)

  • 박수철
    • Annals of Clinical Neurophysiology
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    • 제9권2호
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    • pp.59-62
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    • 2007
  • Electroencephalogram (EEG) is an indispensable tool for diagnosis of epilepsy and is the only assisting barometer of complete remission of epilepsy, which means prolonged, persistent suppression of cortical excitement in epileptic focus in addition to the clinical control of epileptic seizure. The specific morphologies or distribution of epileptic form discharges give us good information for the classification of seizure or epilepsy and epileptic syndromes, which consists of "Pros." in terms of diagnostic approach. In contrast, the EEG as a tool for long-term follow up might be limited due to the various clinical situation of each patient, which consists of "Cons." in terms of the usefulness of EEG for clinical decision. "Cons." aspect of EEG, which clinicians are more frequently coped with than those of "Pros", is an obstacle of utilization of follow up EEG in clinical practice. This is an overview about controversies in usefulness of EEG and the detailed aspects of "Pros." and "Cons." of EEG for clinical decision will be discussed following two articles. We tried to make consensus for the usefulness of EEG especially in the situation of "Cons." with plausible guideline.

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부분균형분석과 장기균형: 산업완결균형 (Partial Equilibrium Analysis and Long-run Equilibrium: Full Industry Equilibrium)

  • 박만섭
    • 사회경제평론
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    • 제31권3호
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    • pp.131-163
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    • 2018
  • 경제의 장기균형은 경제에 존재하는 모든 기업들이 '초과이윤 = 0'의 조건을 충족하는 상태이다. '다른 모든 변수들이 불변'(ceteris paribus)이라는 가정에 근거한 전통적 부분균형분석은 장기균형과 논리적으로 상충한다. '산업완결균형'(full industry equilibrium)은 전통적인 부분균형분석보다 포괄적인 부분균형의 틀 속에서 개별 산업의 장기균형을 다룬다. 산업완결균형에 대한 비교정태분석은 개별 기업/산업에 대하여 기존의 부분균형분석이 도출하는 결과들이 성립하지 않을 수 있음을 보인다. 본 논문은 산업완결균형의 배경과 의의를 소개한다. 이 과정에서 산업완결균형 분석과 1960-70년대의 자본논쟁이 갖는 유사점과 상이점을 논의하고, 산업완결균형 분석의 비판적 의의와 건설적 의의를 밝힌다.

『머나 먼 대나무 숲』의 논란을 통해서 본 이분법과 기억의 문제 (Binarism, Memories, and Controversies over So Far from the Bamboo Grove)

  • 이석구
    • 영어영문학
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    • 제58권5호
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    • pp.881-901
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    • 2012
  • Since 2006, heated debates have taken place on both sides of the Pacific over the historical accuracy of Yoko Kawashima Watkins's So Far from the Bamboo Grove, the "historical novel" that depicts the author's painful escape from the just-liberated Korean peninsula to Japan. This study re-visits the controversies that fired up not only the whole Korean society but also not a few Americans and the American press. However, unlike most previous Korean studies on this novel, this study mostly focuses on both the responses of Korean feminists and those of Americans and the American press to the issue. This paper argues that the Korean feminists, who criticized their male compatriots for their feverish reaction, have the same problem as their compatriots, that is, the problem of seeing through a binary perspective that drowns or blurs individual differences. A similar framework is found operating in the Boston Globe's articles on the same issue. This study proceeds to discuss the pitfalls of liberalism underlying the American parents' and the American civil organizations' defence of Watkins and analyzes their poor historical awareness. The conclusion of this study is that So Far from the Bamboo Grove, dictated by an ideological prolepsis, erroneously inscribes the Cold War in the geographical space of the pre-Cold-War Korean peninsula and, as a result, symptomatically participates in the United States' anti-Communist world view.

전방십자인대 손상의 치료 원칙 (Treatment Principles of Anterior Cruciate Ligament Injury)

  • 하권익
    • 대한관절경학회지
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    • 제1권1호
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    • pp.36-40
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    • 1997
  • Anterior Cruciate Ligament (ACL) plays an important biomechanical role for the stability of knee joint. ACL injury often leads to injuries of articular cartilage, menisci, or other supporting structures, and subsequent development of degenerative arthritis. Controversies still exist in the best treatment modalities of ACL injuries. hut the author considers it most important to make the appropriate patient selection for operative reconstruction or nonoperative treatment. and describes the treatment principles of ACL injury, including diagnosis, patient selection and the treatment modalities for successful treatment of ACL injury.

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THE BICEPS : TREATMENT AND CONTROVERSIES

  • Rhee Yong Girl
    • 대한견주관절학회:학술대회논문집
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    • 대한견주관절학회 2001년도 학술대회
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    • pp.123-128
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    • 2001
  • in young, active, strenuous patients $\blacksquare$ stabilization for unstable SLAP lesion $\blacksquare$ tenodesis for ruptured biceps tendon above the groove $\blacksquare$ repair for ruptured biceps tendon below the groove $\blacksquare$ relocation for biceps instability in old, inactive patients $\blacksquare$ no need stabilization for unstable SLAP lesion $\blacksquare$ debride/tenotomy for partial ruptured biceps tendon $\blacksquare$ leave alone/trimming of stump for complete ruptured biceps tendon $\blacksquare$ tenodesis/in-site fixation for biceps instability

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뇌실복강단락술 후 발생한 복강 내 가성낭종 (Abdominal Cerebrospinal Pseudocyst: a Complication of Ventriculoperitoneal Shunt in a Child)

  • 부윤정
    • Advances in pediatric surgery
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    • 제16권2호
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    • pp.196-202
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    • 2010
  • Abdominal cerebrospinal fluid pseudocyst is an uncommon complication of ventriculoperitoneal shunt (VPS) performed for hydrocephalus. The incidence of VPS complications in children is higher than in adults. There are controversies and difficulties in the treatment of the abdominal pseudocyst. We report a case of abdominal pseudocyst complicating VPS in a boy. Partial excision of pseudocyst and replacement of the VP shunt were effective during a followup of 18 months postoperatively with no recurrence.

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시엠피(The Connected Mathematics Project)에 대한 고찰 (A Survey of the Connected Mathematics Project)

  • 김해규
    • 한국수학교육학회지시리즈E:수학교육논문집
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    • 제25권1호
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    • pp.119-145
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    • 2011
  • 최근 연구가 진행되고 있는 2009 수학과 교육과정 개발 연구에 시사점을 제공할 목적으로 본 연구에서는 1990년대 이후에 미국에서 추진되고 있는 수학교육 개혁 프로그램 중의 하나인 'The Connected Mathematics Project(이하, CMP)'에 대하여 고찰한다. 연구 내용들은 CMP를 추진하게 된 배경, 1991년에서 1996년 사이에 수행된 CMP(이하, CMP1)에서 개발된 교과서(이하 CMP1 교과서)에 대한 논란, CMP1을 수정 보완하기 위하여 2000년에서 2006년 사이에 수행된 CMP(이하, CMP2)의 교육과정이며, 문헌연구 방법을 통하여 살펴본 결과, CMP2 교육과정에서는 CMP1 교과서에 대해 제기됨 논란을 일부 반영하여, 기본적인 기능 습득을 위한 절차를 도입하고 과다한 수업량과 시수를 감축할 뿐만 아니라 대수를 강조하고 자료 분석 내용들을 강화하였다.