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Clinical and Structural Outcomes of Arthroscopic Intraarticular Knotless Fixation for Upper Subscapularis Tendon Tears: A Preliminary Report

  • Cho, Nam Su;Shim, Hee Seok;Nam, Ju Hyun;Rhee, Yong Girl
    • Clinics in Shoulder and Elbow
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    • v.19 no.3
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    • pp.130-136
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    • 2016
  • Background: A novel technique for the repair of tears of the upper subscapularis tendon-intraarticular knotless fixation-has been introduced recently. The purpose of this study was to evaluate the clinical and structural outcomes of arthroscopic intraarticular knotless fixation for the treatment of upper subscapularis tendon tears. Methods: We retrospectively analyzed the clinical and radiological outcomes of 27 patients who underwent arthroscopic intraarticular knotless fixation for upper subscapularis tendon tears. Finally, a total of 10 patients who could participate in at least a 6 month follow-up of magnetic resonance imaging evaluation and in a least 1-year follow-up on an outpatient basis were enrolled in our study. The mean age at the time of operation was 60.7 years, and the mean duration of follow-up was 14.7 months. Two patients had concomitant tears of the supraspinatus tendon and 8 patients had concomitant tears of the supraspinatus and the infraspinatus tendons. Results: The clinical and radiological outcomes improved after the patients had undertaken arthroscopic intraarticular knotless fixation. The mean visual analogue scale score for pain during motion improved from 6.7 preoperatively to 1.4 at the final follow-up (p<0.001). The mean Constant score improved from 59.3 preoperatively to 79.6 at the final follow-up, and the mean the University of California at Los Angeles score, from 21.7 to 30.2, respectively (p<0.001 and p<0.001). The upper subscapularis tendon tear was healed in every patient except one (90%), for the patient had suffered from a postoperative trauma that resulted in a retear. Conclusions: We found that arthroscopic intraarticular knotless fixation gives good clinical and structural outcomes for the repair of upper subscapularis tendon tears. Arthroscopic intraarticular knotless fixation provided such a reliable and efficient restoration of the subscapularis tendon footprint that we anticipate it will become a widely-used procedure for upper subscapularis tendon tears.

Clinical Results of the Arthroscopic "Multiple Pulled Suture" Technique for Large or Comminuted Bony Bankart Lesion

  • Lee, Byung-Ill;Kim, Byoung-Min;Kho, Duk-Hwan;Kim, Hyeung-June
    • Clinics in Shoulder and Elbow
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    • v.20 no.3
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    • pp.138-146
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    • 2017
  • Background: Arthroscopic fixations for large and comminuted bony Bankart lesions are technically difficult. We developed an arthroscopic multiple pulled suture (MPS) technique to restore large and comminuted bony Bankart lesions. Methods: Ten patients (mean age, 49.8 years; range, 31-79 years) underwent bony Bankart repair using the illustrated MPS technique and were then followed for a mean of 27.3 months. A plain radiograph series and three-dimensional computed tomography scans were taken at the initial clinical evaluation and 3 months postoperatively. Outcome measurements included the American Shoulder and Elbow Surgeons (ASES) score, Rowe score, University of California at Los Angeles (UCLA) score, and subjective patient satisfaction, along with surgical complications. Results: Union of an osseous fragment with the glenoid rim was confirmed in all patients on a computed tomography scan 3 months after operation. The osseous fragment was restored to proper articular congruence and reduction. The affected shoulder was stable in nine of the 10 patients. One patient presented with a redislocation after a sports injury 3 years postoperatively. The ASES, Rowe, and UCLA scores improved at the final evaluation, and median patient satisfaction at the final follow-up was 9 of 10 points (range, 6-10 points). Conclusions: The arthroscopic MPS technique for bony Bankart lesions with large or comminuted osseous fragments was a relatively easy and safe method for stable fixation of the osseous fragment. Therefore, the arthroscopic MPS technique resulted in good restoration of stability with high patient satisfaction and low complication rates.

Resources Evaluation System for Rural Planning Purposes(IV) - Application Study to the Case Areas - (농촌계획지원용 지역자원평가시스템 구축(IV) - 사례지역 적용연구 -)

  • Choi, Soo-Myung;Han, Kyung-Soo;Hwang, Han-Cheol
    • Journal of Korean Society of Rural Planning
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    • v.5 no.1 s.9
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    • pp.26-34
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    • 1999
  • This study, a sub-one of comprehensive research works titled under "Rural Resources Evaluation System", tried to verify utility/applicability of the developed model system through the case study works on 3 sample villages, Backya, Uyan and Suyu, representing the lowland, upland and seashore villages respectively. From the various surveying and collecting works including the official/statistical data collection, map analysis, in-situ investigation, field survey and written material review, the original data set were obtained and manipulated into final input data for resources grading. After then, by the automatized calculation procedure of "Rural Resources Evaluation System", score results for resources evaluation were finally produced with the total maximum score being 1,000. Through comparing works among score results of 3 case villages and between score results and areal characteristics of each case village, the applicability of the system developed in this study was well confirmed.

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Classic Floating Elbow in Adults: A Case Series

  • Cho, Chul-Hyun;Min, Kyung-Keun
    • Clinics in Shoulder and Elbow
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    • v.18 no.1
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    • pp.8-12
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    • 2015
  • Background: The aim of this study was to assess demographics, clinical outcomes, and complications of classic floating elbow in adults. Methods: Six patients with ipsilateral diaphyseal fractures of the humerus, radius, and ulna were reviewed retrospectively. All patients were treated operatively and available for follow-up at a minimum of 1 year after surgery. The average age of the patients was 45.2 years (22-64 years) and the average follow-up period was 37.0 months (14-103 months). They were evaluated with postoperative outcome measures, including a visual analog scale (VAS) for pain, Mayo elbow performance score (MEPS), and American Shoulder and Elbow Surgeons (ASES) shoulder score. Residual complications were also evaluated. Results: Five patients (83.3%) had open fracture, and 4 patients (66.7%) presented with associated nerve injury. All fractures were united within postoperative 4 months, except 1 delayed union. The average VAS pain score, MEPS, and ASES shoulder score at the final follow-up examination was 2.5, 79.8, and 67.5 respectively. Three patients including 2 cases of joint stiffness with incomplete recovery from nerve injury and 1 case of complex regional pain syndrome had poor clinical outcome. Conclusions: Although the classic floating elbow is rare, these injuries potentially have associated problems such as open fracture or nerve injury. The presence of residual neurological symptoms predispose to poorer clinical outcomes.

An Examination of Location Choice for Free Trade Zone in Busan: the Preference Discrimination Score Approach (부산자유무역지역 입지선정 검증 -선호판별점수접근-)

  • Park, Ro-Kyung;Park, Gil-Young
    • Journal of Korea Port Economic Association
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    • v.21 no.3
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    • pp.19-34
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    • 2005
  • The purpose of this paper is to introduce the new way of location choice for free trade zone in Busan area by using Obata and Ishii(2003) model of preference discrimination score. And also, this paper investigates the result of Choi, Bong-ho(200l) that deals with the choice of tariff free area in Busan area. Empirical main results are as follows: First, the North Port(Sinsundae)and the New Busan Port are efficient. Final winer of location choice for free trade zone is the North Port(Sinsundae). Second, the ranking result of this paper for 10 potential sites of free trade zone shows the almost similar to that of Choi, Bong-ho(200l). Policy planner for location choice of free trade zone should introduce the preference discrimination score method by Obata and Ishii(2003), because this method shows the very positive empirical results like questionaire method by expert groups and common people in Busan which should cause the much time and much money.

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A study on a hospital services evaluation method by physician survey (임상전문분야별 의사 설문조사를 통한 병원서비스 평가 방법 연구)

  • Jhang, Won-Gi;Moon, Ok-Ryun
    • Journal of Preventive Medicine and Public Health
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    • v.29 no.4 s.55
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    • pp.815-829
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    • 1996
  • A physician survey was done by mailing for the purpose of performing hospital services evaluation and ranking. A slightly over one thousand samples were drawn from the list of professional societies, and 324 physicians(about 32 percent) replied. This study has focused on developing easy and simple method to evaluate hospital services, and providing patients with useful information. Hospital service structure and process were evaluated without outcome evaluation, because it is difficult to obtain reliable data regarding health services outcome indicators. Clinical specialty was targeted to evaluate, and three specialties were chosen, that is obstetrics & gynecology, cardiology, and proctology. Among 16 structural indicators, four indicators were finally chosen in each specialty by respondent specialists. And then using these indicators, structural score was calculated for study hospitals. For process evaluation, physicians were requested to nominate five most famous hospitals. The nomination score and structural score were summed up to produce final score and hospital ranking. This method is very easy to conduct rather than other hospital services evaluation methods prevailing in Korea. And it is more useful for patients to choose hospitals, according to his/her own purpose, because it gives high ranking hospitals with specific clinical specialty.

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No-Reference Image Quality Assessment based on Quality Awareness Feature and Multi-task Training

  • Lai, Lijing;Chu, Jun;Leng, Lu
    • Journal of Multimedia Information System
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    • v.9 no.2
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    • pp.75-86
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    • 2022
  • The existing image quality assessment (IQA) datasets have a small number of samples. Some methods based on transfer learning or data augmentation cannot make good use of image quality-related features. A No Reference (NR)-IQA method based on multi-task training and quality awareness is proposed. First, single or multiple distortion types and levels are imposed on the original image, and different strategies are used to augment different types of distortion datasets. With the idea of weak supervision, we use the Full Reference (FR)-IQA methods to obtain the pseudo-score label of the generated image. Then, we combine the classification information of the distortion type, level, and the information of the image quality score. The ResNet50 network is trained in the pre-train stage on the augmented dataset to obtain more quality-aware pre-training weights. Finally, the fine-tuning stage training is performed on the target IQA dataset using the quality-aware weights to predicate the final prediction score. Various experiments designed on the synthetic distortions and authentic distortions datasets (LIVE, CSIQ, TID2013, LIVEC, KonIQ-10K) prove that the proposed method can utilize the image quality-related features better than the method using only single-task training. The extracted quality-aware features improve the accuracy of the model.

Modified TRISS: A More Accurate Predictor of In-hospital Mortality of Patients with Blunt Head and Neck Trauma (Modified TRISS: 둔상에 의한 두경부 외상 환자에서 개선된 병원 내 사망률 예측 방법)

  • Kim, Dong Hoon;Park, In Sung
    • Journal of Trauma and Injury
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    • v.18 no.2
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    • pp.141-147
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    • 2005
  • Purpose: Recently, The new Injury Severity Score (NISS) has become a more accurate predictor of mortality than the traditional Injury Severity Score (ISS) in the trauma population. Trauma Score Injury Severity Score (TRISS) method, regarded as the gold standard for mortality prediction in trauma patients, still contains the ISS as an essential factor within its formula. The purpose of this study was to determine whether a simple modification of the TRISS by replacing the ISS with the NISS would improve the prediction of in-hospital mortality in a trauma population with blunt head and neck trauma. Objects and Methods: The study population consisted of 641 patients from a regional emergency medical center in Kyoungsangnam-do. Demographic data, clinical information, the final diagnosis, and the outcome for each patient were collected in a retrospective manner. the ISS, NISS, TRISS, and modified TRISS were calculated for each patients. The discrimination and the calibration of the ISS, NISS, modified TRISS and conventional TRISS models were compared using receiver operator characteristic (ROC) curves, areas under the ROC curve (AUC) and Hosmer-Lemeshow statistics. Results: The AUC of the ISS, NISS, modified TRISS, and conventional TRISS were 0.885, 0.941, 0.971, and 0.918 respectively. Statistical differences were found between the ISS and the NISS (p=0.008) and between the modified TRISS and the conventional TRISS (p=0.009). Hosmer-Lemeshow chi square values were 13.2, 2.3, 50.1, and 13.8, respectively; only the conventional TRISS failed to achieve the level of and an excellent calibration model (p<0.001). Conclusion: The modified TRISS is a more accurate predictor of in-hospital mortality than the conventional TRISS in a trauma population of blunt head and neck trauma.

Relationship between Food Behavior and Level of Attention Deficit Hyperactivity Disorder in Elementary School Students in Suwon-si, Korea (수원시내 일부 초등학생의 식행동과 주의력결핍 과잉행동장애 수준과의 관계 연구)

  • Lee, Hye-Ryun;Kim, Hyung-Sook
    • Journal of the Korean Dietetic Association
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    • v.21 no.2
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    • pp.110-122
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    • 2015
  • The purpose of this study was to investigate the correlation between food behavior and Attention Deficit Hyperactivity Disorder (ADHD) score in elementary students in Suwon-si, Gyeonggi-do. Two hundreds and thirty two students (113 male and 119 female) in grades 4~6 participated. We assessed food behavior by using Nutrition Quotient (NQ). NQ was examined by an NQ questionnaire, which consisted of 19 food behavior checklist items. Their items were grouped into five categories: balance, diversity, moderation, regularity, and practice. All data were statistically analyzed by SPSS 18.0. Among the five factors, NQ for food behavior and balance factor showed the lowest score, whereas that of diversity factor showed the highest score. The final Nutrition Quotient (NQ) score weighted on such five factors was 62.59 points. The average level of ADHD by Conners-Wells Adolescent Self-Report Scale (Short Form) [CASS(S)] was 17.02 points out of a total of 81 points. Six students (2.2%) who scored more than 41 points were classified as ADHD risk. By gender, male students (19.76 points) showed a higher CASS(S) score than female students (14.41 points) did. There was a significant negative correlation between NQ and CASS(S) score (r=-0.445, P<0.001). Multiple regression determined the effects of moderation ($Exp({\beta})=-0.193$, P<0.01) and practice ($Exp({\beta})=-0.345$, P<0.001) on CASS(S) score. In conclusion, distinctive nutritional education is needed for students with a high level of ADHD to help their understanding considering their different levels of attention.

Trend Analysis of Exercise Content on the Rings Final in the 1st Youth Olympic Games

  • Han, Yoon-Soo;Kwon, Oh-Seok
    • Korean Journal of Applied Biomechanics
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    • v.21 no.1
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    • pp.17-24
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    • 2011
  • The Youth Olympic Games(YOG) is an international multi-sport event first held in Singapore from August 14 to August 26, 2010. The idea for such an event was introduced by International Olympic Committee(IOC). The Federation of International Gymnastics(2009) designed the Code of Points and regulates for junior gymnastics at this time. The purpose of this study was to give crucial information and adapt to coaches and junior gymnasts at the time of changing code rapidly. For this study, The eight finalists rings exercise at the 1st Youth Olympic Games was recorded using a digital camcoder. The exercise contents analysis of rings was carried out by an experienced international judge using Code of Points(FIG, 2009). The C elements in various difficulties were performed the highest frequency. The elements group I was the most frequently performed in overall difficulties. Moreover, All the gymnasts performed the elements of the Jonasson and Yamawaki in Group I. Therefore, junior gymnasts need to consider Jonasson and Yamawaki elements correctly in elements group I. The 1st ranked ROU(132) gymnast performed high difficulty value for his routine with the highest E score(9.050). The average of D score were 5.125. In the E scores, 8th USA(140) gymnast received the lowest E score of 8.15, 5th MGL(127) gymnasts received the fewer E score of 8.475. Coaches and junior gymnasts should try to increase D score above 5.125 by higher swing elements in Group I and II as well, decrease deduction of elements in exercise contents.