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Treatment of Femoral Neck Fractures in the Elderly: A Survey of the Korean Hip Society Surgeons

  • Hong Seok Kim;Je-Hyun Yoo;Young-Kyun Lee;Jong-Seok Park;Ye-Yeon Won
    • Hip & pelvis
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    • v.35 no.3
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    • pp.157-163
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    • 2023
  • Purpose: This study examined the methods for treatment of femoral neck fracture (FNF) preferred by members of the Korean Hip Society (KHS) and identified factors that influence decisions regarding the surgical intervention of choice. Materials and Methods: A total of 97 members of the KHS responded to the 16-question survey which included questions about the mean number of surgeries performed each month for treatment of femoral neck fractures, the cut-off age for deciding between internal fixation and arthroplasty, the implant used most often, usage of cement, and factors influencing each decision. Results: The mean cut-off age used when deciding between internal fixation and arthroplasty was 64 years old. Hemiarthroplasty (HA) (70%) was the most preferred option for treatment of displaced FNFs in cases where arthroplasty was indicated (total hip arthroplasty [THA] 19% and dual mobility THA 11%). The main reasons for selection of arthroplasty over reduction with internal fixation were age and pre-fracture ambulatory status. Pre-trauma ambulatory status and/or sports activity were the main factors in selection of HA over THA. Cement was used by 33% of responders. Poor bone quality and a broad femoral canal were factors that influenced the usage of cement. Conclusion: Management of FNFs in the elderly is a major health problem worldwide; thus, remaining alert to current trends in treatment is essential for surgeons. The mean cut-off age used in deciding between internal fixation and arthroplasty was 64 years old. HA is the preferred method for treatment of displaced FNFs for members of the KHS.

Crack detection study for hydraulic concrete using PPP-BOTDA

  • Huang, Xiaofei;Yang, Meng;Feng, Longlong;Gu, Hao;Su, Huaizhi;Cui, Xinbo;Cao, Wenhan
    • Smart Structures and Systems
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    • v.20 no.1
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    • pp.75-83
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    • 2017
  • Effectively monitoring the concrete cracks is an urgent question to be solved in the structural safety monitoring while cracks in hydraulic concrete structures are ubiquitous. In this paper, two experiments are designed based on the measuring principle of Pulse-Pre pump Brillouin Optical Time Domain Analysis (PPP-BOTDA) utilizing Brillouin optical fiber sensor to monitor concrete cracks. More specifically, "V" shaped optical fiber sensor is proposed to determine the position of the initial crack and the experiment illustrates that the concrete crack position can be located by the mutation position of optical fiber strain. Further, Brillouin distributed optical fiber sensor and preinstall cracks are set at different angles and loads until the optical fiber is fractured. Through the monitoring data, it can be concluded that the variation law of optical fiber strain can basically reflect the propagation trend of the cracks in hydraulic concrete structures.

Studies on Effects of Ea4-Peptide of Rainbow Trout Pro-IGF-I on Heart Development, Vasculogenesis and Hematopoiesis in Fish Embryos by Transgenesis

  • Chun, Chang-Zoon;Maria J. Chen;Thomas T. Chen
    • Proceedings of the Korean Society of Developmental Biology Conference
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    • 2003.10a
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    • pp.20-21
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    • 2003
  • Insulin-like growth factors (IGFs) are mitogenic peptide hormones that regulate embryonic development, postnatal growth and cellular differentiation in vertebrates IGFs are initially translated as pre-pro-peptides and then proteolytically processed to yield the mature IGFs and E-peptides. Like the C-peptide of pro-insulin, the E-peptides of pro-IGFs are generally believed to possess little or no biological activity other than their potential roles in the biosynthesis of the mature IGFs. Like human IGF-1, previous studies in our laboratory showed that the recombinant trout Ea4-peptide of pro-IGF-1 exhibited a dose-dependent mitegenic activity in cultured BALB/3T3 fibroblasts and other non-oncogenic transformed cells (Tian et al., 1999) We have also shown by in vitro and in vivo studies that Ea4-peptide possessed novel anti-tumor activities (Chen et al., 2002, Kuo and Chen, 2002; Kuo and Chen 2003). Recent results of studies conducted in chorionicallantoic membrane of developing chicken embryos revealed that Ea4-peptide of trout pro-IGF-1 also possesses a dose-dependent antiangiogenic activity. Together these results raised the question whether Ea4-peptide of trout pro-IGF-1 may affect heart and blood vessel development and hematopoiesis in fish embryos. (중략)

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Establishment of Collaborative Decision Making Support Process in Pre-Final Design Step (건축 중간설계단계의 협력 의사결정 지원 프로세스 구축)

  • Oh Seung-Jun;Kwon Won;Kim kyung-Sik;Chun Jae-Youl
    • Proceedings of the Korean Institute Of Construction Engineering and Management
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    • autumn
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    • pp.315-318
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    • 2003
  • In Korea construction project case, architectural construction project is curtailed production because information network process within multidisciplinary isn't smooth. Particularly, the construction is not insufficient about performance, cost and material, construction process, etc. in result various question arises because of design error in construction step. And various mistake is made because communication path within multidisciplinary isn't smooth in architectural design and design change process. Therefore The final object of this study is to propose the establishment method of decision support process for the cooperative design in order to provides improved design coordination and optimize the building system.

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Health Educations strategy for local health Department (보건소의 건강증진사업을 위한 보건교육전략)

  • 남정자
    • Korean Journal of Health Education and Promotion
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    • v.17 no.1
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    • pp.171-184
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    • 2000
  • In present paper, author proposed an effective health education strategy for local health department, which was revised from the PATCH of CDC. The author suggested that an health department should follow several steps to have an effective health promotion programs in their community. First step would be community mobilization that encourage key persons and major organizations and agencies to participate in the program. The second step is collecting demographic and vital statistics in the community or for a target audience as well as social, psychological and behavioral data. Based on the data analysis, the next step is to choose a target audience and health problem(s) for the target audience in question. The fourth step is the development of health education strategy for the target audience and the health problem. The fourth step also includes selecting a proper communication channel and educational materials as well as pre- and post-testing. The final step is implementing health education programs and evaluating the process, outcome and impact of the program. Korean Institute for Health and Social Affairs(KIHASA) has developed a model for health education programs used in local health department. KIHASA can provide technical assistance and health education materials to assist local health departments in Korea.

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Analysis of Elementary Students' Visualization Process of Creative Problem Solving in Science (초등학생들의 창의적 과학 문제 해결 과정에서 나타나는 시각화 활동 분석)

  • Kim, Jisoo;Jang, Shinho
    • Journal of Korean Elementary Science Education
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    • v.36 no.1
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    • pp.73-84
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    • 2017
  • Cultivating creativity is one of the goals in science education. Previous studies report that students use visualization while they solve the creative science problem and it looks helpful to make them think more. For this study three $6^{th}$ grade students were selected in the consideration of pre-test through the qualitative think-aloud method. The results show that even though students have many ideas in planning stage in problem solving, they appeared to visualize familiar and empirical ideas at first. So if teachers want to watch another creative ideas, they tended to give enough time to visualize many ideas. Students drew lines, circles, "X"marks to select or remove information during their problem solving works. They said these marks seem to be useful to understand question. However, removal marks sometimes turn out to block another chance to re-think. Also students did not have a chance to reflect what they did. It means that they lose the chance to do convergent thinking. The implications of this study include the importance of students' visualization works to facilitate their creative ideas and support their problem solving strategies. In this study, we discuss the meaningful messages for teachers who construct science classroom for creativity.

Urban Respectability and the Maleness of (Southeast) Asian Modernity

  • Reid, Anthony
    • Asian review of World Histories
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    • v.2 no.2
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    • pp.147-167
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    • 2014
  • The urban modernity that became an irresistible model for elites in Asia in the decades before and after 1900 was far from being gender-neutral. It represented an exceptional peak of patriarchy in its exclusion of respectable middle class women from the work force, from ownership and control of property and from politics. Marriage was indissoluble and the wife's role in the male-headed nuclear family was to care for and educate the abundant children she produced. Puritan religious values underlined the perils for women of falling outside this pattern of dependence on the male. Though upheld as modern and civilized, this ideal was in particularly striking contrast with the pre-colonial Southeast Asian pattern of economic autonomy and balance between women and men, and the relative ease of female-initiated divorce. Although attractive to many western-educated Southeast Asian men, including religious reformers determined to 'save' and domesticate women, urban respectability of this type was a poor fit for women accustomed to dominant roles in commerce and marketing, and at least equal ones in production. Southeast Asian relative failure in the high colonial era to adapt to the modern market economy may also have a gendered explanation. We should not be surprised that patriarchy and puritanism became more important in Southeast Asia as it urbanized in the late 20th Century, since this was echoing the European experience a century earlier. The question remains how far Southeast Asia could retain its relatively balanced gender pattern in face of its eventual rapid urbanization and commercial development.

Experience of Nurses Participating in Comprehensive Nursing Care (간호·간병통합서비스를 적용한 병동 간호사의 환자간호 경험)

  • Park, Kwang-Ok;Yu, Mi;Kim, Jong-Kyung
    • Journal of Korean Academy of Nursing Administration
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    • v.23 no.1
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    • pp.76-89
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    • 2017
  • Purpose: This study was conducted to examine the experience of nurse in comprehensive nursing care. Methods: Experiential data collected from 9 nurses through in-depth interviews. Participants were selected from nurses working in the comprehensive nursing care unit at general hospital. The main question was "Can you describe your experience in the comprehensive nursing care unit?" All interviews were recorded and transcribed, then analyzed using Colaizzi's method. Results: Nine themes were derived from the analysis: 'Practice nursing care', 'Feel thankful of the client', 'Difficulty in nursing due to absence of patients' guardian', 'Tired of over-demanding patient and distrust of guardian', 'Confusion regarding one's identity as a nurse', 'Not enough to support system', 'Insufficient pre-training for nurse and client', 'Requirement of work establishment for nurse and nurse aid', 'Concerns about low rewards and high safety accidents'. Conclusion: As a comprehensive nursing service, the nurses provided total patient care, and patient satisfaction and expression of appreciation increased. However, disadvantages were identified, such as patients' excessive needs, communication difficulties, lack of support systems, low compensation, and a high number of safety accidents. Therefore, systematic comprehensive nursing will be achieved if these shortcomings are addressed.

A Study on the Epistemological Condition of Modern Architecture in the Matter of Technology - Focused on the contemplation of Heidegger's Existential Phenomenology - (기술(技術)의 본질(本質)에 대한 현대건축(現代建築)의 인식조건(認識條件)에 관한 연구(硏究) - Heidegger의 보존(保存) 현상학적(現象學的) 사유방식(思惟方式)을 중심(中心)으로 -)

  • Byun, Tae-Ho
    • Journal of architectural history
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    • v.11 no.4 s.32
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    • pp.7-19
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    • 2002
  • If we compare socio-cultural aspects of the two historical periods known as 'pre-modern' 'modern,' it would seem that the Aristotelian understanding of technology has difficulty explaining techno-cultural phenomenon of modern society. The problems are first that the discourse of scientific technology in the modern period has proceeded without a metaphysical base, and second that nothing in present culture regulates the limitations of scientific technology. The clear distinction between means and ends in the traditional approach is no longer valid in the jumble of interrelationships. Such complexity forces us to acknowledge that means and ends are relative and interchangeable, and that neither has a clear moral superiority over the other. Technology in modern society is no more a neutral means. The products of science do not always exist to serve human ends. In modem architecture and urban design, both its productive and destructive tendencies leave man and his society in an endless confusion of complexity and opposition. These problems of technology still result in unsolved question today. On this point, the discussion another currently prevalent attitude to technology, especially Heideggerian thinking in the below could give a somewhat clearer answer to the problem of modem architecture and technology, although it also comprises limited contemplation in itself.

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A Study on the Teaching Method of 21C University Education Paradigm (21C 대학교육 패러다임에 적합한 교수법에 관한 연구)

  • Park, Chun-Myoung
    • The Journal of Korean Institute for Practical Engineering Education
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    • v.4 no.1
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    • pp.51-56
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    • 2012
  • This paper present a teaching method of 21C University Education Paradigm after survey the earlier several effective teaching methods. We discuss the efficient pre-teaching, also we propose several teaching methods for really teaching. And we discuss the efficient ending of teaching. They are as following. : lesson configuration, good usage for first time of teaching, pleasant face-to-face talk, teaching techniques check list, question method, caution item when the teaching ending, etc. Also, we propose the method of ending techniques for teaching ending time. The proposed teaching method is the most efficiency in case of using selective the above mentioned several efficient teaching method.

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