• Journal of Korean Neurosurgical Society
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• 제63권6호
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• pp.794-805
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• 2020

Objective : Teriparatide is known as an effective anabolic agent not only for severe osteoporosis but also for bone healing and union. We explored the possibility of teriparatide as an alternative treatment option for osteoporotic thoracolumbar (TL) burst fracture. Methods : This retrospective study enrolled 35 female patients with mean age of 73.77±6.71 years (61-88) diagnosed as osteoporotic TL burst fracture with ≥4 of thoracolumbar injury classification and severity (TLICS) score and no neurological deficits. All patients were treated by teriparatide only (12 of group A), teriparatide plus vertebroplasty (12 of group B), or surgical fixation with fusion (11 of group C), and followed up for 12 months. Radiological outcomes were evaluated using radiological parameters including kyphotic angle (KA), segmental vertebral kyphotic angle (SVKA), compression ratio (CR), and vertebral body height (anterior [AH], middle [MH], posterior [PH]). Functional outcomes were evaluated using visual analog scale (VAS) and Macnab classification (MC). Results : There were no statistical significant differences in age, bone mineral density (-3.36±0.73), and TLICS score (4.34±0.48) among the three groups (p>0.05). Teriparatide was administered during 8.63±2.32 months in group A and B. In 12-month radiological outcomes, there were significant restoration in SVKA, CR, AH, and MH of group B and KA, SVKA, CR, AH, and MH of group C compared to group A with no radiological changes (p<0.05). All groups showed similar significant improvements in 12-month functional outcomes, although group B and C showed a better 1-month VAS, 1-month MC, 3-month MC compared to group A (p<0.05). Conclusion : Non-surgical treatment with teriparatide showed similar 12-month functional outcomes compared to surgical fixation with fusion. The additional vertebroplasty to teriparatide and surgical fixation with fusion were more helpful to improve short-term functional outcomes with structural restoration compared to teriparatide only.

• 자원ㆍ환경경제연구
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• 제19권4호
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• pp.875-896
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• 2010

본 논문은 DID(Difference in Differences) 추정모형을 이용하여 유럽공동체 25개 회원국에 대해 2005년~2007년간 1단계 시행이 완료된 바 있는 배출권거래제도가 참여 국가들의 이산화탄소 배출량을 감소시키는 효과가 있었는지를 분석하였다. 이를 위해 이러한 배출권거래제 1단계 시행이 적용되지 않았던 17개국을 포함한 유럽 대륙 42개국에 대한 1990년~2007년까지의 패널자료를 구축하였다. 추정결과를 도출함에 있어서 계열 상관이 존재하는 경우 DID 추정에서 발생할 수 있는 통상적 표준오차의 편차 문제를 고려하여 두 가지의 강건한 표준오차 값들을 추가적으로 계산하여 제시하였다. 그 결과 배출권거래제의 시행이 이산화탄소 배출량을 감소시키는 효과가 표준오차의 계산방법에 무관하게 상당히 일관되고 강건하게 나타나는 것으로 분석되었다. 아울러 잠재에너지세율의 증가 역시 일관되게 일인당 이산화탄소 배출량을 감소시키는 효과가 있는 것으로 나타났다. 반면에 일인당 GDP나 인구밀도 등이 일인당 이산화탄소 배출량에 미치는 영향은 표준오차의 계산방법에 따라 일관되지 못한 결과를 나타내었다. 특히 환경쿠즈네츠가설은 강건한 표준오차를 사용하는 경우 통계적으로 뒷받침되지 못하였다.

• 대한족부족관절학회지
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• 제7권2호
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• pp.151-156
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• 2003

Purpose: Proximal crescentic metatarsal osteotomy(PMO) is one of the most common procedures for correcting moderate to severe degree hallux valgus deformity. Although screw fixation is used for osteotomy site stability, loss of reduction can occur. The purpose of this study is to compare the sagittal plane stability of the conventional crescentic PMO fixed with a single screw with that of the crescentic PMO fixed with 1 screw and 2 supplemental K -wires. Material and Methods: Ten matched pairs of cadaveric foot specimens were used for the proximal crescentic metatarsal osteotomy. For one foot specimen of each pair, crescentic osteotomy was fixed with 4mm long threaded cannulated screw, while the matched pair was prepared by adding two axial 1.6mm K-wires to the conventionally fixed 4mm screw. The extensometer was used to measure the osteotomy gap as the metatarsal head was loaded continuously until failure using a servohydraulic MTS Mini Bionix test frame. The strength of fixation was normalized with the bone mineral density (BMD) of the paired specimen $(N{\times}cm^{2}/gm)$, Result: The average strength of the crescentic PMO with axial K-wire fixation ($458.8cm^{2}/gm$, S.D. 434.3) was significantly higher than the standard crescentic PMO ($367.5cm^{2}/gm$, S.D. 397,9) (p=0.05). Conclusion: Supplemental fixation with two axial K-wires can be added to the crescentic PMO to enhance the initial fixation stability to prevent the loss of reduction or dorsal malunion.

• Structural Engineering and Mechanics
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• 제62권4호
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• pp.507-517
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• 2017

Due to the discontinuous nature of uncertainty quantification in conventional evidence theory(ET), the computational cost of reliability analysis based on ET model is very high. A novel ET model based on fuzzy distribution and the corresponding combination rule to synthesize the judgments of experts are put forward in this paper. The intersection and union of membership functions are defined as belief and plausible membership function respectively, and the Murfhy's average combination rule is adopted to combine the basic probability assignment for focal elements. Then the combined membership functions are transformed to the equivalent probability density function by a normalizing factor. Finally, a reliability analysis procedure for structures with the mixture of epistemic and aleatory uncertainties is presented, in which the equivalent normalization method is adopted to solve the upper and lower bound of reliability. The effectiveness of the procedure is demonstrated by a numerical example and an engineering example. The results also show that the reliability interval calculated by the suggested method is almost identical to that solved by conventional method. Moreover, the results indicate that the computational cost of the suggested procedure is much less than that of conventional method. The suggested ET model provides a new way to flexibly represent epistemic uncertainty, and provides an efficiency method to estimate the reliability of structures with the mixture of epistemic and aleatory uncertainties.

• Hip & pelvis
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• 제30권4호
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• pp.269-275
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• 2018

Purpose: The purpose of this study is to describe a method of inserting cement in the femoral head before fixation with dynamic hip screw to prevent screw cut out due to osteoporosis and to evaluate its clinical outcome in these patients. Materials and Methods: In this prospective study, 30 patients aged 60 years and older with intertrochanteric fracture were included. Bone mineral density was measured. After reaming of the femoral head and neck with a triple reamer and polymethyl methacrylate, bone cement was introduced into the femoral head using a customized nozzle and a barrel fitted on a cement gun. A Richard screw was inserted and the plate was fixed over the femoral shaft. Patients were mobilized and clinical outcomes were rated using the Salvati and Wilson's scoring system. Results: More patients included in this study were between 66 and 70 years old than any other age group. The most common fracture according to the Orthopaedic Trauma Association classification was type 31A2.2 (46.7%). The T-score was found to be $-2.506{\pm}0.22$ (mean${\pm}$standard deviation); all patients were within the range of -2.0 to -2.8. The duration of radiological union was $13.67{\pm}1.77$ weeks. Salvati and Wilson's scoring at 12 months of follow up was $30.96{\pm}4.97$. The majority of patients were able to perform their normal routine activities; none experienced implant failure or screw cut out. Conclusion: Bone cement augmentation may effectively prevent osteoporosis-related hardware complications like screw cut out in elderly patients experiencing intertrochanteric fractures.

• 한국주거학회논문집
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• 제16권3호
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• pp.101-107
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• 2005

The reason that compulsory removals of a low-quality housing redevelopment such as involuntary or unintentional migration present a problem for urban communities is that whether involuntary movers adapt themselves to their new home has an influence on the urban communities that surround them. Moreover, involuntary emigrants have higher probability of choosing faulty residential areas than voluntary emigrants do. This gives rise to a problem of another residential migration for involuntary movers. In order to solve these problems, there is a need for a new housing policy that enables original residents to come back to their old community. However studies for resettlement had not conducted subjects about housing redevelopment characteristics which influences the involuntary movers directly. Instead personal microscopic characteristics such as statistics of resettlement, the moving distance, the reason of moving, improvement of living environment, had been main subjects of farmer studies. So the purpose of this study is to analyze an analysis of the relationship between resettlement and housing redevelopment characteristics. The data used in this study was obtained at 47 areas designated by Seoul (metropolis) since 1990 for redevelopment. Cluster Analysis Is used for dividing high rate of resettlement with low rate of resettlement and Regression Analysis is used for the analysis of the relationship between resettlement and housing redevelopment characteristics. The results of examining the effects of a redeveloped housing complex on returning residents at 47 areas designated by Seoul (metropolis) since 1990 fur redevelopment are as follows: First, A housing complex with a high returning rate (remove-in rate?) has no state/public land, unauthorized building owners who are in the low-income brackets, and few interested parties such as union members. This is the characteristic of a redeveloped housing complex with a short-period project span. On the contrary, a housing complex that has a low returning rate is crowded by state/public land, and numerous unauthorized building owners, and interested parties. Second, According to the linear regression analysis, among the factors that affect returning residents, 'physical properties(characteristics) of a region', 'population properties within a region', and 'properties of a project span' indicate a negative(-)influence whereas 'properties of a complex density' shows a positive(+) influence. In a nutshell, the more the physical properties, population properties, projectspan properties, the lower the returning rate and the more the complex density properties, the higher the returning rate. In detail, an area with many small land and new/large buildings, a high population, and a long project duration has a low returning rate of original residents while an area holding large capacity and buildings with many number of floors (multiple-storied building) has a high returning rate.

• 사회복지연구
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• 제36호
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• pp.55-80
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• 2008

이 연구는 기혼여성의 경제적 의존 수준을 국가 비교를 통해 분석함으로써, 그동안 많은 복지국가 및 소득불평등 연구에서 간과해 온 가족 내(within a family) 불균등한 권력관계를 검토하였다. 기혼여성의 경제적 의존은 가구 내에서, 그리고 전체 사회 내에서 여성들이 열악한 지위에 놓여 있게 하는 원인으로 작용한다. 가족 내 부부의 소득의 비중을 이용한 Sørensen & McLanahan(1987)의 의존 지수(Dependency Index)를 OECD 16개 국가에 대해 도출하였다. 분석 자료는 가구 내 남편과 부인 각각의 소득에 관한 정보를 제공하는 룩셈부르크 소득조사(LIS) Wave V(2000년 전후 시점)이다. 이 지수는 노동시장 참여여부, 노동시간, 임금수준을 종합적으로 고려하였다. 의존 지수는 배우자 중 한 명이 노동시장에 참여하지 않는 경우를 포함한 모든 부부를 대상으로 했을 때와 맞벌이 부부만을 포함했을 때로 구분하여 도출하였다. 분석 결과, 모든 부부를 대상으로 했을 때 의존 지수값은 스칸디나비아 국가들이 가장 낮게 나타났다. 이는 이들 국가의 높은 경제활동 참가율에 기인한다고 할 수 있다. 7세 미만 자녀가 있을 경우 기혼여성의 경제적 의존 상황은 더욱 악화되는데, 국가마다 상당한 정도의 차이가 존재하는 것으로 나타났다. 맞벌이 부부를 대상으로 한 의존 지수값의 경우, 앞의 결과와 비교하여 대부분의 국가에서 의존 지수값이 작아졌고 국가 간 편차가 다소 줄어들었다. 여성 파트타임 고용률이 높은 국가들의 경우, 여전히 의존 수준이 높게 나타나 기혼여성의 노동시장 참여가 반드시 맞벌이 가구에서의 경제적 권력관계를 변화시키는 것은 아님을 보여주었다. 마지막으로, 기혼여성의 경제적 독립수준이 높아지는데 필요한 정치 경제 제도적 조건에 대한 분석을 실시하였다. Ragin(2000)의 퍼지셋 질적비교분석(FSQCA)방법을 사용하여 필요충분조건 분석을 실시한 결과, 강력한 노동운동의 영향력, 높은 수준의 공공 부문 고용창출, 관대한 가족지원 조건이 기혼여성의 경제적 독립성에 필요한 조건임이 검증되었다.

• Journal of Korean Neurosurgical Society
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• 제48권5호
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• pp.412-418
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• 2010

Objective : To evaluate the clinical and radiological outcomes of lumbar interbody fusion and its correlation with various factors (e.g., age, comorbidities, fusion level, bone quality) in patients over and under 65 years of age who underwent lumbar fusion surgery for degenerative lumbar disease. Methods : One-hundred-thirty-three patients with lumbar degenerative disease underwent lumbar fusion surgery between June 2006 and June 2007 and were followed for more than one year. Forty-eight (361%) were older than 65 years of age (group A) and 85 (63.9%) were under 65 years of age (group B). Diagnosis, comorbidities, length of hospital stay, and perioperative complications were recorded. The analysis of clinical outcomes was based on the visual analogue scale (VAS). Radiological results were evaluated using plain radiographs. Clinical outcomes, radiological outcomes, length of hospital stay, and complication rates were analyzed in relation to lumbar fusion level, the number of comorbidities, bone mineral density (BMD), and age. Results : The mean age of the patients was 61.2 years (range, 33-86 years) and the mean BMD was -2.2 (range, -4.8 to -2.8). The mean length of hospital stay was 15.0 days (range, 5-60 days) and the mean follow-up was 23.0 months (range, 18-30 months). Eighty-five (64.0%) patients had more than one preoperative comorbidities. Perioperative complications occurred in 27 of 133 patients (20.3%). The incidence of overall complication was 22.9% in group A, and 18.8% in group B but there was no statistical difference between the two groups. The mean VAS scores for the back and leg were significantly decreased in both groups (p < 0.05), and bony fusion was achieved in 125 of 133 patients (94.0%). There was no significant difference in bony union rates between groups A and B (91.7% in group A vs. 95.3% in group B, p = 0.398). In group A. perioperative complications were more common with the increase in fusion level (p = 0.027). Perioperative complications in both groups A (p = 0.035) and B (p = 0.044) increased with an increasing number of comorbidities. Conclusion : Elderly patients with comorbidities are at a high risk for complications and adverse outcomes after lumbar spine surgery. In our study, clinical outcomes, fusion rates, and perioperative complication rates in older patients were comparable with those in younger populations. The number of comorbidities and the extent of fusion level were significant factors in predicting the occurrence of postoperative complications. However, proper perioperative general supportive care with a thorough fusion strategy during the operation could improve the overall postoperative outcomes in lumbar fusion surgery for elderly patients.

• Journal of Korean Neurosurgical Society
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• 제59권4호
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• pp.363-367
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• 2016

Objective : To compare the fusion rate of a hydroxyapatite demineralized bone matrix (DBM) with post-laminectomy acquired autograft in lumbar interbody fusion surgery and to evaluate the correlation between fusion rate and clinical outcome. Methods : From January 2013 to April 2014, 98 patients underwent lumbar interbody fusion surgery with hydroxyapatite DBM (HA-DBM group) in our institute. Of those patients, 65 received complete CT scans for 12 months postoperatively in order to evaluate fusion status. For comparison with autograft, we selected another 65 patients who underwent lumbar interbody fusion surgery with post-laminectomy acquired autograft (Autograft group) during the same period. Both fusion material groups were matched in terms of age, sex, body mass index (BMI), and bone mineral density (BMD). To evaluate the clinical outcomes, we analyzed the results of visual analogue scale (VAS), Oswestry Disability Index (ODI), and Short Form Health Survey (SF-36). Results : We reviewed the CT scans of 149 fusion levels in 130 patients (HA-DBM group, 75 levels/65 patients; Autograft group, 74 levels/65 patients). Age, sex, BMI, and BMD were not significantly different between the groups (p=0.528, p=0.848, p=0.527, and p=0.610, respectively). The HA-DBM group showed 39 of 75 fused levels (52%), and the Autograft group showed 46 of 74 fused levels (62.2%). This difference was not statistically significant (p=0.21). In the HA-DBM group, older age and low BMD were significantly associated with non-fusion (61.24 vs. 66.68, p=0.027; -1.63 vs. -2.29, p=0.015, respectively). VAS and ODI showed significant improvement after surgery when fusion was successfully achieved in both groups (p=0.004, p=0.002, HA-DBM group; p=0.012, p=0.03, Autograft group). Conclusion : The fusion rates of the hydroxyapatite DBM and Autograft groups were not significantly different. In addition, clinical outcomes were similar between the groups. However, older age and low BMD are risk factors that might induce non-union after surgery with hydroxyapatite DBM.

• 한국작물학회:학술대회논문집
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• 한국작물학회 2022년도 추계학술대회
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• pp.90-90
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• 2022

Nicaragua is located in Central America, climatic conditions are considered tropical dry forest. Statistics reflex that in Nicaragua exits 24,000 rice farmers. National rice production only covers 73% of the national consumption. It exists two sowing system: irrigation and rainfed. Varieties used in both systems are mid-late maturity (120-135 days), there are 14 released varieties for irrigation, eight for rainfed, and eight landraces used in rainfed. The current breeding system (introduction of lines from Colombia) has increased the national production, however, has some limitation due to the lack of enough variability, reducing the proability of finding good genotypes and therefore the possibility of satisfying 100% of the demand. The purpose of this study was to analyze the problems that must be resolved in the short and long term to improve rice productivity in Nicaragua. In this paper we explain some proposal for an improvement plan. The selection of varieties with high adaptability to various cultivation environmental conditions it is necessary, also to thoroughly manage seed purity to supply certified seeds. In rice cultivation technology, it needs to improve seedling standing and weeding effect by improving soil leveling and water-saving cultivation technology. Also, proper fertilization and planting density must be established in irrigated and rain-fed areas. Furthermore, capacity must be strengthened by collecting and training with the most recent agricultural technology information, as well as by revitalizing the union rather than the individual farmer. It is necessary to develop varieties highly adaptable to the Nicaraguan cultivation environment, as well as to expand irrigation facilities and cultivation technology suitable for weather conditions in rain-fed areas. Last, it is necessary to maintain the consistency of agricultural policy for continuous and stable rice production in response to climate change events such as drought or intermittent heavy rain.