Objective : To investigate the radiographic characteristics of the uppermost instrumented vertebrae (UIV) and UIV+1 compression fractures that are predictive of revision surgery following long-segment spinal fixation. Methods : A total 27 patients who presented newly developed compression fracture at UIV, UIV+1 after long segment spinal fixation (minimum 5 vertebral bodies, lowest instrumented vertebra of L5 or distal) were reviewed retrospectively. Patients were divided into two groups according to following management : revisional surgery (group A, n=13) and conservative care (group B, n=14). Pre- and postoperative images, and images taken shortly before and after the occurrence of fracture were evaluated for radiologic characteristics Results : Despite similar degrees of surgical correction of deformity, the fate of the two groups with proximal junctional compression fractures differed. Immediately after the fracture, the decrement of adjacent disc height in group A (32.3±7.6 mm to 23.7±8.4 mm, Δ=8.5±6.9 mm) was greater than group B (31.0±13.9 mm to 30.1±15.5 mm, Δ=0.9±2.9 mm, p=0.003). Pre-operative magnetic resonance imaging indicated that group A patients have a higher grade of disc degeneration adjacent to fractured vertebrae compared to group B (modified Pfirrmann grade, group A : 6.10±0.99, group B : 4.08±0.90, p=0.004). Binary logistic regression analysis indicated that decrement of disc height was the only associated risk factor for future revision surgery (odds ratio, 1.891; 95% confidence interval, 1.121-3.190; p=0.017). Conclusion : Proximal junctional vertebral compression fractures with greater early-stage decrement of adjacent disc height were associated with increased risk of future neurological deterioration and necessity of revision. The condition of adjacent disc degeneration should be considered regarding severity and revision rate of proximal junctional kyphosis/proximal junction failures.
The Journal of Korea Assosiation for Disability and Oral Health
/
v.14
no.2
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pp.97-101
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2018
Lesch-Nyhan syndrome is a rare X-linked recessive genetic disorder. During purine metabolism, the hypoxanthine guanine phosphribosyl transferase (HGPRT) enzyme is deficient causing phosphoribosyl transferase to accumulate and resulting in excessive uric acid. Clinical symptoms include hypercalcemia, choreoathetosis, spasticity, mental retardation, and self-injury to lips, tongue or fingers. This results not only in pain caused by the self-injury but also secondary infection of the wound site and the esthetic damage of the soft tissue defect. Dental treatments include conservative methods using intraoral appliances such as soft mouthguards, fixed lip bumpers, and occlusal guards, and invasive methods such as extraction of all teeth or forming an artificial anterior open bite. We report two cases of Lesch-Nyhan syndrome patients with self-mutilation behavior; one was treated with a preservative method using a soft mouthguard, and the other was treated with extraction of all teeth.
The purpose of this study investigates how the audience evaluation on independency of broadcasting and news credibility of KBS and MBC affect their channel brand equity(cognition, image, loyalty, and quality). The results indicate that the audience evaluation on news credibility of KBS and MBC has stronger influence on channel brand equity than the one of independency of broadcasting. On ages, the older generation group has more positive perception on channel image and loyalty of KBS than the college student group and the college student group has more positive perception on channel cognition and quality of MBC than the older generation group. On political traits, the politically conservative groups of both KBS and MBC have more positive perception on independency of broadcasting, news credibility, and channel brand equity than the other groups. Consequently, public broadcasting systems should improve the credibility of news for securing independency of broadcasting. These systems make audience change their perception toward public broadcasting as recovering integrity of news and improving professionalism of news. Public broadcasting systems should conduct a further research to improve the management of channel brand equity by studying audiences' age and political traits.
Woo-Jin, Han;Seung-Ju, Jang;Sang-Soo, Bae;Seung-Yup, Jang;Myung-Seok, Bang
Journal of the Korean Geosynthetics Society
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v.21
no.4
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pp.41-53
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2022
In the excavation work like blasting/excavator work bordering on the urban railway, the dynamic safety of railway structures like tunnel, open-cut box structure and elevated bridge was investigated by numerical analysis in this study. The practically presented criteria on influential zones at the blasting work in the construction industry was numerically checked in cases of the precise vibration-controlled blasting (type II) and the small scale vibration-controlled blasting (type III) and it was shown that the criteria on blasting work methods needed to be supplemented through continuous field tests and numerical analyses. The influence of excavation vibration by mechanical excavators was especially investigated in case of earth auger and breaker. The numerical analysis of tunnel shows that the criteria on vibration velocities from the regression analysis of field test values was conservative. The amplification phenomenon of excavating vibration velocity was shown passing through the backfilling soil between the earth auger and the open-cut box structure. It was shown that the added-vibration on the superstructure of elevated bridge was occurred at the bottom of pile like earthquake when the excavator vibration was arriving at the pile toe. The systematic and continuous research on the vibration effect from excavating works was needed for the safety of urban railway structures and nearby facilities.
Unlike previous studies, this study looked at the effect of the ideological tendencies of local government heads on the social welfare budget as a longitudinal study. This study was made possible by the election of the head of a progressive group in Gumi-si, a stronghold of conservatives, after the implementation of the local self-government system. Therefore, in this study, the change process of the political ideological orientation of Gumi-si's heads and the social welfare budget by year were listed and time-series analysis was conducted using actual cases of Gumi-si, Gyeongbuk for more than 12 years. As a result of the analysis, first, as in the cross-sectional analysis, in the longitudinal study, the change in the rate of increase in the social welfare budget according to the political ideological tendencies of the head of the local government showed a meaningful difference. Second, as in the previous cross-sectional analysis, the social welfare budget increased in the year before the election. Third, the same change in the growth rate as in the second did not appear at the end of the third elected term. All studies on the relationship between the political ideological tendencies of local government heads (including local councils) and the social welfare budget have been cross-sectional. However, this study has great implications in terms of the results of the first longitudinal cross-sectional analysis.
Journal of the korean academy of Pediatric Dentistry
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v.50
no.2
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pp.229-238
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2023
The objective of this study was to investigate trends in ankyloglossia and its surgical treatment among pediatric patients in South Korea from 2011 to 2020. Data from Health Insurance Review and Assessment Service (HIRA)'s Healthcare Bigdata Hub were used for analysis of the ankyloglossia diagnosis rate and frenum surgery rate. Considering annual population change, crude rates per 100,000 were calculated and analyzed. To investigate other factors of frenum surgery incidence besides gender and age, pediatric patient sample data from HIRA were used. The diagnosis rate of ankyloglossia increased from 204.4 in 2011 to 356.6 per 100,000 people in 2020, while the frenum surgery rate increased from 26.8 to 34.3 per 100,000 people. Males were more likely to receive frenum surgery than females. Surgeries were more likely to be done at a hospital instead of a clinic or a general hospital. In the age group of 0 - 4 years, the largest number of frenum surgeries were performed in pediatrics, and in the age group of 5 - 9 years, the largest number of surgeries were conducted in pediatric dentistry. In the older age groups, the largest proportion of frenum surgeries were performed in the departments of conservative dentistry and oral and maxillofacial surgery. The diagnosis of ankyloglossia and the operation of frenum surgery among South Korean children increased during the last decade. Since the function of the tongue can affect maxillofacial development in many aspects, pediatric dentists should pay more attention to the functional management of intraoral soft tissue in growing children.
In south Korea, the so-called 'conservative-liberal' rivalry over the assessment of the government's North Korean policies is seen to be impeding the road to right policy choices. For example, the liberals accused former President Lee Myung-bak's hardline policy of provoking Pyongyang and leading to a deterioration of inter-Korean relations, while the conservatives appreciated it for helping nurture mutually beneficial inter-Korean relations in the longer term by compelling North Korea to observe international norms. However, such debate over the vices and virtues of Seoul's North Korea policies is hardly meaningful as the measuring sticks used by the liberals and the conservatives are entirely different matters. The two major goals South Korea must pursue with its North Korean policies should be 'peaceful management of division' and 'change in North Korea'. The former is related to maintaining stability within South Korea and promoting co-prosperity with North Korea. For this, the nation needs to engage, encompass and assist the Pyongyang regime. The second goal is also necessary since South Korea, as a divided nation, must seek a unified Korea under the system of democracy and market economies by bringing change in North Korea. For this, South Korea needs powerful leverages with which it can persuade and coerce the North. This means that the nation is destined to simultaneously chase the above-mentioned two goals, while also both recognizing and negating the legitimacy of the North Korean regime. This situation necessitates Seoul to apply flexibility in reconciling with Pyongyang while applying firm principles to sever the vicious circle involving the North's military provocations. The May 25 Measures, which banned trade and economic cooperation with the North except those related to humanitarian assistance, were taken as sanctions against Pyongyang for sinking the South Korean corvette Chonan in March 2010. The Measures were taken by the Seoul government immediately after a multinational investigation team discovered evidence confirming that the South Korean naval ship had been torpedoed by a midget North Korean submarine. Naturally, the May 24 Measures have since then become a major stumbling block in inter-Korean exchange, prompting opposition politicians and concerned entrepreneurs to demand Seoul to unilaterally lift the Measures. Given the significant damages the Measures have inflicted on inter-Korean economic relations, removing them remains as homework for both Koreas. However, the Measures pertains to the 'principles on national security' the Seoul government must adhere to under all circumstances. This is why North Korea's apology and promises not to repeat similar provocations must come first. For now, South Korea has no alternative but to let North Korea solve the problems it has created. South Korea's role is to help the North do so.
Seo, Il Won;Choi, Nam Jeong;Jun, In Ok;Song, Chang Geun
KSCE Journal of Civil and Environmental Engineering Research
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v.29
no.3B
/
pp.221-230
/
2009
In Korea, many water intake plants are easily affected by effluents of sewage treatment plants because sewage treatment plants are usually located upstream or nearby the plants of the same riverine area. Furthermore, the inflow of harmful contaminants owing to pollutant spills or transportation accidents of vehicles using the roads and bridges intersecting the river causes significant impact on the management of water intake plants. Paldang lake, the main water intake plants in Korea, is especially exposed to various water pollution accidents, because the drainage basin area is significantly large compared to the water surface area of the lake. Therefore it is necessary to predict the possible pollutant spill in advance and consider measurements in case of water pollution. In this study, water quality prediction was performed in Paldang Lake in Korea durig the dry season using two-dimensional numerical models. In order to represent the cases of pollutant accidents, the difference of pollutant transport patterns with varying injection points was analyzed. Numerical simulations for hydrodynamics of water flow and water quality predictions were performed using RMA-2 and RAM4 respectively. As a result of simulation, the difference of pollutant transport with the injection points was analyzed. As a countermeasure against the pollutant accident, the augmentation of the flow rate is proposed. In comparison with the present state, the rapid dilution and flushing effects on the pollutant cloud could be expected with increase of flow rate. Thus, increase of flow rate can be used for operation of water intake plants in case of pollutant spill accidents.
This paper finds a solution in the social context which cannot be explained thoroughly by well-timed release date, revival of comedy films, and the attraction of Lee Byeong-heon's comedy etc. while it throws question of how the film, Extreme Job captivated 16 million audience. The incredible hits of Extreme Job cannot be explained by analyzing the text alone. After this essay investigates a function and a role of comedy as a public sphere, it examines people's desires and wishes in the comedy and other genres since 2008 when the conservative government has seized power. Since 2008 a series of dark tone's action thriller, social problem film, and disaster film have emerged, these genres showed absence of public security, crisis of democracy and criticism against rulling class. On the other hand, hit comedy films have showed escapism such as weepie, nostalgia, and fantasy at the same time, generally. Although Veteran (2015) is not full-blown comedy, after this film's big success, "comic mode" has gradually revived. A light tone's films which are truer to genre rules has started representing the wishes of people toward social reforms and changes. Meanwhile, "Candlelight Protest" served as a momentum to recover the democracy which has been in crisis, but it could not lead changes in economic and daily lives. Exreme Job can be read as a question how we will survive since "Candlight Protest." The lives of detectives as self-employed workers who has taken over a fried chicken restaurant for going undercover are appearances of ordinary persons who must survive in the edless conpetition. Furthermore, this film shows a dream of a "great success myth" which becomes well-known as a famous restaurant and a self-management such as brand-naming and an exapansion of franchise business. We can read ganster's chicken franchises as a huge distribution industry which disturbs market system by delivering drugs secretly. While applauses that we give to the police having identities of self-employed workers which sweeps the ganster are giving support to oridinary neighborhood like us, they are also wishes of people who long for the restoration of publicness of police in the market which is becoming increasingly privatized today. A significance of this essay is to examine Extreme Job in terms of the geography of film genres and the revival of comic mode sicne 2008 at the macro level, and is to read the film in the perspective of the problems of economic and daily lives which has been still unsolved since "Candlelight Protest" at the micro level.
Since North Korea has used terror crime as a means of unification under communism against South Korea, South Korea has been much damaged until now. And the occurrence possibility of terror crime by North Korean authority is now higher than any other time. The North Korean terror crimes of Kim Il Sung era had been committed by the dictator's instruction with the object of securing governing fund. However, looking at the terror crimes committed for decades during Kim Jung Il authority, it is revealed that these terror crimes are expressed as a criminal behavior because of the conflict to accomplish the power and economic advantage non powerful groups target. This study focused on the power conflict in various causes of terror crimes by applying George B. Vold(1958)'s theory which explained power conflict between groups became a factor of crime, and found the aspect by ages of terror crime behavior by North Korean authority and responding plan to future North Korean terror crime. North Korean authority high-ranking officials were the Labor Party focusing on Juche Idea for decades in Kim Il Sung time. Afterwards, high-ranking officials were formed focusing on military authorities following Military First Policy at the beginning of Kim Jung Il authority, rapid power change has been done for recent 10 years. To arrange the aspect by times of terror crime following this power change, alienated party executives following the support of positive military first authority by Kim Jung Il after 1995 could not object to forcible terror crime behavior of military authority, and 1st, 2nd Yeongpyeong maritime war which happened this time was propelled by military first authority to show the power of military authority. After 2006, conservative party union enforced censorship and inspection on the trade business and foreign currency-earning of military authority while executing drastic purge. The shooting on Keumkangsan tourists that happened this time was a forcible terror crime by military authority following the pressure of conservative party. After October, 2008, first military reign union executed the launch of Gwanmyungsung No.2 long-range missile, second nuclear test, Daechung marine war, and Cheonanham attacking terror in order to highlight the importance and role of military authority. After September 2010, new reign union went through severe competition between new military authority and new mainstream and new military authority at this time executed highly professionalized terror crime such as cyber/electronic terror unlike past military authority. After July 2012, ICBM test launch, third nuclear test, cyber terror on Cheongwadae homepage of new mainstream association was the intention of Km Jung Eun to display his ability and check and adjust the power of party/military/cabinet/ public security organ, and he can attempt the unexpected terror crime in the future. North Korean terror crime has continued since 1980s when Kim Jung Il's power succession was carried out, and the power aspect by times has rapidly changed since 1994 when Kim Il Sung died and the terror crime became intense following the power combat between high-ranking officials and power conflict for right robbery. Now South Korea should install the specialized department which synthesizes and analyzes the information on North Korean high-ranking officials and reinforce the comprehensive information-collecting system through the protection and management of North Korean defectors and secret agents in order to determine the cause of North Korean terror crime and respond to it. And South Korea should participate positively in the international collaboration related to North Korean terror and make direct efforts to attract the international agreement to build the international cooperation for the response to North Korean terror crime. Also, we should try more to arrange the realistic countermeasure against North Korean cyber/electronic terror which was more diversified with the expertise terror escaping from existing forcible terror through enactment/revision of law related to cyber terror crime, organizing relevant institute and budget, training professional manpower, and technical development.
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