소전자부 주위의 골연골종 절제 시 적절한 외과적 접근법과 합병증 (The Optimal Surgical Approach and Complications in Resecting Osteochondroma around the Lesser Trochanter)
-
- 대한정형외과학회지
- /
- 제52권1호
- /
- pp.33-39
- /
- 2017
목적: 근위 경비골 및 상완골 절제 시 문제점은 알려져 있으나 소전자부 주위 골연골종의 임상상 및 수술 접근법에 대한 연구는 미약하다. 대상 및 방법: 소전자부 주위 골연골종으로 수술한 환자 13명의 증상 및 증상기간, 종양위치, 축상면상 돌출방향, 크기, 수술 접근법 및 장요근 손상 여부, 접근법에 따른 합병증을 후향적으로 분석하였다. 결과: 증상은 운동 및 보행 시 통증이 7예, 저림 및 방사통이 6예였다. 증상기간은 평균 19개월이었고 평균 크기는 120 ml였다. 후내 측으로 돌출된 종괴 5예에서 도달법은 후외방접근법 3예, 전방접근법 1예, 내측접근법 1예였다. 전내측 종괴 4예는 전방접근법으로 절제하였다. 전내측 및 후내측으로 돌출된 2예는 내측접근법 1예, 전방접근법이 1예였다. 후내측 돌출된 2예를 내측접근법으로 수술 후 피질골 결손으로 내고정술을 시행하였다. 후내측 돌출이 심한 1예에서 전방도달법 절제 후 좌골신경마비로 신경탐색술을 시행하였고 6개월 후 자연 회복되었다. 결론: 소전자부 주위 골연골종이 크고 후방돌출이 심하면 좌골신경 압박을 의심해야 한다. 내측도달법은 종양이 작을 때만 유용하고 전내측 돌출 및 경부에 있을 때 전방도달법이 유리하다. 후방돌출이 심한 큰 종괴에서 후방도달법이 신경손상을 최소화할 수 있는 방법이다.
Digital Convergence means integration between industry, technology, and contents, and in marketing, it usually comes with creation of new types of product and service under the base of digital technology as digitalization progress in electro-communication industries including telecommunication, home appliance, and computer industries. One can see digital convergence not only in instruments such as PC, AV appliances, cellular phone, but also in contents, network, service that are required in production, modification, distribution, re-production of information. Convergence in contents started around 1990. Convergence in network and service begins as broadcasting and telecommunication integrates and DMB(digital multimedia broadcasting), born in May, 2005 is the symbolic icon in this trend. There are some positive and negative expectations about DMB. The reason why two opposite expectations exist is that DMB does not come out from customer's need but from technology development. Therefore, customers might have hard time to interpret the real meaning of DMB. Time is quite critical to a high tech product, like DMB because another product with same function from different technology can replace the existing product within short period of time. If DMB does not positioning well to customer's mind quickly, another products like Wibro, IPTV, or HSPDA could replace it before it even spreads out. Therefore, positioning strategy is critical for success of DMB product. To make correct positioning strategy, one needs to understand how consumer interprets DMB and how consumer's interpretation can be changed via communication strategy. In this study, we try to investigate how consumer perceives a new product, like DMB and how AD strategy change consumer's perception. More specifically, the paper segment consumers into sub-groups based on their DMB perceptions and compare their characteristics in order to understand how they perceive DMB. And, expose them different printed ADs that have messages guiding consumer think DMB in specific ways, either cellular phone or personal TV. Research Question 1: Segment consumers according to perceptions about DMB and compare characteristics of segmentations. Research Question 2: Compare perceptions about DMB after AD that induces categorization of DMB in direction for each segment. If one understand and predict a direction in which consumer perceive a new product, firm can select target customers easily. We segment consumers according to their perception and analyze characteristics in order to find some variables that can influence perceptions, like prior experience, usage, or habit. And then, marketing people can use this variables to identify target customers and predict their perceptions. If one knows how customer's perception is changed via AD message, communication strategy could be constructed properly. Specially, information from segmented customers helps to develop efficient AD strategy for segment who has prior perception. Research framework consists of two measurements and one treatment, O1 X O2. First observation is for collecting information about consumer's perception and their characteristics. Based on first observation, the paper segment consumers into two groups, one group perceives DMB similar to Cellular phone and the other group perceives DMB similar to TV. And compare characteristics of two segments in order to find reason why they perceive DMB differently. Next, we expose two kinds of AD to subjects. One AD describes DMB as Cellular phone and the other Ad describes DMB as personal TV. When two ADs are exposed to subjects, consumers don't know their prior perception of DMB, in other words, which subject belongs 'similar-to-Cellular phone' segment or 'similar-to-TV' segment? However, we analyze the AD's effect differently for each segment. In research design, final observation is for investigating AD effect. Perception before AD is compared with perception after AD. Comparisons are made for each segment and for each AD. For the segment who perceives DMB similar to TV, AD that describes DMB as cellular phone could change the prior perception. And AD that describes DMB as personal TV, could enforce the prior perception. For data collection, subjects are selected from undergraduate students because they have basic knowledge about most digital equipments and have open attitude about a new product and media. Total number of subjects is 240. In order to measure perception about DMB, we use indirect measurement, comparison with other similar digital products. To select similar digital products, we pre-survey students and then finally select PDA, Car-TV, Cellular Phone, MP3 player, TV, and PSP. Quasi experiment is done at several classes under instructor's allowance. After brief introduction, prior knowledge, awareness, and usage about DMB as well as other digital instruments is asked and their similarities and perceived characteristics are measured. And then, two kinds of manipulated color-printed AD are distributed and similarities and perceived characteristics for DMB are re-measured. Finally purchase intension, AD attitude, manipulation check, and demographic variables are asked. Subjects are given small gift for participation. Stimuli are color-printed advertising. Their actual size is A4 and made after several pre-test from AD professionals and students. As results, consumers are segmented into two subgroups based on their perceptions of DMB. Similarity measure between DMB and cellular phone and similarity measure between DMB and TV are used to classify consumers. If subject whose first measure is less than the second measure, she is classified into segment A and segment A is characterized as they perceive DMB like TV. Otherwise, they are classified as segment B, who perceives DMB like cellular phone. Discriminant analysis on these groups with their characteristics of usage and attitude shows that Segment A knows much about DMB and uses a lot of digital instrument. Segment B, who thinks DMB as cellular phone doesn't know well about DMB and not familiar with other digital instruments. So, consumers with higher knowledge perceive DMB similar to TV because launching DMB advertising lead consumer think DMB as TV. Consumers with less interest on digital products don't know well about DMB AD and then think DMB as cellular phone. In order to investigate perceptions of DMB as well as other digital instruments, we apply Proxscal analysis, Multidimensional Scaling technique at SPSS statistical package. At first step, subjects are presented 21 pairs of 7 digital instruments and evaluate similarity judgments on 7 point scale. And for each segment, their similarity judgments are averaged and similarity matrix is made. Secondly, Proxscal analysis of segment A and B are done. At third stage, get similarity judgment between DMB and other digital instruments after AD exposure. Lastly, similarity judgments of group A-1, A-2, B-1, and B-2 are named as 'after DMB' and put them into matrix made at the first stage. Then apply Proxscal analysis on these matrixes and check the positional difference of DMB and after DMB. The results show that map of segment A, who perceives DMB similar as TV, shows that DMB position closer to TV than to Cellular phone as expected. Map of segment B, who perceive DMB similar as cellular phone shows that DMB position closer to Cellular phone than to TV as expected. Stress value and R-square is acceptable. And, change results after stimuli, manipulated Advertising show that AD makes DMB perception bent toward Cellular phone when Cellular phone-like AD is exposed, and that DMB positioning move towards Car-TV which is more personalized one when TV-like AD is exposed. It is true for both segment, A and B, consistently. Furthermore, the paper apply correspondence analysis to the same data and find almost the same results. The paper answers two main research questions. The first one is that perception about a new product is made mainly from prior experience. And the second one is that AD is effective in changing and enforcing perception. In addition to above, we extend perception change to purchase intention. Purchase intention is high when AD enforces original perception. AD that shows DMB like TV makes worst intention. This paper has limitations and issues to be pursed in near future. Methodologically, current methodology can't provide statistical test on the perceptual change, since classical MDS models, like Proxscal and correspondence analysis are not probability models. So, a new probability MDS model for testing hypothesis about configuration needs to be developed. Next, advertising message needs to be developed more rigorously from theoretical and managerial perspective. Also experimental procedure could be improved for more realistic data collection. For example, web-based experiment and real product stimuli and multimedia presentation could be employed. Or, one can display products together in simulated shop. In addition, demand and social desirability threats of internal validity could influence on the results. In order to handle the threats, results of the model-intended advertising and other "pseudo" advertising could be compared. Furthermore, one can try various level of innovativeness in order to check whether it make any different results (cf. Moon 2006). In addition, if one can create hypothetical product that is really innovative and new for research, it helps to make a vacant impression status and then to study how to form impression in more rigorous way.
The herbicide has become indispensable as much as nitrogen fertilizer in Korean agriculture from 1970 onwards. It is estimated that in 1991 more than 40 herbicides were registered for rice crop and treated to an area 1.41 times the rice acreage ; more than 30 herbicides were registered for field crops and treated to 89% of the crop area ; the treatment acreage of 3 non-selective foliar-applied herbicides reached 2,555 thousand hectares. During the last 25 years herbicides have benefited the Korean farmers substantially in labor, cost and time of farming. Any herbicide which causes crop injury in ordinary uses is not allowed to register in most country. Herbicides, however, can cause crop injury more or less when they are misused, abused or used under adverse environments. The herbicide use more than 100% of crop acreage means an increased probability of which herbicides are used wrong or under adverse situation. This is true as evidenced by that about 25% of farmers have experienced the herbicide caused crop injury more than once during last 10 years on authors' nationwide surveys in 1992 and 1993 ; one-half of the injury incidences were with crop yield loss greater than 10%. Crop injury caused by herbicide had not occurred to a serious extent in the 1960s when the herbicides fewer than 5 were used by farmers to the field less than 12% of total acreage. Farmers ascribed about 53% of the herbicidal injury incidences at their fields to their misuses such as overdose, careless or improper application, off-time application or wrong choice of the herbicide, etc. While 47% of the incidences were mainly due to adverse natural conditions. Such misuses can be reduced to a minimum through enhanced education/extension services for right uses and, although undesirable, increased farmers' experiences of phytotoxicity. The most difficult primary problem arises from lack of countermeasures for farmers to cope with various adverse environmental conditions. At present almost all the herbicides have"Do not use!" instructions on label to avoid crop injury under adverse environments. These "Do not use!" situations Include sandy, highly percolating, or infertile soils, cool water gushing paddy, poorly draining paddy, terraced paddy, too wet or dry soils, days of abnormally cool or high air temperature, etc. Meanwhile, the cultivated lands are under poor conditions : the average organic matter content ranges 2.5 to 2.8% in paddy soil and 2.0 to 2.6% in upland soil ; the canon exchange capacity ranges 8 to 12 m.e. ; approximately 43% of paddy and 56% of upland are of sandy to sandy gravel soil ; only 42% of paddy and 16% of upland fields are on flat land. The present situation would mean that about 40 to 50% of soil applied herbicides are used on the field where the label instructs "Do not use!". Yet no positive effort has been made for 25 years long by government or companies to develop countermeasures. It is a really sophisticated social problem. In the 1960s and 1970s a subside program to incoporate hillside red clayish soil into sandy paddy as well as campaign for increased application of compost to the field had been operating. Yet majority of the sandy soils remains sandy and the program and campaign had been stopped. With regard to this sandy soil problem the authors have developed a method of "split application of a herbicide onto sandy soil field". A model case study has been carried out with success and is introduced with key procedure in this paper. Climate is variable in its nature. Among the climatic components sudden fall or rise in temperature is hardly avoidable for a crop plant. Our spring air temperature fluctuates so much ; for example, the daily mean air temperature of Inchon city varied from 6.31 to
학계와 금융파생상품 가격결정이나 변동성매매와 같은 실무영역 모두에서 주식시장의 변동성은 중요한 역할을 한다. 본 연구는 GARCH 모형에 기초하여 한국주식시장의 변동성을 정확히 예측함으로써 변동성매매시스템의 성과를 높일 수 있는 새로운 방법을 제시하였다. 특히, 여러 연구 자료에서 밝혀지고 있는 변동성 비대칭성개념을 도입하였다. 최근 새로 개발된 한국주식시장 변동성 지수인 VKOSPI를 변동성 대용값으로 사용한다. VKOSPI는 KOSPI 200 지수옵션의 가격을 이용하여 계산된 값으로서 옵션딜러들의 변동성 예측치를 반영하고 있다. KOSPI 200 옵션시장은 1997년 시작되었으며, 발전을 거듭하여 현재 하루 거래량이 1,000만 계약을 넘어서면서 세계 최고의 지수옵션시장으로 발전하였다. 이러한 옵션시장에 반영된 변동성을 분석하는 것은 투자자들에게 좋은 투자정보를 제공하게 될 것이다. 특히, 변동성 대용값으로 VKOSPI를 사용하면 다른 변동성 대용치를 사용할 때 발생하는 통계적 추정의 문제를 피해 갈 수 있다. 본 연구는 2003년부터 2006년의 KOSPI 200 지수 일별자료를 대상으로 최우도추정방법(MLE)을 이용하여 GARCH 모형을 추정한다. 비대칭 GARCH 모형으로는 Glosten, Jagannathan, Runke의 GJR-GARCH 모형, Nelson의 EGARCH 모형, 그리고 Ding, Granger, Engle의 PARCH모형을 포함하며 대칭 GARCH 모형은 (1, 1) GARCH 모형을 이용한다. 2007년부터 2009년까지의 KOSPI 200 지수 일별자료를 대상으로 반복적 계산과정을 통해 내일의 변동성 예측값과 오르고 내리는 변화방향을 예측하였다. 분석 결과 시장변동성과 예기치 않은 주가변동 사이에는 음의 상관관계가 존재하며, 음의 주가변동은 동일한 크기의 양의 주가변동보다 훨씬 더 큰 변동성의 증가를 가져옴을 알 수 있다. 즉, 한국 주식시장에도 변동성 비대칭성이 존재함을 보여주었다. GARCH 모형을 이용하여 내일의 VKOSPI의 등락방향을 예측하고 이를 이용하여 변동성 매매시스템을 개발하였다. 내일의 변동성이 상승할 것으로 예측되면 스트래들매수전략을 이용하고 반대로 변동성이 하락할 것으로 예측되면 스트래들 매도전략을 이용한다. 변동성의 변화방향성을 맞춘 경우에는 VKOSPI 변동분을 더하고 틀린 경우에는 변동분을 뺀 누적합을 이용하여 변동성매매전략의 총수익을 계산한다. 모형추정용 자료구간의 경우 통계적 기준인 MSPE 기준으로는 PARCH 모형의 적합도가 가장 높고, 예측방향의 적중도를 재는 MCP 기준으로는 EGARCH 모형이 가장 높은 값을 보여주었다. 테스트용 자료구간의 경우에는 PARCH 모형이 모형적합도와 내일의 변동성 등락방향 예측에서 가장 좋은 결과를 보여주었다. 모형추정용 자료구간의 경우 GARCH 모형 전체에서 매매이익을 기록하고 있고 테스트용 자료구간의 경우에는 EGARCH 모형을 제외한 GARCH 모형들이 매매이익을 보여주었다. 본 연구에서 나타난 변동성의 군집과 비대칭성 현상으로부터 변동성에 비선형성이 존재함을 알 수 있었으며, 비선형성에서 좋은 결과를 보이고 있는 인공지능시스템과 비대칭 GARCH 모형을 결합한다면 제안된 변동성매매시스템의 성과를 많이 개선할 수 있을 것으로 판단된다.