Purpose: Surgical reconstruction is usually indicated for type II distal clavicle fracture due to high rate of nonunion and delayed union. We report the clinical outcome of a surgical technique for type II distal clavicle fracture using Mersilen tape and K-wire. Materials and Methods: From 1999 through 2003, this technique has been used on 11 patients with type II distal clavicle fracture. The procedure consist of fracture reduction with a Mersilene tape, repair of torn coracoclavicular ligament, and K-wire fixation of the fracture fragment. All patients with at least 12 months of complete postoperative follow-up were included for functional and radiographic evaluation. We used simple X-ray and UCLA scoring system and constant scoring system for evaluation at last follow up in OPD. Results: Solid union of the fracture could be achieved at 11 weeks after operation in all patients. All patients could return to the same level of preinjury activity. Good and excellent results were obtained in all patients according to UCLA system. Conclusion: This technique was simple procedure and allowed for stable fixation with early mobilization and early return to work and sports.
Korean Journal of Construction Engineering and Management
/
v.16
no.6
/
pp.144-155
/
2015
This paper is to understand investment's efficiency and performance of commercial real estate assets diversified by use and district. To do so, this paper divides two different commercial real estate markets(office build market and retail real estate market) in Seoul city by district into "GBD(Gangnam Business District), YBD(Yeouido Business District), and CBD(Central Business District)" and "GBD(Gangnam Business District), SBD(Shinchon Business District), and CBD(Central Business District)" respectively, configures these districts each other to structure portfolios as its portion varies based on Markowitz's Mean-Variance principle, and looks at risk-return relationship of portfolios to find out efficiency, performance, and optimal investment chosen based upon Sharpe's Performance Index. As a result, the portfolio configured by "10 to 30% of office building asset at CBD" and "70 to 90% of retail real estate asset at CBD" is shown to be the most optimal, suggesting the highest quarterly Sharpe's performance index of 2.7118~2.7776 with quarterly rate of return of 1.826%~1.838% and quarterly standard deviation of 0.573~0.589. Furthermore, it is obvious that diversified portfolio configured by use(office-retail) shows better investment performance than that by district with same type of asset(office-office or retail-retail). Finally, results driven from this research will play an important role to stimulate real estate and construction markets through enlarging ideas as to diversified investment by use and district on real estate indirect investment products.
Choi, Kwang Yeong;Kim, Gook Ki;Lim, Young Jin;Kim, Tae Sung;Leem, Won;Rhee, Bong Arm
Journal of Korean Neurosurgical Society
/
v.30
no.sup2
/
pp.281-288
/
2001
Objectives : The purpose of this study is to evaluate the usefulness of SSEP monitoring during intracranial aneurysm surgery and compare the characteristics of wave change in relation to neurologic changes between ACA aneurysms and MCA aneurysms. Methods : During recent three years(between January 1997 and November 1999), intraoperative SSEP monitoring had been done in 63 operations for intracranial aneurysms. We had monitored the median nerve SSEP during surgery for aneurysms of MCA and the posterior tibial nerve SSEP for aneurysms of ACoA or ACA. A more than 50% reduction of any cortical SEP response was considered to be a significant SEP change, compared to its baseline value before the start of surgery. Changes in the SEPs were categorized as follows : Type IA, no significant amplitude changes without temporary clipping ; Type IB, no significant amplitude changes with temporary clipping ; Type II, significant changes with temporary clipping and complete return to control amplitude ; Type III, significant changes with temporary clipping and incomplete return to control amplitude ; Type IV, significant changes with temporary clipping and more decreased amplitude changes. Results : Among the 63 intraoperative monitoring, there were 37 cases of ACA aneurysms(An), and 26 of MCA An. The temporary proximal arterial occlusion during surgery were performed in 31(83.8%)cases of ACA An, 22(84.6%) of MCA An. Seven of the 31 ACA An(22.6%) and ten of the 22 MCA An(45.5%) had significant changes. The type were as follows : 4 patients with type II and 3 with type III in the ACA An ; 3 patients with type II and 3 with type III and 4 with type IV in the MCA An. In both group type II changes had no new postoperative neurological deficit. All 6 patients with type III had new neurological deficits ; However, One case in the ACA An and two cases in the MCA An. had transient neurologic deficit and improved markedly over the next two months. All 4 type IV changes in the MCA An. had permanant neurologic deficits. Two out of 30 cases(6.7%) in the ACA An. and one out of 16 cases(6.3%) in the MCA An. without significant amplitude change had new neurologic deficit postoperatively. Conclusion : Based on this study, Intraoperative SSEP monitoring during aneurysm surgery would provide useful information for detecting cerebral ischemia. SSEP response during surgery for MCA An. is more sensitive than ACA An. Otherwise, there were no meaningful difference in rate of false negativity.
Asian Americans are one of the fastest growing minority groups in the United States. One of the stereotypes associated with Asians is that they are more likely to choose careers in science, medicine, and engineering rather than social science, inclusive of social work, mass communication, or humanities (Leong & Serafica, 1995; Tang et al., 1999). This occupational stereotyping of Asians is not just a myth in that only a few Asians choose social work as a career (Lennon, 2005; NASW, 2006). Few studies exist on Asian Americans who do not choose Asian stereotypical career choices, such as social work. Acknowledging this lack of research, the present study was developed to explore the relationships between factors that may influence Asian Americans who choose social work as their career. Based on Social Cognitive Career Theory (Lent, Brown, & Hackett, 1994), it was hypothesized that acculturation and family immigration status influenced parental involvement, disapproval by significant others as a perceived career barrier among Asian American social workers. A cross-sectional survey design was used in this study. The sample was derived from the members'database of the National Association of Social Workers (NASW). A total of 900 were randomly chosen among 1,802 of Asian American social workers in the NASW database, and 370 Asian American social workers participated in this study with 41 percent of a return rate. Quantitative data were collected through standardized measurements: Suinn-Lew Asian Self-Identity Acculturation Scale (Suinn, Rickard-Figueroa, Lew, & Vigil, 1987); Career Barriers Inventory Revised (Swanson, et al., 1996); and eight items from Tang et al.'s (1999) Asian American Career Development Questionnaire. The data were collected through a combined method of an online survey with option of a paper mail-return questionnaire. Results of the study found significant group differences among family immigration status groups on parental involvement, and perceived likelihood and hindrance of disapproval by significant others. The group of the 2nd generation reported the highest scores of parental involvement among the family immigration status groups. Also, Asian American social workers who represented the 3rd and higher generation of immigration reported lowest perceived likelihood and hindrance scores of disapproval by significant others. However, there was no significant multivariate effect of acculturation on parental involvement, and perceived likelihood and hindrance of disapproval by significant others. Implications and limitations of this study, as well as suggestions for future research, are discussed.
The permanent disability benefit(PDB) system whose purpose lies in helping affected workers with their self-realization through compensating them for their work-related injury or disease and facilitating their timely return to work is very important in terms of social welfare. Actually, the portions of PDB's in all WCI expenditures have been on the sharp increase. In spite of its positive aspects like this, however, an excessive amount of PDB's may have negative impacts on the affected workers' will to work or return to work, and increasing trends in the amount of PDB's payable in annuity will remain in an aging or aged society a potentially risky factor posing a threat to the soundness of WCI budgets. In this respect, the author attempted herein to identify the long-term reality of trends in the number of claimants entitled to PDB's and the amount of PDB's payable to them through making the long-term budget projections of PDB's; address problems with PDB's payable in annuity, which are or will potentially be one of the gravest burdens in securing the soundness of WCI budgets; and discuss how to optimize the amount of PDB's through studying & analyzing overseas cases and income replacement rates and what kinds of improvements are thinkable. It's recommended to reduce the absolute amount of benefits payable in annuity in a phased way considering claimants' life-cycle instead of sticking to the current system, which takes the form of lifelong pension plan.
Background: Surgical repair of partial anomalous pulmonary venous return (PAPVR) to the superior vena cava (SVC) using the Warden procedure has favorable outcomes. However, there remain some concerns after the Warden procedure, such as sinoatrial nodal dysfunction and systemic or pulmonary venous stenosis. We investigated the outcomes of the Warden procedure for repair of PAPVR to the SVC. Methods: This retrospective study included 22 consecutive patients who underwent the Warden procedure for PAPVR between 2002 and 2018. The median age and body weight at operation were 27.5 months (interquartile range [IQR], 5.0-56.8 months) and 13.2 kg (IQR, 6.5-16.0 kg), respectively. The median follow-up duration was 6.2 years (IQR, 3.5-11.6 years). Results: There were no cases of early or late mortality. No patients had postoperative heart rhythm problems, except 1 patient who showed transient sinoatrial nodal dysfunction in the immediate postoperative period. Procedure-related complications requiring reintervention occurred in 5 patients, including 3 of 4 SVC stenosis cases and 2 pulmonary venous stenosis cases during follow-up. The rate of freedom from reintervention related to the Warden procedure was 75.9% at 10 years. Conclusion: In cases requiring extension or creation of an atrial septal defect to achieve a sufficient venous pathway, or interposition of an entire circumferential conduit between the SVC and right atrium due to the shortness of the SVC in the Warden procedure, stenotic complications of the venous pathway occurred. Careful observation of changes in the pressure gradient or anatomical stenosis is required in such patients.
Journal of Korean Society of Disaster and Security
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v.16
no.4
/
pp.19-31
/
2023
According to the climate change scenarios, the intensity of typhoons, a major factor in Korea's natural disaster, is expected to increase. The increase in typhoon intensity leads to a rise in wave heights, which is likely to cause large-scale disasters in coastal regions with high populations and building density for dwelling, industry, and tourism. This study, therefore, analyzed observation data of the Donghae ocean data buoy and conducted a numerical model simulation for wave estimations for the typhoon MAYSAK (202009) period, which showed the maximum significant wave height. The boundary conditions for wave simulations were a JMA-MSM wind field and a wind field applying the typhoon central pressure reduction rate in the SSP5-8.5 climate change scenario. As a result of the wave simulations, the wave height in front of the breakwater at Sokcho port was increased by 15.27% from 4.06 m to 4.68 m in the SSP5-8.5 scenario. Furthermore, the return period at the location of 147-2 grid point of deep-sea design wave was calculated to increase at least twice, it is necessary to improve the deep-sea design wave of return period of 50-year, which is prescriptively applied when designing coastal structures.
KSCE Journal of Civil and Environmental Engineering Research
/
v.34
no.5
/
pp.1517-1524
/
2014
In recent years, the interest of environmental-friendly transportation modes has been growing. This is because of social and environmental problems such as increasing gas price and climate change. In Europe, bike-sharing service, one of the environmental-friendly transportation modes, has been already operated. Bike-sharing service named "Tashu" has been operated in Daejeon city since 2009. This study is a fundamental research to increase utilization efficiency of bike-sharing service and to decide optimal locations of bike stations. In addition this study examines characteristics of bike usage and analyzes factors affecting to demands using multiple regression model. Based on the result of examining of characteristics of bike usage, the rate of bike usage is higher compared with installation rate of public bike stations near parks in Daejeon. In addition demands of bike usage in weekend is higher than in weekday. It reveals that the main purpose of bike usage could be recreational activities. The return rate at the same location with rental station is comparatively high. Moreover, bike usage pattern is biased in specific areas (Dunsan and Yuseong) because bike-sharing stations are not equally located. As a result of multiple regression model, the factors affecting to demands are number of passengers in buses, length of bike lanes, parks, distance to waterfront, and rate of young people. A statistical significance of factors (r-square) is 0.748, which has strong relationship.
The experiments were conducted in order to evaluate the effect of a compound fertilizer for application of potato plants (Sumi) which were prepared by the Kyonggj Chemical LTD. The results were summarized as follows; 1. Comparing with the plot of 12kg/10a muriate of potash plot, the potato yield of compound fertilizer, double rate of potassium sulfate and normal rate of potassium sulfate plots were increased in order to 44%, 7% and 6% respectively. The yield of potato at the compound fertilizer were significantly higher than that of double rate of potassium sulfate, but the latter yield was lower that of control. 2. The yield of potato were to exeeding of final tuber on June 25, which was twelve day earlier than the actual harvest the application of the compound fertilizer may make possible to harvest potato eariler than normal season and benefit fammers which better economic return. 3. Manufacturing it with granular form at diammonium phosphate, ammonium sulfate and potassium sulfate as majour source materials and having little urea contents, the compound fertilizer raised higher the emergence rate of potato plant than the other fertilizer were promoted the early plant growth, and kept potato plants comparatively healthier than the other fertilizer even at later stage of plant growth.
Kim, Han-Soo;Oh, Chun-Hyun;Kim, Hyuk-Il;Cho, Hong-Yon;Yang, Han-Chul
Applied Biological Chemistry
/
v.37
no.4
/
pp.303-309
/
1994
To develop the treatment process of swine wastewater using Rhodopseudomonas palustris KK14 with high utilizable ability of organic acids, some operating conditions were investigated and optimized in flask-scale and laboratory-scale reactors. The optimal operating conditions in photosynthetic bacteria (PSB) reactor of semi-continuous type were obtained at HRT 6 day, 5% (v/v/day) seeding rate of PSB sludge and 10% (v/v/day) returning rate of PSB return sludge. Under the above operating condition, COD level of the wastewater (initial COD: 10 g/l) was reduced to about 1.7 g/l after 4 days treatment and MLSS was held constant at $4{\sim}5\;g$ per liter. In laboratory-scale process consisted of 5.2 l anaearobic digestion reactor and 15 l PSB reactor, the total removal rates of COD and BOD were increased to 95% and 96% by the continuous operation for 5.36 days, respectively, showing $3kg\;COD/m^3/day$ COD loading rate and 1.1 Kg COD/Kg MLSS/day sludge loading rate in PSB reactor. The offensive odor was considerably removed through the treatment process of swine wastewater.
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