지방교부세 배분의 기준과 방향

이상홍 水原大學校 社會科學硏究所 2002 社會科學論集 Vol.14 No.-

Perioperative Comparison of Hip Arthroplasty Using the Direct Anterior Approach with the Posterolateral Approach

이상홍,강신욱,조승환 대한고관절학회 2017 Hip and Pelvis Vol.29 No.4

Purpose: The aim of the current study is to report the advantage and disadvantage of total hip arthroplasty performed in direct anterior approach (DAA) by comparing it to the posterolateral approach (PLA). Materials and Methods: Twenty-five hip arthroplasty done in DAA (12 total hip arthroplasty [THA] and 13 bipolar hemiarthroplasty [BHA]) were compared with the same number done in PLA (13 THA and 12 BHA). Intraoperative assessments including operation time, anesthetic time, bleeding amount were recorded with intraoperative complications. Immediate postoperatively, position of the prosthesis and leg length discrepancy were measured and were compared between the two approaches. Results: The operation time was 22 minutes and 19 minutes longer in DAA for THA and BHA respectively while the anesthetic time difference was 26 and 10 respectively. However, these parameters showed no statistical difference. No significance was found when bleeding amount was compared. For DAA, cup alignment was within safe zone in 100% both for inclination and for anteversion while this was 83.3% and 75.0% respectively in PLA. Leg length difference was 3 mm in DAA and 5 mm in PLA but had no significant difference. Tensor fascia lata tear was the most common complication occurring in 9 patients. Conclusion: Although significant was not reached there was trend toward more operation time and anesthetic time when DAA was used. However, the trend also showed that cup and stem were likely to be in more accurate position and in adequate size which is likely due to the accurate use of fluoroscopy

On the Occasion of PMC Registration of Hip & Pelvis

이상홍 대한고관절학회 2016 Hip and Pelvis Vol.28 No.3

現代 政府의 豫算機能에 대한 硏究

李相洪 水原大學校 1990 論文集 Vol.8 No.-

Although the importance of budget, the study about budgeting was not started in the United States until late in the 19th century. The traditional government was small government, so there is scarcely a single duty of government. They had no duty to provide society public service and no need a plenty of government expenditure. And the structure of government was very simple, without a big administrative structure, there was little need for on elaborate budget system. The complexity of society made the government became to provide the more public service. The more public service provide, the more government expenditure need. As the increasing of budgeting, interesting about budgeting was increased. The functions of government are every day becoming more complex and difficult, public administration is everywhere putting its hands to new undertakings, at same time the functions of budget are becoming important, complex. The important functions of budget are th allocation of resources, redistribution of incomes, stabilization of economy in the view of finance, and in the view of public administration, the functions of budget are control, management, planning and cut-back. Planning and budgeting have not been immune to change. In order to resolve difficult problem, we have come increasingly to employ a new technique-the Zero Base Budget. Implement of ZBB will be successful, when we know what is really going on in an organization, why it's being done, what better ways might b available, and which activities really important, and what they cost as well. If we know what these are, w must discuss about how they relate both to each other and to broader objects of the government, to achieve objects, we must have a powerful tool to manage and allocate resources. Zero base budget provides an effective means to translate high-minded goals into reality-and with better resource allocation to boot.

地方財政의 財源配分과 自立度에 대한 硏究

李相洪 水原大學校 1989 論文集 Vol.7 No.-

I study the distribution of resources and the ratio of self reliance in the local government finance. The term of finance policy does not have precise meaning, and there is no clear line to divide finance, policy from public finance, from monetary policy, or from government finance is the series of action to supply residents public goods. In order to supply the public goods, we need fiscal resources. The most radical and important functions of finance are redistrubution of incomes, distribution of resources, and stabilization of economy. For these function to be done, We must strengthen the power of government finance and self reliance of finance are the basic problem to bo solved in local autonomy system. The ratio of self reliance, in Korean local government finance, is extremely weak. The poser of finance is unbalance between central government and local government, also between district. So. to improve the condition of local finance, we must reconstruct fiscal system formely and readjust the local tax to a realistic level, and expance the non-tax revenue of local government.

무시멘트형 인공고관절 전치환술에서 스템의 형태에 따른 대퇴부의 골용해증 위치와 유병율

이상홍 朝鮮大學校 附設 醫學硏究所 2005 The Medical Journal of Chosun University Vol.30 No.2

Background and Objectives: The biologic reaction to particulate wear debris had implicated as a causative factor in periprosthetic osteolysis following total joint arthroplasty. It has been suggested that the prevalence, location and severity of osteolytic defects is related to several factors including access of wear particules generated at the articulation to the implant-bone interface. The purpose of this study was to examine the inflence of femoral component design on the location and prevalence of diaphyseal osteolysis. Materials and Methods: 101 patient (119 hips) who had had a Harris-Galante (HG) total hip arthroplasty (THA) were matched by age, weight, sex, and diagnosis, with 100 patients (122 hips) who had had a Multilock THA X-rays were reviewed and the location of osteolytic lesions were noted using Gruen's zonal analysis. Results: In the HG group, the overall prevalence of femoral osteolysis was 47%(56/119). Among the 38 of the 56 cases in the HG group with osteolysis, the lesions were in Gruen zones 3, 4 and 5 around the distal protions of the stem. In contrast, no diaphyseal osteolysis was noted in the Multilock group at comparable length of follow up (p<0.05). In the HG group, 7 patients had required femoral revisions for progressive femoral osteolysis. None of the Multilock stems required revision surgery. Histologic examination of the tissue from the osteolytic areas demonstrated a characteristic foreign body granuloma with particulate polyethylene noted in all cases. Conclusion: The presence of polyethylene in the osteolytic defects around the distal portion of the stem supports the concept of the effective joint space as this material obviously came from the hip articulation. The significant difference in diaphyseal osteolysis comparing the HG and Multilock stems at comparable follow-up times lends credence to the gasket theory. Based on this data, it does appear that circumferential porous coatings arc a relative barrier to the ingress of at least clinically significant amounts of wear debris generated at the hip articulation. Incomplete or patch porous coatings are like to provide a conduit for wear particles to gain access ot the implant-bone interface.

고관절 관절경의 적응증

이상홍,이준영 朝鮮大學校 附設 醫學硏究所 2004 The Medical Journal of Chosun University Vol.29 No.1

관절치환술, 다발성 골절 및 근골격계 감염 환자에 있어서 백혈구수, 혈침속도, C-반응성 단백질의 임상적 의의

이상홍,신동민,유재원,하상호,문현식 朝鮮大學校 附設 醫學硏究所 1996 The Medical Journal of Chosun University Vol.21 No.1

Musculoskeletal infection is one of the most troublesome complications of orthopaedic surgery. Therefore, early detection of infection and immediate intensive care is necessary. It has been generally accepted that for the early detection of postoperative infection it is important to observe clinical symptoms and patient signs as well as. to check leukocyte count, erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP) We analyzed 20 patients with arthroplasty, 20 patients who had multiple fractures and 20 patients who had developed musculoskeletal infections and from Jan. 1993 to Dec. 1995. We evaluated WBC, ESR and CRP levels during preoperative and postoperative periods. The result were as follows : By the 2nd week, postoperative WBC and CRP counts in the arthroplasty and multiple fracture groups had normalized, but the ESR counts had not. By the 2nd week postoperative for the musculoskeletal infection groups, serial and quantitative measurement of serum CRP can be very helpful in monitoring infection activity. Awareness of these natural CRP responses after orthopaedic surgery may help in the diagnosis of early posttraumatic and postoperative complications, especially infections.

ITU-T SG10 CHILL 전문가 회의개최 보고

이상홍 한국정보통신기술협회 1994 TTA저널 Vol.32 No.-

地方自治團體의 收益事業에 대한 硏究

李相洪 水原大學校 社會科學硏究所 1992 社會科學論集 Vol.4 No.-