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이상홍 조선대학교 의학연구원 2015 The Medical Journal of Chosun University Vol.40 No.1
The purpose of this study is to analyze the results of treatment of unstable intertrochanteric fractures with compression hip screw and wiring. Twenty one cases of intertrochanteric fractures of the 20 patients treated with compression hip screw and wiring between January 2009 and December 2013 were analyzed. Twenty cases were united and the mean union time was 17.5 weeks. The results of treatment of unstable trochanteric fractures with compression hip screw were relatively satisfactory.
政策評價에 대한 理論的 考察 : 統制와 責任性을 中心으로
李相洪 건국대학교 1984 論文集 Vol.18 No.1
In recent years, the most of contries have formulated and implemented many policies. The process of policy is very long, diversity and complicated. All Social institutions or systems, whether medical, educational, religious, economic, or political, are required to provide "proof" of their legitimacy and effectiveness in order to justify society's continued support. So they make programs and act according to the plan. It is nut difficult to account for the increasing pressures upon public service and community program workers to evaluate their activities. The current desire to judge the worthwhileness of such programs is one aspect of modern society's belief that many of its social problems can be met most effectively through planned action based existing knowledge. The most of resources needed in the policy process is the tax of citizen, so the citizens want to know about the context of policy. In order to know the policy process, we must evaluate the policy. It is necessary for government to report the result of the policy. The contents of this study are about the method of policy evaluation and classification of evaluation research, because the policy evaluation is necessary to control the policy process, and control is related to the responsibility. Specially, I must consider about the problem of values, because the values are the criteria of policy evaluation. Is tidy the important values of public Administration in this paper. There are conflicts between values and they interact each other. It is very difficult and important to adjust the conflict of values. -efficiency, democratism, effectiveness, economy, rationality, science, incrementalism, productivity, social equity. Becanse it is difficult to evaluate the values and to adjust the conflict between the values, the policy evaluation is not easy. The most important technical methods of the policy evaluation are the policy analysis, analysis of cost and benefits, system analysis, and MBO. In a word, the policy evaluation is the means of the administrative responsibility and administrative control. The responsibility can be classified into Accountbility, Responsibility, Responsiveness, and the control can be classfied into external control and internal control. Good policy evaluation enable to do good control and responsibility.
Ender 정을 이용한 Type 3 개방성 경골 골절의 치료
이상홍,박진석,신동민,하상호 대한골절학회 1989 대한골절학회지 Vol.2 No.2
Type III open tibial fracture is difficult to treat because of frequent complications, and recently external fixation have been used successfully. Intramedullary nailing with flexible nails is now routinely performed in Type I and II open tibial fractures. Thirteen cases of Type III open tibial fractures treated with Ender nails from January 1 983 to December 1988 were identified and retrospectively reviewed. The results were as follows: 1. The patients were predominantly more cammon in male and the average age was 41 years, and most common cause was traffic accident. 2. According to the Gustilo and Andersons classification, Type III - A was 7 cases, Type III-B was 5 cases, and Type lll-C was 1 case. All 13 cases were combined fibular fracture. 3. All 13 cases were used two Ender nails, nailing methods were two antegrade insertion (7 cases), two retrograde insertion (3 cases), and one antegrade R retrograde insertion (3 cases). 8 cases were operated within one day of accident, 7 cases were used other combined metals, and 5 cases were treated with Rush pinning of fibular fracture. 4. Among the secondary additional operation required after Ender nailing, bone operation were 7 cases, soft tissue operation were 5 cases, and delayed amputation were 2 cases, 5. Among II cases except amputation, controversial camplicatians were nonunion (6 cases), chronic osteomyelitis (1 case), delayed union ll case). 6. A retrospective evaluation of 13 cases treated Ender nailing revealed that Ender nailing was simple, effective method in some selected cases of Type III open tibia fractures.