• Title/Summary/Keyword: 손상경험

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Peroneal Nerve Palsy Associated with Musculoskeletal Tumor Resection (종양 절제 후 동반된 비골신경 손상)

  • Jung, Sung-Taek;Chung, Jae-Yoon;Seon, Jong-Keun;Cho, Sang-Gwon;Kim, Ki-Hyeoung
    • The Journal of the Korean bone and joint tumor society
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    • v.10 no.1
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    • pp.22-28
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    • 2004
  • We retrospectively reviewed the cases of peroneal nerve palsy in seven patients after musculoskeletal tumor resection. Their mean age was 38 years. Three had osteosarcoma in proximal fibula, 2 had chondrosarcoma in proximal fibula and calf and 2 had malignant fibrous histio cytoma in calf. Four of 7 patients had been managed using active dorsiflexion brace. Three patients who underwent tibialis posterior transfer and could walk without brace were able to discontinue the use of the orthosis. Peroneal nerve palsy after wide excision of tumor including peroneal nerve can not resolve spontaneously and results in severe functional disability. To improve the gait function, active surgical treatment should be considered.

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Delayed Diagnosis of a Traumatic Diaphragmatic Injury (지연 진단된 외상성 횡격막 손상 1예)

  • Park, Seon-Wook;Kim, Cheol-Hong;Kim, Ji-Youn;Lee, Seung-Hwa;Kim, Young-Wook;Hyun, In-Gyu;Shin, Ho-Seung
    • Tuberculosis and Respiratory Diseases
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    • v.66 no.3
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    • pp.241-245
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    • 2009
  • Traumatic diaphragmatic rupture is uncommon, but requires a prompt diagnosis and repair. Diaphragmatic injury is most commonly associated with automobile accidents. The diagnosis is difficult and may be delayed because there are no specific symptoms, signs, or radiographic studies that are pathognomic for diaphragmatic injury. The most important factor in the diagnosis is a high suspicion and the use of proper diagnostic studies. We report a case involving the delayed presentation of diaphragmatic rupture in a 54 year old man, requiring surgical repair 12 days following multiple blunt trauma. It should be noted that early recognition for diaphragmatic injury is important in patients with multiple trauma to avoid the potential fatal complications.

One Case of Tracheal Rupture after Blunt Chest Trauma Diagnosed Early by Fiberoptic Bronchoscopy (기관지경검사로 조기 진단된 비관통성 흉부손상에 의한 기관 파열 1예)

  • Park, Byung-Kyu;Kim, Do-Gyun;Ko, Won-Ki;Ahn, Sang-Hoon;Yang, Dong-Gyoo;Kim, Sung-Kyu;Lee, Won-Young;Kim, Kil-Dong
    • Tuberculosis and Respiratory Diseases
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    • v.46 no.4
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    • pp.586-590
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    • 1999
  • Tracheobronchial rupture is one of the less-common injuries associated with blunt chest trauma. The diagnosis of tracheobronchial rupture is not easy, but failure to diagnosis may lead to death or long-term disability. Early diagnosis and appropriate management can reduce the mortality and morbidity. Bronchoscopy is the diagnostic method of choice for patients with tracheobronchial rupture. We report a case of tracheal rupture after blunt chest trauma. A 40-year-old man was transferred to our hospital for dyspnea after blunt chest trauma. He was promptly diagnosed as tracheal rupture by fiberoptic bronchoscopy and chest computed tomogram. He was successfully managed by thoracotomy and primary repair.

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A Case of Acute Lung Injury Complicated by Transcatheter Arterial Chemoembolization for Hepatocellular Carcinoma (간세포암의 간동맥 화학색전술 후 발생한 급성 폐손상 1예)

  • Cho, Se-Haeng;Kim, Joo-Hang;Kim, Byung-Soo;Jang, Joon
    • Tuberculosis and Respiratory Diseases
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    • v.42 no.5
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    • pp.781-786
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    • 1995
  • Transcatheter arterial chemoembolization(TACE) was performed in a 61 year old male patient with hepatocellular carcinoma with 10 cc of Lipiodol and 50 mg of doxorubicin. Three days later, he complained of dyspnea and dry cough. The arterial blood gas study revealed moderate hypoxemia and hypocarbia. The chest PA showed acute pulmonary edema with bilateral pleural effusion. To rule out the possibilities of acute respiratory failure caused by infection, pulmonary embolism or congestive heart failure, we performed several laboratory studies. The blood and sputum culture studies revealed negative results for bacterial growth. The echocardiogram was normal. The abdominal CT scan and MR imaging revealed no thrombus or mass lesion in the inferior vena cava. So we concluded pulmonary oil embolism induced by lipiodol as the cause of acute lung injury. Four weeks later, clinical symptoms and chest x-ray were markedly improved with conservative care. We report a case of acute lung injury after TACE with lipiodol and doxorubicin, with review of literatures.

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Evaluation of Correlation between Earthquake Induced Settlement of Fill Dams and Ground Motion Parameters (지진 시 필댐의 침하량과 지반진동 변수 간의 상관관계 분석)

  • Baeg, Jongmin;Park, Duhee;Yoon, Jinam;Choi, Byoung-Han
    • Journal of the Korean Geosynthetics Society
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    • v.17 no.4
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    • pp.65-72
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    • 2018
  • Seismically induced settlement exceeding dam freeboard may lead to a dam failure. The prediction of settlement is important also because it is also reported to be strongly related to longitudinal crack width and depth, which are critical indices used for safe evaluation of dams. The empirical correlation derived from numerical simulations is most often used. In this study, two-dimensional dynamic nonlinear analyses are performed using representative CFRD and ECRD fill dams. A total of 20 recorded motions are used to account for the influence on ground motion intensity and magnitude. The calculated crest settlements are correlated to four ground motion parameters, which are peak ground acceleration (PGA), peak ground velocity (PGV), Aria Intensity ($I_A$), and magnitude. It is demonstrated that using ground motion parameters in addition to PGA can significantly increase the prediction accuracy.

Survival of Neuro-Venous Flap without Perforator due to Accidental Division of Perforator (돌발적 손상에 의해 천공지가 없는 신경-정맥피판의 생존)

  • Byeon, Je Yeon;Choi, Hwan Jun
    • Archives of Hand and Microsurgery
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    • v.23 no.4
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    • pp.290-295
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    • 2018
  • Author planed peroneal artery perforator flap for ankle reconstruction and experienced successful result using sural neuro-lesser saphenous venous flap due to an unexpected event. A male Asian patient, 24 years old, had a history of recurrent operation wound disruption in the ankle region. Under general anesthesia, peroneal perforator and saphenous vein, as well as the sural nerve branches, were identified and preserved. In the process of flap rotation, an accidental division of peroneal artery perforator has occurred. Despite the division of the perforator, circulation was normal. The patient experienced no complication after the surgery. Some study reported that accompanying arteries and the vascular plexus around the sural nerve communicate. In conclusion, sufficient blood supply was possible only with the accompanying artery of the sural nerve without peroneal perforator. So, it is essential to always preserve not only perforator but also neurovascular bundles at any circumstances and any location.

Rhabdomyosarcoma Following Traumatic Injury (외상 후 발생한 횡문근육종)

  • Kwon, Dae Gyu;Park, Sung Jun;Yoon, Young Hoon;Lee, Tong Joo
    • Journal of the Korean Orthopaedic Association
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    • v.55 no.3
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    • pp.271-275
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    • 2020
  • Trauma is frequently implicated in the development of sarcomas, including rhabdomyosarcoma. Rare soft tissue sarcomas have been reported to arise in scar tissue following surgical procedures or thermal or acid burns, at fracture sites, and in the vicinity of plastic or metal implants, usually after a latent period of several years. The authors encountered a case of a rhabdomyosarcoma arising from the forearm crushed by a conveyor belt 11 years ago. Several possible etiological factors for sarcoma development were identified in this patient, including tissue damage and inflammation, as well as the presence of metal implants and the limb's exposure to radiation during multiple imaging tests. After severe soft tissue damage, the occurrence of a sarcoma should be considered and more attention should be paid to the causative factors for sarcoma.

The Relationship between Maladjustment Schema and Marital Satisfaction: Focusing on the Moderating Effect of Adaptive Emotion Regulation Strategy (부적응 도식과 결혼 만족도 간의 관계: 적응적 정서조절방략의 조절 효과)

  • Ji-Hye Lee;Paul Kyu-man Chae
    • Korean Journal of Culture and Social Issue
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    • v.18 no.2
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    • pp.169-190
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    • 2012
  • This research explored cognitive emotion regulation strategy, behavioral emotion regulation strategy, and experiential emotion regulation strategy, each moderating effect in the relationship between maladjustment schema and marital satisfaction. The data was analyzed through hierarchical multiple regression analysis. The results of the study are as follows: the regression analysis showed the moderating effects for adaptive emotion regulation strategy on the relationship between the maladjustment schema and marital satisfaction. The result showed the selection of 'Disconnection and Rejection', 'Impaired autonomy and Performance', 'Other-Directedness', 'Overvigilance and Inhibition' as maladjustment schema variables affecting marital satisfaction via cognitive emotion regulation strategy, that of 'Disconnection and Rejection', 'Impaired autonomy and Performance', 'Other-Directedness' as maladjustment schema variables affecting marital satisfaction via behavioral emotion regulation strategy, and that of 'Impaired limits', 'Impaired autonomy and Performance', 'Other-Directedness', 'Overvigilance and Inhibition' as maladjustment schema variables affecting marital satisfaction via experiential regulation strategy. Finally, the clinical implication and limitation of this study and suggestion for future studies were also discussed.

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The Study for Actual Application of Modeling Method for Master Controller of Coal-Fired Power Plant (석탄화력발전소 마스터 제어기에 대한 모델링 기법 실증적용에 관한 연구)

  • Lim, Geon-Pyo;Jeong, Tae-Won;Kim, Yun-Seok
    • Proceedings of the KIEE Conference
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    • 2009.07a
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    • pp.1670_1671
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    • 2009
  • 산업경제구조의 변화로 경험이 풍부한 전문가들이 은퇴하고 경험이 적은 직원들이 그들의 업무를 대신하는 구조로 조직이 변화하고 있다. 동시에 녹색성장시대의 도래로 화석연료를 사용하는 설비에 대한 투자가 줄면서 점차로 노후화되는 경향을 보이고 있어 불필요한 운전 과도현상에서 기인된 극단적인 손상은 설비자체 및 전력공급계통 전체에 치명적이라고 할 수 있다. 따라서 석탄화력발전소 제어 시스템은 이러한 사안들을 안정적으로 이끌어 나가기 위한 중요한 요소로 저비용 고효율 발전소 유지를 위해 중점적으로 발전시켜 나가야 할 부분이다. 본 논문은 석탄화력발전소의 주구성요소인 보일러와 터빈을 제어하는 마스터 제어기의 복잡한 로직을 모델 기반의 간단한 로직으로 개발하여 시뮬레이션 한 결과를 실제 발전소에 적용하기 위한 내용을 기술하였다. 실제 발전소는 많은 위험요소들을 안고 있기 때문에 시뮬레이션에서 나타나는 급격한 제어동작을 수용할 수 없을 경우도 있으며, 실제 다른 많은 변수들이 제어불안정 요소로 작용할 수 있다. 차후 실제 적용한 결과는 예측제어의 사용과 같은 제어시스템 향상을 위한 개발과 운영효율 향상에 사용될 것이다. 튜닝 과정에서의 연구결과는 시간절약과 제어부분 결함제거 등 직원들의 전문지식 향상 등에 도움을 주게 될 것이다.

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3D프린터에 대한 기술수용모델(TAM) 검증에 관한 연구

  • Son, Sang-Gyun;Kim, Do-Hyeon
    • 한국벤처창업학회:학술대회논문집
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    • 2016.04a
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    • pp.150-153
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    • 2016
  • 본 연구의 목적은 제3의 산업혁명을 이끌고 있는 3D프린터에 대해 미래 중추적 역할을 담당할 3D프린팅 교육생의 3D프린터 사용의도를 기술수용모델(TAM)에 기반하여 검증하기 기초연구이다. 본 목적을 달성하기 위하여 서울의 3D프린팅 교육기관 교육전문가 조사를 실시하였으며, 차후 교육 대상자를 설문조사하여 3D프린터에 대한 기술수용의도를 파악하고 분석하고자 한다. 또한, 분석한 결과를 통해 미래 제조업 창업의 핵심 역할을 담당할 3D프린터 사용 활성화를 위한 연구기반을 마련하고자 한다. '3D프린팅 넥스트 레볼루션'의 저자 크리스토퍼 바넷은 언젠가는 3D프린팅이 우리의 삶을 혁명적으로 바꿀 것이라고 예상하고 있다. 3D프린터를 통해 개개인은 맞춤형 제품을 만들어 낼 것이 틀림없다. 치과 의료, 운송 및 항공, 로봇, 군용, 우주, 건축, 요리 등에서 다양하게 3D프린터를 활용한 제품들이 미래에 쏟아져 나올 것으로 예상한다. 생산의 민주화를 이끌 3D프린터는 기존 산업에 큰 기회와 동시에 위협을 주고 있다. 크라우드 및 네트워크를 통한 3D데이터 거래와 지구촌 여러 곳에 3D프린터가 활용된다면, 기존 산업에 혁명적인 변화가 있으리라 짐작된다. 전문가 인터뷰 결과를 기반으로 3D프린터 사용의도에 영향을 주는 5가지 요인으로 3D모델링 경험, 비용, 품질, 유희성, 혁신성이 나타났다. 5가지 독립변인은 TAM모델의 인지된 사용 유용성과 3D프린터에 대한 기술수용의도를 파악해 보고자 한다. 3D프린터 교육기간, 전공 및 학과, 개인의 경험과 혁신성의 차이가 3D프린터 기술수용 여부에 영향을 줄 것으로 예상된다. 서울지역 3D프린터 관련 교육기관에서 교육을 받았거나 받고 있는 학생을 대상으로 연구를 할 계획이며, 지역을 확대한 연구가 차후 필요할 것이다.

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