• Pediatric Gastroenterology, Hepatology & Nutrition
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• v.11 no.2
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• pp.116-121
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• 2008

Purpose: Cricopharyngeal incoordination is a rare cause of swallowing difficulties in newborns and infants; it is characterized by delayed pharyngeal contractions related to cricopharyngeal relaxation. Dysphagia and repeated aspiration are common findings despite normal sucking. We conducted this study to assess the clinical features of cricopharyngeal incoordination in newborns and infants. Methods: An analysis of the clinical data from 17 patients with cricopharyngeal incoordination who were admitted to the Department of Pediatrics, Pusan National University Hospital, between 2000 and 2006 was conducted retrospectively. The diagnosis of cricopharyngeal incoordination was established by the clinical characteristics and the videofluoroscopic swallowing studies. Results: The male to female ratio was 1:1.1 (males 8, females 9) the age range 1 to 60 days. The body weight of 11 patients (64.7%) was less than the $10^{th}$ percentile at diagnosis. Six patients (35.3%) were born prematurely. The associated anomalies or diseases were chromosomal anomaly (2 cases), congenital heart disease (3 cases), and laryngomalacia, hypoxic brain damage or neonatal seizures (1 case each). The chief complaints of patients were recurrent aspiration pneumonia (10 cases), feeding difficulty (9 cases), dyspnea (4 cases), and chocking (4 cases). The severity of aspiration on the videoesophagogram or esophagogram was mild in 12 cases. The correlation between the severity of aspiration and the duration of tube feeding after the diagnosis was significant (p<0.05). Conclusion: Cricopharyngeal incoordination should be considered in the differential diagnosis of newborns and infants, without known risk factors associated with swallowing dysfunction, when they present with unexplained respiratory problems. Although the prognosis of cricopharyngeal incoordination is good, early diagnosis and tube feeding are recommended to prevent the complications associated with this disorder.

• Proceedings of the Korean Institute of Navigation and Port Research Conference
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• 2010.10a
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• pp.131-133
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• 2010

2000년부터 예부선 등록 척수가 급증하고 있으며, 예부선 대부분이 10년 이상의 노후선박으로 사고의 위험성이 크다. 전체 해양사고 건수는 점차 줄어드는 추세이나, 예부선 관련 사고는 줄어들지 않고 있으며, 2010년 상반기 해양사고 분석보고서에 의하면 예부선 사고는 전년 동기대비 84.4% (32척->59척) 증가했고 이 중 충돌사고 다수인 것으로 나타났다. 예부선 사고의 근본 원인 중 예부선 종사자(선원)의 수급 어려움과 이로 인한 종사자의 고연령 저학력 경향이 뚜렷하다. 본 발표에서는 고령 예부선 운항자의 안전운항 교육을 위해 승선환경을 고려한 다양한 콘텐츠 개발 및 활용방안에 대해 제안하고자 한다.

• Proceedings of the Korean Institute of Navigation and Port Research Conference
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• 2011.11a
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• pp.49-50
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• 2011

예부선 운항 시뮬레이션은, 선박 운항 시뮬레이션의 자선의 동적 거동의 모사 뿐만 아니라 예인줄 및 예인줄에 의해 영향을 받는 부선의 거동을 표현해야 하는 다른 특성을 가지고 있다. 이러한 특성들을 시뮬레이션 가시화에 반영하기 위해 그래픽 렌더링 엔진과 같은 소프트웨어 뿐만 아니라 부선의 상태를 모니터링하기 위한 후방 가시화와 같은 하드웨어 구성을 제안하여 적용하였다. 본 논문에서는 이와 같은 기존의 연구들을 확장하여 예부선 전용의 시뮬레이션 가시화로의 응용에 대해 초점을 맞추고 있으며, 이를 통해 예부선 운항에 적합한 가시화의 구현 내용을 다루고자 한다. 이와 같은 하드웨어와 예부선 전용의 소프트웨어를 통해서 예부선 운항과 관련된 시뮬레이션이 시뮬레이터 사용자에게 직관적인 시뮬레이션 내용을 전달할 수 있을 것으로 기대된다.

• Journal of Navigation and Port Research
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• v.34 no.5
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• pp.305-309
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• 2010

This paper is provided to improve the discrimination of the towing line for tug-barge at the night sailing. As tugboat industry develops, marine accidents by tugboats are increasing. The main cause of accidents by tugboats is operators' negligence, and that portion is over 70 percent in total marine casualties by tugboats. The biggest cause of negligence is the passing through the towing line at night time. This paper suggests the ways to hinder operators' transit and improve discrimination of towing line(s) at night time.

• Journal of Chest Surgery
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• v.37 no.3
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• pp.228-234
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• 2004

Primary cardiac tumors are rare disease and they present nonspecific symptom. They are divided in benign and malignant tumors and require surgical therapy and/or additional therapy. From March 1995 to March 2003, twenty one patients were diagnosed as having primary cardiac tumors. We analysed them retrospectively in terms of various perioperative factors and early and late results. 6 men and 15 women and their average age was 45.44$\pm$18.76. Pathology revealed eighteen benign (fourteen myxoma, two fibroelastoma, one hemangioma and one paraganglioma) disease and three malignant (one angiosarcoma, one mesothelioma and one myxofibrosarcoma) disease. There was one (myxoma) operative mortality and three late death (hemangioma, angiosarcoma and mesothelioma) during additional therapy and follow up. Surgical treatment of primary cardiac tumor is important and sometimes additional therapy is required but the prognosis of malignant cardiac tumor is still very poor.

• Korean Journal of Head & Neck Oncology
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• v.28 no.1
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• pp.8-11
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• 2012

배경 및 목적 : 섬유소 응고제(fibrin sealants)는 다양한 두경부수술에서 지혈목적으로 사용되고 있다. 본 연구의 목적은 배액관을 삽입하지 않는 갑상선 수술에서 섬유소 응고제의 효용성과 안정성을 알아보고자 하였다. 재료 및 방법 : 최근 1년간 108명의 갑상선 수술환자 중에서 수술 후 배액관의 삽입없이 수술을 받은 103명의 환자를 대상으로 하여 임상적인 특징을 분석하였다. 결과 : 103명의 대상환자 중에서 남성은 16예, 여성은 87예였다. 대상환자의 평균연령은 $46.7{\pm}13.0$세였고, 연령분포는 17세에서 72세였다. 갑상선 종물의 평균크기는 $2.08{\pm}1.61cm$였고, 종물의 크기는 최소 0.2cm에서 최대 10.0cm까지의 분포를 보였다. 수술에는 갑상선 엽절제술이 5예, 갑상선반절제술이 41예, 아갑상선 절제술이 8예, 갑상선 전절제술이 6예, 갑상선 전절제술과 중심경부림프절 절제술이 37예, 갑상선 전절제술과 선택적경부림프절 절제술이 6예가 있었다. 수술 후 합병증은 11예(10.6%)에서 발생하였고, 발생한 합병증으로는 장액성종창이 3예, 혈종이 1예, 일측성 성대마비가 3예, 저칼슘혈증이 4예 있었다. 성대마비는 수술 후 3개월 이내에 모두 호전되었고, 장액성 종창은 반복적인 세침흡인으로 호전되었다. 1예의 혈종은 지연성으로 발생하였고, 수술 후 5일째에 수술을 통해 제거하였다. 결론 : 이러한 결과에 근거하여 갑상선 수술에서 섬유소 응고제의 사용은 다양한 갑상선 수술에서 효과적인 지혈과 함께 안전하게 사용될 수 있으며, 배액관의 삽입을 감소시켜 줄 수 있을 것으로 생각된다.

• Journal of Navigation and Port Research
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• v.35 no.6
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• pp.483-488
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• 2011

When a tug-barge navigates in the water, maneuvering ability of a tug is affected by the slewing motion of barge. Therefore it is necessary to decrease the slewing motion of a barge for safe towing work. We chose two different types of barge model and investigated their motion depending on the existence of bridle, towing speed and length of towline. The experiments are performed in the still water using the wire rope for the towline. A longer towline makes the heading angle smaller. The towing speed does not largely affect the turning of barge. Finally, it is noted that the bridle of a towing line decrease the slewing motion of barge more effectively.

• The Sea:JOURNAL OF THE KOREAN SOCIETY OF OCEANOGRAPHY
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• v.8 no.2
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• pp.203-209
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• 2003

In this study, the configuration and tension of a towing cable for side-scan sonar are predicted in an ambient flow and at an unsteady towing condition. The governing equation of three-dimensional dynamic analysis for a flexible cable is solved using a finite difference method. We successfully predict the configuration and tension of a side-scan sonar and designed the towing system. It is found in static analyses that the side-scan sonar must be towed to keep a its stable depth at a reasonable speed. The study also reveals in the transient analyses that the dominant component affecting the top tension is the tangential drag force for the larger towing speed than the critical speed, and the soft weight of a towed instrument for the smaller towing speed than. It should be maneuvered for a towing vessel with good consideration for the impact effect in a cable due to tension peak when a towing speed is suddenly increase. The developed program can be applicable for three-dimensional dynamic analysis of a towing system for various marine survey instruments.

• The Journal of the Korean bone and joint tumor society
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• v.14 no.2
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• pp.131-139
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• 2008

Purpose: Lipomatous tumor occurred in hand is very rare. There is a broad spectrum of lipomatous tumors including lipomas, variants of lipomas, lipomatosis, liposarcomas and so on. We report the clinical features of 11 cases of lipomatous tumor which occurred in hand. Materials and Methods: Between 1992 and 2008, 11 cases were histologically diagnosed as lipomatous tumor in hand. We reviewed all medical records and clinical photographs retrospectively and ascertained recurrence by telephone interview. Results: Eight cases were ordinary lipomas. Three cases were angiolipoma, fibrolipoma and atypical lipoma respectively. Four cases occurred in finger, two cases in thenar area, two cases in hypothenar area, one case in palm, two cases in wrist. All cases were situated on volar surface. All patients complained of palpable masses. One patient with subungal angiolipoma felt pain. There was no neurologic sign or vascular symptom preoperatively. In one case, postoperative complication (hypoesthesia in $5^{th}$ finger) was developed. There was no local recurrence. Conclusion: In our study, lipomatous tumors occurred in hand did not recur. Patients mainly complained of feeling of lump. Pain was uncommon symptom. Postoperative complication was rare if operation was performed carefully.

• The Journal of the Korean bone and joint tumor society
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• v.15 no.1
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• pp.44-51
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• 2009

Purpose: We evaluated the results of surgical treatment for metastatic pathologic or impending pathologic fractures. Materials and Methods: From January 2004 to December 2007, 18 patients 19 cases were included. Male were 6 and female were 12. The mean age was 65.1. Mean follow up period was 15.2 months. Pathologic fractures were 14 and impending pathologic fractures were 5. MSTS score, periodic radiologic follow up and postoperative complications were evaluated. Results: The primary malignancies were 6 cases of multiple myeloma, 4 cases of renal cell carcinoma, 2 cases of cholangiocarcinoma, 2 cases of colon cancer, 2 cases of breast cancer and 2 cases of leiomyosarcoma. Metastatic lesions were 10 cases of femur, 4 cases of clavicle, 2 cases of humerus, 2 cases of tibia and 1 case of radius. Surgical options were curettage, cementation, internal fixation and arthroplasty. Mean MSTS score was 15.9. Postoperative complications were 1 case of infection, 1 case of local recurrence and 1 case of implant loosening. Ten patients were alive with disease, 8 patients died of disease. Conclusion: Surgical treatment of metastatic skeletal lesions allowed early ambulation and improving dexterity. It improved pain and emotional acceptance. Surgery is necessary for improving qualities of remaining lives.