• Clinics in Shoulder and Elbow
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• v.11 no.1
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• pp.66-69
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• 2008

Traumatic forequarter amputation is an extremely rare and life-threatening injury. It is caused by blunt trauma or tremendous traction force, and the prognosis is very poor because of the involvement of massive associated injury. Traumatic forequarter amputation has been rarely reported in the English language clinical literature, but has never been reported in Korea. We report a case of traumatic forequarter amputation caused by a conveyor belt that was treated with emergency resuscitation and surgery, with an accompanying review of the literature.

• Journal of Chest Surgery
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• v.36 no.8
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• pp.590-594
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• 2003

Vascular injury has been increased with popular outside activities. However there are only a few studies for vascular trauma. We intended to find out the relationships between the vascular trauma and its prognosis. Material and Method: Forty-four patients were diagnosed and operated on for vascular injury in the Gyeongsang National University Hospital from 1992. to 1999. We reviewed their chart and analysed their data retrospectively. We studied to causes, treatments, and prognoses of traumatic vascular injury. Result: The transfer time between accident place and emergency department was mean 3,5 hour, and the operation preparing time was 8.8 hours. Five cases required amputation of extremity. All amputation cases were combined with communited bony fractures. Thirty-eight cases had combined other injuries, and almost combined injuries were muscular and neurological damages, Conclusion: The optimal treatment plan for vascular trauma was prompt diagnosis and quick management. It may decrease amputation rate and post-traumatic complications. Therefore we must be carefully evaluated the multiple traumatic patients for early diagnosis of vascular injury and operate quickly in emergency status.

• The Monthly Diabetes
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• s.213
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• pp.21-23
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• 2007

당뇨병성 족부질환은 크게 당뇨병성 족부 혈관병증, 당뇨병성 족부 신경병증, 당뇨병성 족부궤양 등으로 나누어지며, 당뇨병환자에서 하지에 궤양 및 괴사가 발생 위험도는 정상인에 비하여 15~17배나 높다. 이러한 당뇨병성 족부질환을 제대로 치료하지 않으면 발의 일부나 전부를 절단하게 되며, 외상에 의한 절단을 제외하면 하지 절단의 가장 주요한 원인이 된다. 당뇨병성 족부질환으로 인해 불가피하게 절단이 되었다 하더라도 수술 직후부터 적극적인 약물치료 및 재활치료는 정상인과 거의 동일하게 일상생활 수행 및 독립보행이 가능하며, 스포츠를 포함한 여가활동까지 가능하다.

• The Monthly Diabetes
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• s.289
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• pp.19-25
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• 2013

당뇨병은 비외상성 하지 절단의 가장 중요한 원인 질환이다. 당뇨병성 족부병변은 당뇨병 환자의 발에 발생하는 모든 문제를 포괄적으로 의미하고 보행 장애나 하지절단을 가져오는 중한 합병증에 속하며 족부병변의 발생률은 당뇨병성 만성합병증에 대한 지속적인 교육과 관리를 통해 점차 감소추세이지만 5.3~10.5% 정도로 아직도 적지 않게 보고되고 있다.

• The Monthly Diabetes
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• s.289
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• pp.37-41
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• 2013

당뇨 족은 하지 절단의 비외상성 원인의 가장 많은 부분을 차지한다고 합니다. 당뇨 환자에서는 하지를 절단할 가능성이 당뇨가 없는 환자보다 최저 15배에서 최고 46배까지 높다는 보고가 있습니다. 더욱이 당뇨족에 의한 합병증은 당뇨 환자의 입원 이유 중 25%에 이른다는 보고도 있습니다. 대부분의 당뇨 족 환자에서 합병증은 피부 궤양에서 시작되는데 일찍 발견하여 적절히 치료하는 것이 하지 절단을 피하는 것에 있어 매우 중요합니다. 이를 방치하였을 때 하지 절단으로 이어질 수 있는 당뇨 족의 원인 예방, 진단 및 치료에 대해 알아보도록 하겠습니다.

• Journal of Chest Surgery
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• v.28 no.9
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• pp.881-884
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• 1995

Improvements in the operative management of traumatic aortic transection have resulted in safe and expeditious repair. Nonetheless, multisystem injuries continue to inflict significant numbers of deaths. We have experienced a case of acute traumatic aortic transection in 41 years old male patient by a traffic accident. The transection was just distal to the origin of the left subclavian artery. We have done a synthetic graft interposition under left atrium to left femoral artery bypass with centrifugal pump. His postoperative course was smooth, and discharged without any complications.

• Journal of Veterinary Clinics
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• v.24 no.4
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• pp.627-630
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• 2007

A mixed-breed hunting dog suffered penile amputation and lacerations in the femoral and inguinal areas while hunting wild boar. The penis was replanted by anastomoses of the urethra, cavernous body, and the left and right dorsal veins of the penis. The transected penis recovered anatomically and functionally. No evidence of postoperative necrosis or edema was detected at the distal portion of the penis. In addition, fistulas and stenosis were not found on urethrogram 20 days after the surgery. Aside from surgery, we performed experimental cavernosography to identify the importance of the anastomosis of the dorsal veins of the penis in three beagle dogs. The cavernosograms revealed that, the contrast medium, which was injected into the bulbus glandis, drained by the left and right dorsal veins of the penis, then converged into one vessel at the ischial arch and diverged into the left and right internal pudendal veins. Thus, reanastomosis of the left and right dorsal veins of the penis in cases of transected canine penis appears to be important for positive postoperative prognosis.

• Journal of Chest Surgery
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• v.31 no.2
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• pp.182-185
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• 1998

Recently, The non-penetrating injury of bronchus has been increased, especially by traffic accident. Early diagnosis and primary repair of bronchial injury not only restore normal lung function but also avoid the difficulties and complications associated with delayed diagnosis and repair. This report describes about a case of total collapse and consolidation of left lung with the complete transection of nearly bifurcated portion of left main bronchus , lasted for 2weeks after traffic accident. This was diagnosed by fiberbronchoscopy and 3-D chest computed tomography(CT). She underwent the sleeve resection and end to end anastomosis, and postoperative PEEP for 2 days, suctioning twice by fiberbronchoscopy, continue postural drainge and physiotherapy were applied. She had almost full expansion of the left lung at discharge.

• Journal of the Korean Society of Child Welfare
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• no.36
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• pp.289-322
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• 2011

The purpose of this study is to examine the relationship between job characteristics such as role conflict, workload, and self-efficacy, secondary traumatic stress(STS), and burnout of social-workers who are working with survivors of child abuse, spouse abuse and sexual assault. While burnout has been studied over two decades all over the world, secondary traumatic stress(STS) is a less familiar term in the field of social work. Studies explaining the relationship between job-demands, STS, and burnout for social workers working with violence victims lack integrative insights across agencies serving children and adults. Thus, we examine whether the relationships between change based on wheter the survivor is a child or an adult. Two hundred thirty three social workers in Korea who work with violence victims participated in the survey. The data were analyzed with Amos 7.0. Results indicate that STS plays a key role in explaining social worker burnout across the agencies, and Child Protective Service workers were found to have the highest STS symptoms. The pathways to social worker burnout proved to be different based on who you served. Theoretical and practical implications of these findings were discussed.

• Archives of Reconstructive Microsurgery
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• v.11 no.1
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• pp.41-46
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• 2002

Purpose : To assess the clinical results of second toe-to-finger transfer in traumatic amputated index finger. Materials and Methods : For the clinical evaluation, we have analyzed 12 patients with ROM of finger joints, pinch power, static two point discrimination, life functional assessment, and patient's satisfaction. Results : In genral ROM was $54.4^{\circ}$ at MP joint, $17^{\circ}$ at PIP joint and $6.7^{\circ}$ at DIP joint. Pinch power was good in 3 cases, fair in 7 cases, and poor in 2 cases. Daily life activity and patient's acceptance were satisfactory. Conclusion : Although transfered toe function may be poorer than normal finger, the hand was restored to a useful, sensate and versatile functional unit.