• Archives of Plastic Surgery
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• 제34권3호
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• pp.365-370
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• 2007

Purpose: There are many reports about facial bone fractures, but limited to retrospective data of a single hospital. Etiology and severity of the facial bone fracture have been changed and treatment method and materials have been advanced. In order to reflect those changes and provide up-to-date data of the facial bone fractures in Daegu, we gathered the data and analyzed the epidemiologic study. Methods: The medical records of 1058 fractures in 895 patients were gathered from 5 general hospitals in Daegu during last year and these data were analyzed by following parameters: age, sex, place of residence, occupation, cause of injury, time of injury, location of fracture, length of in-hospital stay, time of operation, treatment method, associated injury, complication. Statistical analysis was performed using the Chi-square test. Results: Most commonly involved age group was 20s(26%) and the sex ratio was 3.4:1(male predominance). Fractures were occurred more in unban and white-color workers. Among variable etiology of injury, traffic accident was the most common cause. Time of injury was heighest at 6 to 7 P.M., on Sunday, in July. Locations of fractures were following sequence: nasal, zygoma, mandible, orbit, maxilla. Mean length of in-hospital stay and time of operation after injury were 6.3 and 3.2 days, respectively. In treatment methods, operative methods were dominant than conservative management and general anesthesia were favored than local anesthesia. Associated injuries were noticed in 188 cases(21.2%) and complications were in 94 cases(8.9%) and among them, ocular problem were common. Conclusion: Compared to previous studies, mean age of occurrence was lowered and the etiologies showed age-specific pattern and reflected the change of lifestyle. In young age groups, sports injury, violence were more dominant and the other hand, traffic accident and fall were dominant in older groups.

• Archives of Plastic Surgery
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• 제39권5호
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• pp.483-488
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• 2012

Background Pediatric hand burns are a difficult problem because they lead to serious hand deformities with functional impairment due to rapid growth during childhood. Therefore, adequate management is required beginning in the acute stage. Our study aims to establish surgical guidelines for a primary full-thickness skin graft (FTSG) in pediatric hand burns, based on long-term observation periods and existing studies. Methods From January 2000 to May 2011, 210 patients underwent primary FTSG. We retrospectively studied the clinical course and treatment outcomes based on the patients' medical records. The patients' demographics, age, sex, injury site of the fingers, presence of web space involvement, the incidence of postoperative late deformities, and the duration of revision were critically analyzed. Results The mean age of the patients was 24.4 months (range, 8 to 94 months), consisting of 141 males and 69 females. The overall observation period was 6.9 years (range, 1 to 11 years) on average. At the time of the burn, 56 cases were to a single finger, 73 to two fingers, 45 to three fingers, and 22 to more than three. Among these cases, 70 were burns that included a web space (33.3%). During the observation, 25 cases underwent corrective operations with an average period of 40.6 months. Conclusions In the volar area, primary full-thickness skin grafting can be a good indication for an isolated injured finger, excluding the web spaces, and injuries of less than three fingers including the web spaces. Also, in the dorsal area, full-thickness skin grafting can be a good indication. However, if the donor site is insufficient and the wound is large, split-thickness skin grafting can be considered.

• 기록학연구
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• 제44호
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• pp.51-99
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• 2015

기록평가의 목적은 점차 기록의 선별에서 일종의 주제기반의 수집으로 옮겨가고 있다. 특히 현재의 디지털 기술과 웹의 양 질적 발달은 물리적 수집이 아닌 의미적 수집, 즉 데이터의 연계를 통한 수집을 가능하게 하는 원동력이 되고 있다. 이러한 환경하에서 유네스코를 필두로 국제적으로 '기록유산'에 대한 개념정립이 이루어지고 있다. 이러한 동향을 반영하고 있는 것이 캐나다의 LAC인데, 최근 토탈아카이브즈 정신을 부흥시키고자 새로운 평가방법이자 수집방법을 개발하고 있다. 이것이 'Whole-of-Society 접근법'이다. 이 접근법의 특징은 크게 세가지이다. 첫 번째, 기록유산을 대상으로 하며, 물리적 수집이 아니라 의미적 수집을 목적으로 한다. 또한 그 대상이 기록유산이기 때문에 반드시 기록유산기관 간의 협력이 전제되어야 한다. 마지막으로 이미 발생한 사건에 대한 기록화뿐만 아니라 동시대적 사건에 대한 기록화도 가능하다는 것이다. 평가방법으로서의 'Whole-of-Society 접근법'은 사회이론에 착안하여 사회 구성요소를 식별하는 방식이다. 수집방법으로서의 'Whole-of-Society 접근법'은 디지털기록을 대상으로 하나, 아날로그기록의 소장주체로 안내하는 방식으로 그 대상이 확장된다. 이때의 디지털기록이란 '디지털화된(Digitized)' 기록유산과 '본래 디지털인(Born-Digital)' 기록유산을 포함한다. 그리고 평가 단계에서 식별한 사회 구성요소를 메타데이터 요소로 매핑한 다음, 링크드오픈 데이터로 구축함으로써 데이터 간의 연계를 통한 의미적 수집을 실현한다. 마지막으로 이 연구에서는 국내 평가체계는 그 목적이 선별에 비교적 국한되어 있어 사회의 기록화를 실현하기 어렵다는 한계를 지적하였다. 이러한 한계를 극복하기 위하여 Whole-of-Society 접근법을 적용하여 가이드라인을 제시한다. 가이드라인은 총 8단계를 거치는데, 1단계부터 4단계는 기록화 대상의 선정과 기술이며 5단계부터 8단계는 디지털 환경에서 의미적 수집을 위한 준비절차라 할 수 있다. 한편 가이드라인의 실행을 위한 선행과제를 점검하며 국가기록원의 역할을 촉구한다.