• Journal of Korean Academy of Nursing Administration
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• v.2 no.1
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• pp.35-56
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• 1996

Nowerdays, the increase of traffic accidents and old age population make the Femoral Neck Fracture(FNF) patients increase. By the improvement of education and standard of living the patients demand better medical service than before. This study is designed to give practical help for the FNF patients by observing their hospital life and establish practical nursing strategies for the FNF patients. For these purposes the Ethnographic Participant Observation was adopted. By this study is focused on the hospital life patient's view. For this end, the field study adopted orthopedic ward in the C University Hospital with 400 beds in Seoul. The object patients of the study were twelve patients. The patients experienced five stages : Embarrassment, Conflict, Stability, Independent, and Extension Stage. The findings and prepared nursing strategies are stated as follows. First, in the Embarrassment Stage they suffered embarrassment, anxiety, pain, they could not do ordinary things. The patients who accidental fractures had anxiety from unfamiliar tests and from hospitalization itself. They lamented that they could not ordinary things, and do nothing but obeying the hospital, and endure the pain. They recognized the changed environment and resigned themselves to life in the ward. In this stage, full openness by the nurses is needed. Second, the attribute of the Conflict Stage were conflict, fear, curiosity, belief, reflection. When they sign the consentment form, they experience conflicts about the possibility of complication, fear of recovery from anesthesia, curiosity about the operation procedure, post - operation state, reflection on their past life, and promise to care for their family members after discharge and keep their religious life faithfully. And they accepted the operation depending on God, believing in modern medicine, and the surgeon. Asking for their changed informations, they expected positive results from the operation. In this stage, an empathic attitude by the nurses is needed. Third, the attribute of the Stability Stage were relief, gratitude, difficulty with excretion, and pain. When they awoke from anesthesia, they felt relief because of a the end of the operation, but they experienced extreme pain, difficulty of excretion in bed. They accepted the changed environment and expected recovery. In this stage, support by the nurses is needed. Fourth, the attributes of the Independence Stage were freedom, exercise, nurturing, anxiety, and discomfort. When they ambulated and exercised, they experienced freedom. They showed exhibited weakness of the digestive organs and discomfort hospital's space, structure, and facilities, the delay of medical certificate issue the lack of prompt response by the medical agents. They ate nurturious food and felt anxiety on the end of hospital life and returning to their ordinary life. They showed the independence of overcoming their environment by increasing exercise and expected their discharges. In this stage, respect by the nurses is needed for the patients to, overcome their environment and prepare for their independence. Fifth, the attributes of the Extension Stage were pessimism, isolation, dissatisfaction, and pain. Accompanied injury and old age made their ward life extend to over seven weeks. They exhibited weariness, melancholy, skeptisis, general pessimistic feeling, and desperation caused by their isolated life. They experienced the digestive discomfort caused by the prolonged medication and psycological pain caused by long-time hospitalization. As a, result, their dissatisfaction on the human, physical, and systematic environments had been increased. They acquired critical power and sought for something to do spending their time. They expected vaguely about the returning of their ordinary life. In this stage, counseling is needed by the nurse to overcome positively their psychological, social, and physical problems. The process of the FNF patient's ward life starts from the dependent state, when they are hospitalized, and gradually progresses to self-fulfillment in order to keep independent life. As a result, the FNF patients showed "Response in Challenge" or "Adaptation in Conflict" through their experiences of social, physical, and psychological difficulties.

• The Journal of the Korean bone and joint tumor society
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• v.20 no.1
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• pp.7-13
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• 2014

Purpose: As well as patient survival, the restoration of postoperative function such as ambulation is important in limb salvage operations for treatment of malignant bone tumors involving the proximal femur. The authors analyzed clinical outcomes of limb salvage operations using tumor prostheses for metastatic or primary malignant bone tumors in the proximal femur. Materials and Methods: From February 2005 to January 2014, 20 cases (19 patients) with malignant bone tumor involving the proximal femur with pain or complicated pathologic fracture were treated with segmental resection and limb salvage operations with tumor prostheses. Mean age was 63.1 years (range 35-86). Fourteen patients were male and six ones were female. The mean follow-up period was 20 months (1-94 months). There were 15 cases of metastatic bone tumor, 4 cases of osteosarcoma, and 1 case of multiple myeloma. The primary tumors of the metastatic bone tumors included 4 lung cancers, 3 hepatocellular carcinomas, and 3 renal cell carcinomas. Other primary tumors were breast cancer, thyroid cancer, colon cancer, prostate cancer, and malignant spindle cell tumor, each in 1 case. Modular tumor prostheses were used in all cases; (Kotz's$^{(R)}$ Modular Tumor prosthesis (Howmedica, Rutherford, New Jersey) in 3 cases, MUTARS$^{(R)}$ proximal femur system (Implantcast, Munster, Germany) in 17 cases). Perioperative pain was assessed with Visual Analogue Scales (VAS). Postoperative functional outcome was assessed with Musculoskeletal Tumor Society (MSTS) grading system. Results: Out of 20 cases (19 patients), 11 cases (10 patients) survived at the last follow-up. Average postoperative survival of the 9 deceased patients was 10.1 months (1-38 months). VAS score improved from pre-operative average of 8.40 (5-10) to 1.35 (0-3) after operation. Average postoperative MSTS function score was 19.65 (65.50%, 7-28). The associated complications were 2 local recurrences, 3 hematomas, 3 infections, 2 scrotal swellings, and 1 dislocation. There was no case of periprosthetic fracture or loosening. Conclusion: Limb salvage operation with tumor prosthesis is an appropriate treatment for early pain reduction and functional restoration in malignant bone tumors in the proximal femur with pain an/or complicated pathologic fractures.

• The Korean Journal of Nuclear Medicine
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• v.35 no.1
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• pp.52-60
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• 2001

Purpose: In young male patients who suffered several kinds of trauma with subsequent suspicious reflex sympathetic dystrophy syndrome, we performed three-phasic bone scan in order to investigate its usefulness. Materials and Methods: Patients with narrow range of age (21-25. mean $22.8{\pm}1.3$, all male) were included with suspicious reflex sympathetic dystrophy syndrome of 12 feet and 5 hands. Only one was bilateral feet case and 16 were ipsilateral (Rt:13, Lt:3). The etiologic traumas were 4 fractures, 4 sprains, 3 blunt trauma, 2 cellulitis, 1 tendon tear, 1 crush injury, 1 overexercise, and 1 unknown. Radiologically 3 showed osteoporotic changes. Three-phasic bone scans were performed $21.2{\pm}7.3wks$ after trauma. Results: According to symptom complex, confirmatory reflex sympathetic dystrophy syndrome 4 cases and suspicious 13 were analyzed. All confirmatory cases (100%) showed increased uptake at delay phase with periarticular accentuation. Of confirmatory 4 cases, 2 showed increased uptake in all three phases (perfusion: P, blood pool: B, and delay: D), and other 2 revealed decreased P but, both increased B and D. Of suspicious 13 cases, 9(69.2%) had increased D (4 periarticular and 5 focal), 2 decreased D, and 2 symmetric D. In 12 foot cases, so-called weight hearing patterns - increased contralateral sole at P and B - were revealed in 7(58.3%). Conclusion: Diffuse periarticular increased uptake at delay phase of three-phasic bone scan was a compatible finding to reflex sympathetic dystrophy syndrome in young male patients whose symptom complex strongly designated post traumatic reflex sympathetic dystrophy syndrome.

• The Sea:JOURNAL OF THE KOREAN SOCIETY OF OCEANOGRAPHY
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• v.10 no.4
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• pp.204-212
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• 2005

Recognition has emerged that nutrient inputs from the submarine discharge of fresh, brackish, and marine groundwaters into the coastal ocean are comparable to the inputs via river discharge. The coastal areas of the Korea peninsula and adjacent seas exhibit particular importance in the role of submarine groundwater discharge (SGD), in terms of the magnitude of SGD and associated continental material fluxes. For example, in the southern sea of Korea, SGD transports excess nutrients into the coastal regions and thus appears to influence ecosystem changes such as the outbreak of red tides. Around volcanic island, Jeju, which is composed of high permeability rocks, the amount of SGD is higher by orders of magnitude relative to the eastern coast of North America where extensive SGD studies have been conducted. In particular, nutrient discharge through SGD exerts a significant control on coastal ecosystem changes and results in benthic eutrophication in semi-enclosed Bang-du bay, Jeju. In the entire area of the Yellow Sea, tile submarine discharge of brackish groundwater and associated nutrients are found to rival the river discharges into the Yellow Sea, including those through Yangtze River, Han River, etc. In the eastern coast of the Korea peninsula, SGD is significantly higher during summer than winter due to high hydraulic gradients and due to wide distribution of high permeability sandy zones, faults, and fractures. On the other hand, in the estuarine water, downstream construction of the dam in the Nakdong River, SGD was highest when the river discharge was lowest (but water level of the dam was highest). This suggests that even though there is no visible freshwater discharge into this estuary, the discharge of chemical species is significant through SGD. On the basis of the results obtained from the coastal areas of the Korea peninsula, SGD is considered to be an important pathway of continental contaminants influencing tidal-flat ecosystems, red tides, and coral ecology. Thus, future costal management should pay great attention to the impact of SGD on coastal pollution and eutrophication.

• Journal of radiological science and technology
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• v.40 no.2
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• pp.187-195
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• 2017

Early diagnosis for upper facial trauma is difficult by using the standard Water's view (S-Water's) in general radiograph due to overlapping of anatomical structures, the uncertainty of patient positioning, and specific patients with obese, pediatric, old, or high-risk. The purpose of this study was to analyze appropriate exposure angles through a comparison of two different protocols (S-Water's vs. reverse Water's view (R-Water's)) by using a head phantom. A head phantom and general radiograph with 75 kVp, 400 mA, 45 ms 18 mAs, and SID 100 cm. Images of R-Water's were obtained by different angles in the range of $0^{\circ}$ to $50^{\circ}$, which adjusted an angle at 1 degree interval in supine position. Survey elements were developed and three observers were evaluated with four elements including the maxillary sinus, zygomatic arch, petrous ridge, and image distortion. Statistical significant analysis were used the Krippendorff's alpha and Fleiss' kappa. The intra-class correlation (ICC) coefficient for three observers were high with maxillary, 0.957 (0.903, 0.995); zygomatic arch, 0.939 (0.866, 0.987); petrous ridge, 0.972 (0.897, 1.000); and image distortion, 0.949 (0.830, 1.000). The high-quality image (HI) and perfect agreement (PA) for acquired exposure angles were high in range of the maxillary sinus ($36^{\circ}-44^{\circ}C$), zygomatic arch ($33^{\circ}-40^{\circ}$), petrous ridge ($32^{\circ}-50^{\circ}$), and image distortion ($44^{\circ}-50^{\circ}$). Consequently, an appropriate exposure angles for the R-Water's view in the supine position for patients with facial trauma are in the from $36^{\circ}$ to $40^{\circ}$ in this phantom study. The results of this study will be helpful for the rapid diagnosis of facial fractures by simple radiography.

• Journal of the Mineralogical Society of Korea
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• v.21 no.2
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• pp.139-159
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• 2008

Geochemical analysis of the various kinds of water including observation borehole groundwater was carried out for the assessment of the hydrological safety of the underground oil storage cavern and the potentiality of mineralogical and microbiological clogging was estimated. Most of water samples belonged to $Ca-HCO_3$ and $Ca-HCO_3-SO_4$ types. There was no distinct chemical difference in the various kinds of water. All kinds of water are undersaturated with the calcite which is the major clogging mineral. Most water samples have low Fe and Mn concentrations. However, they are saturated or oversaturated with the iron-oxide/hydroxide minerals and have high dissolved oxygen contents which suggests the possibility of clogging by the iron-oxide/hydroxide minerals as a long-term aspect. Several water samples from the ground observation borehole also show the high saturation indices far the clay minerals, which can fill up the fractures, indicating the possibility of clogging by the clay minerals. Statistical analysis shows the degree of mineral precipitation or dissolution is mainly controlled by pH, Eh and DO of water samples. According to the microbial analysis, the aerobic microbes and slime forming bacteria are dominant in most water samples and anaerobic microbes including sulfate reducing bacteria are very low or not detected. Although the slime forming bacteria which are known as a main microbial cause of the clogging is lower than $10^5\;CFUs/mL$ in all water samples, because the slime forming bacteria are dominant microbe in several observation boreholes, the clogging can be caused by it as a long-term aspect. In addition, the possibility of clogging can be increased if the microbial effect is combined with the mineralogical effect such as iron oxide/hydroxide minerals for the possibility of clogging. Therefore, the systematic and long-term program for the assessment of clogging is required for the safe operation of underground oil storage cavern.

• The Korean Journal of Food And Nutrition
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• v.11 no.1
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• pp.87-98
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• 1998

This study was conducted to investigate Osteoporosis on the effect of dietary factors and past young age period's dairy products consumption on BMD in 170 postmenopausal Korean women without diagnosed disease. Bone mineral density(BMD) of lumbar spine was investigated by dual energy X-ray absorptiometry. Dietary assesment of the subjects were measured by Cognitive Food Frequency Recall method. The measurements of group average were 57.9kg of body weight, 36.73 of BMI(Body Mass Index), 2103.3㎉ of energy, 638.7mg of dietary calcium, 70.3g of protein, and 10.58mg of iron. Nutrient intake levels were similar to or more than the level of Korean Recommended Dietary Allowances. Bone Mineral Density(BMD) of Lumbar spine(L2-L4) of group average was 0.912g/$\textrm{cm}^2$, and under 50 yr's 1,02g/$\textrm{cm}^2$, 50~54 yr's 0.92g/$\textrm{cm}^2$, 55~59 yr's 0.85g/$\textrm{cm}^2$, over 60 yr's 0.85g/$\textrm{cm}^2$, had been getting low degree on aging. BMD of the Lumbar spine was positively correlated with calorie, body weight, dietary calcium, protein, phosphorus and serum albumin. Past dairy products consumption experiment was highly significant on BMD in teenage period(R square = 26, p-value 0.0031). Particularly in over 60 yr group, the correlations between BMD and past dairy products consumption in teenage period had shown highly significance(r=0.48, p<0.02). 55~59 yr age group had also positive correlation(R squae = 0.29, p<0.05). This results confirm that the most effective way of preventing osteoporosis and the fractures is to maximize peak bone mass in early life and to minimize bone loss through the balanced intake of Ca and other nutrients and regular physical activity.

• Journal of the Korean Arthroscopy Society
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• v.9 no.2
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• pp.148-153
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• 2005

Purpose: To analyze the clinical result of the arthroscopic reduction and fixation for the displaced tibial spine fractures in children and report the utility of the arthroscopic treatment with the review of the literature. Methods: Between December 2000 and July 2004, five patients (average age 9.1 years) received an arthroscopic reduction and fixation of displaced tibial spine fracture. A male-to-female ratio was 3:2 and mean follow-up was 38.2$(13{\sim}56)$ months. All five patients were classified type III by Movers and McKeever classification. The average period from injury to operation was 4.8 days $(3{\sim}8days)$, the avulsed fragment was reduced by operative arthroscopy and fixated by pull-out suture in 3 patients and by cannulated screw in 2 patients. Postoperatively long leg cast was applied for 2 weeks, and then gradual range-of-motion exercise was permitted. Full weight-bearing ambulation was permitted after 6 weeks. The clinical evaluation was performed by range of motion, Lachman and pivot shift test, KT-1000 arthrometer, Lysholm knee score and the modified Feagin score. Results: All five patients had no symptom and recovered full range of motion of the affected knees. Lachman test was positive finding of 1+ laxity in one patient, the others were negative, and all patients were negative findings for pivot shift test. The result of KT-1000 arthrometric assessment is mean maximum side-to-side differences 1.9 mm. Average Lysholm knee score was 99.4. All patients had excellent results in modified Feagin score. Conclusion: Arthroscopic reduction and fixation of displaced tibial spine fracture in children showed excellent result without complication. Both pull-out suture fixation and cannulated fixation provide an effective treatment option for fixation of the displaced anterior tibial spine fracture.

• The Journal of the Petrological Society of Korea
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• v.17 no.2
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• pp.83-94
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• 2008

The Pungcheon-myeon, Andong, consists mainly of Precambrian metamorphic rocks, Jurassic igneous rocks, Cretaceous sedimentary rocks (Hasandong, Jinju and Iljik Formations) and Cretaceous igneous rocks (gabbroic rocks, dykes), in which several major faults are developed; Andong fault of ENE trend, which is the boundary fault of the Cretaceous Gyeongsang Basin and the Precambrian-Jurassic basement (Yeongnam Massif), Namhu fault parallel to it, Maebong fault of NNW direction, bow-shaped Gwangdeok fault of ENE direction which is convex toward SSE direction, and Hahoe fault of NNE direction. This paper is researched the geological structures around these major faults by means of the detailed geometric analysis on beddings, joints, faults and drag folds. As a result, a reverse slip faulting of top-to-the SSE movement accompanied with a regional drag folding is recognized from the arrangement of bedding poles measured around the Gwangdeok and Hahoe faults at its northeastern extension, and a zone of Gwangdeok drag fold of 150-300 m width, which is wider at the central and eastern parts of Gwangdeok fault and narrower at its western part and Hahoe fault, is also defined. It indicates that the Hahoe and Gwangdeok faults are a single fault and their movements are coeval unlike the results of earlier reasearchers. And, In this area are recognized two types of faults [(E)NE${\sim}$EW(fault I), WNW${\sim}$NNW (fault II), trending faults] and four types of joints [EW (I), (N)NW (II), NNE (III), NE (IV) trending joints]. These fractures were formed at least through four different events, named as Dn to Dn+3 phases. (1) Dn phase; the formation of joint (I) (Gwangdeok joint) and the intrusion of acidic dykes of EW trend under the compression of EW direction. (2) Dn+1 phase; the formations of joint (II) (Maebong joint), lens-shaped boudinage of acidic dykes, oblique-slip reverse fault (Fault I-Gwangdeok fault) under the compression of (N)NW direction, and the formation of regional zone of Gwangdeok drag fold accompanying the Gwangdeok faulting. (3) Dn+2 phase; those of joint (III), Fault II (Maebong fault) by dextral strike-slip movement of Maebong joint under the compression of NNE direction, and the extension cutting of Dn+1 structures due to the Maebong faulting. (4) Dn+3 phase; the jointing (IV) and the reactivation of Fault II as oblique-slip type with predominant dextral motion which took place under the compression of NE direction. It also suggests that the Maebong fault is not a tear fault deveolped during thrust tectonics of the Andong and Gwangdeok faults but is a post-fault during different tectonic event.

• The Journal of the Petrological Society of Korea
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• v.17 no.2
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• pp.57-82
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• 2008

The volcanic sequence of the late Cretaceous Moonyu volcanic mass which distributed in the southwestern part of Ryeongnam massif, can be divided into felsic pyroclastic rocks, andesite and andesitic pyroclastic rocks, rhyolite in ascending order. The earliest volcanic activity might commence with intermittent eruptions of felsic magma during deposition of volcaniclastic sediments. Explosive eruptions of felsic pyroclastic rocks began with ash-falls, to progressed through pumice-falls and transmitted with dacitic to rhyolitic ash-flows. Subsequent andesite and andesitic pyroclastic rocks were erupted and finally rhyolite was intruded as lava domes along the fractures near the center of volcanic mass. Petrochemical data show that these rocks are calc-alkaline series and have close petrotectonic affinities with subduction-related continental margin arc volcanic province. Major element compositions range from medium-K to high-K. Petrochemical variation within the volcanic sequence can be largely accounted for tractional crystallization processes with subordinate mixing. The most mafic rocks are basaltic andesite, but low MgO and Ni contents indicate they are fractionated by fractional crystallization from earlier primary mafic magma, which derived from less than 20% partial melting of ultramafic rocks in upper mantle wedge. Based on the stratigraphy, the early volcanic rocks are zoned from lower felsic to upper andesitic in composition. The compositional zonation of magma chamber from upper felsic to lower andesitic, is interpreted to have resulted from fractionation within the chamber and replenishment by an influx of new mafic magma from depth. Replenishment and mixing is based on observations of disequilibrium phenocrysts in volcanic rocks. REE patterns show slight enrichment of LREE with differentiation from andesite to rhyolite. Rhyolite in the final stage can be derived from calc-alkaline andesite magma by fractional crystallization, but it might have underwent crustal contamination during the fractional crystallization.