• Journal of Environmental Policy
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• v.2 no.1
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• pp.87-105
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• 2003

토양오염기준은 토지이용별 또는 오염노출경로별 오염토양의 조사, 평가 및 복구를 위한 유용한 지침으로 이용될 수 있다. 이 연구에서는 한국을 포함한 몇몇 국가의 토양오염기준을 특히 중금속에 주안점을 두고 검토하였다. 또한 국내 일부 폐광산 지역의 환경오염 조사결과를 토양오염기준과 비교하며 평가하였다. 영국, 네덜란드, 독일, 캐나다, 일본 등의 국가에서는 복구우선순위 선정과 인체건강 및 생태계 보전을 위한 오염토양의 선별수단으로 토양오염기준을 개발하여 왔다. 국내에서는 1996년 토양환경보전법(시행규칙)의 시행에 따라 토양 오염기준 설정과 특정토양오염유발시설의 관리, 정기적 토양오염도 조사를 실시하고 있으며 이후 2001년 보완 개정되어 토양오염물질의 확대적용과 토양오염 조사, 관리 및 복원 방법의 보완이 이루어진 바 있다. 그럼에도 불구하고 현 중금속(Cd, Cu 및 Pb)의 오염기준을 적용할때 폐광산 지역의 폐기물과 이에 오염된 토양의 경우 다량의 중금속을 함유하고 있지만 오염지역으로 규정되지 않을 수도 있다. 이 연구 결과, 0.1N 염산용출법은 중금속의 토양 내 화학적 형태 중 일부 교환성 및 환원성 형태만을 추출하며 황화물 형태를 충분히 용출하지 못하고 있는 것으로 나타났다. 또한 장기적인 환경조건 변화에 따른 토양 내 중금속의 용출성 변화를 평가하기 위해서는 강산추출법이 요구되어진다. 따라서 폐광산지 역의 중금속에 의한 토양오염의 타당한 환경평가 결정을 위해 현 분석기법 외에 총함량 분석방법의 병행적용과 이에 따른 새로운 오염기준 설정 등이 필요한 것으로 제시되었다.

• Journal of Physiology & Pathology in Korean Medicine
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• v.26 no.4
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• pp.539-545
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• 2012

To evaluate of the ultrasonographic changes in hemiplegic and unaffected knee joints of hemiplegic ambulators with recent onset stroke. Twenty patients (40 knees) with prevalence duration of 14-39 weeks (mean 24.70 weeks) after a stroke insult were included. All participants were walking independently without leg dragging, had no previous knee injury. There were significant differences in intercondylar cartilage thickness and pes anserinous tendinopathy (PAT) between hemiplegic and unaffected knees (p<0.05). There were no differences in cartilage thickness of medial condyle and lateral condyle, patellar tendinitis/bursitis, suprapatellar effusion, synovitis, joint space narrowing, and Baker's cyst of ultrasonographic findings and x-ray findings in hemiplegic knee compared to the control except PAT (p<0.05). In hemiplegic knee, medial or lateral condylar cartilage thickness was significantly correlated with body weight, intercondylar cartilage thickness, and PAT (p<0.05). PAT was significantly correlated with Brunnnstrom stage and condylar cartilage thickness (p<0.05). Knee pain was significantly correlated with lateral condylar cartilage thickness (p<0.1). The hemiplegic knee had more ultrasonographic abnormalities including PAT and more cartilage thickness preservation in patient with recent onset stroke. Intraarticular sonographic findings including cartilage thickness was significantly correlated with extraarticular findings including PAT and a symptom of knee pain.

• The Journal of the Korean bone and joint tumor society
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• v.15 no.1
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• pp.1-6
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• 2009

The usefulness and accuracy of computer-assisted surgery have been evaluated clinically in many orthopedic fields, such as, joint replacement arthroplasty, cruciate ligament reconstruction, and pedicle screw placemen. Recently several preliminary reports have been issued on the application of navigation to bone tumor surgery. The main advantage of navigation-assisted bone tumor surgery is that it provides highly accurate three-dimensional radiological information for intraoperative guidance. In particular, distances from tumors to resection margins can be precisely determined using intraoperative three-dimensional images. Accordingly, the technique allows preservation of function to be maximized by minimizing unnecessary resection. However, surgeons should recognize that the accuracies of navigation systems in bone tumor surgery have some hidden pitfalls. Here, based on our clinical results, we describe the surgical techniques used and include some cautionary notes.

• Journal of the Korean Orthopaedic Association
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• v.56 no.1
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• pp.93-97
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• 2021

Calcification in the tendon is a common disease especially in the rotator cuff. The condition can be treated conservatively in the chronic stage, but surgically in the acute stage. On the other hand there are few reports of calcification in the cruciate ligament of the knee joint, especially calcification of the posterior cruciate ligament. A 51-year-old patient with symptomatic calcification in the mid-substance of the posterior cruciate ligament was treated conservatively. The symptoms did not improve after eight months of conservative treatment, so arthroscopic surgery was performed. During arthroscopic removal of the calcification, the ligament was damaged beyond preservation. Eventually a posterior cruciate ligament reconstruction was performed. At two years after surgery, radiography confirmed no recurrence of the calcification, and the patient was free. We report this case study with a review of the relevant literature.

• Archives of Reconstructive Microsurgery
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• v.10 no.2
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• pp.154-162
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• 2001

Diabetic foot ulcer is a serious complication which result from long-standing diabetes. Especially, severe infected diabetic foot ulcer results in unwanted lower extremity amputation. The diabetic patient is considered the relative contraindication for microsurgery because of the severe peripheral vascular disease. Recently, microvascular free tissue transfer technique applied to diabetic foot ulcer. It is well known that free tissue transfer provides immediate soft tissue coverage and control of infection. So it is possible that preservation of the lower extremity through free tissue transfer. A retrospective study of diabetic patients who had infected foot ulcer from 1999 to 2000 with foot defects reconstructed with free tissue transfer were reviewed. Thirteen patients were studied with mean follow-up of 12.7 months. There were two deaths during follow-up period. There were two failures after free flap surgery. All eleven survived patients were ambulatory. There was no recurrence of ulcer. No patient need amputation above the ankle joint. We have found that free tissue transfer for infected diabetic foot ulcer is very effective surgical technique. Careful patient selection and regular follow-up is important.

• Journal of Korean Neurosurgical Society
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• v.50 no.6
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• pp.523-527
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• 2011

A 67-year-old woman presented for evaluation of severe coccygeal pain. The computed tomography scans and magnetic resonance imaging showed an asymmetric midline sacral tumor invading the right lower portion of S2. To preserve both S2 nerve roots and to obtain negative surgical margins, a modified mid-sacrectomy with an aid of a computed navigation system was performed. The sacral tumor was excised en bloc with negative tumor margins. Both S2 nerve roots were preserved and additional reconstruction was not necessary because of minimal resection of the sacroiliac joint. We report a case of a sacral chordoma which was excised en bloc with adequate surgical margins by a computer-assisted modified mid-sacrectomy. The computed navigation system may be a useful tool for tumor targeting and safe osteotomies in sacral tumor surgery via the posterior only approach.

• KOREAN JOURNAL OF CROP SCIENCE
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• v.51 no.2
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• pp.179-185
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• 2006

The Ministry of Agriculture and Forestry announced in 2001 that the overall amount of paddy land set aside for rice will be cut down by 12% by 2005, decreasing from 1.08 million to 953,000 hectares. When evaluating the value of paddy rice systems, the multi-function of paddy systems in the monsoon climate is vital importance. The main functions of paddy rice systems are to conserve biodiversity and maintain sustainability. Some crucial environmental benefits of the paddy rice systems include: flood prevention, recharge of water resources, water purification, soil erosion and landslide prevention, soil purification, landscape preservation and air purification. The paddy rice systems in Korea, which are more diverse than upland crop systems, are known to be composed of 14 orders, 36 families and 134 species. The sustain ability of paddy rice production systems can never be overestimated. Rice is part of the culture and even the heart of spiritual life in the area under the monsoon climate. Therefore paddy rice systems should be preserved with the highest priority being the enhancement of the systems' multi-function. As an outlook to future research, the need of joint and interdisciplinary research projects between economists and natural scientists at inland as well as international levels were emphasized in establishing the development of counter-measure logic through actual proofed analysis.

• Journal of Korean Orthopaedic Sports Medicine
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• v.2 no.1
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• pp.6-14
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• 2003

The goal of rehabilitation after ACL reconstruction are return the patient to a reinjury level of activity with stable joint, removing pivot shift phenomenon, preservation of meniscus, restoration of range of motion, and minimize patello-femoral complication. The ACL reconstruction should avoid immediate surgery. The preoperative phase emphasizes two important factors. (1) The patient should have a resolution of knee swelling, a return of full ROM, and a normal gait. (2) The patient should be mentally prepared for the operation and subsequent rehabilitation. The postoperative rehabilitation program emphasizes extension, closed kinetic chain function exercises. The regular follow-up is important.

• Archives of Reconstructive Microsurgery
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• v.15 no.1
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• pp.33-37
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• 2006

Purpose: The aim of this study was to evaluate the efficacy of lateral middle phalangeal finger flap for pulp and palmar defect of the finger. Materials and methods: We performed the lateral middle phalangeal finger flap in thumb pulp defect 4 cases and the palmar defect of other finger 3 cases. Mean age was 38(25-53) years old and there were male 6 cases and female 1 case. Sensate flap was performed in 4 cases of thumb pulp defects. Mean follow-up period was 14(7-22) months. Results: All flaps were survived. Mean static two-pint discrimination of sensate flap 4 cases was 8(6-10) mm. The sensation of donor finger tip was normal in all cases. Limitation of range of motion of the donor fingers was absent. Patients complained of transient cold intolerance 1 month after surgery but didn't complain of that in all cases at last follow-up. Conclusions: The advantages of the lateral middle phalangeal finger flap are the preservation of the ipsilateral palmar digital nerve, good sensory reconstruction of the fingertip, well maintained donor finger mobility with minimal exposure of the extensor tendon, cosmetically good appearances of donor finger, and easy raising as a large flap. So we suggest that this flap is versatile for reconstructing of relatively large pulp defect of the thumb and the palmar defects involving the joint of finger.

• Journal of Conservation Science
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• v.26 no.3
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• pp.277-294
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• 2010

The Seosanmaaesamjonbulsang (National Treasure No. 84) consists of light gray and coarse to mediumgrained biotite granite with partly developed pegmatite and quartz vein. The host rock is divided into dozens of rock blocks with various shape along irregular discontinuity plane. The evaluation results of discontinuity systems reveal that the host rock were exposed to instable sloping environments. Results of deterioration diagnosis show that the degree of damage has been made worse by physical weathering and surface discoloration laying stress on part that vertical and horizontal joints are massed. Generally, deterioration rate of the triad Buddha surface cover with 42.7%, however, the rate of physical weathering and surface discoloration are subdivided to 9.6% and 33.1%, respectively. Ultrasonic measurements indicate that the triad Buddha was reached highly weathered grade in general. And the rock material was weaken to show low velocity zone of 1,000m/s along irregular joint systems. Indoor and outdoor mean relative humidity of the shelter was recorded more than 70% during every season, and high frequency appears in high relative humidity range over 95%. Such environments seem to have produced dew condensation on the rock surface with rainfall and supply water, promoted physical, chemical and biological weathering along crack and joint, resulting in high permeation of water and percentage of water content. Therefore, it is judged that for scientific conservation of the triad Buddha it needs environment control through persistent preservation environment monitoring including water problem.