• 대한관절경학회지
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• 제10권2호
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• pp.159-164
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• 2006

서론: 신선 동결된 동종 아킬레스건을 이용하여 실패한 전방 십자 인대 재 재건술의 술기 및 슬관절의 안정성 및 기능적 결과를 분석하고자 한다. 재료 및 방법: 실패한 전방 십자 인대 재건술에 대하여 동종 아킬레스건을 이용하여 재 재건술을 시행한 13예를 대상으로 하였다. 재 재건술까지의 평균 기간은 61.8개월 이었으며 평균 추시 기간은 38.4개월이었다. 술기는 아킬레스건에 부착된 종골을 골결손부에 이식하고 재확공을 하여 한 단계로 시행하였다. 일차 재건술의 실패 원인을 분석하였고 술 후 평가는 Lysholm knee score, Lachman 검사, pivot shift 검사와 KT-1000 arthrometer 검사를 이용하였다. 결과 실패의 원인은 부적절한 수술 수기가 10예로 가장 많았다. 최종 추시점에서 Lysholm knee score는 10(75.9%) 예에서 우수 또는 양호의 결과를 보였다. Lachman 검사는 12예(92.3%) 에서 음성 또는 경도의 전방전위를 보였으며 pivot shift 검사는 음성인 경우가 11(84.6%) 예이었다. KT-1000 검사는 최대 전방 전위차가 3 mm 미만이 9예였다. 결론: 전방 십자 인대 재 재건술시 동종 아킬레스건을 이용하면 한 단계로 골이식 및 재확공을 할 수 있고 안정성 면에서 좋은 이식물의 하나이며 추후 장기적인 추시가 필요하리라 생각된다.

• 대한관절경학회지
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• 제13권2호
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• pp.143-148
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• 2009

목적: 본 논문의 목적은 전방 십자 인대 재 재건술의 원인을 살펴보고, 일단계 재 재건술의 수술 술기의 유용성을 알아보고자 하는데 있다. 대상 및 방법: 2004년 11월부터 2008년 7월까지 전방 십자 인대 재 재건술을 시행한 33명을 대상으로 하였다. 전방 십자 인대 재 재건술의 원인은 대퇴터널의 종적 배열이 22예, 후외방 불안정성의 간과가 7예, 재건술 후 심한 외상이 3예, 재건술 후 심부 감염이 1예였다. 재 재건술시 대퇴 터널의 위치는 10시 또는 2시 방향의 외측 방향으로 하고, 경골터널은 대부분 기존의 터널을 이용하였다. 이전 수술 때 만들어진 이상 위치의 대퇴 터널은 고정 나사못 등을 제거하고, 수술 시 동종골을 나사 형태로 만들어 골이식을 시행하였다. 결과: 추시 기간은 평균 22.2개월(12~52개월)이었으며, 추시 결과 Lysholm score, IKDC 점수는 각각 재 재건술 전 평균 $61.5{\pm}16.8$, $63.9{\pm}15.1$에서 재수술 후 $86.3{\pm}11.5$, $81.3{\pm}14.3$으로 향상되었으며, KT-2000 arthrometer는 평균 $6.0{\pm}2.2\;mm$에서 $1.6{\pm}1.4\;mm$로 줄어들었다. 결론: 전방 십자 인대 일단계 재 재건술은 양호한 고정과 임상 결과로 유용한 술식으로 사료된다.

• Clinical and Experimental Otorhinolaryngology
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• 제11권4호
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• pp.233-241
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• 2018

Objectives. As endoscopic instrumentation, techniques and knowledges have significantly improved recently, endoscopic ear surgery has become increasingly popular. Transcanal endoscopic ear surgery (TEES) can provide better visualization of hidden areas in the middle ear cavity during congenital cholesteatoma removal. We aimed to describe outcomes for TEES for congenital cholesteatoma in a pediatric population. Methods. Twenty-five children (age, 17 months to 9 years) with congenital cholesteatoma confined to the middle ear underwent TEES by an experienced surgeon; 13 children had been classified as Potsic stage I, seven as stage II, and five as stage III. The mean follow-up period was 24 months. Recurrence of congenital cholesteatoma and surgical complication was observed. Results. Congenital cholesteatoma can be removed successfully via transcanal endoscopic approach in all patients, and no surgical complications occurred; only one patient with a stage II cholesteatoma showed recurrence during the follow-up visit, and the patient underwent revision surgery. The other patients underwent one-stage operations and showed no cholesteatoma recurrence at their last visits. Two patients underwent second-stage ossicular reconstruction. Conclusion. Although the follow-up period and number of patients were limited, pediatric congenital cholesteatoma limited to the middle ear cavity could be safely and effectively removed using TEES.

• Clinics in Shoulder and Elbow
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• 제27권1호
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• pp.18-25
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• 2024

Background: The Discovery Elbow System (DES) utilizes a polyethylene bearing within the ulnar component. An exchange bearing requires preoperative freezing and implantation within 2 minutes of freezer removal to allow insertion. We report our outcomes and experience using this technique. Methods: This was an analysis of a two-surgeon consecutive series of DES bearing exchange. Inclusion criteria included patients in which exchange was attempted with a minimum 1-year follow-up. Clinical and radiographic review was performed 1, 2, 3, 5, 8 and 10 years postoperative. Outcome measures included range of movement, Oxford Elbow Score (OES), Mayo Elbow Performance Score (MEPS), complications and requirement for revision surgery. Results: Eleven DESs in 10 patients were included. Indications were bearing wear encountered during humeral component revision (n=5); bearing failure (n=4); and infection treated with debridement, antibiotics and implant retention (DAIR; n=2). Bearing exchange was conducted on the first attempt in 10 cases. One case required a second attempt. One patient developed infection postoperatively managed with two-stage revision. Mean follow-up of the bearing exchange DES was 3 years. No further surgery was required, with no infection recurrence in DAIR cases. Mean elbow flexion-extension and pronosupination arcs were 107°(±22°) and 140° (±26°). Mean OES was 36/48 (±12) and MEPS was 83/100 (±19). Conclusions: Our results support the use of DES bearing exchange in cases of bearing wear with well-fixed stems or acute infection. This series provides surgeons managing DES arthroplasty with management principles, successful and reproducible surgical techniques and expected clinical outcomes in performing DES polyethylene bearing exchange. Level of evidence: IV.

• 한국안전학회지
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• 제18권3호
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• pp.141-148
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• 2003

Since the introduction of The Product Liability Law, effective since July 2002, more and more companies and end-users have been giving their attention to the safety of products. A number of existing risk analysis techniques are being implemented to manufacturing sites. However, they have certain restrictions such as incurring different techniques that are to be implemented at each stage of the product development. This is due to their domain of the analysis differing from one to another. Moreover, the results of these analyses are not specific enough, and are subject to further revision. This study proceeds to look at various examinations undertaken on the existing risk analysis techniques. Through implementing them on certain products, investigations on the strengths and weaknesses were ascertained. This has allowed improvements on the existing techniques to be achieved as tell as the development of a new risk analysis technique, 'HuBRA(Human Behavior Risk Analysis)'. Finally the new technique was implemented on products to confirm its effectiveness.

• 지역사회간호학회지
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• 제32권3호
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• pp.382-395
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• 2021

Purpose: The purpose of this qualitative study was to explore the transition experiences of the elderly from long-term care hospitals to their homes. Methods: The participants were eight elderly medicaid beneficiaries, who had been the subjects from the community care project in Korea. The data were collected with one-on-one interviews from April to November in 2020, and analyzed by phenomenological steps. Results: The seven themes derived in this study were 'Space to escape', 'Reliable supporter opened the way to discharge', 'Comfortable life at home', 'Obstacles to independent life', 'Struggling to live alone', 'Fence for community life', and 'Energizing in daily life' Conclusion: The results revealed the positive aspects of Community Care program in Korea. However, it is suggested that active communication between hospitals and community care institutions, and improvement of home environment to live in the community before discharge should be required. And system revision is needed to adjust activity in their home and support health problems of the elderly in the early stage of discharge. The results of this study can be referred to as the foundation of transitional care for the elderly.

• 한국해양공학회:학술대회논문집
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• 한국해양공학회 2000년도 춘계학술대회 논문집
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• pp.151-156
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• 2000

Ultra precision progressive die have used for above one million's lot size of production part. In the field of design and making tool for press working, the progressive die for sheet metal (STS 304, thickness : 0.5mm) is a specific division. In order to prevent the defects, the optimum design of the production part, strip layout, die design, die making and tryout etc. are necessary. They require analysis of many kinds of important factors, i.e. theory and practice of metal press working and its phenomena, die structure, machining condition for die making, die materials, heat treatment of die component, know-how and so on. In this study, we designed and constructed a progressive die of multi-stage and performed try out. Out of these processes the die development could be taken for advance. Especially the result of tryout and its analysis become the characteristics of this paper (part 1 and part 2) that nothing might be ever seen before such as this type of research method on all the processes. In the part 2 of this study we treated die making and tryout mostly.

• 한국공작기계학회:학술대회논문집
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• 한국공작기계학회 2000년도 춘계학술대회논문집 - 한국공작기계학회
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• pp.218-223
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• 2000

Ultra precision progressive die have used for above one million's lot size of production part. In the field of design and making tool for press working, the progressive die for sheet metal (STS 304, thickness : 0.5mm) is a specific division. In order to prevent the defects, the optimum design of the production part, strip layout, die design, die making and tryout etc. are necessary. They require analysis of many kinds of important factors, i.e. theory and practice of metal press working and its phenomena, die structure, machining condition for die making, die materials, heat treatment of die component, know-how and so on. In this study, we designed and constructed a progressive die of multi-stage and performed try out. Out of these processes the die development could be taken for advance. Especially the result of tryout and its analysis become the characteristics of this paper (part 1 and part 2) that nothing might be ever seen before such as this type of research method on all the processes. In the part 2 of this study we treated die making and tryout mostly.

• Archives of Plastic Surgery
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• 제41권5호
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• pp.535-541
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• 2014

Background Patients having unilateral breast reconstruction often require a second stage procedure on the contralateral breast to improve symmetry. In order to provide immediate symmetry and minimize the frequency and extent of secondary procedures, we began performing simultaneous contralateral balancing operations at the time of initial reconstruction. This study examines the indications, safety, and efficacy of this approach. Methods One-hundred and two consecutive breast reconstructions with simultaneous contralateral balancing procedures were identified. Data included patient age, body mass index (BMI), type of reconstruction and balancing procedure, specimen weight, transfusion requirement, complications and additional surgery under anesthesia. Unpaired t-tests were used to compare BMI, specimen weight and need for non-autologous transfusion. Results Average patient age was 48 years. The majority had autologous tissue-only reconstructions (94%) and the rest prosthesis-based reconstructions (6%). Balancing procedures included reduction mammoplasty (50%), mastopexy (49%), and augmentation mammoplasty (1%). Average BMI was 27 and average reduction specimen was 340 grams. Non-autologous blood transfusion rate was 9%. There was no relationship between BMI or reduction specimen weight and need for transfusion. We performed secondary surgery in 24% of the autologous group and 100% of the prosthesis group. Revision rate for symmetry was 13% in the autologous group and 17% in the prosthesis group. Conclusions Performing balancing at the time of breast reconstruction is safe and most effective in autologous reconstructions, where 87% did not require a second operation for symmetry.

• 과학교육연구지
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• 제45권3호
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• pp.304-316
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• 2021

이 연구의 목적은 소그룹 자유 탐구에서 학습자들끼리 서로의 탐구에 대해 비판적 의견을 제시하는 활동에서 학생들이 제시한 의견을 분석하는 것이다. 41명의 학생들이 한 학기 동안 자유 탐구를 수행하면서 탐구 계획 단계와 종료 직전 단계에서 비판적 의견 제시 활동에 참여하였다. 두 차례의 활동에서 각각 595개, 233개의 피드백이 제시되었으며, 탐구 과정을 토대로 한 범주로 분석하였다. 주요 연구 결과는 다음과 같다. 첫째, 탐구 계획에 대한 의견 제시 활동에서 '문제인식 및 가설설정', '탐구 설계' 영역에 많은 피드백이 제시되었는데, 특히 '연구 문제 수정 및 추가', '연구 대상 및 조건', '변인 통제'와 관련된 의견이 많았다. 둘째, 탐구 수행 결과에 대한 의견 제시 활동에서는 '보고서 작성'과 관련된 피드백 의견이 많았으며, '탐구 설계' 영역에 대한 의견도 많이 제시되었다. 연구 결과를 바탕으로 학생의 소그룹 자유탐구에서 비판적 의견제시 활동의 적용과 관련된 시사점을 논의하였다.