• Journal of Dental Anesthesia and Pain Medicine
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• 제17권3호
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• pp.205-213
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• 2017

Background: This study retrospectively investigated outcomes following dental implantation in patients with special needs who required general anesthesia to enable treatment. Method: Patients underwent implant treatment under general anesthesia at the Clinic for the Disabled in Seoul National University Dental Hospital between January 2004 and June 2017. The study analyzed medical records and radiographs. Implant survival rates were calculated by applying criteria for success or failure. Results: Of 19 patients in the study, 8 were males and 11 were females, with a mean age of 32.9 years. The patients included 11 with mental retardation, 3 with autism, 2 with cerebral palsy, 2 with schizophrenia, and 1 with a brain disorder; 2 patients also had seizure disorders. All were incapable of oral self-care due to serious cognitive impairment and could not cooperate with normal dental treatment. A total of 27 rounds of general anesthesia and 1 round of intravenous sedation were performed for implant surgery. Implant placement was performed in 3 patients whose prosthesis records could not be found, while 3 other patients had less than 1 year of follow-up after prosthetic treatment. When the criteria for implant success or failure were applied in 13 remaining patients, 3 implant failures occurred in 59 total treatments. The cumulative survival rate of implants over an average of 43.3 months (15-116 months) was 94.9%. Conclusion: For patients with severe cognitive impairment who are incapable of oral self-care, implant treatment under general anesthesia showed a favorable prognosis.

• The Journal of Advanced Prosthodontics
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• 제4권3호
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• pp.153-157
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• 2012

PURPOSE. The study was conducted to compare the radiographic and clinical methods of measuring the horizontal condylar guidance (HCG) values. MATERIALS AND METHODS. The condylar guidance was measured using the radiographic (CT scan) and three clinical methods i.e. the wax protrusive records, Lucia jig record and intraoral central bearing device in 12 patients aged between 20-40 years irrespective of sex. The records were taken and transferred on the semi-adjustable articulator to record the HCG values. The CT scan was taken for 3D reconstruction of the mid facial region. Frankfort horizontal plane (FHP) and a line extending from the superior anterior most point on the glenoid fossa to the most convex point on the apex of articular eminence (AE) was marked on the CT scan. An angle between these two lines was measured on both right and left sides to obtain condylar inclination angle. Three interocclusal protrusive wax and jig records were taken and transferred to the semi adjustable articulator. Three readings were recorded on each side. Similarly the records were taken and transferred to the same articulator using the intra oral central bearing device to record the readings. RESULTS. The statistical analysis showed insignificant differences in the HCG values between the right and left sides [(P=.589 (CT), P=.928 (wax), P=.625 (jig), P=.886 (tracer)]. The clinical methods provided low Pearsons correlation values [(R = 0.423 (wax), R = 0.354 (jig), R = 0.265 (tracer)] for the right as well as the left sides when compared with the CT values. Among the clinical methods, jig and wax method showed strong level of association which is statistically significant while the intra-oral tracer showed weak association with the other two methods. CONCLUSION. The right and left HCG values were almost similar. The CT scan showed higher HCG values than the clinical methods and among the clinical methods, values obtained from all the methods were comparable.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제45권1호
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• pp.21-28
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• 2019

Objectives: Osteoradionecrosis (ORN) is one of the most severe complications resulting from radiotherapy (RT) in patients with head and neck cancer (HNC). It is characterized by persistent exposed and devitalized bone without proper healing for greater than 6 months after a high dose of radiation in the area. To describe the profile and dental management of ORN in HNC patients undergoing RT in an oncological clinical research center. Materials and Methods: A retrospective descriptive study was performed to analyze dental records from HNC patients with ORN treated at an oncological clinical research center from 2013 to 2017. A total of 158 dental records for HNC patients were selected from a total of 583 records. Afterwards, this number was distributed to three examiners for manual assessments. Each examiner was responsible for selecting dental records that contained an ORN description, resulting in 20 dental records. Results: Mean patient age was 60.3 years with males being the most affected sex (80.0%). The most affected area was the posterior region of the mandible (60.0%) followed by the anterior region of the mandible (20.0%) and the posterior region of the maxilla (10.0%). The factors most associated with ORN were dental conditions (70.0%) followed by isolated systemic factors (10.0%) and tumor resection (5.0%). There was total exposed bone closure in 50.0% of cases. The predominant treatment was curettage associated with chlorhexidine 0.12% irrigation (36.0%). Conclusion: Poor dental conditions were related to ORN occurrence. ORN management through less invasive therapies was effective for the closure of exposed bone areas and avoidance of infection.

• 대한한방소아과학회지
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• 제21권1호
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• pp.53-85
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• 2007

Objectives : The Medical Records(醫案) are important materials in studying the developmental process of Korean Traditional Medicine. The purpose of this study was to investigate the medical records which were described in Gupyubang(及幼方), the first Korean book that specialized in pediatrics. Methods : 85 Medical records about medical traits of diagnosis and treatments in Gupyubang were analyzed and those were translated in Korean. Results : Medical records were analyzed as follows; The number of Male was 76 and the number of Female was 9. Prepubertal period was 16 and preschool period 14. Acute febrile convulsion was 6. Measles and blood symptom was 5. Ring worm pain, vomiting & diarrhea, colic pain was 4. Most of them were self treatment except one. 77 cases were improved and 6 cases were dead or worse. The medical records used oral medication, external medication, acupuncture, moxibustion and surgical manners. Conclusion : This study showed that Gupyubang is a experiential book and alse the medical records in Gupyubang was usefulness and had practical value.

• 한국기록관리학회지
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• 제16권3호
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• pp.157-177
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• 2016

본 연구는 야구기록 활용에 기반하여 '한국야구명예의전당'을 운영하기 위한 효과적인 방향성을 제시하는 것이 목적이다. 이를 위해 문헌 조사에 의한 미국과 일본 명예의 전당 사례 분석과 한국 야구기록의 종류와 관리현황, 현업에서 종사 중인 야구 관계자들의 면담을 통해 문제점을 도출하였다. 종합 방안으로서 '한국야구명예의전당'에서 수집, 관리, 활용해야 할 관련 아카이브 컬렉션 구성과 야구 영웅의 기억을 보존하기 위한 구술 확보의 필요성, 야구 경기기록의 DB화와 데이터 구축 등을 제시하였다.

• 한국기록관리학회지
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• 제16권2호
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• pp.57-79
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• 2016

본 연구는 노근리 학살사건 기록들이 사회적 기억을 담지하는 과정을 살피고, 그 특징을 고찰하는 데 목적을 둔다. 이를 위한 이론 연구로서 사회적 기록의 특징을 분석한다. 사회적 기록은 첫째, 의도적으로 구성된 사회 구성물로 개인의 기억에 영향을 미치고, 둘째, 기억의 가변성을 반영하며, 셋째, 다양한 측면에서 하나의 사건을 증거하는 데 사용될 수 있다. 저자는 노근리 사건의 기억과 기록의 분석을 위해 노근리 사건의 개요를 정리하고, 제1기 반기억의 시기, 제2기 기억 투쟁의 시기, 제3기 공식기억의 시기로 구분하여 각 시기별 기억과 기록의 변화과정과 특징 및 내용을 연대기적으로 살펴보았다. 제1기 구술 및 개인 소장 기록 등의 암묵적 기록, 제2기 대책위활동, 입법활동, 조사활동을 중심으로 한 기록, 제3기 특별법과 평화공원 건립 및 운영 관련 공식 기록이 각각 주로 생산되었다. 제3기는 다양한 사회 주체들이 노근리 사건을 기억하기 위해 생산한 다양한 문화기록들로 기록의 확장성을 보여주고 있다.

• 기록학연구
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• 제49호
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• pp.299-325
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• 2016

이 글에서는 마을기록물의 중요성과 유형 및 소장처, 수집과 보존, 활용 방안에 대해서 살펴보았다. 마을기록물은 주민의 일상 활동을 실증하며 마을의 역사와 문화를 규명하는 데 기여하며 구술의 불완전성을 보완하는 마을문화의 자원이다. 마을기록물을 수집하기 위해서는 그것의 유형과 소장처, 존재방식에 대한 이해가 있어야 한다. 마을기록물은 자치조직의 활동에서 생산된 기록물, 주민의 개인기록물, 마을 안팎에 존재하며 마을사를 증거해 줄 수 있는 기록물을 전체적으로 고려해야 한다. 마을기록물의 수집방법은 정기적 수집과 비정기적 수집 그리고 일반적 수집과 적극적 수집으로 분류할 수 있다. 마을기록물은 마을기록관에 보존하는 것을 지향해야 한다. 마을기록물은 주민의 삶의 질과 정서함양에 도움을 주며 책 자, 포스터, 달력, 홍보물, 상징물, 학술 및 교육, 전시, 디지털콘텐츠, 마을사의 사료 및 히스토리마케팅의 자료로 활용될 수 있다.

• Journal of Oral Medicine and Pain
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• 제8권1호
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• pp.61-67
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• 1983

Authors observed a corpse which is died from "Charring", caused by air disaster, for the purpose of individual identification. This is an identifide case of the charred corpse due to the fire while landing of KAL 747 Jumbo(HL 7445) at Kimpo airport Nov.1980. It was referred to author in the state of carbonization by high degree of heat-as unknown body entirely. But teeth condition and treated condition were well preserved under mouth closing and by the comparative examination of antermortem dental records, dental radiographs, the individual identification was simply accomplished. Therefore, it brought repeatedly a recognition of the practical effectiveness of dental identification and importance or dental records.

• 한국기록관리학회지
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• 제19권1호
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• pp.275-281
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• 2019

본 글은 2018년 김포문화재단에서 주관한 김포시 북변동 스토리텔링 사업을 소개한 글이다. 프로젝트는 지역의 역사와 문화자원을 아카이빙 하기 위해서 수행되었다. 세부 과업으로는 조사, 답사, 구술채록, 스토리 정리, 콘텐츠 활용방안 제시 등이었다. 이와 함께 프로젝트를 수행하는 과정에서 느낀 프로젝트의 한계와 의미, 지역 역사문화자원 발굴의 의미, 지역 아카이브의 필요성을 함께 보고한다.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제32권1호
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• pp.57-61
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• 2010

Objective: Second primary malignancy (SPM) that occur in various period and region are important factors that deteriorate long-term survival rate in patients who recovered from oral cancer. Researches such as chemoprevention are being tried to reduce occurrence of SPMs. Only if analysis of clinical features of patients who develop SPM such as period, region and factors precedes, adequate prevention and treatment of SPM is possible. But, there are few researches about clinical features of SPMs that have primary lesion in oral cavity. In this study, we analysis that occurrence rates, regions that happen, risk factors and effect to survival rates of 2nd primary malignancies in oral cancer patients. From this survey, we willing to collect basic data for prevention and early diagnosis of SPMs. Methods: The medical records of 139 patients of oral oncology clinic of National Cancer Center who had up to 2-years follow up records after surgical or radiological treatment due to squamus cell carcinoma of oral cavity were reviewed. In these patients, survey of occurrence rate of SPMs, duration, survival rate and risk factors about occurrence of SPMs such as history of smoking, body mass index, age, sex, stage of primary lesion and history of radiologic treatment were achieved. Results: There are 15 patients who developed SPM in 139 cases. The actual occurrence rate of SPM was 10.79% and SPM were more likely to occur in male patients with 11 male Vs 4 female patients. Median age of these patient is 61.47 within 32 to 74 range. The regions that develop SPM are oral cavities (2 cases), stomach (4 cases), esophagus (2 cases), lung (2 cases) and others (1 case each breast, larynx, cervix, liver and kidney). In addition, metachronous cancers were 11 cases which happened more common than 4cases of synchronous cancers. Surveys of risk factors that relate to development of SPMs, such as sex, age, history of radiologic treatment, body mass index, history of smoking and stage of primary disease were done. Among them, factor of sex is only appear statistically significant (P=0.001), but rest are not significant in statistically. Conclusion: Occurrence rates of SPMs were reported from 10% to 20% by precede study. In this study, occurrence rate of SPMs is 10.79% that is similar to results of precede research. In comparison of 5-yr survival rates of groups that develop SPMs or not, there is statistically significance between two groups. Present treatment modalities of SPMs are surgical operation, radiotherapy, chemotherapy and combination of these modalities. In choosing the treatment modality, we must consider the first treatment modality, region of primary disease, region of SPMs and general conditions of patient. Because development of SPMs have big effect on prognosis, prevention of SPMs must regard to important objective of treatments in patients of SCCa in oral cavity.