• Archives of Plastic Surgery
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• 제47권6호
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• pp.551-558
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• 2020

Background Giant congenital melanocytic nevus (GCMN) is a rare disease, for which complete surgical resection is recommended. However, the size of the lesions presents problems for the management of the condition. The most popular approach is to use a tissue expander; however, single-stage expansion in reconstructive surgery for GCMN cannot always address the entire defect. Few reports have compared tissue expansion techniques. The present study compared single and serial expansion to analyze the risk factors for complications and the surgical outcomes of the two techniques. Methods We retrospectively reviewed the medical charts of patients who underwent tissue expander reconstruction between March 2011 and July 2019. Serial expansion was indicated in cases of anatomically obvious defects after the first expansion, limited skin expansion with two more expander insertions, or capsular contracture after removal of the first expander. Results Fifty-five patients (88 cases) were analyzed, of whom 31 underwent serial expansion. The number of expanders inserted was higher in the serial-expansion group (P<0.001). The back and lower extremities were the most common locations for single and serial expansion, respectively (P =0.043). Multivariate analysis showed that sex (odds ratio [OR], 0.257; P=0.015), expander size (OR, 1.016; P=0.015), and inflation volume (OR, 0.987; P=0.015) were risk factors for complications. Conclusions Serial expansion is a good option for GCMN management. We demonstrated that large-sized expanders and large inflation volumes can lead to complications, and therefore require risk-reducing strategies. Nonetheless, serial expansion with proper management is appropriate for certain patients and can provide aesthetically satisfactory outcomes.

• 한국환경생태학회지
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• 제30권3호
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• pp.291-307
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• 2016

전 세계적인 그리고 국가적인 규모에서 멸종위기야생식물의 멸종위험 평가와 더불어 지역적인 규모에서의 멸종위험평가는 직접적인 보전활동의 계획과 실행에 있어 대단히 중요하다. 우리나라 중동부지역에는 34종의 멸종위기야생식물이 분포하였다. 각각의 종에 대해 분포지, 분포면적, 개체수 및 개체군의 소멸에 영향을 미칠 수 있는 요인을 조사하였다. 조사결과에 따라 각각의 종이 소유하고 있는 생활사 특성을 포함한 10가지 평가항목을 바탕으로 위험요인을 평가하였다. 34종에 대한 위험요인 평가결과 첫째, 다수의 위험요인이 존재하고 심각한 훼손압력에 노출되어 있어 적극적이고 시급한 생육지 보전활동이 필요한 12종, 둘째, 소수의 직접적인 위험요인을 제거하는 것으로 개체군의 지속이 가능한 16종, 셋째, 비교적 넓은 분포지와 많은 개체수에 따라 소극적인 관리를 통해서도 개체군의 지속이 가능한 6종으로 구분되었다. 멸종위기야생식물에 있어 가장 큰 위험요인은 인구의 증가, 개발, 채취에 따른 생육지와 개체군의 소멸이었다. 또한 식생환경의 변화로 인한 적합한 생육지의 감소와 재정착의 기작이 정상적으로 작동하지 않는 생태계 건강성의 상실이 또 다른 원인이 될 수 있다. 본 조사가 이루어진 지역에서 멸종위기야생식물의 분포지와 출현 빈도 및 중요도를 바탕으로 5개 권역별을 제시하였다. 그리고 각 권역의 특성에 따른 보전 전략을 제시하였다. 우리는 멸종위기야생식물의 멸종위험에 대한 평가는 분포현황정보 뿐만 아니라 종의 생활사 특성을 포함하는 평가방법이 필요함을 제안한다. 뿐만 아니라 개체군동태와 생태적 지위에 대한 이해가 필요함을 제안한다.

• 한국펄프종이공학회:학술대회논문집
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• 한국펄프종이공학회 2000년도 제26회 펄프종이기술 국제세미나
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• pp.34-39
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• 2000

Today's size of production operations in the packaging paper sector I sconstantly increasing , featuring integral processing systems, high-speed paper machines, and the increased marketing of lower basis weight products. The risk factors involved in these large investments lie more than ever in the available furnish potential and ongoing requirements for further closure of water loops and lower operating costs. A comparison is drawn between recovered paper furnish mixtures used in European mills with regard to fibre properties, strength potential and contaminant content, Both the furnish situation and development trends in modern fluting and testliner machines are instigating concept changes in stock preparation, the approach flow as well as in process water and rejects technology. Developments are currently focussed for example on more efficient debris separation using fine slotted screening, optimized refining , more systematic process water management with loop separation and integral water clarification as well as more efficient removal of microstickies, fillers and fines through appropriate combination of rejects handling and water clarification processes. Product quality differentiation depends decisively on strength characteristics as a function of refining , fines removal , paper machine technology, and sizing . Maximum availability of today's high speed paper machines and , as a result, cost effective production can be ensured by optimum balancing of all subsystems with in the overall concept and by reliable control of problems with contaminants and deposits.

• Journal of Dental Anesthesia and Pain Medicine
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• 제18권5호
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• pp.305-308
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• 2018

An 87-year-old woman was referred for the extraction of residual teeth and removal of tori prior to prosthetic treatment. After surgery under general anesthesia, the surgical tape was removed to detach the bispectral index sensor and the hair cover. After the surgical tape was removed, skin injury occurred on the left side of her face. After epidermis repositioning and ointment application, a dressing was placed over the injury. Her wound was found to have healed completely on follow-up examination. Medical adhesive related skin injury (MARSI) is a complication that can occur after surgery and subjects at the extremes of age with fragile skin are at a higher risk for such injuries. Careful assessment of the risk factors associated with MARSI is an absolute necessity.

• 대한족부족관절학회지
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• 제23권2호
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• pp.58-66
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• 2019

Purpose: To evaluate the efficacy of antibiotic-loaded cement spacers (ALCSs) for the treatment of diabetic foot infections with osteomyelitis as a salvage procedure and to analyze the risk factors of treatment failure. Materials and Methods: This study reviewed retrospectively 39 cases of diabetic foot infections with osteomyelitis who underwent surgical treatment from 2009 to 2017. The mean age and follow-up period were $62{\pm}13years$ and $19.2{\pm}23.3months$, respectively. Wounds were graded using the Wagner and Strauss classification. X-ray, magnetic resonance imaging (or bone scan) and deep tissue cultures were taken preoperatively to diagnose osteomyelitis. The ankle-brachial index, toe-brachial index (TBI), and current perception threshold were checked. Lower extremity angiography was performed and if necessary, percutaneous transluminal angioplasty was conducted preoperatively. As a surgical treatment, meticulous debridement, bone curettage, and ALCS placement were employed in all cases. Between six and eight weeks after surgery, ALCS removal and autogenous iliac bone graft were performed. The treatment was considered successful if the wounds had healed completely within three months without signs of infection and no additional amputation within six months. Results: The treatment success rate was 82.1% (n=32); 12.8% (n=5) required additional amputation and 5.1% (n=2) showed delayed wound healing. Bacterial growth was confirmed in 82.1% (n=32) with methicillin-resistant Staphylococcus aureus being the most commonly identified strain (23.1%, n=9). The lesions were divided anatomically into four groups; the largest number was the toes: (1) toes (41.0%, n=16), (2) metatarsals (35.9%, n=14), (3) midfoot (5.1%, n=2), and (4) hindfoot (17.9%, n=7). A significant difference in the Strauss wound score and TBI was observed between the treatment success group and failure group. Conclusion: The insertion of ALCSs can be a useful treatment option in diabetic foot infections with osteomyelitis. Low scores in the Strauss classification and low TBI are risk factors of treatment failure.

• 대한치과마취과학회지
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• 제13권2호
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• pp.45-49
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• 2013

Foreign body indigestion during dental procedures is uncommon but sometimes associated with severe and life threatening morbidity. The dentist should decide whether multidisciplinary intervention is necessary and how urgently it has to be done. The active removal of foreign bodies depends on the size, shape, type and duration of impaction, along with the location in the gastrointestinal tract. In this report, we presented how to manage gastric foreign body related swallowing during dental procedure and investigated the predictive risk factors, precaution, and prompt management in foreign body ingestion.

• Journal of Oral Medicine and Pain
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• 제40권4호
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• pp.135-139
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• 2015

Desquamative gingivitis (DG) is a gingival manifestation of systemic mucocutaneous disorders such as mucous membrane pemphigoid, oral lichen planus, and pemphigus vulgaris. The lesion is very painful, so affects the patient's ability to do proper oral hygiene practices. This may be a potential risk factor for long-term periodontal health. However, there is some controversy about the relationship between the existence of DG and periodontal status. Although the correlation between DG-associated diseases and periodontal status is not to be certain, early diagnosis and appropriate treatment including adequate plaque control and removal of local factors is very important for preventing the progression of diseases and destruction of periodontal tissues.

• Journal of Information Processing Systems
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• 제15권4호
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• pp.853-864
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• 2019

Microblogging services (such as Twitter) are the representative information communication networks during the Web 2.0 era, which have gained remarkable popularity. Weibo has become a popular platform for information dissemination in online social networks due to its large number of users. In this study, a microblog information dissemination model is presented. Related concepts are introduced and analyzed based on the dynamic model of infectious disease, and new influencing factors are proposed to improve the susceptible-infective-removal (SIR) information dissemination model. Correlation analysis is conducted on the existing information dissemination risk and the rumor dissemination model of microblog. In this study, web hyper is used to model rumor dissemination. Finally, the experimental results illustrate the effectiveness of the method in reducing the rumor dissemination of microblogs.

• 대한물리치료과학회지
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• 제7권2호
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• pp.439-457
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• 2000

The causes, risk factors and sequelae of mastectomy were studied, and the physical therapy approaches on post-mastectomy was discussed in this study. It was found that the patients taken mastectomy have experienced pins and needles in muscle, weakening of muscle, pains, deterioration of motion in joint region and activities of daily living, psychiatric sequelae, and etc even after the conservertive therapies like the chemical therapy, radiotherapy, immunotherapy, and hormone therapy. However, few study on the physical therapy approaches for patients with breast cancer has been carried in Korea at present. The followings were proposed as the physical therapy approaches. 1. Shoulder joint motion approach to relax the limit of range of motion 2. Control of breathing exercise for dealing with removal of the pectorailis muscle 3. Method to reduce the edema of arms for tackling the cut of lymph node 4. Method to reduce pains, pins and needles 5. Support home exercise program after discharging from hospital, sexual life and pregnancy, and activities of daily living training method.

• 교육녹색환경연구
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• 제9권2호
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• pp.9-18
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• 2010

The school is the educational and living space for students and teachers. And, the safety of the school facilities is very important element on the school activities. For this safety of school facilities, there is a need to prevent of safety-accident by the reinforcement of the systematic and the removal of risk factors. In order to minimize the damages from school facilities this study tried to suggest the solution for the prevention of safety accidents according to research about actual conditions of safety accidents from school facilities.