• Journal of Korean Neurosurgical Society
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• 제58권1호
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• pp.60-64
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• 2015

Objective : To present the incidence and management of dural tears and cerebrospinal fluid leakage during corrective osteotomy [Pedicle Subtraction Osteotomy (PSO) or Smith-Petersen Osteotomy (SPO)] for ankylosing spondylitis with kyphotic deformity. Methods : A retrospective study was performed for ankylosing spondylitis patients with fixed sagittal imbalance, who had undergone corrective osteotomy (PSO or SPO) at lumbar level. 87 patients were included in this study. 55 patients underwent PSO, 32 patients underwent SPO. The mean age of the patients at the time of surgery was 41.7 years (21-70 years). Of the 87 patients, 15 patients had intraoperative dural tears. Results : The overall incidence of dural tears was 17.2%. The incidence of dural tears during PSO was 20.0%, SPO was 12.5%. There was significant difference in the incidence of dural tears based on surgical procedures ( PSO vs. SPO) (p<0.05). The dural tears ranged in size from 12 to $221mm^2$. A nine of 15 patients had the relatively small dural tears, underwent direct repair via watertight closure. The remaining 6 patients had the large dural tears, consequently direct repair was impossible. The large dural tears were repaired with an on-lay graft of muscle, fascia or fat harvested from the adjacent operation site. All patients had a successful repair with no patient requiring reoperation for the cerebrospinal fluid leak. Conclusion : The overall incidence of dural tears during PSO or SPO for ankylosing spondylitis with kyphotic deformity was 17.2%. The risk factor of dural tears was complexity of surgery. All dural tears were repaired primarily using direct suture, muscle, fascia or fat graft.

• 농촌지도와개발
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• 제22권3호
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• pp.345-354
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• 2015

In this study, the landscape characteristics and culture of the sacred Dangsan forests at Dongnae-ri, Seonae-ri, Namnae-ri, Pyeongchon-ri and Gyochon-ri were investigated. And the potential for registration in the World Heritage List has been discussed by linking the Dangsan forests at the five sites. Dangsan forest, a traditional village forests of rural Korea is a representative cultural heritage with a history of more than several hundred years of Dangsan ritual. The Dangsan forests in the neighborhood of Naganeuoseong have retained the landscape of town fortress during Choseon Dynasty and the Dangsan ritual as a living culture. The three villages inside Naganeuoseong have kept their Upper Dang, Middle Dang and Lower Dang. There were 21 old trees in total; Zelkova serrata (2), Celtis sinensis (7), Aphananthe aspera (5) trees, Carpinus tschonoskii (2) and Ginkgo biloba (3). The three Dangsan trees and an old Aphananthe aspera, known as to be planted by the Admiral Yi Sun-sin were recognized. The two villages located outside of village fortress also have kept their Dangsan ritual. It is important whether the sites possesses authenticity in order to be listed in the World Heritage. The Dangsan forests in the neighborhood of Naganeuoseong have been verified for the authenticity, which should be focused. The places need to be clarified for their landscape features formed as a Dangsan forest, and sustainable protection and management plans are to be devised.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제12권1호
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• pp.103-113
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• 1990

The study was based on a series of 252 patient with facial bone fractures who visited to Chun Cheon Sacred Heart Hospital, College of Medicine, Hallym University during the period of Dec., 1984 trough Nov., 1989. The results obtained are as follows; 1. The most frequent etiologic factor was traffic accident(45.2%). 2. The ratio of male to female was 5.5 : 1 and 2nd decade(44%) was the highest age group in incidence. 3. Monthly incidence was the highest in Aug(14.3%). 4. The most common site of fracture was mandible(55.3%) and zygoma complex(24.2%), nasal bone(11.6%), maxilla(8.9%) were next in order of frequeny. 5. In mandible fractures, the most frequent site was symphyseal area(36.9%) and 142 cases(85%) had fractures only in mandible. 6. In maxillary fractures, fracture with other facial bones(85.2%) was more frequent than fracture on maxilla only. The major fracture type on maxilla was Le Fort II type. 7. In fracture of zygoma complex, zygoma & zygomatic arch was the most frequent site(52.0%) and zygomatic arch(24.7%), zygoma(23.3%) were next in order. 8. Open reduction was major method of treatment in facial bone fractures except nasal bone ; mandible(62.9%), maxilla(77.8%), zygoma complex(65.8%). 9. Maxillofacial fractures were most frequently combined with head & neck injury(43.1%), and upp. & low. extremities(29.4%), chest and abdomen(11.9%) were in order of frequency.

• 대순사상논총
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• 제31집
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• pp.131-163
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• 2018

순례는 거의 모든 주요 종교에서 나타나는 현상으로서 전통적으로 외적으로는 성스러운 장소로, 내적으로는 정신적인 목적과 내적 이해를 위한 종교적 여행으로 정의되어왔다. 하지만 오늘날 순례와 종교 관습 간의 관계는 추상적 차원의 거의 모든 종류의 여행, 심지어는 연차휴가와 같이 정기적으로 반복되는 여행으로까지 확대되고 있다. 다시 말해, 현대의 순례자들은 많은 다양한 이유로 여행을 시작하므로, 순례는 사실상 역사적인 성소에 신앙을 목적으로 한 방문으로 그 의미를 제한할 수 없게 되었다. 이와 같은 맥락에서 순례를 관광의 일부로 간주하려는 시각이 문화콘텐츠나 관광을 중심으로 한 다양한 실용학문 분야에서 대두하고 있다. 순례를 종교적 제의로서가 아니라 종교관광으로 분류하려는 시도가 빈번한데, 그것은 산업적 측면에서도 매력적인 시장이기 때문이다. 순례를 경제적 가치의 측면에서 바라보려는 시각은 결과적으로 종교를 세속주의(secularism)의 조류 속에 포함하는 행위이며 한국에서 걷기 열풍을 타고 유행처럼 번져가는 '길'의 경험과 순례를 동일 선상에 놓음으로써 순례길의 경험이 던져주는 종교성(religiosity)을 포함한 고귀한 인간 정신은 자칫 길을 잃을 위험에 처하게 되었다. 이런 관점에서 본 논문은 순례의 내적 의미를 추구하고 변화와 개인적 성장을 희망하는 모든 사람을 위한 정신의 이동 통로이어야 한다는 전제하에 대순진리회의 지고신인 강증산의 순례길 개발을 제언하고자 한다. 증산 순례길은 단순히 장소의 성스러움을 만나기 위한 여행으로, 그리고 종교적 기억과 회상의 공간으로만 한정할 수 없다. 이를 위해서는 성지의 개념을 새롭게 정의하거나 분류할 필요가 있다.

• 대한관절경학회지
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• 제6권1호
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• pp.1-6
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• 2002

목적 : 자가 골-슬개건-골을 이용한 관절경적 전방십자인대 재건술시 발생하는 수술 중 및 수술 후 합병증을 비교 분석하여 그 발생 빈도와 원인 등을 규명하고자 하였다. 대상 및 방법 : 자가 골-슬개건-골을 이용하여 관절경적 전방십자인대 재건술을 시행하고 1년 이상 추시가 가능했던 85예를 대상으로 하였다. 수술 중 발생한 합병증은 발견 즉시 기록 후 교정하고자 하였으며 수술 후 합병증은 최종 추시 기간에 따라 수술 후 1년에서 2년 사이(I군), 2년에서 3년 사이(II군), 3년 이상(III군)의 3군으로 나누어 비교 분석하였다. 결과 : 수술 중 발생한 합병증은 슬개골 골절 1예, 채취한 이식건의 오염 1예, 이식건의 충돌 2예, 대퇴터널 후방 피질골 골절 1예, 간섭나사의 관절강내 후퇴가 1예였다. 수술 후 최종 추시 시 남아있던 합병증을 추시 기간에 따라 비교 분석한 결과, 슬개골 주위 합병증 중 슬관절 전방부 동통, 이식건 공여부 동통 및 슬개골 주위 탄발음은 I군과 II군, I군과 III군간의 비교에서는 각각 유의한 감소를 보였으나, II군과 III군간에는 유의한 차이가 없었다. 관절운동 제한과 피부 절개부위의 감각이상은 3군간에 모두 유의한 차이가 없었다. 결론 : 자가 골-슬개건-골을 이용한 전방 십자인대 재건술 시 발생한 수술 중 합병증은 수술 수기의 부정확 및 수술 팀의 부주의 등으로 발생하는 것으로 수술 수기의 향상과 경험의 누적 등으로 예방이 가능한 것으로 생각되며 수술 후 발생한 슬개 대퇴관절 주위의 합병증은 어느 정도 불가피한 면이 있으나 시간 경과에 따라 점차 호전되는 양상도 보이는 바 이식건의 선택 시 참고하여야 할 것으로 사료된다.

• 한국조경학회지
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• 제30권1호
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• pp.52-60
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• 2002

This paper presents a streetscape design for "Dangiae-Gil"which is located at 126-1 Yangpyung-2dong, Yeongdeungpo-gu, Seoul and is about 500m in length and about 24m in width. The design goals are to make a green street on which people want to walk and people can walk and rest safely and pleasantly. To achieve these goals, concepts of environmentally-friendliness, placeness, safety, amenity, vitality, connectivity, and democracy are developed. For pedestrian safety, shared street concepts, such as crank, slalom etc. are adopted. The site is divided into 5 thematic spaces, such as "Village Entrance Space", "Culture Street", "Dangsan Park", "Nature Street", and "Ferry Space". The Village Entrance Space, which is an entrance of the Dangjae-Gil and a welcoming space, is for communicating information about the area. "Dangnamu"(zelkova tree) and signs are introduced here. The Culture Street is for experiencing past and present culture of the area. Colored tiles and plant boxes attached to benches are introduced. The Dangsan park is a sacred space where modem people can feel the sacredness of nature arid of being in a refuge. Dangjib, Dangnamu, multi-purpose plaza, athletic facilities, and playground for infants are introduced. The Nature Street is a space for feeling and teaming nature which has disappeared from the area leading to the river and a space for community participation. The elementary school walls were demolished and nature education spaces, such as butterfly and dragonfly garden, ecological pond, wildflower garden, etc., which are related to school education, are introduced. The Ferry Space is a space symbolizing a old ferry crossing and an entrance plaza to a bridge for "Sunyu-do\" . A boat-shaped deck, an elevator for handicap people, and parking space are introduced. In conclusion, sustainable management schemes for the site are suggested.sted.

• Annals of Clinical Neurophysiology
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• 제6권1호
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• pp.26-30
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• 2004

Background: Electrophysiologic study accurately predicts the degree of degenerated motor axons but cannot give precise information on the type of injury that occurred in Bell's palsy. Because of these limitation for prognostic prediction in Bell's palsy, we evaluated divergence of electrophysiological time course for the purpose of presuming the type of injury in Bell's palsy. Methods: We did bilateral facial nerve conduction studies in 103 Bell's palsy patients, who visited to Han-Gang sacred heart hospital from 1998 to 2001. We compared the CMAP amplitude of disease site with that of normal site and suggested that decremental CMAP amplitude ratio (percentage) as a degree of denervation of affected facial nerve. Then we demonstrated the time course of denervation percentage. After defining normal range of CMAP amplitude difference from normal control group, we also evaluated if distinct time course of early minimal denervation is present. Results: Our results show that time course of the denervation in early stage of Bell's palsy reflect various injury type such as axonotmesis, neurotmesis or other unidentified type. We cannot identify the distinct time course of early minimal denervation. Conclusions: The time course as well as the maximal value of denervation are the best prognostic guidelines in Bell' s palsy. So repeated serial electrophysiologic test are inevitable to assess prognosis. As an another topic, early minimal denervation for prognostic prediction deserve to be evaluated as a future work up for prognostic prediction.

• 대한두개안면성형외과학회지
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• 제13권1호
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• pp.46-49
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• 2012

Purpose: The forehead flap is the workhorse in nasal reconstruction, which provides a similar skin color, texture, structure, and reliability. There are some disadvantages, including donor site morbidities, 2- or 3-stage operations, and postoperative management after initial flap transfer. Furthermore, there has been little attention to the exposed raw surface wound, after the first stage of an operation. This article describes the authors' modification to overcome this problem, using artificial collagen membrane. Methods: An Artificial collagen membrane is composed of an outer silicone membrane and an inner collagen layer. After a forehead flap elevation, the expected raw surface was covered by an artificial collagen membrane with 5-0 nylon suture. A simple dressing, which had been applied to the site, was changed every 2 or 3 days in an outpatient unit. At 3 weeks postprocedure, a second stage operation was performed. Results: With biosynthetic protection of the raw surface, there were no wound problems, such as infection or flap loss. Thus, the patient was satisfied due to an effortless management of the wound and a reduction in pain. Conclusion: The application of an artificial collagen membrane to the raw under-surface of the flap could be a comfortable and a protective choice for this procedure.

• Clinics in Shoulder and Elbow
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• 제25권1호
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• pp.5-14
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• 2022

Background: The purpose of this study was to verify the effect of protocatechuic acid (PCA) on tendon healing and fatty degeneration in a chronic rotator cuff model. Methods: Twenty-eight Sprague-Dawley male rats were randomly allocated into two groups: Saline+repair (SR) and PCA+repair (PR). The right shoulder was used for experimental interventions, and the left served as a control. PCA (30 mg/kg/day) was administered intraperitoneally at the site of infraspinatus tendon detachment in rats in the PR group, and the same volume of saline was administered to the same site in the SR group. The torn tendon was repaired 4 weeks after infraspinatus detachment. Four weeks after repair, hematoxylin and eosin (H&E), S100, and CD68 stains were performed to evaluate the degree of fatty degeneration and H&E and Masson trichrome stains were performed to assess tendon healing. Superoxide dismutase (SOD) was measured to test the efficacy of PCA as an antioxidant. Results: Results from histological evaluation indicated that SOD and CD68 levels at the musculotendinous region and collagen fiber parallel to the orientation at the tendon-to-bone junction were not significantly different between the SR and PR groups. The mean load-to-failure of the PR group (20.32±9.37 N) was higher than that of the SR group (16.44±6.90 N), although this difference was not statistically significant (p=0.395). The SOD activity in the operative side infraspinatus muscle of the PR group was higher than that of the SR group, but the difference was not statistically significant (p=0.053). Conclusions: The use of PCA could improve tendon healing and decrease fatty degeneration after rotator cuff repair.

• Nutrition Research and Practice
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• 제11권1호
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• pp.70-75
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• 2017

BACKGROUND: Immigration to South Korea from neighboring Asian countries has risen dramatically, primarily due to marriage between Korean men and foreign women. Although Filipino women rank fourth among married immigrant women, little is known about the health condition of this population. This manuscript focuses on the design and methods of Filipino women's diet and health study (FiLWHEL). SUBJECTS/METHODS: FiLWHEL is a cohort of Filipino women married to Korean men, aged 19 years old or over. The data collection comprised three parts: questionnaire, physical examination, and biospecimen collection. Questionnaires focused on demographic factors, diet, other health-related behaviors, acculturation and immigration-related factors, medical history, quality of life, and children's health information. Participants visited the recruitment site and answered the structured questionnaires through a face-to-face interview. We also measured their anthropometric features and collected fasting blood samples, toenails, and DNA samples. Recruitment started in 2014. RESULTS/CONCLUSIONS: Collection of data is ongoing, and we plan to prospectively follow our cohort participants. We expect that our study, which is focused on married Filipino women immigrants, can elucidate nutritional/health status and the effects of transitional experiences from several lifestyle factors.