• Archives of Plastic Surgery
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• 제37권2호
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• pp.137-142
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• 2010

Purpose: Tumor ablation and traumatic intractable ulceration of the plantar surface of the foot results in skin and soft tissue defects of the weight-bearing sole. Simple skin grafting is not sufficient for reconstruction of the weight-bearing areas. Instead, the island medial plantar flap (instep flap) and distally-based island medial plantar flap was used for proper reconstruction of the weight bearing area. However, there are some disadvantages. In particular, an island medial plantar flap has a short pedicle limiting the mobility of the flap and the distally-based island medial plantar flap is based on a very small vessel. We investigated whether good results could be obtained using a reverse island medial plantar flap based on the lateral plantar vessel as a solution to the above limitations. Methods: Three patients with malignant melanoma were cared for in our tertiary hospital. The tumors involved the lateral forefoot, the postero-lateral heel, and the medial forefoot area. We designed and harvested the flap from the medial plantar area, dissected the lateral and medial plantar artery and vena comitans, and clamped and cut the vessel 1 cm proximal to the branch from the posterior tibial artery and vena comitans. The medial plantar nerve fascicles of these flaps anastomosed to the sural nerve, the 5th interdigital nerve, and the 1st interdigital nerve of each lesion. The donor sites were covered with skin grafting. Results: The mean age of the 3 subjects was 64.7 years (range, 57 - 70 years). Histologically, all cases were lentiginous malignant melanomas. The average size of the lesion was $5.3\;cm^2$. The average size of the flap was $33.1\;cm^2$. The flap color and circulation were intact during the early postoperative period. There was no evidence of flap necrosis, hematomas or infection. All patients had a normal gait after the surgery. Sensory return progressively improved. Conclusion: Use of an island medial plantar flap based on the lateral plantar vessel to the variable weight-bearing sole is a simple but useful procedure for the reconstruction of any difficult lesion of the weight-bearing sole.

• 한국농촌건축학회논문집
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• 제12권2호
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• pp.135-142
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• 2010

This research aims to examine the characteristics of tomb sites including tomb mound and attached buildings and also to find out the principles reflected in the traditional oriental Feng-Shui location and spatial composition of Junkyung and Youngkyung tomb at Samcheok. The results of this study are as follows. These tombs harmonize with each other in the cosmic dual forces because Junkyung tomb is men's sex symbol and tiger to lie on his belly and Youngkyung tomb is women's sex symbol in geographical feature. Spatial structure in these tomb sites were placed in a reflected line following the hierarchy of metaphysics by standing high Geumchunkyo(Bridge)-Hongsalmun(Gate)-Jegak(Pavilion)-Bongbun(Tomb mound). Axis structure of these tombs is irregular bent-axis type from Geumchunkyo to Bongbun, specially in case of Youngkyung tomb it is getting more refractive. These tombs are divided into and characterized by three zones. Firstly the space for living people constitutes from Geumchunkyo to Hongsalmun, secondly the semi-sacred space constitutes from Hongsalmun to Jegak, and lastly the space for the dead constitutes from the back of Jegak to Bongbun. - type Jegak instead of T type Jegak generally used at Chosun Dynasty was installed because of claypan stretched out in front of Junkyung tomb and Bongbun of Youngkyung tomb located at a ravine between two mountain ranges.

• 보건교육건강증진학회지
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• 제31권1호
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• pp.13-26
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• 2014

Objectives: This study aimed to assess whether metabolic syndrome (MS) is related to osteoporosis and investigate the association between the MS components and bone mineral density (BMD). Methods: We conducted a cross-sectional study for 4,365 women aged over 50 years who completed health examination from 2008 to 2012 in Korea Association of Health Promotion Gangwon Branch. Height, body weight, waist circumference, blood pressure, fasting plasma glucose, serum lipid profiles, and BMD were measured. Results: Obesity measured as body mass index (BMI) was detrimental to all of the MS components but positively correlated with BMD at three skeletal sites (lumbar spine, femoral neck, and total hip). There were no significant differences in the MS prevalence between women without osteoporosis and those with osteoporosis. In age-adjusted analysis, women with MS had significantly higher BMD at three sites when compared to those without MS. After adjusting for BMI and age, these significances disappeared, such that MS was not associated with higher BMD. Conclusions: Our findings indicate that obesity increases the risk of MS whereas underweight increases that of osteoporosis. The association between MS and higher BMD was explained by the higher BMI in those with MS. MS may not be associated with osteoporosis.

• Journal of Korean Neurosurgical Society
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• 제51권5호
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• pp.308-311
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• 2012

Hemorrhagic complications associated with aspirin use occur primarily at skin or gastrointestinal sites but can occasionally occur in the central nervous system. In particular, spontaneous spinal epidural hemorrhage (SSEH) associated with aspirin is very rare. We report a case of low-dose (100 mg daily) aspirin-related SSEH that was successfully treated with medical management. Our case indicates that low-dose aspirin could induce SSEH and that conservative treatment with close observation and repeated imaging studies should be considered in cases with neurological improvement or mild deficits.

• 한국전통조경학회지
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• 제41권3호
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• pp.27-46
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• 2023

이 연구는 국가 생물다양성 전략 및 행동계획(NBSAP)을 수립하기 위해 자연유산에 OECMs(Other Effective Area-based Conservation Measures)을 적용하는 가능성을 탐구하였다. 자연유산 중 하나인 천연기념물 당산목과 관련된 생태적 특성과 문화적 특성을 조사하고 수집한 정보들을 종합하여 보전 가치를 확인하였고 IUCN의 개별 평가 도구 기준에 따라 대상지인 당산목이 당산제를 통해 지역공동체를 반영한 OECM으로 지정될 수 있는지 가능성을 검토하였다. 연구 결과, 당산목과 당산제는 후보 OECM으로 긍정적으로 평가되며, 국가 생물다양성 전략(NBSAP) 수립을 위한 전략에 있어서는 문화재청에서 실시하고 있는 '당산나무 할아버지 제도'와 '자연유산 민속행사 국고지원사업' 등이 지역 공동체를 자발적으로 참여시키는데 긍정적인 영향을 미친다는 결론을 내렸다. 따라서 이러한 결과를 토대로, 국가 생물다양성 전략(NBSAP) 수립을 위한 국가별 지표로서 당산목과 같은 자연성지가 생물다양성 보전을 위한 2030년 목표와 자연과 조화로운 삶을 위한 2050년 목표에 기여할 것으로 기대한다.

• 대한지리학회지
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• 제40권5호
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• pp.553-570
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• 2005

계룡산에는 상이한 종교(또는 이념) 집단들이 다양한 의미와 가치를 부여하며 이용해 온 공간과 장소들이 있다. 불교와 유교 그리고 무속을 포함하는 민간 신앙들은 자기 고유의 영역과 정체성을 생산하고 관리하기 위하여 제각기 다른 이념(또는 세력)을 구현하여 왔다. 무속을 중심으로 하는 저항의 지리는 계룡산 전역에 걸쳐 불연속적인 영역을 기반으로 진행되어 왔다. 이러한 저항의 지리가 가장 뚜렷하게 확인되는 지점은 삼불봉, 암용추, 숫용추 등이다. 지금까지 무속과 불교의 공간적이고 시간적인 뒤엉킴을 통하여 피지배 세력인 무속이 생존하여 왔던 것이다.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제37권
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• pp.27.1-27.7
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• 2015

The aim of this study was to evaluate the clinical relevance of autogenous fresh demineralized tooth (Auto-FDT) prepared at chairside immediately after extraction for socket preservation. Teeth were processed to graft materials in block, chip, or powder types immediately after extraction. Extraction sockets were filled with these materials and dental implants were installed immediately or after a delay. A panoramic radiograph and a conebeam CT were taken. In two cases, tissue samples were taken for histologic examination. Vertical and horizontal maintenance of alveolar sockets showed some variance depending on the Auto-FDT and barrier membrane types used. Radiographs showed good bony healing. Histologic sections showed that it guided good new bone formation and resorption pattern of the Auto-FDT. This case series shows that Auto-FDT prepared at chairside could be a good material for the preservation of extraction sockets. This study will suggest the possibility of recycling autogenous tooth after immediate extraction.

• 대한치과의사협회지
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• 제45권2호통권453호
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• pp.89-102
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• 2007

Evidence-based dentistry is a new, worldwide trend in the field of clinical dentistry. Despite this fact, it has been neglected in Korean dental community. Thus, its basic concepts and the 5-step procedures are introduced and described in this 2-part series report. Evidence-based dentistry is a method of clinical practice where the clinicians use the best available research evidence for their own clinical decision making. By using this method, the clinical outcomes can be improved and the clinicians themselves can have the ability to keep watch over their daily practices. To clinically apply the principles of evidence-based dentistry, dental practitioners have to formulate a clear question, find the best available research evidence efficiently, critically appraise the evidence systematically, apply the results of the evidence to their practice, and evaluate the clinical outcomes comprehensively. In building a clinical question, it is essential to categorize questions according to their types followed by their organization using the key elements. Then, literature search must be done. There are many web sites for searching evidence, but PubMed is considered to be the leading site. To efficiently search the literature, search term must be selected appropriately and the search results should be limited.

• 헤리티지:역사와 과학
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• 제51권3호
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• pp.54-71
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• 2018

2018년은 지난 1978년, 12건의 유네스코 세계유산이 최초로 탄생한 지 40주년을 맞이하는 기념비적인 해이다. 본 연구는 1972년에 채택된 '세계 문화 및 자연유산 보호를 위한 협약'의 이행과정에 관한 개략적인 고찰을 바탕으로, 지난 40여 년 간의 문화유산 등재를 둘러싼 흐름과 현안을 살펴보았다. 특히 2017년 제41회 세계유산위원회에서 등재된 일본의 '성스러운 섬 오키노시마와 무나카타 지역의 관련 유산군'의 사례를 통해, 최근의 문화유산 등재 경향과 그 경위에서 보이는 주체들 간의 심사 및 결정을 둘러싼 불균형의 쟁점을 심층적으로 논고하였다. 본고는 반세기 가까운 이행 가운데 변화의 급물살을 타고 있는 유네스코 세계유산협약의 유산 외교에 총력을 기울이는 일본의 대응 체제를 고찰함으로서, 유효한 시사점을 도출하고 유산 담론의 학술적 의의를 조명하는 데 그 목적이 있다. 이와 더불어 협약 가입 30주년을 기념하는 우리나라의 전략적 과제를 살펴보고 향후 문화유산의 등재와 보전을 위한 방향성을 제시하는 데 기여하고자 한다.

• Journal of Korean Neurosurgical Society
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• 제61권5호
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• pp.592-599
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• 2018

Objective : Metastatic brain tumors (MBTs) often present with intracerebral hemorrhage. Although Gamma Knife surgery (GKS) is a valid treatment option for hemorrhagic MBTs, its efficacy is unclear. To achieve oncologic control and reduce radiation toxicity, we used a radiosurgical targeting technique that confines the tumor core within the hematoma when performing GKS in patients with such tumors. We reviewed our experience in this endeavor, focusing on local tumor control and treatment-associated morbidities. Methods : From 2007 to 2014, 13 patients with hemorrhagic MBTs were treated via GKS using our targeting technique. The median marginal dose prescribed was 23 Gy (range, 20-25). GKS was performed approximately 2 weeks after tumor bleeding to allow the patient's condition to stabilize. Results : The primary sites of the MBTs included the liver (n=7), lung (n=2), kidney (n=1), and stomach (n=1); in two cases, the primary tumor was a melanoma. The mean tumor volume was $4.00cm^3$ (range, 0.74-11.0). The mean overall survival duration after GKS was 12.5 months (range, 3-29), and three patients are still alive at the time of the review. The local tumor control rate was 92% (tumor disappearance 23%, tumor regression 46%, and stable disease 23%). There was one (8%) instance of local recurrence, which occurred 11 months after GKS in the solid portion of the tumor. No GKS-related complications were observed. Conclusion : Our experience shows that GKS performed in conjunction with our targeting technique safely and effectively treats hemorrhagic MBTs. The success of this technique may reflect the presence of scattered metastatic tumor cells in the hematoma that do not proliferate owing to the inadequate microenvironment of the hematoma. We suggest that GKS can be a useful treatment option for patients with hemorrhagic MBTs that are not amenable to surgery.