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A clinical study of emergency room visits for oral and maxillofacial lacerations

  • Park, Kun-Hyo;Song, Jae-Min;Hwang, Dae-Seok;Kim, Yong-Deok;Shin, Sang-Hun;Kim, Uk-Kyu;Lee, Jae-Yeol
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.41 no.5
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    • pp.246-250
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    • 2015
  • Objectives: This study investigated patients with oral and maxillofacial lacerations who visited the emergency room over a three-year period in an effort to determine the optimal treatment for these injuries. Materials and Methods: This study examined 1,742 patients with oral and maxillofacial lacerations with 2,014 different laceration locations who visited the emergency room of Pusan National University Hospital (Busan, Korea) over three years, from January 2011 to December 2013. Patients were classified by sex, age, visit day, cause of injury, injury site, and the presence or absence of soft tissue and tooth injuries. Results: The male to female ratio was 2.50:1. Patients under 10 years old were seen most frequently. Most emergency room visits were on weekends. Among intra-oral lacerations, the lip area was the most vulnerable site; among extra-oral lacerations, the chin area was most frequently injured. The most frequent etiology was a slip down. Most lacerations occurred without bone fracture or tooth damage. Conclusion: Laceration may differ in large part as compared with the fracture. Therefore, it is necessary to continue collecting data on oral and maxillofacial lacerations to establish optimal emergency room diagnosis and treatment strategies.

Clinical Impact of Different Reconstruction Methods on Remnant Gastric Cancer at the Anastomotic Site after Distal Gastrectomy

  • Kei Matsumoto;Shinwa Tanaka;Takashi Toyonaga;Nobuaki Ikezawa;Mari Nishio;Masanao Uraoka;Tomoatsu Yoshihara;Hiroya Sakaguchi;Hirofumi Abe;Tetsuya Yoshizaki;Madoka Takao;Toshitatsu Takao;Yoshinori Morita;Hiroshi Yokozaki;Yuzo Kodama
    • Clinical Endoscopy
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    • v.55 no.1
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    • pp.86-94
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    • 2022
  • Background/Aims: The anastomotic site after distal gastrectomy is the area most affected by duodenogastric reflux. Different reconstruction methods may affect the lesion characteristics and treatment outcomes of remnant gastric cancers at the anastomotic site. We retrospectively investigated the clinicopathologic and endoscopic submucosal dissection outcomes of remnant gastric cancers at the anastomotic site. Methods: We recruited 34 consecutive patients who underwent endoscopic submucosal dissection for remnant gastric cancer at the anastomotic site after distal gastrectomy. Clinicopathology and treatment outcomes were compared between the Billroth II and nonBillroth II groups. Results: The tumor size in the Billroth II group was significantly larger than that in the non-Billroth II group (22 vs. 19 mm; p=0.048). More severe gastritis was detected endoscopically in the Billroth II group (2 vs. 1.33; p=0.0075). Moreover, operation time was longer (238 vs. 121 min; p=0.004) and the frequency of bleeding episodes was higher (7.5 vs. 3.1; p=0.014) in the Billroth II group. Conclusions: Compared to remnant gastric cancers in non-Billroth II patients, those in the Billroth II group had larger lesions with a background of severe remnant gastritis. Endoscopic submucosal dissection for remnant gastric cancers in Billroth II patients involved longer operative times and more frequent bleeding episodes than that in patients without Billroth II.

The Result and Attentiveness of Reconstructive Surgery by Anterolateral Thigh Perforator Free Flap (전외측 대퇴부 천공지 유리피판술의 실패 원인과 합병증)

  • Kang, Kyung-Dong;Lee, Jae-Woo;Kim, Kyoung-Hoon;Oh, Heung-Chan;Choi, Chi-Won;Choi, Soo-Jong;Bae, Yong-Chan;Nam, Su-Bong;Kim, Jung-Il;Chu, Gi-Seok
    • Archives of Plastic Surgery
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    • v.38 no.1
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    • pp.27-34
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    • 2011
  • Purpose: Anterolateral thigh (ALT) perforator free flap is commonly used because of its various benefits. The author reports important factors of preoperative and perioperative ALT perforator free flap and causes of failure. Methods: 84 patients who were treated with ALT perforator free flap from December 2004 to 2008, and February 2010 to April 2010 were studied. 61 patients were male and 23 were female. The mean age of patients was 51.1. The main cause was neoplasm and the main reconstructive areas were head and neck area. The size of flap was various from $3{\times}4$ to $12{\times}18$ cm. 6 patients received split thickness skin graft at donor site. Preoperative angiography was checked to all patients. Results: Among the 84 patients, partial necrosis of flaps occurred in 4 patients because of atherosclerosis, varicose vein, or inattention of patient, etc. And total flap necrosis in 5 patients because of abnormal vessels of recipient area or delay of operation, etc. One case of serous cyst was found as the complication of donor area. Two cases of skin graft on donor site were done because of suspected muscle compartment syndrome, 4 cases of that because of large flap. Septocutaneous perforators were found in 7 cases. The author couldn't find reliable perforator in 3 cases, ipsilateral anteromedial thigh perforator and contralateral ALT perforator and latissimus dorsi musculocutaneous free flap were done instead of ALT. There was no case which needed reoperation because of the impairment of blood supply, and 3 cases were revised by leech because of the burn injury by a lamp or venous congestion. Conclusion: Although ALT perforator free flap is widely used with its various merits, many factors such as preoperative condition of donor or recipient area, morphology of defect and operating time need to consider to prevent flap necrosis. And operators should need careful technique because septocutaneous perforator is uncommon, and musculocutaneous perforator is common but difficult to dissect.

Hemangiopericytoma Recurred at the Distant Area - Case Report - (원격 부위에서 재발한 뇌수막 혈관주위세포종 - 증 례 보 고 -)

  • Park, Joung-Youn;Choi, Ha-Young
    • Journal of Korean Neurosurgical Society
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    • v.30 no.4
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    • pp.528-532
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    • 2001
  • Hemangiopericytomas, which used to be classified as the subtype of the meningiomas, like the angioblastic meningiomas or hemangiopericytic meningiomas, are rare in the central nervous system with an incidence of <1% of all central nervous system(CNS) tumors. In spite of a total surgical removal, hemangiopericytomas have a tendency of high local recurrence and distant metastasis. The authors report a case of hemaniogipericytoma recurred at the remote area from the primary site. The tumor recurred in the meninges of right temporal area after total removal of the tumor in the right parasaggital region including the falx.

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An Investigation on Determinants of Apartment Price in Ilsan Area (일산지역의 공동주택 평당매매 가격결정 특성에 관한 연구)

  • Jang, Han-Sub;Yoo, Seon-Jong
    • Journal of the Korean housing association
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    • v.18 no.6
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    • pp.35-44
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    • 2007
  • The purpose of this paper is to find out the factors affecting the apartment price given three sets of variables such as characteristics of apartment building, apartment site, and location. Data of 1,579 housing units in 224 apartment complex sites in Ilsan city were selected from the housing information of four public and private housing sources in 2006. The first set of variables for physical features include housing size (pyoung), preferring-floor, building orientation, heating system and structure of entrance. The second set of variables for building were number of housing units, built year and rank of construction company. The third set of variables for location were distance from number of school, the subway station, distance of department store and park. For the analysis, the hedonic price model, which was one of the methods to estimate social convenience, was used along with the SPSS statistical program and regression analysis. The results are as follows, Firstly, in the structural characteristic variables, it was analyzed that all of the variables except facing affected the apartment price. Secondly, In the site characteristic variables, unusually all of the variables were not affected the apartment price in Ilsan city. Finally, the locational characteristic variables number of school, the subway station, distance of department store and park affected the apartment price. In case of Ilsan city, educational facilities was likely to positively contribute to the price of apartment.

A Study on the Characteristics of Ambient Volatile Organic Compounds in Gimhae (김해 지역 대기 중 휘발성유기화합물 특성연구)

  • Bong, Sang-Hun;Jeong, Seong-Wook;Park, Heung-Jai;Kim, Woo-Seong;Kim, Sung-Hun
    • Journal of Environmental Science International
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    • v.17 no.8
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    • pp.871-878
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    • 2008
  • In this study, we measured volatile organic compounds in Gimhae city, South Korea. We selected twenty site and measured volatile organic compounds in ambient air by passive sampler when at sampling intervals of two month from April to December 2005. Passive sampler was exposed for fifteen day in ambient air. And samples were analyzed by GC/FID for volatile organic compounds. The results of each measured functional zone, mean concentration of each compound measured were generally higher the industrial complex area and traffic pollution area than residental area. Each area showed similar pattern for the observation period. concentration of measured each compound were the following order: winter > fall > spring > summer.

Arsenic and heavy metal contamination in the vicinity of the abandoned Dongjung Au-Ag-Cu mine, Korea

  • Chung EunHye;Lee Jin-Soo;Chon Hyo-Taek;Sager Manfred
    • 한국지구물리탐사학회:학술대회논문집
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    • 2003.11a
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    • pp.536-539
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    • 2003
  • The Dongjung Au-Ag-Cu mine area was seriously contaminated with As and heavy metals-Cd, Cu, Hg, Mn, Pb and Zn etc. Those elements were highly accumulated in plants grown at farmland as well as farmland soil. Stream waters and groundwater which has been used as drinking water around the mine site contain high levels of heavy metals, especially As. As a result of human health risk assessment using EHS(Extraction of Heavy metals in Stomach and Small intestine) test for bioaccessible contents of heavy metals, there is a potential of cancer and adverse effects on human health for the residents of the mine area.

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A Study on the Habitat Restoration Model for Chinemys reevesii (남생이 서식처 복원을 위한 서식처 모형 연구)

  • Kim, Su-Ryeon;Lee, Ji-Hyun;Song, Jae-Young;Chang, Min-Ho;Sung, Hyun-Chan;Cho, Dong-Gil
    • Journal of the Korean Society of Environmental Restoration Technology
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    • v.16 no.2
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    • pp.115-125
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    • 2013
  • In this research, a habitat model for Chinemys reevesii is suggested based on the components and variables of the Habitat Suitability Index which was determined through a series of literature researches, site surveys, and behavioral analysis. After reviewing the general habitat requirements, the site surveys(9 reservoirs) from July to December 2010, and the behavioral analysis of five Chinemys reevesii, the relationship between the behavioral and habitat use pattern was evaluated. According to the site surveys and behavioral analysis, the ecological core area(FK 50%) was about 0.96ha on average, the influence area(FK 90%) 4.22ha, and the home range was about $37.75{\pm}17.26m$ on average. As for the habitat use pattern of Chinemys reevesii, it travels through canals, and is influenced by the surrounding land uses. Also when there is a lack of food, the home range increases, and during hibernation, Chinemys reevesii prefers to be in an area within 1~2m range of water shores of fine textured soil and aquatic plants. After analyzing the information, the HSI standard was set and its components were determined as food, sunbathing and cover, aquatic environment, and spatial relationships. And the variables and the ranges of the components was determined as aquatic plant cover(0~49.81%), sandy area($3{\sim}13m^2$) and water velocity(0~60cm/s) etc. Lastly, plans and sections of the habitat model is provided designed according to the information from the researches, and problems to consider during habitat restoration was suggested in order to help understand about Chinemys reevesii habitat.

Microcosm Study for Revegetation of Barren Land with Wild Plants by Some Plant Growth-Promoting Rhizobacteria

  • Ahn, Tae-Seok;Ka, Jong-Ok;Lee, Geon-Hyoung;Song, Hong-Gyu
    • Journal of Microbiology and Biotechnology
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    • v.17 no.1
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    • pp.52-57
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    • 2007
  • Growth promotion of wild plants by some plant growth-promoting rhizobacteria (PGPR) was examined in the microcosms composed of soils collected separately from a grass-covered site and a nongrass-covered site in a lakeside barren area at Lake Paro, Korea. After sowing the seeds of eight kinds of wild plants and inoculation of several strains of PGPR, the total bacterial number and microbial activity were measured during 5 months of study period, and the plant biomasses grown were compared at the end of the study. Acridine orange direct counts in the inoculated microcosms, $1.3-9.8{\times}10^9\;cells{\cdot}g\;soil^{-1}$ in the soil from the grass-covered area and $0.9-7.2{\times}10^9\;cells{\cdot}g\;soil^{-1}$ in the soil from the nongrass-covered site, were almost twice higher than those in the uninoculated microcosms. The number of Pseudomonas sp., well-known bacteria as PGPR, and the soil dehydrogenase activity were also higher in the inoculated soils than the uninoculated soils. The first germination of sowed seeds in the inoculated microcosm was 5 days earlier than the uninoculated microcosm. Average lengths of all plants grown during the study period were 26% and 29% longer in the inoculated microcosms starting with the grass-covered soil and the nongrass-covered soil, respectively, compared with those in the uninoculated microcosms. Dry weights of whole plants grown were 67-82% higher in the inoculated microcosms than the uninoculated microcosms. Microbial population and activity and growth promoting effect by PGPR were all higher in the soils collected from the grass-covered area than in the nongrass-covered area. The growth enhancement of wild plants seemed to occur by the activities of inoculated microorganisms, and this capability of PGPR may be utilized for rapid revegetation of some barren lands.

3 TYPES OF CEMENTO-OSSEOUS DYSPLASIA : CASE REPORTS (3가지 형태의 백악질-골성 이형성증에 대한 증례보고)

  • Kim, Young-Ran;Kim, Yeo-Gab;Lee, Baek-Soo;Kwon, Yong-Dae;Choi, Byung-Joon
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.35 no.6
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    • pp.481-485
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    • 2009
  • Cemento-osseous dysplasias are a group of disorders known to originate from periodontal ligament tissues and involve, essentially, the same pathological process. They are usually classified, depending on their extent and radiographic appearances, into three main groups. Periapical cemental dysplasia predominantly involves the periapical region of the anterior mandible. Florid cemento-osseous dysplasia presents with multifocal lesions in the tooth bearing or edentulous areas of the maxilla and mandible, often occurring bilaterally with symmetric involvement. Focal cemento-osseous dysplasia exhibits a single site of involvement in any tooth bearing or edentulous area of the mandible or maxilla, with the posterior mandible representing the most common site. We report the clinical, radiographic and histological findings of 3 types of cemento-osseous dysplasia with a review of literatures.