• Clinics in Shoulder and Elbow
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• 제10권2호
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• pp.246-250
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• 2007

주관절 전 치환술은 슬관절이나 고관절의 전 치환술에 비하면 매우 드물게 시행되고 있는 수술이다. 더욱이 주관절의 골성 강직에 대한 주관절 전 치환술은 증례가 비교적 드물며, 아직 그 결과도 좋지 않은 것이 보통이다. 저자들은 주관절 관절 고정술 후 12년 만에 외상에 의해 발생한 골절에 대한 치료로서 주관절 전 치환술을 함으로써 주관절의 가동성을 성공적으로 얻게 된 예가 있어 이를 보고하는 바이다.

• Journal of Chest Surgery
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• 제31권9호
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• pp.911-914
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• 1998

충남대학교 의과대학 흉부외과학 교실에서 흉부식도암 수술적 치료로 흉곽내 위문합 Ivor Lewis 수술후 흉곽내 위천공이 발생한 환자 2례를 치험하였다. 문합부는 문제가 없었으나 경구섭취 후 흉강을 통한 배액이 증가되었다. 위천공은 재수술을 위해 개흉술을 시행하여 확인 할 수 있었다. 위천공 부위는 재봉합 후 늑간근을 이용하여 보강하였다.

• 국제학술발표논문집
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• The 6th International Conference on Construction Engineering and Project Management
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• pp.205-209
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• 2015

A significant amount of data including ongoing construction activities, work quantities, resources utilized by contractors, and site conditions is collected in highway construction sites on a daily basis by resident engineers. This data is commonly known as daily work reports (DWRs) in the U.S. Although a lot of time and effort is invested in collecting the DWR data, its utilization has been very limited. This paper discusses current practices of collecting and utilizing DWR data among various Departments of Transportation in the U.S., and discusses the challenges and opportunities for better collection and utilization of the data. An extensive literature review and two nationwide surveys in the U.S. were conducted as a part of this study. Finally, it provides a set of recommendations to effectively address the challenges identified and maximize the benefits of utilizing DWR data such as supporting various decisions for highway project development process. The findings of this study are implementable ideas that can aid DOTs in making data-driven decisions throughout the project development processes in the future.

• 한국건설관리학회:학술대회논문집
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• 한국건설관리학회 2007년도 정기학술발표대회 논문집
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• pp.925-928
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• 2007

건설사업 수행 과정에서 발주청과 시공사, 감리단 등의 현장 업무담당자간에 공사현황, 공정보고 등 각종 현장보고자료가 교환된다. 이들 현장보고자료는 표준화가 되어 있지 않아 발주청이 요구하는 양식이 매번 다르거나 현장 업무담당자가 임의적으로 양식을 만들어 자료를 작성하고 FAX, e-mail, 종이문서 등 서로 다른 매체로 보고하고 있다. 이 때문에 현장 업무담당자는 동일한 정보를 발주청이 요구하는 양식에 맞춰 재작성하는 경우가 많고 발주청은 현장별로 보고된 자료를 수작업으로 취합하여 집계함에 따른 과중한 업무의 원인이 되고 있다. 본 연구는 이러한 문제를 해결하기 위해 월간공정보고와 공사현황보고를 대상으로 전자문서 일원화 체계를 마련하였다. 아울러 기존에 운영 중인 건설사업 관리시스템에 전자문서 일원화에 따라 현장보고업무를 전자 처리할 수 있는 기능을 개발하였으며 개발된 시스템의 현장 적용성 검증을 위해 도로건설현장을 대상으로 시범 적용과 설문조사를 실시하였다. 본 연구 결과를 현업에 적용할 경우에 현장보고 업무의 효율화 ${\cdot}$ 간소화를 높일 수 있을 것으로 사료된다.

• Journal of Gastric Cancer
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• 제12권1호
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• pp.46-48
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• 2012

A trocar site hernia is a rare complication. We report a patient who had an abdominal wall mass at a previous trocar site after laparoscopic distal gastrectomy. It was diagnosed as omental herniation and fat necrosis. We conclude that patients with trocar site masses exhibiting fat density on a computed tomography scan could be followed up without surgery, and that fascial defects located at 10-mm or larger trocar sites should be closed whenever possible to prevent hernia formation.

• Archives of Plastic Surgery
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• 제39권3호
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• pp.253-256
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• 2012

A radial forearm free flap has been conventionally used for urethral reconstruction. However, aesthetic and functional complications occur frequently at the donor site. The use of a superficial circumflex iliac artery perforator (SCIP) flap can resolve these disadvantages. Here, we report our case with a review of literature. A 69-year-old man visited our hospital with multiple contusions of the abdomen and genital amputation. After necrotic tissue debridement, the length of the residual corpus carvernosum was 1.5 cm and that of the corpus spongiosum and urethra was 1 cm. For the reconstruction of the penis, a SCIP flap and anterolateral thigh free flap was performed. The primary closure was performed at the donor site. Three weeks postoperatively, the patient had a urethral foley catheter removed. The neourethra was functioning well without stricture. Four months postoperatively, the patient had no complications such as urethral stricture. A good recovery was also achieved with no aesthetic deficits at the donor site. SCIP flap is appropriate for urethral reconstruction. Because of its proximity to the recipient sites, it makes surgical preparation easier and the primary closure at the donor site available. It is also advantageous in that its location is almost unnoticeable.

• Geomechanics and Engineering
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• 제4권1호
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• pp.1-18
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• 2012

The spatial variation of ground motion in Kolkata Metropolitan District (KMD) has been estimated by generating synthetic ground motion considering the point source model coupled with site response analysis. The most vulnerable source was identified from regional seismotectonic map for an area of about 350 km radius around Kolkata. The rock level acceleration time histories at 121 borehole locations in Kolkata for the vulnerable source, Eocene Hinge Zone, due to maximum credible earthquake (MCE) moment magnitude 6.2 were generated by synthetic ground motion model. Soil investigation data of 121 boreholes were collected from the report of Soil Data Bank Project, Jadavpur University, Kolkata. Surface level ground motion parameters were determined using SHAKE2000 software. The results are presented in the form of peak ground acceleration (PGA) at rock level and ground surface, amplification factor, and the response spectra at the ground surface for frequency 1.5 Hz, 3 Hz, 5 Hz and 10 Hz and 5% damping ratio. Site response study shows higher PGA in comparison with rock level acceleration. Maximum amplification in some portion in KMD area is found to be as high as 3.0 times compared to rock level.

• 대한심미치과학회지
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• 제29권1호
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• pp.54-61
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• 2020

교정적 정출술(Forced orthodontic eruption, FOE)은 각화 치은과 치조골량을 증가시키는 비침습적인 치료 방법이다. 정출력에 의해 치아가 정출되면 치은 섬유와 치주 인대가 신장되고 조골 세포의 유도가 촉진되어 새로운 골형성이 일어나게 된다. 또한 치은 변연이 치관 방향으로 이동되면서 부착 치은의 폭경이 증가된다. 반면, 점막 치은 경계는 일정하게 유지가 된다. 이러한 치료 효과들로 인해 교정적 정출술은 implant site development를 위해 사용될 수 있다. 본 증례 보고에서는 외상으로 인한 치관 파절로 수복이 불가능한 상악 전치부를 교정적 정출술로 연조직 증대를 이룬 후 치조골 이식술(block bone grafting)과 임플란트 식립을 통해 심미적으로 수복한 증례를 통해 교정적 정출술의 효과를 기술하고자 한다.

• 대한암한의학회지
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• 제21권1호
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• pp.15-25
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• 2016

Objective : The purpose of this study is to report the possibility of treatment of Cancer of Unknown Primary Site (CUPS) patient with Traditional Korean Medicine based Samchilchoongcho-jung and Gunchilgyebok-Jung following chemotherapy. Methods : The patient is a female, who was diagnosed with CUPS, suffering from left flank pain, abdominal discomfort, nausea, vomiting and fatigue after chemotherapy. The patient was treated with acupuncture, pharmacoacupuncture, moxibution, herbal medicine and enema used with herbal decoction for 15 days. The clinical outcomes were measured by numeric rating scale(NRS). Results : After treatment, left flank pain had disappeared and nausea and vomiting was decreased from NRS 4 to NRS 1 respectively. Fatigue was also improved. Conclusion : This case study suggests that Traditional Korean Medicine is effective for treatment of CUPS patients and can improve the quality of life.

• 대한암한의학회지
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• 제25권1호
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• pp.1-9
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• 2020

Objective: The purpose of this study is to report improvement of symptoms after lobectomy of male breast cancer lung metastasis treated with Korean Medicine based Integrative Cancer Treatment (ICT). Methods: A male left breast cancer patient diagnosed with metastasis on lung at July 2019. After Video assisted thoracic surgery (VATS) left lower lobe (LLL) lobectomy and En bloc wedge resection the patient visited the Daejeon korean medicine hospital of Daejeon university East West Cancer Center (EWCC) to treat operation-site (op-site) pain, dysphagia, anorexia with Korean Medicine Treatment. The patient was treated with Korean Medicine based ICT for an approximately 20 days. The clinical outcomes were measured by National Cancer Institute Common Terminology Criteria for Adverse Event (NCI-CTCAE), Numeral rating scale (NRS) and Eastern Cooperative Oncology Group (ECOG). The safety of treatment was verified by blood tests. Results: After treatment, op-site pain was improved from NRS 9 to 6, dysphagia and anorexia were relieved from NRS 9 to 2. And ECOG score of the patient was improved from grade 2 to 1. Conclusion: This case study suggests that Korean Medicine based ICT may help to improve post operative sequelae in metastatic lung cancer patient.