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손상된 후경골건 감입에 의한 족관절 골절 및 탈구의 정복 실패: 증례 보고 (A Irreducible Ankle Fracture and Dislocation Due to Injured Tibialis Posterior Tendon Interposition: A Case Report)

  • 이준영;박이규;장현웅
    • 대한족부족관절학회지
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    • 제21권2호
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    • pp.70-74
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    • 2017
  • Fractures and fracture-dislocations of the ankle are caused by a variety of mechanisms. In addition to fractures, injuries of soft tissue, such as ligaments, tendons, nerves, and muscles may also occur. Among these, a tibialis posterior tendon injury is difficult to be identified due to swelling and pain at the fracture site. It is difficult to observe tibialis posterior tendon injury on a simple radiograph; it is usually found during surgery by accident. There are some studies regarding irreducible ankle fracture-dislocations due to interposition of the tibialis posterior tendon; however, to the best of our knowledge, there has not been any report about interposition of injured tibialis posterior tendon. Herein, we report a case of an irreducible fracture-dislocation of the ankle due to injured tibialis posterior tendon interposition that was observed intraoperatively, interrupting the reduction of ankle fracture-dislocation. We obtained satisfactory clinical result after reduction of the trapped tendon, fracture reduction, and internal fixation; therefore, we are willing to report this case with the consent of the patient. This study was conducted with an approval from the local Institutional Ethics Review Board.

광산 현장의 원석 생산 데이터 기록 및 덤프트럭 작업일지 작성을 위한 애플리케이션 개발 (Development of Applications for Recording Ore Production Data and Writing Daily Work Report of Dump Truck in Mining Sites)

  • 박세범;최요순
    • 터널과지하공간
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    • 제32권2호
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    • pp.93-106
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    • 2022
  • 본 연구에서는 광산 현장에서 트럭 운전자들이 스마트 기기를 이용해 원석 생산 데이터를 기록하고, 이를 이용해 PC 환경에서 작업일지(운행일지)를 작성할 수 있는 애플리케이션을 개발하였다. 이를 위해 국내에서 가행 중인 4곳의 광산을 연구지역으로 선정한 다음 현장에서 사용하고 있는 작업일지를 확보하였다. 광산별로 작업일지에 포함되는 정보 요소를 분석하였다. 광산별로 작업일지 작성을 위해 기록하는 정보와 양식이 서로 다르므로, 원석 생산 데이터 기록과 작업일지 작성을 위한 애플리케이션은 연구지역 맞춤형으로 4종을 개발하였다. 블루투스 비콘의 신호를 수신하는 방법과 사용자가 직접 애플리케이션을 조작하는 방법으로 원석 생산 데이터를 기록할 수 있다. 기록된 데이터 파일은 클라우드 서버에 업로드되고, 업로드된 파일은 PC 환경에서 작업일지 작성 애플리케이션에 의해 현장에서 사용하는 형태의 작업일지로 변환할 수 있다.

장골의 복합유리피판 이식 후 두 개의 타이타늄 금속판을 이용한 공여부의 심미적 재건 (ESTHETIC RECONSTRUCTION OF ILIAC CREST DONOR DEFECT WITH TWO TITANIUM PLATES AFTER HARVESTING A DCIA COMPOSITE FREE FLAP)

  • 김성민;인연수;김지혁;박영욱
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제28권6호
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    • pp.586-589
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    • 2006
  • Deep circumflex iliac artery (DCIA) flap can be harvested as a composite free flap and is often used to adequately reconstruct wide mandibular defects. However, the harvesting of this DCIA flap can result in severe osseous defect of the donor site causing a morphologic defect in the iliac crest. To reconstruct this defect of the iliac donor site, several innovative techniques using bioactive ceramic spacers, autogenous rib bone, polylactic acid mesh, or titanium plates have been introduced. Nonetheless, these methods have not been widely used due to high cost, secondary donor site morbidity, difficulty of use, and postoperative dissatisfaction. We used two titanium plates to reconstruct the donor iliac site defect at the harvesting time of primary DCIA flap surgery in the 30-year old female with an ameloblastoma in the left mandible. Postoperatively, both iliac sites were relatively balanced and there were few complications. At the 2 years follow-up, there were no specific abnormal radiographic findings and the patient was very satisfied with her esthetic iliac contouring. In our report, we evaluate the effect of two titanium plates on the reconstruction of the iliac donor site in the aspects of esthetics and usefulness. This technique has many advantages, such as reduced cost, simplicity, decreased postoperative pain or discomfort, and improved bilateral balance of both anterior iliac crest contours, especially in young female patients.

L 및 LH-모멘트법과 지역빈도분석에 의한 가뭄우량의 추정 (II)- LH-모멘트법을 중심으로 - (Estimation of Drought Rainfall by Regional Frequency Analysis Using L and LH-Moments (II) - On the method of LH-moments -)

  • 이순혁;윤성수;맹승진;류경식;주호길;박진선
    • 한국농공학회논문집
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    • 제46권5호
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    • pp.27-39
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    • 2004
  • In the first part of this study, five homogeneous regions in view of topographical and geographically homogeneous aspects except Jeju and Ulreung islands in Korea were accomplished by K-means clustering method. A total of 57 rain gauges were used for the regional frequency analysis with minimum rainfall series for the consecutive durations. Generalized Extreme Value distribution was confirmed as an optimal one among applied distributions. Drought rainfalls following the return periods were estimated by at-site and regional frequency analysis using L-moments method. It was confirmed that the design drought rainfalls estimated by the regional frequency analysis were shown to be more appropriate than those by the at-site frequency analysis. In the second part of this study, LH-moment ratio diagram and the Kolmogorov-Smirnov test on the Gumbel (GUM), Generalized Extreme Value (GEV), Generalized Logistic (GLO) and Generalized Pareto (GPA) distributions were accomplished to get optimal probability distribution. Design drought rainfalls were estimated by both at-site and regional frequency analysis using LH-moments and GEV distribution, which was confirmed as an optimal one among applied distributions. Design rainfalls were estimated by at-site and regional frequency analysis using LH-moments, the observed and simulated data resulted from Monte Carlotechniques. Design drought rainfalls derived by regional frequency analysis using L1, L2, L3 and L4-moments (LH-moments) method have shown higher reliability than those of at-site frequency analysis in view of RRMSE (Relative Root-Mean-Square Error), RBIAS (Relative Bias) and RR (Relative Reduction) for the estimated design drought rainfalls. Relative efficiency were calculated for the judgment of relative merits and demerits for the design drought rainfalls derived by regional frequency analysis using L-moments and L1, L2, L3 and L4-moments applied in the first report and second report of this study, respectively. Consequently, design drought rainfalls derived by regional frequency analysis using L-moments were shown as more reliable than those using LH-moments. Finally, design drought rainfalls for the classified five homogeneous regions following the various consecutive durations were derived by regional frequency analysis using L-moments, which was confirmed as a more reliable method through this study. Maps for the design drought rainfalls for the classified five homogeneous regions following the various consecutive durations were accomplished by the method of inverse distance weight and Arc-View, which is one of GIS techniques.

원자력발전소 해체 방사성폐기물 특성보고서 작성 방안 제안 (A preparation plan proposal of nuclear power plant decommissioning radioactive waste characterization report)

  • 김창락;이선기;김헌;박해수;성석현;공창식
    • 시스템엔지니어링학술지
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    • 제17권1호
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    • pp.76-84
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    • 2021
  • Radioactive waste generated from nuclear power plant decommissioning shall be strictly managed so that radioactive materials above the allowable limit are not leaked into the environment. Radioactive wastes shall be classified and treated for management based on characteristics such as the type of waste, physicochemical properties, nuclide concentration and radioactivity. Waste characterization report shall be prepared and submitted to the disposal facility operator to ensure that the treated waste is suitable for disposal. The disposal facility operator shall review the waste Characterization report and visit the nuclear power plant decommissioning site to ensure that the wastes are processed step by step according to the plan. The waste Characterization report may be used as input data to evaluate disposal facility safety. Domestic and foreign data are collected and reviewed to confirm the entire processes from waste generation to delivery. This paper proposes the method to prepare the waste Characterization report which contains data and information on waste characteristics, treatment facilities & method and packaging method & container.

임상가를 위한 특집 3 - Peri-implantitis의 regeneration therapy 증례 보고 (Use of Bovine-derived bone mineral (Bio-Oss Collagen$^{(R)}$) in surgical treatment of peri-implantitis: A case report)

  • 조영재
    • 대한치과의사협회지
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    • 제51권12호
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    • pp.643-649
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    • 2013
  • The aim of this study was to achieve the healing of peri-implantitis defects and the hard tissue regeneration using the augmentation of a xenograft on defect site. Two patients were treated with the surgical approach. With a full muco-periosteal flap elevation, the implant surfaces were exposed and taken the debridement of granulation tissue around the abutment. Each surface of the abutments was prepared with the air-abrasive device (PerioFlow$^{(R)}$) for decontamination. Bovine-derived bone mineral (Bio-Oss collagen$^{(R)}$) was then used to fill the defects, and no membrane was placed on the grafting site. Radiographs and clinical photo was taken to compare from baseline status. Within the limits of the present case, this case shows the significance of the surgical treatment of peri-implantitis. And this also verifies the stability of bovine-derived bone mineral and effectiveness of Air-abrasive device (PerioFlow$^{(R)}$).

Osteomyelitis on the Mandibular Malunion and Nonunion Site: A Case Report

  • Song, Chi-Woong;Yoon, Hyun-Joong;Lee, Sang-Hwa
    • Journal of Korean Dental Science
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    • 제6권2호
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    • pp.96-101
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    • 2013
  • The proper management of mandibular fractures involves reduction, rigid fixation, and immobilization to allow bone healing. Nonunion or malunion at the fractured sites is a well-known complication of fracture when the treatments are inappropriate. We present a case of left mandibular fracture due to shrapnel during the Korean War. The patients did not receive appropriate treatment at that time, so nonunion and malunion developed. Sixty years after the accident, mandibular osteomyelitis on the fracture site developed due to dental-origin inflammation. The treatment was based on relatively conservative care, such as saucerization and administration of antibiotics. There was no complication during the short-term follow-up. We present the case with literature review.

염색약으로 유발된 접촉성 피부염의 한방 치험 1례 (A Case of Dye-induced Contact Dermatitis Treated with Korean Medicine)

  • 김경준;유희조
    • 한방안이비인후피부과학회지
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    • 제31권2호
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    • pp.113-122
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    • 2018
  • Objectives : The aim of this study is to report the case improved through Korean Medicine Including Herbal Medicine with Astragali radix, Rehmannia glutinosa as main ingredients, Acupuncture and External Preparation on the treatment of contact dermatitis. Methods : A patient with contact dermatitis was diagnosed through Korean Medicine and treated with Herbal Medicine with Astragali radix, Rehmannia glutinosa as main ingredients, Acupuncture and External preparation. The Degree of itching was assessed with Visual Analogue Scale(VAS) and the severity of wheals and redness on lesion site was assessed through photography. Results : VAS decreased from 9 to 1 and wheals and redness on lesion site was disappeared. Conclusions : According to the result, These findings suggest that Korean Medicine can be effective for the treatment of contact dermatitis.

농업실험에서 임의화블록설계에 대한 대안 - 농촌진흥청 사례들을 중심으로 - (Alternation to the Randomized Block Design for Agricultural Experiments in Korea)

  • 허명회;한원식;신한풍
    • 응용통계연구
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    • 제10권1호
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    • pp.15-27
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    • 1997
  • Randomized block design (RBD) with three replication is very frequently adopted in agricultural experiments of the Rural Development Administration of Korea. Even though it works well in field trials of traditional crops, it may not accomodate trial site conditions and/or experimental environment. In this research report, we deal with two such cases. The first case is for a crop experiment in green houses. In house conditions, RBD may not be appropriate since it cannot reflect two directions of the yield gradient. So, a Latin square design is suggested as an alternative. The second case is for local field experiments of the newly-inbred rice. RBD with three replications is used without doubt for decades, even though the site layout is not appropriately shaped for the design. In this case, we suggest the RBD in two blocks with multiple replicates for control varieties as an alternative. To improve the quality of statistical experimental designs in over one-thousand agricultural trials performed annually in the Rural Development Administration, we need to re-train agricultural researchers on the design and analysis of experiments and call for concerns of Korean statisticians.

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A Case of Calvarial Hemangioma in Cranioplasty Site

  • Kang, Dong-Wan;Choi, Chang-Hwa
    • Journal of Korean Neurosurgical Society
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    • 제46권5호
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    • pp.484-487
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    • 2009
  • It is not uncommon for hemangiomas to occur in the calvarium, accounting for about 10% of the benign skull tumors. A 46-year-old man was presented with a palpable scalp mass on the left parietal region. Past medical history indicated that he had undergone cranioplasty 25 years prior due to a depressed skull fracture suffered from a traffic accident. Magnetic resonance imaging revealed mixed signal intensity mass on T1 -and T2- weighted images pushing a linear signal void lesion outward in the left parietal region. After total surgical removal along with cranioplasty, he was discharged without neurological deficits. Histological examination of the surgical specimen revealed a cavernous hemangioma. A skull hemangioma occurring at the site of a cranioplasty has not yet been reported. Therefore, authors report this case in combination with a pertinent literature review.