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Current Updates in the Treatment of Achilles Tendon Rupture (아킬레스건 파열 치료에 대한 최신 지견)

  • Kim, Jun-Beom;Yoon, Ja-Yeong
    • Journal of Korean Foot and Ankle Society
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    • v.23 no.3
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    • pp.83-90
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    • 2019
  • Achilles tendon rupture is a common sports injury encountered in younger populations. Various treatment methods are used for acute and chronic rupture. Several treatments for each condition are available, each having their advantages and disadvantages. In an acute rupture, surgical treatment may be a priority for younger patients or those wishing a quick return to play, but the long-term functional outcome is similar to non-surgical treatment. In addition, the re-rupture rate shows a slight difference between the two treatments. The clinical outcomes are similar regardless of the surgical treatment, but an accelerated rehabilitation program should be accompanied by good results. In chronic and neglected rupture, surgical treatment is preferred over non-surgical treatment. Treatments are chosen based on the size of the tendon defect. This article reviews the current updates in the treatment of Achilles tendon rupture that will help clinicians choose the appropriate treatment.

Relief Effects by Post - Isometric Relaxation for Myofascial Pain Syndrome (근막동통 증후군에 대한 PIR의 치료효과)

  • Park, Ji-Whan;Kim, Bong-Soo
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.3 no.1
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    • pp.7-15
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    • 1997
  • The purpose of this study was to exame the pain relief effects of myofascial pain syndrome patient by Post-Isometric Relaxation. From July, 1996 to January, 1997, PIR was applied to myofascial pain syndrome associated with musculoskelatal lesions and was examed on 17 muscles in 98 patients at Sun General Hospital, Taejon city. The results of this study were as follows ; 1. Immediate pain relief group was 58(59%). 2. Only tenderness relief group was 24(25%). 3. No effect group was 16(16%). These results could be confirmed that the increased tension of the affected muscles with the resulting pain relieved by restoring the full stretch length of the muscle by PIR.

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Strategies for Application and Introduction of Activity Based Costing for Korean Hospitals (병원 활동기준원가계산 모형의 적용방식과 도입전략)

  • Sun, Seung-Hoon
    • Korea Journal of Hospital Management
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    • v.4 no.1
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    • pp.96-128
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    • 1999
  • This research has a purpose to develop strategies for application and introduction of activitiy based costing for Korean hospitals. A 700 bed-sized general hospital in Taejon was chosen to conduct this study. The conventional costing and ABC methods were simultaneously applied to the Obstetrics & Gynecology department, using data surveyed from June 21 to 30, 1998. The difference of two costing methods' results were analyzed and ABC's superiority was recognized. It showed that the new ABC model was more rational, fair, and objective in allocating indirect costs. The strategies to introduce ABC model to hospitals were suggested as followings: 1)a committee to manage ABC should be organized; 2)education for the employees about costing and cost saving should be provided; 3)the computerized ABC program should be developed; and 4)more advanced and rigourous methods to identify activities and measure the resource consumption should be developed.

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Unusual Presentation of Miliary Tuberculosis (드문 형태의 속립성 결핵)

  • Ko, Kyoung Tae;Na, Dong Jib;Han, Sang Hoon;Jung, Sung Soo;Moon, Kyoung Min;Kim, Dong Jin;Lee, Yang Deok;Cho, Yong Seon;Han, Min Soo
    • Tuberculosis and Respiratory Diseases
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    • v.63 no.1
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    • pp.67-71
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    • 2007
  • 결핵은 일차적으로 폐에 주로 발생하지만 혈행성 전파를 통하여 모든 기관에 나타날 수 있으며 면역 억제자의 경우 특히 가능성이 높다. 저자들은 평소 건강했던 속립성 폐결핵 환자에서 간, 비장, 신장, 뇌막 및 뇌실질에 동시에 나타난 다발성 결핵을 보고한다.

Relief Effects by Post-Isometric Relaxation for Myofascial Pain Syndrome (근막동통 증후군에 대한 PIR의 치료효과)

  • Park, Ji-Whan;Kim, Bong-Soo
    • Journal of Korean Physical Therapy Science
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    • v.4 no.1
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    • pp.255-263
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    • 1997
  • The purpose of this study was to examed the pain relief effects of myofascial pain syndrome patient by post-isometric relaxation. From July, 1996 to January, 1997, PIR was applied to myofascial pain syndrome associated with musculoskelatal lesions and was examed on 17 muscles in 98 patients at Sun General Hospital, Taejon city. The results of this study were as follows ; 1. Immediate pain relief group was 58(59%). 2. Only tenderness relief group was 24(25%). 3. No effect group was 16(16%). These results could be confirmed that the increased tension of the affected muscles with the resulting pain relieved by restoring the full stretch length of the muscle by PIR.

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A Case Study of the Shaoyangin Mangyin Improved with Hyeongbangjiwhang-tang (형방지황탕으로 호전을 보인 소양인 망음증을 치료한 증례)

  • Joo, Jung-Cheon;Kim, Hyoung-Sun;Bae, Young-Chun;Park, Hye-Sun
    • Journal of Sasang Constitutional Medicine
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    • v.14 no.2
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    • pp.120-124
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    • 2002
  • A Case Study of the Shaoyangin Mangyin Improved with Hyeongbangjiwhang-tang Mangyin-disease is important syndrome in Shaoyangin' pathology taking diarrhea, general weakness. We treated a 28 years old female patient who complained general weakness, diarrhea, and weight loss She responded well to treatment with Hyeongbangjiwhang-tang . So report it.

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Synchronous Bilateral Breast Carcinoma in a Patient with Cowden Syndrome with PTEN Mutation: A Case Report

  • Kwon, Sun Young;Yeo, Soo Hyun;Ha, Jung Sook;Kang, Sun Hee
    • Journal of Breast Disease
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    • v.6 no.2
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    • pp.79-83
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    • 2018
  • Cowden syndrome (CS), also known as multiple hamartomas syndrome, is a rare hereditary autosomal dominant disorder caused by a germline mutation in the phosphatase and tensin homolog (PTEN) gene mapped on chromosome 10. The clinical features of CS are variable, primarily presenting as mucocutaneous lesions (99%). A mucocutaneous lesion, such as trichilemmoma of the face or keratosis of the extremities, is an important diagnostic marker for CS. CS has been reported to increase the incidence of benign and malignant neoplasms in the breast, thyroid, and gastrointestinal tract. The risk of developing malignancy in individuals with CS is up to 10 times higher than general population throughout an entire life time.

Changes of the growth plate in children: 3-dimensional magnetic resonance imaging analysis

  • Yun, Hyung Ho;Kim, Hyun-Jung;Jeong, Min-Sun;Choi, Yun-Sun;Seo, Ji-Young
    • Clinical and Experimental Pediatrics
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    • v.61 no.7
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    • pp.226-230
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    • 2018
  • Purpose: This pilot study assessed changes in the growth plate and growth rates in children during a 6-month period. Methods: The study included 31 healthy children (17 boys, 14 girls) under evaluation for growth retardation. Height, weight, bone age, insulin like growth factor-1 (IGF-1), and insulin like growth factor binding protein 3 (IGF-BP3) were measured at baseline and after 6 months. In addition, the diameter, thickness, and volume of the femoral and tibial growth plates were measured using magnetic resonance imaging. Results: The mean bone age in boys and girls was 11.7 and 10.7 years, respectively. In boys, height (z score) (-0.2 vs. 0.0), weight (z score) (0.8 vs. 1.1), body mass index (BMI) (z score) (1.27 vs. 1.5), IGF-1 (ng/mL) (343.6 vs. 501.8), and IGF-BP3 (ng/mL) (5,088.5 vs. 5,620.0) were significantly higher after 6 months. In girls, height (z score) (-1.0 vs. -0.7), weight (z score) (-0.5 vs. 0.1), BMI (z score) (-0.02 vs. 0.3), IGF-1 (ng/mL) (329.3 vs. 524.6), and IGF-BP3 (ng/mL) (4,644.4 vs. 5,593.6) were also significantly higher after 6 months. In both sexes, the mean diameter and volume of the femoral and tibial growth plates were significantly increased 6 months later. Conclusion: No significant correlation was found between changes in the growth plate and clinical parameters in children with growth retardation in this study, other than correlations of change in femoral diameter with weight and BMI. A larger, long-term study is needed to precisely evaluate the correlation between change in the growth plate and growth.

An Analysis of the Attitudes toward Science and Support for Scientific Activities of Scientific Gifted and General Students' Parents in Elementary Schools (초등학교 과학 영재와 일반 학생 부모의 과학에 대한 태도 및 과학 활동 지원 정도 분석 연구)

  • Lee, Soo-Jin;Shim, Bong-Sup;Jeong, Jin-Su;Kang, Sang-Sun;Paik, Seoung-Hey;Lee, Kyung-Hwa;Chun, Jae-Sun
    • Journal of Korean Elementary Science Education
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    • v.27 no.3
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    • pp.296-306
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    • 2008
  • The purpose of this study was to analyze the attitudes toward science and support for scientific activities of the scientific gifted students' parents and the general students' parents in elementary school. The objects of the study were 99 scientific gifted students and their parents and 433 general elementary school students and their parents. The instruments for the measurement of attitudes toward science included three scales: cognition :About value of science, affection toward science and science learning, and cognitive participation in scientific activities. The instrument to measure parents' support for scientific activities included two scales: indirect support and direct support. The results of the study showed that the attitudes toward science of scientific gifted elementary students' parents were more positive than the attitudes toward science of general elementary students' parents. Also the gifted elementary students' parents supported many more scientific activities for their children with various methods than the general elementary students' parents. Their preferring support methods for scientific activities included 16 items including the collection of information about science education, the record of TV science programs, purchase of scientific books, subscription of periodical publication about science, preparing material for scientific activities, and reading scientific book with children.

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Implementation of an u-City Prototype using AR (증강현실을 이용한 u-City 프로토타입 구현)

  • Ahn, SungSoon;Lee, Jeong-Bae;Lee, Young-Ran;Choe, Wan-Sik;Eom, Tae-Jeong
    • Proceedings of the Korea Information Processing Society Conference
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    • 2009.11a
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    • pp.73-74
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    • 2009
  • 정보통신 기술과 무선 통신기술의 발달은 서로 다른 종류의 임베디드 시스템들이 상호작용을 가능하도록 만들었고, 이러한 작용은 언제, 어디서나, 누구나 자유롭게 네트워크에 접속 할 수 있는 유비쿼터스 환경으로 이어졌다. 본 논문에서는 임베디드 시스템 개발방법인 프로토타이핑 방법과 증강현실기술을 이용하여 적은 비용으로 효과적인 u-City 시뮬레이션 모델을 구현하였다.