• 대한정형외과스포츠의학회지
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• 제3권1호
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• pp.31-35
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• 2004

스포츠 인구의 증가와 함께 인라인 스케이트로 인한 부상의 빈도가 증가하고 있다. 이 논문의 목적은 인라인 스케이트의 종류와 기본 기술, 보호 장구 사용, 그리고 부상과 관련된 예상 인자 또는 기여 인자를 확인하는 것이다. 조정 미숙과 경험 부족이 부상의 요인이었다. 스케이트를 타는 동안 보호 장구의 사용 역시 미비 하였다. 결론적으로 안전한 교육 과정, 인라인 스케이트 타는 법과 보호 장구의 최적의 디자인과 효과가 추후 연구를 통해 규명되어야 할 것이다.

• Archives of Plastic Surgery
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• 제35권2호
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• pp.223-228
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• 2008

Purpose: V.A.C. is a new concept which is closed dressing with negative pressure to promote wound healing. It has been widely used as the treatment of chronic and acute wounds such as pressure sores, burns, stasis ulcers, and other complicated wounds. However It has disadvantages such as high cost and the need of specific equipment. In this article, we described new method to overcome these disadvantages. Methods: We made newly innovated equipment with 50 cc syringe and spring to create negative pressure. From May 2006 to May 2007, we applied it to two patients with chronic wound. Results: The treatment period was 5 weeks for one case and 3 weeks for the other case. Both patients were healed completely without admission and wound healing was accelerated. During follow-ups, there were no complications. The mean cost for single dressing was 9,590 won. Conclusion: Modified portable negative therapy using newly innovated equipment could accelerate wound healing better than conventional dressing. It lowers the number of dressings, saves cost of treatment, and enables treatment as outpatient basis.

• Archives of Plastic Surgery
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• 제50권1호
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• pp.121-124
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• 2023

With the continuous incorporation of new technologies and advancements in surgical technique, microsurgical procedures around the world have generated a higher success rate and innovative procedures are now possible. In this setting, limitations regarding accessibility and acquisition of medical resources and equipment for these types of operations may be difficult in developing countries. We believe the dexterities of surgeons go beyond the surgical technique, meaning that we are able to use everyday materials to re-create affordable solutions that can be used during surgery in a safe way. This manuscript presents our experience with different surgical instruments and gadgets, developed out of necessity, to improve microsurgical interventions in developing countries.

• Archives of Plastic Surgery
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• 제49권5호
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• pp.689-695
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• 2022

Background Lymphaticovenular anastomosis (LVA) is an effective, functional treatment for limb lymphedema. This study reports an alternative surgical approach to lymphedema treatment without the use of indocyanine green mapping. Methods A retrospective analysis was performed on 29 consecutive lymphedema patients who underwent LVAs from January 2015 to December 2020, whereby incisions were made along the anatomy of the superficial venous systems in both upper and lower extremities around the joint areas. The evaluation included qualitative assessments and quantitative volumetric analyses. Result The mean number of anastomoses was 3.07, and the operative time was 159.55 minutes. Symptom improvement was recorded in 86.21% of the patients, with a mean volume reduction of 32.39%. The lymphangitis episodes decreased from 55.17% before surgery to 13.79% after surgery, and the median number of lymphangitis episodes per year decreased from 1 before surgery to 0 after surgery. Conclusions The superficial venous anatomical approach is an easy way to start a lymphedema practice using LVA without other advanced surgical equipment. With this reliable technique, microsurgeons can perform LVA procedures and achieve good results.

• Journal of Korean Neurosurgical Society
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• 제61권4호
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• pp.478-484
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• 2018

Objective : Cerebrovascular disease (CVD) was the third most common cause of death in South Korea in 2014. Evidence from abroad suggests that comprehensive stroke centers play an important role in improving the mortality rate of stroke. However, surgical treatment for CVD is currently slightly neglected by national policy, and there is still regional imbalance in this regard. For this reason, we conducted a survey on the necessity of, and the requirements for, establishing regional comprehensive cerebrovascular surgery centers (CCVSCs). Methods : This investigation was performed using the questionnaire survey method. The questionnaire was consisted with two sections. The first concerned the respondent's opinion regarding the current status of demand and the regional imbalance of cerebrovascular surgery in South Korea. The second section asked about the requirements for establishing regional CCVSCs. We sent the questionnaire to 100 board members of the Korean Society of Cerebrovascular Surgeons. Results : Most experts agreed that cerebrovascular surgery patients were concentrated in large hospitals in the capital area, and 83.6% of respondents agreed that it was necessary to alleviate the regional imbalance of cerebrovascular surgery. With regards to personnel, over 90% of respondents answered that at least two neuro-vascular surgeons and two neuro-interventionists are necessary to establish a CCVSC. Regarding facilities, almost all respondents stated that each CCVSC would require a neuro-intensive care unit and hybrid operating room. The survey asked the respondents about 13 specific neurovascular surgical procedures and whether they were necessary for a regional CCVSC. In the questions about the necessity of cerebrovascular surgical equipment, all seven pieces of equipment were considered essential by all respondents. A further five pieces of equipment were considered necessary on site: computed tomographic angiography, magnetic resonance angiography, conventional angiography, surgical microscope, and surgical navigation. Our results may provide a basis for future policy regarding treatment of cerebrovascular disease, including surgery. Conclusion : Raising the comprehensiveness of treatment at a regional level would lower the national disease burden. Policies should be drafted regarding comprehensive treatment including surgery for cerebrovascular disease, and related support plans should be implemented.

• 한국정보전자통신기술학회논문지
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• 제5권4호
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• pp.211-215
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• 2012

대형의료기기는 환자 진단과 치료 행위에 있어서 매우 중요한 기기이다. 이런 대형의료기기를 사용하여 환자를 진단 또는 치료할 때 의료기기의 회로 내에서 갑작스런 전류의 변화는 회로의 단락 등 매우 심각한 문제를 일으킨다. 특히 회로 내에서 전류변환기에 큰 부하가 걸리게 한다. 이것으로 인해 변환기는 포화에 이르게 되는데 이것은 철심코일 인턱터의 magnetic curve에 기인한다. 이와 같이 변환기가 saturate에 이르게 되면 1차 측과 2차 측의 변환 비율이 깨지게 되고 회로가 단락되는 문제가 발생하게 된다. 이 논문 에서는 대형의료기기에 사용되는 current 변환기의 입력 측에 갑작스런 큰 전류 변화가 발생 했을 때 일어나는 그에 따른 포화 상태와 그의 2차 측 전류의 변화를 simulation 해본다.

• 한국CDE학회논문집
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• 제16권5호
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• pp.331-343
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• 2011

High tibial osteotomy (HTO) is a widely accepted treatment for unicompartmental osteoarthritis of the knee and other lower extremity deformities, particularly for young and active patients. However, it is generally recognized as a technically demanding procedure. Thus the limitations of conventional surgical methods have been reported. Currently, the use of computer-aided surgery (CAS) system for successful surgery was increased. However it has been reported many problems such as expensive equipment, infection or fracture caused by inserting half-pin and delaying surgery. Therefore we propose a novel method which can be tracked by using tracking-pin inserted in arbitrary locations of the femur and tibia, and fluoroscopic images obtained from G-arm of antero-posterior and lateral-medial.

• 한국임상수의학회지
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• 제40권1호
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• pp.44-49
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• 2023

The purpose of this study was to evaluate body temperature changes in rabbits anesthetized using water-filtered infrared-A (wIRA). Ten rabbits were used for this study. For the experimental group (wIRA group; wG, n = 5), the experimental equipment was used and irradiated using wIRA. The control group (CG, n = 5) did not have any warming device. There were no significant differences in heart rate, respiration rate, and end tidal CO₂ (EtCO₂) between wG and CG. After 80 min, the core body temperature of wG rabbits was significantly higher than that of CG rabbits. The surface body temperature was significantly higher while receiving wIRA support at all time points after 5 min. In conclusion, in rabbits under inhalation anesthesia, the surface body temperature was better maintained than the core body temperature when using wIRA.

• Journal of Chest Surgery
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• 제43권6호
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• pp.797-799
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• 2010

치과 시술 후 발생하는 종격동 기종은 비록 발생 비율이 낮고 예후가 양호하지만 잠재적으로 생명을 위협하는 합병증을 초래할 수도 있다. 저자들은 치과 치료 시에 고속 핸드피스에 의해 발생한 공기가 두경부 근막 공간을 통해 종격동까지 전파된 증례를 치험 하였기에 문헌고찰과 함께 보고하는 바이다.

• 대한의용생체공학회:의공학회지
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• 제40권6호
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• pp.230-234
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• 2019

Medical laser equipment using optical energy is used to surgery and treat diseases by destroying and removing tissue. Domestic laser equipment has been used steadily in the skin and cosmetics sectors and has been changed to radiate high-power energy in a wide range to shorten patient treatment time. However, side effects such as burns and damage of normal tissues occurred. To solve this problem, techniques for detecting lesions using an imaging device and selectively radiating the laser have been developed. In this study, we proposed an evaluation method to evaluate the safety and performance of target detection accuracy, laser irradiation accuracy and motion protection device technology derived from product analysis and investigation. Finally, the validity of the evaluation method was evaluated by evaluating the imaging device based laser equipment as the proposed evaluation method.