• The Journal of the Korean bone and joint tumor society
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• v.4 no.1
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• pp.65-70
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• 1998

Osteosarcoma is the most common primary bone tumor except for multiple myeloma. Hematogenous spread of osteosarcoma presents the t1susal route of dissemination. Lung metastasis is the most common, however the lymph node involvement is quite rare. In addition, according to Mirra, radiologically detectable involvement of lymph node is an extremely rare manifestation of osteosarcoma. The authors had experienced a patient with an osteosarcoma of the right distal femur which spread to the right inguinal lymph node and lung. After preoperative chemotheraphy, a limb salvage operation was performed around the lesion of right distal femur and the right inguinal lymph nodes were dissected. A adjuvant postoperative chemotheraphy was performed. After the treatment, there was no recurrence of osteosarcoma or any other metastatic evidence for two years and 8 months.

• Clinical and Experimental Emergency Medicine
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• v.5 no.4
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• pp.256-263
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• 2018

Objective We conducted a study to validate the effectiveness of the Korean criteria for trauma team activation (TTA) and compared its results with a two-tiered system. Methods This observational study was based on data from the Korean Trauma Data Bank. Within the study period, 1,628 trauma patients visited our emergency department, and 739 satisfied the criteria for TTA. The rates of overtriage and undertriage in the Korean one-tiered system were compared with the two-tiered system recommended by the American College of Surgery-Committee on Trauma. Results Most of the patient's physiologic factors reflected trauma severity levels, but anatomical factors and mechanism of injury did not show consistent results. In addition, while the rate of overtriage (64.4%) was above the recommended range according to the Korean criteria, the rate of undertriage (4.0%) was within the recommended range. In the simulated two-tiered system, the rate of overtriage was reduced by 5.5%, while undertriage was increased by 1.8% compared to the Korean activation system. Conclusion The Korean criteria for TTA showed higher rates of overtriage and similar undertriage rates compared to the simulated two-tier system. Modification of the current criteria to a twotier system with special considerations would be more effective for providing optimum patient care and medical resource utilization.

• Archives of Plastic Surgery
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• v.46 no.1
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• pp.69-74
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• 2019

Background Local symptoms and signs of snake envenomation mimic the clinical features of compartment syndrome. It is important to measure the intracompartmental pressure to diagnose compartment syndrome. In this study, we present our experiences of confirming compartment syndrome and performing fasciotomy in snakebite patients based on high intracompartmental pressure findings. Methods The medical records of patients who visited the trauma center of Wonju Severance Christian Hospital from January 2010 to December 2015 for the management of venomous snakebite were retrospectively reviewed. Starting in 2014, fasciotomy was performed in patients with an intracompartmental pressure of more than 40 mmHg in addition to the clinical symptoms of compartment syndrome. Results A total of 158 patients with snakebite came to the hospital within 48 hours for treatment. Most patients (110 patients) were bitten at the upper extremities (69.6%). Since 2014, 33 out of 59 patients were suspected to have compartment syndrome, and their intracompartmental pressures were measured. Seventeen of those patients had a high intracompartmental pressure (average, 49.6 mmHg; range, 37-88 mmHg), and fasciotomy was performed. Conclusions In this study, as many as 10.8% of all cases were in need of fasciotomy when compartment syndrome was diagnosed by measuring the intracompartmental pressure. Previously, it was reported that fasciotomy was not required in many cases of compartment syndrome originating from snakebite. However, some patients may develop very severe compartment syndrome, requiring fasciotomy.

• Journal of the Economic Geographical Society of Korea
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• v.24 no.3
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• pp.300-312
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• 2021

The purpose of this study was to compare and analyze characteristics of Gangwon Innovation City and Wonju Company Town. Both were created with similar purpose, place, time, and scale. However, they were created with different approaches: relocating public institutions and attracting private institutions. For research data, population microdata provided by the National Statistical Office were used. As a result of the analysis, the Gangwon Innovation City and the Wonju Company Town greatly influenced the population growth of Wonju and the movement of the population within Wonju. The influx of population into the study area brought positive changes in both demographic structure and population indices. Excluding relocation to Wonju-si, Innovation Cities and Company Town accounted for more than 50% of those who migrated from the metropolitan area (Seoul, Gyeonggi and Incheon). The supply of apartment houses (apartments) in the Innovation City and the Company Town stimulated the transfer from the inside of Wonju to this area. For households that moved to Gangwon Innovation City and Wonju Company Town, the most common reasons for moving in were housing, occupation, and family.

• Journal of The Korean Society of Agricultural Engineers
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• v.63 no.1
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• pp.61-73
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• 2021

Recently, the deterioration of water quality in Wonju stream has been reported due to the increase in diverse pollution sources along with community development and urbanization. Various types of attempts with a huge budget were made for better water quality so far, but its effectiveness is still doubted. In order to establish site-oriented measures for water quality improvement, the topographic and hydrologic factors were evaluated based on site inspection and survey. As the major streams merged into the Wonju stream, the Hwa and Heungyang streams were found to have higher pollution loads and contributions compared to other streams due to the scattered livestock farms and industries, and vulnerable land use. Notably, the discharge water from the Wonju Public Sewage Treatment Plant had the highest level of pollution load, impacting on the water quality of Wonju Stream. According to the SWAT model as water quality measures, the improvement effect of water quality in this treatment plant can be reached to the reductions in BOD 11.06%, T-N 23.56%, T-P 10.60% when the proper managements applied, whereas the improvement of water quality would be 3.89%, 1.23%, and 3.32% for BOD, T-N, T-P, respectively, for the industries. The reduction of the livestock industry was generally very high as a pollution source, but it was not much higher at the end of Wonju Stream than other measures. These results recommended that the water q uality improvement measures should be designated for each upper-middle-lower section in Wonju stream.

• Journal of the Korean GEO-environmental Society
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• v.24 no.11
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• pp.33-40
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• 2023

To analyze the slope characteristics of solar power plant installation region in Gangwon province, the installation status of solar power plant in Gangneung and Wonju city were investigated using GIS technique and satellite map. The solar power plant installation of Gangneung and Wonju city is 36 and 48 regions. Through topographical data of solar power plant installation region, a database for area, slope inclination, and elevation was construced. Based on the database, the slope characteristics of solar power plant installation region in Gangneung and Wonju city was analyzed. The results showed that the slope of Wonju city has a relatively higher slope inclination than Gangneung city. In addition, Gangneng and Wonju cities have many regions with maximum inclination of 15° and 34° or more within the solar power plant.

• Tuberculosis and Respiratory Diseases
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• v.87 no.3
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• pp.319-328
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• 2024

Background: Although inhaled corticosteroids (ICS) is reportedly associated with a higher risk of pneumonia in chronic obstructive pulmonary disease (COPD), the clinical implications of ICS have not been sufficiently verified to determine their effect on the prognosis of pneumonia. Methods: The electronic health records of patients hospitalized for pneumonia with underlying COPD were retrospectively reviewed. Pneumonia was confirmed using chest radiography or computed tomography. The clinical outcomes of pneumonia in patients with COPD who received ICS and those who received long-acting bronchodilators other than ICS were compared. Results: Among the 255 hospitalized patients, 89 met the inclusion criteria. The numbers of ICS and non-ICS users were 46 and 43, respectively. The CURB-65 (confusion, uremia, respiratory rate, blood pressure, age ≥65 years) scores at the initial presentation of pneumonia were comparable between the two groups. The proportions of patients with multilobar infiltration, pleural effusion, and complicated pneumonia in the radiological studies did not vary between the two groups. Additionally, the defervescence time, proportion of mechanical ventilation, intensive care unit admission, length of hospital stays, and mortality rate at 30 and 90 days were not significantly different between the two groups. ICS use and blood eosinophils count were not associated with all pneumonia outcomes and mortality in multivariate analyses. Conclusion: The clinical outcomes of pneumonia following ICS use in patients with COPD did not differ from those in patients treated without ICS. Thus, ICS may not contribute to the severity and outcomes of pneumonia in patients with COPD.

• Journal of The Korean Society of Clinical Toxicology
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• v.5 no.1
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• pp.57-60
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• 2007

Cyanide has been well known from antiquity. Cyanide poisoning causes histotoxic hypoxia--inhibition of mitochondrial cytochrome oxidase with disruption of the ability of cells to use oxygen. The mortality rate is 95% within 30 minutes. Acute cyanide poisoning is mostly the result of attempted suicide, and because of the high doses typically employed it usually is lethal within minutes. Also acute cyanide poisoning leads to a very poor prognosis because medical personnel can't detect cyanide intoxication and so many hospital haven't antidote. We report two cases of cyanide poisoning which responded well to treatment with the Taylor cyanide antidote package.

• Journal of The Korean Society of Clinical Toxicology
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• v.10 no.1
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• pp.41-45
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• 2012

Recently, some patients have visited the emergency department for treatment of different symptoms of acute poisoning after intake of unidentified herbs, which can be mistaken for wild edible greens, because wild edible greens are good for health and contain vitamins, enzymes, minerals, fibers, and anticancer materials. Winter or early spring, is extremely high, with rapid onset of severe symptoms of poisoning. There have been no reports of poisoning by SymplocarpusRenifolius in Korea, however, we report on three severe cases involving patients who experienced cardiogenic shock with nausea, vomiting, abdominal pain, chest discomfort, dizziness, numbness, and general weakness.

• Clinical and Experimental Reproductive Medicine
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• v.20 no.2
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• pp.161-164
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• 1993

To forsee appropriate developmental cell stage in human embryos for cryopreservation, we observed blastocyst development in culture medium after cryopreservatlon and thawing of one cell, two cell, four cell stage of mice embryos. According to our results, development of the blastocyst of cryopreserved two cell mice embryos was significantly higher than that of cryopreserved one cell mice zygotes or four cell mice embryos.