• Radiation Oncology Journal
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• 제37권3호
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• pp.215-223
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• 2019

Purpose: To determine prognostic significance of lymphovascular invasion (LVI) in prostate cancer patients who underwent adjuvant or salvage postoperative radiotherapy (PORT) after radical prostatectomy (RP) Materials and Methods: A total of 168 patients with prostate cancer received PORT after RP, with a follow-up of ≥12 months. Biochemical failure after PORT was defined as prostate-specific antigen (PSA) ≥0.2 ng/mL after PORT or initiation of androgen deprivation therapy (ADT) for increasing PSA levels regardless of the value. We analyzed the clinical outcomes including survivals, failure patterns, and prognostic factors affecting the outcomes. Results: In total, 120 patients (71.4%) received salvage PORT after PSA levels were >0.2 ng/mL or owing to clinical failure. The 5-year biochemical failure-free survival (BCFFS), clinical failure-free survival (CFFS), distant metastasis-free survival (DMFS), overall survival, and cause-specific survival rates were 78.3%, 94.3%, 95.0%, 95.8%, and 97.3%, respectively, during a follow-up range of 12-157 months (median: 64 months) after PORT. On multivariate analysis, PSA level of ≤1.0 ng/mL at the time of receiving PORT predicted favorable BCFFS, CFFS, and DMFS. LVI predicted worse CFFS (p = 0.004) and DMFS (p = 0.015). Concurrent and/or adjuvant ADT resulted in favorable prognosis for BCFFS (p < 0.001) and CFFS (p = 0.017). Conclusion: For patients with adverse pathologic findings, PORT should be initiated as early as possible after continence recovery after RP. Even after administering PORT, LVI was an unfavorable predictive factor, and further intensive adjuvant therapy should be considered for these patients.

• 대한치과마취과학회지
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• 제13권3호
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• pp.133-137
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• 2013

Three patients who underwent orthognathic surgery under general anesthesia complained about difficulty in vocalization and hoarseness after surgery. Intubation granuloma was diagnosed by the department of otorhinolaryngology in our hospital and the masses were excised by laryngoscopy assisted surgery. Chief complaints and symptoms of patients were relieved after surgery. These cases report with review of articles is presented, and the etiology, diagnosis, treatment and prognosis of intubation granuloma after orthognathic surgery are evaluated.

• Archives of Plastic Surgery
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• 제48권3호
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• pp.323-328
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• 2021

Background Lymphaticovenular anastomosis (LVA) is a minimally invasive surgical procedure used to treat lymphedema. Volumetric measurements and quality-of-life assessments are often performed to assess the effectiveness of LVA, but there is no method that provides information regarding postoperative morphological changes in lymphatic vessels and veins after LVA. Photoacoustic lymphangiography (PAL) is an optical imaging technique that visualizes the distribution of light-absorbing molecules, such as hemoglobin or indocyanine green (ICG), and provides three-dimensional images of superficial lymphatic vessels and the venous system simultaneously. In this study, we performed PAL in lymphedema patients before and after LVA and compared the images to evaluate the effect of LVA. Methods PAL was performed using the PAI-05 system in three patients (one man, two women) with lymphedema, including one primary case and two secondary cases, before LVA. ICG fluorescence lymphography was performed in all cases before PAL. Follow-up PAL was performed between 5 days and 5 months after LVA. Results PAL enabled the simultaneous visualization of clear lymphatic vessels that could not be accurately seen with ICG fluorescence lymphography and veins. We were also able to observe and analyze morphological changes such as the width and the number of lymphatic vessels and veins during the follow-up PAL after LVA. Conclusions By comparing preoperative and postoperative PAL images, it was possible to analyze the morphological changes in lymphatic vessels and veins that occurred after LVA. Our study suggests that PAL would be useful when assessing the effect of LVA surgery.

• 한국보육지원학회지
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• 제10권6호
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• pp.265-289
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• 2014

본 연구의 목적은 맞벌이가정 초등학교 저학년 아동의 성별로 입학후 3년간 방과후 보호자부재의 변화, 그리고 방과후보호, 가정환경(가구소득, 부모감독)과 자기조절학습능력 및 정서 행동문제 간의 관계 분석이었다. 한국아동 청소년패널조사의 초1패널 3학년으로 입학 후 3년간 맞벌이 양친부모 가정에 속한 남아 526명, 여아 483명을 대상으로, 3년간의 방과후 보호자부재와 방과후보호를 분류하고 연구변인별 점수를 산출한 후 Friedman검증, t 검증, 상관분석, 회귀분석을 하였다. 입학 후 3년간 방과후 보호자재 상태는 남아와 여아 약 45%, 50% 수준이며, 점차 일시적 또는 지속적 보호자부재 상태로 변화를 보였다. 방과후보호에 따라 가구소득과 자기조절학습능력은 남녀 모두에서, 부모감독은 여아, 정서 행동문제는 주로 남아의 경우에 차이가 있었다. 남녀 모두에서 가정환경은 자기조절학습 능력, 정서 행동문제와 유의한 관계가 있고, 자기조절학습능력과 정서 행동문제에 대한 방과후보호와 가정환경의 상대적 영향은 차이가 있었다. 아동의 성을 고려한 방과후보호, 고소득가정 자기보호 아동에의 관심이 필요함을 시사해 주었다.

• 한국생활과학회지
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• 제22권1호
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• pp.1-15
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• 2013

Using the National Children and Youth Panel Survey (2010) data, this study examines the self-care after school experienced by elementary school students. It argues the necessity of analysis on self-care days for understanding demanders' characteristics of after-school care policy. Based on the Ordered Logit Model, this study analyzes the determinants of self-care days among school-aged children. The main result of the analysis is that self-care days are also more likely to be increased among children with higher school grade, more sibling, lower mother's education, dual-earner family, two-parent family, multi-cultural family, and lower family income.

• Clinical Pain
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• 제18권2호
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• pp.130-132
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• 2019

Acupuncture is generally regarded as a safe procedure and as a popular treatment for patients with musculoskeletal disorders. We report a case of a 47-year-old male patient with late-onset tetraplegia, developed after acupuncture. He had no trauma, medical, and social history relevant to tetraplegia. Right after the acupuncture, he felt discomfort in his right arm. After 6 days, all 4 extremity weakness developed. Whole-spine magnetic resonance imaging revealed the presence of spinal subdural hematoma extending from the C5 vertebra to the coccyx level. Hand coordination dysfunction, neurogenic bladder, and neuropathic pain were other symptoms. After the management, he recovered muscle strength, but incomplete bladder control and neuralgia were sustained. It is important to be aware of the possibilities of severe complications after acupuncture.

• 한국보육지원학회지
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• 제9권4호
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• pp.235-257
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• 2013

본 연구는 방과후 어린이집 교사의 자기장학에 대한 체험을 다양한 이야기를 통해 심층적으로 이해하고자 하였다. 이에 S시 S구에서 근무하는 경력 10년째인 방과후 어린이집 교사를 대상으로 2012년 9월부터 12월말까지 총 4개월간 면담, 참여자의 저널, 참여자와 주고받은 이메일과 전화로 자료를 수집한 것을 기초로 현장 텍스트를 구성하였다. 연구자는 방과후 어린이집 교사가 자기장학 체험을 통해 몰랐던 것을 알게 되는 희열, 자기장학하기에 어려운 방과후 어린이집 교사, 같이 공부하는 선생님, 아이를 이해하기 위한 여가시간 이라는 것을 발견 할 수 있었다. 이렇게 드러난 결과를 기초로 자기장학을 한다는 의미는 미래에 대한 배움의 길로, 더 보이는 눈, 자기장학하기에 어려운 여건이지만 식지 않는 방과후 어린이집 교사의 열정, 자신을 행복하게 하는 그 무엇이라는 것을 알 수 있었다. 이에 본 연구는 어려운 현실여건에도 자기장학을 하며 삶의 의미를 행복하게 사는 방과후 어린이집 교사의 체험이 방과후 어린이집 현장에 함의 하는 시사점에 대해 논의 하였다.

• Clinical and Experimental Reproductive Medicine
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• 제26권3호
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• pp.369-375
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• 1999

Objective: To evaluate the effect of serum obtained before and after treatment for endometriosis on in vitro fertilization and development of two cell mouse embryo. Design: Pretreatment and posttreatment comparoson of fertilization of mouse oocyte and embryo development in serum supplement from patients with endometriosis; result were compared using Stuent T-test analysis. Method: Infertility Clinic, Department of Obstetrics and Gynecology, Collage of Medicine, Won kwang university, Korea. Patients was chosed eleven consecutive women with endometriosis. Interventions was all patient underwent laparoscopic or conservative surgery. This was followed by a 6-month course of burserelin acetate $900{\mu}g/d$. Main outcome was measured total number of fertilization and embryo that was fertilization after 24 hours and reached blastocyst stage after 72 hours of incubation were compared before and after treatment. Result: Before treatment, 47% of the oocyte were fertilized and 31% of the embryo reached blastocyst stage. After treatment, Significantly more fertilized and Significantly more embryo developed to blastocyst on the stage I and II of endometriosis. Conclusion: The fertilization and embryo toxicity of serum samples from patients with endometriosis is lost after treatment.

• Journal of Korean Neurosurgical Society
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• 제42권3호
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• pp.235-237
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• 2007

We describe a case of an unruptured basilar top aneurysm that was associated with early rupture after incomplete coiling. A 62-year-old woman with a history of several small infarctions has undergone coiling of unruptured basilar top aneurysm. Two weeks after initial coiling the patient presented with Hunt and Hess grade IV subarachnoid hemorrhage consistent with a ruptured basilar top aneurysm. Repeat angiography revealed a rupture of recanalized basilar top aneurysm. Second embolization with additional coils resulted in complete occlusion. However, her neurological status was not improved afterward and she was transferred to department of rehabilitation one month after hemorrhage with comatous state. To our knowledge, this is the first case of fatal early rupture after coiling of unruptured aneurysm. It has been speculated that coiling could cause injury to aneurysmal wall and facilitate rupture.

• 대한신경과학회지
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• 제36권4호
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• pp.358-362
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• 2018

Delayed anoxic encephalopathy after carbon monoxide (CO) poisoning is characterized by neurological deterioration that occurs after recovery from acute CO intoxication. There has been no established therapy. We report a patient recovered from acute CO intoxication developed various neurological symptoms. After the administration of high dose prednisolone and anticholinesterase inhibitor, the therapeutic effect was remarkable and confirmed by quantitative analysis of diffusion-tensor imaging (DTI). DTI could be used to evaluate the therapeutic effect for delayed anoxic encephalopathy after CO poisoning.