• 대한후두음성언어의학회지
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• 제19권1호
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• pp.47-53
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• 2008

Background and Objectives : Benign neoplasms of the larynx are rare, and papillomas account for approximately 90% of these neoplasms. Other benign neoplasms of the larynx are very rare and form a hetergenous group. We present clinical manifestations of unusual benign neoplasms based on our experiences and review of literatures. Materials and Method : We reviewed retrospectively the clinical records of 14 patients with benign neoplasms of the larynx, excluding papillomas, that were examined in our department during 11-year period from 1995 to 2006. Results : The presenting symptom was most commonly progressive dysphonia. Pathologic diagnosis revealed 5 cases of hemangioma, 3 granular cell tumor, 2 amyloidosis, 2 laryngocele, 1 schwannoma, 1 chondroma. Subsites of the neoplasms were 5 in true vocal cord, 3 in arytenoids, 2 in false vocal cord, 2 in supraglottis, and others were subglottis ; aryepiglottic fold. Treatment was surgical, by a external approach in 1 case of chondroma, and by laryngoscopic approach in other cases. In laryngoscopic approach, carbon dioxide laser was used in 10 cases. Postoperative course was satisfactory. Recurrence was encountered in I case of amyloidosis and revision operation was done 3 times. No recurrence was encountered in other cases. Conclusion : Uncommon benign neoplasms of the larynx require high index of suspicion and histological confirmation. Complete excision with an attempt to maintain normal structures generally results in cure.

• Archives of Reconstructive Microsurgery
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• 제13권1호
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• pp.7-13
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• 2004

Purpose: The purpose of this study was to present the clinical analysis of the results and our experience of the replantation surgery of the great toe. Materials and Methods: Between March 1995 and December 2002, twelve great toes, amputated from the distal phalanx to proximal phalanx were replanted. The complete types were 5 cases and incomplete types were 7 cases. The guillotine injuries were 4 cases and the crushing injuries were 8 cases. Results: Replantation in eleven out of the twelve amputations survived. The cases of revision were 3 cases due to venous thrombosis. Patients were followed up for a mean period of 2.2 years. The mean total active motion of the first MTP joint was $80^{\circ}$. The fusion of IP joint was carried in 7 cases due to the amputation of the IP joint level. The shortening of the replanted great toes was present, with average 0.9cm. The two point discrimination was 7-8mm except 2 cases with loss of nerve. Conclusion: Although replantation of the great toe remains to be controversial, replantation of the great toe should be considered in well-motivated patients because successful replantation regains an important component of the foot and good functional, cosmetic results.

• 기록학연구
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• 제63호
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• pp.5-36
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• 2020

행정안전부 전자정부국은 행정정보시스템의 디지털정보 보존을 본격 추진하기 위하여 전자정부법 개정을 추진하고 있다. 디지털정보의 보존은 공공기록물법에 규율된 사항이라 개정이 될 경우 양 법률 간의 갈등이 예상된다. 이러한 상황에서 공공기록정책의 전환은 더 이상 미룰 수 없는 과제가 되었다. 현재의 공공기록정책은 디지털정보를 관리하기에 미흡하다. 이 연구의 목적은 디지털 전환에 대응한 공공기록정책의 방향을 제시하는 것이다. 이를 위하여 최근 공공기록정책이 어떠한 변화양상을 보이는지 영국과 호주를 사례로 분석하였다. 정보관리로의 확장, '디지털 연속성' 관리, 자산으로의 정보의 관리, 정보거버넌스 체계의 구축이라는 특징을 도출하였으며, 행정정보시스템의 디지털정보의 경우 보존과 활용 목적을 동시에 충족시켜야 한다는 점에서 기록자산으로서의 정보관리 접근법을 강조하였다.

• 수산해양교육연구
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• 제24권6호
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• pp.901-919
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• 2012

The purpose of this study is to conceptualize some issues around university restructuring in Korea, and explore rational-practical solutions ensuring the survival of higher education institutes confronting many challenges like rapid decreasing rate of birth, global open market of higher education system, and the phenomena of concentration on capital city area etc.. In order to achieve study goals, higher education policies and provisions of past governments from DaeJung Kim's to current MeongBak Lee's were analyzed, and also characteristics and directions of university restructuring of each government were identified. Through this analysis, it was evident that the main concern of university restucturing discourse was primarily focused on how to make public universities have high level of competitiveness. On the other hand, private universities had been totally alienated from university restructuring discourse since 1990's, despite their historical and great contributions to national development of our country. Based on some criticisms of educational policies of national government and partial revision proposal of the higher education act initiated by a few assemblymen, this study suggested eight solutions for developmental restructuring of private universities; constructing comprehensive framework of university restructuring, keeping market-friendly restructuring principle to allow universities take an autonomous position, revising methods, criteria and indexes of university evaluation, reducing the number of enrolling students, not the number of universities and colleges, a new policy to develop local universities allying with universities located at capital city area, differentiating private universities into two types of semi- or quasi-national university and complete autonomous university, legislating financial supports to private universities, and lastly, equal treatment of public and private universities in pursuit of half price tuition.

• 한국보육지원학회지
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• 제9권5호
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• pp.381-405
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• 2013

본 연구는 우리나라 보육사업의 성과와 과제를 조망하기 위한 보육백서 발간 작업의 일부로서 우리나라 보육의 역사와 보육관련 법들의 주요 특징을 알아보고, 보육현황을 소개함으로써 향후 발전적인 보육정책 방안을 모색하기 위한 정책적 기초자료를 구축하는데 목적을 둔다. 먼저 보육역사 부분에서는 1기 아동복리법 시기, 2기 유아교육진흥법 시기, 3기 영유아보육법 초기, 4기 영유아보육법 전면 개정 이후 등으로 구분하여 전반적인 보육사업의 흐름을 고찰하였다. 둘째, 보육 관련 법 부분에서는 기본법인 영유아보육법과 보육관련법인 유아교육법과 아동복지법 그리고 기타 관련법으로 보건복지부와 그 소속기관 직제, 남녀고용과 일 가정 양립지원에 관한 법률, 장애아동복지지원법, 사회복지사업법에서의 영유아보육 관련 내용을 열거하였다. 셋째, 보육현황 부분에서는 일반 현황, 어린이집 운영 및 보육아동 현황, 어린이집 유형 별 현황 등으로 나누어 살펴보았다.

• 건축역사연구
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• 제24권5호
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• pp.21-32
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• 2015

Sajik, the altar of land and grain was treated as one of the most important national ritual facilities by the Joseon dynasty and the Ming dynasty because it symbolized the legitimacy of a dynasty, and its architectural ordonnance was arranged strictly by the government. But when the Joseon government considered to reconstruct its national Sajik altar in Hanyang during the Sejong period, they found the new architectural ordonnance for local Sajik altars recorded in "Hongwulizhi(洪武禮制)" had been published by the Ming government was hard to adopt, because it was too narrow and totally different from the traditional style. Above all things, they doubt of there was other architectural ordonnance for kingdoms, not for local governments. King Sejong ordered to investigate the origin form and former examples, and tried to get other ritual documents of authority published by the Ming government such as "Damingjili(大明集禮)". After several academic researches and intense debates, they decided to create a new architectural ordonnance for their national Sajik altar, its form was in accord with the traditional style and its size was in accord with the new ordonnance. But they did not know there had already been the architectural ordonnance for the kingdom in the Ming dynasty. Because the first emperor of the Ming dynasty had changed its Sajik ritual system several times, even the whole country of the Ming dynasty also had gone through chaos on this issue even after his death. Consequentially, the official documentation works had been made partially, there was no a complete document on this issue even in the Ming government.

• Journal of Korean Neurosurgical Society
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• 제64권1호
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• pp.110-119
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• 2021

Objective : Preoperative prediction of the arachnoid membrane descent in pituitary surgery is useful for achieving gross total removal and avoiding cerebrospinal fluid leakage resulting from tearing of the arachnoid membrane in the chiasmatic cistern. In this study, we analyzed the patterns of arachnoid membrane descent during or after pituitary tumor surgery and identified the factors related to this descent. Methods : Analysis was restricted to pituitary macroadenomas not extending into the third ventricle or over the internal carotid artery. To minimize confounding factors, patients who underwent revision surgery, those who had a torn arachnoid during operation or small medial diaphragma sellae (DS) opening, and subtotal resections were excluded. We enrolled 41 consecutive patients in this retrospective analysis. The degree of arachnoid descent was categorized using intraoperative videos. Preoperative magnetic resonance findings, including tumor height, suprasellar extension, and variables including DS area and medial opening size, tumor composition, and displacement of the pituitary stalk and gland were evaluated to determine their correlations with arachnoid membrane descent. Results : Arachnoid membrane descent was significantly correlated with DS area and medial opening size. Based on T2-weighted images (T2WI) magnetic resonance (MR) images, tumor composition was significantly associated with arachnoid membrane descent. Other factors were not significantly correlated with arachnoid membrane descent. Conclusion : T2WI of tumor composition and preoperative MR imaging of DS area and medial opening provided valuable information regarding arachnoid membrane descent. These parameters may serve as fundamental measures to facilitate complete resection of pituitary macroadenomas.

• 산업진흥연구
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• 제9권1호
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• pp.57-64
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• 2024

2015년 화학물질관리법 전면 개정에 따라 국내 유해화학물질 관리 패러다임이 사업장 단위에서 지역 단위로 변화하였다. 이에 2020년 지역화학사고대응계획이 수립되었으나 지자체마다 대응 범위와 기준에 대한 내용에서 조금씩 차이를 보이고 있다. 이에 본 연구는 각 지역내 수립된 화학사고대응계획을 비교 고찰함으로써 효과적인 화학사고 대응계획에 대한 시사점을 제공하고자 연구를 수행하였다. 이에 공개된 자료를 기반으로 시 단위 4개 지역의 사고 대비 현황, 화학사고 대응시스템, 주민 대피 대응 및 교육훈련의 3가지 차원에서 지역별 대응계획을 비교 분석하였다. 연구 결과, 지역별 사고 대비 및 사고 대응시스템에서는 차이가 크지 않으며, 각 지역별 사업장 특성에 연계한 대비체계는 논의가 부족했다. 또한, 주민을 위한 교육 및 훈련에서 지역간 차이가 존재했다. 앞으로 각 지자체는 지역 환경 특성에 맞는 대응 조직을 구성하고, 유관 기관 협력을 통해 민첩하고 효과적인 사고 대응을 위해 전략을 구상해야 할 것이다.

• Archives of Plastic Surgery
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• 제50권6호
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• pp.557-562
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• 2023

Augmentation mammoplasty is one of the most popular cosmetic surgeries, but there is a high reoperation rate (29.7%) commonly due to capsular contracture, implant malpositioning, infection, and unsatisfactory size. Although infection only accounts for 2% of cases, its management is very challenging, especially with nontuberculous mycobacteria (NTM) infection. Breast prosthetic NTM infection is a rare but is a disastrous condition with an incidence of approximately 0.013%. Immediate salvage reimplantation is usually not suggested, and most studies recommend a gap of 3 to 6 months after combination antibiotics therapy before reimplantation. However, delayed reimplantation often leads to great psychological stress and struggle between the doctor and patient. We present the case report of successful reimplantation in treating prosthetic NTM infections in a 28-year-old female. We discuss a novel technique "transaxillary capsulorrhaphy" to correct the bottoming-out deformity. One year after the combination of antibiotics and surgery, the follow-up computed tomography scan showed complete remission of NTM without recurrence. We discuss the surgical technique in detail. The 1-year follow-up assessment (photos and dynamic video) revealed good cosmesis and reliable correction using the new technique. This report is the first formal description and discussion of one-stage reimplantation following NTM infections. Transaxillary capsulorrhaphy allows for a successful salvage operation when an implant is displaced. This approach provides highly favorable result in eastern women undergoing revision augmentation mammoplasty. This study reflects level of evidence V, considering opinions of respected authorities based on clinical experience, descriptive studies, or reports of expert committees.

• 한국방사선학회논문지
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• 제18권3호
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• pp.293-300
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• 2024

2023년 10월 31일 의료기사 등에 관한 법률의 개정에 따라 방사선사 면허를 취득하기 위해서는 현장실습과목을 필수로 이수하여야 한다. 이에 따라 의료기관 현장실습의 실태를 조사하여 개정된 의료기사법을 알리고, 현장실습의 실효성을 높이기 위한 개선방안을 제안하고자 한다. 2023년 3월부터 4월까지 의료기관에 종사하는 방사선사를 대상으로 설문을 시행하였다. 설문지는 국내 포털사이트인 N사의 폼을 통해 받았으며, 응답자는 120명이었다. 현장실습 학생의 교육을 담당한 경험이 있는 응답자는 68.3%인 82명이었다. 의료기사 등에 관한 법률 개정으로 방사선사면허를 취득하기 위해 현장실습이 의무화된 사실을 알고 있는 응답자는 58%로 나타났다. 의료기사 등에 관한 법률 제9조 무면허자의 업무 금지 등에 따라 대학 등에서 취득하려는 면허에 상응하는 교육과정을 이수하기 위하여 실습 중에 있는 사람의 실습에 필요한 경우는 해당 의료기사 등의 업무를 수행할 수 있다는 사실을 알고 있는 응답자는 50%로 나타났다. 현재 현장 실습 시 어떤 교육을 하는지 묻는 질문에 참관, 환자 안내 및 환자 자세 유지와 이동 외에 방사선을 발생시키는 행위를 하게 한다는 응답자는 6%로 나타났다. 면허 취득을 위한 현장실습이 의무화됨에 따라 앞으로의 교육 방향에 묻는 질문에 77%의 응답자가 현행보다 더 많은 것을 교육할 것이라고 응답하였다. 현장실습의 적절한 전체 시간을 묻는 질문에는 12주 480시간이 35%, 8주 320시간이 33%, 16주 640시간이 27%로 나타났다. 현행 현장실습은 각종 규제에 따라 부실한 교육여건이며, 학생들의 만족도 또한 낮음을 알 수 있다. 그러나 의료기사 등에 관한 법률이 개정됨에 따라 방사선사 면허를 취득하기 위해 현장실습이 의무화되었으며, 현장실습의 교육여건을 개선할 필요가 있다. 이에 따라 원자력안전법과 진단용방사선발생장치의 안전관리에 관한 규칙을 준수하며, 표준화된 실습 목표와 평가 시스템 도입, 수련 병원 지정과 교육 전담 방사선사 지정, 확대된 실습 기간과 모의실습을 도입하여 현장실습 교육의 내실화가 필요하다.