• 기록학연구
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• 제23호
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• pp.3-43
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• 2010

검색도구는 기록을 찾고 이해할 수 있도록 지원하는 도구이다. 검색도구는 크게 수직형 검색도구와 수평형 검색도구로 구분할 수 있는데, 수직형 검색도구는 우리가 보통 '보존기록 기술(archival description)'이라 부르는, 출처 기반의 계층형 검색도구를 말하며, 수평형 검색도구는 목록이나 색인 등과 같은 주제 기반의 검색도구로서, 주로 수직형 검색도구로 안내해주는 역할을 수행했다. 그러나 이러한 검색도구들은 인터넷 환경에 맞추어 진화하고 있으며, 가령 수직형 검색도구의 경우, ISAD(G), ISAAR(CPF), ISDF와 같은 국제표준기술규칙의 개발에 발맞추어, 출처와 원질서 존중의 원칙을 견지하되 다중 엔티티 구조로 변화해가는 경향을 살펴볼 수 있다. 그러나 이용자 입장에서 기록관리 원칙을 적용한 수직형 검색도구는 어렵고 복잡하며, 구체성과 접근성이 떨어진다는 비판을 받는다. 이러한 문제를 극복하기 위하여 각국에서는 기록에 대한 다양한 접근경로를 제공하는 다양한 디지털 콘텐츠를 개발하여 제공하고 있는데, 이것들이 이른바 새로운 유형의 주제 기반 검색도구라고 볼 수 있다. 이 연구에서는 보존기록을 위한 수직형 검색도구의 변화와 그 한계를 조사하였고, 이를 보완하기 위하여 인터넷 환경에서 새롭게 출현하는 검색도구 및 관련 연구들을 전반적으로 살펴 본 결과 복합화, 통합화, 개방화라는 3가지 경향으로 유형화할 수 있었다. 즉, 주제 해설과 검색도구를 연계시킨 복합적 형태의 검색도구, 여러 기관이 소장한 기록을 한꺼번에 검색할 수 있도록 하는 통합 검색도구, 이용자 참여가 보장되는 개방적 형태의 검색도구는 향후 검색도구의 개발 전망을 보여주는 대표적 유형으로 볼 수 있다. 새로운 검색도구의 출현에 따라 우려되는 문제로는 탈 맥락화, 편견과 객관성 유지, 이용자 참여방식과 질적 통제 등으로 보았다. 앞으로 새로운 흐름을 적극적으로 수용하되 오히려 수직형 검색도구 기반을 지속적으로 강화해 나아가고 이용자를 적극 참여시키는 전략을 개발할 것을 제안하였다. 이 연구가 앞으로 국가기록원을 비롯한 영구기록물 관리기관들이 검색도구 개발 전략을 수립할 때 시사점을 제공할 수 있기를 기대한다.

• 기록학연구
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• 제78호
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• pp.197-249
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• 2023

본 논문에서는 최근 지상파 방송사의 아카이브 개방·공유 사업이 활발해짐에 따라 방송사 외부 이용자들의 방송·영상아카이브 콘텐츠 수요를 연구하였다. 방송사가 개방한 영상자료를 활용해 2차 저작물을 제작하는 과정에서 이용자가 영상자료를 선택하는 기준, 편집에 활용되는 과정 등을 연구하였다. 이를 위해 2022년 KBS가 자사 5.18영상자료를 공개하고 이를 활용해 시청자들에게 새로운 콘텐츠를 제작하게 했던 '5.18 아카이브 시민공유 프로젝트 5월이야기' 공모전을 사례로 살펴 보았다. 해당 공모전에서 우수작으로 선정된 작품을 분석하고 각 작품을 제작한 수상자들과 심층인터뷰를 진행했다. 그 결과 다음과 같은 점을 확인할 수 있었다. 공모전 출품작 중에는 직·간접적으로 5.18 민주화운동을 경험한 내용을 다루면서 해당 역사적 사건이 개인과 현재 우리 사회에 미치는 영향에 주목한 주제를 구성한 작품이 많았다. 방송사가 소장자료 일부를 일반에 공개한다는 사실만으로도 방송사 외부 이용자들에게는 새로운 콘텐츠를 창작해보고자 하는 제작동기를 갖게 하고, 새로운 주제를 구상할 수 있게 함을 알 수 있었다. 또한 이 연구에서는 방송사 영상자료가 2차 저작물에서 활용되는 방식을 살펴보았다. 영상자료를 매개로 하여 역사적 사건을 공유하거나, 영상자료를 증거 또는 비유로서 제시하는 방식을 확인했다. 방송사가 영상자료를 제공하는 데 있어서 5.18 민주화운동 등과 같은 공공성 있는 영상자료가 더 다양하게 개방되어야 한다는 점, 선별된 영상을 공개하기에 앞서 저작권 정보 등을 포함한 메타데이터 정리, 실제 편집에 활용 가능한 고화질·고음질 영상 확보, 이용자 편의성을 고려한 스트리밍 또는 다운로드 기능 강화 등이 필요하다는 점을 확인했다. 이를 통해 향후 지상파 방송사의 영상자료 개방·공유사업의 방향을 모색하고 방송사의 아카이브 사업이 영상자료를 매개로 한 지역·세대·계층 간 사회통합 강화 등 공적 책무를 이행하는 대안이 될 수 있음을 확인했다.

• Archives of Plastic Surgery
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• 제38권1호
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• pp.7-14
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• 2011

Purpose: Many patients have fear for surgery owing to the injection of lidocaine and the possible pain in the course of the operation. To resolve such a problem the cases to do plastic surgery with monitored anesthetic care are increasing, in which something like sedatives is injected into vein without endotracheal intubation and under voluntary respiration, but the usage is now under the controversy. Methods: There were 25 patients who had surgery with local anesthesia, and another 25 patients who had surgery with monitored anesthetic care which belongs to ASA class 1 and 2 from January to April, 2009. Their anesthesia records were collected and surveys were given before and after the surgery and the surgery staff recorded OAA/S during the surgery. The postoperative surveys included the awakening during the surgery, pain, anxiety, and the degree of patient's satisfaction through visual analogue scale to identify the difference between the two methods. Results: The OAA/S results according to time lapse show that it is possible to lead a fast effective sedation and recovery with monitored anesthetic care, and monitored anesthetic care enhances both surgeon's convenience level and patient's satisfaction level, and reduces awakening, pain, and anxiety, compared to local anesthesia. Conclusion: The current paper shows about the plastic surgery, particularly the outpatient surgery, when monitored anesthetic care method is applied, it could gain a fast sedation and recovery or an effective sedation of patients. The method also has some affirmative effects in regard with surgeon's convenience and the patients' satisfaction degree and the reduction of their awakening, pain, and anxiety. With careful and adequate watch on the measures about vital signs like electrocardiogram, the degree of oxygen saturation, and blood pressure, it could clinically be very useful.

• Archives of Plastic Surgery
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• 제34권3호
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• pp.365-370
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• 2007

Purpose: There are many reports about facial bone fractures, but limited to retrospective data of a single hospital. Etiology and severity of the facial bone fracture have been changed and treatment method and materials have been advanced. In order to reflect those changes and provide up-to-date data of the facial bone fractures in Daegu, we gathered the data and analyzed the epidemiologic study. Methods: The medical records of 1058 fractures in 895 patients were gathered from 5 general hospitals in Daegu during last year and these data were analyzed by following parameters: age, sex, place of residence, occupation, cause of injury, time of injury, location of fracture, length of in-hospital stay, time of operation, treatment method, associated injury, complication. Statistical analysis was performed using the Chi-square test. Results: Most commonly involved age group was 20s(26%) and the sex ratio was 3.4:1(male predominance). Fractures were occurred more in unban and white-color workers. Among variable etiology of injury, traffic accident was the most common cause. Time of injury was heighest at 6 to 7 P.M., on Sunday, in July. Locations of fractures were following sequence: nasal, zygoma, mandible, orbit, maxilla. Mean length of in-hospital stay and time of operation after injury were 6.3 and 3.2 days, respectively. In treatment methods, operative methods were dominant than conservative management and general anesthesia were favored than local anesthesia. Associated injuries were noticed in 188 cases(21.2%) and complications were in 94 cases(8.9%) and among them, ocular problem were common. Conclusion: Compared to previous studies, mean age of occurrence was lowered and the etiologies showed age-specific pattern and reflected the change of lifestyle. In young age groups, sports injury, violence were more dominant and the other hand, traffic accident and fall were dominant in older groups.

• Archives of Plastic Surgery
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• 제41권2호
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• pp.122-125
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• 2014

Background Cutaneous malignant melanoma has a poor prognosis. The detrimental effect of incisional biopsies on the outcome of malignant melanoma has been debated. The aim of this study was to determine the effect of the presence and type of biopsy on the prognosis of malignant melanoma. Methods The medical records of 109 malignant melanoma patients treated at Tokushima University Hospital from 1983 to 2007 were reviewed. After excluding 28 cases with stage 0 disease or incomplete data, 81 cases were analyzed in detail with respect to patient sex, age, tumor site, clinical stage at diagnosis, presence of ulceration or lymph node metastasis, and prognosis. The five-year survival and five-year disease-free survival rates of patients who underwent incisional or excisional biopsies were compared with those who did not undergo a biopsy. Results The male-to-female ratio was 1:1.19. The mean age was 61.3 years (range, 19-93 years). The most common site was a lower extremity, and the most common clinical stage was stage II. No significant differences in clinicopathological features, five-year survival rates, and five-year disease-free survival rates were observed among the three groups. Conclusions The presence and type of biopsy neither affected the metastatic rate nor the prognosis of malignant melanoma. The use of incisional biopsies is not encouraged because tumor thickness cannot be measured accurately. However, they may be helpful for confirming the diagnosis if an excisional biopsy cannot be performed.

• Archives of Plastic Surgery
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• 제36권5호
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• pp.611-616
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• 2009

Purpose: The rate of fistulas occuring followed by resection of oral cavity, oropharyngeal, hypopharyngeal, and laryngeal cancer are reported to be 9 ~ 23% according to various documents. Neglected treatment of the fistula can result in a setback in proper treatment with restrictions in oral intake leading to delayed return to daily life. Furthurmore, in severe cases, it may injure important vessels and adjacent structures of the neck area. The author reviewed previously reported cases of treatment methods for fistulas recurring after diverse head and neck operations and with sharing the treatment experiments of our patients, we tried to present a treatment algorism for different fistula types. Methods: Our study was based on retrograde analysis of 64 patients who were clinically diagnosed with fistula after operation for cancer of the head and neck from 1997 to 2008 at Severance Hospital. Their primary sites of cancer were 8 oral cavity, 22 oropharynx, 25 hypopharynx, and 9 larynx. The patients were aged 45 to 75 years and the male to female ratio was 11 to 1. The patient's operation records and progress notes were evaluated for determination of degree of fistula and treatment methods. Results: Most fistulas were clinically suspected after postoperative 5 days and symptoms noted for detection of the fistula were erythema, purulent discharge, edema, tenderness, and fluctuation. The fistula was definitely diagnosed at postoperative 2 weeks with barium test and treatment method ranging from conservative management to operative procedure were applied to each patients. Total 21 patients were managed with conservative protocol. In 15 cases, direct repair of the fistula was done and more stable repair of the fistula was possible with using of TachoComb$^{(R)}$. Pharyngostoma was performed in 14 patients. Among them, 4 patients healed spontaneously, 5 patients were taken direct closure, 4 patients were taken pectoralis major musculocutaneous flap, and one patient was taken esophageal transfer. The other 14 patients were taken 11 pectoralis major musculocutaneous flaps and 3 free flaps without pharyngostoma formation. Conclusion: Fistula is a troublesome complication resulting after resection of head and neck cancer. Early detection and adequate treatment according to the period and condition of the fistula may prevent further complications and reduce the pain of the patient.

• Archives of Plastic Surgery
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• 제44권5호
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• pp.407-412
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• 2017

Background Among the various signs and symptoms of orbital fractures, certain clinical findings warrant immediate surgical exploration, including gaze restriction, computed tomographic (CT) evidence of entrapment, and prolonged oculocardiac reflex. Despite proper surgical reconstruction, prolonged complications such as diplopia and gaze restriction can occur. This article evaluated the prognostic factors associated with prolonged complications of orbital fractures with muscle incarceration. Methods The medical records of 37 patients (37 orbits) with an orbital fracture with muscle incarceration from January 2001 to January 2015 were reviewed. The presence of Incarcerated muscle was confirmed via CT, as well as by intraoperative findings. Various factors potentially contributing to complications lasting for over 1 year after the injury were categorized and analyzed, including age, cause of injury, injury-to-operation time, operative time, fracture type, nausea, vomiting and other concomitant symptoms and injuries. Results All patients who presented with extraocular muscle limitations, positive CT findings, and/or a positive forced duction test underwent surgery. Of the 37 patients, 9 (24%) exhibited lasting complications, such as diplopia and gaze restriction. The mean follow-up period was 18.4 months (range, 1-108 months), while that of patients who experienced prolonged complications was 30.1 months (range, 13-36 months). Two factors were significantly associated with prolonged complications: injury-to-operation time and nausea/vomiting. Loss of vision, worsening of motility, and implant complication did not occur. Conclusions Patients who present with gaze limitations, with or without other signs of a blow-out fracture, require a thorough evaluation and emergent surgery. A better prognosis is expected with a shorter injury-to-operation time and lack of nausea and vomiting at the initial presentation.

• 대한두개안면성형외과학회지
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• 제21권5호
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• pp.288-293
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• 2020

Background: Pilomatrixoma is a benign tumor that originates from the hair follicle matrix. It usually presents as a hard, slow growing, solitary mass that can be easily misdiagnosed as other skin masses. The aim of this study was to clinically analyze a case series of pilomatrixoma in pediatric patients from Korea. Methods: A total of 165 pediatric patients from 2011 to 2018 with a histological diagnosis of pilomatrixoma were included. A retrospective review was performed using the electronic medical records, including patient demographics, number and location of the mass, clinical and imaging presentation, and postoperative outcomes. Results: There were 61 male and 104 female patients with 152 solitary and 13 multiple pilomatrixomas. Among solitary pilomatrixomas, the lesion commonly occurred in the head and neck (84.2%), followed by upper limbs (11.2%), lower limbs (3.3%), and trunk (1.3%). The pilomatrixoma lesion presented as the following types based on our clinical classification: mass (56.02%), pigmentation (25.31%), mixed (12.65%), ulceration (4.82%), and keloid-like (1.2%). Ultrasonography showed a high positive predictive value (95.56%). There were no specific complications observed except for two cases of recurrence. Conclusion: Pilomatrixoma has various clinical feature presentations and commonly occurs in the head and neck. Ultrasonography is a helpful diagnostic tool. Surgical removal of the lesion is the main treatment method with a low recurrence rate.

• 기록학연구
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• 제72호
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• pp.205-239
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• 2022

박용길의 개인 편지 '당신께' 컬렉션은 사단법인 늦봄문익환기념사업회가 관리하는 근현대 한국의 단면을 품고 있는 귀중한 사료이다. 이 편지들은 약 10년 3개월 동안 작성된 것으로 현재 약 2,304통이 남겨져 있으며 사료를 장기 보존하기 위한 사회적 타당성을 확보하고 안정적인 기록관리체계를 확립하기 위한 지원이 필요하다. 이 글은 그간 본격적으로 소개되지 못했던 박용길 편지를 기록학계에 소개하고 그 전모를 종합적으로 검토하고 과제를 살펴보려는 목적을 갖는다. 이를 위해 박용길 개인의 삶 속에서 편지가 갖는 의미를 살펴보고 특히 옥바라지의 일환으로 쓴 편지라는 측면에서 이 편지의 가치를 조명하였다. 그리고 아카이브 소장 현황을 조사, 분석하여 편지가 갖는 내, 외적 특징들을 종합적으로 분석하였다. 연구 결과로서 파악된 박용길 편지의 특징은 한 사람에게 보낸 편지로 상당한 분량과 집합성을 갖고 축적된 것으로 공동 발신자, 독특한 작성 형태, 다양한 작성 매체를 사용하였다는 점이다. 특히 편지라는 친숙한 소재를 갖고 동시대인의 이야기를 담고 있어 공감하기 쉬우며 동시대 사건, 인물에 관한 풍부한 정보적 가치를 품고 있다는 점에서 다양한 이용자층을 가질 수 있을 것으로 기대된다. '당신께' 편지는 이러한 역사, 문화적 가치와 다양한 활용 가치를 토대로 향후 다양한 연구와 서비스 개발이 이루어야 할 것이다.

• Archives of Plastic Surgery
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• 제38권6호
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• pp.791-797
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• 2011

Purpose: Angiosarcoma is a rare and aggressive malignant soft tissue tumor. Due to a lack of the established optimal treatment modalities, however, an extensive resection followed by an early detection has been reported to be the best treatment of choice. We analyzed the clinical course of six patients, hence attempted to contribute to making a treatment plan for patients with angiosarcoma. Methods: Six patients who have been surgically treated between 2005 and 2010 are included. Through a retrospective analysis of the medical records, we evaluated the pattern of disease detection, a past history, time span between the detection and the primary surgery, surgical treatment modalities, time span between the primary surgery and the recurrence/metastasis, the sites of metastasis and the secondary treatment modalities. Results: The mean age of patients was 70.5 years; all male; and the sites were the scalp. Four patients underwent the reconstruction using a local flap with a skin graft and two patients using a free flap. The mean period elapsed until the primary operation since the identification was 7.3 months and until a recurrence or a metastasis occurred following the primary operation was 12 months. Four patients had pulmonary metastasis. As a secondary therapy, four patients underwent the radiotherapy and one was treated with the chemotherapy. At the present, five patients died and one undergoes a monitoring of the clinical course. Conclusion: It would be mandatory to shorten the length of hospital stay and to return patients to their daily lives as the earliest as possible using relatively simpler surgical methods, thus attempting to give them opportunity to resume their previous normal life.