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Descriptive Study of the Clinical Characteristics of Trauma Patients in the West Southern Kyungsangnam-do Area (서부 경남 지역 외상 환자의 임상적 양상에 대한 기술적 연구)

  • Kang, Chang Woo;Park, In Sung;Kim, Dong Hoon
    • Journal of Trauma and Injury
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    • 제18권2호
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    • pp.148-154
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    • 2005
  • Purpose: This study was conducted to gather descriptive data on trauma victims and to observe the general demographic characteristics and clinical profile of trauma victims who were admitted to a regional emergency medical center in the west southern Kyungsangnam-do area. Objects & Method: The study population consisted of 1,909 trauma patients who visited the emergency department of Gyeongsang National University Hospital between January 2003 and December 2004. The medical records were reviewed in a retrospective manner. Demographic data, the mechanism of injury, and clinical information were collected by three professional medical affairs recorders and an emergency physician and a Revised Trauma Score (RTS) and an Injury Severity Score (ISS) were calculated for each patient. Collected data were analyzed with SPSS software version 12.0. Results: Male patients outmembered female patients (M:F=2.54:1), and the mean age of the population was $40.5{\pm}21.4$ years. The mean RTS and ISS were $7.45{\pm}1.11$ and $8.40{\pm}7.44$, respectively. The seventies showed the highest ISS($10.94{\pm}8.66$). The most common mechanism of injury was motor-vehicle accidents (45.57%), followed by falls or slips(28.26%), and other blunt injuries(12.68%). The most frequent causes of death was cerebral herniation due to head injury(68.4%) and irreversible shock(26.3%). Conclusion: The present study clarified the demographic and clinical characteristics of trauma patients in the Kyungsangnam-do area. In the future, prospective clinical data collection is needed for a more sophisticated trauma study.

Urethroplasty of Urethral Defect with Longitudinal Tubed Flap of Scrotal Skin after Fournier's Gangrene (Necrotizing Fascitis) (회음부 괴사성 근막염후 발생한 요도 결손의 치료를 위한 음낭피부 종축관피판을 이용한 요도성형술)

  • Min, Hee-Joon;Roh, Tai-Suk;Kim, Ji-Ye;Kim, Sug-Won
    • Archives of Plastic Surgery
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    • 제37권5호
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    • pp.667-670
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    • 2010
  • Purpose: The management of urethral defect represents one of the most challenging clinical problems in uroplastic surgery. Especially for defect after Fournier's Gangrene, optimal management is still a hard problem. During extensive urethral reconstruction, to overcome the poor vascularity due to periurethral scarred tissue and limitation of the choice of local flap, we report our experience with one-stage reconstruction of urethral defect using a longitudinal tubed flap of scrotal skin. Methods: A 72-year-old man with several years of diabetes mellitus history visited for swelling and pain of scrotal area. After diagnosis of Fournier's Gangrene, radical debridement was performed and 6 cm of urethral defect on border of penile-scrotal ventral area was made. Rectangular scrotal skin flap ($6{\times}2.5\;cm$) based on external spermatic fascia was elevated and tubed longitudinally. After transfer the flap to the defect area, end-to-end anastomosis was performed bilaterally. Results: 4 weeks after the operation, the patient started voiding him-self and urethrography showed good fluence of contrast agent. Long term evaluation reveals stable performance characteristics without any complications. Conclusion: We suggest a one-stage reconstruction of extensive urethral defect using a longitudinal tubed flap of scrotal skin. Advantages of this procedures are simple, one-stage reconstruction with the reliable scrotal skin flap based on external spermatic fascial vasculature, and no donor morbidity.

Forced Eruption of Severe Angulated and Impacted Permanent Teeth after Marsupialization of Dentigerous Cyst: Case Report (함치성 낭종의 조대술 후 미맹출 변위 영구치의 교정적 정출: 증례보고)

  • Nam, Jeong-Hun;Noh, Kyung-Lok;Yoo, Woo-Geun;Lee, Byeong-Min;Jeon, Ji-Hyeon;Park, Su-Hyun;Ahn, Jang-Hoon;Kim, Jung-Hee
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제33권1호
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    • pp.83-88
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    • 2011
  • The goal of this treatment is the surgical-orthodontic eruption of impacted permanent teeth associated with a large dentigerous cyst in a preadolescent patient. Although enucleation of the entire cyst and the extraction of impacted teeth are common treatments, missing permanent teeth cause several problems in young patients. In this report, an 11-year-old female visited with the chief complaint of a large radiolucent lesion from the mandibular anterior area to the left mandibular posterior area. The permanent left canine and premolars were displaced toward the mandibular inferior border area. The extraction of infected deciduous teeth and marsupialization were performed. After 4 months, orthodontic buttons for forced eruption were applied to the impacted permanent teeth. The teeth emerged into the oral cavity 3 months after the orthodontic treatment. Although the root form was abnormal, there were no other pathogenic signs. The alveolar bone had a normal trabecular pattern and the teeth appeared to be well maintained at postoperative 24 months.

Botryoid Odontogenic Cyst on Mandibular Anterior and Both Body Area: a Case Report (하악 정중부와 양측 체부에 걸친 botryoid odontogenic cyst: 증례보고 및 문헌고찰)

  • Nam, Jeong-Hun;Kim, Da-Young;Park, Young-Ju;Ahn, Jang-Hoon;Gang, Tae-In;Park, Mi-Hee;Yu, Woo-Geun;Kim, Bo-Gyun;Lee, Jung-Won;Kim, Jung-Hee
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제32권4호
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    • pp.368-372
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    • 2010
  • Botryoid odontogenic cyst (BOC) is considered a rare multilocular variant of the lateral periodontal cyst. In this report, a 67-year-old male visited with chief complaint of severe mobility on mandibular incisors. Multilocular radiolucent lesion was seen from the right premolar to the left premolar area, involving almost the whole mandible. Histologically, the botryoid odontogenic cyst showed focal nodular thickening of the lining epithelium. These thickening often showed swirling appearance of the cells. Cyst enucleation and bone graft on mandible anterior and both body area were performed under general anesthesia, and postoperative healing was favorable without recurrence.

A Study on the Sleep pattern of normal neonates in Seoul and Kyungki area (서울.경기지역 신샌아의 수면/활동 양상에 관한 연구)

  • Kim, Il-Ok;Yang, Eun-Young;Lee, Ja-Hyung
    • Korean Parent-Child Health Journal
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    • 제3권2호
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    • pp.41-48
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    • 2000
  • The sleep is the most important problem for new parents. However, there were very rare the study about sleep of normal neonates and early infants in Korea. So we attempted pilot survey study of neonates' sleep pattern. The purpose of this study was to investigate the sleep pattern of normal neonates in Seoul and Kyungki area and to provide for basis for nursing intervention for parents of them. The subjects of this study were 37 normal full-term neonates of 2~3weeks of age who were visited by researcher or assistant at postpartum care unit, health care clinic, outpatient clinic located in Seoul and Kyungki area from April 20, 1999 to March 15, 2000. This study was descriptive survey study under the convenient sampling method. The instrument of this study was the NCASA translated by Korean Parent Child Health Academic Association. The collected data were coded as 1/4hour unit, and analyzed by MS Office Excel program. The result of this study were as followed: 1. The mean amount of total sleep was 15.1hours. The mean amount of daytime sleep was 9.5hours. The mean amount of nighttime sleep was 5.7 hours. The mean amount of longest sleep was 2.9hours. The mean amount of shortest sleep was 0.6hour. 2. The mean amount of total activity was 8.9hours. The mean amount of daytime activity was 6.5 hours. The mean amount of nighttime activity was 2.3hours. The frequency of feeding was 10.4 times a day. The frequency of daytime feeding was 7.3 times. The frequency of nighttime feeding was 3.1 times. It is suggested that various subjects and more data according to age, and comparative study among different cultures are needed for further study in the future.

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The Study on Activation of the Regional Tourism Utilized the Traditional Buildings : The Case of the Ichibangai, Kawagoe City in Saitamaken, Japan (전통 건축물을 활용한 지역관광 활성화에 관한 연구 : 일본 사이타마현(기옥현(埼玉縣)) 카와고에시(천활시(川越市)) 이치반가이(일번가(一番街))를 사례로)

  • Woo, Youn-Sub
    • Journal of the Korean association of regional geographers
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    • 제11권3호
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    • pp.323-335
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    • 2005
  • The aim of this study is m inquire the features of preservation and utilization of traditional buildings landscape through the effort of civics and public institution. Kawagoe is 30km from Tokyo and keeps the history and culture of Edo period. The tourism feature of the Ichibangai area which has the traditional warehouse(Kurazukuri) landscape is that the rate of old tourists from nearby regions is high and the one day trip is majority. The most tourists have visited many times, but they have spent small sum of money. The tourism activation of Ichibangai area is the result of the cooperation and effort of public institution, civic organization, and civics. The public institutions have the institutional support system has established which is including the designation of cultural assets, ordinance enactment, tax exemption, repairing charges support, public hearing, construction of tour network. The residents of the Ichibangai area have contributed to preserving the traditional landscape and activating tourism through their own organizations and meetings for a long time. And the roles of various committees which have leaded close cooperation relations between civics and public institution are activated.

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Importance-Performance Analysis of Multiplex Cinema Attributes (멀티플랙스 영화관 선택속성의 중요도-성취도 분석)

  • Kim, Jae-Hong;Ko, Seon-Hee
    • The Journal of the Korea Contents Association
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    • 제18권1호
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    • pp.587-595
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    • 2018
  • This research aims to analyze the importance-performance among multiplex cinema selection attributes. Therefore, we collected data for visitors who visited the multiplex cinema and want to watch movies. Of the various multiplex cinema selection attributes, four factors were deduced that includes: major services, human services, physical environment, auxiliary services using exploratory factor analysis. In the quadrant I, the area of 'Concentrate Here' was 'diversity of screening time', 'diversity of movie genre', 'convenience of mobile app use', 'size and convenience of parking facility'. In the quadrant II, 'Keep up the Good Work' area was 'convenience of website booking', 'discounts through card partnerships', 'employee friendliness', 'accurate employee information delivery', 'comfortable seating', 'screen size', 'cinematic sound quality', and 'convenience of traffic' etc. The quadrant III, 'Low Priority' appeared to be 'membership system', 'tidiness of staff attire', 'resting space for waiting time', 'accessibility to the neighboring area', 'diversity of the snack corner', and 'overall cleanliness' etc. The quadrant IV, 'Possible Overkill' was 'appropriateness of the auditorium temperature' and 'service proficiency'.

Studies on User and Use Characteristics of Soknisan National Park, Korea (속리산 국립공원의 이용객 및 이용특성에 관한 연구)

  • 공영호;김재현;최진호;손철호
    • Korean Journal of Environment and Ecology
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    • 제4권1호
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    • pp.69-88
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    • 1990
  • This study was conducted to investigate user, use characteristics and use pattern of Soknisan national park. In this study, the questionaire was used which was included the questions on socioeconomic variables of users, visiting motivations, attitudes on management and services, and so on. And to count the passingers, 9 observation points were selected. Visitor's important motivations were to escape from crowded city, to escape from daily routine, to enjoy natural seeing beauty, and so on. Their main activities were temple visit, stroll and mountain climbing. The visitor's composition showed that high school or more graduated twenties were respectively dominant. Perceived crowding level in this park were relatively high and most crowded area was Bupjusa area. Visitors had unsatisfactory attitudes on management and services as like trail, facilities, educational environment and others related services. Accordingly satisfaction level was comparatively low. A major portion of visitors merely visited Bupjusa area, only 15% and less climbed as far as top of mountain.

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A Case Report of Chin Area Folliculitis Improved by Administration of Gyejigadaehwang-tang (계지가대황탕(桂枝加大黃湯) 투여 이후 호전된 턱 주위 모낭염 치험 1례)

  • Lee, Ju-Hyun;Jo, Eun-Heui;Kyung, Da-Hyun;Park, Ji-Won;Park, Min-Cheol
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • 제34권3호
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    • pp.127-133
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    • 2021
  • Objectives : This study aims to report a case of chin area folliculitis improved by oral administration of Gyejigadaehwang-tang. Methods : The patient of this study visited our hospital with purulent lesions accompanied by erythema, papules and pustules around the chin area that have recurred over 10 years. Based on the patient's tendency of chills and constipation, Gyejigadaehwang-tang was prescribed. Results : About a month later, most of the skin symptoms improved (Total Folliculitis Symptom score 11→2), and only brown marks and mild erythema due to pigmentation after inflammation, were observed. Symptoms related to constipation also improved from 13 to 4 points. In the follow-up process after the treatment, It was confirmed that the symptoms of folliculitis did not recur. Conclusions : After taking Gyejigadaehwang-tang for a month, purulent lesions generally improved. Symptoms related to constipation also diminished, allowing regular bowel movements once a day.

Factors Associated with Conversion from Conservative to Surgical Treatment in Single-Level Lumbar Spinal Stenosis Patients (보존적 치료 중인 단분절 요추관 협착증 환자에서 수술적 치료로 전환과 관련된 연관 인자)

  • Ahn, Young-Joon;Im, Se-Hyuk;Park, Byung-Kyu
    • Journal of Korean Society of Spine Surgery
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    • 제25권4호
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    • pp.160-168
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    • 2018
  • Study Design: Retrospective study of prospectively-collected data. Objectives: To determine the factors associated with conversion from conservative to surgical treatment in single-level lumbar spinal stenosis patients. Summary of Literature Review: Various reports have presented clinical outcomes after the surgical and nonsurgical treatment of spinal stenosis. However, few reports have investigated factors predicting conversion to surgery during the course of conservative treatment. Materials and Methods: We analyzed 40 patients who visited our hospital from May 2010 to May 2015 and were traceable for at least 3 years after being advised to undergo surgery following 3 months of conservative treatment. Of these patients, 20 underwent surgery and 20 did not. We then investigated the factors associated with conversion to surgical treatment. Clinical assessments were conducted using a questionnaire, and the overall area of the spinal canal and the muscle area within the spinal canal were measured using magnetic resonance imaging. Results: The average area of the spinal canal was $81.40{\pm}53.61mm^2$ in the surgical group, compared to $127.75{\pm}82.55mm^2$ in the nonsurgical group (p=0.042). The muscle area in the spinal canal was $5.17{\pm}1.30cm^2$ in the surgical group, whereas it was $6.40{\pm}1.56cm^2$ in the nonsurgical group (p=0.010). The patients in the surgical group were more likely to have experienced repetitive strain and to have frequently visited health clubs (p=0.047, p=0.037, respectively). However, regular stretching was more common in the nonsurgical group (p=0.028). Conclusions: The factors associated with conversion to surgical treatment were a narrow spinal canal, a small muscle area within the spinal canal, visiting health clubs, repetitive sprain, and not stretching. A small muscle area within the spinal canal can be considered as a key factor related to surgical conversion.