• Journal of the Korean Society of Radiology
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• v.84 no.3
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• pp.565-585
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• 2023

Perianal fistula is a common inflammatory condition in the general population and affects the area around the anal canal. Although most cases are benign, they cause serious morbidity and require surgical treatment due to a high risk of recurrence. MR imaging is a gold standard technique for the evaluation of perianal fistulas and provides accurate information on the anatomy of the anal canal, its relationship to the anal sphincter complex, accurate identification of secondary tracts or abscesses, and reporting associated complications. MR imaging can help monitor treatment effects and determine treatment methods. Crohn's disease-related fistulas often require medical rather than surgical treatment. The radiologist is required to know the anatomy and MR imaging findings of the perianal fistula to present an accurate diagnosis to the clinician.

• Proceedings of the KIEE Conference
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• 2005.07d
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• pp.2918-2920
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• 2005

본 논문에서는 네비게이션 시스템 사용 시 교통 체증 등의 상황이 발생하여 최적 경로를 따라 가는 경우의 소요시간이 실제 예상시간보다 크게 증가하게 되는 경우 주변의 샛길을 이용하여 보다 빠른 시간에 체증 구간을 회피하여 목적지에 도착 할 수 있게 하는 알고리즘을 제안하고 이를 항법서버에 구현한다. 교통 체증상황이 발생하는 경우 경로 탐색시의 각 길에 대한 weighting 을 조절함으로써 원래 최적경로와 다른 우회로를 찾아 낼 수 있도록 한다. 상용화 되어있는 네비게이션 단말기를 사용하였으며 PC 시뮬레이터와 개발 서버를 이용하여 샛길 탐색 기능을 구현하였다. 최적경로 탐색에는 A* 알고리즘을 응용하였으며 최적경로에서 샛길 탐색구간을 구하여 전체 경로를 탐색하는 알고리즘을 구현하였다.

• Journal of The Korean Ophthalmological Society
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• v.59 no.12
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• pp.1181-1184
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• 2018

Purpose: To present a rare case of tear drainage since birth from a lacrimal ductule fistula, which is the first report in the Republic of Korea. Case summary: A 3-month-old female who presented with discharge of clear fluid from a small skin opening lateral to the right upper eyelid since birth visited the outpatient clinic. The patient was healthy and was receiving no medication. She was born on gestation age 35 weeks and 3 days. No other specific history or other ophthalmic abnormality was found. On examination, a small skin orifice approximately 2 mm diameter and no sign of infection or discoloration was observed. To relieve this symptom, the patient underwent a fistulectomy under general anesthesia. Histopathological examination of the surgical specimen was performed. The patient's symptom subsided postoperatively without recurrence. Conclusions: This is the first report in the Republic of Korea of tears draining from a lacrimal ductule fistula since birth and the subsequent clinical treatment procedures.

• Korean Journal of Head & Neck Oncology
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• v.26 no.1
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• pp.30-32
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• 2010

Tracheo-gastric fistula is a very rare late complication of total laryngopharyngoesophagectomy with gastric pull-up procedure. It usually occurs after transhiatal esophagectomy, but it has only rarely been reported after total laryngopharyngoesophagectomy with gastric pull-up procedure. Chronic irritation and gastric ulcer may be the cause of tracheogastric fistula. To prevent fistula formation, active management of gastric ulcer and avoidance of mucosal irritation are necessary. We report a case of a tracheogastric fistula which occurred two years after total laryngopharyngoesophagectomy with gastric pull-up procedure that maybe occurred by chronic irritation and gastric ulcer.

• Journal of Yeungnam Medical Science
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• v.34 no.2
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• pp.169-173
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• 2017

Perianal Crohn's disease is a major problem that impair quality of life. This article reviews the current surgical treatment of Crohn's perianal fistula. Fistulotomy and loose seton are commonly used surgical methods for treatment of perianal Crohn's disease. Mucosal advancement flap and fibrin glue are used in this treatment, despite a lake of controlled trials. Fecal diversion is disturbingly high in complicated complex perianal fistula in Crohn's disease. Ligation of intersphincteric fistula and autologous or allogenic stem cells are new surgical procedures for treatment of Crohn's disease that need further studies. Treatment success might be improved by multimodal treatment and new surgical and medical treatment options.

• Archives of Plastic Surgery
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• v.36 no.4
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• pp.489-492
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• 2009

Purpose: Autologous fat injection is ideal for patients who wish to add contour, projection and gross volumization of the aging, atrophic face and is claimed to be a safe procedure. However, there are several case reports in the literature where patients have suffered from acute visual loss and cerebral infarction after facial fat injection. This paper will explore a rare case of vessel related complication, an arteriovenous fistula that occurs after fat injection on forehead. Method: A 28 - year - old female who showed a non - tender, soft $1.0{\times}2.5cm$ sized mass on forehead for 3 weeks. A thrill could be detected on the totuous dilatated vessel - like structure around the mass. She had a fat injection on forehead for soft tissue augmentation 3 months prior to developing the mass. 3 - dimensional brain CT angiography showed arteriovenous fistula. Results: The fistula is totally excised with ligation of feeding vessels. Pathology report showed an atypical vessel which had intimal thickening, myxoid degeneration and thrombus formation. There were no evidences of recurrence at least for 2 months of follow - up. Conclusion: An occurrence of arteriovenous fistula after autologous fat injection is very rare. After perforation of artery and vein by coincidence, blood extravasates with the formation of a hematoma capsule and a pseudocapsule around it. The hematoma capsule would expand and clot would reabsorb resulting in a cavity leading to fistula formation. Other vessel related complications like acute visual loss or cerebral infarction are very severe. Therefore, surgeons should be cautious during facial fat injection to avoid vessel injuries.

• Journal of the Korean Institute of Landscape Architecture
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• v.45 no.5
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• pp.14-28
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• 2017

Mt. Seunghak's Miscanthus sinensis community is not only a landscape resource in terms of cultural services within the Ecosystem Services but also a site that is visited by many mountaineers in autumn. As the current Miscanthus sinensis community has been experiencing a rapid decline due to Korean forest succession characteristics, ongoing artificial management is thought to be needed for landscape resource use. The purpose of this study was to determine growth environment characteristics and the cause of the rapid decline of the Miscanthus sinensis community in Mt. Seunghak, which is located inside a large city with a large scale and outstanding accessibility. As the Miscanthus sinensis community is the representative early vegetation that appears temporarily in dry, barren soil, the Miscanthus sinensis community in Korean forest succession tends to be unsustainable. As the current soil on Mt. Seunghak is inappropriately fertile for the Miscanthus sinensis community, other wetland woody plant communities are anticipated to succeed it. If Miscanthus sinensis community maintenance is needed for Miscanthus sinensis landscape scenery, various alternatives apart from overall Miscanthus sinensis community maintenance should be determined for cost-effective management. For example, while many byways toward the inside of the Miscanthus sinensis community have affected the Miscanthus sinensis community growth environment, the installation of wooden fences and ropes has been a control in approach. As a result of this positive effect, many byways toward the inside of Miscanthus sinensis community have been restored naturally. Through viewable range analysis, as good scenery sites on the observatory have a good viewable range on the main trail as well, if these scenery sites are intensively managed, effective Miscanthus sinensis ccommunity management will be done despite maintenance budget cutbacks. This study is expected to be used as a basic material regarding the alternatives for a sustained Miscanthus sinensis community and the possibility of cultivating other growth in poor soils of fallow fields and unused land.

• Archives of Plastic Surgery
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• v.38 no.1
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• pp.73-76
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• 2011

Purpose: Congenital midline upper lip sinus is a rare lesion. There are two postulates that can account for the formation of the upper lip sinus based on two major theories of the development of the face: the fusion theory and the merging theory. However, congenital midline lower lip sinus is very rarely reported and described. We report a case of a congenital midline sinus of the lower lip in a 6-year-old female. Methods: A 6-year-old girl presented with a nipple like swelling on the midline lower lip. Physical examination revealed about $5{\times}5$ mm protruding round mass with a just small opening that was non-tender to palpation. The mass was not associated with any skin changes. It umbilicated at the apex and contains a fistulous tract, discharging clear fluid. Only, simple radiologic finding shows bony spur on the lower one third of mandibular symphsis. Results: A small transverse ellipse is made around the opening and elevated mass with sharpe dissection. The tract is excised using the probe and dye as the guide. The tract was extended to periosteum of the lower one third of the mandible. The tract and involved periosteum were excised en bloc, and removed protrusion of the mandibular bone using diamond burr. Microscopic examination of the resected sinus revealed the fistulous tract itself, consisting of fibrous connective tissue covered with cornified stratified squamous epithelium, was observed in the center of the sample. In 6 months follow-up, This patient had a good result was obtained by the method of fistulectomy alone. Conclusion: Midline cranoifacial fistulas represent rare lesions resulting from abnormal fusion of embryologic structures. Our case report describes the excision of a congenital midline sinus of the lower lip in a 6-year-old female. This case represents the first report of a lower lip sinus presenting in a girl as a mass in the skin of the chin with extension to the midline of the mandible. However, the etiology of this rare congenital sinus remains obscure.

• Korean Journal of Environment and Ecology
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• v.26 no.6
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• pp.923-933
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• 2012

The purpose of this study targeting Choansan(Mt.) Neighborhood Park in Seoul of South Korea, whose level of visitation and use pressure has been recently increasingly high, was to understand distribution and damage status of forest trail and accordingly, set up direction of how to improve forest trail in urban area. With regards to current damage on forest trail in Choansan(Mt.) Neighborhood Park, the damaged trail with road width of over 2m and with erosion depth of over 30cm amounted to 20.3% and 36.3% respectively. And the trail section with bare land erosion, root exposure or rock exposure and the section whose impact rating class exceeded IV occupied 47.0% and 70.6%, indicating the forest trail was severely damaged. The severely injured trail route mainly included the main forest trail formed along the main ridge, the byroad connected to the main forest trail and the steep forest trail in low-lying area. Based on the study results, five types of restoration of forest trail in Choansan(Mt.) Neighborhood Park were offered, including prevention of forest trail extension, stabilization of forest trail base, maintenance of forest trail surface, vegetation restoration after closing forest trail and maintenance. Ecological restoration was additionally offered. The prevention of forest trail extension was planned to prevent expanded width of forest trail where bare land was exposed. The stabilization of forest trail base was planned to prevent erosion in the forest trail and exposure of roots. The maintenance of forest trail surface was planned in a way to protect the severely damaged forest trail surface by using wood deck and wood stairs and surfacing the road.

• Current Research on Agriculture and Life Sciences
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• v.31 no.3
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• pp.200-208
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• 2013

The purposes of this study are developing a stress index for each individual major trail in the national parks and contribute to establishing a park management policy based on scientific analyses using the index. We collected data from 144 sections of trails in national parks, conducted the Delphi survey and factor analysis, and generated the stress index by standardizing scores of factors contributing to the stress for each trail. As aresult, total eight factors contributing to the stress were considered and four of them, i.e. the amount of visits, the effect of visits, the degree of trail destruction, and species diversity, were selected to generate the stress index. How to weigh factors was determined by their importance obtained in the second Delphi survey and the average from a 5 point Likert scale. Then, the cumulative probabilities from the standardized scores were graded into five groups. In conclusion, there were twenty trails from the six national parks including Jirisan, Bukhansan, Deogyusan, Naejangsan, Seoraksan in the first grade which gained over 80 as the stress index.