• The Journal of the Korean bone and joint tumor society
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• v.10 no.2
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• pp.71-78
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• 2004

Purpose: The purpose of this study is to investigate the characteristic of recurred giant cell tumor after bony curettage and cementation, and to review a way to prevent the recurrence. Materials and Methods : Thirty seven cases were analyzed, which were pathologically diagnosed giant cell tumor after diagnostic biopsy or surgical excision, followed by curative curettage, burring and cementation. Location, character, and time interval to recurrence were reviewed. Results: Thirteen out of thirty seven analyzed cases(35%) showed recurrence after primary curettage and cementation. The mean interval to recurrence was sixteen months(5 months to 43 months). Most of recurrence happened within the first two years except two cases. Among the recurred cases, eleven showed recurrence in the vicinity of window area. Two cases recurred in the depth of bone marrow, where cementation was made. The advantage of curettage and cementation is the immediate stability of the operation site, early rehabilitation, and early detection of recurrence. Furthermore, cementation is beneficial in that the cement-producing heat can eradicate the residual tumor burden. In this study, 85% of cases with insufficient curettage (for example, in cases where too small surgical window was made, or where there were anatomical difficulty in approaching the target tumor burden) showed recurrence. Conclusion: Bony curettage, burring and cementation is widely used as the primary curative modality for giant cell tumor. A few other modalities such as chemical cautery using phenol and $H_2O_2$; cryotherapy; and anhydroalcohol have also been introduced, but the benefit of these are still questionable. For some cases that relatively small surgical window was made due to anatomically complicated structures (such as ligament insertion or origin site) over the target tumor burden, unsatisfactory curettage and burring was made. This study showed high chance of recurrence after unsatisfactory curettage, and 85% of recurrence developed in the vicinity of the small window area. Most of the recurrence occurred within the first two years. It is concluded that sufficient window opening, extensive curettage and eradicative burring are key factors to prevent recurrence. Also, it should be reminded that careful and close observation should be made for at least the first two years after initial treatment for early detection of recurrence.

• Journal of the Korean Arthroscopy Society
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• v.13 no.1
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• pp.46-52
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• 2009

Purpose: To evaluate the usefulness of minimally invasive arthroscopy-assisted plate removal of a laterally inserted periarticular distal femur plate used for the treatment of AO type-C distal femur fractures. Materials and Methods: From October 2002 to November 2005, we evaluated 17 patients whose plates were removed through minimally invasive arthroscopy-assisted plate-removal technique and 15 patients who got their plates removed through conventional method without using arthroscopy, 32 patients in total. All these patients included in this study initially underwent open reduction and internal fixation of the distal femoral fractures with a lateral plate, and complained of continued pain over the lateral femoral condyle after the fracture fixation. The average age was 42.6 (ranges: 20~66) and initial fracture types included 16 cases of C1, 11 cases of C2, and 5 cases of C3 following AO/ASIF classification guidelines. Measured outcomes included: associated intra-articular pathologies, time needed to return to activities of daily living, patients' overall satisfaction, complications following the removal of hardware, and pain before and 6 months after the operation. Results: The distal-most end of the plate was placed in the knee joint in all cases and damage of the lateral articular capsule was found in 23 cases. Continuous wound discharge after surgery was found in one case who underwent arthroscopy-assisted plate removal, and it was treated by irrigation and re-suture. Average time needed to return to activities of daily living was 7 days in arthroscopy assisted group and 7.6 days in conventionally removed group. Fourteen patients (82.4%) who underwent arthroscopyassisted plate-removal reported above 'fair' satisfaction and the Visual analog scale pain score decreased from 4.9 to 1.9, six months after the plate removal. Thirteen patients(86.7%) who underwent conventional plate removal reported above 'fair' satisfaction and the Visual analog scale pain score decreased from 5.2 to 2.5, six months after the operation. Conclusion: Through minimally invasive arthroscopic-assisted plate removal, intrarticular pathology of the knee joint was able to be simultaneously identified and treated at the time of hardware removal. Damage of lateral capsule of the knee joint caused by the inserted plate for the treatment of type C distal femoral fracture was very frequently found and following the plate removal, patients experienced an improvement in pain score. We therefore recommend routine lateral distal femoral plate removal if the bony union is attained in such cases as type C distal femoral fractures whose distal most end of the plates are located in the joint.

• Proceedings of the KIEE Conference
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• 2006.11a
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• pp.69-71
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• 2006

국내 전력수요의 지속적인 증대로 인한 원거리의 발전단지의 대용량화에 따라 대용량 전력을 안정적으로 공급하기 위한 전력변환기술 수요가 증대될 것으로 전망된다. 또한, 규제완화와 민영화로 대표되는 전력 산업의 환경변화에 능동적으로 대응할 수 있는 새로운 형태의 대용량 전력수송 기술 개발과 지역계통간의 연계방안의 확립은 국가 전력 부문 경쟁력 강화의 핵심 요인으로 등장하고 있다. 최근 무효전력의 별도 보상이 필요없는 전력변환방식으로 전압형 인버터방식이 개발되어 상용화되고 있으며, 다양한 형태로 전력계통에 적용되고 있다. 본 논문에서는 신기술 FACTS 설비를 소개하고, VSC 전력변환 기술을 이용한 FACTS 설비의 전력계통 적용 시 계통운용 측면에서 필요한 특성을 분석하기 위한 계통해석 방안에 대해 기술하였다. 또한, 풍력단지 및 섬 지역에 대한 계통연계의 해외 주요 적용 사례를 분석하고, 국내계통에 대해 수도권-충남 지역간 북상조류 전송선로 보강 방안 검토사례를 발표하였다.

• Journal of Chest Surgery
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• v.30 no.2
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• pp.158-163
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• 1997

From July 1994 to August 1995, 32 patients underwent coronary artery bypass surgery. There were 14 men and 18 women. The mean age was 59 years (range from 37 to 81 years). Preoperatively 26 patients had unstable angina pectoris and 6 patients had stable angina pectoris. Nine patients had previous myocardial infarction hi tory. Five patients had preoperative left ventricular ejection fraction of 40% or less, The involved risk factors were as follows ; smoking 19 cases, hypertension 16 cases, hypercholesterolemia 14 cases, diabetes mellitus 6 cases, and obesity 3 cases.21 patients had three-vessel disease, 7 patients had two-vessel disease, 2 patients had one-vessel disease and 2 patients had left main coronary artery disease. We performed 103 distal bypasses out of 32 cases, and the mean number of grafts per patients is 3.22. We used arterial grafts (left internal mammary artery,)1, radial artery; 2) in 32% of total grafts. Postoperative complications were low cardiac output, perioperative myocardial infarction, respiratory failure and atrial fibrillation, etc. Early mortality was 6.25% (2/32). The causes of deaths were low cardiac output (1), and perioperative myocardial infarction(1).

• Journal of Industrial Convergence
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• v.21 no.4
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• pp.81-89
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• 2023

This study try to confirm the relationship between clinical reasoning competence, critical thinking propensity, and confidence in performing core basic nursing skills among nursing students. The subjects of the study were 157 third and fourth year nursing students at D University in Daejeon, and the survey was conducted through a self-questionnaire from Nov. 2 to Nov. 15, 2022. The collected materials were analyzed using the SPSS/WIN26.0 program. The results showed the correlation between clinical reasoning competence and critical thinking propensity (r=.417, p<.001), clinical reasoning competence and core basic nursing performance confidence (r=.659, p<.001), critical thinking propensity and core basic nursing performance confidence (r=.303, p<.001). Therefore, the results of this study can be used as a basis for developing various curriculums to increase the confidence of nursing college students in performing core basic nursing techniques.

• Journal of Chest Surgery
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• v.34 no.3
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• pp.256-259
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• 2001

식도 결핵은 아주 드문 질환으로 연하곤란과 흉통이 가장 흔한 증상이면 다량의 토형은 드문 것으로 되어 있다. 본원에서는 다량의 토형을 동반한 식도 결핵에 의한 식도 대동맥루를 가진 환자를 지험했다. 4세 남자 환자는 다량의 토혈로 응습실을 통해 입원했다. 내원 당시 응급으로 시행한 내시경 검사상 incisor로부터 25cm 하방에 0.7 cm의 풍부한 혈관성의 육아종성 병변을 발견하고, 응급개흉술로 식도의 종양성 병변에 대해 쐐기 절제술을 시행하였다. 식도의 종양성 병변부위는 대동맥과 심게 유착되어 있었고 식도에서 대동맥쪽으로의 식도루를 이중 결찰했다. 환자는 술후 8일째 갑작스런 흉관을 통한 다량의 출혈과 구토 후 토형이 있어 응급 재 개흉술을 시행하여 대동맥파열과 식도 문합부 파열을 확인하였으나 더 이상의 교정이 불가능하여 사망하였다. 이에 문헌고찰과 함께 보고하는 바이다.

• The Korean Journal of Pain
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• v.5 no.1
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• pp.113-116
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• 1992

The psoas compartment block has been advocated as the technique of choice for the surgical correction of the fractured neck of the femur. It is, moreover, widely used as a technique for postoperative analgesia. This block has not been discribed in the treatment of pain in cancer patients unitl 1988. A 54-year-old woman with advanced stomach cancer complained of pain in the right leg. Psoas compartment block using bupivacaine and methylprednisolone; was effective for pain control. Psoas compartment block is a useful procedure and can be of particular use in patients who have not responded to opiates or find the side effects intolerable.

• Journal of Veterinary Clinics
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• v.18 no.2
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• pp.164-166
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• 2001

An eight-month old female mixed breed dog was presented to the at Gyeongsang National University Animal Hospital, for tarsocrural arthrodesis. Previously the dog had been presented to a local animal clinic. Orthopedic and blood examinations were conducted. There was absent response of conscious proprioception on the right tarsocrural articulation. The dog stood knuckled onto the digits and had hock dropped but showed normal values in WBC, RBC, Hb, PCV, BUN, creatine, glucose, cholesterol, AST and ALT analyses. The dog was anesthetized and prepared for aseptic surgery. Steinmann pin and Joshi external fixators were applied(bilaterally). 11 weeks after the operation, the external fixators were removed from the bones. The hock dropped was well stabilized, but mild knuckling of distal metatarsopharangeal joint was remained.

• Journal of Sensor Science and Technology
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• v.14 no.6
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• pp.381-386
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• 2005

A Co-C eutectic cell for thermocouple calibration was manufactured and tested to investigate its phase transition characteristics using Type B thermocouples. It was observed that the freezing plateaus were flatter than those of melting, but the melting points were closer to the true transition temperature than the freezing points. The expanded uncertainty of melting temperature was calculated not to exceed $0.2^{\circ}C$ (k = 2). Based on the observed results, the melting process is recommended for the calibration of thermocouples.

• Proceedings of the KIPE Conference
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• 2006.06a
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• pp.181-184
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• 2006

FACTS 기술은 송전계통에 전압원 인버터를 설치하여 모선 전압과 전력조류를 제어하므로 송전용량 증대 및 계통 안정도 향상을 가능케하는 신기술이다. 국내에서는 2003년 최초의 FACTS Pilot Plant인 80MVA UPFC가 154kV 강진 변전소에 설치되었다. UPFC는 STATCOM과 SSSC가 DC 커패시터를 통하여 결합된 구조로 되어 모선전압과 유효/무효전력 조류의 독립적인 제어가 가능하며 계통 운전 상황에 따라 STATCOM과 SSSC의 단독운전 또한 가능하다. 따라서 STATCOM 및 SSSC 단독운전시의 계통영향에 대한 분석이 필요하다. 본 논문은 EMTDC 모델을 이용하여 현재 운전중인 강진 변전소 UPFC의 직렬 운전모드인 40MVA SSSC의 제어특성과 운전효과 분석에 대하여 기술하였다.