• Archives of Plastic Surgery
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• 제50권4호
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• pp.422-431
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• 2023

Background Posttraumatic lymphedema (PTL) is sparsely described in the literature. The aim of this study is to propose a comprehensive approach for prevention and treatment of PTL using lymphovenous anastomosis (LVA) and lymphatic vessels free flap, reporting our experience in the management of early-stage lymphedema. Methods A retrospective observational study was performed between October 2017 and July 2022. Functional assessment with magnetic resonance lymphangiography and indocyanine green lymphography was performed. Patients with lymphedema and functional lymphatic channels were included. Cases with limited soft tissue damage were proposed for LVA, and those with acute or prior soft tissue damage needing skin reconstruction were proposed for superficial circumflex iliac artery perforator lymphatic vessels free flap (SCIP-LV) to treat or prevent lymphedema. Primary and secondary outcomes were limb volume reduction and quality of life (QoL) improvement, respectively. Follow-up was at least 1 year. Results Twenty-eight patients were operated using this approach during the study period. LVA were performed in 12 patients; mean reduction of excess volume (REV) was 58.82% and the improvement in QoL was 49.25%. SCIP-LV was performed in seven patients with no flap failure; mean REV was 58.77% and the improvement QoL was 50.9%. Nine patients with acute injury in lymphatic critical areas were reconstructed with SCIP-LV as a preventive approach and no lymphedema was detected. Conclusion Our comprehensive approach provides an organized way to treat patients with PTL, or at risk of developing it, to have satisfactory results and improve their QoL.

• Clinical and Experimental Pediatrics
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• 제63권8호
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• pp.291-300
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• 2020

Advances in autoimmune encephalitis studies in the past 10 years have led to the identification of new syndromes and biomarkers that have transformed the diagnostic approach to the disorder. The disorder or syndrome has been linked to a wide variety of pathologic processes associated with the neuron-specific autoantibodies targeting intracellular and plasma membrane antigens. However, current criteria for autoimmune encephalitis are quite dependent on antibody testing and responses to immunotherapy, which might delay the diagnosis. This form of encephalitis can involve the multifaceted presentation of seizures and unexpected behavioral changes. The spectrum of neuropsychiatric symptoms in children is less definitive than that in adults, and the incorporation of clinical, immunological, electrophysiological, and neuroradiological results is critical to the diagnostic approach. In this review, we document the clinical and immunologic characteristics of autoimmune encephalitis known to date, with the goal of helping clinicians in differential diagnosis and to provide prompt and effective treatment.

• 대한치주과학회:학술대회논문집
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• 대한치주과학회 2008년도 춘계학술대회
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• pp.11-12
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• 2008

• 보건교육건강증진학회지
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• 제28권5호
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• pp.17-34
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• 2011

Objectives: The purposes of this study were to describe comprehensive health promotion policies for university students in Korea and to discuss the implications based on the socio-ecological approaches. Methods: A web-based search was performed to identify empirical programs and literature to develop health promotion policies and strategies in university settings. Results: Five domains for policy development are suggested for comprehensive health promotion policies in universities: evidence-based policy development; establishment of supportive policy through network and partnership; infrastructure of university; systems approach with education, environment, enforcement and policy tailored for universities; and sustainability for policy implementation. Conclusions: For healthy universities and students, government, community, health professionals, organizations and universities are all responsible as main agents for the five domains suggested in this study. Multi-level approaches with political, organizational and environmental changes should be sustained as an ongoing process.

• 농촌지도와개발
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• 제11권2호
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• pp.303-320
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• 2004

Comprehensive rural village development projects were launched by MAF(Ministry of Agriculture and Forestry) and KARICO (Korea Agricultural and Rural Infrastructure Cooperation). Since 2004, they received much attention for rural development policy, such as the bottom-up approach, inducing participation of residents and enhancing regional capacity. However, there still remain several problems to be solved. The purpose of this study was to suggest methodologies to facilitate residents' participation in comprehensive rural village development projects by literature review. The core problems of comprehensive rural village development projects in the planning stage were the conflicts among residents and the lack of resident capacity for rural development. Based on the findings of this study, the following recommendations were made to facilitate the residents' participation. In order to reinforce the residents' participation, the mediating skills of conflicts among residents and the strategies for strengthening the residents' capacity should be introduced in comprehensive rural village development projects.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제30권2호
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• pp.150-156
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• 2004

The etiology of the obstructive sleep apnea includes the various factors such as anatomical abnormality in upper airway, craniofacial structure, obesity and personal habit. To establish reasonable treatment plan, multi-department approach is should be emphasized because the treatment modality is depend on the result of analysis for degree & site of obstruction and various behavioral factors. In Sleep Clinic in Keimyung University Medical Center, the standard of care for sleep apnea patient was established according to the Standard of practice committee of Americal Sleep Disorders Association. After one year experience of comprehensive approach for sleep apnea we could achieve following recommendation for the treatment. 1) The multi-department examination and diagnosis could prevent unnessesary treatment because the treatment plan could be established under comprehensive discussion. 2) Determination of the site of obstruction is important for treatment planning. However, no single determinant could be found. We expect multi-department approach can reduce the mistake in detection of obstruction. 3) Further evaluation of treatmet outcome should be succeeded to establish Korean standard of care for sleep apnea treatment.

• Journal of Korean Neurosurgical Society
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• 제62권3호
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• pp.328-335
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• 2019

Epilepsy is one of the most common chronic neurological disorder affecting 6-7 per 1000 worldwide. Nearly one-third of patients with newly diagnosed epilepsy continue to have recurrent seizures despite adequate trial of more than two anti-seizure drugs : drug-resistant epilepsy (DRE). Children with DRE often experience cognitive and psychosocial co-morbidities requiring more urgent and aggressive treatment than adults. Epilepsy surgery can result in seizure-freedom in approximately two-third of children with improvement in cognitive development and quality of life. Understanding fundamental differences in etiology, co-morbidity, and neural plasticity between children and adults is critical for appropriate selection of surgical candidates, appropriate presurgical evaluation and surgical approach, and improved overall outcome.

• 한국융합학회논문지
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• 제13권4호
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• pp.195-201
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• 2022

21세기 화두인 4차 산업혁명의 핵심은 최첨단으로 발전하고 있는 다양한 기술들의 융합에 있다. 따라서 다양한 관점에서의 문제해결을 위해 융합 교육은 필수적이라 할 수 있다. 무엇보다 미래사회의 인간과 기술의 접점에서 발생하는 복합문제를 해결하기 위해서는 인문학적, 예술적 접근을 통한 통찰력이 필요하다고 보았다. 이제 대학은 새로운 디지털 환경에 적응하기 위해 다 학적으로 종합설계를 운영하려 하고 있다. 본 연구에서는 연구자가 운영한 예술을 접목한 공학 종합설계 교과목의 운영사례를 기술하였다. 연구자는 1. 문제 인식 및 정의, 2. 아이디어 도출 및 평가, 3. 프로젝트 개발, 4. 발표 및 시연의 프로세스 운영방식을 적용하여 종합설계 교과목에서의 예술 융합형 교육과정을 제시하였다. 본 연구를 통해 학생들에게 프로젝트 개발에 있어 예술적 심미안과 감성적 접근을 시도하게 함으로써 공학 계열 종합설계 교과목에서의 예술 융합 운영방식을 제시하였다는 데 의의가 있다.

• 대한심미치과학회지
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• 제12권2호
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• pp.7-16
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• 2003

• 대한치과교정학회:학술대회논문집
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• 대한치과교정학회 2005년도 제38회 학술대회
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• pp.65.3-66
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• 2005