• Archives of Plastic Surgery
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• 제37권1호
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• pp.67-70
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• 2010

Purpose: Nerve sheath myxoma is a rare cutaneous neoplasm originating from the peripheral nerve sheath and divided into three groups : myxoid, cellular and mixed type. There is a controversy on it's origin whether schwannian cell or perineurial differentiation, or anything else. Myxoid nerve sheath myxoma is asymptomatic, soft, papule or nodule in middle-age adults. We report a case of myxoid nerve sheath myxoma on the fingertip. Methods: A 53-year-old woman presented with a painful, $0.4{\times}0.4{\times}0.6\;cm $sized, corn shaped nodule on the left 3rd fingertip. We put into surgical excision and studied it by histopathologically and specific immnohistochemical stain. Results: The tumor has well defined nodules separated by thin fibrous connective tissue with abundant myxoid stroma and were positively stainded for S-100 protein, NSE and GFAP. After surgical treatment it was healed without recurrence. Conclusion: Nerve sheath myxoma is rare neoplasm and located mainly on face, but very rarely on the fingertip. We report a case of painful myxoid nerve sheath myxoma located on the 3rd fingertip.

• 대한핵의학회지
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• 제39권2호
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• pp.114-117
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• 2005

As the indication of percutaneous coronary intervention (PCI) has expanded to the more difficult and complicated cases, frequent restenosis is still expected after PCI. According to AHA/ACC guideline of the present time, routine use of myocardial perfusion single photon emission tomography (SPECT) is not recommended after coronary intervention, but symptom itself or exercise EKG is not enough for the detection of restensis or for the prediction of event-free survival. In high risk and/or symptomatic subjects, direct coronary angiography is required myocardial perfusion SPECT could detect restenosis in 79% of the patients if performed 2 to 9 months after PCI. Reversible perfusion decrease in the myocardial perfusion SPECT is known to be the major prognostic indicator of major adrerse cardiac event in PCI patients and also the prognosis is benign in the patients without reversible perfusion decrease. Though the cumulated specificity is 79% in the literature and optimal timing of myocardial perfusion SPECT is in controversy, SPECT is recommended even in asymptomatic patients at 3 to 9 months after PCI. Considering the evidences recently reported in the literature, myocardial perfusion SPECT is useful for risk stratification and detection of coronary artery restenosis requiring re-intervention in the asymptomatic patients after PCI.

• 생태와환경
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• 제44권4호
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• pp.317-326
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• 2011

With its recent advances, nanotechnology is now being applied to various areas. Despite the benefits of nanoparticles, their risk in the environment has caused controversy, which is now becoming an international issue. Nanoparticles can easily infiltrate into cells, accumulate in biota, and may cause adverse effects in the levels of molecules, cells and organisms, and in the community. If nanoparticles are released into the environment, they can be transferred to organisms in the ecosystem, and eventually to the human body through the food chain. In this study, the research trend of the trophic transfer of nanoparticles in the food chain was investigated. Although a few investigations have been conducted regarding this topic, the trophic transfer of nanoparticles is becoming a significant issue in the area of nanotoxicology due to the potential risk to humans via the biomagnification process. While previous studies have demonstrated evidence of the trophic transfer of nanoparticles intensive future studies are needed to provide further information on the properties of nanomaterials, the exposure media, and the in vivo mechanisms such as uptake, accumulation, and depuration.

• 대한후두음성언어의학회지
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• 제9권1호
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• pp.86-90
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• 1998

Verrucous carcinoma is a variant of highly differentiated squamous cell carcinoma and has a predilection for the oral cavity and larynx. It is known to be of good prognosis due to its low regional and distant metastatic potential. Peak incidence is at ages 40-69 while predominantly occuring in males and its association with tobacco smoking has been implicated. The verrucous carcinoma have accordingly been treated by radiotherapy or surgical procedures but there has been considerable controversy regarding the effect of radiotherapy due to the possibility of anaplastic transformation Laser surgery and partial resection are among the commonly used surgical procedures but laser surgery has not yet shown results in improving phonetic abilities. Authors experienced two cases of verrucous carcinoma of the larynx treated by partial laryngectomy and false vocal cord advancement flap who showed no recurrence of disease under stroboscopic examination after two year follow up and when compared to preoperative aerodynamic studies, the expiratory air pressure was decreased and mean air flow rate increased which improved glottal efficiency markedly.

• 한국문헌정보학회지
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• 제11권
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• pp.43-75
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• 1984

Information science is the study how in formation is transferred and all the intermediate steps of collecting, organizing, interpreting, storing, retrieving, disseminating and trans foming information. Professional education means the transfer of knowledge, the development of cognitive abilities and the infusion of professional attitudes. Training may be defined as practice-based instruction in the development and use of professional skills. Each is affected by the confluence of social, economic and technological realities of the environment where the learning takes place. We have witnessed controversy about methods of curriculum revision and change. Should information science courses be added to the traditional library science curriculum or should the new approaches be integrated within the subject matter of each individual course? The article is based upon the assumption that education for librarianship is at a turning point. To provide this information, 25 curricula of colleges and universities were analysed to assist in the study. Also 32 information professionals were asked to assist in the study. In the experimental part of this study, curricula based on the education and training of library and information profession als were examined. The most frequently offered compulsory course 'Introduction to Information Science' exposes students to a new way of looking at library and information problems. Information retrieval, library automation, computer programming, data processing, indexing and abstraction, communication, system analysis has offered. These indicate a curriculum slowly shift from traditional librarianship to an emphasis on computerization and automation. Also from a questionnaire listing 58 events might influence library and information science education.

• 멤브레인
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• 제23권2호
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• pp.136-143
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• 2013

최근 큰 각광을 받고 있는 표면개질소재 중 하나인 도파민은 알칼리 수용액상에서 자발적으로 반응이 진행되어 금속, 고분자 등 거의 모든 소재에 강하게 흡착되는 물질로 흡착 메커니즘 및 반응 후 최종구조에 관해 많은 논란이 있다. 기존의 도파민의 최종구조는 aryl-aryl 결합에 의한 고분자 구조가 제안되었지만, 본 연구에서는 구조분석을 통해 기존에 제안된 aryl-aryl 결합이 형성되지 않는 결과와 열적거동을 통해 고분자의 특징이 나타나지 않는 것을 확인하였으며, 기체투과거동을 통해 고분자와 같이 비다공성 코팅층을 형성하지 못하는 결과를 토대로, 도파민의 최종구조는 2차 결합에 의한 초분자 구조로 서로 응집되어 있는 것으로 판단된다.

• Archives of Plastic Surgery
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• 제39권4호
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• pp.301-308
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• 2012

In the treatment of mandibular condyle fracture, conservative treatment using closed reduction or surgical treatment using open reduction can be used. Management of mandibular condylar fractures remains a source of ongoing controversy in oral and maxillofacial trauma. For each type of condylar fracture,the treatment method must be chosen taking into consideration the presence of teeth, fracture height, patient'sadaptation, patient's masticatory system, disturbance of occlusal function, and deviation of the mandible. In the past, closed reduction with concomitant active physical therapy conducted after intermaxillary fixation during the recovery period had been mainly used, but in recent years, open treatment of condylar fractures with rigid internal fixation has become more common. The objective of this review was to evaluate the main variables that determine the choice of an open or closed method for treatment of condylar fractures, identifying their indications, advantages, and disadvantages, and to appraise the current evidence regarding the effectiveness of interventions that are used in the management of fractures of the mandibular condyle.

• Archives of Plastic Surgery
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• 제36권6호
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• pp.735-742
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• 2009

Purpose: The management of fractures of mandibular subcondyle continues to be controversial between open and closed treatment. The purpose of this article is to explain the endoscopic assisted open reduction and internal fixation and minimize the controversy. Methods: Nine patients of mandibular subcondylar fracture were reduced and fixed by using intraoral endoscopic - assisted open reduction and internal fixation and were followed up for 14 ~ 24 months after surgery. Results: Eight patients of mandibular subcondylar fracture had been treated without significant complications. One patient, whose malocclusion had been remained, was recovered normal occlusion by maxillomandibular fixation using intermaxillary screws for 3 weeks. Conclusion: The advantages of endoscopic - assisted open reduction and internal fixation are direct visualization, accurate fracture repair, minimized scar, decreased morbidity. And maxillomandibular fixation is not needed when it is done by accurate reduction and rigid fixation with one miniplate in the region of subcondylar fracture. With the above consideration, endoscopic - assisted open reduction and internal fixation can be considered as one of the best treament for subcondylar fracture of the mandible.

• Journal of Chest Surgery
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• 제16권4호
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• pp.476-484
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• 1983

Ventricular septal defect[VSD] associated with aortic regurgitation[AR] represents 2 to 7.5% of all VSD which is most common congenital heart disease. The aortic valve may by normal in infants with VSD, but the aortic regurgitation may be developed in these patients later. The aortic valve became fibrotic, thickened, deformed and prolapsed, so these late deformities require to be corrected with plication, valvuloplasty or aortic valve replacement [AVR]. There are some controversy between the early repair of VSD alone and the late repair of VSD and aortic valve till now. From December 1971 to August 1983, we had experienced 24 patients of VSD associated with AR which constitute 6.5% of our total patients with VSD. The VSD was subpulmoary [type I] in 14[58.3%], subcristal [type II] in 8[33.3%], atrioventricular canal type[type III] in 1, and combine of type I and II in 1. Patch repair of VSD was made in 15 patients and direct suture of small VSD in 9.14 patients had aortic plication of valvuloplasty and 9 had AVR accompanying VSD repair, and 1 patient had VSD closure alone. The postoperative courses of these patients were uneventful except in some cases. A patient who was undertaken AVR with Starr-Edwards ball valve and VSD closure, died due to left ventricular failure and low cardiac output syndrome. Follow up shows, in 14 patients with aortic plication or valvuloplasty, AR was developed in 9. In 9 AVR, there were two later complications which were paravalvular leakage in one and re-AVR due to subacute bacterial endocarditis in another.

• The Korean Journal of Pain
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• 제1권1호
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• pp.74-79
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• 1988

Caudal narcotic analgesia was assesses after the injection of 3mg morphine diluted in 30ml (physiologic) saline into the sacral canal in 15 Patients after upper abdominal surgery, in 20 patients after lower abdominal surgery under general anesthesia, and in 20 patients after perianal surgery under caudal block. Pain relief was evaluated by the subsequent need for systemic analgesics. All eases had considerable relief from pain an4 the morphine was effective for 12 or more hours. There were no significant differances between pain relief of the upper abdominal and lower abdominal surgery group, upper abdominal and perianal surgery group, and lower abdominal and perianal surgery group (p>0.05, p>0.05, p>0.05). It is suggested that the morphine, which was administered into the sacral, cannal, reached the subarachnoid space and produced it's effect by direct action on the specific opiate receptors in the substantia gelatinosa of th.8 posterior horn cell of the spinal cord. Consequently, whether analgesia from epidural narcotics appears to be segmental in distribution or not is still in controversy.