• 한국지역지리학회지
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• 제20권3호
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• pp.300-314
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• 2014

이 논문은 중형의 조선전도인 목판본 "대동여지전도"의 지도적 특징에 대해 체계적으로 살펴보는 것을 목적으로 삼았다. 첫째, 서울에서 고을까지의 거리 정보가 김정호의 미완성 필사본인 "대동지지"와 동일하여 이 지도의 제작자가 김정호일 가능성이 높음을 확인하였다. 둘째, 지도의 제작자가 이 지도에서 가장 자세하고 정확하게 표현하고 싶었던 정보는 도로망과 서울에서 고을까지의 거리 정보였고, 이를 위해 고을의 기호를 아주 작게 만드는 독특한 선택을 하였다. 셋째, 도로망, 거리 정보, 산줄기 물줄기와 섬 등의 정보 선택과 표현에서 "대동여지전도"는 "대동여지도"의 단순한 축소판이 아니라 또 하나의 창조적 작품이라고 불러야 할 정도로 질적으로 다른 측면이 많았다. 넷째, 중형의 조선전도나 도별도와 비교할 때 도로망과 산줄기 물줄기의 정보를 가장 자세하고 분명하게 표현하려 했다는 점에서 "대동여지도"와 "대동여지전도"는 동일한 고민이 담겨 있는 작품이기도 하다.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제3권1호
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• pp.116-121
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• 2000

저자들은 내원 3주 전부터 점차 악화되는 구토와 우상복부 동통을 주소로 내원한 11세 여아에서 복부 방사선 검사상 췌장 두부의 종괴를 발견하여 치료로서 단순 종괴 제거술을 시행하였고 조직 검사상 고형 및 유두상 상피성 종양으로 진단된 환아 1례를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.

• 대한족부족관절학회지
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• 제14권1호
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• pp.31-35
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• 2010

Purpose: Painful plantar callosities under the second, third or fourth metatarsal head have been controverted about its treatment mordalities. We performed the vertical chevron osteotomy in patients with painful callosities on the second and third metatarsal head, and evaluated the outcome clinically. Materials and Methods: Fourteen cases from 10 patients who had plantar keratosis were operated by vertical chevron osteotomy from March 2005 to October 2008. We used K-wire fixation for all cases. We evaluated the clinical results by the patients' satisfaction and disappearance of plantar lesion. Results: The plantar keratosis was completely disappeared in 8 cases and partially in 5 cases. In 2 cases, patients expresses their pain caused by constant metatarsalgia that was suspected to be dorsal incisional pain and joint capsulitis. Transmetatarsalgia was not appeared. Conclusion: We consider vertical chevron osteotomy as a good surgical method for treatment of plantar keratosis.

• 대한족부족관절학회지
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• 제18권4호
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• pp.202-207
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• 2014

Purpose: The purpose of this study was to evaluate the radiological and clinical outcomes of tibiotalocalcaneal arthrodesis using retrograde compressive intramedullary nail for patients with complex hindfoot problems, including Charcot arthropathy, osteonecrosis of talus, combined arthritis of the ankle and subtalar joint, failure of previous ankle arthrodesis, and failed total ankle arthroplasty. Materials and Methods: Eighteen consecutive patients (10 men and 8 women) with an average age of 54 years (range, 42~72 years) underwent tibiotalocalcaneal arthrodesis using retrograde compressive intramedullary nail fixation. The mean duration of follow-up was 16 months (range, 12~23 months). Radiological evaluation included assessment of the union status of ankle and subtalar joints. Clinical evaluations included visual analogue scale (VAS) for pain and patient satisfaction, and postoperative complications were analyzed. Results: Radiological union was achieved in 14 ankle joints (77%) and 16 subtalar joints (88%) at an average of 16 weeks (range, 14~40 weeks) and 14 weeks (range, 12~24 weeks), respectively. The preoperative VAS were 4.6 (range, 4~8) at rest and 8.2 (range, 7~10) during walking, and the postoperative VAS were 2.2 (range, 0~3) and 4.6 (range, 4~6), respectively (p<0.05). There were 6 nonunions (4 ankle joints and 2 subtalar joints), 3 tibia fractures, 2 delayed union of ankle joints, and 2 breakage of the implant. Conclusion: Tibiotalocalcaneal arthrodesis using retrograde compressive intramedullary nail may be considered as a viable option in patients with complex hindfoot problems.

• 대한한의학원전학회지
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• 제32권3호
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• pp.31-45
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• 2019

Objectives : This paper aims to suggest alternative interpretations to previous ones of 'Daedong-eo-Hyeobui(大同於協義)' and 'Gakrip-eo-Cheonri(各立於擅利)' in the chapter 'Theories on Nature and Conduct(性命論)' in Donguisusebowon(東醫壽世保元) which have been found to be inadequate. Methods : Previous interpretations were thoroughly examined, then evaluated based on the narrative form and logical probability of the Donguisusebowon(東醫壽世保元). Afterwards, correct interpretations of the contents were suggested based on the context of the chapter 'Theories on Nature and Conduct(性命論).' Results & Conclusions : Of 'Daedong-eo-Hyeobui(大同於協義)', Daedong(大同) should be interpreted as 'to gather largely' instead of 'all the same.' Hyeobui(協義) should be interpreted as 'to submit willingly' and not 'to cooperate to Ui(義).' In the case of 'Gakrip-eo-Cheonri(各立於 擅利)', Gakrip(各立) means for people of same minds to rise against evil individually while Cheonri(擅利) refers to the evil of coveting for gains individually. There are other cases where existing interpretations have been erroneous other than the suggested examples, which prompts thorough re-evaluation of the text.

• 대한족부족관절학회지
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• 제17권3호
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• pp.220-224
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• 2013

Purpose: When medial protrusion in the base of proximal phalanx is severe from removing metatarsal bunion during the hallux valgus surgery, it could lead to skin irritation and medial pain after the surgery. The purpose of this paper was to report our clinical and radiographic results with transarticular fixation of Akin osteotomy for the treatment of patients with hallux valgus after resection of the medial protrusion of base of the proximal phalanx. Materials and Methods: Our study is subject to 34 cases of 30 patients who went through proximal phalanx medial corticectomy among patients undergone both hallux valgus surgery and Akin osteotomy at our institution from March 2006 to March 2012. In all cases, we used absorbable suture material through the articular surface for Akin osteotomy after resection of the medial protrusion in proximal phalanx. Radiographs were reviewed to assess the union and displacement of osteotomy site at the time of postoperative 6 months. The clinical results were assessed by using AOFAS score and complication such as skin irritation and pain. Results: AOFAS score was improved from average 44 points(36-58), before operation and average 87 points(74-96), 12 months after operation. In two cases, partial union was suspected in radiological perspective, however, complete union on the osteotomy site was observed in all cases, 12 months after the operation. No patients was dissatisfied with pain, joint discomfort, skin irritation and inflammation from the knot. Conclusion: When medial protrusion in the base of proximal phalanx is severe from removing metatarsal bunion during the hallux valgus surgery, We have good results by transarticular fixation of Akin osteotomy using absorbable suture material.

• 한국건설순환자원학회지
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• 제4권2호
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• pp.7-17
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• 2009

• 대한족부족관절학회지
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• 제6권1호
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• pp.86-91
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• 2002

Purpose: This study was designed to evaluate whether the method "Distal pulling with wire" after primary repair of Achilles tendon, can result in early restoration of ankle motion. Materials and Methods: In 14 cases of tendocalcaneus repair, the proximal stump was pulled down distally by wire and fixed the ends of wire to the transcalcaneal K - wire. We evaluated the range of motion of ankle joint at 4th, 6th, 12th week in 10 patients whom we followed up for more than 1 year. We evaluated the results of Achilles tendon repair by Hooker's criteria. Results: Range of motion of ankle joint revealed as follows. Degree of mean dorsiflexion improved - $5.1^{\circ},\;15.0^{\circ},\;22.4^{\circ}$ at 4th, 6th and 12th week respectively, while plantarflexion improved $21.5^{\circ},\;32.7^{\circ}$ and $42.3^{\circ}$ respectively. At one year follow up, seven of them had no problems in active daily life and sports activities. According to Hooker's criteria, the result rated excellent in nine, satisfactory in one. Conclusion: Early gain of ankle joint motion was possible by "Distal pulling with wire" after primary repair of Achilles tendon.

• 공학논문집
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• 제2권1호
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• pp.175-182
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• 1997

문경탄전 남서부의 점촌화강암체는 평안누층군의 지층을 관입하고 있으며 대동누층군의 퇴적암체에 의해 비정합으로 피복되어 있다. 이는 점촌화강암체 관입시기의 추정연대 하한이 평안누층군의 퇴적이후인 페름기말, 상한은 대동누층군의 퇴적이 시작되기 전인 트라이아스기 초로 매우 짧은 기간의 연대추정을 가능하게 한다. 문경지역 남서부에서 관찰되는 드러스트는 일부에서 점촌화강암체에 의해 관입되고 있으며 일부에서는 대동누층군 암체를 평안누층군 암체 상부로 올려놓고 있어서 적어도 2회의 조구조 운동에 의해 형성되었다고 해석된다. 첫 번째의 드러스트 운동은 평안누층군 퇴적암체의 퇴적이 완료된후 점촌화강암의 관입이 일어나기 이전인 페름기말과 트라이아스기 초 사이에서 발생하였으며 두번째의 트러스트 운동은 대동누층군 암상의 퇴적이 완료된 쥬라기 초기 이후로 해석된다.

• 대한족부족관절학회지
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• 제15권3호
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• pp.149-152
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• 2011

Purpose: The Akin osteotomy which is a closing wedge osteotomy of the proximal phalanx widely used for the correction of hallux valgus has several methods of fixation. we tried to report the effects of the fixation using an absorbable suture material during the Akin osteotomy for the hallux valgus. Materials and Methods: This study was based on 448 cases of 346 patients who were able for follow-up more than 12 months among the patients who had an Akin osteotomy together with the surgery of hallux valgus between March of 2006 and May of 2010. Absorbable suture material had been used in all cases. Radiologically displacement and union of osteotomy site were observed after the surgery, and clinically postoperative complication such as skin irritation, pain and satisfaction were investigated. Results: Radiologically all cases had showed complete union and no case had the loss of an correction due to loss of fixation. Also, any case had no skin irritation due to a knot. Three cases had a medial cortical breakage due to a strong knot, and the initial one case among them had additionally fixed the osteotomy site for four weeks using K-wire, and the remaining two cases had fixed a suture on an articular surface without any fixation of an additional wire. If a medial cortical bone was lost by carrying out an ostectomy due to proximal protrusion of proximal phalanx, three cases could show union through the fixation of suture on an articular surface. Conclusion: This study considers that the fixation of the osteotomy site using an absorbable suture material in an Akin osteotomy was effective method and the advantage of this procedure was unnecessity of the material removal and no skin irritation.