• 재활복지공학회논문지
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• 제7권2호
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• pp.1-5
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• 2013

본 논문에서는 슬관절 의지 장치의 무릎 각도 제어를 통해 보행 상태를 추론하는 방법을 제안한다. 슬관절 의지의 제어에서 절대위치 엔코더를 이용해 무릎의 각도를 측정하고, 스트레인 게이지를 통해 발바닥의 부하를 측정하여 현재 보행 상태를 추론할 수 있다. 본 논문에서는 2개의 센서를 사용하여 현재 보행 상태를 4가지 상태로 추론하는 방법을 제안하였으며, 실험을 통하여 제안된 방법의 유효성을 보였다.

• Journal of Chest Surgery
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• 제47권1호
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• pp.66-70
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• 2014

A 10-year-old boy with arteriovenous malformation (AVM) of the right lower limb was scheduled for an amputation of the affected limb. Limb amputation was necessary because of the ineffectiveness of previous sclerotherapy and the rapid progression of AVM causing pain and heart failure. Right hip disarticulation was considered the best option to improve his quality of life. To prevent congestive heart failure and uncontrollable hemorrhage during surgery, the disarticulation was done under a partial cardiopulmonary bypass. The patient underwent surgery successfully without complications.

• 한국임상수의학회:학술대회논문집
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• 한국임상수의학회 2006년도 추계학술대회 및 정기총회
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• pp.135-135
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• 2006

• Archives of Reconstructive Microsurgery
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• 제25권2호
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• pp.75-78
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• 2016

The method of lower limb reconstruction surgery is selected based on a patient's underlying conditions, general conditions, and wound status, and it usually varies from direct closure to skin graft and flap coverage. Herein, we describe a patient with Duchenne muscular dystrophy who developed critical limb ischemia after femoral cannulation for extracorporeal membrane oxygenation was used during knee disarticulation, which was followed by reconstruction of the defect around the knee using a pedicled anterolateral thigh flap and skin graft.

• 한국전문물리치료학회지
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• 제3권1호
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• pp.65-72
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• 1996

The purpose of this study was to introduce rotation-plasty procedure and prosthetic ambulation training. The recent development of chemotherapy and diagnostic facility have permitted the orthopaedic surgeons to try limb saving procedures rather than amputations for the treatment of the malignant bone tumors. If the tumors around the knee joint were treated by mid-thigh amputation or hip disarticulation, it would impose the client with a great handicap for rehabilitation. Rotation-plasty procedure was first done by Borggreve, in 1930 for the congenital short femur. Recently this procedure was used a malignant bone tumor at the distal femur by Kotz and Salzer in 1982. In spite of its cosmetic problem of the distal stump, this procedure has the great functional advantage of converting the above-knee amputation to the below-knee amputation. The inverted foot was also good to control the prosthesis as a below-knee stump and heel functioned as a patella to support the body weight. This 15 years old girl case was had rotation-plasty due to osteosarcoma of the distal femur with 3rd postoperative chemotherapy, and admitted to Yonsei rehabilitation hospital for prosthetic ambulation training. Then, the case had excellent functional results of prosthetic ambulation training with rotaion-plasty after 3 months.

• 에너지공학
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• 제27권3호
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• pp.48-56
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• 2018

The shell waste biomineralization process has known a tremendous metamorphosis and also the nanostructure with the identification of matrix proteins in oyster shells. However, proteins are represented in minor shell components and they are the major macromolecules that control biocrystal synthesis. Aragonite and calcite were derived from molluscan shells and evaluated the source of carbonate minerals and it helps for the formation of limestone. The oyster shell wastes are large and massive. The paleoecological study of oyster beds has discovered a near-shore and thin Upper Rudeis formation with storm influence during the accumulation of oysters with highly altered by disarticulation, bioerosion, and encrustation. It is possible even in the Paleozoic mollusks provided sufficient carbonate entirely to the source of microcrystalline of limestone. The present review is to discuss paleoecologically a number of oyster shell beds accumulated and sediment to form the different types of limestone during the Middle Miocene time.

• Archives of Reconstructive Microsurgery
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• 제2권1호
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• pp.46-52
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• 1993

Soft-tissue deficits over the plantar forefoot, plantar heel, Achilles tendon, and distal parts of lower leg are often troublesome to cover with a simple graft or local flap due to limited mobility of surrounding skin and poor circulation in these area. Soft-tissue reconstruction in these regions should provide tissue components similar to the original lost tissue, supply durability and minimal protective pressure sensation and result in a donor site that is well tolerated and treated. We analysed 7 cases that were treated with the Instep flap due to soft-tissue defects over these regions from July of 1990 to July of 1993. All flaps were viable and successful at follow-up. 1. The age ranged from 9 years to 60 years, and 6 cases were male and 1 case female. 2. The sites of soft-tissue loss were the plantar forefoot(1 case), plantar heel(3 cases), Achilles tendon(2 cases), and distal parts of lower leg(1 case). 3. The causes of soft-tissue loss were simple soft-tissue crushing injury(1 case), crushing injury of the 1st toe(1 case) and posttraumatic infection and necrosis(5 cases). 4. The associated injury were open distal tibio-fibula, fracture(2 cases), medial malleolar fracture of the ankle(1 case), Achilles tendon rupture(2 case) and 1st metatarso-phalangeal disarticulation(1 case). 5. The size of flap was from $3{\times}4cm$ to $5{\times}10cm$(average $4{\times}5.6cm)$. 6. In 7 cases, we were not to find post-operative necrosis and infection, non-viability, limitation of ankle joint, and gait disturbance caused by the Instep flap surgery. 7. This study demonstrates that the Instep flap should be considered as another valuable technique in reconstruction of these regions.

• Journal of Yeungnam Medical Science
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• 제4권1호
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• pp.145-149
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• 1987

경피요골동맥삽관후 수지괴사가 발생되어 손목을 절단한 1례를 보고하며, 동맥삽관후 수지괴사가 유발될 수 있는 요인으로는 사용된 카테터의 크기, 종류, 천자횟수, 삽관거치기간 및 카테터삽관후 유지방법외에도 환자의 혈액구성성분변화, 혈액응고장애, 심박출량감소상태, 성별 등을 들 수 있으며, 본원에서 발생된 예에서는 수술후 환자가 심히 움직여 끈으로 동맥삽관된 손목을 침대에 묶어 놓음으로써 카테터에 의한 혈관손상이 심했음이 가장 큰 원인일 것으로 추측되며 그 외에도 혈액성분변화 및 응고장애에 의해 심한 혈전형성이나 heparin용액의 간헐적 관류시 발생될 수 있는 혈전의 전색도 가능성이 있을 것으로 사료된다.

• 한국언론정보학보
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• 제81권
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• pp.40-74
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• 2017

서울시 마을미디어에 관한 분석작업을 통해 이 연구는 첫째, 공동체의 생성 원리는 본질적으로 정해져 있지 않으며 하나이지도 않으며 각기 고유성과 서로 간의 상이성을 띤다는 점, 둘째, 공동체 생성에 있어 역사적 맥락성, 사회적 조건성, 문화적 정향성, 주체의 의지와 열망의 접합이 주요한 요인으로 작동한다는 점, 셋째, 공동체의 형성에는 상이한 권력과 욕망이 전략적으로 연동한다는 점, 넷째, 공동체의 생성은 공동체의 활동, 특히 소통적인 활동과 동시적으로 이루어지며 공동체는 곧 소통과 동의어라는 점, 다섯째, 공동체는 사회의 순조건 안에서 배양되는 것이라기보다는 위태성, 부정성, 한계성을 껴안으며 되어가는 것이라는 점, 마지막으로 공동체는 고유한 감수성과 표현성을 생성하면서 특이한 문화적 언어를 표현한다는 점을 제안한다. 이를 통해 동질적이고 동질적 총체로 단순화하는 대신, 이질적인 타자들 사이의 접속과 해리, 수렴과 발산, 동일성과 차이의 계속되는 역동으로서 공동체를 개념화할 수 있다.

• 대한족부족관절학회지
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• 제6권1호
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• pp.21-27
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• 2002

Pressure sores are an ulceration and necrosis of the skin and underlying tissue usually occur after prolonged or repeated pressure by interruption of blood flow from the small. vessels to the skin and deep tissue. The management of pressure sores is mostly difficult and requires prolonged hospitalization or repeated surgical interventions with a high recurrence rate. In this article we reviewed 14 cases of National Pressure Ulcer Advisory Pannel staging III, IV over the lateral malleolar area of the ankle in 2 years period from January 1999 to October 2001. The pressure over lateral malleolar area was mainly due to unique Korean sitting position with cross legs at flexed hips and knees or supine position of patient with external rotation of low extremity. Male to female ratio was 11: 3 and ages were between 36 and 83 (mean age: 67.1 years). Associated diseases were DM(7 cases), Hemiparesis caused by CVA(2 cases), Liver cirrhosis(2 cases), disarticulation of opposite hip due to squamous cell ca.(1 case), Intertrochanteric Fx.(1 case). Wound cultures reported Staphylococus, Pseudomonas and others. Abnormally elevated ESR and CRP were seen in 6 cases. Operative treatments were irrigation and debridement, direct closure with gravity drainage and skin grafting. The most important aspect of pressure sore treatment is pressure relief of the lateral malleolar area. Pressure-relieving Cast or Brace was helpful for local management and preventing recurrence.