• Archives of Reconstructive Microsurgery
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• 제8권1호
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• pp.15-21
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• 1999

Soft tissue defect on heel area of the foot present difficult problems particularly because of anatomic property of plantar surface of the foot. There is a paucity of available local tissue in the foot for coverage. In addition to having little expandable tissue, the foot's plantar surface has a unique structure, making its replacement especially challenging. Plantar skin is attached to the underlying bone by fibrous septa, preventing shear of the soft-tissue surfaces from the underlying skeleton. Plantar surface of foot is in constant contact with the environment. Protective sensibility also would be maintained or restored in the ideal reconstruction. So the ideal flap for reconstruction of the heel should include thin, durable hairless skin with potential for reinnervation. The aim of this article is to present a clinical experience of free lateral arm neurosensory flap for reconstruction of the heel. From March 1995 to December 1997, a total 16 lateral arm free flaps were performed to soft tissue defects on the weight-bearing area of the hindfoot. we used tibial nerve as recepient nerve in 11 and calcaneal branch of tibial nerve in 5 for restoration of sensibility of flap. All cases survived completely. A static two-point discrimination of 14 to 34mm was detected in the flap. Radial nerve palsy which was caused by hematoma in donor site occured in one case, but recorverd in 3 weeks later completely. In conclusion, the lateral arm free flaps are versatile, reliable and sensible cutaneous flap and especially indicated for soft tissue defect on plantar surface of the hindfoot which are not good indications for other better-known flaps.

• Archives of Reconstructive Microsurgery
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• 제21권2호
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• pp.143-148
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• 2012

Purpose: This report presents the authors' experience of twelve patients with sural artery flap for soft tissue defects around the knee joint. Materials and Methods: The patients' age ranged from 25 to 80 years; seven of the patients were male and five were female. The cause of soft-tissue defects involved wide excision for malignant soft tissue tumor, tumor prosthesis related infection, infection after total knee arthroplasty and chronic osteomyelitis. Postoperative range of motion was checked. The sensibility of flap was evaluated by Semmes-Weinstein monofilaments and two-point discrimination. Results: All flaps survived and provided satisfactory coverage of the defect. There was no complication except one delayed skin graft incorporation at donor site. Seven knee joints which had been stiff previously gained average 58 degrees of ROM postoperatively. All flaps retained sensibility and showed no significant increase in sensory thresholds comparing with contralateral side. Conclusion: Sural artery flap not only shows high survival rate and broad coverage ability, but also offers improvement in range of motion and preservation of sensation. We speculate that sural artery flap is valuable for the reconstruction of the soft tissue defects around knee joint.

• Archives of Reconstructive Microsurgery
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• 제13권1호
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• pp.7-13
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• 2004

Purpose: The purpose of this study was to present the clinical analysis of the results and our experience of the replantation surgery of the great toe. Materials and Methods: Between March 1995 and December 2002, twelve great toes, amputated from the distal phalanx to proximal phalanx were replanted. The complete types were 5 cases and incomplete types were 7 cases. The guillotine injuries were 4 cases and the crushing injuries were 8 cases. Results: Replantation in eleven out of the twelve amputations survived. The cases of revision were 3 cases due to venous thrombosis. Patients were followed up for a mean period of 2.2 years. The mean total active motion of the first MTP joint was $80^{\circ}$. The fusion of IP joint was carried in 7 cases due to the amputation of the IP joint level. The shortening of the replanted great toes was present, with average 0.9cm. The two point discrimination was 7-8mm except 2 cases with loss of nerve. Conclusion: Although replantation of the great toe remains to be controversial, replantation of the great toe should be considered in well-motivated patients because successful replantation regains an important component of the foot and good functional, cosmetic results.

• 지역사회간호학회지
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• 제30권3호
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• pp.324-335
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• 2019

Purpose: The purpose of this study is to understand nursing college life experiences of North Korean Defectors and identify their meanings. Methods: The study collected data through individual in-depth interviews among six undergraduates or graduates from nursing colleges, using phenomenological research methodology of Colaizzi-one of qualitative research approaches. Results: Six categories drawn as a result of research include 'Be bumped against hard reality wall', 'Bondage of discrimination and prejudice', 'Endure and stand with strength of faith', 'Myself grown up along with work', 'Becoming one amid differences', and 'Stepping towards unification'. Conclusion: The result of this study would contribute to understanding academic and interpersonal difficulties North Korean defectors might experience at nursing colleges. And it may also help people to learn that they would play an important role in integration of the nursing fields of South and North Korea as well as the nation's unification. Along the way, the results of the study could be basic data to establish national policy helping North Korean defectors adapt to nursing college life, and develop the supporting system of colleges as well as setting up appropriate supports and measures from the perspective of the nursing field.

• 아동학회지
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• 제34권1호
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• pp.141-159
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• 2013

This study was conducted in order to develop an observation scale for analyzing the responses of child and therapist in child-centered play therapy in terms of item discrimination, validity, and reliability. The observation scale was developed on the basis of child-centered play therapy literature, the author's experience of child-centered play therapy, the observation of video tapes of play therapy session, and discussions with child-centered play therapy experts. The participants in this study were 54 children aged from 4 to 9 years old who have emotional and behavioral problems, and 7 therapists who consult with the children. The reliability of factors, as measured by inter-rater reliability and Cronbach's', ranged from .72 to .77. The results of factor analysis identified 2 factors and 21 items associated with the reponses of the children, and 2 factors and 19 items associated with the responses of the therapists. The significant factors identified were as follows; (1) the child's response style; (2) the child's response content (adaptability, initiation, structuring, flexibility); (3) the therapist's response style, and (4) the therapist's response content (facilitative response, structuring, nonfacilitative response). In conclusion, these results demonstrated that the observation scale provides a valid and reliable means of analyzing the responses of child and therapist in child-centered play therapy.

• 농촌계획
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• 제17권3호
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• pp.113-124
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• 2011

This study attempted to propose a space planning of rural villages having been connected by small-regions units as a plan of regional economic growth through cultivating native resources located in rural areas and then developing them. As research methods, this study carried out literature research and empirical study at the same time, and then was progressed to directions of deducing a basic plan by applying alternatives to actual object sites based on the results. Endogenous developments of areas through native resources' developments have been emphasized in Korea recently, and various policies and strategies are being appeared for making regional economic growth under these recognitions. However, rural village planning has directed to physical maintenances centering on functionality till now, and composed of facility repairs and experience projects of urban-rural interchanges mostly so as to solve living environments between cities and agricultural villages. Therefore, this study intended to pose discrimination with existing rural village planning, and set up a growth plan of rural villages by cultivating and developing tangible and intangible native resources having been kept in the rural villages and then commercializing them centering on indigenous native resources.

• Archives of Reconstructive Microsurgery
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• 제17권2호
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• pp.101-107
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• 2008

Purpose: Free flaps from the great toe are an established method for reconstruction of absent or partially amputated thumbs. However, options differ as to which technique represents the ideal solution for each level of amputation. Various methods of distal thumb reconstruction have been proposed. We prefer to transplant the entire great toe nail complex with the almost all of the pulp rather than a portion of the nail. This paper reflects our experience in using the great toe mini wrap-around flap for distal thumb reconstruction. Materials and Methods: In the period from October of 2005 to July of 2007, 9 patients were treated for traumatic thumb defects localized at the distal phalanx of the thumb. The patients included seven men and two women. The mean age was 44 years (range, 21~60) and the dominant right hand was involved in seven of nine patients. Results: The transferred flaps have survived completely in all cases. The mean range of motion in the interphalangeal joints was 51o, with 73% of the normal uninjured opposite hands. The two-point discrimination was 10.5 mm (range, 5~13 mm). In Semmes-Weinstein monofilament test, the sensibility was 4.31 in 4 cases, 3.61 in 3 cases and 2.83 in 2 cases. The pinch power was 64% (range, 55~95%) of the opposite hand. All patients were satisfied with the appearance of the reconstructed thumb and felt comfortable at final follow-up. Conclusion: We have successfully reconstructed 9 cases of traumatic distal thumb defects using the mini wrap-around free flap. The mini wrap-around free flap in great toe is an excellent alternative method for distal thumb reconstruction in selected patients.

• 사회복지연구
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• 제43권1호
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• pp.179-202
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• 2012

본 연구는 한국 화교노인에 대한 생애사 연구로 연구주체의 생애사 재구성 작업을 통해 한국사회와의 상호작용을 통해 형성된 화교노인의 정체성의 변화와 한국인에 대한 태도, 차별경험 등을 살펴보고자 했다. 연구는 Rosenthal(2008)에 의해 정교화 된 내러티브-생애사 분석방법으로 접근했다. 생애사 자료는 심층면담을 통해 수집했다. 자료는 Rosenthal(2008)의 분석방법에 근거하여 다음과 같은 3단계를 거쳤다. 첫 번째 단계에서는 연대기순 생애사를 구성했다. 두 번째 단계에서는 서사적 생애사를 재구성했고 세 번째 단계에서는 체험된 생애사를 구성했다. 연구결과 생애사 연구주체의 생애는 불시착한 한국 땅에서 생존하기 위해 한국인의 가면을 쓰고 살아온 삶이었지만 한편으로는 금의환향을 꿈꾸며 살아온 치열한 삶으로 분석되었다. 하지만 생애사 연구주체의 생애는 한국, 대만, 중국 어디에서도 환영받지 못하고 근거를 둘 수 없는 정체성 상실의 삶으로 나타났다.

• 한국콘텐츠학회논문지
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• 제16권5호
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• pp.783-801
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• 2016

본 연구는 여성장애인의 노동시장 진입에 영향을 미치는 요인을 파악하여, 여성장애인의 노동시장 진입을 지원할 수 있는 정책적인 대안을 제시하는 데 그 목적이 있다. 이를 위해서 장애인고용패널조사의 3차부터 7차까지의 종단자료를 활용하여 사건사분석을 실시하였다. 사건사분석을 통해 시간의 변화에 따른 여성장애인의 노동시장 진입이 어떠한 변화유형을 나타내는지, 영향을 미치는 요인은 무엇인지 분석하고자 하였다. 분석결과는 다음과 같다. 첫째, 미취업기간에 따른 노동시장 진입의 변화를 생명표 분석을 통해 분석한 결과, 최장 미취업기간(4년)까지 미취업상태로 남아있는 비율은 90%이고, 노동시장에 진입한 비율은 10%로 나타났다. 둘째, 노동시장 진입에 영향을 미치는 요인을 파악하고자 콕스회귀분석을 한 결 과 기초수급 여부, 장애정도, 구직 시 차별경험 요인이 노동시장 진입에 영향을 미치는 것으로 나타났다. 이러한 결과를 통해 여성장애인의 노동시장 진입 수준을 높이기 위한 실천적 방안을 제안하였다.

• 실천공학교육논문지
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• 제11권1호
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• pp.105-115
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• 2019

본 연구는 여성의 진로적응에 역할모델로서 직위의 중요성에 주목하였다. 이를 위해 '2017년 여성관리자패널조사' 자료를 활용하여 근속 여성관리자의 직위별 특성요인을 살펴보고자 다항로짓분석을 실시하였다. 그 결과, 첫째, 과장직위는 삶의 만족도가 낮게 나타나 초급관리자의 어려움을 나타냈다. 둘째, 차장직위는 중급관리자로써 일에 대한 정체성을 확립해 가는 것으로 예측되었다. 셋째, 부장직위는 연령, 목표지위, 목표달성 가능성, 다음직급소요기간이 높게 나타나 친화적인 조직분위기에서 근속에 의한 안정화 기제가 작용되었다. 넷째, 임원직위는 높은 월평균임금에 차별경험은 가장 적게 나타났다. 차장직위에 비해 낮게 연령과 다른 직위에 비해 조직분위기 및 인사관리도 낮게 인식하여 개개인의 적극적인 진로개발이 중요함이 시사되었다. 모든 직위에 공통으로 연령, 조직분위기 및 인사관리, 목표지위, 목표달성 가능성, 다음직급소요기간, 월평균임금, 복리후생, 삶 만족도 요인이 여성의 진로적응에 결정적 영향요인으로 나타났다. 끝으로 본 연구의 결과를 바탕으로 시사점 및 제한점을 논의하였다.