• Journal of Korean Neurosurgical Society
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• 제46권2호
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• pp.109-115
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• 2009

Objective: The decision to adopt a conservative or surgical modality for a relatively small volume of spontaneous intracerebral hemorrhage (SICH) is difficult and often controversial, especially when consciousness is tolerable. The authors examined the results of stereotactic-guided evacuation of SICH for relatively small volumes with respect to functional outcome. Methods: This prospective study was performed on 387 patients with SICH who underwent stereotactic-guided evacuation (n = 204, group A) or conservative treatment (n = 183, group B) during the past 8 years. The primary end-point was recovery of functional status, which was estimated using the Modified Barthel Index (MBI) and the modified Rankin Scale (mRS). Results: All patients had a Glasgow coma scale (GCS) score of $\geq$ 13 and unilateral hemiparesis of less than motor power grade 3. Group demographic characteristics and initial neurological statuses were similar. In all cases, the volume of SICH involved was < 30 cm$^3$ and location was limited to basal ganglia and thalamus. At 6-month follow-ups, MBI was 90.9 in group A and 62.4 in group B (p < 005), and MRS was 1.2 in group A and 3.0 in group B (p < 0.05). Better motor function and stereotactic-guided evacuation had a significant effect on a functional recovery in regression analyses. Conclusion: Even in patients with a small volume of SICH, stereotactic-guided evacuation improved functional recovery in activities in daily life than conservative treatment did.

• 한국조사연구학회지:조사연구
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• 제3권2호
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• pp.91-122
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• 2002

인터넷 이용은 전 세계적으로 아주 빠른 속도로 확산되고 있고 이러한 추세는 한국도 마찬가지이다. 인터넷 성장은 사회 시스템 전반에 큰 영향을 미치고 있으며, 대표적 자료수집방법인 서베이 분야에도 그 영향은 예외가 아니다. 이미 미국, 유럽의 선진국에서는 인터넷 서베이가 크게 각광받고 있으며, 우리나라의 여러 조사기관들도 인터넷 서베이를 실시하고 있다. 인터넷 서베이는 우리나라에도 어느 정도 그 여건이 성숙되어 있다고 볼 수 있다. 그렇지만 아직 응답자의 응답에 영향을 주는 요인에 대한 선행연구조차 정리되어 있지 못하고 있는 설정이다. 본 연구는 전자우편 설문조사에 있어 어떤 요인들이 응답자의 반응, 즉 응답률과 응답속도, 응답품질에 영향을 미치는가 하는 문제에 대한 기존의 연구결과를 정리하고 있다. 문헌연구의 대상으로 포함된 영향요인은 개인화, 조사기관의 성격, 응답자에 대한 보상, 설문지의 물리적 특성, 사전알림, 후속편지의 여섯 개다. 이들 여섯 개 영향요인을 중심으로 전자우편 설문조사를 이용한 기존의 선행연구 결과들을 정리해보고자 한다.

• Archives of Plastic Surgery
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• 제41권4호
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• pp.394-397
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• 2014

Background Proximal interphalangeal joint (PIPJ) dislocations represent a significant proportion of hand clinic visits and typically require frequent follow-ups for clinical assessment, orthotic adjustments, and physiotherapy. There are a large number of treatment options available for PIPJ dislocations, yet no prospective or controlled studies have been carried out, largely due to the diversity of the various types of injuries. Methods We retrospectively reviewed all the PIPJ dislocations in our institution over a five-year period and directly compared the different splinting techniques that we have used over this time frame. Results There were a total of 77 dislocations of the PIPJ (57 men and 20 women) that were included in our study. We found that our management has shifted gradually from complete immobilisation to controlled early mobilisation with figure-of-eight splints. Following treatment, the range of motion of the PIPJ in the figure-of-eight group was significantly greater than that in the other three methods (P<0.05) used. There were significantly fewer hospital visits in the figure-of-eight splint group than in the other treatment groups. Conclusions The treatment of PIPJ dislocations has undergone a significant evolution in our experience. Early controlled mobilisation has become increasingly important, and therefore, splints have had to be adapted to allow for this. The figure-of-eight splint has yielded excellent results in our experience. It should be considered for all PIPJ dislocations, but careful patient selection is required to achieve optimum results.

• Archives of Plastic Surgery
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• 제35권1호
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• pp.67-72
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• 2008

Purpose: The hand is frequently affected area in high voltage electrical burn injury as an input or output sites. Electrical burn affecting the hand may produce full thickness necrosis of the skin and damage deep structures beneath the eschar, affecting the tendon, nerve, vessel, even bone which result in serious dysfunction of the hand. As promising methods for the reconstruction of the hand defects in electrical burn patients, we have used the peroneal perforator free flaps. Methods: From March 2005 to June 2006, we applied peroneal perforator free flap to five patients with high tension electrical burn in the hand. Vascular pedicle ranged from 4cm to 5cm and flap size was from $4{\times}2.5cm$ to $7{\times}4cm$. Donor site was closed primarily.Results: All flaps survived completely. There was no need to sacrifice any main artery in the lower leg, and there was minimal morbidity at donor site. During the follow-ups, we got satisfactory results both in hand function and in aesthetic aspects.Conclusion: The peroneal perforator flap is a very thin, pliable flap with minimal donor site morbidity and is suitable for the reconstruction of small and medium sized wound defect, especially hand with electrical burn injury.

• Clinical and Experimental Reproductive Medicine
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• 제43권4호
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• pp.215-220
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• 2016

Objective: To evaluate the efficacy and safety of dienogest treatment in patients who had received dienogest for 12 months or more to treat endometriosis. Methods: We analyzed the clinical data of 188 women with endometriosis who had been treated with 2 mg of dienogest once a day for 12 months or more at a single institute. We evaluated changes in endometriosis-associated pain and endometrioma size, recurrence rate, and adverse events following dienogest administration. Bone mineral density (BMD) was measured in patients who were prescribed dienogest for more than 18 months. Results: Pain was significantly reduced at 12 months after dienogest medication. In those treated with dienogest due to recurrent endometrioma, the size of the endometrioma was significantly decreased at the 12-month and 18-month follow-ups. We found only one case of sonographic recurrence during dienogest administration among those who were treated postoperatively to prevent recurrence (1 of 114, 0.9%). The most common adverse drug reaction was uterine bleeding (3.2%), and other adverse events were generally tolerable and associated with low discontinuation rates (5.2%). Among the 50 patients in whom BMD was measured, 10 patients (20%) had a Z-score below the expected range for age. Conclusion: The administration of dienogest for a year or more seems to be highly effective in preventing recurrence after surgery, reducing endometriosis-associated pain, and decreasing the size of recurrent endometrioma, with a favorable safety and tolerability profile. However, BMD should be checked in patients on long-term medication due to possible bone loss in some women.

• 한국태양에너지학회 논문집
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• 제27권2호
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• pp.111-119
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• 2007

The annual mean temperature of South Korea has risen by $1.3^{\circ}C$ for last 100 years by urbanization and industrialization. Especially, the frequency of unusual hot weather in summer increases for a long time and the frequency of unusual cold weather in winter clearly decreases. In recently, The considerable portion of curtain wall system is appled to building skin in domestic. As related to this, the Korea Institute of Construction Technology devised the box typed double skin facade(It is occasionally called as FDFS : Functional Double Facade System) as an alternative that reflects the distinctive local climate and saves cooling energy. Two mock-ups($49m^*4.9m$) applied to single skin(curtain wall) and double skin each were monitored under the outdoor condition. Therefore, the characteristics of natural ventilation and cooling energy consumption of each window had been analyzed in real time. The results of this study are summarized as follow, Analysis of the experiment on an air conditioner: the indoor temperature of the chamber with FDFS is lower than that of the chamber with single skin facades by $3{\sim}6$ degrees(C). A temperature variation of about $1{\sim}2$ degrees between the 0.2m and 1.7m height of the mock-up occurs in FDFS, while that of about maximum 7 degrees occurs in single skin facade at noon with abundant intensity of solar accident. Also, 67 percent of energy consumption for air conditioning has been saved.

• 대한소아치과학회지
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• 제29권1호
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• pp.125-131
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• 2002

본 증례는 경희대학교 치과대학병원 소아치과학교실에 상악 중절치의 치수노출을 동반한 외상을 주소로 내원한 아동의 치험례이다. 증례 1은 미성숙 치근을 가지는 만 8세의 남아로 치아의 치수 노출에 따른 수산화칼슘 치수절단술을 이용한 치근단 형성술을 시행한 후 치아 재부착술을 시행한 증례이며, 증례 2는 점상의 치수노출을 보이는 미성숙 영구 중절치를 직접 치수 복조 추 석회화 층을 형성하는 기간동안 레진을 이용하여 유지한 후 치아 재부착술을 시행하였고 증례 3은 치은 연하로 치경부 파절을 보이는 만 12세의 환아로 신경치료 후 골 삭제술과 골 성형술을 동반한 판막술을 시행하여 carbon fiber post를 이용한 치아 재부착술을 시행한 증례이다 이상의 증례를 통하여 치아 재부착술을 성공적으로 시행하였으며 심미적으로 양호한 결과를 얻었기에 보고하는 바이다.

• 구강회복응용과학지
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• 제35권4호
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• pp.228-234
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• 2019

파킨슨병은 떨림, 느려진 움직임, 근육의 경직, 자세 불안정성, 보행장애 등의 특징을 나타내는 신경변성 질환으로 도파민과 같은 신경전달 물질이 고갈되어 생긴다. 이러한 파킨슨병의 특성으로 인해 환자들은 협조적으로 치과 치료를 받는 것이 어렵다. 본 증례에서는 만성 치주염이 있는 47세의 파킨슨병 환자에게 고정성 보철 및 임플란트 식립을 통한 전악구강수복을 시행하였고 기능적, 심미적으로 만족할만한 결과를 얻을 수 있었다. 손 조작능력의 저하와 같은 파킨슨병의 특성을 고려하여 짧은 간격의 주기적인 내원을 통한 관리가 필요할 것이다.

• The Korean Journal of Pain
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• 제33권3호
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• pp.226-233
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• 2020

Background: We aimed to compare interlaminar epidural steroid injections (ILESI) and bilateral transforaminal epidural steroid injections (TFESI) on pain intensity, functional status, depression, walking distance, and the neuropathic component in patients with lumbar central spinal stenosis (LCSS). Methods: The patients were divided into either the ILESI or the bilateral TFESI groups. Prime outcome measures include the numerical rating scale (NRS), Oswestry disability index (ODI), Beck depression inventory (BDI), and pain-free walking distance. The douleur neuropathique en 4 questions score was used as a secondary outcome measure. Results: A total of 72 patients were finally included. NRS, ODI, and BDI scores showed a significant decline in both groups in all follow-ups. Third-month NRS scores were significantly lower in the ILESI group (P = 0.047). The percentages of decrease in the ODI and BDI scores between the baseline and the third week and third month were significantly higher in the ILESI group (P = 0.017, P = 0.001 and P = 0.048, P = 0.030, respectively). Pain-free walking distance percentages from the baseline to the third week and third month were significantly higher in the ILESI group (P = 0.036, P < 0.001). The proportion of patients with neuropathic pain in the bilateral TFESI group significantly decreased in the third week compared to the baseline (P = 0.020). Conclusions: Both ILESI and TFESI are reliable treatment options for LCSS. ILESI might be preferred because of easier application and more effectiveness. However, TFESI might be a better option in patients with more prominent neuropathic pain.

• 대한한방내과학회지
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• 제40권5호
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• pp.938-947
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• 2019

Objective: This study was performed to report the changes in symptoms and radiological consequences of a patient diagnosed with spinal neurofibroma and complaining of lower back pain. Methods: The patient was diagnosed with a spinal neurofibroma after MRI examination and was treated with traditional Korean medicine, including traditional Korean medication and acupuncture. We measured the change in symptom severity using a numerical rating scale (NRS) and the Oswestry Disability Index (ODI). We also used the EQ-5D (EuroQoL-5D) scale to assess the patient's quality of life. In addition, we examined the change in the size of the cyst by MRI twice after discharge: at about 3 months after discharge and at about 8 months after discharge. Results: After about 6 weeks of treatment, most pathological symptoms had decreased. The patient showed a decline in NRS and ODI scores and showed an increase in quality of life. The two MRI examinations after the discharge revealed a decrease in the size of the cyst. Conclusions: Traditional Korean medicine can be a solution for patients with spinal neurofibroma causing neurological pain.