• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제32권4호
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• pp.380-383
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• 2006

Tetanus is rare in Korea due to the introduction of vaccination programs and the advancement in public health. Its common signs are trismus, voice disturbance, neck stiffness, and difficulty in swallowing, etc. A 56 years old man was injured by grasping a high voltage electric cable. After the accident, he fell down on a steel plate and had a head trauma. When he visited Emergency Department, there was multiple electric burn wound on left arm and left facial area. He was hospitalized on a department of neurosurgery, because intra cranial hemorrhage was presumed. 12 days later, he was referred to department of OMFS with developed painful masseter spasms and trismus. That night he violently bit his tongue with his denture. Because masseter muscle and temporal muscle constriction was involuntary, tongue was lacerated and denture was distorted. At first we supposed that the symptom was related with neurologic disturbance following head trauma or electric shock. But it was revealed that trismus was caused by tetanus on an electrophysiological test. By using mechanical ventilation and administration of tetanus immunoglobulin, muscle-relaxant, and sedatives at ICU, symptoms had subsided (4-weeks). Because tetanus is rare disease, we rarely suppose tetanus infection to be a cause of a trismus. Especially it is more difficult to diagnose in patient who has head trauma, burn and neurologic problem as in this case.

• The Korean Journal of Pain
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• 제20권2호
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• pp.158-162
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• 2007

Background: After burn patients are discharged from the hospital, they may continue to feel pain and paresthetic sensations at the site of a healed burn and these problems may persist for years. This study was designed to describe the characteristics of these symptoms in terms of intensity, frequency, and influencing factors. Methods: Patients that developed paresthetic sensations at sites of a healed burn were recruited from the pain management center from January 2003 to April 2006. Data was collected using a structured interview protocol. Results: Fifty one adults, with a total body surface area burned (TBSA) of $21.1{\pm}16.3%$ aged $42.0{\pm}12.9$ years were studied. A paresthetic sensation was reported to be present every day in 52.9% (27/51) of the subjects. A variation in the intensity was most commonly related to changes in the weather. A tight sensation and itching types of sensations were significantly more frequent in patients with more extensive injuries. Conclusions: Recognition and understanding of the chronic paresthetic sensation that many burn patients continue to experience at sites of a healed burn deserve further attention. Not only do clinicians need to be aware of these problems but also strategies for prevention and alleviation shou\d be explored.

• 대한화상학회지
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• 제16권2호
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• pp.99-103
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• 2013

Purpose: The biggest problem of wound healing is a possible occurrence of lesion. Especially, in the case of patients who have a skin injury around exposed body parts, if their treatment period drag on for long time, they can suffer from aftereffects and the costs can be passed on to a society. Therefore, in this research, we investigated the need to develop the effective medicine and appliances for the patients by examining which therapy methods are being applying to the skin damage and what is the advantage and limit by evaluating the patient's satisfaction level. Methods: We carried out an online and offline survey targeting medical teams in order to analyze device for wound care. A total of 125 medical teams applied to the research, and investigate the level of customer satisfaction. Results: The moist dressings are the most used method for wound healing. When it comes to the level of customer satisfaction, biological dressing product also has a high satisfaction level. However its high cost tends to limit the use. Conclusion: This research reached a conclusion that it is need to develop a low cost and high efficiency wound care product considering the fact that its high cost and low efficiency induced economic problems. Generally, it is needed to develop a product for skin regeneration based on biological technologies, not a product just for damage cure.

• 대한족부족관절학회지
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• 제12권1호
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• pp.111-115
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• 2008

Synovial chondromatosis is an uncommon disorder characterized by cartilaginous proliferation in the synovium. The cartilaginous nodules occur in the synovial membrane of a joint, bursa, or tendon sheath. It frequents large joints including knee, hip, and elbow. Synovial chondromatosis originating from the first metatarsal is extremely rare. We report a case of 37-year-old man with synovial chondromatosis of the first metatarsal.

• Clinics in Shoulder and Elbow
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• 제9권2호
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• pp.202-206
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• 2006

Synovial chondromatosis is an uncommon condition and involvement of the glenohumeral joint is rare comparing its involvement of knee and hip. We report a case of synovial chondromatosis with its radiography, MRI and microscopic findings and treatment by arthroscopic synovectomy & loose body removal which have been developed in right shoulder of a 46 year-old-female and presented as impingement syndrome.

• 대한족부족관절학회지
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• 제12권2호
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• pp.220-223
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• 2008

Osteochondroma is the most common benign bone tumor which commonly occurs in the metaphysis of the long bones such as proximal humerus, tibia, and distal femur. It is rarely found in bones of the foot. Although they are benign lesions, when they occur in the foot, they are typically identified earlier than other regions because of the low proliferation of subcutaneous tissue in the region and may cause symptoms. We experienced a rare case of osteochondroma in a 60-year-old male which cause pain and swelling of the fourth toe.

• Journal of Korean Neurosurgical Society
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• 제62권1호
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• pp.3-9
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• 2019

As more intracranial aneurysms and other cerebrovascular pathologies are treated with neurointervention procedure, thromboembolic events that frequently lead to serious neurological deficit or fatal outcomes are increasing. In order to prevent the thromboembolic events, antiplatelet therapy is used in most procedures including coil embolization, stenting, and flow diversion. However, because of variable individual pharmacodynamics responses to antiplatelet drugs, especially clopidogrel, it is difficult for clinicians to select the adequate antiplatelet regimen and its optimal dose. This article reviews the neurointervention literature related to antiplatelet therapy and suggests a strategy for tailoring antiplatelet therapy in individual patients undergoing neurointervention based on the results of platelet function testing.

• Applied Biological Chemistry
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• 제26권4호
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• pp.211-216
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• 1983

일반찰벼인 올찰과 다수계 찰벼인 한강, 백운, 세품종에서 전분을 분리하고, 이것의 일반성상 및 이화학적 특성을 분석비교하였다. 분리된 전분의 평균입경은 올찰 3.6u, 한강 4.8u, 백운 5.6u이었고, X선분석에 의한 결정구조는 A형이었다. 광투과도에 의한 호화온도는 올찰이 $60{\sim}62^{\circ}C$, 한강이 $50{\sim}55^{\circ}C$, 그리고 백운이 $50{\sim}60^{\circ}C$에서 호화가 시작되었고, 3종의 전분 모두 $75{\sim}80^{\circ}C$에서 호화가 완료되었다. Amylogram에 의한 호화개시온도는 $66{\sim}61^{\circ}C$이며, 올찰이 다소 높은 편이다. 각 전분의 팽화력은 $260{\sim}220$으로 올찰이 다소 높은 편이고, 물결합능력은 백운, 한강이 올찰보다 약간 높은 편이다. blue value는 올찰 0.13, 한강 0.13, 백운 0.14였고, alkari number는 올찰 4.2, 한강 4.9, 백운 5.1이었다. $2^{\circ}C$에서 저장 한 전분 gel의 노화도는 올찰에 비해서 한강, 백운이 약간 빠른 경향이었다.

• 한국조경학회지
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• 제39권1호
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• pp.1-10
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• 2011

본 연구는 서울시 한강르네상스 정책이 나가야 할 방향과 전략적 관리 방안을 모색하고자 하는 목적으로 수행하였다. 연구방법으로는 첫째, 정책단계별 수준선정을, 둘째, 수준별 중요도를 측정하고, 셋째, 이상의 결과를 네트워크 분석적 의사결정모형을 통해 분석하였다. 연구결과, 한강 르네상스 개발계획의 기조인 회복, 창조의 중요도는 큰 차이를 보이지 않았고, 제2단계 정책수준에서는 도시공간 재편, 자연성 회복, 이용성 증진 순으로 정책의 중요성을 인지하고 있는 것으로 나타났다. 제3단계 정책수준에서는 테마가 있는 한강공원 조성, 한강 중심의 도시공간구조 개편, 한강 중심의 Eco-Network 구축 등의 순서로 중요도를 보였다. 특히, 제3수준의 세부계획인 4정책수준의 중요도는 도시공간재편의 경우 수변도시의 유형별 개발 및 토지이용 다양화, 워터프런트 타운 조성의 경우 수변공간을 공공 및 복합용도로 활용, 그리고 한강변 경관개선의 경우 건축물의 종합적인 관리방안 수립, 테마가 있는 한강공원 조성은 통합디자인 계획 등이 주요 정책지표로 부각되었다. 중요도 분석결과를 통해 향후 한강르네상스 프로젝트의 전략적 정책 방향은 통합디자인 계획을 통한 테마가 있는 한강공원 조성과 함께 도시공간구조를 재편하는 정책을 선도적으로 추진하면서 다른 정책계획들과 연계성을 확보해 나가야 할 것으로 사료된다.

• Archives of Plastic Surgery
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• 제37권4호
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• pp.415-420
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• 2010

Purpose: Heterotopic calcification is a pathological event in which deposits of calcium salts build up, usually in the joint area or soft tissues. It can occur under many conditions and in some rare cases may develop in burn scars. In particular, ulcerations in burn scars accompanied by heterotopic calcification are difficult to treat through conservative treatment. This study reports methods for accurate diagnosis and adequate treatment of ulceration in burn scars accompanied by heterotopic calcification. Methods: Fourteen patients who visited our hospital from March 2008 to January 2010 were subjected to this study. Their sex, age, modes of burn, degree, TBSA (%), ulcerated area, the time of occurrence of the ulcerations in the burn scars were investigated. In addition, radiological examination and biopsy was performed to diagnose heterotopic calcification. Results: Among the 14 cases, 6 were male and 8 were female. The average age of the patients was 48.2 (27 - 69 yrs). As for the mode of burn, 11 were flame burns and 3 were scalding burns. The average time of occurrence of the ulcerations in the burn scars was 4.5 months. The ulcerated areas were situated in the legs in 12 cases, arms in 1 case, and torso in 1 case. The diagnosis was confirmed through X-ray and biopsy, and skin graft was performed after wide excision. Conclusion: Diagnosis of the ulceration in burn scars accompanied by heterotopic calcification is possible through radiological and pathologic studies. Surgical treatment is the most reliable method of treatment, and we chose to perform skin graft after wide excision. Also, we learned that the complete removal of the calcified tissue and the inflammatory fibrotic tissues is crucial in preventing recurrence. Also, in contrast to Marjolin's ulcer, heterotopic calcification had a small size, little or no granulation tissue, and lacked fungating type ulceration. Therefore, favorable prognosis could be achieved through adequate treatment.