• 대한족부족관절학회지
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• 제17권3호
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• pp.196-202
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• 2013

Purpose: To report the clinical results from using absorbable suture materials instead of nonabsorbable materials which have been used more commonly to repair Achilles tendon. Materials and Methods: We retrospectively reviewed 21 cases of acute Achilles tendon rupture, treated surgically from 2004 to 2011. Mean follow-up period is 6 months. We repaired Achilles tendon using size 1 Vicryl (Polyglactin 910, Ethicon) for core suture and size 3-0 Vicryl for epitendinous suture. At three months after surgery, we evaluated clinical results with single heel raise height by centimeters, differences of calf circumference and passive range of motion of ankle joint, compared to contralateral side. Also we recorded clinical results with subjective satisfaction grades. Results: At three months after surgery, 20 of 21 patients were able to perform single heel raise over 5 cm in height. Calf circumference differences were less than 1 cm in 12 cases, between 1 cm to 3 cm in 5 cases, more than 3 cm in 4 cases. There was no difference in range of passive motion in 19 cases. All patients satisfied with daily activity except 2 cases with mild discomfort. There was no complication such as rerupture, elongation or infection. Conclusion: We experienced excellent clinical results from repairing Achilles tendon with using absorbable suture materials in terms of functional outcomes and patient's satisfaction without any complication. So we may consider using absorbable suture materials instead of nonabsorbable materials to repair Achilles tendon.

• 대한골관절종양학회지
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• 제5권1호
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• pp.29-34
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• 1999

Chondroblastoma is an uncommon neoplasm in bone, occurring at the epiphysis or apophysis of growing long bones and is known to have a recurrence rate of around 10% after surgical treatment. We reviewed 14 patients of pathologically proven chondroblastoma, who were surgically treated, from December 1987 to August 1997. The location of tumors was proximal femur in 4 cases, distal femur in 4 cases, proximal tibia in 2 cases, patella in 1 case, proximal humerus in 1 case and calcaneus in 1 case. The most common complaint was pain. In all nine cases in which MRI was performed, the MR imaging showed a lobulated low signal intensity(SI) rim. Low SI foci within the tumor were present in 4 of 9 cases and corresponded to calcification seen on radiographs or CT. Bone marrow edema was also present in 4 of 9 cases on MR imaging. The average duration of follow-up was 2 years, 5 months, ranging from 1 year to 7 years, 2 months. Twelve patients were treated by curettage and autogenous bone graft, one by curettage only, and one by curettage and bone cementing. Two cases which showed local recurrence were treated with curettage and bone graft. Two recurred cases had the presence of bone marrow edema on MR imaging. The presence or absence of bone marrow edema may be a useful indication of tumor activity, although further study will be required.

• Journal of Nutrition and Health
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• 제16권4호
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• pp.296-302
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• 1983

국가적(國家的) 차원에서의 국민영양소요양(國民營養所要量)을 확립하는데 중요한 지표(指標)가 되는 한국인(韓國人) 평균1인1일당(平均1人1日當) 영양소요양(營養所要量)설정의 필요성에 의하여, 1980년도(年度) 경제기획원인구(經濟企劃院人口)센서스 자료(資料)와 FAO한국협회(韓國協會)가 1980년(年) 제(第)3 차 (次) 개정(改定)한 한국인영양권장양으로부터 한국인(韓國人) 평균(平均)1인(人)1일당(日當) 영양소요양(營養所要量)을 계산(計算)하였다. 즉 영양소별(營養素別) 평균(平均)1인(人)1일당(日當) 영양소요양(營養所要量)은 에너지 2,200 kcal, 단백질(蛋白質) 70 g, 칼슘 0.72 g, 철(鐵) 14 mg, 비타민 A 1,900 IU, 비타민 C 50 mg, 비타민$B_{1}$ 0.9 mg, 비타민 $B_{2}$ 1.2 mg 그리고 나이아신당양(當量)은 15 mg이었다.

• 동의생리병리학회지
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• 제29권4호
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• pp.305-312
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• 2015

Paeonol is a major component found in the Paeoniaceae family such as Paeonia suffruticosa Andrews. Paeonia suffruticosa Andrews has traditionally been used to enhance blood flow and relieve joint pain in east Asian countries including China, Korea and Japan. Current research has shown that paeonol blocked the voltage-gated sodium channel and L-type calcium channel. However, there is a lack of research to reveal the relation between cardiac function and blockade of ion channels by paeonol. Therefore, the aim of this study is to investigate whether paeonol has anti-arrhythmic effects via modulating cardiac ion channels. It is collected that the effects of paeonol on multiple ion channels such as the fast sodium channel and L-type calcium channel from published papers. To incorporate the information on multi-channel block, we computed the effects using the mathematical cardiac model of the guinea-pig and rat ventricular cells (Noble 1998 and 1991 model) and induced early after-depolarizations (EADs) to generate an arrhythmia in the whole heart. Paeonol slightly shortened the action potential duration in the normal cardiac ventricular action potential by the inhibition of sodium channel and L-type calcium channel. Paeonol presented the protective effect from EADs by the inactivation of sodium channel but not L-type calcium channel. Paeonol did not show any changes when it treated on normal ventricular cells through the inhibition of sodium channel, but the protective effect of paeonol through sodium channel on EADs was dose-dependent. These findings suggest that paeonol and its original plant may possess anti-arrhythmic activity, which implies their cardioprotective effects.

• The Korean Journal of Pain
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• 제18권2호
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• pp.156-160
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• 2005

Background: Frozen shoulder is not an uncommon disease, which is associated with chronic pain and joint movement limitation. However, there are numerous devices to assist in the treatment of shoulder pain, but their efficacy has not been proven and their use remains immensely controversial. Therefore, a randomized clinical study was conducted to determine the effectiveness of a low-frequency stimulator for the treatment of frozen shoulder. Methods: A randomized clinical trial was carried out on 40 patients with frozen shoulder, with 40 patients assigned to two groups; a control treatment group (group C, n = 20) and a low frequency stimulator application group (group T, n = 20). Both groups were given a routine treatment modality, such as trigger point injection, intramuscular stimulation or suprascapular nerve block etc. The level of the shoulder pain was evaluated using a 100mm VAS (visual analog scale) at each visit, with the limitation in the range of motion simultaneously evaluated. Results: All the subjects improved after treatment, with the VAS scores after termination of treatment showed a statistically significant reduction (P < 0.05). However, there was no significant difference between the two groups. One month after termination of 5 cycles of treatment, group T maintained their improved state, whereas the pain in some of those in group C reemerged, which also showed a statistically significant difference (P < 0.05). The limitation in the range of motion improved, with most subjects able to resume daily activity. Conclusions: Although the low frequency stimulation provided no more pain relief than routine treatment, the effect was significantly prolonged. From this result, low frequency stimulation can be considered to aide the therapeutic effect of classical frozen shoulder therapy.

• 한국의료질향상학회지
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• 제2권1호
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• pp.126-135
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• 1995

Background: Korean Hospital Standardization Program(KHSP), as a hospital accreditation program initiated and promoted by Korean Hospital Association since 1981, has played a key role in the hospital quality improvement in structural aspect particularly. Recently, however, KHSP has been critisized by hospitals and health personnels in that it is unpractical to be utilized as an initiative to improve hospital quality. In particular, the section of quality assurance in KHSP, strongly influenced by old version of Hospital Accreditation of Joint Commission in U.S.A., has been required to be fundamentally revised. For design of new criteria in quality assurance section, a survey for evaluation of existing program and collection of opinions for ideal one was conducted. Methods: For a month in 1994, structured questionnaires were administered by mailing to 470 hospital staffs from 200 hospitals, participated in the survey for the 1994 KHSP in each hospital. The total number of respondents was 116. Results: Less than half of the respondents(34.5%) value positively on the impact of current KHSP in general on the quality improvement of their hospitals. Moreover, most responses indicated that KHSP should be reorganized towards more practical and applicable one. Current KHSP criteria for quality activities in hospitals were regarded as a unpractical one which should be basically renewed. For new criteria and standards, most respondents emphasized the importance of applicability of those in real situations. Conclusion: For the KHSP to be effective, new evaluation criteria for quality activities should be more practical and fully accommodated to hospital situations in reality.

• Journal of Yeungnam Medical Science
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• 제5권1호
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• pp.61-67
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• 1988

1. 저자들은 1986년 11월부터 1988년 2월까지 경골간부 골절 8례를 나사못 맞물림법을 이용한 골수강내 금속정을 사용하여 치료하였다. 2. 술 후 방사선 소견상 골유합 기간은 평균 약 15주였다. 3. 환자의 입원기간은 평균 5.5주로서 비교적 짧은 입원기간을 보여주었으며 아울러 사회복귀 및 적응이 빨랐다. 4. 술 후 조기운동이 가능하였고 평균 4.3주 경과 후 목발보행을 시작하였다. 5. 술 후 관절강직, 근위축등의 합병증은 거의 없었다. Hamza등에 의한 술후 평가방법에 따르면 Excellent 7례, Good 1례로 결과는 만족스러웠다.

• 한국콘텐츠학회논문지
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• 제16권6호
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• pp.405-415
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• 2016

대한민국헌법 제82조에 따라 대통령이 문서로 하는 국법상 행위에 국무총리와 '관계' 국무위원이 부서(副署) 하는 제도는 대통령의 독단 방지와 국무회의 구성원들이 연대 책임을 지는 중요한 의미가 있다. 그러나 '관계' 국무위원의 부서행위가 헌법 규정과 달리 운영되고 있다. 이는 국무위원으로 보하지 않는 처와 행정위원회 등 일부 중앙행정기관의 사무에 대하여는 법령상 부여된 업무와 무관한 행정자치부장관이 "정부조직법" 제34조 제2항을 근거로 형식적으로 부서토록 한 법제처 지침을 따르기 때문이다. 따라서 이 논문은 '관계' 국무위원의 부서제도를 헌법 취지에 맞게 내실화하기 위하여, 국무위원이 맡지 않는 중앙행정기관 사무와 관련된 부서(副署)의 경우 행정자치부장관이 획일적으로 대신할 것이 아니라 업무 내용과 가장 밀접한 국무위원이 부서를 하도록 '관계' 국무위원의 결정 기준, 절차, 권한과 책임, 부서의 효력 등을 "법령 등 공포에 관한 법률 시행령"으로 만드는 방안을 제안하였다.

• 한국지역지리학회지
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• 제17권3호
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• pp.348-356
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• 2011

현재까지의 조산운동 기록에 의하면 백두산은 언젠가는 분화가 얼어날 것이다. 본 연구는 백두산 화산폭발 시뮬레이션을 통해 용암류와 화산재가 미치는 영향범위를 예측하고자 하였다. 시뮬레이션은 화산폭발지수 7, 계절은 가을에서 봄에 분화가 일어날 것을 가정하여 적용하였다. 시뮬레이션 결과 용암은 중국쪽 사면으로 흘렀고, 화산재는 북한지역으로 확산되었다. 화산재는 9시간 만에 울릉도 지역까지 확산되었다. 북한의 27개 시 군 행정구역 중에서 61개 도시와 마을이 화산재의 영향을 받는 것으로 예측되었으며, 많은 양의 화산재가 농경지, 도시지역, 산림지역에 퇴적되었다. 연구결과는 북한에서 재난 대비, 남 북 및 중국과의 공동 연구를 위한 정보로 활용될 수 있기를 기대한다.

• Journal of Korean Neurosurgical Society
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• 제61권5호
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• pp.618-624
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• 2018

Objective : We evaluated the clinical manifestation and surgical results following operative treatment of cubital tunnel syndrome (CuTS) caused by anconeus epitrochlearis (AE) muscle. Methods : Among 142 patients who underwent surgery for CuTS from November 2007 to October 2015, 12 were assigned to the AE group based on discovery of AE muscle; 130 patients were assigned to the other group. We analyzed retrospectively; age, sex, dominant hand, symptom duration, and weakness in hand. Severity of the disease was evaluated using the Dellon classification and postoperative symptom were evaluated using disability of arm shoulder and hand (DASH) and visual analogue scale (VAS) scores. Surgery consisted of subfascial anterior transposition following excision of AE muscle. Results : AE muscle was present in 8.5% of all patients, and was more common in patients who were younger and with involvement of their dominant hand; the duration of symptom was shorter in patients with AE muscle. All patients showed postoperative improvement in symptoms according to DASH and VAS scores. Conclusion : The possibility of CuTS caused by AE muscle should be considered when younger patients have rapidly aggravated and activity-related cubital tunnel symptoms with a palpable mass in the cubital tunnel area. Excision of AE muscle and anterior ulnar nerve transposition may be considered effective surgical treatment.