• Archives of Plastic Surgery
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• 제41권4호
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• pp.362-365
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• 2014

Background Many implants are being used for the reconstruction of orbital wall fractures. The effect of the choice of implant for the reconstruction of an orbital wall fracture on the surgical outcome is under debate. The purpose of this article is to compare the outcomes of orbital wall reconstruction of small orbital wall fractures on the basis of the implants used. Methods The authors conducted a retrospective study using electronic databases. Between March 2001 and December 2012, 461 patients with orbital wall fractures were included in this study. Among them, 431 patients in whom the fracture size was less than $300mm^2$ were analyzed. The fracture size was calculated using computed tomography scans of the orbit in the sagittal and coronal images. Cases in which the fracture size was less than $300mm^2$ were included in this study. Results One hundred and twenty-nine patients were treated with silastic sheets; 238 patients were treated with titanium meshes; and absorbable meshes were used in the case of 64 patients. Overall, 13 patients required revision, and the revision rate was 3.0%. The revision rate of the silastic sheet group was 5.4%. In the multivariable analysis, the revision rate of the group reconstructed with silastic sheets was highly statistically significant (P=0.043, odds ratio=3.65). However, other factors such as age, sex, fracture type, and fracture size were not significant. Conclusions Reconstruction of orbital wall fractures with silastic sheets may cause more complications than that with other materials such as titanium meshes and absorbable meshes.

• Clinics in Shoulder and Elbow
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• 제27권1호
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• pp.32-38
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• 2024

Background: Open reduction and internal fixation (ORIF) with a locking plate is a popular surgical treatment for proximal humeral fractures (PHF). This study aimed to assess the occurrence of complications in elderly patients with PHF treated surgically using ORIF with a locking plate and to investigate the potential differences between patients treated by shoulder surgeons and non-shoulder surgeons. Methods: A retrospective study was conducted using a single-center database to identify patients aged ≥70 years who underwent ORIF for PHF between January 1, 2011, and December 31, 2021. Data on the Neer classification, follow-up, occurrence of avascular necrosis of the humeral head, implant failure, and revision surgery were also collected. Statistical analyses were performed to calculate the overall frequency of complications according to the Neer classification. Results: The rates of implant failure, avascular osteonecrosis, and revision surgery were 15.7%, 4.8%, and 15.7%, respectively. Complications were more common in patients with Neer three- and four-part fractures. Although the difference between surgeries performed by shoulder surgeons and non-shoulder surgeons did not reach statistical significance, the rate of complications and the need for revision surgery were nearly two-fold higher in the latter group. Conclusions: PHF are highly prevalent in the elderly population. However, the ORIF surgical approach, as demonstrated in this study, is associated with a considerable rate of complications. Surgeries performed by non-shoulder surgeons had a higher rate of complications and a more frequent need for revision surgery. Future studies comparing surgical treatments and their respective complication rates are crucial to determine the optimal therapeutic options. Level of evidence: III.

• 음성과학
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• 제12권1호
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• pp.45-51
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• 2005

The purpose of this study is to compare disfluencies and speech rates (overall speech rate and articulation rate) of normal adult speakers who use the standard Korean according to dissimilar speech tasks (story-telling and text-reading). Participants were 100 Korean adult speakers. The results are summarized as follows: First, the most frequent type of disfluency in the story-telling task was 'interjection', whereas that in the text-reading task was 'revision'. Second, the overall speech rates (syllables per second and syllables per minute) showed significant differences depending on the speech tasks. Third, the articulation rates (syllables per second and syllables per minute) showed significant differences depending on the speech tasks.

• 한국초등수학교육학회지
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• 제17권1호
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• pp.105-128
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• 2013

우리나라 교육과정은 7차 이후 2007, 2009 개정 교육과정을 거치면서 다양한 변화를 모색하고 있다. 본 연구는 그 가운데 초등수학 교과서의 내용 변화에 주목하고 있으며, 특히 초등수학에서 다루어지고 있는 문자와 식에 초점을 맞추고 있다. 문자와 식은 6차 교육과정에서는 '관계' 영역에서, 7차 교육과정에서는 '문자와 식' 영역에서, 그리고 2007 교육과정에서는 '규칙성과 문제해결' 영역에서 다루어져왔다. 특히 7차 교육과정에서는 초등수학에서 문자가 도입되지 않았으나, 6차와 2007년 교육과정에서는 초등수학에서 문자 x의 도입, 등식의 성질, 방정식 등이 다루어지고 있다. 본 연구는 초등수학에서 이러한 변화를 겪고 있는 문자와 식에 대하여 교육과정별 교과서에 제시된 문자와 식의 내용 및 지도 시기, 지도 방법에 대한 분석을 목적으로 한다. 이를 위해 문자 x의 도입, 등식의 지도, 방정식의 지도와 같이 3가지 주제를 구분하고, 이들 각각에서 초등수학을 중심으로 6차 교육과정과 2007년 교육과정을 비교하고, 동시에 그 사이에 놓여 있는 7차 교육과정에서는 중학교 7-가 단계를 살펴보았다. 본 연구는 이를 통해 초등수학에서 문자와 식을 이해하고 지도하는데 기초자료가 될 수 있기를 기대한다.

• Asian Pacific Journal of Cancer Prevention
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• 제17권12호
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• pp.5057-5061
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• 2016

The present study was conducted to assess error rates with diagnosis using intra-operative frozen sections, and to indicate ways to increase overall performance. Over a period of two years, 227 cases were biopsied intra-operatively. Errors were observed in 14 cases. Four of these were sampling errors, one by a pathologist and three by surgeons. In seven cases incorrect interpretations were made. Epithelial dysplasia was observed on definitive histology in two cases which was not reported intra-operatively. One case was of ectopic thyroid. In cases of oral cancer where sentinel lymph nodes were sampled, immunohistochemistry for cytokeratin was performed to facilitate identification of micrometastasis. Only single case displayed tumor deposits which was not evident morphologically. Resection margins were reported in seventy eight cases. Some 18% (14/50) benefited from revision of margins; overall sensitivity of intra-operative frozen sections for marginal status was 71.4%, with a specificity of 90.3%. Overall sensitivity was 75% and specificity was 97.5%. Careful observation, pathologist experience and knowledge of limitations help in improving the overall diagnostic outcome.

• 대한지역사회영양학회지
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• 제23권4호
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• pp.352-365
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• 2018

Objectives: The Korean Food Composition Table (KFCT) was first published in 1970, and has since been updated every five years by the Rural Development Administration (RDA). This study was conducted to introduce the development strategies, features, and challenges of the $9^{th}$ revision of the KFCT. Methods: Due to the increasing demands of nutrient database users and generators, the RDA started a new research project in 2013 to improve the quantity and quality of data for the $9^{th}$ revision of the KFCT. Over 1,000 food items frequently consumed in Korea were selected as key foods using the results of the Korean National Health and Nutrition Examination Survey. About 200 raw materials and processed food items were collected and analyzed every year. Target nutrients that were analyzed by collaborative labs, such as, sugars, selenium, iodine, and biotin, were increased from 22 to 43. Analytical sample handling procedures and data quality evaluation systems were also established in collaboration with 10 contracted labs. Data were evaluated for data quality according to the FAO/INFOODS, CODEX, and AOAC guidelines. Results: The $9^{th}$ revision contains data on 3,000 food items and up to 43 and 140 food nutrients for the printed table and the excel database file, respectively. Overall, 1,485 data items were newly added, 973 of which were provided by the RDA and 512 were cited from foreign nutrient databases. The remaining 1,515 food items were maintained as in the $8^{th}$ revision. Conclusions: The KFCT provides the basic infrastructure for food and nutrition policy, research, and dietary practice in South Korea. The use of the KFCT has increased exponentially in the past few years in both public and private sectors; accordingly, increased efforts should be paid to the preparation, improvement, and maintenance of KFCT.

• Archives of Plastic Surgery
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• 제42권6호
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• pp.741-745
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• 2015

Background Microvascular complications after free-flap breast reconstructions are potentially devastating problems that can increase patient morbidity and lead to flap loss. To date, no comprehensive study has examined the rates of salvage and the methods of microvascular revision in breast reconstruction. We reviewed the treatment of microvascular complications of free-flap breast reconstruction procedures over a seven-year period. Methods A retrospective review of all patients who underwent microvascular breast reconstruction at our institution between April 2006 and December 2013 was conducted. Based on their surgical records, all patients who required emergency re-exploration were identified, the rate of flap salvage was determined, the factors associated with flap salvage were evaluated, and the causes and methods of revision were reviewed. Results During the review period, 605 breast reconstruction procedures with a free lower abdominal flap were performed. Seventeen of these flaps were compromised by microvascular complications, and three flaps were lost. The overall salvage rate was 82.35%. No significant differences between the salvaged group and the failed group were observed with regard to age, BMI, axillary dissection, number of anastomotic arteries and veins, recipient vessel types, or use of the superficial inferior epigastric vein in the revision operation. Successful salvage of the flap was associated with a shorter time period between recognizing the signs of flap compromise and the take-back operation. Conclusions The salvage rate of compromised lower abdominal flaps was high enough to warrant attempting re-exploration. Immediate intervention after the onset of flap compromise signs is as important as vigilant postoperative monitoring.

• Clinics in Shoulder and Elbow
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• 제14권1호
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• pp.111-116
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• 2011

목적: 저자는 견관절 역형 전 치환술 후 중기 추시 결과와 합병증에 대해 알아보고자 하였으며 결과에 영향을 미치는 요인에 대해 분석하고자 하였다. 대상 및 방법: 역형 치환술 후 중기 추시를 보고한 문헌의 체계적인 분석을 시행하였으며, 수술후 문제점, 합병증, 재 수술, 재 치환술의 전반적인 발생율을 조사하였다. 결과: 보고되고 있는 합병증율은 0~68%로 다양하다. 최소 2년 이상 추시된 역형 치환술의 초기 예비 보고들은 우수한 기능적 결과를 나타내고 있다. 그러나 중기 추시된 문헌상 보고의 체계적인 분석 결과는 44%의 문제점, 24%의 합병증, 3.5%의 재 수술, 10%의 재 치환술을 나타냈다. 결론: 역형 전 치환술은 상대적으로 높은 합병증과 재 치환율을 나타낸다. 따라서 역형 치환술은 회전근 개 광범위 파열을 가진 매우 심한 관절병증의 환자에서 주로 시행되어야 하며 70세 (최소한 65세) 이상에서 시행되어야 한다.

• 대한화학회지
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• 제48권3호
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• pp.311-321
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• 2004

이 연구에서는 1차 설문을 통하여 새로운 교육과정 시행에 대한 중학교 과학 교사의 인식 및 준비도, 새로운 교육과정의 내용 구성(화학 영역을 중심으로)에 대한 인식 그리고 교육과정 개정에 대한 인식에 대해서 알아보았다. 그 결과 새로운 교육과정에 대한 전반적인 이해도 및 준비도가 낮게 나타났으며, 많은 비율의 교사들이 새로운 교육과정 시행 자체에 대해 부정적이거나 부담을 가지는 것으로 나타났다. 또한 교육과정 개정 시의 교사 참여가 제대로 이루어지지 않고 있으며, 교사의 역할 또한 불분명한 것으로 나타났다. 그리고 1차 설문의 결과들을 바탕으로 한 2차 설문 및 인터뷰에서는 개정된 교육과정이 학교 현장에 전달되는 효율적인 방법, 교육과정 개정 참여시 교사의 역할 및 참여 방안에 대해서 논의하였다.

• 무역상무연구
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• 제43권
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• pp.337-370
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• 2009

The Joint Cargo Committee of International Underwriting Association of London (IUA) and Lloyd’s Market Association (LMA) have issued the revised version of Institute Cargo Clauses A, B, C, Institute Cargo Clauses (Air) and their accompanying War and Strikes Clauses. The Institute Cargo Clauses ("ICC") were last revised in 1982. Following a two year long consultation process, the latest edition of the ICC clauses became available to the Market on 1st January 2009. The overall result of the amendments to the 1982 ICC has been to create clearer policies that are more favourable to the Assured. Exclusions have also been amended to the advantage of the assured. The Transit Clause has seen a large revision, again more favourable to the Assured. The insurance now attaches within the warehouse or place of storage when the goods are "first moved$\cdots$ for the purpose of the immediate loading into or onto the carrying vehicle or other conveyance for the commencement of transit" whereas previously the insurance would not attach until the goods left the warehouse. Furthermore, the insurance now terminates on completion of unloading from the vessel at (rather than delivery to) the final warehouse or at a warehouse prior to the destination named in the contract of insurance which the Assured or their employees elect to use either for storage or distribution.