• 대한두개안면성형외과학회지
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• 제25권2호
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• pp.62-70
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• 2024

Background: The management of cleft lip and palate aims at improving the patient's aesthetic and functional outcomes. Delaying primary repair can disrupt the patient's functional status. Long-term follow-up is essential to evaluate the need for secondary repair or revision surgery. This article presents the epidemiology of cleft lip and palate, including comprehensive patient characteristics, the extent of delay, and secondary repair at our institutional center, the Bandung Cleft Lip and Palate Center, Faculty of Medicine, Universitas Padjadjaran, Bandung, Indonesia. Methods: This retrospective study aimed to determine the epidemiology and recurrence rates of cleft lip and palate at the Bandung Cleft Lip and Palate Center, Indonesia, from January 2007 to December 2021. The inclusion criteria were patients diagnosed with cleft lip and/or palate. Procedures such as labioplasty, palatoplasty, secondary lip and nasal repair, and alveolar bone grafting were performed, and data on recurrence were available. Results: In total, there were 3,618 patients with cleft lip and palate, with an age range of 12 months to 67 years. The mean age was 4.33 years, and the median age was 1.35 years. Males predominated over females in all cleft types (60.4%), and the cleft lip was on the left side in 1,677 patients (46.4%). Most cases were unilateral (2,531; 70.0%) and complete (2,349; 64.9%), and involved a diagnosis of cleft lip and palate (1,981; 54.8%). Conclusion: Delayed primary labioplasty can affect daily functioning. Primary repair for patients with cleft lip and palate may be postponed due to limited awareness, socioeconomic factors, inadequate facilities, and varying adherence to treatment guidelines. Despite variations in the timing of primary cleft lip repair (not adhering to the recommended protocol), only 10% of these patients undergo reoperation. Healthcare providers should prioritize the importance of the ideal timing for primary repair in order to optimize physiological function without compromising the aesthetic results.

• 한국산학기술학회논문지
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• 제17권3호
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• pp.109-116
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• 2016

본 연구는 장애인의 보조기 사용에 대한 만족도와 중요도 분석을 통해 소비자 중심의 보조기 서비스 개선방안을 제시하고자 실시하였다. 보조기를 사용하는 장애인 185명을 대상으로 QUEST(Quebec User Evaluation of Satisfaction with assistive Technology)를 이용한 설문조사를 실시하였고, 보다 심도깊은 논의를 위하여 추가로 25명을 대상으로 심층면접을 실시하였다. 보조기 기구 만족도는 3.78점, 보조기 서비스 만족도는 3.52점으로 전체 만족도는 3.68점이 나왔으며, 개별 항목에서 만족도는 효과성이 가장 높았고, 가격이 가장 낮게 나타났다. 만족도 개별항목의 중요도에서는 가격, 안락함, 수리서비스, 그리고 사후관리 등을 중요한 항목으로 선택하였다. 건강보험 등 공적급여제도의 보조기 수가체계는 현실을 반영한 합리적 개선이 필요하며, 수리를 포함한 사후관리 등의 전달체계 구축이 필요하다고 할 수 있다.

• Clinics in Shoulder and Elbow
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• 제16권2호
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• pp.141-147
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• 2013

회전근개 전층 파열과 원위 경골 관절면 골절 불유합을 동시에 시행한 57세 남자가 수술 19일만에 MRSA(Methicillin-resistant Staphylococcus aureus)에 의한 상완골두 급성 골수염이 발생하였다. 골수염은 3차례의 수술과 정맥 항생제 요법으로 치료되었으나 상완골두와 회전근개 결손은 남아있었다. MRSA에 의한 상완골두 골수염은 보고된 바가 없기에 문헌고찰과 함께 보고하는 바이다.

• 대한정형외과 초음파학회지
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• 제6권2호
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• pp.70-75
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• 2013

저자들은 관절경하 회전근개 파열을 봉합한 후 만성적인 견관절 통증을 호소하는 3명의 환자에서 매듭으로 인한 충돌 증후군을 초음파로 진단하고 관절경수술로 치료하였다. 최근 초음파는 회전근개 봉합술 후에 추적관찰의 방법으로 가장 많이 쓰이고 있으며, 유용한 검사방법이다. 저자들은 초음파를 이용하여 매듭 충돌 증후군을 진단 및 치료하였으며, 그 유용성을 문헌고찰과 함께 보고하는 바이다.

• 한국건축시공학회:학술대회논문집
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• 한국건축시공학회 2021년도 봄 학술논문 발표대회
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• pp.271-272
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• 2021

The maintenance and repair work of sidewalk block pavement is a construction that requires a large amount of budget to be invested every year. It is important to establish an appropriate standards for estimating construction cost to ensure proper budgeting and quality. In this study, the standards for estimating the cost of maintenance and construction work for sidewalk blocks that can be applied to the construction volume classified according to the site conditions, construction type, and equipment use differentiated from new construction was established. As a result, the daily construction volume was presented by reflecting excavator and truck as equipment in the combination of paver and common worker. The re-installation was applied by separating the construction volume of sections with general blocks and induction/raised blocks based on the installation of sidewalk blocks after demolition. Generally if block cutting is necessary, the precision construction conditions using a cutting machine were taken into consideration to secure the construction quality. In addition, it has been revised to apply classified construction volume into A and B-Type depending on the park and site conditions.

• 한국철도학회:학술대회논문집
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• 한국철도학회 2002년도 추계학술대회 논문집(II)
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• pp.1029-1034
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• 2002

Object of this paper are numerical and experimental evaluation of Korean Standard Train Loading(L-loading scheme) with respect to UIC's and real train loading, quantitative formulation of the real train types in South Korea. These objects are require to changing environment of train operation, for example, high density traffic and gradual train speed increase. For the reasonable repair, reinforcement and rehabilitation of existing railway infrastructures, statistical analysis of the loading effect during the long term experiment in conventional lines have to conduct. Statistical quantitative formulation of the loading case need to consistency numerical evaluation of the railway safety. Hereafter, those results will be core technical data for the economy enhancement of international line construction. Further, these results are using to make track maintenance criterions for transcontinental, speed up railway and revision of standard train leading diagram.

• 대한두개안면성형외과학회지
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• 제24권1호
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• pp.37-40
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• 2023

Penetrating wounds to the face are cosmetically devastating and can be life-threatening. If the foreign body causing the penetrating wound is a piece of wood, small remnants might be left behind after the initial treatment. A 33-year-old male patient presented to the emergency center after a piece of lumber pierced his face as a passenger in a traffic accident. The patient's vital signs were stable, and emergency surgery was performed to remove the foreign body and repair the soft tissue. No noteworthy complications were seen after open reduction and internal fixation of the facial bone fractures. Seven months after the accident, the patient underwent scar revision along with full-thickness skin grafting for post-traumatic scars. After the surgery, pus-like discharge which was not previously present was observed, and the graft did not take well. A residual foreign body, which was the cause of graft failure, was found on computed tomography and the remaining foreign body was removed through revision surgery. The patient is receiving outpatient follow-up without any complications 6 months after surgery. This case demonstrates the importance of performing a careful evaluation to avoid missing a residual foreign body, especially if it is of wooden nature.

• Journal of Korean Neurosurgical Society
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• 제51권1호
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• pp.14-19
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• 2012

Objective : The authors performed a retrospective study to assess the clinical and radiological outcome in symptomatic lumbar spondylolysis patients who underwent a direct pars repair surgery using two different surgical methods; pedicle screw with universal hook system (PSUH) and direct pars screw fixation (DPSF), and compared the results between two different treated groups. Methods : Forty-seven consecutive patients (PSUH; 23, DPSF; 15) with symptomatic lumbar spondylolysis who underwent a direct pars repair surgery were included. The average follow-up period was 37 months in the PSUH group, and 28 months in the DPSF group. The clinical outcome was measured using visual analogue pain scale (VAS) and Oswestry disability index (ODI). The length of operation time, the amount of blood loss, the duration of hospital stay, surgical complications, and fusion status were also assessed. Results : When compared to the DPSF group, the average preoperative VAS and ODI score of the PSUH group were less decreased at the last follow-up; (the PSUH group; back VAS : 4.9 vs. 3.0, leg VAS : 6.8 vs. 2.2, ODI : 50.6% vs. 24.6%, the DPSF group; back VAS : 5.7 vs. 1.1, leg VAS : 6.1 vs. 1.2, ODI : 57.4% vs. 18.2%). The average operation time was 174.9 minutes in the PSUH group, and 141.7 minutes in the DPSF group. The average blood loss during operation was 468.8 cc in the PSUH group, and 298.8 cc in the DPSF group. The average hospital stay after operation was 8.9 days in the PSUH group, and 7 days in the DPSF group. In the PSUH group, there was one case of a screw misplacement requiring revision surgery. In the DPSF group, one patient suffered from transient leg pain. The successful bone fusion rate was 78.3% in the PSUH group, and 93.3% in the DPSF group. Conclusion : The present study suggests that the technique using direct pars screw would be more effective than the method using pedicle screw with lamina hook system, in terms of decreased operation time, amount of blood loss, hospital stay, and increased fusion success rate, as well as better clinical outcome.

• 대한두개안면성형외과학회지
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• 제21권1호
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• pp.49-52
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• 2020

The specialized structure of the upper eyelid ensures complete closure of the eye and eyeball sealing. An upper eyelid injury can cause various symptoms associated with eyeball trauma, not just scar formation or eyelid deformity. In this report, we describe a case of lagophthalmos observed after wound repair in a patient with a crushing injury caused by a grinder. Several surgical techniques are used to treat lagophthalmos or scar contracture. In most cases, a releasing procedure is performed after 6 months of initial repair. However, if the patient has severe symptoms that are not relieved by conservative care, early revision is inevitable. We describe a case of early lagophthalmos successfully resolved with pentagonal wedge resection, fat redistribution, and full-thickness skin grafting. After the revisional surgery, we observed that the patient regained the ability to completely close the injured eyelid, with restoration of function and favorable cosmetic outcomes. Pentagonal wedge resection to release a retracted structure, fat redistribution to prevent readhesion, and full-thickness skin grafting for enough amount of skin to regain upper eyelid function is useful for scar release and lagophthalmos following crushing injuries of the upper eyelid.

• 토지주택연구
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• 제7권2호
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• pp.113-119
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• 2016

주택의 양적 공급보다는 질적 개선 등 유지보수가 중요해지고 있는 시점에서 본 논문은 현재 주택개보수 정책의 현안을 정리하고 이에 따른 개선방향을 제시하고자 한다. 2015년 주거급여의 개편과 더불어 저소득층에 대한 주택개보수가 확대되었으며, 각 부처에서 개별적으로 진행하는 개보수사업도 지속되고 있다. 현행 개보수정책은 공통적으로 대상자 선정을 기준으로 개별 주택에 대한 보수가 이루어지고 있으며, 주거급여의 수선유지급여는 임차가구를 제외한 자가 수급가구에 한정하고 있다. 향후 개보수정책은 구체화된 목표 설정과 활용문제를 검토하여야 하며, 주거급여는 임차가구와 소득 기준 대상자 확대를 고려하여야 한다. 또한 개별주택이 아닌 여러 주택에 대한 동시 개보수, 시공업체 선정방식의 개선, 유지보수업의 품질확보와 선진화 등을 추진할 필요가 있다.