• 대한구순구개열학회지
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• 제10권2호
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• pp.89-96
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• 2007

Otitis media with effusion is known to be very common among children with cleft palate and is the common cause of acquired hearing loss in childhood. The purpose of the present study was to examine the anatomic variances, incidence and treatment of middle ear disease in children with cleft palate. In Korea, before 4-year-old age, the prevalence of otitis media was as high as 91.7%. Common treatments for otitis media were conservative or surgical treatment. The medical treatment options include the use of decongestants, antihistamines, antibiotics and mucolytics. Surgical treatment options include grommet insertion, myringotomy. Unlike the case for children without clefts, cleft patient has a higher incidence of recurrence, so surgical treatment between the age of 3 month and 6 month was recommended. The effect of palatoplasty on middle ear disease has remained controversial. Early and periodic evaluation on the symptomatic infection or significant of hearing loss was recommended.

• 유기물자원화
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• 제24권2호
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• pp.3-13
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• 2016

본 연구는 바이오가스화 처리 유 무에 따라 하수슬러지 처리방법별, 즉 소각, 탄화, 건조, 고형화 등에 대한 환경성 및 경제성 분석을 실시하였다. 추가적으로 혐기 소화효율 45 %, 함수율 95% 등 정부정책 가이드 라인에 때한 경제적 타당성 조사도 실시하여 정책수립의 과학적 근거자료로 제시하고자 하였다. 경제성 분석을 위하여 30개의 혐기소화 소유 시설과 17개 소유하지 않는 시설을 조사하였다. 결과적으로, 환경성 및 경제성을 고려할 때 혐기소화 이후 후처리로 소각 또는 건조하는 경우가 가장 타당한 것으로 분석되었으며, 후처리로 탄화처리하는 경우가 가장 타당성이 적은 것으로 분석되었다. 고형화 처리는 가장 경제적이었으나 환경적 및 운전성이 부족하여 타당성이 부족한 것으로 분석되었다.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제46권3호
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• pp.174-182
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• 2020

Objectives: Joint injuries frequently lead to progressive joint degeneration that causes articular disc derangement, joint inflammation, and osteoarthritis. Such arthropathies that arise after trauma are defined as post-traumatic arthritis (PTA). Although PTA is well recognized in knee and elbow joints, PTA in the temporomandibular joint (TMJ) has not been clearly defined. Interestingly, patients experiencing head and neck trauma without direct jaw fracture have displayed TMJ disease symptoms; however, definitive diagnosis and treatment options are not available. This study will analyze clinical aspects of PTA in TMJ and their treatment outcomes after joint arthrocentesis and lavage. Materials and Methods: Twenty patients with history of trauma to the head and neck especially without jaw fracture were retrospectively studied. Those patients developed TMJ disease symptoms and were diagnosed by computed tomography or magnetic resonance imaging. To decrease TMJ discomfort, arthrocentesis and lavage with or without conservative therapy were applied, and efficacy was evaluated by amount of mouth opening and pain scale. Statistical differences between pre- and post-treatment values were evaluated by Wilcoxon signed-rank test. Results: Patient age varied widely between 20 and 80 years, and causes of trauma were diverse. Duration of disease onset was measured as 508 post-trauma days, and 85% of the patients sought clinic visit within 2 years after trauma. In addition, 85% of the patients showed TMJ disc derangement without reduction, and osteoarthritis was accompanied at the traumatized side or at both sides in 40% of the patients. After arthrocentesis or lavage, maximal mouth opening was significantly increased (28-44 mm on average, P<0.001) and pain scale was dramatically decreased (7.8-3.5 of 10, P<0.001); however, concomitant conservative therapy showed no difference in treatment outcome. Conclusion: The results of this study clarify the disease identity of PTA in TMJ and suggest early diagnosis and treatment options to manage PTA in TMJ.

• Environmental Engineering Research
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• 제24권2호
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• pp.220-237
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• 2019

Solid waste management (SWM) is one of the poorly rendered services in developing countries - limited resources, increasing population, rapid urbanization and application of outdated systems leads to inefficiency. Lack of proper planning and inadequate data regarding solid waste generation and collection compound the SWM problem. Decision makers need to formulate solutions that consider multiple goals and strategies. Given the large number of available options for SWM and the inter-relationships among these options, identifying SWM strategies that satisfy economic or environmental objectives is a complex task. The paper develops a mathematical model for a municipal Integrated SWM system, taking into account waste generation rates, composition, transportation modes, processing techniques, revenues from waste processing, simulating waste management as closely as possible. The constraints include those linking waste flows and mass balance, processing plants capacity, landfill capacity, transport vehicle capacity and number of trips. The linear programming model integrating different functional elements was solved by LINGO optimization software and various possible waste management options were considered during analysis. The model thus serves as decision support tool to evaluate various waste management alternatives and obtain the least-cost combination of technologies for handling, treatment and disposal of solid waste.

• 대한환경공학회지
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• 제30권5호
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• pp.465-470
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• 2008

• Clinical and Experimental Reproductive Medicine
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• 제47권2호
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• pp.153-153
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• 2020

• Childhood Kidney Diseases
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• 제27권2호
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• pp.64-69
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• 2023

Membranoproliferative glomerulonephritis (MPGN) is a complex group of renal diseases characterized by a specific pattern of glomerular injury that includes thickening of the capillary wall and mesangial expansion, leading to a heterogeneous group of conditions. This review article offers a comprehensive overview of MPGN, its new classification, pathophysiology, diagnostic evaluation, and management options.

• Journal of Chest Surgery
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• 제53권4호
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• pp.200-204
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• 2020

Postoperative chylothorax is a rare occurrence after various thoracic surgical procedures, but it poses a substantial risk of morbidity and mortality. Thoracic duct embolization (TDE) is currently deemed the optimal treatment due to its safety and efficacy. This review offers an introduction to interventional options in this setting, detailing the steps of TDE for the edification of those engaged in postoperative care.

• Archives of Plastic Surgery
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• 제48권5호
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• pp.494-497
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• 2021

Bronchopleural fistula is a severe complication with a high mortality rate that occurs after pulmonary resection. Several treatment options have been suggested; however, it is a challenge to treat this condition without recurrence or other complications. In this case report, we describe the successful performance of a pedicled latissimus dorsi myocutaneous flap transfer, with no recurrence or donor site morbidity.

• The Korean Journal of Pain
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• 제32권3호
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• pp.147-159
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• 2019

Lumbar foraminal pathology causing entrapment of neurovascular contents and radicular symptoms are commonly associated with foraminal stenosis. Foraminal neuropathy can also be derived from inflammation of the neighboring lateral recess or extraforaminal spaces. Conservative and interventional therapies have been used for the treatment of foraminal inflammation, fibrotic adhesion, and pain. This update reviews the anatomy, pathophysiology, clinical presentation, diagnosis, and current treatment options of foraminal neuropathy.