• Journal of Korean Neurosurgical Society
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• v.30 no.sup1
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• pp.55-60
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• 2001

Objective : The purpose of the present study was to examine neurologic changes, fusion rate and degree of kyphosis from the surgical results of those patients who underwent multi-level anterior interbody fusion and internal fixation. Methods : Among 63 cases of the patients who received multi-level anterior interbody fusion and internal fixation in 5 years between 1995 to 1999 at the neurosurgery department, we performed a retrospective study in 52 cases that could be followed up with dynamic view imaging ; the results were compared and analyzed. The analysis was based on the results of history taking, physical findings and radiologic findings, and Odom criteria were used to classify those cases with neurologic changes. Results : Among those 52 cases in whom the follow-up was possible for at least a year and dynamic view imaging was possible, bone fusion was seen in 93% of the trauma cases and 95% in the non-trauma cases and overall bone fusion was observed in 94% of the cases. Bone fusion was seen in 93% of the autobone cases, 95% of the allobone cases, and 94% of the Mesh cases. Radiologic changes were observed by comparing the lateral view after surgery ; kyphosis was seen in 53% of the autobone cases, in 70% of the allobone cases, and in 35% of Mesh cases ; in 45% and 60% of the non-trauma cases and trauma cases, respectively ; and in 55% of the 2 level fusion cases and 46% of the 3 level fusion cases. Neurologic changes classified according to Odom criteria showed excellent result in 48% of all the cases, good in 23%, fair in 4%, and poor in 25%. Conclusion : Even those cases with multi-level fusion, a high fusion rate could be obtained by performing anterior interbody fusion and internal fixation ; those cases with kyphosis were related more with the presence or absence of posterior compartment injury rather than the fusion level ; and those trauma cases showed not much difference in the fusion rate compared with non-trauma cases but had a high possibility of kyphosis.

• Journal of Oral Medicine and Pain
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• v.43 no.4
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• pp.118-124
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• 2018

Purpose: Age estimation is often used in the identification of living persons. Various methods are used for age estimation using teeth, and there are many studies on the methodology. But the study of changes in the social aspects of age estimation with the passage of times is still insufficient. Therefore, the purpose of this study is to analyze the age estimation cases in the social aspects and to investigate the changes of age estimation cases in Jeollabuk-do. Methods: From January 2008 to December 2015, 76 cases of age estimation were collected. The collected data were organized and analyzed. The distribution of patients by age and year, the difference between alleged and registered age, the purpose of age estimation, and regional distribution were examined. In addition, we compared the previous study which analyzed the age estimation cases in Jeollabuk-do from 2000 to 2007. Results: According to the distribution by age, the age distribution was the largest in the 50s and 60s, with 69.8%. The most reason to correct age was related to welfare benefits (38.2%), and most of the people who corrected for welfare benefits were over 50 years old. The age correction for purpose of welfare benefits existed every year during the study period. As the result of comparison with previous study, total number of age estimation cases was decreased very sharply, and distribution by age group was also changed. Conclusions: Changes in age estimation cases were observed when compared to the previous study. A significant decrease in the total number of age estimation cases was observed, but the number of age estimation in the 50s did not decrease. Although the total number of age estimation requests decreases, age estimation in the elderly are likely to persist. Thus, it is necessary to study new age estimation methods suitable for the elderly.

• Korean Journal of Clinical Laboratory Science
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• v.51 no.4
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• pp.436-443
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• 2019

Lyme disease is a national notifiable infectious disease as of September 2018. The number of cases of Lyme disease has recently been increasing. This study analyzed the epidemiological features and clinical symptoms of domestic and imported. From 2011 to December 31, 2018, of the 119 cases, 48 confirmed cases, 63 probable cases, and 8 suspected cases. 70 cases (58.8%) were reported in Korea and 49 cases (41.2%) of imported. In addition, 91 cases (76.5%) were reported during the summer~autumn season (June~November). In 2017, the highest number of 31 cases. The time needed to make a diagnosis was 2.8±14.7 days for domestic occurrences versus 1.4±4.5 days for those cases that infection occurred imported. Among the clinical symptoms, fever and rash were statistically significant (P<0.001). Clinical trials included early localized 31 cases (52.1%), early disseminated 43 cases (35.3%), and late disseminated 15 cases (12.6%). The estimated regions of infection in Korea were Chungnam 12 cases (17.1%), Gyeonggi 12 cases (17.1%), and Gangwon 8 cases (11.4%), Patient care is also considered to be very important as this disease occurs of all ages. Therefore, the promotion of preventive education and identification of epidemiological features are of paramount importance and should be implemented. The study's findings can be used as basic data for the prevention and management of patients with lyme disease.

• Journal of Korean Neurosurgical Society
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• v.30 no.sup2
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• pp.216-220
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• 2001

Objective : Cranioplasty is required to protect underlying brain, to correct major aesthetic deformities, or both. The ideal material for this purpose is autogenous bone. When this is not available, alloplastic or artificial materials may be used. In this study authors compared the infection rate according to the cranioplasty materials(the frozen autologous bone vs. bone cement), and duration of the skull defect. Materials : Between May 1994 and December 1999, 111 patients with skull defect treated with cranioplasty(82 cases of frozen autologous bone and 29 cases of artificial bone material) were included in this study. There were 77 males and 34 females with a mean age of 41.4 years(range 1-85 years). 57 patients had head trauma and 54 had non-traumatic insults. According to the duration of skull defect, there were 28 cases under 1 month, 33 cases of 1-2 months, 15 cases of 2-3 months, 20 cases of 3-6 months and 15 cases over 6 months of duration. Results : Overall infection rate was 9.9%. In cases with frozen autologous bone and artificial bone material, the infection rate was 8.5% and 13.7%, respectively. The infection rate according to the duration of skull defect was 3.6%(among 28 cases) under 1 month of age, while those were 12%(4 among 33 cases) at 1-2 months, 20%(3 among 15 cases) at 2-3 months, 5%(1 among 20 cases) at 3-6 months and 13%(2 among 15 cases) over 6 months. Accoring to the underlying disease, the infection rate in traumatic cases was 12%(7 among 57 cases) and that in non-traumatic one was 3.7%(2 among 54 cases). Conclusion : From this study, it appears that skull defect should be repaired as soon as possible, because early cranioplasty can lower the infection rate. And surgeons could save the patients' cranial bone as possible as they can because autologous bone is not only cost effective in cosmatic purpose but lower the infection rate.

• Journal of Korean Foot and Ankle Society
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• v.6 no.2
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• pp.190-194
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• 2002

Purpose: We present our experience about the clinical aspect and treatment modalities of ostechondritis dissecans of the talus. Material and Method: This study included 35 patients, 38 cases diagnosed as ostechondritis dissecans of the talus that were proved by clinical and radiologic finding. The methods of treatment were conservative (2 cases), multiple drilling (1 case), excision (1 case), excision, curettage & multiple drilling (23 cases), curettage & bone peg fixation (2 cases), curettage & bone graft (2 cases), and autogenous osteochondral transfer(Mosaicplasty) (7 cases). Results: Of the 38 cases, 30 cases were associated with a history of trauma (17 cases of medial lesion, 13 cases of lateral lesion), and 9 cases of which had major trauma history and 21 cases, minor repetitive trauma history. According to O'Farrel grading system, 21 cases (55%) had good results, 11 cases (29%) had fair results, and 6 cases (16%) had poor results. Of the medial lesion 16 cases had good results, 6 cases, fair results, and 2 cases, poor results. Of the lateral lesion 5 cases had good results, 5 cases, fair results, and 4 cases, poor results. Conclusion: There were fair or good results in 84% of patients with surgical treatment. Curettage and multiple drilling reveals a good result in medial lesion in grade I, II, III and lateral lesion in grade I, II. Autogenous osteochondral transfer(Mosaicplasty) is considered for the cases in grade III, IV(medial and lateral), lesion exceeds 1Cm of size and poor result with another treatment modality.

• Journal of Korean Academy of Oral and Maxillofacial Radiology
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• v.22 no.2
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• pp.339-348
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• 1992

The purpose of this study was to evaluate the correlationship between histopathologic types of ameloblastoma and their radiographic appearances. The materials for this study consisted of 106 patients diagnosed as ameloblastoma both radiographically and histologically. The obtained results were as follows: 1. The incidence of ameloblastoma in male(60cases, 56.6%) was slightly higher than that in female (46 cases, 43.4%). The average age was estimated as 30.7 years with a range from 6 to 76 years. The second decade revealed the highest rate. 2. 106 ameloblstomas were histopathologically classified as 36 unicystic, 28 plexiform, 20 follicular, 14 acanthomatous, 7 granular cell, and 1 basal cell ameloblastoma. 3. Unilocular, soap-bubble appearance and scalloped margin were the radiographic appearances frequently seen in unicystic ameloblastoma. The predominant radiographic appearance of plexiform ameloblastoma showed unilocular radiolucency with scalloped margin. 4. 19.8%, 21 cases of ameloblastoma in this study showed containing tooth in their tumor mass by radiography. 5. Root resorption occured in 37 cases(34.9%) and tooth displacement in 7 cases(6.6%). Root resorption and tooth displacement occured in same patient were 24 cases(22.6%). 6. Recurrence occured in 21.7% and average year between initial treatment and recurrence were 2 years.

• East Asian Economic Review
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• v.25 no.2
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• pp.205-230
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• 2021

This study examines the impact of the number of coronavirus cases on regime-switching in stock return volatility. This study documents the empirical evidence that the COVID-19 cases had an asymmetric effect on the regime of stock return volatility. When the stock return is in the low volatility regime, the probability of switching to the high volatility regime in the next trading day increases as the number of cumulative cases increases. In contrast, in the high volatility regime, the effect of cumulative cases on the transition probability is not statistically significant. This study also documents the evidence that the government measures against the pandemic contribute to promoting the high volatility regime of the KOSPI during the pandemic. Besides, this study projects future stock prices through the Monte Carlo simulation based on the estimated parameters and the predicted number of the COVID-19 new cases. Under a scenario where the number of new cases rapidly increases, stock price indices in Korea are expected to be in a downward trend over the next three months. On the other hand, under the moderate scenario and the best scenario, the stock indices are likely to continue to rise.

• Journal of Korean Academy of Oral and Maxillofacial Radiology
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• v.17 no.1
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• pp.175-181
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• 1987

The purpose of this study is to know the value of the photographic subtraction technic in the transcranial oblique lateral projection of the TMJ. The author examined the transcranial oblique lateral projection radiographs which comprise 50 cases of 32 persons, compared the transcranial oblique lateral projection films and those subtraction films. The following results were obtained. 1) The condyle at closed jaw position had showed a reversed tone image, but the condyle at the opening position had showed a re-reversed ordinary image. Both condyles had showed one subtraction film because radiographic interpretation of TMJ was easy. 2) On 50 cases of subtraction films, 46 cases had showed same radiographic images compared with trascranial oblique lateral projection films. Four cases (3 cases of erosion, 1 cases of sclerosis) had showed additional changes of images so that capability of interpretation was improved.

• Journal of Korean Neurosurgical Society
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• v.39 no.1
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• pp.32-35
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• 2006

Objective : Hemangiopericytoma is known as a malignant tumor originating from pericytes and rarely occurs in the central nervous system. We present 6 cases of pathologically confirmed meningeal hemangiopericytoma. Methods : Retrospective study was done based on patient's recordings including radiological studies. Each case of tumors was treated surgically and postoperative radiotherapy was done. Results : There were 5 cases of intracranial and 1 case of spinal hemangiopericytomas. Three of 5 intracranial hemangiopericytomas were located at tentorial region. Total tumor removal was done in 4 cases and postoperative local recurrence (or regrowth) was noted in 3 cases despite of postoperative external radiation therapy, 2 of which had died. Conclusion : Our cases show more frequent tentorial locations and poor clinical outcomes of hemangiopericytomas compared with meningiomas.

• 대한상한금궤의학회지
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• v.15 no.1
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• pp.117-130
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• 2023

Objective : The objective of this study is to explore the meaning of 弦 in Shanghanlun through analyzing two cases. Methods : Two cases treated with modified Soshiho-tang, which is administrated when 弦 aggravates chief complaints, were analyzed. All of the cases were diagnosed by disease pattern identification diagnostic system based on Shanghanlun Provisions. Results : The patients' chief complaints of all 2 cases were improved after administration of modified Soshiho-tang. As pulling symptom was reduced in all 2 cases, patients' disease were relieved. Through the etymological research and clinical treatment results, the clinical meaning of 弦 is deduced as 'pulling'. Conclusions : The etymological and clinical analysis suggest that the concept of '弦' maybe defined as 'pulling' in Shanghanlun.