• 대한족부족관절학회지
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• 제19권3호
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• pp.114-117
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• 2015

Deep infection of Achilles tendon is one of the serious complications that occur after open repair of the tendon. It sometimes leads to a very large tendon defect during the course of treatment. We report on a case of massive defect in Achilles tendon, which was successfully treated with Achilles tendon allograft and flexor hallucis longus tendon transfer.

• 대한물리의학회지
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• 제5권3호
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• pp.331-339
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• 2010

Purpose : Cervical spondylotic myelopathy is a varied clinical syndromes and the most serious condition of cervical spondylosis. Spinal cord dysfunction is often caused by the compression on spinal cord. The purpose of this report was to describe physical examination and the process of disorders on cervical spondylotic myelopathy(CSM). Methods : Three cases with cervical myelopathy were presented with magnetic resonance image(MRI), Nurick's grade and Japanese Orthopaedic Association(JOA) score. Results : This studies showed a variable clinical course with gradual neurological deterioration in two cases. but one case was improved by operation and a regular aerobic exercise. MRI, Nurick's grade, JOA score are a useful adjunct for CSM evaluation. Conclusion : The state of CSM is variable, which may affect conservative treatments and surgery. It is needed to be a carefull approach and studies for a conservative treatment and management on CSM.

• Journal of Chest Surgery
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• 제15권1호
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• pp.73-76
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• 1982

For the treatment of acute respiratory failure and emergency care of an urgent patient, tracheostomy in itself may have been a life saving procedure. But, among the variable complications following tracheostomy, the tracheal stenosis gives serious clinical manifestation which can only be corrected by surgical intervention in many occasions. At the Dept. of thoracic surgery, CAFGH, we have experienced one case of tracheal stenosis following tracheostomy for assisted ventilation. Tracheogram showed a 2.5 cm segmental narrowing 5 cm below the tracheostoma. Before recon-struction, we tried to dilate the stenotic segment for about 2 months, but the result was not satisfactory to relieve dyspnea. So, we resected the narrowed segment and tracheal reconstruction was performed with an excellent result in postoperative periods till now.

• Journal of Chest Surgery
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• 제28권8호
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• pp.792-796
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• 1995

The pulmonary sequestration is a rare congenital malformation of the lung, concerning about the abnormal feeding systemic artery, may happen a serious complication of bleeding during operation if not recognized before operation. We experienced a case of bilateral intralobar pulmonary sequestration preoperatively confirmed by aortogram. An Aortogram demonstrated a anomalous systemic artery arising from thoracic aorta just above the diaphragm. The artery bifurcated and supplied areas of both right and left lower lobes. On the operative field, left lower lobectomy was done with devision and ligation of left branch of anomalous artery and triple ligation of remained branch of anomalous artery was done. Postoperative course was uneventful. She was discharged on postoperative seventeenth day.

• The Korean Journal of Pain
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• 제18권2호
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• pp.275-278
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• 2005

Percutaneous cordotomy is a useful method for cancer pain management. Candidates for cervical cordotomy include those patients with unilateral cancer pain below the shoulder, with a life expectancy of less than 1 year, who can not be adequately treated by other less invasive methods. However, various complications can occur following a cordotomy, with the most serious being respiratory dysfunction. Herein, we report a case of transient respiratory dysfunction following a percutaneous cervical cordotomy.

• 대한한의학회지
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• 제21권4호
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• pp.264-270
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• 2000

The occurrence of neurologic symptoms after cervical manipulation(Chuna treatment) seems to be an uncommon event considering the large number of manipulations performed. The precise incidence is unknown, for only patients with serious complications seek medical care. We recently experienced a 3D-year-old woman who developed sudden neurologic complications after cervical Chuna treatment by a nonprofessional therapist. Whether the manipulation is the major causative factor in the subsequent stroke can be disputable and must be considered in each case. Physicians and patients, however, should be aware that cerebrovascular accidents may occur as a result of cervical manipulation.

• The Korean Journal of Pain
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• 제14권2호
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• pp.253-256
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• 2001

One of the most serious complications of regional anesthesia is a neurological deficit. Although such a problem is very rare, obstetric patients may develop paresthesia and motor dysfuntion during the postoperative period in association with number of other factors, including direct nerve trauma, equipment problems, adhesive arachnoiditis, anterior spinal artery syndrome, epidural hematoma or abscess and adverse drug effect. We experienced a case of unilateral paraparesis following epidural anesthesia with 20 ml of 0.75% ropivacaine and $25{\mu}g$ of fentanyl in an obstetric patient.

• Journal of Korean Neurosurgical Society
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• 제42권6호
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• pp.492-494
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• 2007

We present a case with seizure, confusion, hypesthesia and paraplegia after intrathecal injection of fluorescein. A 41-year-old man was admitted to our institution for the management of the CSF leakage. Intrathecal injection of fluorescein was performed and he complained of severe pain and numbness in the lower extremities at the end of the injection. Four hours later, he exhibited confusion, paraparesis and two episodes of generalized seizures. Two days later, he showed paraplegia and all sensory modalities below the T12 level were absent. Spine magnetic resonance imaging revealed myelopathic change in the lower thoracic spinal cord. There was no improvement of weakness and sensory deficits in lower extremity even 14 days after fluorescein injection. We speculated that thoracic myelopathy was associated with the intrathecal injection of fluorescein. In spite of its rarity, the complication after intrathecal injection of fluorescein could be serious. Thus, obtaining an informed consent with discussion with patient before the procedure is mandatory.

• 한국조경학회지
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• 제26권2호
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• pp.283-292
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• 1998

The purpose of this study is to suggest visual resource management methods for the national parks and adjacent areas, where visual impacts by high rise buildings such as hotel, condominium, etc. become serious problems. In this study Soraksan National Park has been selected as a case study for landscape management planning. The results of this study are as follows: 1) Comprehensive landscape management planning for National Parks and adjacent areas is necessary to solve visual impact problems by high rise buldings such as hotel, condominium, etc. 2) It is suggested to investigate visual resources and conceptual landscape management ideas, to select landscape control points and lines, landscape management areas, and to prepare building height control plan for proper landscape management plan. 3) In case of Soraksan national park, the landscape management plan includes three landscape management areas : Landscape preservation area, General landscape management area, and special landscape management area. 4) In the part of special landscape management area, it is necessary to introduce landscape impact assessment system to more effective landscape management.

• Journal of Welding and Joining
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• 제8권4호
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• pp.69-75
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• 1990

In this paper, ultimate compressive strength of TMCP 50HT steel plates (yield stress .sigma.$_{o}$=36kg/mm$^{2}$) with HAZ softening is studied. Finite element method formulated by the author is applied to analyze the elasto-plastic large deflection behaviour of the plates. The influence of HAZ softening breadth, welding direction and slenderness ratio on the ultimate compressive strength is investigated. The results obtained are summarized as 1) With the increasing of the HAZ softening breadth, early plasticity on the plates is formed and then the ultimate compressive strength is decreased, in which about 8% of the ultimate strength for the plate with h/t=4(h: HAZ softening breadth, t: plate thickness) was reduced comparing with no HAZ softening. 2) The large decrease of the ultimate strength for the case that the welding direction is normal to the loading direction is occurred than the case that the welding direction is parallel to the loading direction. 3) The influence of HAZ softening on the ultimate compressive strength is serious for thick plates, while it may be negligible for thin plates.s.