• Archives of Plastic Surgery
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• v.48 no.3
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• pp.310-322
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• 2021

The incidence of extremity amputation is estimated at about 200,000 cases annually. Over 25% of patients suffer from terminal neuroma or phantom limb pain (TNPLP), resulting in pain, inability to wear a prosthetic device, and lost work. Once TNPLP develops, there is no definitive cure. Therefore, there has been an emerging focus on TNPLP prevention. We examined the current literature on TNPLP prevention in patients undergoing extremity amputation. A literature review was performed using Ovid Medline, Cochrane Collaboration Library, and Google Scholar to identify all original studies that addressed surgical prophylaxis against TNPLP. The search was conducted using both Medical Subject Headings and free-text using the terms "phantom limb pain," "amputation neuroma," and "surgical prevention of amputation neuroma." Fifteen studies met the inclusion criteria, including six prospective trials, two comprehensive literature reviews, four retrospective chart reviews, and three case series/technique reviews. Five techniques were identified, and each was incorporated into a targetbased classification system. A small but growing body of literature exists regarding the surgical prevention of TNPLP. Targeted muscle reinnervation (TMR), a form of physiologic target reassignment, has the greatest momentum in the academic surgical community, with multiple recent prospective studies demonstrating superior prevention of TNPLP. Neurorrhaphy and transposition with implantation are supported by less robust evidence, but merit future study as alternatives to TMR.

• Korean Journal of Heritage: History & Science
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• v.51 no.2
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• pp.124-137
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• 2018

Although the evaluation system for excavation reports has been in operation for over 10 years, there has been no research on the evaluation system. First, this study examined the changes of the evaluation system, and secondly, it analyzed the evaluation factors affecting the evaluation results. As a result of institutional analysis, the present evaluation result is being utilized in PQ, and it is suggested that the evaluation subject institution is limited to the excavation institution, which may cause disadvantages to the participating museums. We also pointed out that a small number of jury members are currently evaluating the report and therefore need to reinforce it to ease the burden of assessment. As a result of evaluation factor analysis, it was confirmed that the target score was lower but the actual effect score was higher. In addition, it suggested that the indicators should be improved because the report system, headings, natural archaeological environment, scope and method of survey, and editing and printing indicators are less influential than other indicators. In addition, we conducted a regression analysis of each group by examining the appropriateness of classification amounts according to current excavation costs. As a result of the analysis, the cost of excavation in the second and third groups in 2015 and 2016 was found to affect the score. This emphasized the need for an in-depth approach to estimating the taxonomic value of the group, which is inconsistent with the initial objective of not affecting the assessment results according to excavation costs.