• 대한족부족관절학회지
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• 제25권3호
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• pp.111-116
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• 2021

Purpose: Variations in the preferred conservative and operative treatment methods for ankle arthritis may be observed in the practice of orthopedic surgeons. This study is based on the Korean Foot and Ankle Society (KFAS) member survey and aims to report the current trend and changes in the management of ankle arthritis over the last few decades. Materials and Methods: A web-based questionnaire containing 24 questions was sent to all KFAS members in July 2021. The questions were mainly related to the preferred techniques and clinical experience in osteotomy, arthrodesis, and total ankle arthroplasty (TAA) for patients with ankle arthritis. Results: Sixty-three out of 550 surgeons (11.5%) responded to the survey. The responses to 6 out of the total of 24 questions (25.0%) achieved the levels needed to reflect a tendency. Answers that showed a tendency were related to the following: a surgical approach for arthrodesis (anterior approach), use of auto-bone graft for arthrodesis (iliac bone), a nonunion rate of more than 10% following arthrodesis, main reason related to unsatisfactory results after arthrodesis (nonunion or delayed union), the main reason to change total ankle prosthesis (unstable supply of prosthesis), the unusualness of revision TAA and conversion of fusion to TAA. Diversity was found in several aspects of treatment (degree of experience and satisfaction in supramalleolar osteotomy, fixation method for arthrodesis, preferred TAA prosthesis and longevity, degree of experinece, annual number of TAA operation. Conclusion: This study proposes updated information with regard to the current trends in the management of ankle arthritis in Korea. Both consensus and variations in the approach to patients with ankle arthritis were identified through this survey. With an increasing preference for TAA, the need for the development of a prosthesis optimized for Koreans and a stable supply of prostheses were the suggestions made by the study.

• 한국산학기술학회논문지
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• 제22권3호
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• pp.651-660
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• 2021

본 연구는 국방 분야 선진국인 미국의 표준에 대한 제정 동향을 파악하고, 한국 국방 표준에 적용 가능한 방안을 검토하였다. 이를 위해 웹에 등록된 MIL-STD를 비롯하여 다양한 미국 국방 문서에 대해 제목을 중심 데이터를 수집한 후, 텍스트 마이닝을 이용하여 단어 빈도를 분석하고 그 결과를 워드클라우드 형태로 생성하였다. 그 결과, 시대별로 MIL-STD에 등장하는 단어의 동향을 파악할 수 있었다. 문서 자체의 형식으로 인해 많이 등장하는 단어, 전 시대에 걸쳐 많이 등장하는 단어도 있는 반면, 과거에는 자주 쓰이다 현재는 많이 쓰이지 않는 단어나 과거에는 주목을 받지 못하다가 현재에 와서야 많이 등장하는 단어도 파악이 가능하였다. 또한 MIL-STD를 포함한 다양한 국방 문서를 대상으로 생성한 워드클라우드를 통해 그 특징을 도출하였다. 결론적으로 한국 국방 표준도 재료의 안전한 사용 및 다양한 화물 운반 기준을 마련하는 것에 대한 고민이 필요한 것을 확인하였다. 더 나아가 국방 분야 표준 및 규격에 4차 산업혁명 등과 관련된 최신 기술을 반영하여 표준을 선점하고 규격을 마련하는 것이 중요할 것이다. 또한 국방표준 문서체계를 명확하게 정립하고 효율적인 관리에 투자한다면, 국방 분야 표준의 질 향상을 기대할 수 있을 것이다.

• 대한족부족관절학회지
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• 제26권2호
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• pp.88-94
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• 2022

Purpose: This study was based on the Korean Foot and Ankle Society (KFAS) member survey and aimed to report the current trends in the epidemiology, diagnosis, and management of acute Achilles tendon rupture (AATR) over the past few decades. Materials and Methods: A web-based questionnaire containing 34 questions was sent to all KFAS members in October 2021. The questions were mainly related to the clinical experience and preferred management of patients with AATR. Answers with a prevalence ≥50% of the respondents were considered a tendency. Results: Seventy-one (12.9%) of the 550 members responded to the survey. The male sex ratio in AATR was answered mean 78%, and the most common age groups were 30~40 years (n=49; 69.0%), and 40~50 years (n=37; 52.1%), in that order. The most common seasons for the occurrence of AATR were spring (37 cases; 52.1%) and autumn (27 cases; 38.0%). Also, sports-related rupture had an average occurrence of 76.2%. The most important clinical factor to determine the type of treatment was the history of previous injuries, and 75.9% of respondents started conservative treatment in the 2010s. The most preferred protocol of conservative treatment was an orthosis capable of ankle range of motion after casting (68.5%), and 53.7% 'satisfied' and 1.9% 'very satisfied' with conservative treatment. The most preferred surgical method was open repair (80.3%), and the Krackow method (60.6%), and 49.3% of treated patients responded 'satisfied' and 45.1% 'very satisfied' with this treatment. Conclusion: This study gives updated information concerning the current trend of epidemiology, diagnosis, and treatment of AATR in Korea. Both consensus and variation in the approach to AATR were identified using this survey study. This study may raise the awareness of various possible approaches toward AATR and should be used to further establish a standard protocol for the management of this injury.

• 대한족부족관절학회지
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• 제26권2호
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• pp.95-102
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• 2022

Purpose: This study was based on the Korean Foot and Ankle Society (KFAS) member survey and aimed to report the current trends in the management of syndesmotic injuries over the last few decades. Materials and Methods: A web-based questionnaire containing 36 questions was sent to all KFAS members in September 2021. The questions were mainly related to the preferred techniques and clinical experiences in the treatment of patients with syndesmotic injuries. Answers with a prevalence ≥50% of respondents were considered a tendency. Results: Seventy-six (13.8%) of the 550 members responded to the survey. The results showed that the most preferred method to diagnose a syndesmotic injury was magnetic resonance imaging (MRI). Intraoperatively, the external rotation stress test and the Cotton test were most frequently used to confirm syndesmotic diastasis. The reduction was usually done by a reduction clamp. One 3.5-mm screw was used most frequently over three cortices at 2~4 cm above the ankle joint. The preferred ankle position during fixation was 0° dorsiflexion. Removal of the syndesmotic screw was routinely done by most surgeons, mainly because of the limitation of movement and risk of screw breakage. Factors that affect suture button selection included non-rigid fixation which enables adequate fixation, early weight-bearing, and an infrequent need to remove the hardware. Inadequate reduction was considered the main factor that affects poor prognosis. Conclusion: This study proposes updated information about the current trends in the management of syndesmotic injuries in Korea. Consensuses in both the diagnostic and therapeutic approach to patients with syndesmotic injury were identified in this survey study. This study may raise the awareness of the various possible approaches toward the injury and should be used to further establish a standard protocol for the management of syndesmotic injuries.

• 한국건축시공학회지
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• 제22권3호
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• pp.281-291
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• 2022

본 연구에서는 빅데이터를 활용하여 건축물의 화재위험도 평가에 필요한 지표를 결정하였다. 건축물에서 화재위험도에 영향을 미치는 원인은 대부분 건축물만을 고려한 지표로 고착화되어 있기 때문에 제한적이고 주관적인 평가가 수행되어왔다. 따라서, 빅데이터를 활용하여 다양한 내·외부 지표를 고려한다면 건축물의 화재위험도 저감을 위한 효과적인 대책을 도모할 수 있다. 지표 결정에 필요한 데이터를 수집하기 위해 먼저 질의어를 선정하고, 웹 크롤링 기법을 이용하여 비정형 데이터 형식의 전문 문헌을 수집하였다. 문헌 내 단어를 수집하기 위해 사용자 용어사전 등록, 중복 문헌 및 불용어 제거의 전처리 과정을 수행하였으며, 선행 연구를 검토하여 단어를 4개의 요소로 분류하고 각 요소에서 위험도와 관련된 대표 키워드를 선정하였다. 그리고 대표 키워드의 연관검색어 분석을 통해 파생되는 위험도 관련 지표를 수집하였다. 지표의 선정 기준에 따라 수집된 지표를 검토한 결과, 20개의 건축물 화재위험도 지표를 결정할 수 있었다. 본 연구 방법론은 건축물 화재위험의 저감 대책 수립을 위한 빅데이터 분석의 적용 가능성을 나타내며, 결정된 지표는 건축물 화재위험도 평가를 위한 참고자료로 사용될 수 있을 것이다.

• 대한족부족관절학회지
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• 제25권4호
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• pp.149-156
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• 2021

Purpose: Given the lack of definite evidence-based guidelines in clinical practice, there may be a wide variation in treatment protocols for osteochondral lesions of the talus (OLT). Based on the Korean Foot and Ankle Society (KFAS) member survey, this study aimed to report the current trends in the management of OLT. Materials and Methods: A web-based questionnaire containing 30 questions was sent to all KFAS members in September 2021. The questions were mainly related to clinical experience and preferences in diagnosis, conservative, and surgical treatments for patients with OLT. Answers with a prevalence of ≥50% of respondents were considered a tendency. Results: Sixty-two (11.3%) of the 550 surgeons queried responded to the survey. The responses to 9 (30.0%) of the total of 30 questions established a tendency. Answers exhibiting a tendency were as follows; additional diagnostic tools except for plain radiograph (magnetic resonance imaging), most common conservative treatment method (oral medication, rest), most important radiological factor in decision making for surgical treatment and method (size of the lesion, ankle instability, loose bodies), most important patient factors in decision making for surgical treatment and method (age, activity or occupation), infrequently requiring posterior arthroscopy (less than 3%), most common revision surgery for failed bone marrow stimulation procedure (osteochondral autograft transplantation [OAT]), not requiring additional procedure for donor site in OAT, the main reason for unsatisfactory result after OAT (persistent pain without radiological abnormality), no generalization of autologous chondrocyte implantation or chondrogenesis using stem cells. Conclusion: This study presents updated information on current trends in the management of OLT in Korea. Both consensus and variations in the approach to patients with OLT were revealed through this survey. Since recent biologic efforts to regenerate cartilage have been unsuccessful, further studies to identify clinical evidence would be needed.

• 한국지리정보학회지
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• 제24권4호
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• pp.1-25
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• 2021

정부는 지하안전사고 대응 및 예방을 위해 현행 수작업 기반의 지하공간통합지도 구축 및 갱신체계를 지하구조물을 포함한 지하정보에 대해서 자동화 기반의 3D 지하정보 구축 및 갱신체계로의 전환을 위한 준공도서제출 시스템 구축사업을 진행하고 있다. 하지만 3D 지하구조물 자동화 갱신 시 필요한 표준도면 연구가 미비하여 이에 관한 구체적인 연구가 필요한 실정이다. 본 논문에서는 지하공간통합지도를 구성하는 6종 지하구조물을 대상으로 표준도 기반의 3차원 지하구조물 구축 방안을 제시하여 신속 정확한 도면데이터 작성과 체계적인 3차원 지하구조물 도면데이터 관리가 이루어질 수 있도록 하였다. 또한, 지하정보 실무에 활용 가능한 3D 구축용 가공도면 툴을 개발하여, 일반 CAD 프로그램 사용자들도 쉽게 가공도면을 제작할 수 있도록 하였다. 본 논문에서 도출된 결과물들은 향후 3D 지하구조물 구축을 위한 표준 프레임워크 및 실무적용 지침 수립 시 주요한 참조자료가 될 것으로 기대한다.

• 대한족부족관절학회지
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• 제25권4호
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• pp.157-164
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• 2021

Purpose: This study aimed to report the current trends in the management of the hallux valgus (HV) deformity over the last few decades through a survey of the Korean Foot and Ankle Society (KFAS) members. Materials and Methods: A web-based questionnaire containing 34 questions was sent to all KFAS members in September 2021. The questions were mainly related to the preferred techniques and clinical experience in correction in patients with an HV deformity. Answers with a prevalence of ≥50% of respondents were considered a tendency. Results: One hundred and nine (19.8%) of the 550 members responded to the survey. The most common symptom for determining surgical treatment was bunion pain (68.8%), and different surgical techniques were selected according to the following radiological parameters: HV angle 30 to 40 degrees and intermetatarsal angle 15 to 20 degrees. The two procedures most preferred by the respondents were distal chevron osteotomy (55.0%), and proximal chevron osteotomy (21.1%). In an average of 71.6% of respondents, Arkin osteotomy was performed simultaneously during HV surgery. HV accompanied by an overriding deformity of the second toe was most often addressed with a combination of second metatarsal osteotomy and soft tissue rebalancing procedure (35.8%). After HV surgery, the recurrence rate of HV deformity was found to be 12.2% on average and the surgeons who had performed minimally invasive surgery (MIS) for HV comprised 34.9% of the total respondents. Conclusion: This study provides updated information on the current trends in the management of the HV deformity in Korea. Both consensus and variation in the approach to patients with HV were identified by this survey study. Although MIS for HV has increased, it appears the consensus for selecting this method has not yet been established.

• 대한족부족관절학회지
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• 제26권1호
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• pp.22-29
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• 2022

Purpose: Despite continuous updates of standard treatment guidelines for acute ankle sprain and chronic ankle instability (CAI), in practice preferred treatment protocols vary widely. Based on a Korean Foot and Ankle Society (KFAS) member survey, this study reports current trends in the management of ankle ligament injuries. Materials and Methods: A web-based questionnaire containing 34 questions was sent to all KFAS members in September 2021. Questions mainly addressed clinical experience and preferences for the diagnosis and treatment of ankle ligament injuries. Answers with a prevalence of ≥50% among respondents were considered to reflect tendencies. Results: Eighty-four of the 550 members (15.3%) responded. Answers that showed a tendency were as follows: commonest additional image study (ultrasound), conservative treatment modality (immobilization, oral medication), frequency of surgical treatment (<5 cases per annum), most important factor when deciding on surgical treatment (activity level, e.g., occupation or sport), and commonest surgical procedure (open ligament repair). Answers that showed a tendency for CAI were as follows: most important symptom (repeated sprain, giving way), radiological factors (talar tilt, osteochondral lesion, anterior talar translation), and patient factors (occupation, sports activities, recurrent instability after surgery, etc.). For decision making regarding surgical treatment and method, the most preferred surgical procedure was the modified Broström procedure, and the most common repair technique was suture anchor technique. The following were considered poor prognostic factors; generalized laxity, failed previous surgery, cavovarus, severe mechanical instability, heavy work, obesity, and dissatisfaction after surgery because of residual pain. Conclusion: This study updates information regarding current trends in the management of ankle ligament injuries in Korea, and reveals consensus opinions and variations in approaches to patients with an acute or chronic injury. The divergence of approaches identified indicates the need for further studies to determine standard guidelines and long-term results.

• 한국화예디자인학연구
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• 제41호
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• pp.155-169
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• 2019

본 연구는 블룸의 교육목표에 따른 원예동화책의 교육적 특성과 인식을 분석하는데 목적을 두었다. 이를 위하여 Web에서 식물과 원예활동에 관한 키워드 검색을 통해 수집한 70여 권의 그림동화책 중에서 이들이 담고 있는 내용에 따라 블룸의 교육목표 인지적 영역(cognitive domain), 정의적 영역(emtional domain), 심동적 영역(psychomotor domain)에 해당하는 동화책으로 분류하고 이에 대한 내용적 특성과 원예교육과 관련된 내용을 찾아 분석하여 교육적 효과를 기술하였다. 또한 서울지역 교사들을 대상으로 기초조사(인구학적 변인조사), 원예그림동화책을 활용한 원예교육 방법(교육법)으로 스토리텔링전략, 그림동화책 후 활용, 효과적인 교육 기자재 등을, 원예교육 인식에 대한 조사로서 원예그림동화책 특성, 장점, 단점 및 도움이 되는 점 등을 조사하였다. 설문지 분석결과, 원예그림동화책을 활용한 원예교육을 하였을 때 교사가 인식하는 장점으로는 '원예활동에 관한 아이들의 흥미와 관심을 불러일으키는 것', 그러나 단점으로는 '교육활동시간이 부족하다는 것'이 나왔다. 그림동화책을 이용하였을 때 학교현장에서 도움이 되는 것은 '수업에 도입하기 쉽다'는 점으로 나타났다. 원예그림동화책 교육방법에 대한 인식으로는 스토리텔링 중 가장 효과적인 방법은 '이야기 몰입', 그림책을 읽은 후 효과적인 활동은 '그림 그리기', 원예그림동화책 교육에 가장 효과적인 기자재는 '실물화상기'로 나타났다.