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지방흡입술과 병행한 복부성형술: 타 수술과 병행한 지방흡입 복부성형술과의 비교 연구
차정호,오석준,전만경,고성훈 대한미용성형외과학회 2011 Archives of Aesthetic Plastic Surgery Vol.17 No.2
Abdominoplasty may be applied to achieve aesthetic outcome and it also can be combined with other surgeries. In addition, liposuction has been offered to patients to improve contour. Liposuction combined with abdominoplasty gives us the advantage of higher patient satisfaction, better aesthetic outcome, and one-staged surgery. The authors performed a retrospective study to evaluate the outcomes. A total of 6 patients who underwent lipoabdominoplasty were included. The patients were all female and the mean age of the patients was 50.5 years old (age range, 32 to 58 years). This study surveyed lipoabdominoplasty based on the purpose of operation, type of suture, and application of quilting suture. Complication rates, patient satisfaction, and postoperative contour of the abdomen were questioned. A mild abdominal complication occurred in one patient, flap bullae, but this was healed within a week and overall flap survival was excellent with good satisfactory outcome. It appears that complication rates of simple lipoabdominoplasty group is low(1/6), and only minor complication occurs. Preservation of perforators during liposuction accounts for improved flap survival. In addition, abdominoplasty may be combined with other abdominal surgeries since other abdominal surgeries usually involve the lower abdomen, which will eventually be cut away curing the abdominoplasty stage. (Archives of Aesthetic Plastic Surgery 17: 127, 2011)
Formidable Angiosarcoma of the Scalp
차정호,오석준,문민철,고성훈,Cha, Jeong-Ho,Oh, Suk-Joon,Moon, Min-Cheol,Koh, Sung-Hoon Korean Society of Plastic and Reconstructive Surge 2010 Archives of Plastic Surgery Vol.37 No.5
Purpose: Angiosarcoma is a tumor of mesenchymal origin with an extremely high rate of metastasis and invasiveness. This tumor is notorious for its very poor prognosis, although surgical excision followed by radiation therapy is considered to be effective by many. The authors experienced three angiosarcoma patients with their tumors removed and wounds covered with split-thickness skin grafts and/or latissimus dorsi free flaps. Methods: Three patients were admitted to our hospital showed plaques of different morphology. Based on their medical records, these patients were classified by sex, age, type of reconstruction, recurrence, and further treatment after surgical removal. Results: All patients were male, with a mean age of 72 years (range, 66 to 77 years). Split-thickness skin grafts with latissimus dorsi free flaps were performed on two cases, and of these two cases, cervical lymph node biopsy was done in one case, and radical neck dissection was done in the other. In all cases, radiation therapy was done within two weeks of tumor removal. Distant metastasis occurred without local recurrence in two of the cases. Lung was the first organ affected by metastasis. In the remaining case, the tumor recurred locally 6 times, and additional excision was necessary. All patients died due to local recurrence and lung metastasis. Conclusion: Irregular margins and high recurrence and metastasis rates cause a poor prognosis in large angiosarcoma of the scalp. Radiotherapy and chemotherapy should be strongly considered in large angiosarcomas.
시각적 학습 선호도에 따른 정화상 CAI와 애니메이션 CAI의 효과 비교
차정호,김경순,노태희 한국컴퓨터교육학회 2004 컴퓨터교육학회 논문지 Vol.7 No.5
본 연구에서는 학습자의 시각적 학습 선호도에 따른 정화상을 이용한 CAI와 애니메이션을 이용한 CAI의 효과를 학습자의 개념 이해도, 개념 응용력, 학습 동기의 측면에서 비교하였다. 서울시에 소재한 중학요에서 1학년 59명을 대상으로 분자의 운동에 대하여 4차시 동안 수업을 진행하였다. 이원 공변량 분석 결과, 학습자의 시각적 학습 선호도와 관계없이 애니메이션을 이용한 CAI 집단이 정화상을 이용한 CAI 집단 보다 개념 검사 점수가 유의미하게 높았다. 그러나 개념 응용력 검사와 학습 동기 검사 결과는 두 집단 간에 차이가 없었다. This study investigated the effect of visual learning preference levels in computer assisted instruction (CAI) using static graphics and animations on students' conceptual understandings, application abilities and learning motivations. Fifty-nine seventh graders were selected from a middle school in seoul, and they were taught about the motion of molecule for 4 class hours. Two-way ANCOVA results revealed that the scores of the conception test of the animations group, regardless of student's visual learning preference levels, were significantly higher than those of the static graphics group. However, there were no differences between the two groups in the scores of application test and learning motivation test.