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아킬레스건 파열의 세 가지 수술적 치료법의 임상 결과에 대한 비교: 관혈적 봉합술, 경피적 봉합술, 아킬론을 이용한 최소절개 봉합술
박원석,이명진,강정모,이승엽,Park, Won Seok,Lee, Myoung Jin,Kang, Jung Mo,Lee, Seung Yup 대한족부족관절학회 2018 대한족부족관절학회지 Vol.22 No.2
Purpose: This study compared the clinical outcomes of open repair, percutaneous repair, and minimal incision repair by Achillon in ruptured Achilles tendon. Materials and Methods: The outcomes of 12 patients with open repair (group 1), 8 patients with percutaneous repair (group 2), and 10 patients with minimal incision repair by Achillon (group 3) from February 2013 to March 2016 were analyzed retrospectively. The postoperative clinical evaluations were done by the American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot score, Arner-Linholm scale, mid-calf circumference difference, one-leg heel raise difference, visual analogue scale (VAS) for postoperative scarring, time to return to work, and complications. Results: No significant difference in the AOFAS ankle-hindfoot score, Arner-Linholm scale, and time to return to work was observed among three groups (p=0.968, 0.509, and 0.585). The mean differences in the mid-calf circumference in groups 1, 2, and 3 were 1.09, 0.73, and 0.58, respectively; groups 2 and 3 were significantly higher than group 1 (p=0.002). In addition, the mean VAS scores for postoperative scarring in groups 1, 2, and 3 were 7.0, 9.1, and 9.1, respectively; groups 2 and 3 were significantly higher than group 1 (p=0.001). The mean differences in one-leg heel raising in groups 1, 2, and 3 were 2.03, 1.91, and 1.33, respectively; group 3 was significantly higher than groups 1 and 2 (p=0.010). The complications encountered were one case of deep infection in group 1 and one case of sural nerve hypoesthesia in group 2. Conclusion: Minimal incision repair by Achillon is recommended as an effective surgical treatment for Achilles tendon rupture because it minimizes the risk of complications, leads to an improved tendon strength and healing, and achieves cosmetic satisfaction.
나고야의정서와 식량농업용식물유전자원에 관한 국제조약과의 관계
박원석(Park, Won-Seok) 중앙법학회 2017 中央法學 Vol.19 No.3
나고야의정서는 전문, 제4조 등을 통하여 하여 ITPGRFA의 적용대상 중 Annex 1에 포함된 64개 작물종이 식량농업용으로 사용되는 경우에는 적용대상에서 제외하고 있다. 따라서 생물다양성협약이나 나고야의정서상의 에서는 유전자원의 접근 및 이익공유에 사전통보승인(PIC), 상호동의조건(MAT)을 명문화하여 유전자원에 접근 및 활용이 양자 간의 협의에 의하여야 함을 의무화하는 것과 대조적으로 식량농업식물유전자원 국제조약에서는 64개의 식량농업 유전자원에 대해서는 다자체제하에서 표준물질이전계약서(Standard Material Transfer Agreement)를 통하여 접근 및 활용이 가능하도록 규정함으로써 식량농업용식물유전자원에 대해서는 양자적 접근 및 이익공유절차를 면제하고 있다. 그러나 MLS 64개 작물종이 나고야의정서상의 양자적 접근 및 이익공유 대상에서 제외되기 위해서는 ITPGRFA 제12.3조상의 8개의 엄격한 요건을 충족시켜야 한다. The preamble and Article 4 of the Nagoya Protocol excludes the 64 plant genetic resources from the benefit sharing obligation under it. Therefore, while the Convention on Biological Diversity and Nagoya Protocol require the obtention of Prior Informed Consent(PIC) and the establishment of Mutually Agreed Terms for an access to genetic resources through bilateral negotiation between provider country and users, the Multilateral System(MLS) exempts, through the Standard Material Transfer Agreement(sMTS), these burdensome processes for the 64 plant genetic resources which are specified in Annex 1 of ITPGRFA. However, this exemption can be entertained only if eight strict requirements in Article 12.3 under ITPGRFA are satisfied. This Paper analyses the relationship between Nagoya Protocol and ITPGRFA in view of access and benefit-sharing obligation and suggests the possible approaches to enjoy the maximum extent of exemption under Article 4 of Nagoya Protocol.
박원석(Won Seok Park),황성하(Sung Ha Hwang),박용현(Yong Hyun Park),박주현(Joo Hyun Park),진동찬(Dong Chan Jin),김혜수(Hye Soo Kim),이종민(Jong Min Lee),이은희(Eun Hee Lee),김석영(Suk Young Kim),방병기(Byung Kee Bang) 대한신장학회 2001 Kidney Research and Clinical Practice Vol.20 No.5
Metanephric adenoma is a very rare benign renal tumor; only 100 well-documented cases have been reported to date. Metanephric adenoma occurs at all ages, most commonly in the fifth and sixth decades. There is a 2 : 1 female preponderance. They appear to be benign tumors with no malignant potential, and their chief importance is related to the fact that they are most often misinterpreted as renal cell carcinoma or Wilms' tumor. Its light microscopic features are very characteristic, and imunohistochemical and electron microscopic studies are not critical to the diagnosis. We have experienced a case of renal tumor in a 44-year-old female patient diagnosed by ultrasonography-guided needle biopsy which showed small, tightly packed acini or tubular and papillary structures. The patient underwent right nephrectomy. We report metanephric adenoma diagnosed by ultrasonography-guided needle biopsy, which is a very rare and unique case.