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- 저자 : 전대근 ( Dae Geun Jun ) (검색결과 40 건)
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전대근,이종석,김석준,양현석,이수용,Jeon, Dae-Geun,Lee, Jong-Seok,Kim, Sug-Jun,Yang, Hyun-Seok,Lee, Soo-Yong 대한근골격종양학회 1997 대한골관절종양학회지 Vol.3 No.1
Osteosarcoma is the most common primary bony malignancy and its survivorship has been progressed markedly through refined chemotherapy and surgery. But still there are many non-responders and analysis of prognostic factors may be helpful for them. Two hundred and sixty-six patients were enlisted between Mar, 1985 and Sep. 1994. Among them our inclusion criteria were: 1)primary, nonmetastatic classical osteosarcoma 2)extremity in location 3)no prior treatment at other institute and completed neoadjuvant chemotherapy and surgery according to our protocol. One hundred and eleven cases were eligible. Analyzed factors were:age, sex, location, tumor size, and pathologic response. Statistical methods were log-rank test for univariate and Cox's test for multivariate analysis. Male to female ratio was 69:42 with an average age of 17.2 years. Locations of tumor were distal femur 59, proximal tibia 29, and proximal humerus 8. Tumor size were measured by its maximal diameter and 48 cases were above 10cm and 47 cases were below 10cm. For pathologic response, 57 cases showed more than 90% and 54 cases were less than that. Limb salvage procedure was 101 cases and amputation was 10 cases and their local recurrence rate were 3.6%. Average follow-up period was 24(9-78.2) months and their final status was CDF 86, AWD 8, NED 5, and DOD 12 cases. In univariate study: type of operation(p=0.005), tumor size(p=0.005), and pathologic response(p=0.02) were significant variables. Pathologic response(p=0.03) and type of operation(p=0.01) were meaningful prognostic factors on multivariate analysis. But the latter result was interpreted as a bias, so pathologic response remained as a sole meaningful prognostic factor. More aggressive chemotherapy will be needed to improve the survival.
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전대근,이종석,김석준,조완형,곽봉준,이수용,Jeon, Dae-Geun,Lee, Jong-Seok,Kim, Sug-Jun,Cho, Wan-Hyeong,Kwag, Bong-Jun,Lee, Soo-Yong 대한근골격종양학회 1998 대한골관절종양학회지 Vol.4 No.2
Although autoclaved autogenous bone reconstruction is one of the established procedures, it may have some problems in bone regeneration and mechanical property. The purpose of this study is to evaluate the efficacy of more biologic and anatomical reconstruction where allograft is not readily available. From Aug.1991 to Feb. 1996 the authors analyzed 32 cases of reconstruction with autogenous low heat treated bone. Autogenous graft sites were humerus 4, tibia 4, pelvis 9, and 15 femur. Average follow-up period was 23(range;12-51) months. There were 49 graft-host junctional sites. Diaphysis was 22, metaphysis 10, and flat bone 17. Average duration of healing for the 38 united sites was 7 months. Average union time for each anatomical area 8 months in 19 diaphysis, 12 months in 7 metaphysis, and 12.7 months in 12 flat bone(pelvis). Eleven nonunion sites consisted of 3 diaphysis(3/22), 3 metaphysis(3/10), and 5 flat bone(5/17). Complications other than nonunion were local recurrence(4), bone resorption(3), graft fracture(2), osteomyelitis(1), metal failure(2), and wound infection(1). Initial bone quality and stable fixation technique was important for union rate. Plate and screw is a good method for diaphyseal lesion. Metaphyseal and flat bone are weak area for rigid fixation and one stage augmentation with iliac bone graft can be a salvage procedure.
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전대근,이종석,김석준,이수용,Jeon, Dae-Geun,Lee, Jong-Seok,Kim, Sug-Jun,Lee, Soo-Yong 대한근골격종양학회 1997 대한골관절종양학회지 Vol.3 No.2
Multicentric chondrosarcoma other than the mesenchymal subtype is rare separate entity. We experienced a case with nonmonomelic synchronous multicentric chondrosarcoma without any preexisting lesions of Oilier's disease or Maffucci's syndrome. To our knowledge, there was no report of synchronous nonmonomelic multicentric chondrosarcoma. A thirty-three year old man had right distal thigh pain of one and half year. Bone scan showed hot lesions on medial condyle of right femur and shaft of left femur. Plain X-ray showed osteolytic lesion on right femur and slight cortical thickening and calcific lesion was observed on left femoral shaft. Curettage and bone cement filling was done on both lesions. The pathology reports were grade I chondrosarcoma on both side of femur. At one month from operation, pathologic fracture of left femur occurred on bone cement-host bone junction. Conservative treatment and radiotherapy of 60Gy was done. At 8 months from operation, nonunion was evident. Segmental resection of left femur with contralateral fibula graft and second look operation on right condyle lesion were done. At 6 months from revision, fracture occurred at host-graft bone junction. We removed previous hardware and applied long DCP and massive autogenous bone graft. Afterwards, the patient looks good and union was progressing. But at 4 years from last operation, hypertrophic nonunion occurred. Another revision was done with condylar plate and bone graft and now he is well without any sign of local recurrence or metastasis.
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전대근,이종석,김석준,이수용,임경진,박현수,김창원,Jeon, Dae-Geun,Lee, Jong-Seok,Kim, Sug-Jun,Lee, Soo-Yong,Lim, Gyung-Jin,Park, Hyun-Soo,Kim, Chang-Won 대한근골격종양학회 1998 대한골관절종양학회지 Vol.4 No.1
Squamous cell carcinoma is a neglected disease entity in orthopedic oncology. The purpose of this study was to analyze overall survival and the role of surgery on survival and to evaluate the significance of possible prognostic factors. From Oct, 1986 to Aug, 1996, 57 patients were enlisted and 42 patients ere eligible. Inclusion criteria included more than one year follow-up and no distant metastasis at the first visit. Staging and survival followed AJC classification and Kaplan-Meier plot. Stage II included 17 cases and stage III, 25 cases. Thirty-eight patients underwent operations, chemotherapy, and/or radiotherapy, and the remaining four had operations only. The chemotherapeutic regimen was adriamycin-cisplatin. The average follow-up period was 45 months. The ten-year actuarial survival rate of whole patients was 65.4%. Location of primary lesion, stage, pathologic grading, and intensity of chemotherapy in the same stage showed a significant difference in survival. Nine out of 42 patients had local recurrence. Seven patients had inadequate wide margins and two had intralesional margins. Average period of recurrence from operation was 13(4-35)months. The operation itself had no impact on survival but a surgical margin of no less than 3cm from the lesion was important for local control. Pathological grade and staging were significant variables for long term survival. Acral lesion had a significantly higher chance of regional and distant metastasis but actual survival showed no difference. In stage II, aggressive chemotherapy could delay or reduce the chance of regional or distant metastasis.
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동양 결혼이주여성의 문화적 정체성에 따른 한국 여성 패션에 대한 가치평가 -경북지역을 중심으로-
전대근 ( Dae Geun Jun ) 한국동양예술학회 2015 동양예술 Vol.27 No.-
의복은 대표적인 비언어적 의사표현의 수단으로 배경문화가 서로 다른 사람들사이에서 자신의 문화적 정체성을 표현하는데 효과적인 도구이다. 시각적 언어인 의복을 통해서 문화적 정체성은 손쉽게 표현되거나 상징적으로 제시될 수 있으므로 타인의 문화적 정체성을 이해하는 의사소통의 수단이라는 측면에서 의복의 중요성을 되새겨 볼 필요가 있다. 한편, 글로벌화와 함께 세계적인 인적 교류가 활성화되는 시점에서 결혼이주여성은 국내에서 주요한 하위문화집단으로 부상하고 있다. 이에 본 연구에서는 문화적응과정을 통해 문화적 정체성을 표현하는 결혼이주여성의 의생활을 살펴보고, 이들과 상호작용하는 국내여성패션의 문화적, 예술적 가치를 확인하고자 한다. 본 연구를 위해서 12명의 결혼이주여성을 대상으로 질적 연구를 실시하였고, 연구결과는 다음과 같다. 첫째, 결혼이주여성은 Berry의 문화적응이론에 따라 일반적 문화적응 유형에서는 통합, 동화, 분리, 주변화의 4가지 유형으로 나타났고, 의복을 통한 문화적응 유형에서는 동화, 통합, 분리의 3가지 유형으로 나타났다. 의복을 통한 문화적응 유형에서는 주변화 유형이 나타나지 않았는데, 가시성이라는 의복 특성을 통해 어느 한 쪽의 문화적 정체성은 반드시 표현되기 때문인 것으로 보았다. 둘째, 의복을 통한 문화적응의 3가지 유형에서는 서로 다른 의생활 특성을 보였는데, 통합유형에서는 두 가지 문화적 정체성의 표현을 고민하기 보다는 상황에 따라 합리적인 의복행동을 선택하였다. 동화유형에서는 유행에 민감하고 적극적인 의복행동을 표현하였고, 분리유형에서는 자신의 문화적 정체성을 의복에 이입하여 일방적으로 제시하였다. 셋째, 의복을 통한 문화적응의 3가지 유형에서는 한국여성이라는 집단에 대한 평가와 패션의 대중성에 기반하여 한국여성의 패션에 대해 서로 다르게 평가하였다. 통합유형에서는 분리된 집단이라는 인식 아래 순차적으로 유행을 공유할 수 있으며 한국여성패션을 보다 고급스럽고 가치있는 것으로 받아들였다. 동화유형에서는 상호 동일시할 수 있는 집단이라는 생각 하에 한국여성의 패션을 공통적 대중성에 기초하여 함께 누릴 수 있는 취향의 하나로 평가하였다. 분리유형에서는 서로 분리된 집단이라는 인식 속에서 한국여성의 패션을 개성없는 대중성의 산물로 평가하였다. Clothing as a typical non-verbal means of expression is an effective tool to express their cultural identities among people who have different backgrounds. It should be considered that clothing is a important communication tool to understand others because cultural identity can be easily found through clothing. With globalization, immigrant women of international marriage are emerging as a major sub-cultural group in South Korea. Immigrant women’s cultural identities should be confirmed and their clothing behaviors need to be examined through acculturation. Especially, cultural & artistic value evaluation of domestic female fashion needs to be confirmed from immigrant women’s viewpoints. This qualitative study was conducted by interviews to 12 immigrant women and study results are as follows. Immigrant women appeared in general acculturation into four types such as integration, assimilation, separation, and marginalization. Immigrant women appeared in clothing related acculturation into three types such as integration, assimilation, and separation without marginalization because one part of cultural identities was inevitably expressed through visibility of clothing’s nature. Immigrant women showed different clothing behaviors among three clothing related acculturation types. They showed reasonable clothing behaviors in an integration type, fashion conscious and positive clothing behaviors in an assimilation type, and their unveiled cultural identity through clothing in a separation type. Value evaluations for Korean female fashion based on popularityof fashion and evaluation for Korean female group were different among the three types. Korean female fashion was understood as prestigious in an integration type, as shareable in an assimilation type, and as unworthy in a separation type.
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