https://kumel.medlib.dsmc.or.kr/handle/2015.oak/846 Tue, 24 Mar 2026 22:22:39 GMT 2026-03-24T22:22:39Z https://kumel.medlib.dsmc.or.kr/handle/2015.oak/15938 Title: 일부 병원 직원에서 유방암 선별 검사 행동 Author(s): 김가영; 이정림; 이원식; 김규영; 이충원; 이금례; 박종원 Abstract: Breast cancer is a preventable disease through the secondary prevention. This study was carried out to survey breast cancer screening behaviors in some hospital female employees. Questionnaire survey was administered to all female employees of 2 hospitals (a university hospital and a general hospital) except medical doctors in August 2006. A modified version of the questionnaire developed by Maxwell et al. for American Koreans was used with drop-off survey. Response rate was 73.5% and 877 were used in the final data analysis. In 20-39 years of age, 5.5% reported to have a screening mammography ever while 65.5% in 40-59. Among employees who have ever had screening mammography(n=168), those who reported to have last screening mammography within previous 2 years were 73.0% in 20-39 and 89.3% in 40-59. Those who reported to have professional breast examinations every year were 0.9% in 20-39 and 9.5% in 40-59. These results suggest that hospital employees may have relatively good uptake rates of breast screening mammography with very low clinical examination rate. Sun, 31 Dec 2006 15:00:00 GMT https://kumel.medlib.dsmc.or.kr/handle/2015.oak/15938 2006-12-31T15:00:00Z https://kumel.medlib.dsmc.or.kr/handle/2015.oak/15403 Title: 척추측만증을 동반한 Klippel-Treauary-Weber 증후군 Author(s): 이소영; 정윤태; 오정섭; 최경식 Abstract: Klippel-Trenaunay-Weber syndrome is a rare congenital anomaly, characterized by triad of hemihypertrophy, multiple cutaneous hemangioma and arteriovenous malformation. However there can be many other manifestations like polydactly, atypical venous distributions, invasion of hemangioma into the internal organ, etc. We report a 7 year old female, known as Klippel-Trenaunay-Weber syndrome. She had a big soft mass on her entire back since her birth. She had vertebral scoliosis with pelvic tilting and leg length discrepancy. Due to a big lipoma of her back, neither bracing nor surgical intervention about scoliosis were possible. We applied functional foot orthosis for conservative management of scoliosis. She showed remarkable improvement at angle of scoliosis. Sun, 31 Dec 2006 15:00:00 GMT https://kumel.medlib.dsmc.or.kr/handle/2015.oak/15403 2006-12-31T15:00:00Z https://kumel.medlib.dsmc.or.kr/handle/2015.oak/15402 Title: Cerebral Oxygenation Monitoring Using Near Infrared Spectroscopy for Posttraumatic Innominate Pseudoaneurysmal Surgery Author(s): Yong Cheul Lee; Seung Ho Kwon; Young Ho Jang Abstract: Posttraumatic pseudoaneurysm of innominate artery (IA) is uncommon vascular injury. The conventional surgical repair of the IA injury needs profound hypothermia with circulatory arrest, cardiopulmonary bypass with selective perfusion of the right common carotid artery (CCA), or external or internal shunts. However, in case of the presence of contralateral cerebral perfusion to right CCA, it is possible without selective perfusion of the right CCA. We experienced anesthetic management of repairing traumatic pseudoaneurysm of the IA using near infrared spectroscopy (NIRS) without bypass or shunting. Regional cerebral oxygen saturation (rSO2) was continuously measured with NIRS. The back flow test with NIRS to ensure cerebral collateral circulation to the right CCA was performed before IA repair. Right/Left rSO2 were 73/69% and 72/72% at immediately and 3 min after clamp, respectively. The rSO2 were well maintained as baseline level after test-clamping of the IA. Surgical repair was performed without arterial bypass and postoperative course was uneventful. He was discharged without any neurologic complication. Sun, 31 Dec 2006 15:00:00 GMT https://kumel.medlib.dsmc.or.kr/handle/2015.oak/15402 2006-12-31T15:00:00Z https://kumel.medlib.dsmc.or.kr/handle/2015.oak/15401 Title: 요도하열 교정술: 20년 경험 Author(s): 손지철; 장혁수; 김광세 Abstract: The key for assessing the outcome of hypospadias repair is a long-term, continuous follow-up. We report our 20-year experience of hypospadias repairs carrying by one surgeon. From January 1986 to December 2005, 235 patients with hypospadias underwent surgical correction by one surgeon. We analyzed the changing patterns and complications of our major procedures. During the first 10 years, a total of 99 hypospadias repairs (27 for anterior type, 72 mid or posterior type) were performed; 8 meatal advancement and glanuloplasties (MAGPI), 8 Mathieues, 5 meatal advancements, 4 pyramids, and 2 onlay island flaps (OIF) for anterior type, 31 transverse preputial island flaps (TPIF), 18 OIFs, 17 staged repairs, and 6 Thiersch-Duplays for mid or posterior type. During the latter 10 years, a total of 136 repairs (70 for anterior type, 66 for mid or posterior type) were performed; 24 meatal advancements, 22 tubularized incised plate (TIP), 15 MAGPIs, 4 pyramids, 2 OIFs, 2 Kings, and 1 Mathieu for anterior type, 32 OIFs, 18 staged repairs, 10 TIPs, and 6 TPIFs for mid or posterior type. Complication rates were 37.8% in TPIFs, 24.1% in OIFs, 20.0% in staged repairs, and 9.4% in TIPs. In mid and posterior type with severe ventral curvature, the rates of redo operation due to residual or recurrent curvature were 2.9% in staged repairs and 24.9% in TPIFs. Urethral plate preserving procedure have extended its application into posterior hypospadias. TIP showed best results in correcting essentially all anterior and many posterior hypospadias. For posterior hypospadias with fibrotic chordee, staged repair resulted in better outcome compared to TPIFs in our hand. Sun, 31 Dec 2006 15:00:00 GMT https://kumel.medlib.dsmc.or.kr/handle/2015.oak/15401 2006-12-31T15:00:00Z