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이정은,박준모,곽경화,홍성욱,정훈,정승연 대한마취통증의학회 2017 Korean Journal of Anesthesiology Vol.70 No.1
Adjuvant radiation therapy (RT) after colorectal cancer surgery can prevent local recurrence, but has several side effects. Precise injection of drugs into the affected areas is complicated by radiation-induced fibrosis of soft or connective tissue. A 48-year-old woman experienced severe intractable perineal pain, dysuria, urinary urgency, and frequent urination after rectal cancer surgery and adjuvant RT, and was diagnosed with radiation-induced cystitis and vulvodynia. Her symptoms persisted despite two fluoroscopy-guided ganglion impar blocks. Fluoroscopy revealed atypical needle tip positioning and radiolucent dye distribution, presumably due to radiation-induced fibrosis in the target region. We performed two computed tomography (CT)-guided ganglion impar blocks by using a lateral approach, which allowed more accurate positioning of the needle tip. Her pain visual analog score decreased from 9 to 3, and she recently resumed sexual intimacy. CT guidance is a viable alternative to fluoroscopy guidance when performing ganglion impar blocks in fibrotic areas.
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이정은 한국공학교육학회 2019 공학교육연구 Vol.22 No.3
The purpose of this study is to analyze the educational needs of the industry for engineering education using the engineering competencyscale. For needs assessment, t-test, Borich Needs Assessment and the Locus for Focus(LFF) were conducted using 400 employees’answers of industry. The results of this analysis are as follows. First, there was a significant difference between the level of importanceand actual level. Second, all items were ranked using the Borich’s needs assessment formula. Third, as a result of LFF model, 19items were placed in the highest priority HH section. Fourth, 17 items with the highest priority in engineering education were selected. Finally, the highest educational needs were 6 items related with interpersonal skills, 2 items related with leadership, and 9 items relatedwith professional attitude and ability. Based on the results of this paper, it is necessary to develop and operate an education programto reduce the gap between the industry requirement and the current level of engineering students.
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