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      • KCI등재후보

        관절 내 종골 골절의 수술적 치료-관혈적 정복술과 도수정복술의 치료결과의 비교-

        박병문,김형규,김태언,성창훈,송경섭,김종민 대한골절학회 2005 대한골절학회지 Vol.18 No.2

        목 적: 종골 골절을 일반 방사선 사진과 전산화 단층촬영 사진으로 분류하고 관헐적 정복과 도수정복을 시행하고, 임상결과 및 방사선학적 결과를 분석하여 치료방법의 적합여부를 판단하고 수술결과에 미치는 예후인자에 대하여 알아보고자 하였다. 대상 및 방법: 2000년 1월부터 2003년 6월까지 종골 관절 내 골절로 수술적 치료를 시행받은 환자 중 최소 1년 이상 추시가 가능했던 51명, 57례를 후향적 방법으로 분석하였다. 20례에서 관헐적 정복 후 내고정술을 시행하였는데 이 중 17례가 관절함몰형, 3례가 설상형이었으며, 37례에서 도수정복 후 강선을 이용한 축성 핀고정 혹은 나사못을 이용한 내고정을 시행하였는데 이 중 17례가 관절함몰형, 20례가 설상형이었다. 수술 전과 수술 후 및 최종 추시 시의 Böhler각 및 외측돌출변형의 교정 정도, 외상성 관절염 여부를 단순 방사선 사진을 통하여 관찰하였다. 임상결과에 대한 평가는 Creighton-Nebraska health foundation 의 종골 골절 평가방법을 사용하였다. 결 과: 관헐적 정복군에서 양호이상 65%, 불량 10%으로 도수정복군에서의 양호이상 43%, 불량 27%보다 더 우수한 치료결과를 보였다. 평균 최종 추시 Böhler각은 관헐적 정복군에서 술전 11도, 최종 추시 21도였으며, 도수정복군에서는 술전 14도, 최종 추시 20.9도로 측정되었고, 양호이상과 불량군의 평균 Böhler각은 관헐적 정복군에서 양호이상 21.35도, 불량 20.6도, 도수정복군에서 20.87도와 19.19도로 측정되어 두 군간 통계학적 유의한 차이는 없었다. 결 론: 종골의 관절 내 골절에서 관헐적 정복술이 도수정복술에 비하여 임상적으로 좋은 결과를 가져왔는데, 이는 관절면의 정확한 정복 및 외측돌출변형을 교정함으로써 외상성 관절염 및 비골 협착성 건염을 예방했던 것에 기인했으며 Böhler각 만의 회복은 예후에 크게 중요하지 않았다. 따라서 전산화 단층 사진과 방사선 사진을 종합하여 골절의 관절 내 전위 정도, 외측 돌출 정도를 정확히 파악하고 필요하다면 설상형이라도 적극적인 관헐적 정복술을 시행하여 이를 교정하는 것이 더 좋은 결과를 가져올 수 있다고 생각된다.

      • 多發性 骨髓腫 1例

        朴炳文,金鍾燦,李有福,崔龍萬,尹世玉 中央醫學社 1967 中央醫學 Vol.13 No.5

        A case of -multiple myeloma is reported in view of the rarity of its kind in Korea. The case was a 60 year old man who has complained of a mass of the left chest wall. He was operated under the diagnosis of the hemangioma on the chest. But the demonstration of plasma cell in the biopsy specimen of mass was made the diagnosis of multiple myeloma. Then after, x-ray examination revealed multiple punched out lesion in the skull and the bone marrow aspiration revealed many plasma cells. But Bence-Jones protein in the urine was not found. A review of the literatures were done.

      • KCI등재후보

        전자항해서지에 관한 기초연구: 법제도를 중심으로

        박병문,최윤수,정민,허성욱,김나은 한국수로학회 2022 한국수로학회지 Vol.11 No.2

        With the entry into force of the “Act on marine research and the use of marine information” in February 2020, the content of nautical publications that serve the safety of shipping traffic will be redefined. Nautical publications are essential for the safe operation of ships and refer to nautical charts, electronic navigational charts, and ocean passage pilots, which are produced according to the standards of the International Hydrographic Organization (IHO). Nautical charts and electronic navigational charts are produced in the form of drawings, while ocean passage pilots are traditionally produced in book form. The IHO has developed the S-100 standard, a general hydrographic data model that can integrate digital nautical publications and electronic navigational charts, and is in the process of developing product standards for each field (Baek Yong, 2018). However, compared to electronic navigational charts, there is a lack of interest in developing standards for digital nautical publications, and in this situation, the United Kingdom and the United States independently provide digital nautical publications. This study examines cases of foreign digital nautical publications and develops directions for the development and service of digitalization in Korea based on the current status of domestic and foreign legal systems.

      • KCI등재후보

        해저면 피복도 제작을 위한 법제도 현황분석

        박병문,김진수,강호윤,김나은,황창수,정승은,김연수 한국수로학회 2022 한국수로학회지 Vol.11 No.2

        Recently, the interest in the utilization of marine space, marine resources and marine environment is constantly increasing, and the government is enacting new laws and preparing relevant national policies, such as marine ecosystem protection, marine environment protection and marine space planning. In order to scientifically promote policies such as marine ecosystem protection, the spatial characteristics of the sea must be systematically studied and classified. In the European Union, a marine habitat map was created in the 1990s, and in Korea, the Ministry of Environment took the lead in creating a land cover map for the land area in 1998. This study examined the conditions required for the use of information on the spatial nature of the oceans by examining the current status of laws and regulations governing the production of seabed cover maps. First, quantitative information is needed for licenses and permits such as landfills, aquaculture licenses, marine rock collection, etc., when preparing consultations on marine land use and environmental impact assessments under the "Act on conservation and utilization of the marine environment." The basis for marine maps was insufficient, and second, in the field of marine ecosystem assessment and marine ecology mapping under the "Conservation And Management Of Marine Ecosystems Act", spatial information infrastructure such as marine maps was not established to realize the national baseline plan. confirmed. Third, although the legal basis for marine spatial information preparation and marine spatial management, such as marine spatial feature assessment and marine utilization zone designation, has been prepared in accordance with the "ACT ON MARINE SPATIAL PLANNING AND MANAGEMENT", no specific measures for marine spatial information preparation and utilization have been elaborated. The preparation and research part is considered insufficient. The government is preparing the legal and institutional basis for the protection of marine ecosystems, marine environment and marine spatial planning for systematic management of the ocean. Follow-up studies are needed for the concrete implementation of this national policy, such as the preparation of seabed maps and detailed marine ecology maps.

      • KCI등재후보

        원발성 부갑상선선종 1예

        박병문,주정빈,Byung Moon Park,M.D. and Chung Bin Chu,D.M.Sc. 대한갑상선-내분비외과학회 2003 The Koreran journal of Endocrine Surgery Vol.3 No.1

        A 65 years old male, who had complained of severe lower back pain with generalized muscular weakness, nausea and constipation since last 18 months, showed typical loboratory and radilogical findings of primary hyperparathyroidism. It had extensive skeletal involvement and some urological complication. The mass, which was palpated in the right upper corner of the thyroid, was surgically completely removed. It was measured 8×4×3 cm, and was weighed 38 gm. Microscopic examination revealed adenoma of the parathyroid gland consisting of small dark chiefe ells. Postoperative course has been satisfactory. (Korean J Endocrine Surg 2003;3:52-56)

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