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- 저자 : 박봉주(Bong-Ju Park) (검색결과 123 건)
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김세천,허준,박봉주,Kim, Sei-Chon,Huh, Joon,Park, Bong-Ju 한국조경학회 1995 韓國造景學會誌 Vol.23 No.3
The purpose of this study is to suggest objective basic data for park management proposal through the quantitative analysis of users' behaviors and satisfaction for the actual conditions of management in Moaksan provincial park. For this, users' behaviors and socio-ecnomic characteristics have been analyzed. Specifically, it attempts to investigate users' anticipation and degree of satisfaction applied Expectancy Theory by Likert scale. And users' satisfaction for the actual conditions of management had been analyzed by using the multiple regression. Results of this study can be summarized as follows ; From the aspect of utilization reality, the male usage was silighty higher than female usage, and the usage rate reality, the male usage was slighty higher than female usage, and the usage rate among the young and students such as university students also appeared slightly higher than the norm. Due to the fact, subject park had been provincial park, bus usage was predominant, and users' visit park 1 or 2 times a year. Generally, the value of users' post occupancy evaluation were higher than those of anticipated, and Use in night and facilities were lower. A sense of the season, dense of forest, beauty of skyline and a perspective view appeared as main explicatory variables having positive effects on the satisfaction level for the landscape. Amount of plant and shade were positive variables on the satisfaction and users' had dissatisfaction with trial damage. According to the multiple regression analysis, the major variables to the satisfaction for the actual condition of vegetation management were diversity, recovery of artificial injury.
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박봉주,김주오,양경호,최승준,Park, Bong-Ju,Kim, Ju-O,Yang, Gyoung-Ho,Choi, Soeng-Jun 대한족부족관절학회 2004 대한족부족관절학회지 Vol.8 No.1
Purpose: We evaluated the effect of nerve decompression for restoration of plantar sweating and sensation in diabetic neuropathic feet, and we selected diabetic neuropathic patients with the possibility of overlying entrapmental neuropathy. Materials and Methods: From June 2002 to May 2003, we have investigated and follow-up examed 10 patients with diabetic neuropathic feet, with decreased sensation in their lower limb, who underwent peripheral nerve decompression. The surgical procedure was multiple neurolysis of the common peroneal nerve, posterior tibial nerve and its three branches of one limb. We compared the operated limb with the opposite, unoperated limb. We performed history taking, physical examination, sweat secretion test, touch sensory test using Semmes-Weinstein monofilaments and electrodiagnostic study, pre-operatively and post-operatively. Results: On 6 months after the operation, the post-operative tests showed that there were noticeable improvements to sensation, statistically (P<0.05), but there was no change in the sweat secretion test. According to the Cseuz criteria, 7 patients out of the 10 patients who received the multiple neurolysis showed excellent or good results. Conclusion: We observed that the peripheral nerve neurolysis could be benefit for improving sensation and alleviating pain of the diabetic neuropathic feet with nerve entrapmental symptoms, but there was no change in the sweat secretion on short-term follow-up. To identify whether the effect will be continued or not, additional follow-up will be required.
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항생제 혼합 calcium sulfate cement를 이용한 감염된 인공 고관절 치환술의 치료
박봉주 ( Bong Ju Park ),조홍만 ( Hong Man Cho ),심주현 ( Ju Hyun Sim ),최현주 ( Hyun Ju Choi ) 대한고관절학회 2011 Hip and Pelvis Vol.23 No.4
목적: 인공 고관절 치환술후 급성 전격성 감염에 대하여 변연절제술과 황산 칼슘 시멘트를 이용한 염주알 삽입술을 시행하고 그 결과를 분석하였다. 대상 및 방법: 2002년부터 2008년까지 인공 관절 치환술 후 전격성 급성 감염이 발생한 환자 13예를 대상으로 2년 이상 추시 하였고, 평균 추시 기간은 4.3년 이었다. 철저한 변연 절제술과 세척술 후 황산 칼슘 시멘트 염주알을 삽입하였고 첫 수술과 2차 수술까지의 기간과 임상병리학적, 방사선학적 결과를 평가 하였다. 결과: 일차 수술 후 2차 수술까지의 기간은 평균 27.7일(17~37일) 2차 수술 당시의 평균 적혈구침강 속도와 C-반응성 단백질은 각각 평균 150.97 mm/hr(34.6~339.7 mm/hr)과 76.4 mg/L(41~132 mg/L)였고, 배양된 균주는 MRSA 5예 등 이었고, 항생제 감수성 검사의 결과는 Vancomycin 8예 등 이었다. 방사선학적 결과로 대퇴 스템은 10예에서 안정적인 고정을, 비구부는 1예에서 관절 간격의 협소와 비구부 미란으로 추정되었다. 결론: 황산 칼슘 시멘트를 이용한 항생제 내재형 시멘트 염주알을 이용한 치료는 인공 고관절 치환술 후 발생한 급성 전격성 감염증에 대하여 변연 절제술과 더불어 시행할 수 있는 유용한 시술방법 중 하나로 생각된다. Purpose: To analyze the effectiveness of inserting beads made of calcium sulfate cement that were also impregnated with Vancomycin after debridement of an acute-immediate stage infected hip arthroplasty. Materials and Methods: Between 2002 and 2008, the cases of 13 patients with documented acute-immediate stage infections of hip arthroplasty were reviewed and followed for at least two years postoperatively (average 4.3 years). The preoperative and postoperative clinical and radiologic findings and blood laboratory work of the cases were checked. All cases were performed through retention of the implant and massive debridement and saline irrigation. Next, vancomycin-impregnated calcium sulfate cement beads were inserted. Results: After the first operation, the average interval to wait before performing a second operation was 27.7 days (17~37 days). During the second operation, the erythrocyte sediment rate and C-reactive protein were 150.97 mm/hr (34.6~339.7 mm/hr) and 76.4 mg/L (41~132 mg/L), respectively. Infectious organisms were cultured and isolated. There were 5 cases of Methicillin-resistant Staphylococcus aureus (MRSA). In addition, the results of an antibiotics sensitivity test revealed 8 cases of Vancomycin and 5 cases of 3rd generation Cephalosporin. Radiologic results showed 10 cases with a stable fixation on the last follow-up (femoral stem), and 1 case of hip joint space narrowing, called acetabular erosion. Conclusion: Inserting beads made of calcium sulfate cement that were also impregnated with Vancomycin proved to be a useful treatment for an acute immediate infection of hip arthroplasty.
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박봉주(Bong-Ju Park),최병완(Byung-Wan Choi),장지훈(Ji-Hoon Chang) 대한정형외과학회 2009 대한정형외과학회지 Vol.44 No.1
경추의 감압이나 유합 또는 내고정을 위한 전방 도달법은 퇴행성 질환을 포함한 여러 상황에서 흔하고 유용하게 사용되고 있다. 전방 경추 도달법의 흔하지는 않으나 치명적인 합병증 중 하나가 척추 전방 연부조직 부종 및 기도폐쇄와 이로 인한 호흡부전이다. 저자들은 전방 경추 도달법을 이용한 경추 유합술 후 발생한 혈종과 동반된 연부 조직 부종에 의한 심각한 기도폐쇄를 경험하였기 이를 문헌 고찰과 함께 보고하는 바이다. Anterior approaches to the cervical spine for performing decompression, fusion and/or instrumentation are common and useful methods for treating many conditions, including degenerative diseases. One of the rare, but serious complications of an anterior cervical approach is respiratory insufficiency as a result of upper airway obstruction, which is due to airway narrowing and prevertebral soft tissue swelling. We experienced a case of serious airway obstruction that was caused by soft tissue edema combined with postoperative hematoma after an anterior cervical spine approach. We report here on this case and include a review of the relevant literature.
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