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      • SCOPUSKCI등재

        모발 이식술을 이용한 탈모증의 치료

        김성욱,박승하,구상환,안덕선,손병규 大韓成形外科學會 1997 Archives of Plastic Surgery Vol.24 No.2

        The increasingly successful results of hair restoration surgery in the last years have developed the interest and the confidence of patients and it is the most frequently performed esthetic surgery among male patients. Currently, Various kinds of techniques for hair restoration surgery including hair transplantation, scalp reduction, and scalp flaps are performed in our clinic. Among these, hair transplantation is the basic ant the most popular procedure, which can be performed not only by itself but also in conjunction with other procedures. 123 consecutives cases of hair transplantations were performed from Jan. 1995 to Feb. 1996 for male pattern baldness, traumatic alopecia, and female pattern baldness under patient base. The authors introduced a new classification for male pattern baldness, which are the type M, O, C, U, M-O, and C-O after alphabet to make simple and easy for clinical application. The ancillary procedures were scalp reduction, preauricular flap, and scalp expansion. An ellipsis of hair bearing scalp taken from the occipital area was Sliced into slit-, mega-, mini-, and micro-grafts. The survival rate of the grafts was over 90% with minimal complications. This hair transplantation technique enabled us to achieve a good density and more natural looking hair with avoidance of cobble stoning and apparent scar.

      • KCI등재
      • SCOPUSKCI등재

        내시경 탐사를 이용한 굴근건 봉합술

        김종서,조진환,손병규 大韓成形外科學會 1999 Archives of Plastic Surgery Vol.26 No.1

        Repair of injured tendon especially is still a difficult problem in hand surgery. The challenge is to restore the gliding mechanism of the tendon. Despite increasing knowledge of tendon healing and subsequently better postoperative result, the problem formation of adhesion between the tendon and its direct surroundings remains. It is now agreed that primary repair of both flexor tendon is the treatment of choice with preservation and resto-ration of the tendon sheath. The flexor tendon sheath plays an important role in flexor nutrition, especially for the volar part of the tendon, by secreting the synovial fluid. Although data to data are indications that it will lead to fewer adhesions. Tendon sheath are sometimes restored by autologous graft. It is excellent management that the tendon sheath and pulley system are restored during tendon repair. The method of minimal injury to tendon sheath and pulley is better than restoration of that. The exploration of divided tendon through wound margin with endoscope minimizes sheath and pulley injuries. The blunt extraction of divided tendon from invisible wound site is a risky method for exploration of tendon. This endoscopic method is less traumatic, causes less pain, and requires a minimal incision. And the patient with endoscopic tenorrhaphy can exercise immediately because less operation site discomport and can be discharged early. The new tenorrhaphy technique using endoscope is expected to give better result than conventional method.

      • SCOPUSKCI등재

        급성내피손상을 받은 혈관에서 동맥냉동의 혈관경련 방지효과

        정윤재,박승하,박흥식,손병규 大韓成形外科學會 1999 Archives of Plastic Surgery Vol.26 No.4

        During the microsurgery or during the postoperative period, the occurrence of the vascular spasm increases the failure rate of microvascular anastomosis,and in cases of trauma, the thrombogenic possibility is increased by the endothelial damage. The author thought that the vascular freezing of crushed vessels could improve the patency rate of microvascular anastomosis. Vascular freezing destroys most of the cells in the intima and media. There by causing degeneration of adrenergic fibers. Even though regeneration occurs after 2∼3 weeks, regeneration in the smooth muscle layer is still incomplete. So vascular freezing has beneficial effects on relief of vasospasm. Fifteen Sprague-Dawley rats weighing approximately 300 g each were inflicted with crushing injury on the femoral arteries of the right side and the crushing injury with vascular freezing on the femoral arteries of the left side. The gross and histologic findings, as well as the patency rates, were observed at the postoperative 2nd, 10th, and 30th day,and the results were compared between the crushed and crush-freezing groups. The left side(crush-freezing group) showed less vasospasm and less thrombogenesis than the right side(crushed group). There were no significant differences in the patency rate between the crushed group and crush-freezing group. Vascular freezing is suggested to be effective on a potentially thrombogenic, endothelial damaged vessel as a prophylactic treatment method against vasospasm. Clinical application of vascular freezing awaits further experimentation.

      • 福祉와 財源構造에 관한 硏究

        孫炳圭 東亞大學校 1990 東亞論叢 Vol.27 No.1

        In recent years, there has been a rapid expansion of public revenue in virtually every government. This phenomenon is due to several factors such as the need to meet public's demand for welfare system adn the developmental nature of the state. Particularly in the post World War Ⅱ period, the expansion of public expenditures on social infrastructures and welfare provisions can be seen in every advanced industrial state. Despite many critics about the expanding welfare expenditures, these countries have actually led the tendency for all the governments to adopt policy lines in the direction of increased welfare provisions. Needless to say, the welfare provisions in the form of minimum standard of living for the poorest and social-security, and medicare system can be justified onthe grounds that these are the demands of the times for the establishment of welfare state, which is in fact the right direction to meet the human-being's age-old longing and aspiration. For this direction toward the welfare-stae, the firt thing to do for the government is to secure enough public revenue for the selfare needs, and the route for this goal, in the 1950s throughout recent years, has been through the imposition of "general tax" as well as "user-charge tax" by the beneficiary. In the following, we have summarized this pattern of public finance structure that has many weaknesses and advantages: 1) In terms of the composition of general tax system, the ration of burden sharing was, in sequential order, the highest for income tax, and then for corporation tax, and the lowest for consumption tax. 2) The above sequence of tax burden was based on the principle of flexibility. It means that the ratio was dependent on the flexible nature each tax system; income tax was most flexible and consumption tax was least flexible. 3) The ratio of tax and burden-sharing also depended on the public nature of welfare system; income tax was most directly related to the public nature of welfare provisions and consumption tax was least directly related. 4) The general principles of equity adn efficiency were both applied in the collection of taxes, thereby minimize any possible conflicts related to the burden sharing. 5) Welfare expenditure that has mandatory nature was appropriated from the general revenue of the government. 6) The "user-charge tax" was imposed on the government, corporates, and the beneficiary. The ratios of this tax were set according to the nature of public goods. 7) When the beneficiary effect of welfare provisions was not clear for the corporates, the ratio of burden-sharing should adjusted with full consideration of the above factor. The above welfare finance structure has indeed some relevance for Korea's pension system, medical insurance and general insurance system. In particular, the tax structure we have analyzed can also be projected in relation to the problems of welfare provisions we will be facing in the future. Finally, given the wide range of applicability and utililty of the tax structure, this paper finds its meanings in the presentation of controversial problems of major tax systems seen both in the advanced countries and Korea.

      • 失業및 零世民 對策에 관한 分析 : Mainly on Busan city 釜山을 中心으로

        孫炳圭 東亞大學校 1974 東亞論叢 Vol.11 No.2

        From the view-point of social ecomy, it is an important task of the government, especially, the local government to relieve the unemployed and the poor. The task should be carried out under the great cause of the improvement of the civil welfare. In Busan, the relief polioy must be achieved based on the scientific prediction about the demand and supply of labor. The analysis of the increase in poulation shows that suppy of labor in 1973 adds up to six hundred and twenty thousand and in 1986 one million and forty hundred thousand. In contrast to the industrial analysis on the side of the demand of labor, in 1986 eighty three thousand citizens will be unemployed and about eighty thousand citizens will be in needy conditions. Hence the relief measures of Busan ciy must be continual. Busan city has appropriated four billion won for this project in the budget in 1974, during the first half of the year its results are encouraging and will be much better in the future. Shortsightedly effective distribution of the fund and earnest recommendation of the opportunities of employment are desirable, but longsightedly, 1) Qualitative improvement in the supply of labor must be achieved 2)Economic effect must be enhanced in the relief enterprise. 3) Unemployment insurance systems must be expanded 4) The factories must be established by regional groups to concentrate labor and carry out this project 5) minimum wage system must be established as soon as possible. 6) The policy for the population problem must be formulated under the long-range plan about the demand and supply of labor.

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