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횡복직근피판술을 이용한 즉시 유방재건과 동시 혹은 후에 시행한 복강 내 수술
김규남,이택종,Kim, Kyu-Nam,Lee, Taik-Jong 대한성형외과학회 2010 Archives of Plastic Surgery Vol.37 No.1
Purpose: As patients who take immediate breast reconstructions with TRAM flap have increased, concomitant or delayed other elective intra-abdominal operations in these patients also have increased. There are few reports of concomitant or delayed intra-abdominal operation in TRAM flap patients. We report our experiences and outcomes of these operations which is safe and feasible. Methods: We reviewed the charts and postoperative follow-up results of 11 patients among 471 consecutive patients who took immediate breast reconstruction with TRAM flap from December of 2002 to September of 2006. Four patients took concomitant intra-abdominal operation and 7 patients took delayed intra-abdominal operation between 1 to 52 months after TRAM flap Results: There were no significant postoperative abdominal and systemic complications. One patient who took concomitant intra-abdominal operation presented partial skin necrosis of abdomen, but recovered completely with conservative treatments. Two patients took transfusion in peri-operative periods. Conclusion: Concomitant or delayed intra-abdominal operation in immediate breast reconstruction with TRAM flap could be performed safely and feasibly when it is necessary. Furthermore, it could be helpful to patients and surgeons.
한국, 인도네시아 근로자 조직몰입의 문화적 영향에 대한 연구
김규남 경인여자대학 1998 경인논집 Vol.- No.7
This study analysed cultural effects identified in the Hofstede's literature on the commitment between Korean employees and Indonesian employees. The results showed that, In the Indonesia, the job characteristics are associated with the commitments while the cultural variable of Long Orientation are associated with both Affective Commitment and Continuance Commitment. In Korea, in the case of excluding cultural variables, there is no relations between independent and dependent variables. But considering cultural variables, Individualism is associated with Continuance Commitment. These findings help establish the human resource management policy in Indonesia.
하지의 작거나 중등도의 결손 부위 재건을 위한 얕은엉덩휘돌이동맥 천공지 유리 피판술
김규남,정우식,홍준표,윤치선,Kim, Kyu Nam,Jeong, Woo Shik,Hong, Joon Pio,Yoon, Chi Seon 대한미세수술학회 2013 Archives of reconstructive microsurgery Vol.22 No.1
Purpose: For reconstruction of lower extremity defects, various flaps can be used and the appropriate flap must be selected and applied according to the size of the defect. In particular, in cases where the defect size is small to moderate, thinner or smaller volume flaps are useful. The authors performed reconstruction of small to moderate defects on the lower extremities using superficial circumflex iliac artery perforator free flaps and are reporting the results. Materials and Methods: Fifteen patients underwent reconstruction of defects on lower extremity areas using superficial circumflex iliac artery perforator free flaps from July 2011 to July 2012 at this hospital. The flaps were elevated from above the deep fat layer, and, in all cases, the vessel diameter of the flaps was less than 1mm, with the exception of superficial vein that accompanied it. Results: The mean follow up period was 4.46 months, and, despite a partial loss in the flap in two cases, there were no total losses. All donor sites were closed with primary closure, and there was no occurrence of complications, such as hematomas, seromas, or lymphorrheas. The patients were highly satisfied with the donor site scar since it could be masked by underwear. Conclusion: Compared to other flaps, superficial circumflex iliac artery perforator free flaps are thinner in thickness and smaller in volume, which results in a more natural contour of the recipient site after the operation. In addition, since the flap can be elevated from supra-deep fat layer, the operation time can be shortened, and lymphorrhea can be prevented, which in turn lessens donor-site morbidity.
김규남,Kim, Kyunam 기술경영경제학회 2020 Journal of Technology Innovation Vol.28 No.4
본 연구는 4차 산업혁명의 핵심 산업으로 주목받고 있는 스마트홈 관련 산업의 국민경제적 파급효과를 정량적으로 분석하여 그 잠재성을 평가하였다. 이를 위해 선행연구들에 대한 문헌검토(literature review)를 통해 스마트홈 관련 산업을 제조업과 서비스업으로 분류하고 외생화하였다. 그리고 2018년 산업연관표를 이용하여 이들 산업이 유발하는 생산, 부가가치, 고용 및 취업효과와 산업간 연쇄효과를 분석하였다. 분석결과 스마트홈 제조업과 서비스업은 각 산업 영역에서 타 산업에 비해 높은 수준의 부가가치유발효과를 보였으며 스마트홈 산업 내부적으로는 제조업의 서비스업 생산 견인 기능이 상대적으로 더 크게 나타났다. 또한 4차 산업혁명기술을 활용하는 산업답게 기술집약적인 산업과의 연관성이 높을 뿐만 아니라 스마트시티, 스마트카, 핀테크 등을 구현하기 위한 서비스 부문과도 깊이 연관되어 있음을 확인하였다. 한편 스마트홈 제조업은 후방파급효과가 전방파급효과에 비해 상대적으로 높은 최종 수요적 산업인 반면 스마트홈 서비스업은 전방파급효과가 후방파급효과에 비해 상대적으로 높게 나타나 중간재 산업으로서 타 산업으로의 공급 기능이 높은 산업임을 알 수 있었다. This study evaluated its potentials by quantitatively analyzing the national economic impact of the smart home-related industry, which is attracting attention as a core industry of the 4th industrial revolution. For the analysis, the smart home-related industries were classified into manufacturing and service industries through a literature review of the previous studies. Using the 2018 input-output table, this paper analyzed linkage effects between industries as well as spillover effects in the production, value-added, employment and job. As a result, the smart home manufacturing and service sectors showed a higher spillover effect in value-added than other industries in each industrial field. In the smart home industry, the spillover effects of manufacturing sector to service sector are larger than those of service sector to manufacturing sector. Moreover, it was confirmed that smart home industry was highly related to not only the technology-intensive industry, but also the service sector for smart cities, smart cars, Fin-tech, and etc. On the other hand, the smart home manufacturing sector is a final demanding industry with relatively higher backward linkage effect than forward linkage effect. In the smart home service sector, the forward linkage effect was relatively high compared with the backward linkage effect, indicating that it was an industry with a high supply function to other industries.