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지방 중소도시 도심지역의 거주환경과 거주의식에 관한 연구 - 나주 도심재생을 위한 사례연구 I -
정영덕,조용준,김윤학,Jeong, Young-Deok,Cho, Yong-Joon,Kim, Yun-Hag 한국주거학회 2007 한국주거학회 논문집 Vol.18 No.6
This study examines and analyzes residential environment and consciousness of downtown residents in Naju city and its results are as follows. Naju's population or urban population were decreased by half for 25 years, but area of residential regions was increased twice. It indicates that major parts of increased residence area are occupied by housing site development area. Uses of downtown buildings are for residential building mostly, but commercial building is less than 1/3 and story of buildings is mostly the first floor. So downtown area in Naju has residential function mostly and family composition is over sixties in more than half of population and regional aging is remarkable because household over majority of the population has no family under twenties. Downtown areas showed detached house and their own house in 2/3 of population and residents over majority of population have lived in current house over 20 years and had strong settlement. But housing site area is less than 40 pyeong at 3/2 of population and 2/3 of population have not parking lot. Most of population have dissatisfaction with their residential environment and for solving their dissatisfaction, improvement of poor residential environment, road extension and construction of parking lot are needed most. Most of residents consider that improvement of residential environment or economic level is normal or developed a little compared to five years ago, but when such a dissatisfaction is solved, they continue to live in their area.
구상환,정전은,정영덕 大韓成形外科學會 1989 Archives of Plastic Surgery Vol.16 No.6
Normal sexual differentiation is the result of a series of individual steps that occur in an orderly fashion. Initially, chromosomal factors direct the defferentiation of the indifferent gonad into either an ovary or a testis. Then, under the influence of hormones secreted by the fetal testes, differentiation of the internal ducts and external genitalia is completed. Consequently, normal sexual differentiation can be subdivided into three separate events: differentiation of the gonads, development of the internal ducts and differentiation of the external genitalia. However, during embryogenesis any disturbance of the various steps in normal sexual differentiation may be reflected clinically as a disorder of intersexuality e.g. chromosomal anomalies, female pseudohermaphroditism, and male pseudohermaphroditism, etc. Genetic females with female pseudohermaphroditism have virilization of the external genitalia produced by intrauterine exposure to excessive androgen. But, because they normally developed ovaries and Mullerian derivatives, they are all potentially fertile. The degree of masculinization varies depending on the stage of differentiation at the time of exposure, from clitoral hypertrophy to true phallic-urethral formation with labioscrotal fusion. The most common cause is congenital adrenal hyperplasia in which cortisol synthesis is impaired due to deficiency of 21-hydroxylase. In attempting to compensate for lower cortisol levels, ACTH stimulates the adrenal gland to secrete excessive quantities of androgen. We experienced a 2 year-old girl, who expressed genital anomalies such as greatly enlarged clitoris-like male phallus associated with posterior labial fusion and a single perineal urogenital orifice which were first noticed by her parents since birth. The general assessment was normal and the karyotype was 46XX as normal genetic female. Plasma testosterone, ACTH, DHEAS, progesterone, and urinary 17-KS values were higher than normal, but cortisol was within normal value. Her blood pressure and serum eleotrolytes were normal. IVP, abdominal sonogram, retrograde cystogram and vaginogram were found to be normal. Explorative laparotomy and constructive operation of female external genitalia including vaginoplasty using inverted Y-shaped skin flap and clitoridectomy were performed under general anesthesia. Both adrenal glands revealed hyperplastic only, and both ovary was excised in wedge shape for shitologic examination. She was finally diagnosed as female pseudohermaphroditism due to congenital adrenal hyperplasia accompanied by incomplete deficiency of 21-hydroxlase, and hormonal therapy was started with hydrocortisone 15㎎/day in three divided dose for 1 month. The value of 17-KS in 24 hour urine study during follow-up period was within normal limit as 1.3㎎/day at POD ¢1 month, 0.7㎎/day at POD ¢2 month, 1.0mg/day at POD ¢6 month, 0.8mg/day at POD ¢16 month. Results of vaginoplasty, clitoridectomy, and hormonal therapy was satisfactory, and there was no recurrence or prematurity.
정영덕,김수신,백세민 大韓成形外科學會 1986 Archives of Plastic Surgery Vol.13 No.3
Benign thyroglossal duct cysts are commonly encountered but malignant lesions originating in the benign thyroglossal duct cysts are exceedingly rare. Most malignant lesions are papillary adenocarcinomas in ectopic thyroid tissue of the benign thyroglossal duct remnants and successfully managed by complete wide excision of the primary lesion described by Sistrunk. The authors herein report a case of papillary adenocarcinoma arising in the thyroglossal duct cyst, which was successfully treated by Sistrunk procedure and subsequent total thyroidectomy and radioactive iodine therapy.
기능성경부곽청술을 시행한 악성흑색종의 치험례 : A Case Report 1例 報告
정영덕,백세민 大韓成形外科學會 1986 Archives of Plastic Surgery Vol.13 No.4
The surgical management of malignant melanoma has long been a highly controversial subject. The basic principle of wide excision of the primary site is generally accepted as the proper management of the primary lesion. The controversy, however, surrounds the appropriate management of the regional lymph nodes. It is generally admitted that, in patients with Clark levels Ⅲ, Ⅳ, Ⅴ and all melanomas that are greater than 1.5mm in thickness, the nodes in neck should be removed, even if they are not clinically suspicious nodes. In the past, it was believed that the nodes in neck should be removed only by the classical redical neck dissection. But now the functional or modified neck dissection markedly increases as an elective operation, since it not only shows no significant difference in the risk of recurrence, compared with classical redical neck dissection, but also is functionally, esthetically, and physiologically acceptable. The ideal candidates of the functional neck dissection are those patients who have clinically No necks but whose primaries have signified chance of having microscopic metastases to the lymph nodes and, as such, are considered for elective neck dissection. The authors herein, experienced a patient with Clark level Ⅳ melanoma in the face and no suspicious lymph nodes in the neck, who was successfully managed wide reexcision and functional neck dissection through the incision of the cervicofacial flap.