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      • KCI등재후보

        비골 골절 환자에서 치료 결과 만족에 영향을 미치는 인자

        강일규,차흥억,정주현,윤진호,김미주,김선태 대한비과학회 2008 Journal of rhinology Vol.15 No.1

        Background and Objectives:There are many factors affecting the satisfactory results of nasal bone fracture, such as age, sex, severity of nasal bone fracture and the time from the onset of injury to the beginning of treatment etc. The aim of this study is to evaluate the predictable factors of satisfaction for nasal bone fracture treatment. Materials and Methods:The authors retrospectively reviewed the medical records of 85 patients with nasal bone fracture to examine and analyze according to sex and age distribution, cause of injury and the time from the onset of injury to the beginning of treatment. Result:In this study, age, sex and severity of nasal bone fracture were found to be unrelated to the satisfactory result. The time from the onset of injury to the beginning of treatment is statistically related to the satisfactory result of nasal bone fracture (p<0.05). Conclusion:Early intervention of nasal bone fracture is necessary to obtain satisfactory results. Background and Objectives:There are many factors affecting the satisfactory results of nasal bone fracture, such as age, sex, severity of nasal bone fracture and the time from the onset of injury to the beginning of treatment etc. The aim of this study is to evaluate the predictable factors of satisfaction for nasal bone fracture treatment. Materials and Methods:The authors retrospectively reviewed the medical records of 85 patients with nasal bone fracture to examine and analyze according to sex and age distribution, cause of injury and the time from the onset of injury to the beginning of treatment. Result:In this study, age, sex and severity of nasal bone fracture were found to be unrelated to the satisfactory result. The time from the onset of injury to the beginning of treatment is statistically related to the satisfactory result of nasal bone fracture (p<0.05). Conclusion:Early intervention of nasal bone fracture is necessary to obtain satisfactory results.

      • KCI등재

        비인강암에서 c-kit 단백의 발현 및 유전자 변이의 임상적 의미

        강일규,이승훈,정광윤,우정수,백승국,조승현,이세우,권순영,김인선 대한이비인후과학회 2007 대한이비인후과학회지 두경부외과학 Vol.50 No.6

        Background and Objectives:The proto-oncogene c-kit is a receptor tyrosine kinase recognized to initiate esential signal tra-nsduction pathways that transmit biological signals for cellular proliferation, diferentiation and metastasis. Aberrant expression -ing aditional groups of tumors that may use the stem cell factor/c-kit pathway, we investigated the expresion of c-kit in nasoph-aryngeal carcinoma. Subjects and Method:In this retrospective study, imunohistochemical stains for c-kit were performed on for-malin-fixed parafin embedded sections from 20 patients with nasopharyngeal carcinoma who were treated from 1996 to 2004. Gene mutation was analyzed by PCR-SSCP and direct sequencing. Results:c-kit over-expression was found in 65% (13/20) of patients. Eight of the 13 samples (61.5%) exhibited strongly positive immunoreactivity for c-kit protein (staining of >50% of the tumor cells). c-kit gene mutation was found in 4 of 20 cases by the PCR-SSCP method. Conclusion:c-kit protein over-expre-sion is found in 65% of the nasopharyngeal carcinoma patients. c-kit expression is corelated with c-kit DNA mutations and naso-pharyngeal carcinoma may be potential targets for treatment with imatinib mesylate. (Korean J Otolaryngol 207 ;50 :519-24)

      • 개성공단 근로자 인적자원 활용 및 노동력 실태와 인적자원개발 차원의 협력 방안

        강일규 국제고려학회 서울지회 2007 국제고려학회 서울지회 논문집 Vol.9 No.-

        Increase in exchanges, cooperation, and supports between the South and the North Korea predicts the potential increase in human resource exchanges in practical dimension. Although it is necessary for the South Korea to develop the human resource and cooperate with the North Korea in order to face this change properly, the research and preparation is insufficient due to the lack of information on the development of human resource in the North Korea. Under the current condition, the optimal option we can choose to develop human resource in the North Korea is to devise supportive plans to extend the current project, to make simulative scenarios, and to write up the blueprints according to the scenarios. In addition, we can apprehend the vocational abilities of Economic Cooperation between the South and the North Korea through the participant enterprises. We should make an active use of Economic Cooperation Committee in various fields in order to lessen the discomfort of the enterprises on opening the information. Cooperative Plans with North Korea can be summarized as direct and/or indirect help for operating the special economic zone which is regarded as the frontier of foreign opening. The plans supporting North Korea who has pursued the Juche economy for a long time to grasp the capitalism and the standardization of technology in the South and the North Korea can be considered. Although Hyundai Asan and the Korea Land Development Corporation play leading roles in Gaeseong Industrial Complex, it will end up with the entering of many enterprises under the subsidies of the authorities. This predicts the increase in the demand on the vocational abilities of Economic Cooperation between the South and the North Korea. It is more important than ever before to make a preliminary provision for this.

      • KCI등재

        환경변화에 따른 지역인적자원 개발 정책 방향과 과제

        강일규 한국인사행정학회 2010 한국인사행정학회보 Vol.9 No.3

        RHRD(지역인적자원개발) 정책은 지역의 실정과 특성에 적합한 인재를 육성하여 지역발전과 지역주민의 삶의 질 향상에 주목적이 있다. 특히 지방화를 강조하는 현 시점에서 국가 차원의 RHRD 정책은 그 필요성과 중요성이 증가하고 있다. 본 연구는 관련 RHRD 관련 선행연구 분석을 통한 기존 연구의 시사점 도출과 SWOT분석을 통한 기존 정책에 대한 종합평가와 문제점을 도출하고, RHRD의 정책 환경변화를 녹색성장과 관련한 산업.노동.시장 일자리를 중심으로 검토하였다. 검토 결과를 바탕으로 기존의 RHRD 정책은 새로운 환경에 적합한 정책 방향과 과제가 필요함을 제안하였다. 즉 최근 지역인재개발 정책은 새 정부의 출범과 함께 새로운 정책 환경을 맞이하고 있고, 기존의 환경에서 많은 변화와 새로운 도약이 요구되고 있다. 주요 정책방향은 녹색성장과 연계하는 RHRD 정책과 광역권개발과 연계하는 RHRD 정책을 제안하고, 주요 과제로 관련 요인의 유지와 개선, 지역차원의 RHRD 역할 강화, 중앙과 지역의 공동 협력 강화, 그리고 녹색성장 기업과 지역인재개발의 연계 강화를 제시하였다. 결론적으로 지역인재개발 정책 환경의 새로운 변화는 지역인재개발 정책의 새로운 패러다임을 요구하고 있고, 정부와 민간 모두 변화의 흐름에서 능동적인 정책적 대응과 준비가 필요하다.

      • KCI등재

        Tutoplast Processed Fascia Lata를 이용한 융비술에서 감염 1예

        강일규,정주현,차흥억,김선태 대한비과학회 2010 Journal of rhinology Vol.17 No.1

        Numerous materials have been used in augmentation rhinoplasty. The representative materials include silastics, Gore-Tex,autologous cartilage, and homologous materials. The use of alloplastic materials in rhinoplasty is often discouraged due to possible risk of infection and extrusion. Currently, the use of Tutoplast-processed fascia lata (TPFL) in augmentation rhinoplasty is increasing in Korea because it can avoid donor site morbidity and decrease the surgical time. However, there have been no reports of infections related to rhinoplasty using TPFL in Korea. We experienced a case of infection that occurred after rhinoplasty using TPFL. We report this case along with a brief review of the literature.

      • KCI등재

        Reconstruction of a Columellar Defect With a Nasolabial Island Flap

        강일규,정주현,김선태,김유진 대한이비인후과학회 2014 Clinical and Experimental Otorhinolaryngology Vol.7 No.2

        Columellar skin defects may be caused by excision of cutaneous malignancy, trauma, or tissue necrosis associated with sur- gery. Although columellar skin necrosis rarely occurs following rhinoplasty, this condition might be more common when using an external approach than a closed approach. Columellar skin incision performed with exaggerated tip augmentation may cause columellar necrosis. The nasolabial island flap, used unilaterally to cover columellar skin defects, is used for a single-stage reconstruction procedure and is generally not associated with the need for secondary surgeries. This technique is well suited for repairing columellar skin defects. We experienced a patient with columellar skin necrosis occurring after rhinoplasty which was reconstructed using a unilateral single-stage nasolabial island flap.

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