http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
김상화,최윤석,임진수,한기택 대한성형외과학회 2008 Archives of Plastic Surgery Vol.35 No.6
Purpose: Breast augmentation is one of the common procedures in plastic surgery today. The shape, size and insertion plane of the implant is decided preoperatively by physical examination of the breast. Pectus excavatum is one of the most common anomalies of chest wall, characterized by a depression of the anterior chest wall. For patients with a mild type of pectus excavatum, the main purpose of the treatment is aesthetic rather than functional improvement. Two most surgical treatment options for skeletal deformity are the Ravitch technique and minimally invasive Nuss repair. Other options for soft tissue repair are implant insertion and autologous soft tissue augmentation. We performed a surgical operation with Nuss procedures and breast augmentation for a patient with mild pectus excavatum and hypoplastic breast. Methods: A 32 year-old female was presented with hypoplastic breast. Preoperative chest CT was performed, showing pectus excavatum. After Nuss procedure, we inserted saline implant(275cc textured round breast implant, moderate profile) submuscularly to restore adequately projected breast. Results: Patient’s postoperative course was uneventful without any complication. After 6 months of follow-up period, the patient had an excellent result, with high patient satisfaction and no complications. Received April 21, 2008 Revised May 14, 2008 Accepted June 16, 2008 Address Correspondence: Yun Seok Choi, M.D., Department of Plastic Surgery, The Catholic University of Korea- College of Medicine, St. Vincent’s Hospital, 96-6 Ji-dong, Paldal-gu, Su-won, Gyeonggi-do 442-723, Korea. Tel: 031) 249-7206/Fax: 031)241-0005/E-mail: drchois@catholic.ac.kr Conclusion: For patients with a mild type of pectus excavatum, who do not have cardiopulmonary symptoms and requires for aesthetic improvement, this simple approach with Nuss procedure and breast augmentation achieves excellent aesthetic correction with low complication rate and high patient satisfaction.
김상화,임영민,정성노,권호 대한성형외과학회 2008 Archives of Plastic Surgery Vol.35 No.6
Purpose: Surgery on digit requires a clear, bloodless field and it can be achieved by using a tourniquet. Several type of tourniquet have been used including Penrose drains and sterile glove with hemostat. We present a simple digital tourniquet using nelaton catheter, which is easily available, inexpensive, easy-to-apply, and effective for digital surgery. Methods: We made a small incision on the opposite side of an opening at the tip of nelaton catheter. Then the other tip of nelaton catheter is passed through the incision to form a ring. Nelaton catheter is placed aournd the base of the injured finger, making a tight circle to desired pressure. Results: A simple tourniquet using nelaton catheter effectively achieves a bloodless field and allows fine control of the pressure for digital surgery. Conclusion: We present a sismple digital tourniquet using nelaton catheter, which is easily available, inexpensive, tunable, and available for more than one finger.
남성 병영생활전문상담관의 성역할 경험에 대한 내러티브 탐구
김상화,이윤주 한국내러티브교육학회 2023 내러티브와 교육연구 Vol.11 No.3
본 연구는 직업적인 특성과 사회적인 성 정체성에 대한 제한에도 불구하고 상담자의 길을 선택한 남성에 대해 이해하고자 하였다. 특히, 병영생활전문상담관을 선택하게 된 과정은 어떻게 되는지, 남성으로서 어떠한 경험을 하는지 심층적으로 탐구하고자 하였다. 이를 위해 현재 군대에서 근무를 하고 있는 남성 병영생활전문상담관 3인을 대상으로 내러티브 탐구방법을 적용하여 생애사, 상담직업 선택과정, 상담관으로서의 경험에 대한 심층 인터뷰를 진행하였다. 연구 참여자들의 삶과 상담 경험의 내용을 분석하며 연구 결과를 도출하였다. 연구 참여자들은 개인적인 가치관으로 상담자의 길을 걸었으나 사회적 남성의 역할에 완전히 벗어나지 못해 병영생활전문상담관을 선택하였다. 또한, 군대에서 남성 상담자로서 특별한 경험을 하며, 개인적인 성장을 하였다. 연구결과를 바탕으로 연구에 대한 논의 및 의의, 제한점과 추후 연구에 대한 제언을 제시하였다. This study attempted to understand men who chose the path of a counselor despite limitations on professional characteristics and social gender identity. In particular, I tried to explore in-depth what happened to the process of choosing a barracks professional counselor and what kind of experience I have as a man. To this end, in-depth interviews were conducted on the life history, counseling job selection process, and experience as a counselor by applying a narrative inquiry method to three male barracks professional counselors currently working in the military. The research results were derived by analyzing the contents of the life and counseling experiences of the study participants. The study participants walked the path of a counselor with personal values, but they did not completely deviate from the role of social men, so they chose barracks professional counselors. In addition, he had a special experience as a male counselor in the military and developed personal growth. Based on the research results, discussions, significance, limitations, and suggestions for further research were presented.