워케이션 전략을 통한 지속가능한 관광두레 조성사업 활성화 방안: 근거이론을 중심으로

명유진,박진영 한국호텔관광학회 2023 호텔관광연구 Vol.25 No.3

본 연구의 목적은 워케이션 전략을 통한 지속가능한 관광두레 조성사업의 활성화 방안을 제시하는 데 있다. 이를 위해 관광과관련된 유관기관 관계자, 종사자등 12명을 대상으로 인터뷰를 진행하였으며, 빈도분석을 실시하고 근거이론을 중심으로 범주화 시켰다. 근거이론에 입각하여 개방코딩을 실시하여 48개의 개념을 도출하고, 18개의 하위범주를 분류하였으며, 8개의 상위범주로 통합하여 축코딩, 선택코딩을 실시하였다. 그 결과는 다음과 같다. 첫째, 지속가능한 관광을 위해 관광지의 환경 및 지역자원을 보호해야 하며, 관광지의 지역사회에 대한 다양한 특성에 관심을 가져야 한다. 그리고 지역 전통시장에서 물건을 구매하고, 현지에서 생산된 제품을 구매해야 한다. 두 번째, 관광두레 조성사업과 워케이션 모두 지역 관광산업에 대한 경제적 파급력이 높으며, 관광두레 사업과 워케이션의 연계가 반드시 필요하다는 응답이 많았다. 세 번째, 유관기관 별 수행역할에 대해 조사한 결과 중앙부처와 광역자치단체는 사업연계와 관련된 역할을 수행해야 하며, 기초자치단체는 정보구축이 중요한 역할로나타났다. 한국관광공사는 홍보 역할이 중요하며, 지역 관광공사・관광재단은 정보구축과 프로그램 개발관련 역할이 중요한것으로 나타났다. 지역주민조직의 경우 상품판매의 주체가 되어야 한다는 응답이 많았다. 넷째, 관광두레 연계 워케이션 활성화를 위해서 일과 여가를 즐길 수 있는 인프라 구축 및 다양한 프로그램 개발이 필요한 것으로 나타났다. 본 연구는 아직 확인되지않은 관광두레 사업 연계 워케이션 활성화 방안을 마련하기 위해 근거이론을 도입하여 결론을 도출하였다는 것에 의미가 있다.

유지 인대의 외부 고정을 통한 제1형 신경섬유종증 환자의 안면부 변형 교정

명유진,이윤호 대한성형외과학회 2011 Archives of Plastic Surgery Vol.38 No.3

Purpose: In neurofibromatosis patients, complete surgical excision of the mass is almost impossible and surgical treatment usually consists of multiple serial excisions that only result in a debulking effect. Remnant tumor mass has a gravitational effect on facial soft tissues that leads to sagging of skin and soft tissue, and eventually, facial disfigurement and asymmetry. The purpose of our surgical method is to perform soft tissue lifting with longer lasting effect with less surgical risk of damaging facial nerve and vessels. With external fixation using K-wire or surgical screw, the procedure only called for a short incision length and had additional adhesive properties that enabled anchoring of soft tissue in a lifted position for a longer postoperative period. Methods: A total of 5 neurofibromatosis patients (NF-1) visited our clinic for mass reduction and face lifting. The age of patients ranged from 13 to 42 (mean 28.8 years), and most patients had a long history of multiple excisions in the past. Face lifting was performed in 2 different areas, the periorbital area in 3 patients, and the midface in 2 patients. The materials used in fixation of retaining ligament were K-wire (n=3) and titanium screw (n=2). Results: Follow up period was from 5 month to 3 years and 1 month (mean=2 years and 1 month). All patients conveyed satisfaction with the results and no major complications were reported. The lifting effect lasted for as long as 3 years, and there were no complaints of relapse of soft tissue depression or sagging within the operated area. 1 patient (M/13) needed secondary k-wire insertion and additional mass excision in 1 year and 10 months postoperatively due to tumor growth. In two patients with K-wire fixation, mild dimpling and tenderness were observed in the follow up period, but in about 2 months postoperatively, dimpling was relieved and there was no need for removal of fixating material. Conclusion: Surgical lifting in neurofibromatosis patients can be challenging, for mass excision cannot be done completely and gravitational effect by residual mass can be persistent. External fixation of the retaining ligament in patients with neurofibromatosis can give satisfactory results-for incision length is relatively shorter, and the lifting effect can last longer compared to other various face lifting techniques.

워케이션! 충북의 관계인구 형성과 로컬문화 확산을 위한 키워드

명유진 충북연구원 2023 충북Issue & Trend Vol.- No.51

변형 Martius 구해면체 지방피판술을 이용한 신생방광-질루의 치험례

명유진,박지웅,정의철,김석화 대한성형외과학회 2011 Archives of Plastic Surgery Vol.38 No.3

Purpose: In developed countries, vesicovaginal fistula occur from various pelvic operations including total hysterectomy, leading to urinary leakage and incontinence. Although various methods have been proposed for adequate tissue coverage in fistula repair, the surgical treatment of is not simple and still controversial. We report a case of neobladder-vaginal fistula repair using modified Martius fat pad flap. Methods: A 62-year-old female patient underwent radical cystectomy with total abdominal hysterectomy and neobladder formation due to invasive bladder tumor 5 years ago. For 3 years following the operation, urine leakage was observed. Exploration demonstrated neobladdervaginal fistula and primary repair including fistulectomy and direct closure was performed. Urinary incontinence relapsed 2 years after primary repair, and after demonstrating the recurrence of fistula on urography, repair of recurrent fistula was performed. After dissection of vagina and neobladder and closure of fistula by urologic surgeon, fibroadipose flap was elevated, rotated and advanced through the tunnel at vaginal sidewall, and interpositioned to the fistula site between neobladder and vagina. Results: There was no acute complication after the surgery and urethral catheter was extracted on the 8th day after the operation. During six month follow-up period after the operation, there is no clinical evidence of fistula recurrence. Conclusion: From our clinical experience and literature review, we think Martius fat pad flap is a useful technique in management of neobladder-vaginal fistula, for it provides enough vascularity, major epithelization surface and better lymphatic drainage, and also prevents overlapping of vesical, vaginal suture lines at the same time.

Finite element analysis of long-term changes of the breast after augmentation mammoplasty: Implications for implant design

명유진,Jong-Gu Lee,Maenghyo Cho,Chan Yeong Heo 대한성형외과학회 2019 Archives of Plastic Surgery Vol.46 No.4

The development of breast implant technology continues to evolve over time, but changes in breast shape after implantation have not been fully elucidated. Thus, we performed computerized finite element analysis in order to better understand the trajectory of changes and stress variation after breast implantation. The finite element analysis of changes in breast shape involved two components: a static analysis of the position where the implant is inserted, and a dynamic analysis of the downward pressure applied in the direction of gravity during physical activity. Through this finite element analysis, in terms of extrinsic changes, it was found that the dimensions of the breast implant and the position of the top-point did not directly correspond to the trajectory of changes in the breast after implantation. In addition, in terms of internal changes, static and dynamic analysis showed that implants with a lower top-point led to an increased amount of stress applied to the lower thorax. The maximum stress values were 1.6 to 2 times larger in the dynamic analysis than in the static analysis. This finding has important implications for plastic surgeons who are concerned with long-term changes or side effects, such as bottoming-out, after anatomic implant placement.

관광전공 청년취업자의 진로탐색 프로그램 참여와 취업준비 활동이 임금에 미치는 영향: 4년제 대학교 졸업자를 중심으로

명유진(Myoung, You-Jin),임은순(Yim, Eun-Soon),서민정(Seo, Min-Jung) 한국호텔관광학회 2021 호텔관광연구 Vol.23 No.1

Treatment of delayed venous congestion of the nipple-areolar complex after reduction mammoplasty

박규형,명유진 대한미용성형외과학회 2021 Archives of Aesthetic Plastic Surgery Vol.27 No.1

Reduction mammoplasty is a popular operation worldwide. Early complications include bleeding, wound dehiscence, and nipple-areolar complex (NAC) ischemia. Although uncommon, NAC ischemia can lead to necrosis of the NAC. NAC congestion is usually recognized intraoperatively or within a few hours of the operation. A 21-yearold woman with severe macromastia received bilateral reduction mammoplasty using a Wise-pattern reduction with a superomedial pedicle. NAC congestion of the left breast was identified 40 hours after the operation. Delayed venous congestion of the NAC after reduction mammoplasty has not been previously reported; in this case, delayed congestion may have been caused by partial venous obstruction aggravated by the progression of tissue edema near the pedicle. Through use of the delayed suture technique, application of nitroglycerin cream, intravenous administration of prostaglandin E1, and use of a portable negative-pressure wound therapy device, the patient’s NAC was salvaged with satisfactory nipple projection and minimal scarring

전자궁적출술을 시행받은 환자에서 횡복직근 유리피판을 이용한 유방재건술 후 발생한 소장 교액의 증례

김민호,진웅식,명유진,장학,민경원 대한성형외과학회 2011 Archives of Plastic Surgery Vol.38 No.4

Purpose: The rectus abdominis myocutaneous flap is currently the most commonly used donor site of immediate and delayed breast reconstruction surgery, for its versatility and ease of handling, as well as sufficient blood supply. Despite many advantages of rectus abdominis flap, morbidity of donor site is considered as inevitable shortcoming. The authors recently faced a devastating complication, small bowel obstruction that led to strangulation,after delayed breast reconstruction with free transverses rectus abdominis myocutaneous (TRAM) flap. And we would like to report it, because abdominal pain after TRAM flap is a common symptom and can be overlooked easily. Methods: A 56-year-old female patient who had history of receiving total abdominal hysterectomy 20 years ago underwent delayed breast reconstruction with TRAM flap transfer. She complained abdominal discomfort and pain from third postoperative day, postoperative small bowel obstruction that arose from strangulated bowel and prompt emergency operation was done. Results: After resection of the strangulated bowel and reanastomosis, quickly her symptoms were relieved, and there were no further problems during her hospital stay. 7 days after her emergency operation she was discharged. Conclusion: In patients with previous abdominal surgical history, prolonged ileus can lead to bowel strangulation, so surgeons should always consider the possibility, and must be aware of abdominal symptoms in patients who receive free TRAM flap operations.

삼자양친탕(三子養親湯) 물 추출물(抽出物)이 마우스 Th1/Th2 분화 및 알레르기 염증반응 조절에 미치는 효과

박종수,강희,명유진,박성민,심범상,김성훈,최승훈,안규석,Park, Joung-Su,Kang, Hee,Myung, Eu-Gene,Park, Sung-Min,Shim, Bum-Sang,Kim, Sung-Hun,Choi, Seung-Hoon,Ahn, Kyoo-Seok 대한동의생리학회 2006 동의생리병리학회지 Vol.20 No.6

This study was to evaluate the effect of Samjayangchin-tang (STYCT) on mouse Th1 and Th2 cells' differentiation and ovalbumin (OVA)-induced allergic inflammation. The proliferation of mouse CD4 T cells and the secretion of Th1/Th2 cytokines under the influence of STYCT extract were measured as well as the amount of ${\beta}-hexosaminidase$ in RBL-2H3 cells and the levels of $TNF-{\alpha}$ and IL-6 secretion in Raw264.7 cells. BALB/c mice were orally administered with STYCT extract and simultaneously inoculated with OVA to induce allergic reaction and measure the level of total IgE, OVA-specific IgE and the production of IFN- g, IL-4, IL-5 by the spleen cells. When mouse CD4 T cell were stimulated with anti-CO3 and anti-CD28 for 48 hours in various concentrations of STYCT extract, it decreased proliferation of CD4 cells. CD4 T cells under Th1/Th2 polarizing conditions for 3 days with STYCT resulted in mild decrease of IFN- g in Th1 cells and significant decrease of IL-4 in Th2 cells. STYCT extract had a dose-dependent inhibitory effect on antigen-induced release of ${\beta}-hexosaminidase$ in RBL-2H3 cells. Treatment of STYCT extract on LPS stimulated Raw 264.7 cells showed dose-dependent decrease in IL-6 production. Oral administration of STYCT extract on OVA-induced allergic mice showed an inhibitory effect on the levels of total serum IgE and OVA-specific IgE by 53% and 44%, respectively. Culture of spleen cells with OVA resulted in significant increase of IFN- g by 54% and significant decrease of IL-4 and IL-5 by 42%, and 29%, respectively. The results show that STYCT does not strongly induce mouse T cells to transform into Th1 or Th2 but it has an anti-allergic effect in vitro, and that it also corrects the unbalance between the reactions of Th cells in allergic diseases.

전자책 이용자의 시스템, 콘텐츠 및 서비스 품질이 구매의도에 미치는 영향

나윤빈,이승하,명유진,조세란 한국디지털정책학회 2016 디지털융복합연구 Vol.14 No.1