학교 교육 '자율화, 다양화'를 위한 움직임

백인화 한국교육과정평가원 2010 교육광장 Vol.36 No.-

한신과 나

백인화 한신대학교 신학대학원 2010 세계와 선교 Vol.- No.202

슬개골 상단에서 발생한 소매형 골절

백인화(In Hwa Baek),김종필(Jong Pil Kim),이호민(Ho Min Lee),박순영(Soon Young Park) 대한정형외과학회 2022 대한정형외과학회지 Vol.57 No.1

슬개골 소매형 골절은 주로 소아나 성장이 덜 끝난 청소년에서 발생하는데 주로 슬개골 하단부에서 발생하며 상단부에서 발생하는 경우는 아주 드물어 소수의 증례만 보고되어 있다. 슬개골 소매형 골절은 보존적 치료 시 예후가 좋지 않아 수술적 치료가 권고되는데, 소매형 골편의 두께가 얇아 고정의 어려움이 있고, 그 발생 빈도가 높지 않아 술자의 선호도에 따라 수술이 시행되고 있다. 저자들은 드문 슬개골 상단부 소매형 골절에 대하여 변형된 골 관통식 수직형 봉합과 교량형 봉합술을 혼합하여 소매형 골편의 안정된 고정을 얻을 수 있는 수술 술기를 소개하고자 한다. Sleeve fractures are an unusual type of patella fracture that usually occurs in children or skeletally immature adolescents. Most sleeve fractures occur at the inferior pole of the patella, whereas sleeve fractures of the superior pole are quite rare. Only a few cases have been reported thus far. Operative treatment is recommended for sleeve fractures of the patella due to the poor clinical outcome of conservative treatment. Stable fixation is difficult because of the thin sleeve fragment. Because of its rarity, the choice of operative method is based mainly on the surgeon’s preference. This paper reports a rare case of sleeve fracture of the patella superior pole and describes an operative technique using a modified transosseous vertical suture technique combined with a suture bridging technique to achieve stable fixation of the sleeve fragment.

절충교역 기술이전 성과 및 내재화 성과 영향요인

백인화(Baek In-Hwa),이영덕(Lee Young-Duck) 한국기술혁신학회 2006 한국기술혁신학회 학술대회 발표논문집 Vol.2006 No.11

대학도서관의 변혁적 리더십이 사서들의 임파워먼트(Empowerment)와 조직유효성에 미치는 영향

이은철,백인화 한국문헌정보학회 2010 한국문헌정보학회지 Vol.44 No.2

본 연구는 대학도서관 리더의 변혁적 리더십이 사서들의 임파워먼트와 조직유효성에 미치는 영향력을 실증․분석하기 위해 수행되었다. 연구 결과 변혁적 리더십은 임파워먼트와 조직유효성에 영향을 미치는 것으로 나타났으며, 임파워먼트는 조직유효성에 영향을 미치는 것으로 나타났다. 또한 변혁적 리더십이 조직유효성에 직접 영향을 미칠 때보다 임파워먼트를 매개로 하였을 때 더 큰 영향을 주고 있는 것으로 나타났다. 따라서 대학도서관의 리더는 사서들의 개인적 성장을 위해서 그들의 욕구를 파악하고 관심과 격려 및 적절한 임무부여 등의 개별적 배려를 통해 조직유효성을 향상시킬 수 있도록 하는 것으로 나타났다. The purpose of this study is to examine how the transformational leadership of university library managers affected the empowerment of university librarians and their organizational effectiveness. In this study, we examined the impact of transformational leadership on empowerment, and the impact of empowerment on organizational effectiveness. We then examined the mediating role of the empowerment between the transformational leadership and organizational effectiveness. Empirical results are as follows: empowerment and organizational effectiveness are significantly influenced by transformational leadership, organizational effectiveness is significantly influenced by empowerment, and the impact of transformational leadership on organizational effectiveness is mediated by empowerment.

아두골반 불균형이 의심되는 고위험군 임부에서의 태아골반지수의 효용성

이경호,김태상,백인화,강인구,박승보,이윤순 慶北大學校 醫科大學 1993 慶北醫大誌 Vol.34 No.3

The fetal-pelvic index is a recently described means of identifying the presence or absence of cephalo-pelvic disproportion. In this follow up study, the efficacy of the fetal-pelvic index was evaluated in 98 term pregnant women at high risk for cephalo-pelvic disproportion and was compared with two other methods used to identify cephalo-pelvic disproportion (Colcher-Sussman X-ray pelvimetry and ultrasound-derived estimated fetal weight≥4000gm). After adequate labor trials, 45 of 52 patients who required operative intervention had a positive fetal-pelvic index (senstivity=87%). All of the 7 patients with a false-negative fetal-pelvic index value had persistent malpositions (6 occipito-posterior, 1 occipito-transverse position). Spontaneous vaginal deliveries occurred in 46 patients with 41 of them having a negative fetal-pelvic index (specificity = 89%). The overall predictability of the fetal-pelvic index in this patient population was 88% and positive predictability was 90%. In contrast, when used alone, neither X-ray pelvimetry nor ultrasound-derived estimated fetal weight≥4000gm provided accurate identification of fetal-pelvic disproportion.

외측 잠김 금속판 고정 후 발생한 원위 대퇴골 불유합에서 시행한 내측 잠김 금속판 고정 및 자가골 이식술의 효과

이호민,김종필,백인화,문한솔,남선교 대한골절학회 2024 대한골절학회지 Vol.37 No.1

Purpose: This study examined the outcomes of additional medial locking plate fixation and autogenous bone grafting in the treatment of nonunions that occurred after initial fixation for distal femoral fractures using lateral locking plates. Materials and Methods: The study involved eleven patients who initially underwent minimally invasive lateral locking plate fixation for distal femoral fractures between January 2008 and December 2020. The initial procedure was followed by additional medial locking plate fixation and autogenous bone grafting for clinically and radiographically confirmed nonunions, while leaving the stable lateral locking plate in situ. A clinical evaluation of the bone union time, knee joint range of motion, visual analog scale (VAS) pain scores, presence of postoperative complications, and functional evaluations using the lower extremity functional scale (LEFS) were performed. Results: In all cases, bone union was achieved in an average of 6.1 months after the secondary surgery. The range of knee joint motion, weight-bearing ability, and VAS and LEFS scores improved at the final follow-up compared to the preoperative conditions. All patients could walk without walking assistive devices and did not experience pain at the fracture site. On the other hand, three patients complained of pain in the lateral knee joint caused by irritation by the lateral locking plate; hence, lateral hardware removal was performed. One patient complained of mild paresthesia at the anteromedial incision site. Severe complications, such as deep infection or metal failure, were not observed. Conclusion: For nonunion with stable lateral locking plates after minimally invasive lateral locking plate fixation of distal femur fractures, additional medial locking plate fixation and autogenous bone grafting, while leaving the lateral locking plate intact, can achieve successful bone union.

경골 나선상 골절에 동반된 후과 골절과 족관절 골절에 동반된 후과 골절의 형태학적 비교

문한솔(Han Sol Moon),백인화(In Hwa Baek),김종필(Jong Pil Kim),이호민(Ho Min Lee),석성민(Sung Min Suk) 대한정형외과학회 2023 대한정형외과학회지 Vol.58 No.1

Testicular Feminization Syndrome의 1 예

박승보,강인구,이진식,손우진,백인화,이계현,손경락 대한산부인과학회 1994 Obstetrics & Gynecology Science Vol.37 No.5

저자들은 31세된 기혼여성으로써 원발성 무월경을 주소로 입원한 고환성 여성화증후군 1예를 경험하였기에 문헌적 고찰과 함께 이를 보고하는 바이다. One case of complete testicular feminization syndrome or Morris syndrome is described. The patient visited our hospital because of primary amenorrhea. She was genetically male (46,XY). The phenotype was female, and the vagina had a normal length and closed end. Her breasts were well developed, but her nipples were poorly developed. Testicular feminization syndrome is the most common form of male pseudohermaphroditism, and it is a genetic disorder with X-linked recessive inheritance that is associated with an XY karyotype, bilaterally maldescended testes. She was submitted to abdominal surgical explolation and orchidectomy of the cryptorchid male gonads.

Occult Intertrochanteric Fracture Mimicking the Fracture of Greater Trochanter

정필현,강석,김종필,김영성,이호민,백인화,엄경수 대한고관절학회 2016 Hip and Pelvis Vol.28 No.2

Purpose: Occult intertrochanteric fractures are misdiagnosed as isolated greater trochanteric fractures in some cases. We investigated the utility of three-dimensional computed tomography (3D-CT) and magnetic resonance imaging (MRI) in the diagnosis and outcome management of occult intertrochanteric fractures. Materials and Methods: This study involved 23 cases of greater trochanteric fractures as diagnosed using plain radiographs from January 2004 to July 2013. Until January 2008, 9 cases were examined with 3D-CT only, while 14 cases were screened with both 3D-CT and MRI scans. We analyzed diagnostic accuracy and treatment results following 3D-CT and MRI scanning. Results: Nine cases that underwent 3D-CT only were diagnosed with isolated greater trochanteric fractures without occult intertrochanteric fractures. Of these, a patient with displacement received surgical treatment. Of the 14 patients screened using both CT and MRI, 13 were diagnosed with occult intertrochanteric fractures. Of these, 11 were treated with surgical intervention and 2 with conservative management. Conclusion: Three-dimensional CT has very low diagnostic accuracy in diagnosing occult intertrochanteric fractures. For this reason, MRI is recommended to confirm a suspected occult intertrochanteric fracture and to determine the most appropriate mode of treatment