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        안면신경마비 환자의 재건에 관한 증례보고

        최문기,Choi, Moon-Gi 대한악안면성형재건외과학회 2005 Maxillofacial Plastic Reconstructive Surgery Vol.27 No.3

        Rehabilitation of the paralyzed face as a result of trauma or surgery remains a daunting task. Complete restoration of emotionally driven symmetric facial motion is still unobtainable, but current techniques have enhanced our ability to improve this emotionally traumatic deficit. Problems of mass movement and synkinesis still plague even the best reconstructions. The reconstructive techniques used still represent a compromise between obtainable symmetry and motion at the expense of donor site deficits, but current techniques continue to refine and limit this morbidity. In chronically paralyzed face, direct nerve anastomosis, nerve graft, or microvascular-muscle graft is not always possible. In this case, regional muscle transposition is tried to reanimate the eyelid and lower face. Regional muscle includes maseeter muscle, temporalis muscle and anterior belly of the digastric muscle. Temporalis muscle is preferred because it is long, flat, pliable and wide-motion of excursion. In order to reanimate the upper and lower eyelid, Upper eyelid Gold weight implantion and lower eyelid shortening and tightening is mainly used recently, because this method is very simple, easy and reliable.

      • KCI등재

        윤리경영을 위한 윤리적 리더십: Enron 교훈

        최문기 한국윤리학회 2020 倫理硏究 Vol.129 No.1

        In this article, I analyze the bankruptcy process of Enron Corporation in U.S. known as the most typical accounting scandal case in the business world. And I define the root cause of the bankruptcy is due to corporate management based on unethical leadership of key senior leaders. Based on the lessons from Enron, the most important factor for ethical management is the development of ethical leadership by key senior leaders. I propose the tasks by dividing them into personal and organizational dimensions. And I compose, I suggest the roles and tasks that senior leaders should perform. The lessons from the Enron case is that any law or institution can not prevent fundamentally corporate ethical failures. So the more high-ranking leaders are responsible for corporate management, the more ethical leadership they should develop. In other words, they should have personal qualities or characteristics of a moral person, and develop a moral compass that always guides them toward truth, integrity and honesty. And as a moral manager, they should be able to create and coordinate ethical organizational culture and climate based on the common purposes and values of company. 이 글에서는 가장 비윤리적인 경영 사례로 비판을 받았던 Enron을 중심으로 1) Enron의 파산 과정을 개관하고, 2) 그 파산의 근본 원인은 고위 리더들의 비윤리적 리더십임을 밝혔다. 3) 이를 계기로 부상한 윤리적 리더십 이론을 살펴보고, 4) 윤리경영의 가장 중요한 요건인 고위 리더들의 윤리적 리더십 발달과 과제를 개인적 차원과 조직적 차원으로 나누어서 제안하였다. Enron 사례에서 얻을 수 있는 교훈은 고위 리더들이 윤리적으로 잘못된 계획과 관행들을 유지하는 한, 관련법을 제정하고 제도적 규제를 강화한다고 할지라도, 기업의 윤리적 실패를 근본적으로 예방하기엔 미흡하다는 점이다. 이에 기업경영을 책임지는 고위 리더일수록 윤리적 리더십을 발달시켜야 한다. 고위 리더는 도덕적인 사람으로서의 개인적 자질과 특성을 함양해야 하고, 항상 진실과 정직을 지향하도록 안내하는 도덕적 나침반도 개발해야 한다. 그리고 도덕적 관리자로서 기업의 공동 목적과 가치에 토대해서 윤리적인 조직문화와 풍토를 조성하고 조율할 수 있어야 한다.

      • KCI등재후보
      • 醫療過誤에 있어서 因果關係의 立證責任에 관한 小考

        崔文基 경성대학교 2001 論文集 Vol.22 No.1

        Medical malpractice suits are increasing remarkably in most countries and so many jurists pay attention to the problems in medical malpractice cases. The method of the study that this article has employed includes a survey of relevant professional literautures and legal cases, both domestic and foreign (America, Germany and Japan). The most important issue of the burden of proof in the medical malpractice cases is how to relieve the burden of proof for the patient. The theory of conversion on the burden of proof should not be automatically applied for the determination of the phyaician's liability. The doctrine of 'Anscheinsbeweis' has been applied to the medical malpractice cases in most countries. However, the validity and results of its application must be reviewed as the theory of 'Res Ipsa Loguitur'. And I propose that the analysis of all the theories shows that various factors should be considered and reviewed carefully. So the application of our Supreme Court must be restricted and typified with more reasonable standards.

      • KCI등재

        담관 유두종증 환자에서 광역동치료 후 발생한 양성 담관협착 1예

        최문기,김동욱,김광하,송근암,남형석,이양선,안강희,엄중섭 대한소화기내시경학회 2011 Clinical Endoscopy Vol.42 No.5

        Biliary papillomatosis is a rare disease with a high risk of recurrence and malignant transformation. Therapeutic options include partial hepatectomy, Whipple’s procedure and liver transplantation. If there is no surgical option left due to several reasons, local palliative procedures such as biliary stenting and drainage for the treatment of cholestasis are considered, but tumor growth cannot be influenced. Photodynamic therapy might be a new additional, palliative option for patients with biliary papillomatosis who are not eligible for surgery. Benign biliary stricture is a rare complication of photodynamic therapy. We report here a case of a 63-year-old male who developed benign biliary stricture after photodynamic therapy using the photosensitizer photofrin. 담관 유두종증은 매우 드문 질환이며, 재발률이 높고, 악성으로 변하는 전암 병변이기 때문에 근치적 절제술이 필요하다. 하지만, 여러 가지 이유로 수술적 치료가 어려운 경우에는 보존적 치료를 선택해야 한다. 광역동치료는 담관 유두종증의 새로운 유망한 보존적 치료로 안전성과 효과면에서 기존의 것에 비해 우월한 것으로 보인다. 하지만 광역동치료가 안정성과 생존율 그리고 삶의 질 향상에 미치는 영향에 대해서는 좀 더 많은 연구가 필요하다. 저자들은 간내ㆍ외 담관에 미만성으로 분포한 담관유두종증 환자에게 보존적 치료로써 시행한 광역동치료 후 양성 담관협착이 발생하여 문헌 고찰과 함께 보고한다.

      • Ultrathin optoelectronic devices for wearable/implantable electronics

        최문기 한국공업화학회 2019 한국공업화학회 연구논문 초록집 Vol.2019 No.1

        Soft electronic devices, in particular healthcare-related ones, have been intensively studied over the past decade due to their unique advantages. To achieve the soft nature in high performance electronics and to apply this technology to wearable biomedical electronics/optoelectronics, several strategies have been employed, such as the designed assembly, combination of unconventional manufacturing processes, new design of individual devices with deformable structures, and disease-specific system-level integration of diverse soft electronics. Here, we describe ultrathin flexible optoelectronic devices for wearable/implantable applications. Ultrathin high-resolution red-green-blue quantum dot LEDs can be utilized next-generation electronic tattoo, transparent smart displan, and display of healthcare monitoring wearable devices. In addition, graphene-MoS2 based heterostructure can be applied to the ultrathin curved image sensors for the retina prosthetics.

      • 4주 agility ladder 운동프로그램이 초등학생의 신체조성과 기초체력에 미치는 영향

        최문기,김태운,전재영,김진홍 釜山大學校 附設 體育科學硏究所 2006 體育科學硏究所 論文集 Vol.22 No.1

        The aim of this study was to evaluation the effect of 4weeks agility ladder exercise on body composition and physical fitness. Primary school students(n=7) participated in the aerobic exercise and agility Ladder exercise program(HRmax 60~80%, 55min/day, 5days/week). We measured their body composition and physical fitness items such as body weight(BW), Na+/K+, body cell mass(BCM), total body water(TBW), fat mass(FM), percent body fat(%BF), fat free mass(FFM), muscle mass(MM), basal metabolic rate(BMR), body mass index(BMI), flexibility, balance and hand grasping power......

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