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      • SCOPUSKCI등재

        컴퓨터 단층 촬영을 이용한 비골 골절에 따른 비중격 골질이 양상에 대한 연구

        김진이,윤진호,김한중,박흥식 大韓成形外科學會 1998 Archives of Plastic Surgery Vol.25 No.5

        There have been several reports that nasal bone fractures are inadequately managed. They are probably due to poor understanding of the pathophysiology of nasal bone fracture and absence of the accurate diagnostic method. And there has been little adequate comprehensive classification of nasal bone fracture and nasal septal fracture. We examed 132 patients sustaining nasal bone fracture using computerized tomography. Fracture line, deviation, depression, associated skeletal deformities and the nasal septum were clearly identified. We compared our results with Murray & Maran's classification of nasal bone fracture. We found that they revealed almost same results and computerized tomography was good method for diagnosis of nasal septal fracture. The computerized tomography will be helpful for accurate diagnosis and preperative planning of the correction of nasal bone and septal fracture.

      • SCOPUSKCI등재

        스트렙토조토신 유발성 당뇨쥐에서 고압 산소요법이 배부 임의피판 생존에 미치는 영향에 관한 실험적 연구

        조홍규,정윤재,박흥식 大韓成形外科學會 1998 Archives of Plastic Surgery Vol.25 No.6

        There have been increasing interests of diabetes in the realm of plastic surgery due to problems like foot ulcer as a complication, delayed wound healing or higher failure rates of flap surgery. Main pathology in diabetes is microvascular compromise as well as metabolic derangements. The disturbance in microvascular circulation results in ischemic environments in the body and acts as a main factor that determines the limit of reconstructive or aesthetic plastic surgery. A useful method to overcome such problems is the use of hyperbaric oxygen therapy, which is known to be effective in the treatment of ischemic skin ulcer or osteoradionecrosis. However, there have been few studies on the survival of diabetic random skin flap or the effects of hyperbaric oxygenation directed to increase survival of such flap. In our study, we supposed that the survival of diabetic random skin flap was diminished owing to compromised microvascular pathology and blood rheology, and metabolic derangements, so we hypothesized that hyperbaric oxygen therapy has both reversible and irreversible effects on the survival of ischemic random skin flap in Streptozotocin-induced diabetic rats. Increase of local transcutaneous oxygen concentration, O₂ affinity in blood and dysmorphogenesis of red blood cells are reversible and relatively short-term effects and promotion of neoangiogenesis is irreversible or long-term effects. We intended to confirm that hyperbaric rats and to compare the effects between preoperative and postoperative hyperbaric oxygenation on the survival of such flap. And we expect the additional effects of hyperbaric oxygenation on metabolism in diabetic rat, such as lowering the blood glucose level and solving the arrested weight gain. We divided Streptozotocin-induced diabetic rats into three groups: the first was non-treatment diabetic group, the second was preoperative hyperbaric oxygen treated diabetic group(100% O₂, 2 atm, 90min, 15sessions, twice a day), and the third was postoperative hyperbaric oxygen treated group(100% O₂, 2atm, 90min, 15sessions, twice a day). After elevation of random skin flap on dorsum of diabetic rats, we evaluated the extent of flap survival by measuring the necrotic areas at 3rd, 7th, 10th, and 13th postoperative days. At that time, we intended to evaluate both effects on flap survival by preoperative and postoperative hyperbaric oxygen therapy. As a result, flap survival of non-treated diabetic group was 41% at 13th postoperative days. In diabetic groups with preoperative and postoperative hyperbaric oxygen therapy, flap survival were increased to 64.6% and 62.4% respectively. Diabetic groups with hyperbaric oxygen therapy have a tendency of meaningful decrement in blood glucose level. However, there were no meaningful differences between preoperative and postoperative hyperbaric oxygen therapy. Hyperbaric oxygen therapy has no effective correlations with body weight changes. We conclude that hyperbaric oxygen therapy has some useful effects on the survival of diabetic random skin flap.

      • 프랙탈 차원을 이용한 기계습동재료의 마멸입자 형상특징 해석

        박흥식,김영희,전태옥,문병주,조연상 동아대학교 생산기술연구소 2001 生産技術硏究所硏究論文集 Vol.6 No.2

        The morphological analysis of wear particle is a very effective means for machine condition monitoring and fault diagnosis. In order to describe morphology of various wear particle, the wear test was carried out under friction experimental conditions. And fractal descriptors was applied to boundary and surface of wear particle with image processing. These descriptors to analyze shape and surface of wear particle are shape fractal dimension and surface fractal dimension. The boundary fractal dimension can be derived from the boundary profile and surface fractal dimension can be determined by sum of intensity difference of surface pixel. The morphology of wear particles can be effectively obtained by two fractal parameter.

      • SCOPUSKCI등재

        조직확장후 자가 연골이식을 이용한 이개 재건

        박철규,박흥식 大韓成形外科學會 1995 Archives of Plastic Surgery Vol.22 No.3

        Although many authors have been trying to reconstruct the auricles with various methods, there leaves much to be desired owing to the complex morphology of the ear. Extreme skin shortage for full corverage of the sculpted costal cartilages, poor projection of helical rim, in-adequate convolutions, and the maintenance of the auriculocephalic sulcus are frequent challenging problems,in total auricular reconstruction. The goals of auriclar reconstruction are to make the reconstructed ear similar to normal side, to make it stable and durable, and to locate it in proper position. To obtain the sufficient, thin, pliable, and well vasculized skin, the authors used tissue expansion at the first stage of the auricle reconstruction in congenital microtia, post-traumatic deformities of auricle, post-meatoplasty in congenital microtia, and lower set ear lobule. After the insertion of tissue expander, the expander was aggressively inflated as soon as possible to obtain more pliable tissue and thinner capsule before the formation of the thick capsule. And it was inflated to the volume of 70-80cc to alleviate the expected contracture of expanded pocket. The expanded skin provided sufficient, thin, pliable, and well vasculrized skin for easy draping, better contouring, and accurate positioning of reconstructed ear. At the stage of implantation of rib cartilage, the modified method of Burt Brent in the autogenous rib cartilage carving was used, and continuos negative suction drainage with Hemovac was used to maximize the coaptation of the skin flap with the implanted cartilage, which was always added to additional crescent shaped cartilage under the base bloc, to exaggerate the helical projection. And at the stage of auricle elevation, posterior scalp advancement flap into the base of elevated ear was used to provide the stability after elevation and to decrease the size of FTSG. From September, 1985 to March, 1994, 27 microtia patients were operated on after tissue expansion at the age of 9-14 years old and followed up for 3 to 9 years. Through the experiences with those patients we wish to recommend procedure for reconstruction of auricle of congenital microtia, post-traumatic ear deformity, post-meatoplasty in congenital microtia, and lower set ear lobule.

      • 냉간성형 금형용강(STD11)의 형조각 방전가공 특성에 관한 연구

        박흥식,전태옥 동아대학교 공과대학 부설 한국자원개발연구소 1995 硏究報告 Vol.19 No.2

        This study has been performed to investigate MRR(metal removal rate), REW(relative electrode wear), surface roughness, heat transmutation layer and microhardness distribution in cross-section of the machined surface varing pulse-on duration and peak pulse current to find out the best EDM condition of the heat treated STD11 which is extensively used for metallic molding steel by using the die sinking EDM.

      • KCI등재

        기초지방의회의 의정활동평가에 관한 분석적 연구 : 강릉시의회의 의정활동을 사례로

        박흥식 延世行政硏究會 2004 현대사회와 행정 Vol.14 No.2

        본 연구는 지만 10여년의 의정활동을 평가하여 미흡했던 부분은 무엇이며, 개선하여야 할 사항은 무엇인지 파악하기 위한 것이다. 사례지역으로서 강릉시의회가 지난 10여년의 의정활동이 어떻게 수행했는가를 분석하고, 의정황동의 현실을 진단하여 문제점을 파악하고 이를 개선, 보완할 수 있는 대안을 모색 해보고자 한다. 이러한 목적을 달성하기 위하여 지방의회의 입법기능, 심의기능, 감시기능, 대표기능을 강릉시의회 의정활동의 분석대상으로 삼았다. 더 나아가 의정활동에 대한 주민만족도를 알아보기 위하여 강릉시에 거주하는 만 20세 이상의 시민을 모집단으로 설정하였다. 의정활동에 대한 주민만족도 분석내용과 측정변수는 입법활동, 예산결산 및 심의·의결활동, 행정감사활동, 주민대표활동 등으로 한정하였다. 이외에 의정활동 향상의 정도, 강릉시의회 조례 제·개정 사실에 대한 인식 정도, 조례 제정시 시민의견반영의 정도 등의 만족도를 분석하였다.

      • KCI우수등재

        중세 동업조합의 총회(Morgensprache) : 북독일 도시의 사례를 중심으로 The Case of Northern German Cities

        박흥식 한국서양사학회 2000 西洋史論 Vol.67 No.1

        Recent studies on guilds in the medieval period have focused on the types of their association, the result of which have paid little attention to how they managed to lead communal lives of their own. This paper examines the organization and communal nature of the guild based on general assembly of its members (Morgensprache) with a view of filling the lacunae of recent studies. This study will show the character of autonomous community achieved by its members by examining vividly the real picture of self-governance of the association through the openings and proceedings of Morgensprache. In addition, the character will be shown by examining the limits of authority of the city-lord and the municipal council in the matter of jurisdiction and judicial power of Morgensprache. In this paper I use the statues of northern German cities, Lu¨neburg and Goslar, as a concrete case studies of Morgensprache of merchant and craft guilds. With the help of primary sources I can find the following facts: members of the guilds organized their associations for meeting their needs and autonomously solving the problems in lives. Morgensprache was the center of their autonomous communal lives. Morgensprache was the place where debated urgent and annually repeated agenda. It also punished members violating the statues and had judicial powers not to be exercised by outside members. The jurisdiction of Morgensprache was essential for solving impending problems of the guild. This jurisdiction made it possible for the guild to regulate the choice of occupation and most of every lives of members. The guild imposed mostly economic regulation on its members when they violated 'communal norms' written in the statutes. It also employed the coercive expulsion from the community in order to maintain the discipline and cohesion of the organization. In general, the basic significance of Morgensparche can be found in the attempt to solidify the communal cohesion of guild members by pledging an oath, religious ceremony, and banquet including communal dinner rather than counsels and judicial courts. The guild could achieve the common interests of its members based on the collective ceremony and experiences, and the feeling of solidarity resulted from the former two. The guild enjoyed somewhat an autonomy regardless of its size and number of its members, but it remained a subordinate organization of the city. The organization of the guild and lives of its members in fact were regulated by the council based on the fact that all citizens and heads of the guilds as well as its members had an obligation of annual oath and the surveillance function of the council on the guild, which was especially manifest in Lu¨neburg.(Seoul National University)

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