거머리의 임상적 이용에 대한 고찰

김수신 中央醫學社 1985 中央醫學 Vol.49 No.1

韓國都市化現象의 特性分析

金秀信 청주대학교 기업경영학연구소 1981 經營學論集 Vol.3 No.-

都市地域에 있어서 住宅需給 現況分析과 몇가지 政策代案 模索

金秀信 청주대학교 기업경영학연구소 1980 經營學論集 Vol.2 No.-

백서를 이용한 화학적 박피술의 실험적 연구

김수신,박성규,서연림,강신광 인제대학교 1991 仁濟醫學 Vol.12 No.2

화학적 박피술은 의학의 한 분야로 자리잡고 있음에도 불구하고 화학약품의 다양성과 시술 경험의 부족, 술기 표준화의 부족 등으로 인하여 의료인들의 적극적인 시술은 이루어지지 않고 있다. 저자들은 널리 쓰이는 화학 약품 사용해 백서에 화학적 박피술을 시행한 후 그 결과를 분석하여 하학적 박피술의 임상적용에 기초적 자료를 제공하고자 하였다. Chemical peeling has been used as a treatment of skin lesions coffined in epidermis and a portion of dermis, such as spotty hyperpigmentation, fine facial wrinkle, precancerous lesion, and superficial acne scar. We performed chemical peeling with widely used chemicals and results were as follows: 1.Depth of chemical peeling was consistent with neocollagen formation depth. 2.Mean depths of chemical peeling were 20% Resorcin : 0mm 20% Trichloroacetic acie : 0.12mm 35% Trichloroacetic acie : 0.22mm 50% Trichloroacetic acid : 0.47mm 50% Phenol : 0.52mm Baker's solution : 0.52mm 3.20% Resorcin had no peeling effect on dermis. 4.Trichloroacetic acid peeling had close relationship with concentration, and its peeling depth was consistent with necrosis depth. 5.50% Phenol showed no difference as compared with Baker's solution.

우리 나라 地域政策의 變化와 戰略

金秀信 청주대학교 사회과학연구소 1983 한국사회과학연구 Vol.1 No.-

Since the end of the Second World War, a number of problems in spatial dimension have arisen to become central concerns of developing countries, one of them is regiona policy-public policy which deals with regional problems at the national level and solves spatial inequity. Developing countries are clearly the most directly concerned with regional problems, partly because of the spatial shifts involved in moving from an agrarian to an industrial economy, partly because a large portion of their potential resources are still unutilized. The writer has tried in this article to present change and strategy of rgional policy in Korea between the 1960s and the 1980s. The purpose of this paper is to define concepts of regional development under-lying regional policy and what is regional policy and its requirements. Secondly, it is to describe rationales of regional policy considering socioeconomic and regional aspects. Thirdly, it is to induce typology of regional policy and explain change of regional policy on the basis of rationales of regional policy. Its fourth purpose is to interpert change and strategies of regional policy in Korea from the 1960s to the 1980s. In conclusion, the writer has presented two points in regard to regional policy. The first is that we can find three types of regional policy in terms of rationales of regional policy: (1) Regional policy for growth which focuses on efficiency rather than equity, concentrational rather than dispersal, growth rather than welfare(distribution). (2) Regional policy for middle course which pursues a concentrated decentralization between efficiency and equity., concentration and dispersal, growth and welfare. (3) Regional policy for balance which emphasize the importance of equity rather than efficiency, dispersal rather than concentration, welfare rather than growth. The second is that we can explain the changes and strategies of regional policy in Korea between the 1960s and the 1980s on the basis of above three types of regional policy. (1) Between the 1960s and the 1970s, development polices for growth and balance have been implemented. Rigional policy for growth was underlain with economic growth strategy and growthcenters strategy oriented metropolitan area. Regional policy for balance was founded on Saemaulmovement. (2) In the 1980s, on the one hand, we persue regional policy for middle course which search for Human Settlement at regional level on the basis of redistribution with growth startegy and growth conters strategy, and on the other hand, regional policy for balance which focuses on Human Settlement at local level founded on basic needs approach. I think, therefore, we have experienced Regional policy for growth and balance between the 1960s and 1970s, and will search for Development Policies for Middle Course and Balance in the 1980s.

都市行政과 住民參與 方向

金秀信 청주대학교 행정문제연구소 1982 행정학논집 Vol.3 No.-

僧帽筋皮辯(TRAPEZIUS MYCOUTANEOUS FLAP)의 임상적 응용

백세민,김수신 大韓成形外科學會 1986 Archives of Plastic Surgery Vol.13 No.1

The concept of the myocutaneous flap has established various anatomic territories from which flaps may be elevated for reconstruction of defects in the area of head and neck. The trapezius muscle is a flat, triangular muscle, covering the back of the neck and shoulder. It arises from the medial one-third of the superior nuchal line of the occipital bone, the external occipital protuberance, the ligamentum nuchae, the spine of the seventh cervical and the spines of all the thracic vertebrae and the corresponding portion of the supraspinous ligament. The upper part of the muscle inserts to the lateral third of the clavicle; the middle part into the medial edge of the acromion and the upper border of the spine of the scapular; the lower part to terminate in a tubercle at the medial end of the spine of the scapular. The trapezius is supplied by the accessory nerve and also by branches from the third and fourth cervical nerves, which are probably sensory. The vascular supply comes from the transverse cercical artery and the occipital artery primarily. In an effort to define clinical usefulness of the trapezius myocutaneous flaps, this paper describes various myocutaneous flaps, incorporating various portions of the muscle and bone, and reports the clinical applications.

외측 및 내측 상완 유리 피판술에 대한 임상적 고찰

구상환,김우경,김수신 大韓成形外科學會 1993 Archives of Plastic Surgery Vol.20 No.6

The selection of donor sites for free microvascular tissue transfer is based on recipient tissue deficit and donor tissue criteria. The latter consists of, firstly, matching soft, tissue and skin texture, color, thickness and size, secondly, easiness in dissection, large vessels enough for easy anastomosis, and availability of suitable cutaneous nerve for anastomosis, and thirdly, likelihood of an ugly donor site. In the search for a possible free flap donor site on the upper arm, extensive anatomic research on the dissection of the upper arm flap was performed on cadevers by Daniel et al (1975) and Dolmans et al(1979). Also several articles of anatomical and clinical findings for upper arm were reported by Song et al(1982), Katsaros et al(1984), Breidenbach et al(1987), and etc. The upper arm flap as one of fasciocutaneous flap has adequate physical conditions to match recipient requirements of hand and face, and also, in technical aspect, has many advantages such as easy dissection, use of tourniquet, suitable neurovascular pedicles, no need of position change, and etc. We have performed the lateral upper arm free flap on 10 cases and the medial upper arm free flap on 4 cases, of whom 13 were males and 1 was female. The mean age was 28.4 years (range 14 to 42 year). The smallest flap measured 6×4cm and the largest was 18×12cm. In the lateral upper arm free flap, we have used the posterior radial collateral artery, which has constant anatomy in 10 cases for hand, foot, and face reconstruction, and in the medial upper arm free flap. although there are small size of the artery and inconstancy of the anatomy, we have used the superior ulnar collateral artery in all 4 cases of hand injury. We carried out sensory flap transfer in 8 cases. All cases were successful, although an area of anesthesia over the lateral aspect of elbow persisted postoperatively in all cases. We intended to compare both flaps as donor site of free flap and have found these flaps especially valuable in reconstruction of web space of hand and moderate soft tissue deficiency of face.

갑상선기능항진에 의한 안구돌출증의 치험례

황종익,백세민,김수신 大韓成形外科學會 1988 Archives of Plastic Surgery Vol.15 No.4

The severe endocrine exophthalmos, known as also malignant exophthalmos, may be unilateral or bilateral, occurs in 1-4% of patient with Graves'disease. During past 85 years, several procedures for orbital decompression have been described with their advantages. The authers recommanded transantral-ethmoidal approach, "Walsh-Ogura" technique, for orbital decompression of orbital contents into the ethmoid and maxillary sinuses. Other ocular deformities associated with proptosis, such as lid retraction, restriction of ocular mobility, congestion, and visual loss, can be treated by various methods described in detail.

비대칭안면부 교정을 위한 연조직성형술

박명철,백세민,김수신 大韓成形外科學會 1988 Archives of Plastic Surgery Vol.15 No.3

The most important factor of the beauty in the face is harmony of facial skeleton and soft tissue. The needs for contour reconstruction of face are ever increasing. To reconstruct Romberg's disease, Lateral facial dysplasia, Lipodystrophy, even in Hemifacial microsomia, the addition of adequate soft tissue bulk is mandatory. The best technique to supply soft tissue is buried free tissue transfer. We have noted that De-epithelialized groin free flap transfer is the most valuable method after the 7 cases of facial contour reconstruction with various soft tissue method.