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두개안면골기형 질환의 치료: 두개골조기유합증과 자세 성사두증
박동하,윤수한 대한의사협회 2012 대한의사협회지 Vol.55 No.9
After the publication of the modern Virchow’s suture fusion hypothesis regarding craniosynostosis,various types of linear craniotomy have been developed. However, after the Moss’s functional matrix hypothesis became known, extensive cranial remodeling surgical procedures have emerged. However, a recent view that the cause of craniosynostosis may be due to gene mutation has led to a tendency toward treating craniosynostosis with minimally invasive surgery including endoscopic surgery and distraction procedures that utilize springs or distractors. As nonsyndromic craniosynostoses are accompanied by unilateral coronal or lambdoid craniosynostosis,and syndromic craniosynostoses are accompanied by facial anomalies, it is presumed that cranial anomalies are accompanied by facial anomalies. However, the “back to sleep”campaign that was initiated in the 1990’s in order to prevent infantile death syndrome led to research in the dramatic increase in the incidence of craniofacial anomalies, which resulted in the establishment of the positional plagiocephaly concept, which has also been ascertained in animal experiments. Despite these advances, the basic problem of whether craniosynostosis is simply a cosmetic anomaly or whether it is a neurological disease that is accompanied by complications such as increased intracranial pressure has not been resolved. The consequent confusion has prevented establishment of the optimal timing for surgery and the type of surgical procedure. The authors of this study review the history of craniosynostosis treatment and attempt to clarify the situation pertaining to the surgical treatment concepts and limitations.
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박동하,장윤배,정지이 경기연구원 2022 정책연구 Vol.- No.-
The purpose of this study is to identify the current situation of stand-alone apartments, which have recently increased significantly in Bucheon city, and to derive a management plan. In Bucheon, considering the aging situation of low-rise residences, geographical requirements close to Seoul, and development of new stations, there is a high possibility that stand-alone apartments will be built in the future. In particular, in Bucheon, the number of stand-alone apartments with less than 30 households being built through building permits has increased significantly in recent years. The problem of stand-alone apartments in Bucheon is the lack of safety and convenience, which are basic requirements for housing, and stand-alone apartments do not play a role in improving the problems of low-rise residential areas. There is no clear definition of stand-alone apartments because it is not a legal term, and it is necessary to define stand-alone apartments focusing on the problems that occur in Bucheon. The definition of stand-alone apartments in Bucheon is defined as an apartment with less than 100 households that faces a road less than 10 m and has little contribution to solving infrastructure problems such as pedestrians and parking. This study proposes to induce the securing of infrastructure by strengthening construction standards in order to overcome the current situation in which stand-alone apartments do not play a role in improving local infrastructure problems. In the case of apartments with less than 30 households receiving a building permit through the amendment of the ordinance, it is proposed to raise the parking lot installation standard by about 20% from the current parking lot installation standard. Besides, It is proposed to consider providing incentives such as floor area ratio as a supplement to the occurrence of retreat of construction lines to secure pedestrian paths. Stand-alone apartments are a type of housing whose supply and demand vary greatly depending on the economic situation, so it is necessary to induce them to have the elements for minimum housing in the long term. In addition, through the revision of the Bucheon City Ordinance, it is proposed to amend the ordinance so that buildings that fall under the definition of stand-alone apartment are subject to architectural deliberation. In addition, it is suggested to use a checklist that can be used during the review so that the architectural review can play a proper role. Since a lot of stand-alone apartments are built in areas where small-scale maintenance projects are carried out, it is necessary to establish the basic principles of management through the basic urban and residential environment maintenance plan. Bucheon needs to present a blueprint for the future of low-rise residential buildings to improve the fundamental management plan for stand-alone apartments, and to reorganize the city management plan system accordingly. The current use zoning system has a limit in inducing harmonious development with the surrounding area because density is more important rather than use. Bucheon needs to choose a strategy from among various use area improvement measures such as flexible use zoning system or subdivision of use area.
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박동하,이외희,박성호 경기연구원 2021 정책연구 Vol.- No.-
This study aims to derive legal and institutional improvement measures by analyzing the actual condition of living accommodation facilities. When the problem of using living accommodation facilities for residential purposes occurred, the central government and Gyeonggi-do announced plans to induce the use of living accommodation facilities for accommodation. Through the revision of the Enforcement Decree of the Building Act in 2021, the central government prepared measures such as improving advertisements for the sale of living accommodation facilities, preparing construction standards for living accommodation facilities, and imposing enforcement fines for residential use. In 2021, Gyeonggi-do revised the ordinance to obtain prior approval from the governor after deliberation by the Building Committee for large-scale living accommodation facilities. As a result of the analysis on living accommodation facilities, facilities used for residential purposes are mainly large-scale facilities located in commercial areas. Some of the living accommodation facilities, however, that are going to be converted into residential officetels face a situation where it is difficult to change their use according to the district unit plan. Also, in some living accommodation facilities, the movement of conversion to residential is insignificant due to problems such as the number of houses owned. Many living accommodation facilities in non-commercial areas are in the form of detached houses or multi-family houses. Due to the newly introduced standard for building living accommodation facilities, there will be a difference in the level of facilities before and after the standards are established. The recent improvement in the legal system for solving the problem of living accommodation facilities is focused on the problem of illegal conversion for residential use. So, despite the recent response of the central government, there are still insufficient responses to problems with the type of living accommodation facilities, functional problems with accommodation facilities, commercial ratio, usage areas and locations, crackdowns on residential use, and operation of living accommodation facilities. Living accommodation facilities in Gyeonggi-do vary widely in usage area, size, and commercial ratio, and more than half of them are located in other use areas such as planned management areas, not commercial areas. Therefore, this study suggests a policy improvement plan using the concept of living accommodation facilities, subdivision and rating of living accommodation facilities, improvement of the operating system, and location management plans. First, it is proposed to overcome the difficulty of cracking down on the illegal use of living accommodation facilities by utilizing the moving-in notification system. Second, it is recommended to improve the convenience of management and use by dividing living accommodation facilities by size and assigning grades. Third, in order to respond to the problems of individual registered accommodations that have already been experienced in pre-sale hotels, the competent ministry is set and detailed measures for the operating system are urged. Finally, it is suggested to discuss the limitations of the current use area and utilize the urban management plan.
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