Surgical Treatment of Late Presented Displaced Lateral Condylar Fracture of the Humerus in Children

배기철,송광순,강철형,민병우,조철현,사공협 대한정형외과학회 2008 대한정형외과학회지 Vol.43 No.1

Purpose: To determine whether late open reduction and internal fixation (ORIF) of a lateral condylar fracture (LCF) after 3 weeks is possible, and to determine the latest time for ORIF without a bone graft. Materials and Methods: Eight children underwent late ORIF (>3 weeks) of a displaced LCF (>2.5 mm) of the humerus between 3 weeks and 5 weeks after injury. Results: Clinically, results were excellent in 6 cases and good in 2 cases. There was no serious complication, including nonunion and avascular necrosis (AVN), though 2 cases had a slight fishtail deformity and mild carrying angle loss due to overgrowth of the lateral condyle fragment. Conclusion: We believe that 3 weeks is too short to deny open reduction and anatomic reduction for fear of AVN of a late presented lateral condyle fracture of the humerus. The latest time for ORIF in late presented LCF in children is around 5 weeks, and surgical treatment may even be possible after greater delays. Purpose: To determine whether late open reduction and internal fixation (ORIF) of a lateral condylar fracture (LCF) after 3 weeks is possible, and to determine the latest time for ORIF without a bone graft. Materials and Methods: Eight children underwent late ORIF (>3 weeks) of a displaced LCF (>2.5 mm) of the humerus between 3 weeks and 5 weeks after injury. Results: Clinically, results were excellent in 6 cases and good in 2 cases. There was no serious complication, including nonunion and avascular necrosis (AVN), though 2 cases had a slight fishtail deformity and mild carrying angle loss due to overgrowth of the lateral condyle fragment. Conclusion: We believe that 3 weeks is too short to deny open reduction and anatomic reduction for fear of AVN of a late presented lateral condyle fracture of the humerus. The latest time for ORIF in late presented LCF in children is around 5 weeks, and surgical treatment may even be possible after greater delays.

토지의 분할과 합병에 관한 공법적 규율

배기철 행정법이론실무학회 2023 행정법연구 Vol.- No.70

토지를 분할하거나 합병하여 건축물을 건축하는 경우에는 토지의 효율적・합리적 이용을 위해 도시계획적 요소를 고려한 공법적인 규율이 필요하다. 현행 도시계획법제에서는 국토계획법에서 개발행위허가의 대상으로 토지분할을 규정하고, 건축법에서는 건축물이 있는 대지의 분할제한에 관한 규정을 두어, 토지의 분할을 공법적으로 규율하고 있다. 그러나 규율 대상을 특정 지역의 토지분할에 한정하거나 토지분할이 아닌 건축허가의 요건으로 이를 규정하고 있다는 한계가 존재하며, 토지의 합병은 규율 대상에서 제외되어 있다. 실무적으로는 지적을 규율하는 공간정보관리법상 토지의 분할과 합병 절차를 통해 건축단위에 대한 공법적인 규율이 이루어지고 있다. 법령의 개정 연혁과 판례의 흐름을 살펴보면, 초기에는 공유물분할판결 등의 확정판결에 의해 토지소유권이 분리된 경우에는 무조건적으로 토지 분할을 허용하였으나, 기획부동산 등의 폐단으로 인해 관련 규정을 삭제하고 2013년 대법원 판례를 통해 사법상 권리관계에 대해서도 공간정보관리법상 토지 분할 절차를 통한 공법적인 규율이 가능하다는 법리를 제시하였고, 이후 법원은 국토계획법 외에도 건축법, 지방자치단체의 조례 등 토지의 분할 절차에서 고려되어야 하는 공법적 기준을 확대하는 방향으로 판례를 발전시켜 왔다. 건축단위에 대한 규율의 필요성이 증가함에 따라 판례의 법리도 발전한 것으로 평가된다. 다만, 현행 공간정보관리법상 토지의 분할과 합병 절차는 사법적인 규율만을 예정하고 있을 뿐, 건축단위에 대한 공법적 규율을 고려하고 있지 않으며 지적소관청에게 실질 심사권을 인정하고 있지도 않다. 실무적으로는 토지의 분할신청에 선행하여 이루어지는 지적측량 절차를 통해 공법적인 규율이 이루어지고 있으며, 최근 하급심 판례에서는 지적측량 시행규칙에 근거하여 지적소관청의 실질 심사권을 인정한 사례도 확인된다. 그러나 지적측량은 사법상 토지소유권의 권리관계를 확인하기 위한 확인적인 성격만을 가지기 때문에, 지적측량을 통해 건축단위에 대한 공법적 규율이 이루어지는 현행 실무는 근본적으로 지적제도의 체계와는 맞지 않다. 이 글에서는 국토계획법과 공간정보관리법의 관계를 고려한 현행 건축단위의 규율 체계에 대한 개선방안을 제시하였다. 먼저, 공간정보관리법상 토지의 분할과 합병 절차에 있어 지적소관청에게 공법적인 규율이 가능하도록 실질 심사권을 인정하고, 지적측량 절차는 본래의 목적에 따라 토지의 현황과 사실 상태를 확인하는 기능만을 부여하는 방향으로 관련 규정을 개정하여야 한다. 또한, 국토계획법상 개발행위허가(토지분할허가)도 공법적인 규율의 필요성을 고려하여 토지의 합병을 포함한 토지분합허가로 그 대상을 확대하여야 할 것이다. 그러나 공간정보관리법상 토지의 분할과 합병 절차를 통해 건축단위를 규율하더라도 그 효력을 국토계획법상 개발행위허가와 동등한 수준으로 인정하기는 어렵다는 점에서, 종국적으로는 도시계획법제인 국토계획법을 통해 건축단위에 대한 규율이 이루어져야 한다. 이를 위해 현행 규율 체계와 같은 과도기적 과정을 거쳐, 국토계획법상 개발행위허가는 토지형질변경허가를 통해 건축허용성을 규율하고, 토지분합허가를 통해 건축단위를 규율하는 형태로, 건축행위를 규율하기 위한 완결적인 허가 제...

여행사에 대한 복수애호도 요인에 관한 연구

배기철 기전여자대학 1998 論文集 Vol.18 No.-

The primary objective of this study was to empirically determine the relationship between travel agency images and customer patronages toward five competing travel agencies, and to understand the nature of their competition by matching customer patronage behavior toward alternative travel agencies with perceptions of alternative travel agencies on particular image attribute. This study contributes to the existing consumer patronage behavior literature by providing empirical research results for the interrelationships between multi-store image measures and multi-store loyalty measures. In terms of offering strategic guidelines, this study shows the magnitude of the relationships and explains the nature of competition in a travel market by linking customer patronage behavior toward one or more travel agencies with the image strengths/weaknesses of travel agencies on salient image dimensions. As a consequence, travel agencies can use this information in their repositioning strategies to improve or change their image

High tibial osteotomy with cartilage regeneration surgery using human umbilical cord blood-derived mesenchymal stem cells for medial compartment osteoarthritis of the knee

배기철,Byung-Chan Choi,김두한,연창진,Ji-Hoon Kim 대한정형외과 스포츠의학회 2022 Arthroscopy and Orthopedic Sports Medicine Vol.9 No.2

Background: To compare clinical and radiological outcomes in high tibial osteotomy (HTO) with or without cartilage regeneration surgery using human umbilical cord blood-derived mesenchymal stem cells (hUCB-MSCs) for medial compartment osteoarthritis of the knee. Methods: Patients who underwent HTO only (group H) or HTO with cartilage regeneration surgery using hUCB-MSCs (group HS) were retrospectively reviewed, and these patients had a minimum radiographic and clinical follow-up period of 12 months. The following radiologic parameters were evaluated: hip-knee-ankle angle, tibia plateau inclination, knee joint line orientation, ankle joint line orientation, medial and lateral joint width, and joint line convergence angle. Moreover, the clinical score was evaluated according to the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) and International Knee Documentation Committee (IKDC) scores. Results: A total of 44 knees (group H: 32, group HS: 12) were enrolled. The mean age of group H and group HS were 57.2 and 55.1 respectively. No significant difference in preoperative radiologic parameters and clinical outcomes was observed between the two groups (all P > 0.05). Significant improvements were observed between pre- and postoperative radiologic parameters, except for medial joint width, in both groups. However, these parameters were not significantly different in both groups (all P > 0.05). At the last follow-up, significant improvements were observed in WOMAC and IKDC scores compared with the preoperative score in both groups. However, no differences were observed between the two groups (all P > 0.05). Conclusion: Satisfactory clinical and radiological outcomes were observed in both groups in short-term follow-up. However, no significant difference in clinical and radiological outcomes was observed between the two groups at the last follow-up moment. In the future, a study with medium- to long-term follow-up is needed.

Effect of Green Tea Extract/Poly-γ-Glutamic Acid Complex in Obese Type 2 Diabetic Mice

배기철,박재형,나안예,김선주,안신병,김상표,오병철,조호찬,김용운,송대규 대한당뇨병학회 2013 Diabetes and Metabolism Journal Vol.37 No.3

Background: The increasing prevalence of type 2 diabetes mellitus (T2DM) is associated with the rapid spread of obesity. Obesity induces insulin resistance, resulting in β-cell dysfunction and thus T2DM. Green tea extract (GTE) has been known to prevent obesity and T2DM, but this effect is still being debated. Our previous results suggested that circulating green tea gallated catechins (GCs) hinders postprandial blood glucose lowering, regardless of reducing glucose and cholesterol absorption when GCs are present in the intestinal lumen. This study aimed to compare the effect of GTE with that of GTE coadministered with poly-γ-glutamic acid (γ-PGA), which is likely to inhibit the intestinal absorption of GCs. Methods: The db/db mice and age-matched nondiabetic mice were provided with normal chow diet containing GTE (1%), γ-PGA (0.1%), or GTE+γ-PGA (1%:0.1%) for 4 weeks. Results: In nondiabetic mice, none of the drugs showed any effects after 4 weeks. In db/db mice, however, weight gain and body fat gain were significantly reduced in the GTE+γ-PGA group compared to nondrug-treated db/db control mice without the corresponding changes in food intake and appetite. Glucose intolerance was also ameliorated in the GTE+γ-PGA group. Histopathological analyses showed that GTE+γ-PGA-treated db/db mice had a significantly reduced incidence of fatty liver and decreased pancreatic islet size. Neither GTE nor γ-PGA treatment showed any significant results. Conclusion: These results suggest that GTE+γ-PGA treatment than GTE or γ-PGA alone may be a useful tool for preventing both obesity and obesity-induced T2DM.

Efficacy of Intra-Articular Injection of Thrombin-Based Hemostatic Agent in the Control of Bleeding after Primary Total Knee Arthroplasty

배기철,조철현,이경재,손은석,이시욱,이석중,임경환 대한슬관절학회 2014 대한슬관절학회지 Vol.26 No.4

purpose: To evaluate the hemostatic effect of intraarticular injection of a thrombin-based hemostatic agent in total knee arthroplasty (TKA).materials and methods: We performed a prospective randomized controlled trial on the use of a thrombin-based hemostatic agent in patients undergoing unilateral TKA. A total of 100 TKA patients were enrolled, with 50 patients randomized into the study group and the other 50 patients into the controlled group. Drain output, hemoglobin level, total red blood cell loss for 24 hours after surgery, transfusion rates, and complications were assessed.results: Postoperative drain output was 525 mL in the study group and 667 mL in the control group (p=0.01). Nine patients in the study group and eighteen in the control group received blood transfusion (p=0.043). But, there was no significant difference between two groups in terms of hemoglobin level change and total red blood cell loss (p>0.05).conclusions: The thrombin-based hemostatic agent demonstrated efficacy in reducing drain output and blood transfusion rates. Thus, we believe the use of a thrombin-based hemostatic agent should be considered as an option in orthopedic surgery that involves massive bleeding.

Bilateral Medial Tibial Plateau Fracture after Arthroscopic Anterior Cruciate Ligament Reconstruction

배기철,조철현,이경재,전종혁 대한슬관절학회 2015 대한슬관절학회지 Vol.27 No.2

Tibial plateau fractures after arthroscopic anterior cruciate ligament (ACL) reconstruction are rare, and only isolated cases have been reported. The authors describe a case of bilateral medial tibial plateau fracture following a minor motorcycle accident in a patient who underwent arthroscopic ACL reconstruction in the past. Two years and four months before the accident, the patient underwent an arthroscopically assisted ACL reconstruction using double-bundle technique on his left knee at a hospital. He had the same surgery using single-bundle technique on his right knee about eight months ago at another hospital. The fractures in his both involved knees occurred through the tibial tunnel and required open reduction with internal fixation. At three weeks after fixation, a second-look arthroscopy revealed intact ACLs in both knees. At five months follow-up, he was able to walk without instability on physical examination. Follow-up radiographs of the patient showed callus formations with healed fractures.

시판 육류중의 Tetracycline계 항생물질 잔류량과 가열분해에 관한 연구

배기철,이영근 한국식품위생안전성학회 1991 한국식품위생안전성학회지 Vol.6 No.2

육류중의 Tetracycline계 항상물질의 잔류량을 조사하기 위하여 시판 중인 쇠고기, 돼지고기. 닭고기 3종을 각각 3개시료씩 구입하여 Tetracycline(TC), Oxyteracycline(OTC) , Chlortetracycline(CTC) 의 잔류량을 분석하였으며, 아울러 잔류 항생물질의 조리가열에 의한 분해감소량을 조사한 결과는 다음과 같다. 1. 시판 육류중의 OTC 및 CTC 잔류량: OTC 잔류량은 닭고기의 경우 A 시료에서 흔적정도, B시료에서 불검출 , C시료에서는 0.09mg/kg이 검출되었다. 쇠고기 3개 시료에서는 C 시료에서만 돼지고기 A 및 B에서는 흔적정도로 검출되었다. CTC은 닭고기 A,C시료에서 0.14, 0.02mg/kg으로 각각 검출되었으며, 쇠고기와 돼지고기의 경우에는 쇠고기 B에서만 0.01mg/kg의 잔류량이 확인되었다. 2. TC 잔류량 : 쇠고기와 돼지고기의 Tc 분석에는 육류 자체에서 유래된 성분의 peak와 TC의 peak가 중복되어 잔류량의 판단을 방해하였으나, 닭고기의 경우에는 이러한 방해 성분이 없었으며, 3개중 A 시료에서만 0.01mg/kg의 잔류량이 검출되었다. 3. 가열방법별 항생물질의 분해정도 : 가장 고온가열인 굽기에서, 특히 TC 및 OTC의 분해가 많았다.. 4. 가열시간에 따른 분해정도 : 자불에서는 상당시간이 경과하여도 미량의 분해가 있었으나, 굽기에서는 시간경과에 따라 분해량의 현저한 증가를 보였다. 굽기와 같은 조리 효과를 가진 전자오븐 가열에서는 덜 분해되었다. 가열에 대한 각 항생물질의 내열성은 CTC>OTC>TC 의 순으로 나타났다. Beef, pork and chicken on the market were analyzed for determination of tetracyclines residue and decomposition of tetracyclines by heating were studied. The content of oxytetracycline was trace in chicken A, 0.09 mg/kg in C and trace in beef C, pork A and B, but in the other samples was not detected oxytetracycline. Chlortetracycline residue was 0.14, 0.02 and 0.01 mg/kg in chicken A, C and beef B respectively. In HPLC analysis, two peaks of 8.1 and 9.0 min of retention time were found from beef and pork and expected to be component of meat, and because of same retention time, the one of 9.0 min interrupted determination of tetracycline. But those were not found in chicken, therefore the residue was 0.01 mg/kg in sample A. The residue were degradated rapidly by heating of roast, but slightly by that of boiling.

[특별대담_배기철 대구 동구청장] 새로운 도약으로 멋진 동구를 이끌고 있는 배기철 대구 동구청장

배기철(토론자),전상직(토론자) 한국자치학회 2019 월간 공공정책 Vol.169 No.-

축제충성도에 대한 참여행동의지의 역할과 행동통제요인의 조절효과

배기철,신학진,황윤용,최수아 한국관광학회 2009 관광학연구 Vol.33 No.2

This study examines the relationship between participant loyalty and service quality in a festival services context, and attempts to identify the role of willingness to participation behavior and participant satisfaction. In particular, writers focused on the moderating role of perceived behavioral control(PBC) among their relationships. Survey data were drown from a N(regional) herb festival. Authors found the service quality had a positive effect to the willingness to participation behavior, the satisfaction, and the participant loyalty. In addition, the PBC has a moderating effect to the relationship between satisfaction and loyalty. Finally, implications for tourism festival theory and practitioners were discussed with future researches ahead.