순환기 내과로 자문의뢰된 환자의 임상상

황진용,최지용,손상균,조용근,채성철,전재은,박의현 慶北大學校 醫科大學 1996 慶北醫大誌 Vol.37 No.4

목적 : 순환기내과 영역은 많은 과로부터 자문의뢰를 받는 영역으로 알려져 있다. 특히 최근 우리나라의 순환기질환의 유형이 변화되고 입원환자가 고령화되면서 동반된 심질환의 유병율도 증가하고있다. 이에 저자들은 타과로 입원하여 순환기내과로 자문의뢰되는 환자의 임상상과 3차병원인 경북대학교병원에서의 순환기내과자문의 유용성 등을 평가하여 향후 순환기질병에 대한 협의진료에 도움을 주고자 본 연구를 시행하였다. 방법 : 1995년 3월부터 순환기내과로 공식자문의뢰된 첫 100명을 대상으로 전향적으로 연령, 의뢰이유, 최종진단명, 수술과의 관련성 여부, 순환기내과의 최종조치, 타과의 순응도 등을 조사하였다. 결과 : 1) 자문을 의뢰한 환자는 평균 58±16(15-89, 중앙치 61)세였고 60세이상의 환자가 57%로 고령의 환자가 많았다. 2) 내과계열 25%, 외과계열 75%로 외과계열의 자문이 많았고 일반외과가 26%로 가장 많았고 내과의 다른 분과가 12%, 신경외과 12%, 정형외과 11%, 흉부외과 11%, 신경과 11% 등의 순이었다. 외과계열중 수술을 시행한 경우는 58례로 이중 응급수술이 13례였다. 술전 위험도 평가를 위한 자문이 38례에서 있었는데 순환기적인 문제로 수술을 받지 못한 경우는 2례(1례는 허혈성 심질환, 1례는 심낭질환)이었다. 이때 응급수술을 제외한 입원일과 술전 자문일파의 간격은 평균 3±7일(입원일-42일)이고 술전 자문일과 수술일과의 간격은 평균 6±4일(1-16일)이었다. 3) 타과의 의뢰이유는 심전도 이상이 36례, 높게 측정된 혈압이 20례, 순환기질환의 과거력 17례, 환자의 증상 때문인 경우가 10례였고 심전도의 이상중에는 부정맥이 18례, 이상 Q파 6례, ST절 이상이 5례, 각차단이 3례의 순이었다. 순환기과거력 중에는 허혈성 심질환이 6례, 현재 혈압은 정상이나 고혈압의 과거력이 있는 경우가 4례 순이었고 환자의 증상은 흉통 6례, 호흡곤란이 3례, 기절이 1례였다. 4) 자문후 최종진단이 가능했던 91례를 진단별(총 97 진단명)로 나누어 보면 고혈압이 28례, 부정맥이 16례, 허혈성 심질환이 14례, 판막질환이 11례, 순환기질환이 아닌경우가 19래였다. 이들중 추적진료가 필요하다고 응답한 경우가 57례였으나 순환기내과 외래에 1번이상 추적진료한 경우는 32례(56%)로 환자의 순응도는 낮았다. 결론 : 순환기내과의 자문의뢰는 고령자에게 많았고 수술과 관련된 경우가 많았으며 심전도의 이상이 의뢰이유로 가장 많았으며 진단별로는 고혈압과 부정맥이 가장 많았다. 그리고 순환기적인문제로 수술을 받지 못한 경우는 드물었고 자문후 지속적인 추적진료를 위해 환자의 교육이 필요하겠다. Objective : Clinical characteristics of the patients with cardiovascular diseases in the general hospital have been changed and prevalance of co-existing cardiovascular disease in the patients who were admitted for non-cardiac diseases has been increased remarkably as the proportion of elderly patients increased rapidly in Korea. We evaluated clinical features of the patients consulted for cardiological evaluation and effectiveness of the consultation in the setting of tertiary general hospital, Kyungpook University Hospital. Method : One hundred patients were studied between January 1995 and January 1996. They were evaluated for the reason of consultation, final diagnosis, final recommendation from cardiologists and its impact on the management of the patients, and compliance of the consulting departments. Results : 1) The ages ranged between 15 and 89 (mean 58±16, median 61) years, 57 patients were male and 43 female. Fifty seven patients were older than 60 years. 2) Consultations from surgical parts were 75 patients. Consultation from general surgery was most frequent (26%), followed by other divisions of internal medicine (12%), neurosurgery (12%) and orthopedic surgery (11%), chest surgery (11%), neurology (11%), obstetrics and gynecology (8%), urology (4%), ophthalmology (2%), dermatology (2%), ENT (1%). Among 75 patients from surgical parts, operation was done on 58 patients, including 13 emergency cases. Preoperative cardiac risk evaluation was the reason of consultation in thirty eight patients, of which operation could not be done in only 2 patients (one had severe ischemic heart disease, the other large pericardial disease). Interval between consultation day and operation day was 6±4 days (1-6 days). 3) Reasons for cardiac consultation were electrocardiographic (ECG) abnormalities in 36 patients, high blood pressure in 20 patients, previous cardiovascular diseases in 17 patients, symptoms of the patients in 10 patients. Among EGG abnormalities, arrhythmias was the reason in 18 patients, abnormal Q waves in 6 patients, ST-T segment abnormalities in 5 patients, bundle branch block in 3 patients. Among previous cardiovascular disease, presence of ischemic heart disease was the reason in 6 patients, previous hypertension in 4 patients. Chest pain was the reason of the consultation in 6 patients, dyspnea in 3 patients, syncope in 1 patient. 4) Definite diagnoses could be made in 91 patients with 96 diagnoses which were hypertension and its complications in 28, arrhythmia with underlying disease in 16, ischemic heart disease in 14. valvular heart disease in 11, non-cardiovascular disease in 19. Cardiological follow up was recommended in 57 patients. However, 25 patients (44%) were lost to follow-up. Conclusion : Cardiological consultation was frequent in the elderly patients. Most frequent reason for consultation was EGG abnormalities. Hypertension or arrhythmia was most common final diagnosis. Inoperability due to cardiovascular problems were rare.

급성하벽심근경색에서 전흉부유도 ST절 하강의 의의

정병천,배호상,곽동훈,김영태,배용학,황종현,임현주,류재근,조용근,채성철,전재은,박의현 慶北大學校 醫科大學 1997 慶北醫大誌 Vol.38 No.2

목적 : 급성하벽심근경색증 환자에서 심전도상 흔히 동반되는 전흉부유도 ST절 하강의 의의를 알아보았다. 방법 : 심근경색후 24시간에서 48시간에 얻은 심전도를 기준으로 52명의 급성하벽심근경색증 환자를 전흉부유도에서 ST절의 하강이 있는 군과 없는 군으로 나누었으며 심도자, 관상동맥조영술, 심초음파도 및 방사성 핵종을 이용한 좌심구혈율 측정 등을 시행하였다. 결과 : 1) 좌심실확장기말압은 전흉부유도에서 ST절의 하강이 있는 경우에서 16.9±5.33mmHg로 없는 경우의 11.0±4.02mmHg보다 유의하게 높았다(p<0.05). 그러나 운동량 및 좌심구혈을은 흥부 유도상 ST절의 하강이 있는 경우 7.6±3.0 METs 및 53.9±9.1%로 없는 경우의 9.1±2.7 METs 및 54.6±9.5%보다 낮았으나 통계적 유의성은 없었다(p=0.180, p=0.823). 2) 관상동맥조영술상 전흉부 ST절의 하강이 동반된 군에서는 유의한 좌전하행지나 좌회선지의 협착이 있는 경우가 60.9% 및 57.9%로 ST절의 하강이 없는 군에서의 34.5% 및 7.7%와 비교해 좌관상동맥에 협착이 동반된 경우가 많았다(p=0.050, p=0.001). 3) 관상동맥조영술상 세 혈관질환의 빈도는 흉부유도상 ST절의 하강을 보인 23예에서 10예로 ST절 하강이 없었던 29예중 2예에 비하여 유의하게 많았고(P=0.007), 단 혈관질환의 빈도는 ST절의 하강을 보인 군에서 23예중 5예로 ST절 하강이 없었던 29예중 17예에 비하여 유의하게 적었다(P=0.002). 두 혈관질환의 경우에는 각각 8예와 10예로 양군간에 유의한 차이가 없었다. 4) 흉부유도상 ST절 하강의 빈도는 단 혈관질환 22예 중 5예에서, 두 혈관질환 18예중 8예, 세 혈관질환 12예 중 10예에서 관찰되어 협착이 있는 관상동맥의 수가 많을수록 ST절의 하강이 나타나는 빈도가 많음을 보였다(p=0.00308). 그러나 흉부유도상 나타난 ST절의 하강을 모두 합하여 구한 ST절 하강의 합은 협착이 있는 관상동맥의 수와 통계적인 유의성이 없었다. 5) 심초음파도상 좌심실 하벽의 벽운동은 ST절 하강을 보인 군에서는 akinesia가 83.3%, hypokinesia가 11.1%, 정상 벽운동이 5.6%로, ST절 하강이 없었던 군에서의 dyskinesia가 3.6%, akinesia가 39.3%, hypokinesia가 25.0%, 정상 벽운동이 32.1%와 비교하여 ST절의 하강이 있는 군에서 유의하게 벽운동의 장애가 빈번함을 보였다(p=0.03891). 그러나 좌심실전벽, 측벽 및 중격부위에서는 유의한 벽운동의 차이가 없었다. 결론 : 급성하벽심근경색증 환자의 전흉부유도에서 ST절의 하강이 동반되는 경우 다혈관 질환의 가능성이 높으며 좌심실확장기말압이 상승되었고 운동능력은 감소되어 있었다. 또한 심초음파도상 좌심실하벽의 벽운동장애도 심하였다. 따라서 전흉부 ST절의 하강을 동반한 급성하벽심근경색증 환자는 전흉부유도에 ST절 하강이 없는 경우보다 예후가 불량할 것으로 생각되며, 보다 적극적인 치료가 필요할 것으로 생각된다. The purpose of this study was to determine the significance of precordial ST segment depression appearing during acute inferior myocardial infarction and to assess the correlation of that with angiographic finding. 52 patients were allocated into two groups based on the existence of precordial ST segment depression : 23 patients with ST segment depression and 29 patients without ST segment depression. The extent of coronary artery disease as well as the prevalence of significant stenosis (≥70%) in left anterior descending artery were more frequent in patients showing precordial ST segment depression than in patients not showing them (p=0.050) and the result were similar in cases of left circumplex artery (p=0.001). On echocrdiographic examination of left ventricular (LV) wall motion, it showed more severely decreased inferior LV wall motion in patients showing precordial ST segment depression than in patients not showing them (p=0.03891) even though the other segment of LV wall motion didn't show the statistical difference between both groups. The other cardiac parameters such as LVEDP, exercise amount (METs) and ejection fraction were tend to showing bad profile in patients with precordial ST segment depression. From the above results, we could deduce that patients with precordial ST segment depression have relatively large infarction or concomitant left coronary artery disease, so they need more caution and intensive theraphy.

地方自治의 比較制度的 考察 (Ⅰ) : 英·美 兩國의 地方自治制度를 中心으로 mainly, the Local Autonomy system of England and U.S.A.

朴龍喆 慶北大學校 1965 論文集 Vol.9 No.-

The principle of politics of modern countries is based on democracy, and the local autonomy carries out the democratic politics through democracy. Accordingly, it may be said that local autonomy is the birth place of the democratic politics, bestowing new missions to the democratic politics, and developing it endlessly. Therefore, we may say that the development of the local autonomy is the short cut and the measurement for the democratic politics. And the practice of the goal of the local autonomy will be the fundamental premise of the democratic politics. However, the relation between the democratic politics and the local autonomy includes too many problems theoretically and practically to treat here. So the present thesis will be focused on the comparative study of the local autonomy systems in England and U.S.A, which, the writer believes, is inevitable for the making of a suitable plan for the future Korean lacal autonomy, taking into account the Korean local autonomy system in the past days. The writer will make a comparative study of English and American local autonomy systems in the present thesis, "The Comparative Study of Local Autonomy System (Ⅰ)" which is to be folowed by "The Comparative Study of Local Autonomy System (Ⅱ)" in which the comparative study of German and France local autonomy systems will be made, and, furthermore, the planning for the future Korean local autonomy system will be done in consideration of the Korean traditions, national characters, and economic, social, cutural circumstances. The content of "The Comparative Study of Local Autonomy System (Ⅰ)" is as follows: 1. Local Autonomy in England. 1) Historical Development of Local Autonomy 2) Structure and Function of Local Autonomy Corporation 3) Committee Systm 4) Finance of Local Autonomy Corporation 5) Central Control 2. Local Autonomy in America 1) Historical Development of Local Autonomy 2) Structure and Function of Local Autonomy 3) Local Finance 4) Relation between Local Autonomy Corporation and State Government and Federal Government 5) Control

作期移動에 따른 水稻 F₂世代의 登熟特性 分離樣相의 變化

申辰澈,權容雄 서울大學校 農科大學 1985 서울대농학연구지 Vol.10 No.2

水稻의 品種育成上 Indica×Japonica 交雜種에 있어서 多數性 및 收量 安全性 向上을 위해 必要한 登熟期間 중 葉身의 老化와 登熟과의 關係를 밝히고자, 早生統一, 水原 264號, T(N)1을 母木으로 하는 3組合의 F₂集團을 適期栽培와 晩期栽培였고, 各 栽培時期別 組合當 1000個體씩을 供試하여 出穗以後 登熟期間中의 葉綠素含量, 葉面積, 粒重發特性 關係形質을 調査하였다. 1. 出穗期 葉綠素含量은 全般的으로 適期栽培보다 晩期栽培에서 낮았으며, 適期에서는 組合間 平均差異가 없고 變異係數는 早生統一/T(N)1, 水原 264/T(N)1 및 早生統一/水原 264가 各各 15.4, 15.3, 17.4%이었고, 晩期栽培에서는 變異係數가 24.1, 16.4, 19.6%이었으며, 晩期栽培에서는 葉綠素含量이 높은 個體數가 적었다. 出穗後 30日의 葉綠素含量은 適期에서 早生統一/T(N)1, 水原 264/T(N)1, 早生統一/水原 264의 平均이 3.03, 2.71, 2.96㎎/g dry wt.이었고, 變異係數가 28.5 34.6 33.5%이였으며, 晩期栽培에서는 平均이 2.23, 2.30, 2.48㎎/g dry wt. 變異係數가 39.2, 32.7, 28.3%이었다. 2. 出穗期의 葉面積은 適期와 晩期의 分布 差異가 없었고, 組合間에 差異가 없었다. 出穗後 30日의 葉面積은 變異係數가 早生統一/T(N)1, 水原 264//T(N)1 및 早生統一/水原 264의 各組合에서 適期는 27.1, 18.4, 21.8%이었고 晩期에서는 21.0, 18.4, 22.4%이었고, 組合間에는 平均間差가 컸다. 3. 出穗後 30日동안 減少된 葉綠少量에 對한 變異係數는 適期栽培에서 早生統一/T(N)1, 水原 264/T(N)1 및 早生統一/水原 264의 各 組合은 28.3, 27.0, 31.7이였고, 晩期栽培에서는 各各 39.9, 35.0, 28.4이었다. 4. 適期栽培에서는 모든 組合이 出穗後 20日, 30日 및 最終粒重의 分布樣相이 비슷하였으나, 晩期栽培에서는 各各 다른 分布樣相을 보였다. 5. 出穗期間은 適期栽培에서 모든 組合들이 25日 程度였고, 早生統一/T(N)1 組合의 平均 出穗日은 다른 두 組合보다 平均 出穗日이 7日程度 빨랐으나, 晩期栽培에서는 그 差異가 적어졌다. 6. 出穗가 늦어진 個體는 葉綠素含量이 낮아지는 傾向이었으나, 出穗가 늦은 個體들 中에서 葉綠素含量이 높은 個體도 많았다. 出穗期의 葉面積은 出穗期와 正의 相關이었는데, 出穗後 30日의 葉面積과 出穗時期와는 適期에서 負의 相關이었고, 晩期에서는 正의 相關이었다. 晩期栽培에서는 出穗가 늦어짐에 따라 葉綠素含量의 減少는 적었고, 葉面積의 減少는 出穗期와 正의 相關關係였다. 7. 出穗期 葉面積과 出穗기 葉綠素含量과는 相關關係가 없었고, 出穗後 30日의 葉綠素含量과 出穗後 30日의 葉面積과는 正의 相關關係였다. 8. 出穗期 葉綠素含量과 出穗期 20日, 30日 및 最終粒重과는 正의 相關關係이었고, 出穗後 30日의 葉綠素含量과 適期栽培의 出穗後 20日, 30日의 粒重과도 正의 相關關係였다. 9. 出穗期의 葉面積과 粒重과는 相關關係가 없었다. 出穗後 30日의 葉面積은 出穗後 30日 및 最終粒重과 正의 相關關係였다. 10. 晩期栽培에서 葉綠素 減少量과 出穗後 30日 및 最終粒重과는 正의 相關關係이었다. 適期 및 晩期栽培에서 모두 葉面積 減少率 및 葉身 老化指數는 出穗後 30日 및 最終粒重과는 負의 相關이었다. 11. 出穗後 20日의 粒重과 乾物蓄積速度와는 가장 높은 相關關係였고, 出穗後 20日의 乾物蓄積程度와 出穗後 30日의 乾物蓄積程度도 正의 相關이 있었다. 그러나 最終粒重과 乾物蓄積程度와는 相關이 없었다. 12. 出穗後 20日에 最終粒重에 하는 個體數는 組合에 따라 다르고 出穗後 20日에 이미 最終粒重에 달하는 個體가 30% 程度되는 組合도 있었다. The segregation mode in the late season culture (June 15 transplanting) of chlorophyll content of leaves, and alive leaf area during grain filling period and filling of grains in F₂ progenies of the rice varieties was compared to that in the ordinary season culture (June 5 transplanting) to improve selection method of the cold susceptible IndicaxJaponica rice progenies for better grain filling under cooler climate of ripening. IndicaxJaponica varieties, Josaengtongil and Suwon 264 were crossed each other and with Taichung Native 1; Josaengtongil/T(N) 1, Suwon 264/T(N), and Josaengtongil/Suwon 264. Twentyfour, 10, and 20 F₁ plants from each of the above crosses, Respectively, were grown and harvested in bulk. The 1,000 F₂ individuals per combination were cultured and observed in the field for each seasonal culture. The results obtained are summarized as follows: 1. At heading, the chlorophyll content was lower in the late season culture than in the ordinary. Differences among the means of chlorophyll content in F₂progenies were not significant in the ordinary season culture, and there were fewer individuals with high chlorophyll content in the late season culture than in the ordinary. The coefficients of variance (C.V.) obtained from the distribution of chlorophyll content at heading in the F₂progenies of Josaengtongil/T(N) 1, Suwon 264/T(N) 1 and Josaengtongil/Suwon 264 were estimated to be 15.4, 15.3, and 17.4% in the ordinary season culture, and 24.1, 26.4 and 19.6% in the late season culture, respectively. At 30 days after heading, each combination averaged 3.03, 2.71, 2.96mg/g. D.M. in the late season culture. The coefficients of variance obtained from the distribution of chlorophyll content at 30 days after heading in each cross were 28.5, 34.6, 33.5% in the ordinary season culture and 39.2, 32.7, 28.3% in the late season culture. 2. At heading, there observed the similar distribution of leaf area in the F₂progenies in both of the ordinary and the late season culture, and no significant differences among means of the leaf area in the F₂progenies. At 30 days after heading, the C.V.s in the three F₂progeny groups were 27.3, 18.4, 21.8% in the ordinary season culture and 21.0, 18.4, 22.4% in the late season culture, showing great differences among means of leaf area in the progenies. 3. For the C.V.s obtained from the distribution of the decreased amount of chlorophyll during 30 days after heading, the three F₂progeny groups, Josaengtongil/T(N) 1, Suwon 264/T(N) 1 and Josaengtongil/Suwon 264, showed 28.3, 27.0, 31.7% in the ordinary season culture and 39.9, 35.0, 28.4% in the late season culture, respectively. 4. In all F₂progenies grain weight at 20 and 30 days after heading and at maturity were similar in mode of segregation in the ordinary season culture, but different in the late season culture. 5. Duration from initial to final heading was about 25 days in all crosses in the ordinary season culture, and average growth duration to head was shorter in the Josaengtongil/T(N) 1 than the other crosses by 7 days in the ordinary season culture, but no difference was observed among the F₂progenies in the late season culture. 6. The chlorophyll content of the individuals tended to decrease with heading date delay, but even among the individuals of late heading, many of them also showed high chlorophyll content. In both cultivated seasons, the leaf area at heading increased significantly with the growth duration to head while the leaf area at 30 days after heading was negatively correlated with the growth duration to head in the ordinary season culture, but positively. in the late seasonculture The decrease in chlorophyll content got smaller with the heading date in the late season culture, and the decrease in leaf area was positively correlated with the heading date. 7. The leaf area at heading showed no significant correlation with the chlorophyll content at heading, while the leaf area at 30 days after heading was positivelycor related to the chlorophyll content at 30 days after heading. 8. In both cultivated seasons, the chlorophyll content at heading was positively correlated with the grain weight at 20 and 30 days after heading, and that at 30 days after heading showed positive relationship with the grain weight at 20 and 30 days after heading only in the ordinary season culture. 9. There was no significant relationship between the leaf area at heading and grain weight, but the leaf area at 30 days after heading was positively correlated with the grain weight at 30 days after heading and at harvest. 10. In the late season culture, the decreased amount of chlorophyll during 30 days after heading showed a positive correlation with the grain weight at 30 days after heading and at harvest. The decrease in leaf area during 30 days after heading and the leaf senescence index were negatively correlated with the grain weight at 30 days after heading and at harvest in both cultivated seasons, each other. 11. There was the highest positive correlation between grain weight and the grain filling rate at 20 days after heading and there was highly positive correlation between the grain weight at 20 days and that at 30 days after heading. But there was no significant correlation between the grain weight at 20 days and 30 days after heading and grain weight at harvest. 12. The number of F₂progenies, which reached the physiological maturity at 20 days after heading, varied with crosses, and in the cross of Josaengtongil/Suwon 264, the fully ripened F₂progenies at 20 days after heading amounted to about 30%.

Neo-Thomism 自然法에 對한 考察

朴龍喆 慶北大學校 師範大學 1970 敎育硏究誌 Vol.11 No.-

Modern rational and individualistic thought of natural law has been declining since the last half of 18th century, and positivism had already reached its zenith a half century ago. To fill this intellectual vacuum, the traditional idea of natural law, the traditional philosophy of scholasticism both recently and in Middle Ages, has reappeared in Europe as Neo-Thomism and is currently prospering. The natural law is the principle of morality and an idea of public order in social life based on the nature of man as a creature of God. Those who have ordinary reason recognize moral commands from conscience to do what is good, to do what is just, and to avoid evil. Neo-Thomism developed from the theories of Thomas Aquinas. According to Aquinas, all artificial law is based on the natural law, and the natural law shares in the eternal law: it is based on God, the ultimate purpose and the first cause. Natural law is the command of natural reason and originates from the principle of doing good and avoiding evil as reason instructs. Existance and good and truth are all the same one because all being is virture itself as long as it is fitted to true nature. The purpose of law and society is to bring about the common good, and its functions are to preserve the order of society and to seek the greatest happiness as its outward aim. The former is for public welfare; the latter for eternal common good. The common good is superior to the private good when they are both of the same type. But the private good is superior to the common good when the latter belongs to the earthly good and the former to the eternal good. Therefore, this common good is the purpose of law and society. Considering the relation of the natural law, the common good and justice, justice is the idea of law, the common good is its purpose, and the natural law contains both of them. Therefore, Neo-Thomism can play a role as a most suitable and enduring philosophy in the critical circumstances of the modern age. In this paper the writer will discuss these five aspects of Neo-Thomism: 1. Human Nature 2. Law and Natural Law 3. The Common Good 4. Justice 5. The Tasks of Today

하악골에 발생한 거대한 cemento-ossifying fibroma의 치험례

이상철,권용대,이백수,김여갑,류동목,박종오 大韓顎顔面成形再建外科學會 2000 Maxillofacial Plastic Reconstructive Surgery Vol.22 No.1

The cemento-ossifying filbroma is a well-demarcated and occasionally encapsulated neoplasm composed of fibrous tissue that contains varying amounts of calcified tissue resembling bone, cementum, or both. The greatest number of cases are encountered during the third and fourth decades of life and there is a definite female predilection, with female-to-male ratios as high as 5 : 1 being reported. The mandible is involved far more than the maxilla, and 90 percent of all cases are located in the mandible. The mandibular premolar-molar area is the most common site. Radiographically, the lesion is most often well defined and unilocular. Depending on the amount of calcified produced in the tumor, it may appear as completely radiolucent : more often it shows varying degrees of radiopacity. Some lesions may be largely radiopaque with a radiolucent halo. On microscopic study, the tumor is composed of fibrous tissue of varying degrees of cellularity containing calcified material. This may be in the form of trabeculae of osteoid and bone or basophilic ovoid calcifications that resemble cementum-like material. Admixture of the two types of calcifications are commonly seen. On this case, large cemento-ossifying fibroma has grown in the mandible and this lesion was treated by complete surgical excision and posterior iliac bone graft. A review of literature and a report of a case of cemento-ossifying fibroma are presented.

公共福祉와 基本的 人權의 制限

朴龍喆 慶北大學校 1962 論文集 Vol.6 No.-

It is well known that the eternal and inviolate basic human rights have been and still are restricted under the name of common good. This means that the current of the world history defines the implications of the basic human rights. In other words, the common good is a double-edged weapon liable to be abused by autocracy, and this is why the common good is a most important object of study for political authorities. Therefore the writer aimed here to clarify the substances of the followings : 1. the historical survey of "common good" (1) the general conception of common good. (2) the common good before the time of civil revolution. 2. the implicaitons of basic rights and common good in modern constitutions. (1) the implications of basic rights in modern constitutions. (2) the common good and restrictions of basic human rights. and conclude how far the common good can restricts the basic human rights. As the writer discussed in detail in the main course, the restriction of property rights should be executed only when the result brings about much more gains than losses in terms of social economy while the rest of the basic rights are preserved to the maximum. In short the common good is a restrictive idea to realize the basic human rights, not a destructive weapon to restrict the innate basic human rights.

음경에 발생한 기저세포암 1예

이용주,최혜자,윤석권,김한욱,임철완 대한피부과학회 2004 大韓皮膚科學會誌 Vol.42 No.3

Basal cell carcinoma is the most common malignant skin cancer in Korea. The lesions are most frequently found in the head and neck region. But penile basal cell carcinoma is very rare and there are only 29 other reported cases. We report a rare case of basal cell carcinoma of the penis in a 76-year-old man. He had a well circumscribed 1.3㎝×1.3㎝ thick scaly plaque with central ulcer in right penile root area for 4 years. The lesion was completely excised and no recurrence for four months. (Korean J Dermatol 2004;42(3):350~352)

自然法再生의 現代的 意義

朴龍喆 慶北大學校 1971 論文集 Vol.15 No.-

The predominance of positivism in the latter half of the 19th century resulted in the decline of natural law. It consequently brought a threat to the peace of mankind along with depersonalization. As a result, the scholastic's traditional concepts of natural law from the medieval age reappeared as Neo-Thomism in the beginning of the 20th century. The conflict between natural law nad positivism, and their ascendancy or decline has depended mainly upon the social and political situations. Apparently, however, natural law has its root in human reason. It is the basic principle of human life for fulfilling human instinct. Therefore, it is not a mere law of nature but an ethical law which leads man to a realization of his own reason and to an accomplishment of the law of nature. Because of this quality of natural law, it performs its creative function as an actual power in every area of social life and not as a mere ideology of scholars. Natural law has been emphasized in times of division and conflict in social life, or when a wide difference between social realities and ideals has occurred owing to great social corruption. For instance, the war crimes proceedings after the Second World War applied the concepts of "humanity" and "demand of public conscience" to war criminals, and the values of humanity, justice and conscience were the criteria for judgement. In brief, natural law shown in the above case indicate la renaissance du droit naturel in modern law. The universal trend toward the revival of natural law is a representation of religious behaviour as an idea of law, and is motivated by the crisis of law. Here I tried to give a general view of the conflict between natural law and the positivism of law, and the cycle of their ascendancy and decline; to examine such questions as "Why did natural law have to be revived?" and "What were the problems in the revival of natural law?"; and especially to clarify how the concepts of natural law have changed.

公用收用에 따른 損失補償에 對한 一硏究

朴龍喆 慶北大學校 師範大學 地理敎育科 1970 敎育硏究誌 Vol.12 No.-

A modern nation is a nation of public welfare and of public service, one that is expending the sphere of its activity to the point of becoming a public welfare state. However, owing to this expansion of national activity, individual property rights are frequently infringed. This property right infringement cannot be ignored in the liglt of the modern concept of right. Therefore, the far-reaching national compensation system has inevitably been inclined to develop greatly. A specific property right is used for a specific public benefit. This raises the question of adjustment between the promotion of public welfare and private property rights, and, especially, it raises the problem of compensation by the country when a private property right is infringed upon by the exercise of legal civil rights. In this paper the writer wants to discuss these problems by means of the Korean Constitution, Art. 20, Clause 3, and the law of expropriation of land. Furthermore, he wants to discuss what "just compensation" means, the basis of compensation in accordance with the reason for compensation, the idea and the problems of the compensation system as outlined in the following way: 1. The function of the compensation system; 2. The actions responsible for the losses which is to be compensated; 3. The basis for the compensation of losses; 4. The basis for compensation in the actual law: 5. The basis for compensation and its content: a) just compensation; b) the basis of compensation; c) the content of compensation; 6. The idea of the compensation system and its problems. Considering the above, compensation is prescribed in the Constitution; the law of expropriation of land, which is a general law dealing with procedural matters, provides for a balance between the value of an expropriat's property before and after the "taking", promoting adjustment between the public welfare and individual property rights. Claims for compensation require a clear foundation in law, because the purpose of the present system of compensation which is prescribed in the Constitution is to balance public interest and private profit, and the law itself provides the procedures for this. Therefore, the adequacy of compensation in the field of responsible civil rights is the problem to be solved. At present, just compensation is adequate for "besonderes offer" which requires compensation in the light of the idea of the equality of public responsibility. If the present laws are not sufficient for solving problems concerning compensation, legislation should be enacted to accomplish this goal.