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김석철,이정길,김재성,김태선,정신,김재휴,김수한,강삼석,이제혁,Kim, Seok-Chul,Lee, Jung-Kil,Kim, Jae-Sung,Kim, Tae-Sun,Jung, Shin,Kim, Jae-Hyoo,Kim, Soo-Han,Kang, Sam-Suk,Lee, Je-Hyuk 대한신경외과학회 2001 Journal of Korean neurosurgical society Vol.30 No.3
Objective : Massive cerebral infarction could be accompanied by severe brain swelling and death secondary to transtentorial herniation. Approximately 10% to 15% of middle cerebral artery infarctions are associated with this phenomenon. However, the effectiveness and timing of decompressive surgery are still controversial. In this study, we present our results on the effect of decompressive craniectomy in life threatening cerebral infarction. Method : We retrospectively analyzed 15 patients who underwent decompressive craniectomy for massive cerebral infarction from January 1997 to April 1999. Surgical indication was based on the clinical signs such as neurological deterioration, pupillary reflex, and radiological findings. Clinical outcome was assessed by Glasgow Outcome Scale (GOS). Results : All 15 patients(five men, ten women ; mean age, 52.3 years ; right 11, left 4) were treated with wide craniectomy and duroplasty. The average time interval between onset of symptom and surgical decompression was 2.9 days. Clinical signs of uncal herniation(anisocoria, or fixed and dilated pupils) were presented in 13 of 15 patients. Mean Glasgow coma scale(GCS) was 12.4 points on admission, 8.1 points on preoperative state and 11.8 points postoperatively. Overall outcomes were favorable in 5 cases(Glasgow outcome scale : GOS I, II), unfavorable in 6 cases(Glasgow outcome scale : GOS III, IV) and dead in 4 cases. Conclusion : Early decompressive craniectomy before brain stem compression is considered as an effective lifesaving procedure for massive cerebral infarction unresponsive to aggressive medical therapy.
김석철,정신,김재성,이정길,김태선,김재휴,김수한,강삼석,이제혁,박재우,이민철,Kim, Seok-Chul,Jung, Shin,Kim, Jae-Sung,Lee, Jung-Kil,Kim, Tae-Sun,Kim, Jae-Hyoo,Kim, Soo-Han,Kang, Sam-Suk,Lee, Je-Hyun,Park, Jae-Woo,Lee, Min-Chul 대한신경외과학회 2001 Journal of Korean neurosurgical society Vol.30 No.1
Skull or brain metastasis from thyroid carcinoma is rare. Between Jan. 1993. and Jan. 2000. the authors experienced 7 cases of skull(4 cases) or brain(3 cases) metastasis from thyroid carcinoma. Clinical characteristics, radiologic findings and pathologic features were analyzed retrospectively. Among 4 cases of skull metastasis, 3 cases were follicular carcinoma and one was papillary carcinoma with follicular variant. All cases of brain metastasis were papillary carcinoma. We treated the patients by combination with surgical resection, radioactive iodine therapy and radiation therapy. Characteristics of skull or brain metastasis from thyroid carcinoma is reviewed with a pertinent literature.
포스터 : 보건계열 대학생의 인터넷 이용 형태와 윤리에 관한 연구
김석철 ( Suk Chul Kim ),한준탁 ( Jun Tak Han ) 한국컴퓨터교육학회 2013 한국컴퓨터교육학회 학술발표대회논문집 Vol.17 No.1
우리나라의 인터넷 이용인구는 2011년 7월을 기준으로 약 3,718만 명 이상, 이용률은 76.3%이며 현재에도 계속 증가하고 있다. 하지만 긍정적인 측면을 역행하는 해킹, 바이러스 유포, 개인정보유출, 불법복제, 저작권, 인터넷중독 등의 사회적 문제를 동반하고 있다. 특히 20대의 인터넷 폐해가 급속히 증가하고 있어 이에 대한 대책마련이 시급한 실정이다. 본 논문은 대학생들 중 보건 분야를 다루는 학생들을 상대로 급속히 발전하는 인터넷 환경과 정보화로 생겨난 여러 유형별 인터넷 이용 형태와 폐해, 불법행위, 음란사이트와 불법복제를 하기까지의 단계를 파악하고 분석하였다. 이 결과를 통해 인터넷 윤리교육과 불법행위를 근절하기 위한 기술적인 대책이 필요하다는 것을 확인 할 수 있었다.
한ㆍ중ㆍ일 FTA체결에 대비한 원산지 관련법 통일화 방안 연구
김석철(Suk-Chul Kim) 한국관세학회 2009 관세학회지 Vol.10 No.4
In this study, main tasks for the standardization of the related raw of origin will be described like below. First of all, in case of non preferential items, according to the Foreign-trade-law, Ministry of Knowledge Economy in Korea is the main ministry is currently leading the negotiation with other relevant ministries and making the comprehensive framework. In case of the preferential items, according to the Customs-law, Korea Customs Service is managing the origin of items. However, in case of China, the director legislated the ordinance of the origin of export cargo and the relevant ministries are managing them In case of Japan, Customs service is managing the rule of origin according to the Customs-law. The thing is that the two foreign countries are not comprehensively managing the rule of origin and therefore, they urgently have to build up the framework for the rule of origin like Korea. Second of all, the main purpose of the rule of origin in Korea is to manage, to prohibit the import and export, to keep the fair trade and to protect the customers. However, China aims to confirm the origin country in order to carry out the rule of origin. Japan aims to manage standard of origin decision for management of preferential origin. Each country has different purpose for the rule of origin. To pursue the common market among three countries, each of us manages the rule of origin, aiming comprehensively to manage non preferential items and preferential items, to keep the fair trade and to protect the customers. Third of all, Korea, Japan and China differently defined items for the management of origin. It's because they have different manageable purposes. We have to unify the purpose and defined items of the rule of origin. Fourth of all, when we consider the table 3 of standard of origin for judgement, Korea, Japan and China have different criteria. Therefore, we have to set up the same criteria for the actual operation. Fifth of all, Korea, Japan and China differently manage to indicate the origin. It's mainly because Japan and China are insufficient to keep the fair trade and to protect the customers. To make the common market among three countries is the core goal for Korea, Japan and China FTA. That's why we have to hurry up to establish the standard for the management of the rule of origin. Sixth of all, the punishment level for the rule is the key indicator to express the achievement of common missions. Comparing with Korea, Japan and China relatively have the weak punishment regulations and have to improve these rules. Beyond what I listed up, there would be a lot of tasks to improve the standardization. However, I summarized the priority tasks. Korea, Japan and China will have bigger portion in the world wide economy if free trade deal among three countries is contracted. As the necessity of this FTA is important, I hope that this thesis would help. There are a lot of improvement opportunities to strengthen the standardization and I win keep going it.