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뇌동맥류 파열에 의한 지주막하 출혈 환자에서 Nimodipine 치료에 대한 결과
이상형,한대희 대한신경외과학회 1994 Journal of Korean neurosurgical society Vol.23 No.11
In order to elucidate the clinical effectiveness of nimodipine treatment, we anayzed 322 consecutive patients with the aneurysmal subarachnoid hemorrhage operated between September, 1987 and December, 1991. The nimodipine treatment group of one hundred and forty-two patients(44.1 X ) was compared with the control group of one hundred and eighy patients(55.9X) treated without nimodipine during this period. The patients were randomly allocated to either group. The nimodipine was infused intravenously at 30ug/Kdhr for the first week beginning on the day of admission and then given orally at 36Omg/day for the following two weeks. Statistical anayses were done using the Student' s t-test and clinical variables were compared using the chi-square, Man-tel- Haenszel chi-square, two-tailed Fisher' s exact test. There was no difference in clinical and radiological variables known to influence the outcome of the disease, such as age, sex, presence of hypertension, history of previous subarachnoid hemorrhage, preoperative categorization by Hunt and Hess grade and Fisher' s classification, presence of hydrocephalus, location of aneurysm, multiplicity and vasospasm on preoperative angiography (p>0.05). The only difference was in the timing of surgery(p<0.05). The functional outcome, motality and morbidity, and mortality due to delayed ischemic deficits were not sigificantly different (p>O.OS, respectively). The number of patients with good functional recovery and the number of who developed delayed ischemic deficit(D1D) were not significantly different between the pups(p>O.O5), respectively. Nimodipine treatment did not improve the rate of good outcome in the aneurysmal subarachnoid hemorrhage in our study.
뇌동정맥기형의 치료에 있어서 색전술의 역할 : Experience of 15 Cases
이상형,김봉수,심기범,성정남,박인성,한문희,한대희 대한신경외과학회 1993 Journal of Korean neurosurgical society Vol.22 No.2
The authors report the results of treatment in 15 patients with intracranial arteriovenous malformations(AVM's) who underwent embolization with n-butyl cyanoacrylate(NBCA) and poly vinyl alcohol(PVA) particle between March. 1990 and August. 1992 at Seoul National University Hospital and discuss about role of endovascular treatment in the management of intracranial AVM' s. Seven patients(46.7%) had pre-operative embolization, microsurgery was done in six patients and radiosurgery was done in one patient In patients with pre-operative embolization. endovascular treatment had helped microsurgery in dissection, diminution of blood transfusion, and shorter time of surgery. AVM's of two patients(l2.5%) were totally occluded by embolization alone. But they had morbidity after embolization due to inadvertent occlusion. AVM's of six patied40 % were partially occluded and recurrence of previous symptoms bleeding revascularization, increase of AVM nidus developed during follow up. It is concluded that role of endovascular treatment is in tracranial AVM's ajuvant. definite, palliative. Except surgical resection after embolization, embolization alone should be done very cautiously in definite and palliative treatment.
이상형,이윤규,양관섭,안태경,이승언,박효순 대한설비공학회 1999 설비공학 논문집 Vol.11 No.2
This study is to examine the emission rate of $CO_2$gas as the environmental load in office buildings. After the investigation of monthly consumption of each energy source(electricity and natural gas), it is analyzed that the $CO_2$emission rate of 34 office buildings surveyed is 22.4kg-$c/m^2$.year, which consists of 17.5kg-$c/m^2$.year by consuming electricity, and 4.9kg-$c/m^2$.year by consuming natural gas. And the $CO_2$emission rate of each load in those buildings consists of 68% emitted by general electricity, 16% by cooling load and 16% by heating load. It is also proposed that the $CO_2$emission rate of cooling and heating load is profoundly pertinent to the variation of outdoor temperature.
이상형 대동철학회 2020 大同哲學 Vol.92 No.-
이 글의 목적은 현대 다문화주의의 이론적 정당성을 탐구하고, 이에 대한 결론으로 새 로운 이론적 토대에 다문화주의를 정초하고자 하는 것이다. 지금까지 많은 다문화주의 옹 호자들은 자유주의나 공동체주의 맥락에서 다문화주의를 전개, 변용, 발전시켜 왔지만 오 늘날 이런 사상적 흐름은 이론적 측면에서나 현실의 다양한 맥락에서 비판받고 그 유용성 이 의심받고 있다. 1970년대 이후 다문화주의가 소수자 문제를 제기하며 사회의 실질적 평등을 위한 대안적 또는 보완적 이론으로 각광받아 왔으나, 2000년대 이후 다양한 영역 에서 다문화주의 실패가 선언되고 있다. 이런 다문화주의에 대한 비판에 직면하여 필자는 이런 원인을 지금까지의 다문화주의가 자유주의나 공동체주의의 한 측면만을 강조하여 다 문화주의가 추구하고자 하는 다양성과 사회적 통합이라는 이중적 가치를 제대로 실현하지 못했음을 지적하고자 한다. 따라서 필자는 먼저 다문화주의 실패에 대한 대응을 자유주의 자인 윌 킴리카의 자유주의적 다문화주의와 공동체주의자인 찰스 테일러의 공동체주의적 다문화주의에서 살펴보고자 한다. 그 후 각각의 이론이 다양성과 통합이라는 다원주의의 가치를 제대로 실현하지 못함을 지적하고 이를 종합한 이론적 토대에서 현대 사회에 적절 할 수 있는 다문화주의 이론의 방향을 제시하고자 한다. This paper aims at a theoretical justification for multiculturalism. Since the 1970s, multiculturalism has been recognized in the West as a new political idea for social integration. However, the recognition of diversity advocated by multiculturalism has led to division and discrimination rather than social integration. Thus, failures of multiculturalism have been declared in Europe since the 2000s. This reflects the situation in which multiculturalism is in trouble theoretically and practically. Therefore, I want to reflect on this multiculturalism situation and seek for a version of multiculturalism that can combine recognition of diversity and social integration. To this end, we will first examine liberal philosopher Will Kymlicka's claim of liberal multiculturalism and communitarian philosopher Charles Taylor's multiculturalism. These two philosophers aim to respond to the failure of multiculturalism in the view of synthesizing liberalism and communitarianism. However, my position is that both liberal and communitarian multiculturalism theories have limitations. Therefore, I will need recognition of multi-identity and interculturalism to overcome the difficulties of multiculturalism and to justify the theory of multiculturalism. Multiculturalism should continue to spread for recognition of diversity and social integration.
Femoral Nerve Palsy with Patella Fracture
이상형,이동주,우민수,권대규 대한슬관절학회 2013 대한슬관절학회지 Vol.25 No.4
Femoral neuropathy may be associated with various etiologies and can cause severe walking disability. We present the case of a 25-year-old woman who underwent surgical repair for a patella fracture and complained of lower extremity pain, paresthesia, and weakness postoperatively. Electromyography and magnetic resonance imaging (MRI) revealed partial peripheral neuropathy of the left femoral nerve associated with the patella fracture. To our knowledge, this is the first reported case of femoral neuropathy associated with a patella fracture.
Pleomorphic Xanthoastrocytoma 1례
이상형,이선호,김현집,한대희,심보성,최길수 대한신경외과학회 1988 Journal of Korean neurosurgical society Vol.17 No.5
The plemorphic xanthoastrocyotma has been known as a very rare type of glioma, which occurs mainly in the temporal lobe of the brain in young ages. It has distinctive characteristics regarding age, symptoms and signs, gross and microscopic features and relatively favorable prognosis despite of pleomorphism and bizarre giant cells in microscopic picture. The authors report a case of plemorphic xanthoastrocytoma presented with generalized seizure and review the past literatures.