노인마취레의 임상적 고찰

최성철,임용걸,정운혁,유건희,조성두 대한마취과학회 1982 Korean Journal of Anesthesiology Vol.15 No.3

To evaluate geriatric anesthetic experience, 1,441 cases of patients aged over 60 years, out of 29,692 surgical cases admitted to St. Mary's Hospital from January 1971 to December 1980 were analyzed according to age, sex, surgery, preoperative condition, technique of anesthesia, duration of anesthesia, anesthetics, and mortality. The results were as follows: 1) The percentage of geriatric cases were 4.9% in average which ranged between 3.9% and 6.0% and showed steady numbers in this period. The distribution of the number of patient according to the age were 1,150 cases (79.8%) in the group of 60-69 years, 262 cases (18.2%) in 70-79 years, 29 cases (2.0%) over 80 years. 2) There were 833 male (57.8%) and 608 female (42.2%) cases. 3) 833 cases (57.8%) were in general surgery; the most prevalent diagnosis were empyema of gallbladder and cholelithiasis which amounted to 196 cases (13.6%0 4) The rates of elective to emergency surgery were 75.4% (1086 cases)to 24.6% (355 cases). 5) Premedicants were mainly atropine with sedatives (785 cases, 61.2%) and atropine with analgesics (220 cases, 17.1%). 6) Preoperative hemoglobin level ranged between 10.1 and 12.0 gm/dl in 40.1% of the patients. 7) The techniques of anesthesia were (1.234 cases, 85.6%) general anesthesia, (75 cases, 5.2%) intravenous anesthesia and spinal anesthesia (60 cases, 4.2%). 8) The duration of anesthesia (500 cases, 34.7%) were 1-2 hours in average. 9) The inhalation anesthetics were Halothane (1,110 cases, 90.0%), Methoxyflurane (112 cases, 9.1%), N_2O (6 cases, 0.5%), and Ether (6 cases, 0.5%). 10) The preoperative chest X-ray and clinical signs showed that 963 cases (64.3%) were normal, 159 cases (10.6%) had emphysems, 152 cases (10.1%) had pulmonary tuberculosis and 41 cases (2.7%) had bronchitis. 11) The preoperative EKG and clinical symptom revealed that 952 cases (62.1%) were normal in cardiovascular aspect, 232 cases (15.1%) showed hypertension, 124 cases (8.1%) had arrhythmia, and 79 cases (5.2%) had myocardial ischemia. 12) During the surgical procedure cardiac arrest were experienced in 5 cases (0.3%) and sudden hypotensivee pisods in 18 cases, which successfully resucitated. There were no operative mortalities within 48 hours. In summary, the patients over the 60 to 80 age group had a poor surgical risk but they were able to withstand this risk when properly managed with modern anesthesia.

小開放經濟의 貿易과 成長에 관한 硏究

崔成哲 부산외국어대학 1984 논문집 Vol.2 No.-

This paper is concerned with a small open economy, to which terms of trade is given exogenously and the comparative advantage of which is determined according to the given terms of trade. We are interested in the short and long-run equilibrium in such an economy with special emphasis on the stability problem. The characteristics of short-run equilibrium is analyzed in terms of a basic model of international trade. The model used in this paper is, however, different from the standard neoclassical model in that it adapts the neo-Keynesian saving function which assumes the propensity to save out of profits is greater than that out of wages. In deriving the reciprocal demand function, unlike Oniki-Uzawa, we will concentrate upon the case where investment goods sector is more capital intensive than consumption goods sector, and show that the equilibrium of international trade is sufficiently stable, if the elasticities of factor substitution in both sectors are greater than unity. The existence and stability of long-run equilibrium in a small open economy are investigated in last section where we use the diagram which was designed by Deardorff. Finally some comparative dynamic analyses are tried with respect to the effects of changes in population growth rate, average propensity to save and terms of trade.

孔子의 生涯와 政治哲學에 關한 硏究

崔成哲 한양대학교 사회과학대학 1982 社會科學論叢 Vol.1 No.-

Confucius says that politics is the practice of humanity. He believes, in politics, the moral influence of a ruler is more important than anything so that political success or failure depends not on the system but on the attitude of the person who manages the system. Political thought of Confucius is based on the political moralism. It's philosophical basis lies on the deep understanding of the devine nature of human beings and on the subjugation of animal instinct. Complete virtue in the confucian Thought is the comprehensive term of the moral contents, the culmination and quite asence. Virtuous, in other worlds, is humanity which is regarded inevitable and invincible in an human society as the importance of water and fire are to man. Goodness(Te) is the way(Tao) of practicing the virtue, therefore, the politics should be based on goodness. To govern(cheng)Means to rectify(cheng). If a ruler will lead in the rectification, who will dare not to be rectified. The personal character of a ruler is absolutely important in politics. If his desire is for good, the people will be good. The moral character of the ruler is the wind; the moral character of common people is the grass. When the grass has to wind upon it, assuredly bends, In other worlds, in a government through nobility, the mass of the people are uneducated, and rence the ruler's personal conduct inevitable has a great shaping influence upon that of the comemon man. In politics the sound rgulation is neccessary. With rectified regulation the states man and common people become harmonious so that the whole nation keeps the order and leads the prosperous life. This theory Confucius called the Rectification of Names(Cheng Ming), a doctrine which he recognized as being of the utmost importance. Man is an unique creature in the animal kingdom because ha has manners(Li) and ceremonials(I). Manners, the civil order which a man should follow is classified into six Doctrines. This civil order is the basic principles which requires self-restraint and righteous was of a man. Political thought of Confucius, In short, is the moralism based on virtue. Teaching people with sound regulation, let them lead harmonious lives. His thought, therefore, contributes greatly to the development and the doctrine of leadership in the modern society, in which the lack of moral sense and limping disproportion resulted by the physical development of the Western civilization prevails.

플라톤의 「國家論」과 現代福祉國家의 危機에 關한 一考察 : 個人自由와 平等의 不調和를 中心으로

崔成哲 한양대학교 사회과학대학 1990 社會科學論叢 Vol.9 No.-

Plato is of the most influential scholar in the history of Western thought and Plato's classic work, the Republic, shows its continuing relevance to contemporary problems. Particularly, the emergence of totalitarianism alongside liberal democracy in the Western tradition precipitated whether Plato is to be understood as the forefather of totalitarianism or of democracy. These confronted interpretations of Plato's Republic among scholars became the subject of vigorous controversy. Karl Popper and R. H. S Crossman argued that Plato is simply a totalitarian. On the other hand. John Wild insisted that Plato is just as simply not a totalitarian. According to Popper, Plato's Republic does resemble modern totalitarianism. Plato provides for a single ruler and each man has proper role to play in socity that the well-being of society as a whole is of prime importance, and that each man must be kept in his proper place even against his will. On the contrary, Wild argued that Plato was the founder of the idea of natural law which ultimately comes in fruition in modern democratic government. Plato supported natural law. The con of this vigorous controversy of his thought is about the relationship between the individual and the state, and the status of the individual in the state. In other words, the main theme of these controversy is whether Plato more emphasized on individual freedom or collective u achieve true happiness. However, as scholars m confronted each other, it is quite dangerous that Plao is the forefather of totalitarianism or of democracy. Because Plato thought both of individual freedom and collective equality importantly. Plato argued that tome happiness of the people is achieved only by keeping one's place. Plato thought about only the happiness of the whole, not the happiness of the individual. On the other hand, Plate thought about individual freedom importantly by emphasizing on natural law. The difference is rather a matter of emphasis. In order to investigate the thought of Plato's Republic, the crisis of the welfare state in the modern political regime is examined. The reason is that the welfare state tried to achieve individual freedom and collective equality simultaneously. However, the analysis of the crisis of the welfare state revealed the difficulties to achieve individual freedom and collective equality simultaneously. In this sense, it is really difficult to say whether Plato is the forefather of tolalitarianism or of democracy. The lessons from Plato's Republic is that it is very hard to harmonize individual freedom with collective equality. It is our future task to harmonize individual freedom with collective equality properly and to establish the appropriate political regime.

성인에서 발생한 원발성 위 Burkitt 림프종 1예

최성철,이준행,이혁,김정환,김민형,이풍렬,김재준,이종철,김기현,고영혜,성창욱 대한소화기내시경학회 2003 Clinical Endoscopy Vol.27 No.4

Primary gastric lymphomas can be defined as lymphomas which are confined to the stomach without systemic metastasis. Primary gastric Burkitt's lymphoma is a rare disease that belongs to the aggressive non-Hodgkin's lymphomas. Chemotherapy is the mainstay of treatment, even in the localized disease. We report a case of primary gastric Burkitt's lymphoma in a 24-year-old female presenting with an intermittent epigastric pain for 3 months. Upper gastroduodenal endoscopy detected an ulcer with thickened folds on the greater curvature side of the lower body, and histologic examination of the biopsy specimens revealed infiltration of medium-sized lymphoblasts with characteristic "starry sky" macrophages. Abdominal CT scan demonstrated marked gastric wall thickening and regional lymph node enlargement. (Korean J Gastrointest Endosc 2003;27:229-233) 원발성 위 Burkitt 림프종은 아주 드문 질환으로 위장관 증상을 주소로 내원한 환자에서 상부위장관 내시경 검사를 통한 조직 검사에서 특징적인 현미경적 조직소견과 면역조직학적 염색검사로 진단될 수 있다. 치료는 위에 국한된 경우라도 수술적 치료보다는 항암요법이 주된 치료이며, 장기생존율은 50~70% 정도이다. 저자들은 3개월 간의 간헐적인 심와부 동통을 주소로 내원한 24세 여자 환자에서 위내시경과 복부전산화 단층촬영에서 체부하부의 궤양에 동반된 점막주름의 비후와 위 주위의 림프절 비대가 관찰되고, 현미경적 조직 소견에서 특징적인 “starry sky” 양상을 보인 원발성 위 Burkitt 림프종 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

IoT와 비즈니스 인텔리전스

최성철 대한산업공학회 2020 ie 매거진 Vol.27 No.1

진정치료 심포지움에 대한 만족도 평가 연구

최성철,신터전,유승훈,김지연,정태성,양연미 大韓小兒齒科學會 2016 大韓小兒齒科學會誌 Vol.43 No.1

대한소아치과학회는 진정법 교육연구위원회를 설립하여 학회원들이 진정법을 시행함에 있어서 안전한 술식을 시행할 수있도록 진정법 지침서를 개정하고 평생교육프로그램을 개발하게 하였다. 이에 2015년 종합학술대회 기간에 진정법 심포지움과 BLS교육을 시행하였으며, 이에 대한 학회원들의 만족도 평가를 시행하였다. 진정법연구교육위원회는 종합학술대회에 참가한 학회원들에게 배포할 설문지를 제작하여 심포지움에 참가한 학회원 중 설문에 응한 총 143명의 학회원들의 설문지를 분석하였으며, BLS코스에 참여한 23명의 학회원을 대상으로 설문지를 배포하여 이를 분석하였다. 심포지움과 BLS코스에 참석한 학회원들은 전반적인 질문에 대하여 높은 만족도를 보였으며, 진정법 교육연구위원회는 이번 설문지를 통하여 학회원들이 원하는 교육내용과 향후 교육프로그램 개발에 관한 중요한 정보를 얻을 수 있었다. 대한소아치과학회는 앞으로도 꾸준히 학회원들의 더 낳은 교육을 위하여 힘 쓸 것이며, 체계적인 교육프로그램 개발을 위하여 노력할 것이다. The Korean Academy of Pediatric Dentistry (KAPD) organized the Committee on Sedation, Education and Research to establish appropriate guidelines in dental sedation and to help to the safety of dental sedation of society members through continuous education. The purpose of this study was to try to evaluate the satisfaction rating of the society members of the sedation symposium and BLS course that was held during the KAPD annual congress in 2015. The committee created a questionnaire to target the KAPD members who participated in the annual congress. The questionnaire was given to the 143 total members and were carried out based on the satisfaction evaluation of the symposium. The 23 total members who participated in the BLS course, reported satisfactory evaluations of the BLS course. Both the symposium and BLS courses confirmed a high level of satisfaction from the KAPD members. In addition, the committee learned about the future direction of the education offered by the KAPD the members wish for it to take. KAPD will endeavor to consistently provide advanced education and the systematic training program of emergency management situation for KAPD members.

해안 식물의 무기 및 유기용질 양상

최성철,배정진,추연식 한국생태학회 2004 Journal of Ecology and Environment Vol.27 No.6

In order to elucidate the ecophysiological characteristics of coastal plants, we collected them on salt marsh and sand dune, and analyzed inorganic (Na+, K+, Mg2+, Ca2+) and organic solutes (soluble carbohydrate, glycine betaine). Chenopodiaceous plant species (Atriplex gmelini, Salicornia europaea, Salsola collina, Suaeda glauca, Suaeda japonica) showed a tendency to accumulate inorganic ions such as Na+ and Cl- instead of K+. However, Chenopodium serotinum which lives in ruderal habitat contained more K+ and less Na+ than the other Chenopodiaceous plants. Most Chenopodiaceous plant species maintained very low level of soluble Ca2+ and relatively low concentration of carbohydrates and showed high concentration of glycine betaine which is among the most effective known compatible solutes in the leaves of plant under drought and saline conditions. On the other hand, plant species which belong to Gramineae (Ishaemum anthephoroides, Phragmites communis, Zoysia sinica) and Cyperaceae (Carex kobomugi, Carex pumila) absorbed K+ selectively and excluded Na+ and Cl- effectively regardless of habitat conditions, and they accumulated more soluble carbohydrate as osmoticum than Chenopodiaceous plants. These results suggested that physiological characteristics such as high storage capacity for inorganic ions (especially alkali cations, chloride) and the accumulation of glycine betaine in chenopodiaceous plants and K+preponderance, an efficient regulation of ionic uptake (exclusion of Na+ and Cl-) and the accumulation of soluble carbohydrate in monocotyledonous plants enable them to grow dry and saline habitats. 염습지와 사구지역에 생육하는 해안식물의 생리생태학적 특성을 이해하기 위하여 무기이온(Ca2+, Na+,K+, Mg2+, Cl-)과 유기용질(수용성 당, glycine betaine)을 정량적으로 측정하였다. 명아주과 식물(가는갯능쟁이,퉁퉁마디, 솔장다리, 나문재, 칠면초)은 K+이온 대신에 Na+이온과 Cl-이온을 축적하는 경향을 보였다. 그러나 교란지에 서식하는 좀명아주는 다른 명아주과 식물에 비해 Na+이온 대신에 높은 K+이온을 함유하였다. 조사된 대부분의 명아주과 식물은 체내 수용성 Ca2+이온의 햠량이 낮고, 비교적 소량의 수용성 당을 함유하였으며, glycine betaine을 다량 함유하였다. 이와는 대조적으로 단자엽에 속하는 벼과(갯쇠보리, 갈대, 갯잔디)와 사초과(통보리사초, 좀보리사초)의 식물은 Na+와 Cl-이온을 효과적으로 배제하여 체내 낮은 함량을 유지하였으며,또한 K+이온을 선호하며, 명아주과 식물보다 더 많은 당을 삼투물질로 축적하였다. 결론적으로, 명아주과식물은 무기이온과 glycine betaine을 축적하고, 단자엽식물은 K+이온과 수용성 당을 축적하는 효과적인 이온조절을 통해 염습지 및 사구지역에 적응하는 것으로 여겨진다.

내가 바라본 하겐 슐체

최성철 문화사학회 2001 역사와 문화 Vol.3 No.-

先奉儒家의 政治思想 硏究

崔成哲 한양대학교 한국학연구소 1987 韓國學論集 Vol.11 No.-

This paper is a general appraisal of the political philosophy of Pre-Chin Confucianists as philosophers in ancient China. It endeavors to show that the government should necessarily be based on its people and also the morality of a rular is one of the most influential elements in relation to the political success or faillure. If one word could characterize literally the history of Chinese philosphy, that would be humainism-not the humanism that denies or slights a Supreme Power, but on that professes the inity of man and Heaven, In this sense, humanism has dominated Chinese thought from the down of its history. The philosophical basis of Confucius lies on the deep understanding of the divine nature of human beings as the subjgation of an animal instinct and on the political moralism. The personal character of a ruler is absolutely important in politics. The moral character of a ruler is the wind and that of common people is the grass. Whenever the grass has the wind upon its, it assuredly bends. Confucius moral thought, therefore, contributed greatly to the development and the doctrine of leadership in the modern society. The career Mencius was amazingly similar to that of Confucius, whom he proclaimed as one of the greatest sages. Mencius teachings were basically derived from Confucius. But in the centural doctrine of the Confucius school, Mencius took a big step forward, and his new theory colored his other doctrines. Mencius built his philosophy that man was naturally born good. His doctrine of innate knowledge and ability has become the backbone of an idealistic philosophy of Wang Yang-Ming and his followers for almost two hundred years. Mencius thought that humanity and rightrousness must be the guiding principles in goverment. He strongly advocated human government. He vigorously opposed righteousness to utility, advantage and profit. His idea of revolution based on the people in government made the greatest advocate of democracy in the history of China. Hsun-Tzu's philosophy is the rule of propriety and also he emphasizes wisdom. Mencius and Hsun-Tzu have generally been considered as repre- senting the two divergent tendencies of the idealistic Confucianism and the naturalistic on in the ancient China, Shortly, Hsun-Tzu was natur- alistic and Mencius idealistic. In this repect, both have been compared with Aristotle and Plato, respectively. As Confucius and Mencius idolized Yao anc Shun, Hsun-Tzu did Yu. Consequently, it is possible that he chose Yu himself, for he didn,s seek for man of morality like Yao and and Shtn, but one of great accomplishment.