걸프만의 안보와 미국의 정책

최의철 한국중동학회 1985 韓國 中東 學會 論叢 Vol.6 No.1

국제사회의 인도적 개입: 이론과 실제

최의철 통일연구원 2003 統一 政策 硏究 Vol.12 No.2

◈인권문제는 냉전 종식 이후 국제사회. 국제정치 질서의 변화는 인권남용 국가들에 대한 인도적 개입에 대한 국제사회의 합의를 용이하게 만들었고, 실제로 유엔의 위임 또는 위임 없이도 인도적 개입을 단행하는 사례가 늘고 있다 . 또한 코피 아난 유엔 사무총장은 인권이 주권에 앞선다고 강조하는 등 국제사회의 지도자들은 인권남용에 대해서 단호한 여론도 이에 긍정적인 반응을 보이고 있다. 물론 인도적 개입이 미국 등 강대국들의 전략적 이해에 따라 악용될 수 있는 소지를 배제할 수 없으나 전통적으로 국제질서의 안정을 위해서 강조되고 있는 주권존중 규범 또는 비개입적 규범은 심각한 도전에 직면하고 있다. 이와 같은 현실에서 인도적 개입의 정당성에 대한 이론적, 실증적 검토와 분석이 요구되고 있다.본 논문은 전통적인 주권존중 규범 또는 비개입 규범에 대한 도전을 인도적 개입을 정당화하는 자유주의적 이론을 소개하고, 국제정치에서의 인도적 개입 사례를 실증적으로 검토하고 있다. 사례 연구를 통해서 인도적 개입을 위한 조건, 대의 및 개입의 결과와 효과 등을 분석하고 있다 .사례를 통한 주요 발견은 전통적인 주권원칙은 존중되고 있고 인도적 개입규범과 긴장관계를 가지고 공존하는 과도기 양상을 보이고 있다 . 유엔의 위임 여부에 관계없이 인권 남용이 대규모적이고 체계적으로 지속되는 경우에 인도적 개입이 정당화되고 있고 , 인권남용보다는 평화와 안보의 위협으로 개입을 정당화하고 있다. 또한 인도적 개입사례는 비개입원칙에 예외적인 경우라는 것을 분명히 하고 있어 주권존중의 원칙은 아직도 국제사회의 강력한 규범으로 존재하고 있다. 그러나 ‘예외적인 불법성’ 또는 ‘사면론’개입이 정당화되고 있고 그 사례가 늘고 있는 것도 사실이다 . 한편 개입의 효과도 의도한 바 효과를 거두는 경우와 그렇지 못한 경우 등 혼재되어 나타나고 있다.그러나 현실적으로 인도적 개입이 증대되는 추세를 감안하여 인도적 개입규범을 마련하여 대처하는 것이 국제질서와 안정을 유지하는데 긍정적인 점이 . 물론 개입규범을 마련하는데 있어서 비개입규범과 인도적 개입 간의 대립이 발전적인 방향에서 타협이 이루어져야 하겠고 , 강대국들의 패권적인 의도를 배제할 수 있는 집단적인 지혜와 제도적 장치가 마련되어야 할 것이다.

실리콘 관을 이용한 이층 정관정관 문합술

최의철,최환준,김용배,윤종현 대한성형외과학회 2009 Archives of Plastic Surgery Vol.36 No.2

Purpose: Because of the volume of elective sterilizations performed in the world during the past decade, the vasectomy was a popular method for male sterilization in Korea and this, in turn, had been followed by an increase in the number of patient requiring vasectomy reversal with the high rate of subsequent divorce and remarriage. Recently, many authors have reported high success rates of vasovasostomy using microsurgical techniques and we performed modified two layer vasovasostomy with intravasal silicone tube to increase postoperative patency and pregnacy rate. Methods: Microscopic vasovasostomy was performed in 9 patients at our department using modified two layer vasovasostomy with silicone tube insertion. Their ages ranged from 28 to 44 with an average of 35.78±1.36 years. Standard Guibor silicone tube, consisting of two 17.7cm, 0.064cm diameter, malleable, stainless steel probes connected by 29cm of silicone tubing wedged onto disposable probes, were used in all cases. Results: Success rates were 88.8% for patency and pregnancy 44.4% for pregnancy in modified two layer vasovasostomy with silicone tube insertion. The patency rates were higher in cases of long postoperative day and in cases of short duration of vasectomy and vasovasostomy. Conclusion: We used a modified method to correspond the patency and pregnancy rate in microscopical modified two layer vasovasostomy using the intravasal silicone tube permanently. This method brings normal patency in microsurgical vasovasostomy because the silicone tube prevent obstruction of anastomosed site of the vas permanently.

북한의 인권문제와 대책

최의철 충남대학교 통일문제연구소 2004 한국통일연구 Vol.9 No.1

제 1형 신경섬유종증에 동반된 경부 신경절신경종

최의철,김준혁,신호성,이지혜,이영만,Choi, Eui-Chul,Kim, Jun-Hyuk,Shin, Ho-Seong,Lee, Ji-Hye,Lee, Young-Man 대한성형외과학회 2010 Archives of Plastic Surgery Vol.37 No.4

Purpose: Ganglioneuromas are well-differentiated tumors derived from neuroectodermal neural crest cells. Although these tumors can occur anywhere along the sympathetic chain from the base of the skull to the pelvic cavity, they usually develop in the posterior mediastinum and retroperitoneum these tumors are rarely found in the cervical region. Method: We report the case of a 16-year-old male patient with neurofibromatosis type 1 who was admitted because of a palpable mass centrally located on the left side of the neck. A preoperative contrast-enhanced neck computed tomography image showed a low-density homogeneous mass on the parapharyngeal space along with marked displacement of the trachea and carotid vessels. Round and soft masses were also detected on both axillae. Results: The patient subsequently underwent complete excision of the neck mass via the transcervical approach. The mass was smooth and well encapsulated between the sternocleidomastoid muscle and the trachea. Further, the mass appeared to arise from the cervical sympathetic chain, which was preserved during surgery. Both the axillary masses were also excised. The histopathological findings were ganglioneuroma for the neck mass and neurofibroma for both the axillary masses. Conclusion: Cervical ganglioneuromas are rare tumors that present as enlarging parapharyngeal cervical masses in the oropharynx or neck. To our knowledge, a case of cervical ganglioneuroma associated with neurofibromatosis type 1 has never been reported. In patients with neurofibromatosis, multiple tumors may develop, and therefore periodic clinical and radiological follow-up is recommended. Further, repeated imaging analysis should be performed if the presence of another tumor is suspected.

흉벽의 오래된 화상 흉터에서 발행한 악성 섬유성 조직구종

최의철,권인오,박은수,김용배 대한성형외과학회 2008 Archives of Plastic Surgery Vol.35 No.6

Purpose: Malignant changes of Marjolin’s ulcer arising from chronic burn scar are rare. The majority of them are squamous cell carcinoma and basal cell carcinoma. Malignant fibrous histiocytoma is a deep seated pleomorphic sarcoma, which occurs principally as a mass of the extremities, abdominal cavity, or retroperitoneum in adults. Methods: We report a 58-year-old male patient who was admitted due to 3.5×5cm chronic ulceration of anterior chest wall on the center of old burn scar. His scar had been occurred by boiling oil and treated with conservative treatment 45 years ago. Preoperative punch biopsy showed suspicious malignant changes and contrast enhanced chest CT showed well-defined, irregular shape enhancing lesion on anterior chest wall without intrathoracic metastasis. Results: The tumor was widely excised and defect was covered with skin graft without infection, necrosis and any other complication. The pathologic findings are compatible with malignant fibrous histiocytoma(storiform - pleomorphic type). The patient underwent 3 cycles of chemotheraphy. Although distant metastasis to the lung developed 6 months later and the patient died 9 month later, there was no local reoccurrence. Conclusion: Aggressive and early excision is needed because malignant fibrous histiocytoma has characteristics of high malignancy with a propensity for early and distant spread. Furthermore, the patient's education about disease entity and postoperative regular follow-up for local recurrence or metastasis is very important. To prevent malignancy from secondly healing burn scar, early skin graft is recommended for patients with deep second degree burn.

부분층 피부이식으로 전판상화된 전완유리피판을 이용한 경구개 결손의 재건

최의철,김준혁,남두현,이영만,탁민성 대한두개안면성형외과학회 2010 Archives of Craniofacial Surgery Vol.11 No.1

Purpose: The radial forearm fasciocutaneous free flap is currently considered as the ideal free flap for reconstruction of mucosal and soft tissue defects of the palate. But the availability of stably attached oral and nasal mucosal lining is needed. In addition to this, for better operation field, operating convenience and esthetics, we planned a prelaminated radial forearm free flap. Methods: A 64-year-old male patient was admitted due to a 4 × 4.5 cm full through defect in the middle of the hard palate caused by peripheral T cell lymphoma with actinomycosis. In the first stage, the radial forearm flap was elevated, tailored to fit the hard palate defect, and then it positioned up-side down with split thickness skin graft. Two weeks later, the prelaminated radial forearm free flap was re-elevated and transferred to the palatal defect. One side covered with grafted skin was used to line the nasal cavity,and the other side (the cutaneous portion of the radial forearm flap) was used to line the oral cavity. Results: The prelamination procedure was relatively easy and useful. The skin graft was well taken to the flap. After 2nd stage operation, the flap survived uneventfully. There was no prolapse of the inset flap into the oral cavity and the cutaneous portion of the flap was mucosalized. The procedure was very successful and the patient can enjoy normal rigid diet and speech. Conclusion: The use of prelaminated radial forearm free flap for hard palate reconstruction is an excellent method to restore oral function. Based upon the result of this case,microvascular free flap transfer with prelaminated procedure is a valid alternative to the prosthetic obturator for palatal defect that provides an improved quality of life. It should be considered as an integral component of head and neck cancer therapy and rehabilitation. (J Korean Cleft Palate Craniofac Assoc 11: 53, 2010)

국제사회의 대북 인권압력증대와 대북인권정책추진 방향

최의철 경북대학교 평화문제연구소 2005 평화연구 Vol.30 No.-

남북정상회담과 이산가족문제 해결 전망

최의철 통일연구원 2000 統一 政策 硏究 Vol.9 No.1

CHINA'S NEW ROUND OF ECONOMIC REFORMS AND SINO-SOUTH KOREAN RELATIONS

최의철 통일연구원 1992 International journal of korean unification studie Vol.1 No.-