재활치료에 관한 접근성 제고 방안에 관한 단상 -물리치료사의 단독 개업 중심으로

한승수,HAN, Seungsoo 대한물리치료과학회 2015 대한물리치료과학회지 Vol.22 No.1

Purpose : The purpose of this study is to check the current status of accessability to rehabilitation therapy in local areas and to review how to improve the accessability. In fact, first, it is very hard for patients to find out a local medical center with rehabilitation therapy capability. Moreover they needs to wait long time to get a treatment they need, because of lack of nearby rehabilitation centers. The best way to enhance the accessability to the rehabilitation therapy service is to allow therapists to set up rehabilitation centers in local areas on their own, physically independent from medical doctors. Basically, the current law does not prohibit therapists' own sole practice. However, it needs to be amended by inserting an explicit legal basis on the setting-up process. If it is legally permissible for the therapists to set up rehabilitation centers to perform a rehabilitation treatment with referrals from of medical doctors (though physically independent from the doctors), it would result in the increase of profits for the doctors and at the same time raise therapists' freedom of occupation, a constitutional right. Furthermore, with their own places to practice, therapists will have to compete with other therapists, that would raise the quality of their treatments, which will in turn benefit patients ultimately. A proposed bill of amendments to the Act on Medical Technicians and etc. is pending for review at the National Assembly. I look forward to vigorous discussion on the bill based on this article, and resulting in revision of the law for the benefits of patients.

단독상사근염으로 발현한 비특이성안와염 1예

한승수,김혜영.Seung Soo Han. MD. Hye Young Kim. MD 대한안과학회 2014 대한안과학회지 Vol.55 No.1

Purpose: To report a case of idiopathic orbital inflammation presenting with isolated myositis of the superior oblique muscle. Case summary: A 57­year­old male presented with pain in his left eye and diplopia for three months. His past history was unremarkable except surgery for a thyroid nodule six months prior. At initial presentation, his corrected vision and intraocular pressure were normal. Biomicroscopy and fundus examination were unremarkable. Nasal side swelling of the left upper eyelid was observed, and 1.5­mm proptosis of the left eye was revealed on exophthalmometry. Two and four prism diopter right hypertropia were noted at up and right­up gaze, respectively. Axial and coronal orbital computed tomography (CT) showed enhancement of isolated superior oblique muscle hypertrophy in the left eye. Systemic work­up was negative for any inflammatory disease. A presumptive diagnosis of isolated myositis of superior oblique muscle was made, and the patient was started on 30 mg of oral prednisolone daily. Pain and diplopia disappeared and proptosis of the left eye decreased to 0.5 mm after one week of treatment. Orbital CT images obtained one month after treatment showed a significant decrease in size of the left superior oblique muscle. The steroid was tapered for two months, and the patient has shown no signs of recurrence for four months after cessation of treatment. Conclusions: Idiopathic orbital inflammation presenting with isolated myositis of the superior oblique muscle is very rare and has not been previously reported in Korea. A patient presenting with pain and diplopia was diagnosed as having isolated myositis of the superior oblique muscle based on CT scan, and good results were achieved with oral steroid therapy.

키케로의 『의무론』과 매매에 있어서의 고지의무 ― 현행법적 시각에서의 분석을 중심으로 ―

한승수 ( Seungsoo¸ Han ) 연세대학교 법학연구원 2021 法學硏究 Vol.31 No.4

키케로(Marcus Tullius Cicero)는 그의 『의무론』 제3권에서 선과 유익함이 갈등하는 경우에 관하여 논의하는데, 그와 관련하여 매매에 있어서의 고지의무가 문제되는 두 개의 사례가 설명된다. 그 첫 번째가 기아에 시달리는 로도스섬에 곡물을 싣고 온 곡물상인에 관한 것이고, 두 번째가 하자가 있는 주택을 매도하는 집주인에 관한 것이다. 키케로는 두 사례에서 고지의무의 존부에 관하여 찬성의 입장을 취하는 안티파테르, 반대의 입장을 취하는 디오게네스의 논거를 소개하고 안티파테르와 같은 입장을 취한다. 이러한 키케로의 입장은 스토아 학파의 윤리의식과 직결된 것으로 이해된다. 이 사례들에 관한 검토에 있어 여러 준거들이 제시되는데, 해당 준거들은 법과 도덕의 관계, 매도인의 상인성, 숨은 하자와 명백한 하자, 물건 자체에 관한 사항과 외부의 사항에 관한 구별 등 다양하다. 그런데 이들 준거들은 대체로 현행법상으로도 일정한 함의를 가지고 있는바, 현행법적 시각에서 그러한 준거를 검토하였다. 본고에서는 그 검토를 바탕으로 현행법적인 시각에서 위 두 사례들을 살펴보았다. 먼저 주택 매매 사례와 관련해서는 숨은 하자가 문제될 수 있어 현행법상으로도 고지의무가 인정될 가능성이 상당하다. 그러나 로도스섬 사례에서는 비록 우리 판례상 일정한 부동산 매매에 있어서 매매계약 체결에 영향을 미칠 수 있는 경우에는 신의성실의 원칙상 고지의무가 인정되기는 하지만 통상의 거래 관계에서 매매 목적물 외부 상황에 관한 정보를 전부 공개하도록 의무를 부여하기는 어려워 현행법상 고지의무가 부정될 수 있다고 판단된다. 다만 간과하지 말아야 할 것은, 법체계가 의무라고 보지 않는다고 하여 우리 사회를 유지하는 데 지켜야 할 의무가 아니라고 할 수는 없다는 것이다. 또한 현행법적 시각에서 도덕적 의무중 법적 의무로 포섭되지 못하는 것이 있다고 하더라도, 그 통로가 마련되어 있는 이상 향후 다른 접근도 가능할 수 있다는 점이다. 법이 의무라고 선언하지 않는다고 하여 모두가 도덕적으로 행하여야 하는 의무를 다하지 않는다면 바람직한 공동체를 유지하는 것은 불가능하다고 생각한다. Marcus Tullius Cicero discusses the cases where good and benefit conflict in Volume 3 of his De Officiis, and in this regard, two cases in which the obligation to inform in a sale is the issue are explained. The first is about grain merchants who brought grain to Rhodes Island, where people in are suffering from starvation, and the second is about the owner of a house who wants to sell a house with defects. In both cases, Cicero introduces Antipater's arguments in favor of the existence of the duty to inform, and Diogenes' arguments in opposition, taking the same position as Antipater. Cicero's position is understood to be directly related to the ethics of the Stoic school. Several criteria are presented in the review of these cases, including legal and moral relations, merchantability of the seller, latent defects and patent defects, and the distinction between defects related to the object itself and external matters. As these criteria generally have certain implications under the current law as well, such criteria were reviewed from the perspective of the current law. Based on such a review, this paper examined the above-mentioned two cases from the perspective of current law. First of all, in relation to the case of housing sales, latent defects are included, so it is highly likely that the obligation to inform will be recognized under current law. In the case of Rhodes Island, although the duty of inform is recognized in the Principle of Good Faith in certain real estate sales according to precedents of Korean Supreme Court, it is difficult to impose an obligation to disclose all information on the external situation of an object in ordinary trading relationships. However, what should not be overlooked is that just because the legal system does not regard it as an obligation, it cannot be said that it is not an obligation to maintain our society. In addition, even if some of the moral obligations cannot be included as legal obligations from the current legal point of view, other approaches may be possible in the future as long as the channels are in place. I think it is impossible to maintain a desirable community if everyone does not fulfill their moral obligations just because the law does not declare it an obligation.

Enalapril 에 의한 기침 발생율

노승익(Seung Ik Roh),김명선(Myeong Seon Kim),김은실(Eun Sil Kim),서두선(Du Seon Seo),정내인(Nae In Jeong),이명숙(Myeong Suk Lee),한승수(Seung Soo Han),김광희(Kwang Hoi Kim),김윤권(Yoon Kweon Kim) 대한내과학회 1994 대한내과학회지 Vol.47 No.1

N/A Background: Enalapril is an angiotensin-converting enzyme inhibitor that has been widely used in treating hypertension, congestive heart failure, DM and various renal diseases. Cough has been recognized as a side effect of angiotensin-converting enzyme inhibitors. Therefore we studied the incidence and the chracteritics of Enalapril induced cough in Korea. Method: The sixty eight patients with Enalapril who visited out-patients department of internal medicine, Han-Il General Hospital during the period from april 1992 to october 1992 were included in this study. In all patients careful history taking and review of chart was done. Patients with respiratory disease were excluded. The criteria of angiotensin converting enzyme inhibitor induced cough was that cough developed after administration of Enalapril and improved after discontinuing drug and readministration of drug induce resume of symptom. Resnlts: Subjects include 34 males, 34 females and their average age was 53.3 years, Diseases of theirs were hypertension (57 cases}, congestive heart failure (5 eases), various renal disease (28 cases) and 9 patients of them were smokers. Average drug dosage was 11.7 mg a day and average administration duration was 182 days. Of the 68 patients, 23 patients (33.8%) had chronic cough due to enalapril, which had 12 male and 11 female patients. The cough disappearing time after withdrawal of the angiotensin-converting enzyme inhibitors was average 7.8 days. In 16 patients (two thirds of them), cough disappeared within 4 days after drug withdrawal. 9 patients had to stop taking drug because of severe cough. Generally the characters of cough induced by angiotensin-converting enzyme inhibitors were dry, persistent, tickling and tended to develope especially at night, Conclusion: Cough is not uncommon side effect in angiotensin-converting enzyme inhibitor users. There fore clinician should consider angiotensin-converting enzyme inhibitor induced cough initially when cough developed after angiotensin-converting enzyme inhibitor administration.

Investor Sophistication and Patterns in Analysts` Earnings Forecasts

한승수(Han Sam),주상룡(Sang Lyong Joo),김우진(Woo Jin Kim) 한국증권학회 2005 한국증권학회지 Vol.34 No.1

증식성당뇨망막병증에서 유리체절제술과 백내장병합수술 후 굴절력 예측

한승수(Seung Soo Han),정은지(Eun Jee Chung) 대한안과학회 2015 대한안과학회지 Vol.56 No.5

목적: 증식성당뇨망막병증 환자에서 유리체절제술과 백내장병합수술 전 목표 굴절력과 수술 후 실제 굴절력 사이에 어떤 차이가 있는지 분석하고, 굴절력에 영향을 미치는 요소에 대해 알아보고자 한다. 대상과 방법: 유리체절제술과 수정체초음파유화술 및 인공수정체삽입술을 동시에 시행한 환자 39명 44안을 대상으로 후향적 조사를 하였다. 술 전 A-scan 및 IOL Master를 이용하여 안구 길이 및 안구생체계측을 시행하고, 술 후 굴절력을 측정하여 목표 굴절력과 실제 굴절력을 비교하였으며 평균예측이상값과 평균절대예측이상값을 계산하였다. 또한 굴절력에 영향을 미치는 환자의 전신상태, 수술 과정 전, 후 인자들에 대하여 통계학적으로 분석하였다. 결과: 전체 44안의 A-scan 기준 술 후 3개월 평균예측이상값은 -0.23 ± 0.52 디옵터, 6개월의 평균예측이상값은 -0.23 ± 0.47 디옵터로 3개월 사이에는 유의한 변화가 없었다(p=0.959). 술 후 3개월의 평균절대예측이상값은 0.45 ± 0.35 디옵터, 6개월에서 0.40 ± 0.33 디옵터로 3개월 사이에 유의한 변화는 보이지 않았다(p=0.196). 두 가지 검사가 모두 가능하였던 20안에서 술 후 3, 6개월 평균예측이상값은 모두 A-scan을 기준으로 한 결과가 유의하게 작은 굴절이상값을 갖는 것을 확인할 수 있었다(p=0.002, 0.002). 술 전 당뇨병성신증 병발, 술 후 발생한 신생혈관녹내장이 부정확한 평균예측이상값 및 평균절대예측이상값과 유의한 연관성을 보였다. 결론: 증식성 당뇨망막병증에서 유리체절제술과 백내장병합수술은 허용할 만한 수준의 작은 굴절력 오차 범위 내의 결과를 보였다. 당뇨병성신증, 신생혈관 녹내장을 동반한 경우에서 술 후 부정확한 굴절력을 보이며, 기대하는 굴절력을 더 정확히 얻기 위해 광학적 생체계측과 초음파 모두를 사용하는 것이 바람직하겠다. <대한안과학회지 2015;56(5):737-744> Purpose: To evaluate the accuracy of intraocular lens (IOL) power estimation and the factors associated with outcome in eyes undergoing combined phacovitrectomy for proliferative diabetic retinopathy. Methods: We performed a retrospective case review of 39 consecutive patients (44 eyes) that underwent phacovitrectomy for proliferative diabetic retinopathy. Axial lengths were measured using ultrasound (A-scan) and/or optical biometry (IOL Master). Achieved and predicted refractions were compared to calculate the mean postoperative refractive prediction error (ME) and the mean absolute prediction error (MAE). Systemic conditions of patients and several preoperative and postoperative factors re-lated to the postoperative refraction were analyzed. Results: The ME of 44 eyes were −0.23 ± 0.52 diopters (D) and -0.23 ± 0.47 D after 3 and 6 months, respectively (range, -1.40~+0.79 D). There was no statistically significant difference in the refractive outcomes between the refractive errors (p = 0.959). The MAEs were 0.45 ± 0.35 D and 0.40 ± 0.33 D after 3 and 6 months, respectively with no statistical significant differ-ence between the results (p = 0.196). When comparing ME in the 20 eyes that achieved both results, ultrasound was more accu-rate than optical biometry (p = 0.002, 0.002). The factors associated with more inaccurate ME and MAE after phacovitrectomy were diabetic nephropathy and neovascular glaucoma. Conclusions: Combined phacovitrectomy in proliferative diabetic retinopathy showed small biometric errors within the tolerable range in most cases. Patients with neovascular glaucoma and diabetic nephropathy had more inaccurate postoperative re-fractive power. Both optical biometry and ultrasound should be used to estimate axial lengths for improving the accuracy of IOL power calculation. J Korean Ophthalmol Soc 2015;56(5):737-744

Use of the combined preoperative tests for the exact prediction of Lymph node metastasis in endometrial cancer

한승수 ( Seung Su Han ),( Jae Weon Kim ),( Noh Hyun Park ),( Soon Beom Kang ),( Hyo Pyo Lee ),( Yong Sang Song ) 대한산부인과학회 2007 대한산부인과학회 학술대회 Vol.93 No.-

A comparison of the therapeutic efficacies for the treatment of cervical intraepithelial neoplasia 3 or carcinoma in situ: Large Loop excision of the transformation zone vs hysterectomy or repeated Large Loop excision of the transformation zone

한승수 ( Seung Su Han ),( Jae Weon Kim ),( Yong Sang Song ),( Soon Beom Kang ),( Hyo Pyo Lee ),( Noh Hyun Park ) 대한산부인과학회 2006 대한산부인과학회 학술대회 Vol.92 No.-

지중형 지하탄약고 설치 타당성 연구

한승수(Han, Seungsu),권지혜(Kwon, Jihye),김성곤(Kim, Sungkon) 대한토목학회 2022 대한토목학회 학술대회 Vol.2022 No.10

국제프랜차이즈 계약에서의 仲裁合意 및 그 유효성에 관한 小考 - 서울중앙지방법원 2020. 4. 1. 선고 2018나63343 판결의 검토 -

한승수(HAN, Seungsoo) 한국국제사법학회 2021 國際私法硏究 Vol.27 No.1

다양한 국제거래가 우리 사회에서 나타나고 있는데, 그 중 하나로 국제프랜차이즈계약을 꼽을 수 있다. 최근 국제프랜차이즈계약에 관한 판결이 나왔는데, 이 논문에서는 해당 판결을 구체적으로 검토하였다. 검토 가맹계약에는 네덜란드에 근거를 둔 가맹본부와 우리나라에 근거를 둔 가맹사업자 사이의 중재합의가 존재하는바, 해당 중재합의의 효력이 문제되었다. 이러한 효력의 검토에 있어서는 그 준거법 결정이 선행되어야 하는데, 네덜란드와 우리나라 모두 뉴욕협약에 가입되어 있으므로 뉴욕협약을 바탕으로 검토되어야 한다. 뉴욕협약을 바탕으로 볼 경우, 당사자의 의사에 따라서 그 효력의 준거법은 네덜란드 법이 된다. 대상판결에서는 우리 국제사법 규정을 바탕으로 국제적 강행규정, 공서 위반의 문제를 살펴보았는데, 우리 법원에서 재판을 하는 이상 그러한 접근이 가능할 것으로 보인다. 그 결론에 대하여도 대체로 동의하지만, 그와 관련하여 개별적인 분석이나 용어 사용에 있어서는 더 고민할 부분도 보인다. 한편, 대상판결은 새로운 고민거리를 던져주었다고 생각된다. 앞으로 검토 가맹계약과 같이 국제적 요소가 있는 계약에 있어 국내 당사자에게 상당한 부담이 되는 중재합의를 어떻게 처리할 것인가의 문제이다. 유사한 분쟁이 예견됨에도 불구하고 단순히 우리 법이 적용될 수 없다는 논리적 판단으로 외면하고 거래관계에서 발생할 수도 있는 모든 가능성을 당사자의 부담으로만 돌리는 것은 위험할 수도 있다. 향후 힘의 불균형을 시정하기 위한 입법을 함에 있어서는 그와 같은 관계가 국제적 성격을 가지는 경우를 상정하지 않으면 안 될 것으로 본다. Various international transactions are emerging in our society, and one of them is the international franchise contract. Recently, a ruling on international franchise contracts was issued, and this paper specifically reviewed the ruling. In that case, there exists an arbitration agreement between the Netherlands-based franchise headquarters and Korea-based franchisees, and the validity of the arbitration agreement was questioned. For the review of this, the decision of governing law should be preceded, and both the Netherlands and Korea are members of the New York Convention, so it should be reviewed based on the New York Convention. On the basis of the New York Convention, according to the expressed intention of the parties, the governing law to the validity of the arbitration agreement becomes Dutch law. The ruling looked at internationally mandatory rules and public policy based on our International Private Law Act, and such an approach is expected to be possible as long as we hold a trial in our court. I generally agree with that conclusion, but there are inaccuracies in individual analysis or use of terminology. On the other hand, the ruling is thought to have thrown new concerns. It is a matter of how to handle arbitration agreements in the future, that are a significant burden to domestic parties in contracts with international elements, such as the franchise contract. Despite the prediction of similar disputes, it may be dangerous to simply turn away with the logical judgment that our law cannot be applied and to turn all possibilities that may arise in a transaction relationship to the party"s burden. In making legislation to correct power imbalances, we should consider that such a relationship has an international character.