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        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.

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        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.

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        토마스 아퀴나스와 매매에 있어 하자의 고지 의무

        한승수(Han, Seung Soo) 한국법사학회 2017 法史學硏究 Vol.55 No.-

        토마스 아퀴나스의 신학대전에서 私法을 다루는 몇 개의 개소가 있는데, 그 중 제2부 제2편 77문의 소문 3.에서는 “매도인이 매도된 물건의 하자를 말하여야 하는 의무가 있는지” 즉, 하자의 고지의무가 다루어진다. 여기서는 숨겨진 하자와 명백한 하자를 구별하여, 숨겨진 하자의 경우 매도인이 그 존재를 알고 있는 경우 고지의무를 인정하고, 명백한 하자의 경우 이를 부정한다. 토마스 아퀴나스는 매매의 등가성에서 “정당한 가격”(iustum pretium)을 도출하지만, 하자의 고지의무는 주로 윤리적 의무를 기초로 도출하고 있다. 또한 물건의 하자와 외부적 상황을 구별하여 고지하여야 할 대상을 특정하고 있다. 이와 같은 토마스 아퀴나스의 결론의 저변에는 로마법이 존재한다. 12세기 초반 로마법 대전이 발견되면서 그 연구가 가속되어 토마스 아퀴나스의 시대인 13세기에는 그 전성기를 맞이하였기 때문이다. 이와 같은 로마법 연구의 급속한 발전은 비록 나라에 따라 다르지만 당대의 법문화 혹은 법인식에 엄청난 영향을 미쳤음이 분명하다. 이미 로마법에서는 명백한 하자와 숨은 하자를 구별하여 매수인 스스로 명백한 하자를 검수하고 그를 바탕으로 계약을 체결하도록 하고, 일정한 숨은 하자의 경우에는 매도인에게 고지의무를 지도록 했다. 이는 시장안찰관 고시에 의하여 마련된 제도로서, 현행 민법의 하자담보책임의 뿌리이다. 우리 현행 민법 체계도 하자의 고지의무에 있어 토마스 아퀴나스의 결론과 일치한다. 매수인 스스로가 매매 목적물을 확인할 의무는 당연히 전제되어 여러 법조문 및 판례에서 드러나거니와, 명백한 하자와 숨은 하자를 구별하여 처리하는 방식도 찾을 수 있다. 매매에 있어서는 ‘경험칙상’ 고지의무를 인정한 경우도 있고, 매매의 부수적 의무로서 고지의무를 인정한 경우도 있다. 이와 관련하여, 경우에 따라서는 불법행위책임이 문제되고, 또 경우에 따라서는 채무불이행책임이 문제된다. 이 논문에서는, 신학대전의 사료와 로마법 사료를 검토하고 현재의 판례의 태도를 확인하는 데에 그친다. 그 세 점을 이어나가는 연구 및 로마법의 각 개소와 우리 판례 각각을 보다 심도 있게 분석하는 연구는, 향후의 과제로 남겨 두기로 한다. There are a few questions reviewing private law in Summa Theologica of Thomas Aquinas, among which II-II q.77 a.3 is dealing with the question of ‘the seller has the obligation to inform the defect in the object sold.’ St. Thomas discriminates between ‘latent defect’ and ‘patent defect’, and in the case of ‘latent defect’ it is said that the seller has to inform the defect when he knows the existence, but in the case of ‘patent defect’ to the contrary. According to St. Thomas, though the ‘iustum pretium’ is drawn from the equivalence of the sale, the obligation to inform the defect is deducted from ethical duty. And he differs the defect of the thing from the outer circumstances. The base of the this conclusion must be Roman Law. In the early 12<SUP>th</SUP> century, discovering the ‘Corpus Iuris Civils’ accelerated the study of Roman Law, so that it has heyday in the 13<SUP>th</SUP> century. It is said that Roman Law has influenced a lot on the legal culture and legal recognition of european countries even though the extent would vary from country to country. In Roman Law, the distinction between patent defect and latent defect was accepted that the purchaser has to examine the object of the sale and buy it based on his scrutinization, and in the case of latent defect the seller knowing the existence of the defect has the obligation to inform. This responsibility system came from the edictum of aediles, which stays in our Civil Code as it was. The conclusion of our civil law is very similar to that of St. Thomas. Many provisons and cases are based on the notion that the buyer has the obligation to examine the object by himself, and the distinction between latent and patent defect can be found easily. In the cases of sales, some conceded the obligation according to empirical rules, and the others as an ancillary obligation of sale. Therefore, in some the tort was at issue, but in the others non-performance of the contract. This article ends up with grasp the meaning of the II-II q.77 a.3, the basic rule of Roman Law, and the conclusion of our civil law. The study to connect these three points and the exegese of the individual cases of the Roman Law and our precedents is left to the object of the following study.

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