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연구논문 : 책임성의 분산과 위기상황에서의 의사결정: 숭례문 화재사건의 재구성
정주용,이철주 고려대학교 정부학연구소 2010 정부학연구 Vol.16 No.1
2008년 2월 10일 발생한 숭례문 화재사건은 다양하게 분화한 제도가 위기상황에서 문제해결방법을 탐색하는데 얼마나 큰 걸림돌로 작용할 수 있는지를 극명하게 보여주는 사례이다. 화재발생 직후 시민에 의해 신고가 이루어졌고, 3분 만에 관할 소방대가 현장에 도착하여 화재 진압을 실시하였으며, 이후 다양한 진압장비와 인력을 보충하였고 정부기관과 외부전문가들까지 한자리에 모여 진압에 최선의 노력을 다하였지만 화재시작 5시간 만에 전소(全燒)라는 대실패로 귀착하고 말았다. 이 연구의 가장 핵심적인 논의는 바로 이 점에 주목하고 있다. 숭례문 화재진압을 위한 최선의 대응방법을 적시에 만들어내지 못한 이유는 과연 무엇일까? 사례를 분석한 결과, 제도의 분화가 책임성의 분산이라는 새로운 문제를 만들어내고 있음을 파악하였다. 또한 책임성의 분산은 위기상황에서 위기관리주체들의 간의 관계적 복잡성을 만들어내고, 이는 문제해결에 필요한 신속하고 정확한 의사결정을 어렵게 만들었음을 발견하였다.
전정기관의 다발성 골결손에 의하여 어지럼 및 난청을 보인 환자 1예
정주용,박상열,한우희,이현석 대한이비인후과학회 2009 대한이비인후과학회지 두경부외과학 Vol.52 No.3
Dehiscence of the bone overlying the semicircular canals has been shown to have effects on vestibular and auditory function. This case report presents a 48-year-old man presenting atypical vestibular manifestations and bilateral hearing loss. His temporal bone CT scans demonstrated bony dehiscence of posterior semicircular canal and vestibule in the right, superior and posterior semicircular canals in the left.
A Case of Post-Traumatic Meniere’s Disease
정주용,정한진,김종선,김영호 대한청각학회 2014 Journal of Audiology & Otology Vol.18 No.1
There are only a few reports of post-traumatic Meniere’s disease and there is few literature that contains detailed data associated with the disease. We report a case of post-traumatic Meniere’s disease. He suffered from tinnitus, fluctuating sensorineural hearing loss, and recurrent vertigo. Symptomatic medical treatment was not helpful and neither was soft tissue plugging around the oval and round windows during exploratory tympanotomy. Three months after soft tissue plugging, endolymphatic sac decompression surgery was performed. The patient’s symptoms improved markedly thereafter. The clinical significance of post-traumatic Meniere’s disease is described and we present a brief review of the literature.
정주용,박상열,손우람,김준모 대한이비인후과학회 2008 대한이비인후과학회지 두경부외과학 Vol.51 No.10
Nasopalatine duct cysts are the most common nonodontogenic developmental cyst originating in the incisive canal of maxilla and occuring in approximately 1% of the population. Clinical presentation is asymptomatic in small cysts, but shows swelling, pain and drainage from the hard palate in large cysts. The definite diagnosis should be based on clinical, radiological and histopathologic findings. The treatment of nasopalatine duct cysts consists of an enucleation of the cystic tissue, only in rare cases a marsupialization needs to be performed. We report a case of infected nasopalatine duct cyst in a 65-year-old man. He complained of painful swelling in the midline and nasolabial area. Physical examination revealed a huge tender mass in the midline of upper jaw. Diagnosis was suggested on the basis of computed tomography. Under the general anethesia, an enucleation was performed via sublabial approach. (Korean J Otorhinolaryngol-Head Neck Surg 2008;51:946-9)
정주용 대한이비인후과학회 2022 대한이비인후과학회지 두경부외과학 Vol.65 No.1
Hearing loss is the third most common chronic health condition faced by older adults. Recently,a number of studies have demonstrated a significant association between hearing impairmentand cognitive decline. However, the underlying explanatory mechanism of this relationhas yet to be established. Given the relation between hearing loss and cognitive decline, researchershave been interested in the effect of restoring hearing ability on cognitive functionsin older adults. One intervention option for management of the most severe to profound hearingloss in older adults is cochlear implantation (CI). We performed a review to assess the currentstatus of the literature on the potential influence of CI on cognition in the older adults. Hearing rehabilitation through CI in elderly patients results in improvements in speech perceptionand cognitive function and lowers the progression to dementia. Further well-designedstudies with long follow-up are needed to verify whether CI influences cognition in olderadults.
정주용,박지수,최진웅 대한이비인후과학회 2017 대한이비인후과학회지 두경부외과학 Vol.60 No.6
Otalgia consists of primary otalgia associated with disorders of the ear itself and referred otalgia due to disorders of organs that share the same innervation with the ear. Disorders of the oral cavity and laryngopharynx served by the glossopharyngeal and vagus nerves are common causes of referred otalgia. Chest pain from myocardial infarction spreads through the afferent pain pathway, especially through the sympathetic nerves in the cardiac plexus and the phrenic nerve, resulting in a typical chest pain or referred pain in the left upper extremity. However, pain spreading through the vagus nerve can theoretically cause referred otalgia. This association between the heart and ear has not been widely acknowledged, even though a referred otalgia can occasionally be the only symptom of the tragic disease, myocardial infarction, and should be taken seriously. We report a patient who complained of left otalgia as the only symptom of myocardial infarction. Korean J Otorhinolaryngol-Head Neck Surg 2017;60(6):322-5