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      • KCI등재

        근대전환기 지나론(支那論)의 전개와 동양사(東洋史)의 성립

        김헌주 한국역사연구회 2023 역사와 현실 Vol.- No.130

        This study aims to find out the perception of China and the establishment of Oriental history in the history textbooks in Korea during the modern transitional period. With the changes in the East Asian order in the late 19th century, Chosun broke away from the China-centered order and accepted the ‘independence theory’ which Japan wanted to instill in Chosun. In this process, the perception of Oriental history based on the ‘Datsu-A Ron’, the theory of leaving Asia and entering Europe, which had been established in Japan in the late 19th century was also adopted in the history textbooks in Korea. This perception was first shown in Abbreviated World History(만국약사), published in 1896, and continued to Oriental History textbooks(동양사교과서) published during the Enlightenment Period. The details of the perceptions were as follows; First, Abbreviated World History(만국약사) was influenced by the Orientalism established by Japan, which contrasted the development of Western civilization with the backwardness of Eastern civilization. Second, in this trend, the expression ‘Sinocentrism(中華)’ which had been used as a general noun in history books until the Chosun Dynasty almost disappeared by this time and the term ‘China(支那)’ was used in parallel with the term ‘Chuugoku(中國)’. This was the first time when the term ‘China(支那)’ was used in Korean textbooks. Third, the ‘China theory’was not just a change in terminology; the replacement of ‘Sinocentrism(中華)’ with ‘China(支那)’ signified the collapse of the Sino-centric view of history and the relegation of China to the status of one of the other Asian nations. It also meant the inclusion of China within the scope of ‘the East’ set by Japan.

      • SCOPUSSCIEKCI등재

        두부손상의 병태생리기전에 대하여

        김헌주 대한신경외과학회 1993 Journal of Korean neurosurgical society Vol.22 No.7

        In the past decade, major advances have been made in defining and, to some extent, quantifying the types of brain damage that occur in non-missile head injury, and in identifying their pathogenesis, using biological models of head injury. There have been various approaches to the classification of brain damage and we have tended to emphasize the existence of primary and secondary damage from impairment of cerebral blood flow and brain metabolism, which helps in the identification of at least potentially preventable complications.

      • SCOPUSSCIEKCI등재

        두부손상의 병태싱리기전에 대하여

        김헌주 대한신경외과학회 1987 Journal of Korean neurosurgical society Vol.16 No.4

        The past decade witnessed a new and improved understanding of the incidence and pathophysiology of secondary central nervous system insults from hypoxia, arterial hypotension and ischemia allowing altered therapeutic 1 approaches for better patient outcome. Two recent observations of note are : (1) Traumatized neurons are more vulnerable to an ischemic brain insult than normal neurons. These traumatized neurons are functioning in abnormal ways, but potentially can recover to normality. (2) Some patients may show neurological deterioration even in the absence of elevated intracranial pressure or an ischemic or hypoxic insult. This neurological deterioration is probably the result of an adverse chemical environment such as release of fatty acids, free redicals, an acidotic medium, and others. Further research toward identifying and better defining this damaging chemicals state is indicated and will certainly lead to improved treatement and neurological recovery.

      • SCOPUSSCIEKCI등재

        수술현미경을 이용한 대뇌동정맥기형 치험

        김헌주,이규창,김상철,이헌재 대한신경외과학회 1976 Journal of Korean neurosurgical society Vol.5 No.1

        Five cases of cerebral arteriovenous malformation (AVM) are presented, which underwent total extirpation using the operating microscope. The following are considerations which favor the total extirpation of AVM and the advantages of using the operating microscope, including the rationale for non-use of hypotensive anesthesia or mannitolization which is commonly used in intracranial aneurysm surgery: 1) Relatively small sized AVMs are found to show a high rate of large intracerebral hematoma, including that the degree of bleeding from the malformed vessels is not related to the size of the AVM. 2) The operating microscope facilitates the following procedures : a) determination of the extent of the malformed vessels. b) clipping feeders. c) identification of red vein and laminar flow. d) preservation of normal brain tissue.

      • SCOPUSSCIEKCI등재

        한국인 정상몬로공의 측정법

        김헌주,이규창,이헌재 대한신경외과학회 1976 Journal of Korean neurosurgical society Vol.5 No.1

        It is well known that many investigators have devised the methods for the localization of foramen of Monro, considering it as an essential one in stereotactic brain surgery. They have made use of calcified pineal gland, pneumoencephalogram or calculation of the coordinates of the foramen of Monro by bone structures etc. But the complications brought about by the above mentioned methods and nonvisualization of the pineal gland have made them in complex to make exact localization of foramen of Monro. The author devised a net, simple method for the localization of foramen of Monro, using 20 cases of lateral view of penumoencephalogram whose diagnoses were confirmed as idiopathic epilepsy. The results obtained are as follow: 1. The anterior margin of foramen of Monro is located on the line interconnecting the central point of sella turcica and inner table of the cranial vault with the angle of 86.2±4.3˚, provided that the base line is supposed as the line interconnecting the central point of sella turcica and the internal occipital protuberance. 2. The length from the central point of sella turcica to the anterior margin of foramen of Monro is measured to be 3.5±0.2cm. 3. Approximately 0.3 is calculated from the ratio between the segment interconnecting the central point of sella turcica and the anterior margin of foramen of Monro, and the segment interconnecting the central point of sella turcica and inner table of skull through anterior margin of foramen of Monro.

      • SCOPUSSCIEKCI등재

        외상성 뇌실출혈 : Analysis of 17 CT Proven Cases

        김헌주,허철,변진수,고승연 대한신경외과학회 1989 Journal of Korean neurosurgical society Vol.18 No.1

        A series of 1909 computed tomography(CT) scan performed for head injury mostly after traffic accident was retrospectively reviewed. 17 patients were found to have clearly definable traumatic intraventricular hemorrhage(TIVH). TIVH was associated with various brain lesions in most cases ; Intracerebral lesions with contusional hemorrhage and subdural hematoma(G1asgow Coma Scale Score) coexisted in 6 and 5 instances. The outcome(Glasgow Outcome Scale) of this series was related with initial clinical findings, and 11 patients survived. We have designed this study to assess the Occurrence of TIVH in our series of head-injured patients in Korea, and to correlate these findings with the clinical status, the presence of associated lesions, and their relation to final outcome of these patients, and conculsions are as follows : 1) The incidence of TIVH and its associated mortality is 0.9% and 35.3%, respectively. Most of them occurrs below 5th decade(70.6%) with male predominance(88.2%). 2) Mode of injury is mainly from traffic accident(94.1%), followed by fall down(5.9%). 3) The presence of concomitant lesions has a definite influence on poor outcome(P<0.02), whereas skull fracture or multiplicity of TIVH does not. 4) Primary impact site to induce TIVH is primarily on frontal portion(58.9%). 5) With regard to brain stem injury in TIVH, the final outcome clearly depends on pathological demostration on CT(P<0.005), but not on location of hemorrhage(P<0.5).

      • KCI등재
      • SCOPUSSCIEKCI등재

        급성기 두부손상에서 Creatine Kinase-BB (CK-BB)의 임상적 의의

        김헌주,홍순기,허철,한용표 대한신경외과학회 1991 Journal of Korean neurosurgical society Vol.20 No.4

        Serial enzymatic determinations by electrophoresis were confined in serum of CK-BB (creatine kinase brain fraction), which were performed on 150 patients with acute head injury. The purpose of this study was to re-evaluate the usefulness of this serum enzyme value as a prognostic correlates. The results obtained are as follows : 1) 125 cases (83.3%) among 150 cases with head injury were revealed as CK-BB positive finding, whereas 25 cases (16.7%) with negative results have generally good outcome. 2) 3 cases (11.5%) of false positive finding were shown among 26 control group with back pain. 3) The maximum value of CK-BB(CK-BBmax) was seen within 1st day(38.4%), and 3rd days (80.8%) following injury. 4) The appearance of mean CK-BBmax had two varieties of peak incidence on 1st-and 4th day following injury. 5) The Glasgow Coma Scale(GCS) Score on admission had close relationship to the value of inital CK-BB(CK-BBin) and CK-BBmax respectively (P<0.001) 6) The ratio of mean value between CK-BBin and CK-BBmax had statistical significance in cases of skull fracture and contusional and/or intracerebral hemorrhage, respectively (P<0.05. p<0.001). 7) The significant correlation of mean CK-BBin(≥1 IU/L) to outcome (P<0.003) was shown, whereas mean CK-BBmax(≥1 IU/L) to outcome did not (P= 0.126). 8) The Glasgow Outcome Scale (GOS) was strongly correlated to mean GCS Score (P<0.000) and mean CK-BBin (P<0.000). but not to mean CK-BBmax (P<0.139). 9) The correlationship between mean value of CK-BBin and CK-BBmax was statistically significant only in good recovery and moderate disability group, respectively (P<0.000 & P<0.003).

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