척추 전이암 및 골수종 환자를 대상으로 시행한 경피적 척추체 성형술

박우민,장지수,이창훈,곽호신,이승훈,Park, Woo-Min,Jang, Jee-Soo,Rhee, Chang-Hun,Gwak, Ho-Shin,Lee, Seung-Hoon 대한신경외과학회 2000 Journal of Korean neurosurgical society Vol.29 No.11

Objectives : In spinal metastasis and myeloma, percutaneous vertebroplasty could be an effective treatment method to provide spinal stabilization and to relief pain for early rehabilitation. The authors report twenty-five cases the clinical results of percutaneous vertebroplasty for twenty-five cases of spinal metastasis and myeloma. Materials and Methods : From September 1998 to December 1999, seventy percutaneous vertebroplasties(PVP) were performed for spinal metastases and myeloma in 25 patients, sixteen women and nine men ranging in age from 34 to 74. The primary malignancies were 6 multiple myelomas, and in metastatic tumore from various origin. All patients complained of severe pain and had osteolytic vertebral body destructions without spinal cord compression. To evaluate clinical improvement, suObjective verbal analogue pain score(VAS) and Karnofsky performance scale(KPS) were used. Thin sliced(2mm-thickness) sectional computed tomography(CT) was performed before and after PVP. Plain X-ray film was followed up every 1 month to assess the vertebral column stability. Results : In 25 patients, a total of seventy PVPS were performed successfully : 6 cervical, 33 thoracic and 31 lumbar vertebrae. Most patients had clear improvement of pain after PVP ; mean as score was 8.1 and 2.9 before and after PVP, respectively. Improvement was maintained in most patients. No further collapse of treated vertebrae was observed(mean follow-up, 7 months). Leakage of PMMA was notod in the spinal canal(13 levels), neural foramen (2 levels), adjacent disk(15 levels), paravertebral soft tissue(14 levels) and vein(8 levels). Pulmonary embolism was detected in three patients after the procedure, but was not associated with clinical symptoms. Conclusion : These results indicate that percutaneous vertebroplasty can be valuable treatment method in osteolytic spinal metastasis and myeloma, providing immediate pain relief and spinal stabilization and contributing to early rehabilitation.

다국적기업의 이전가격에 대한 과세대응방안에 관한 연구

박호신(Ho-Shin Park) 한국무역연구원 2015 무역연구 Vol.11 No.5

Transfer pricing and customs valuation I examined the scheme to be used as a tool of “verification of trading conditions.” And it confirmed the problem with the price changes made by the compensation adjustment. For this reason, we have examined the “price adjustment clause” of the provisions of the GATT 1947 Article 7 and WTO Customs Valuation Agreement. Verification of the effect on the special relationship is the content to be executed in the art. In order to usually to ensure the effectiveness of the use of the price, it is necessary to organize the execution experience of temporarily customs examination. So, it must be established quickly verification practices affect the special relationship with the regular price. Moreover, it is necessary to accumulate experience and examples of such practices. And this is the minimum institutional apparatus can be made “Harmony transfer pricing and customs valuation.” Normal price and transfer price to taxpayers customs authorities must be able to verify that there are no special effects. These steps we were presented a complementary measures of price reporting system for the contents.

한국의 경제자유구역내 물류투자 활성화 방안에 관한 연구

박호신(Ho-Shin Park) 한국관세학회 2012 관세학회지 Vol.13 No.3

Free Economic Zone in Korea as the hub of Northeast Asia logistics networks should grow. The key is to attract both domestic and international logistics companies can do. And Free Economic Zone in Korea should be reorganized efficiently. First, the central government and local government structural improvements are needed. Organization of intermediation and the functional improvement are necessary for the support agencies and open and systematic improvements are necessary for this procedure. Incentives to attract companies in the anchor should provide flexible including logistics companies. Incentives should be provided to companies in Free Economic Zone and should be aligned with the purpose to specify the free economic zone. Free Economic Zone special economic zoneshould be differentiated in the System. FEZ systems should be restructured so that companies can receive substantial assistance. Employment systems of foreigners in the logistics companies should be supported legitimately, efficiently and seamlessly. The rate of employing foreign workers is necessary to adjust the rate upward against future activation of the free economic zone. But here, most importantly, certainly support that can assist and impossible to support should also notify accurately. So to obtain investment trust is most important for companies.

FTA(자유무역협정)를 활용한 물류활성화 방안에 관한 연구

박호신(Ho-Shin Park) 한국관세학회 2011 관세학회지 Vol.12 No.4

Logistics demand is created according to the trade creation effect of expanding trade and logistics also will be changed depending on the trade diversion effect if expanded trade with the signing FTA. This is a new opportunity and it could be a crisis. Logistics support in excess of manufacturing and distribution of the companys. Non-tariff barriers of Logistics parts are low or eliminated due to the FTA signed. As a result logistics companies can expand their market area. And logistics center can be used in order to support export of small and medium-sized corporations under FTA situation in favor of large corporations.

한반도 통합물류인프라 구축에 관한 연구

박호신(Ho-Shin Park),홍승린(Seung-Lin Hong) 한국관세학회 2014 관세학회지 Vol.15 No.3

Construction of the Korean Peninsula logistics integrated logistics infrastructure, to strengthen more and more global production network in Northeast Asia. So there is the border, it is possible to develop economically, to no better than one system. In addition, stable development of Northeast Asia, these will be an important role to stabilize the North Korean regime, and to hasten the unification. Expansion of infrastructure is a business very important in unification. Expansion of the infrastructure is able to reduce the costs uniform, promptly realize the unified benefits. First, you need to activate economic cooperation and North-South trade. You must connect the integrated transport path of the land, sea and air. It must be connected to the first So are disconnected, the distribution network of north-south. You must work in transport mode for each distribution network that spans North and South Korea. Must be constructed by mutual cooperation of the operating system. You need to bind to each other station, harbor, from the airport railway of North and South Korea, road, shipping and aviation network. In the land transport sector, there is a need to restore the severed section of the railway and the north-south road. Modernization of railway roads and facilities of North Korea is required. Thus, integration of north-south transportation system needs. In addition, the integrated logistics information system of the north and south, the integration of logistics management and operation system is required. Needs to be improved to match the international practice the logistics related laws and regulations of North Korea. There is a need to smooth the flow of logistics and to improve the strategic materials management system. Be constructed of the Korean Peninsula intermodal transport network, which is the construction of integrated logistics infrastructure of the Korean Peninsula.

동북아 복합운송경로 선호에 관한 실증적 연구

박호신(Ho-Shin Park),이상옥(Sang-Ok Lee),이기웅(Gi-Woong Lee) 한국관세학회 2009 관세학회지 Vol.10 No.4

Every country including Korea is under drastic economic restructuring having faced an unprecedented economic crisis and searches for the optimal trade strategy that would meet the needs of the new market in the information age. Then it is hard to overemphasize the importance of the efficient combined transportation network that would place Korea as the center of the Northeast Asian distribution in our attempt to restart the Korean economy. To this end of constructing the Northeast Asian combined transportation network in Korea, this study analyzes the expense, duration, and convenience of various combined transportation networks such as the sea-land combined network of train and ferry and the Sea&Air combined network in relation to the land bridge based on Trans-Korea Railways(TKR). The empirical analysis proves that big corporations with heavy traffic prefer the shortest route. They also show preference to the land (Railways) transportation which brightens the prospect of the combined transportation network based on TKR. Also, the traffic is likely to be heavier when the route is shorter in the construction of the combined transportation network and the railroad-ferry connection that can minimize the transfer-shipment is to be utilized highly.

FTA활용을 통한 인천경제 활성화 방안에 관한 연구

박호신(Ho-Shin Park) 한국무역연구원 2013 무역연구 Vol.9 No.3

Incheon should take advantage of geopolitical location and FTA. Through this, Incheon can be activated the economy. The strengths of Incheon are the central city of Northeast Asia, retention of national industrial complex and key industry, for example, automotive, semiconductor, steel, petrochemical industry, etc. Opportunities for Trade and Environment in Incheon are tendency global economic recovery, KOREA-EU FTA, KOREA-USA FTA and activate trends in processing trade. Effective use of the FTA is required in order to take advantage of economic development in Incheon. Through this, Incheon can develop international competitiveness. Incheon should promote development through the processing trade and using FTA business model. As a result, Incheon is needed to build East-Asian production network through the parts and materials industry. Incheon may need to promote industry and products through trade with the United States and EU countries.

중국 수출입세금제도의 문제점과 한국의 대응전략

박호신(Ho-Shin Park),홍승린(Seung-Lin Hong) 한국관세학회 2010 관세학회지 Vol.11 No.4

This China's economy has been changing from the structure of the socialist planned economy to an open economy and China has always protected its trade. In particular, the appropriate level, in order to reduce imports, encourage exports, China will be ready to apply the restrictions within the scope of Range of international rules. And in order to prepare, Korea's export enterprises, should be well prepared to the Chinese customs system and the Chinese authorities on foreign currency management. Korea's export enterprises, should be well prepared to documentation related to duty paid and prepared for the commodity inspection. In addition, advantage of China's tariff reduction scheme and better promotion of the processing trade policy benefits should never be missed. And management does well, to avoid customs duty disputes with customs. In this study, China's customs, tax and excise policy and operations research, and problems are pointed out. And proposes countermeasures can help substantially Korea's enterprises.

눈물길 조영검사 시 양측 안 와 사위 상 획득의 유용성에 대한 연구

박좌우,이범희,박승환,박수영,정찬욱,류형기,김호신,Park, Jwa-Woo,Lee, Bum-Hee,Park, Seung-Hwan,Park, Su-Young,Jung, Chan-Wook,Ryu, Hyung-Gi,Kim, Ho-Shin 대한핵의학기술학회 2014 핵의학 기술 Vol.18 No.1

눈물길 조영검사 시 눈물기관 해부학적 구조의 다양성, 눈물길기형, 검사 중 발생하는 유루증과 같은 경우 전면상 외에 코 안으로의 배출을 좀 더 자세히 표현해낼 수 있으며, 유루증과 코 눈물관으로의 배출을 구별할 수 있는 방법의 필요성을 생각해 보았다. 이에 전면상 지연 촬영 외에 양측 안 와 사위상을 획득하는 방법의 유용성에 대해 알아 보고자 하였다. 2013년 1월부터 2013년 8월까지 눈물길폐쇄로 인한 유루증을 주소로 하는 78명의 환자를 대상으로 하였다. 평균나이는 $56.96{\pm}13.36$세였다. $^{99m}TcO4^-$ 3.7 MBq (0.1 mCi)을 $10{\mu}L$ 씩 마이크로피펫을 이용하여 양 안 하결막낭에 1-2방울 점안 후 1분 씩 20frame, 20분 간 동적 검사를 시행 하였다. 동적 검사 직후 양 안에서 코 안으로 배출이 확인되는 경우는 즉시 사위상을 획득하였고 어느 한쪽의 안 와라도 배출이 보이지 않는 경우 40분 뒤 전면상으로 확인 후 안 와 사 위상을 획득하였다. 검사 시 사용한 장비로는 Pin-hole Collimator를 장착한 Gamma Camera (Siemens Orbiter, Hoffman Estates, IL, USA)장비를 사용하였다. 실험대상 78건의 영상 중 전면상에서 코 안으로의 배출이 확인되었던 환자는 35명이었다. 그 중 양 안 모두에서 코 안으로 배출을 보인 환자는 15명이었고 양 안 8명, 좌 안 2명, 우 안 1명에서 사위상을 통해 보다 나은 배출 양상 관찰이 가능하였다. 좌 안 및 우 안에서 배출이 있었던 환자는 20명이었고 10명이 전면상에 비해 명확한 배출을 보여 주었다. 그 외 배출 가능성이 있는 환자는 13명이었으며 코 눈물관으로의 추적자이동이 보이지 않은 환자는 30명이었다. 기술통계 결과 총 35명 중 21명(60%)이 사위상 추가 촬영으로 전면상보다 뚜렷한 배출 양상을 나타내었다. 배출 감별유용성에 관한 Likert 5점 척도 blind test를 통해 사위상 획득이 전면상에서 자세히 보이지 않는 부분을 나타내 줌으로써 배출 유무 확인이나 배출 지연, 코 눈물관 폐쇄를 진단하는 데 도움이 된다고 응답하였다. 또한 유루증 발생시 코 눈물관으로의 배출과 피부로의 흘림을 구별할 때 사위상이 전면상에 비해 구별능이 높다고 응답하였다(전면상:$4.14{\pm}0.3$, 사위상:$4.55{\pm}0.4$). 눈물길 조영검사 시 양측 안 와 사위상을 전면상 이외에 추가적으로 획득한다면 전면상에서 충분히 보여주지 못하는 영역의 검사가 가능하여 코 눈물관 이후로의 배출 유무를 확인하고 피부에서 유루증의 흐름을 코 눈물관과 구별하는 데 용이하기에 판독의 진단능을 높일 수 있을 것이라 사료된다. Purpose: Diversity and the lachrymal duct deformities and the passage inside the nasal cavity except for anterior image such as epiphora happens during the test were able to express more precisely during the dacryoscintigraphy. Also, we thought about the necessity of a method to classify the passage into the naso-lachrymal duct from epiphora. Therefore, we are to find the validity of the method to obtain both oblique views except for anterior views. Materials and Methods: The targets of this research are 78 patients with epiphora due to the blockage at the lachrymal duct from January 2013 to August 2013. Average age was $56.96{\pm}13.36$. By using a micropipette, we dropped 1-2 drops of $^{99m}TcO4^-$ of 3.7 MBq (0.1 mCi) with $10{\mu}L$ of each drop into the inferior conjunctival fold, then we performed dynamic check for 20 minutes with 20 frames of each minute. In case of we checked the passage from both eyes to nasal cavity immediately after the dynamic check, we obtained oblique view immediately. If we didn't see the passage in either side of the orbit, we obtained oblique views of the orbit after checking the frontal film in 40 minutes. The instrument we used was Pin-hole Collimator with Gamma Camera(Siemens Orbiter, Hoffman Estates, IL, USA). Results: Among the 78 patients with dacryoscintigraphy, 35 patients were confirmed with passage into the nasal cavity from the anterior view. Among those 35 patients, 15 patients were confirmed with passage into the nasal cavity on both eyes, and it was able to observe better passage patterns through oblique view with a result of 8 on both eyes, 2 on left eye, and 1 on right eye. 20 patients had passage in left eye or right eye, among those patients 10 patients showed clear passage compared to the anterior view. 13 patients had possible passage, and 30 patients had no proof of motion of the tracer. To sum up, 21 patients (60%) among 35 patients showed clear pattern of passage with additional oblique views compared to anterior view. People responded obtaining oblique views though 5 points scale about the utility of passage identification helps make diagnoses the passage, passage delayed, and blockage of naso-lachrymal duct by showing the well-seen portions from anterior view. Also, when classifying passage to naso-lachrymal duct and flow to the skin, oblique views has higher chance of classification in case of epiphora (anterior:$4.14{\pm}0.3$, oblique:$4.55{\pm}0.4$). Conclusion: It is considered that if you obtain oblique views of the bilateral orbits in addition to anterior view during the dacryoscintigraphy, the ability of diagnose for reading will become higher because you will be able to see the areas that you could not observe from the anterior view so that you can see if it emitted after the naso-lachrymal duct and the flow of epiphora on the skin.

자유무역협정을 활용한 물류활성화 방안 연구

박호신(Ho-Shin Park) 한국관세학회 2011 한국관세학회 학술대회 Vol.2011 No.12