나의 인생회고(人生回顧) : 8년간 점심도 끊고 술도 끊었다

이상형 평화문제연구소 1984 통일한국 Vol.15 No.-

뇌하수체선종의 경접형동 미세수술에 대한 임상적 분석

이상형,이승훈,정희원,김현집,한대희,심보성,최길수,민양기,민헌기 대한신경외과학회 1988 Journal of Korean neurosurgical society Vol.17 No.2

Anthor reviewed the 102 cases of pituitary adnomas treated via transsphenoidal adenomectomy from August 1977 to July 1987, at the Seoul National University Hospital. The results obtained were as follows : 1) Male to female ratio of pituitary adenoma treated by TSA was 1 : 1.6. 2) Seventy-five cases(74%) of pituitary adenomas were functioning(endocrine-active)adenomas and twenty-seven cases(26%) were nonfunctioning cendocrine-inactive). Functioning adenomas were composed of prolactin-secreting adenoma(47%), GH-secreting adenoma(25%) and ACTH-secrting adenoma(6%). 3) According to radiologic classification, intrapituitary adenoma(Grade Ⅰ)was 4%, intrasellar adenoma(Grade Ⅱ)54%, diffuse adenoma(Grade Ⅲ)30% & invasive adenoma(Grade Ⅳ)12%. 4) There was a significant relationship between prolactin value and size of prolactin-secreting adenoma, but no significant relationship was foung between h-GH value and size of GH-secreting adenoma. 5) In prolactin-secreting adenoma, microsurgical removal of the tumor follwed by bromocriptine administration was the most effective treatment modality. 6) In GH-secrting adenoma, decrease of fasting h-GH value was obtained more effectivly in cases who under went surgery plus radiation therapy than in cases with surgery alone. 7) In prolactin-secreting adenoma and GH-secreting adenoma, there was no relationship between degree of decrease in hormone values after TSA and size of the adenoma. 8) Improvement in visual acuity and visual field defect after TSA was obtained in 32% of all pituitary adenomas. There was no operative mortality and complications after TSA were accompanied in 40% of all cases, majority of which were a transient diabetes insipidus.

뇌동정맥기형의 치료에 있어서 색전술의 역할 : Experience of 15 Cases

이상형,김봉수,심기범,성정남,박인성,한문희,한대희 대한신경외과학회 1993 Journal of Korean neurosurgical society Vol.22 No.2

The authors report the results of treatment in 15 patients with intracranial arteriovenous malformations(AVM's) who underwent embolization with n-butyl cyanoacrylate(NBCA) and poly vinyl alcohol(PVA) particle between March. 1990 and August. 1992 at Seoul National University Hospital and discuss about role of endovascular treatment in the management of intracranial AVM' s. Seven patients(46.7%) had pre-operative embolization, microsurgery was done in six patients and radiosurgery was done in one patient In patients with pre-operative embolization. endovascular treatment had helped microsurgery in dissection, diminution of blood transfusion, and shorter time of surgery. AVM's of two patients(l2.5%) were totally occluded by embolization alone. But they had morbidity after embolization due to inadvertent occlusion. AVM's of six patied40 % were partially occluded and recurrence of previous symptoms bleeding revascularization, increase of AVM nidus developed during follow up. It is concluded that role of endovascular treatment is in tracranial AVM's ajuvant. definite, palliative. Except surgical resection after embolization, embolization alone should be done very cautiously in definite and palliative treatment.

뇌동맥류 파열에 의한 지주막하 출혈 환자에서 Nimodipine 치료에 대한 결과

이상형,한대희 대한신경외과학회 1994 Journal of Korean neurosurgical society Vol.23 No.11

In order to elucidate the clinical effectiveness of nimodipine treatment, we anayzed 322 consecutive patients with the aneurysmal subarachnoid hemorrhage operated between September, 1987 and December, 1991. The nimodipine treatment group of one hundred and forty-two patients(44.1 X ) was compared with the control group of one hundred and eighy patients(55.9X) treated without nimodipine during this period. The patients were randomly allocated to either group. The nimodipine was infused intravenously at 30ug/Kdhr for the first week beginning on the day of admission and then given orally at 36Omg/day for the following two weeks. Statistical anayses were done using the Student' s t-test and clinical variables were compared using the chi-square, Man-tel- Haenszel chi-square, two-tailed Fisher' s exact test. There was no difference in clinical and radiological variables known to influence the outcome of the disease, such as age, sex, presence of hypertension, history of previous subarachnoid hemorrhage, preoperative categorization by Hunt and Hess grade and Fisher' s classification, presence of hydrocephalus, location of aneurysm, multiplicity and vasospasm on preoperative angiography (p>0.05). The only difference was in the timing of surgery(p<0.05). The functional outcome, motality and morbidity, and mortality due to delayed ischemic deficits were not sigificantly different (p>O.OS, respectively). The number of patients with good functional recovery and the number of who developed delayed ischemic deficit(D1D) were not significantly different between the pups(p>O.O5), respectively. Nimodipine treatment did not improve the rate of good outcome in the aneurysmal subarachnoid hemorrhage in our study.

뇌종양에 의한 두개강내 출혈

이상형,왕규창,김종수,이선호,김현집,조병규,한대희,심보성,최길수 대한신경외과학회 1988 Journal of Korean neurosurgical society Vol.17 No.5

919 consecutive brain tumor cases and 665 consecutive spontaneous intracranial hemorrhage cases were reviewed for the analysis of cases in which spontaneous intracranial hemorrhage caused by brain tumor was confirmed with gross operative findings. Authors analyzed their incidence, patients' demography, tumor histology, clinical symptoms and signs, predisposing factor, tumor vascularity, type of hemorrhage, relations between the clinical symptoms and signs and the type of hemorrhage, relations between the location of tumor and the type of hemorrhage and the outcome of treatment. The conclusions are as follow ; 1) The proportion of the hemorrhage caused by brain tumor to the total spontaneous intracranial hemorrhage was 5.1%(34/665). 2) The proportion of the spontaneous intracranial hemorrhage caused by brain tumor to the total brain tumor was 3.7%(34/919) and the proportion of that excluding pituitary adenoma was 2.5% (18/729). 3) Compared with the other brain tumors, oligodendroglioma and pituitary adenoma had significant tendency of hemorrhage (p<0.05, p<0.01, respectively) and meningioma had a significantly low incidence of hemorrhage(p<0.05). 4) The hemorrhage brought about major symptoms in 13 cases(72%), minor symptoms in 2 cases (11%). Three cases showed no symptoms related to the hemorrhage. 5) Among the 18 cases of spontaneous intracranial hemorrhage caused by brain tumor, one case with the major attack died of postoperative pneumonia. There were additional 2 motalities which were not related to the preoperative hemorrhage. And most of the symptoms associated with the preoperative hemorrhage stabilized or improved with operative treatment.

다문화주의와 인정의 정치

이상형 대동철학회 2020 大同哲學 Vol.92 No.-

이 글의 목적은 현대 다문화주의의 이론적 정당성을 탐구하고, 이에 대한 결론으로 새 로운 이론적 토대에 다문화주의를 정초하고자 하는 것이다. 지금까지 많은 다문화주의 옹 호자들은 자유주의나 공동체주의 맥락에서 다문화주의를 전개, 변용, 발전시켜 왔지만 오 늘날 이런 사상적 흐름은 이론적 측면에서나 현실의 다양한 맥락에서 비판받고 그 유용성 이 의심받고 있다. 1970년대 이후 다문화주의가 소수자 문제를 제기하며 사회의 실질적 평등을 위한 대안적 또는 보완적 이론으로 각광받아 왔으나, 2000년대 이후 다양한 영역 에서 다문화주의 실패가 선언되고 있다. 이런 다문화주의에 대한 비판에 직면하여 필자는 이런 원인을 지금까지의 다문화주의가 자유주의나 공동체주의의 한 측면만을 강조하여 다 문화주의가 추구하고자 하는 다양성과 사회적 통합이라는 이중적 가치를 제대로 실현하지 못했음을 지적하고자 한다. 따라서 필자는 먼저 다문화주의 실패에 대한 대응을 자유주의 자인 윌 킴리카의 자유주의적 다문화주의와 공동체주의자인 찰스 테일러의 공동체주의적 다문화주의에서 살펴보고자 한다. 그 후 각각의 이론이 다양성과 통합이라는 다원주의의 가치를 제대로 실현하지 못함을 지적하고 이를 종합한 이론적 토대에서 현대 사회에 적절 할 수 있는 다문화주의 이론의 방향을 제시하고자 한다. This paper aims at a theoretical justification for multiculturalism. Since the 1970s, multiculturalism has been recognized in the West as a new political idea for social integration. However, the recognition of diversity advocated by multiculturalism has led to division and discrimination rather than social integration. Thus, failures of multiculturalism have been declared in Europe since the 2000s. This reflects the situation in which multiculturalism is in trouble theoretically and practically. Therefore, I want to reflect on this multiculturalism situation and seek for a version of multiculturalism that can combine recognition of diversity and social integration. To this end, we will first examine liberal philosopher Will Kymlicka's claim of liberal multiculturalism and communitarian philosopher Charles Taylor's multiculturalism. These two philosophers aim to respond to the failure of multiculturalism in the view of synthesizing liberalism and communitarianism. However, my position is that both liberal and communitarian multiculturalism theories have limitations. Therefore, I will need recognition of multi-identity and interculturalism to overcome the difficulties of multiculturalism and to justify the theory of multiculturalism. Multiculturalism should continue to spread for recognition of diversity and social integration.

결혼이주여성의 부적응과 불교에서의 다문화 교육에 대한 소고

이상형,김종일 동아시아불교문화학회 2018 동아시아불교문화 Vol.0 No.36

This study focuses on immigrant women with the highest proportion of naturalization among foreigners staying in Korea for a long term. In particular, immigrant women from East Asia, a religion of Buddhism, are not well adapted to Korean society with high Buddhist culture. Also, religious order of Buddhism and Buddhists showed a lower interest in immigrant women compared to other religions. Immigrant women are exposed to problems such as stress of high cultural adaptation, confusion of identity, experiences of discrimination and disrespect. In order to address these problems, this study suggested a goal of multicultural education of Banks and also suggested ‘enhancement of self-understanding', 'choice of cultural, ethnic and linguistic alternatives’, and 'reduction of suffering and discrimination' as solutions. In addition, ‘zen practice’, ‘experience of Barugongyang’, and ‘music festival in temple’ were suggested as method of education in Buddhism in order to realize the goals of multicultural education in Banks. In particular, a hybrid multicultural education was suggested through ‘participation’, ‘experience’, and solidarity’ by considering the characteristics of immigrants living with Koreans in Korean society. Therefore, the methods of multicultural education through the Buddhist activities proposed in this study are expected to play an important role for immigrant women in maintaining a high affinity for Buddhism as well as reduction of stress, establishment of identity, and reduction of suffering caused by discrimination. 본 연구는 국내에 장기체류하는 외국인 중에서 귀화하는 비중이 제일 높은 결혼이주여성에 주목한 연구이다. 특히 결혼이주여성의 경우 불교가 종교인 동아시아 출신 여성들이 많지만 불교 교세가 높은 한국 사회에서 잘 적응하지 못하고 있는 것에 주목했다. 또한 불교 종단과 불교 신도 역시 결혼이주여성에 대한 관심이 다른 종교와 비교할 때 낮았다. 결혼이주여성은 높은 문화적응 스트레스, 정체성의 혼란, 차별과 비존중의 경험 등의 문제에 노출되어 있다. 본 연구는 이를 해결하기 위해서 Banks의 다문화 교육 목표를 제안하고 이 목적 중에서 ‘자기이해의 증진’, ‘문화적·민족적·언어적 대안과 선택’, ‘고통과 차별의 감소’를 해결책으로 제안했다. 그리고 Banks의 다문화 교육의 목적을 실현하기 위한 불교에서의 교육방법으로 ‘선 체험’, ‘발우공양 체험’, ‘산사 음악회’를 제시하고 그 근거와 운영 방법을 제안했다. 특히 한국 사회에서 한국인과 함께 생활해야 하는 이주민의 특성을 고려해서 ‘참여’, ‘체험’, ‘연계’를 통해 융합적으로 다문화 교육을 실시할 것을 제안했다. 본 연구에서 제안한 불교의 활동을 통한 다문화 교육 방법은 결혼이주여성에게 스트레스의 감소와 정체성의 확립, 차별로 인한 고통 감소뿐만 아니라 불교에 대한 높은 호감을 유지하는데 중요한 역할을 할 것으로 기대된다.

양측 측두엽의 Delayed Radiation Necrosis : 증례보고 A Case Report

이상형,이선호,정희원 대한신경외과학회 1988 Journal of Korean neurosurgical society Vol.17 No.2

The incidence of delayed radiation necrosis is reported to be 0.5% to 5%. Recently, the incidence of delayed radiation necrosis has been increasing due to three major causes. Firstly, the radiation dose is increasing to treat malignant brain tumors aggressively. Secondly, new diagnostic tools such as high resolution brain CT and magnetic resonance imaging enable the precise detection. Finally, survival time after radiation therapy is prolonged so that delayed radiation effect comes out. We experienced one case of delayed radition necrosis at the temporal lobes after total 11,000 rads irradiation for nasopharyngeal cancer. We report this case with brief reviews of the articles.

Denitrification and Dephosphatation by DPB at the Anoxic Stage on BNR Process

이상형,신항식 대구대학교 환경기술연구소 2005 미래환경기술 Vol.1 No.2

The denitrification activity of DPB at the anoxic stage was investigated by analyzing organic and nitrogen balances at the selected internal recycle ratios. Moreover, for verification of the microbial community, the identification of microbiology accomplished using the PCR-DGGE method. As the internal recycle ratio increased 1 to 3, the amountsof anoxic phosphorus uptake and nitrate reduction rate increased due to the improved activity of DPBs in the anoxic state. In batch test, the nitrate removal efficiencies by denitrifiers and dephosphatation by DPBs were 76 % and 24 % of total nitrate removal efficiency, respectively. Most PAO species from the sludge using synthetic wastewater were affiliated with the beta subclass of the Proteobacteria. The species detected belonged to two genera: Dechloromonas and Rhodocyclus. However, Acinetobactersp., Aeromonas sp. and Pseudomonas sp., which historically have been considered dominant in phosphorus removing sludge communities, were not detected.

Pleomorphic Xanthoastrocytoma 1례

이상형,이선호,김현집,한대희,심보성,최길수 대한신경외과학회 1988 Journal of Korean neurosurgical society Vol.17 No.5

The plemorphic xanthoastrocyotma has been known as a very rare type of glioma, which occurs mainly in the temporal lobe of the brain in young ages. It has distinctive characteristics regarding age, symptoms and signs, gross and microscopic features and relatively favorable prognosis despite of pleomorphism and bizarre giant cells in microscopic picture. The authors report a case of plemorphic xanthoastrocytoma presented with generalized seizure and review the past literatures.