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      • KCI등재

        토마스 만과 베르톨트 브레히트 : 독일 문제를 둘러싼 양자의 갈등을 중심으로 In Bezug auf die Konflikte zwischen Th. Mann und B. Brecht

        홍성광 한국괴테학회 2003 괴테연구 Vol.0 No.15

        Leider hatten die beiden deutschen literarischen Gro¨Ben, Th. Mann und Brecht keine gute Beziehung zueinander. Brechts Abneigung gegen Th. Mann hatte eine Vorgeschichte, die in die Zeit der Republik zuru¨ckreichte. 1926 hatte er sich o¨ffentlich u¨ber Th. Mann und dessen Sohn Klaus lustig gemacht. Neben dem Literarischem kulminiert die Feindschaft zwischen Th. Mann und Brecht in ihrer Auffassung vom sozialen Reformismus. Th. Mann preist 'New Deal' des Pra¨sidenten Roosevelt als Aktion planwirtschaftlicher Sozialreform. Brecht lehnt jeden Ru¨ckfall in utopischen Sozialismus. Nach Brechts Meinung sei Th. Mann nicht an einer Vera¨nderung gesellschaftlicher Umsta¨nde interessiert. Nach anfa¨nglichen Kontakten zwischen Brecht und Th. Mann in Amerika zerbricht die Bekanntschaft im Jahre 1943 aufgrund fundamentaler Meinungsdifferenzen in der Beurteilung der Lage in Deutschland nach dem Krieg und auch in Bezug auf die Haltung der Schriftsteller im amerikanischen Exil. Die beiden Gro¨Ben einigten sich nicht u¨ber die Frage, ob Exilierten die ku¨nftige allierte Deutschlandpolitik zu beeinflussen versuchen sollten. Und Brechts Bitterkeit gegenu¨ber Th. Mann, die man auch bei anderen Exilautoren findet, ru¨hrte zu einem groBem Teil daher, daB sie einen Unterschied spu¨rten zwischen der Aufnahrne Th. Manns in Amerika und ihrer eigenen. Auf jeden Fall war Manns politische Haltung die eines reformistischen Sozialdernokraten, der sich nach links hin nicht verschlieBen wollte, aber zugleich sich davor hu¨tete, kommunistisch manipuliert zu werden. Manns Grenze war, daB er dazu neigte, Deutschland mit dem Bildungsbu¨rgertum zu verwechseln. Fu¨r Brecht wiederum war das deutsche Volk ausschlieBlich die Arbeiterklasse.

      • 한국에서 메니에르병의 치료 방침에 대한 다기관 연구

        홍성광,고의경,김규성,박경호,박홍주,안성기,안중호,이원상,임기정,정재윤,정원호,한규철,채성원,구자원 대한평형의학회 2008 Research in Vestibular Science Vol.7 No.2

        Background and Objectives: It is hard to determine the efficacy of several treatment options of Ménière’s disease since dynamic course of the disease and diverse rate of recurrence. Few modalities are regarded as ‘effective’ in the viewpoint of evidence based medicine. Study was conducted to know the current status of treatment options for Ménière’s disease.Materials and Methods: A multicenter survey was conducted using questionnaires to collect information on current status of treatment patterns in Ménière’s disease. The questionnaire answered by neurotologic surgeons working at 12 institutes in Korea was analyzed. Results: Low salt diet was always instructed to their patients, but 8 out of 12 responders (67%) did not emphasis on the amount of dietary salt. Duration of pharmacotherapy was ranged from 3 to 12 months. Intratympanic steroid injection was performed in 8 institutes (67%). Every institute agreed on the role of intratympanic gentamicin application. Treatment options for intractable patients were asked. Endolymphatic sac surgery, intratympanic steroid, Meniette device and intratympanic aminoglycoside injection were answered in patients who hope to preserve residual hearing. On the contrary, in patients without serviceable hearing, intratympanic jnjection of aminoglycosides (9/12, 75%) dominated as the next treatment option. Conclusions: Most institutes provide similar patterns of practice in medical treatment. The application of intratympanic aminoglycoside is also agreed in intractable patients without serviceable hearing. However, thoughts about the role and detailed methods of the surgical and adjunctive treatment options were not agreed, especially in intractable patients with good hearing. Further clinical studies and discussions would be necessary to provide consensus for the best treatment of Ménière’s disease in Korea. Background and Objectives: It is hard to determine the efficacy of several treatment options of Ménière’s disease since dynamic course of the disease and diverse rate of recurrence. Few modalities are regarded as ‘effective’ in the viewpoint of evidence based medicine. Study was conducted to know the current status of treatment options for Ménière’s disease.Materials and Methods: A multicenter survey was conducted using questionnaires to collect information on current status of treatment patterns in Ménière’s disease. The questionnaire answered by neurotologic surgeons working at 12 institutes in Korea was analyzed. Results: Low salt diet was always instructed to their patients, but 8 out of 12 responders (67%) did not emphasis on the amount of dietary salt. Duration of pharmacotherapy was ranged from 3 to 12 months. Intratympanic steroid injection was performed in 8 institutes (67%). Every institute agreed on the role of intratympanic gentamicin application. Treatment options for intractable patients were asked. Endolymphatic sac surgery, intratympanic steroid, Meniette device and intratympanic aminoglycoside injection were answered in patients who hope to preserve residual hearing. On the contrary, in patients without serviceable hearing, intratympanic jnjection of aminoglycosides (9/12, 75%) dominated as the next treatment option. Conclusions: Most institutes provide similar patterns of practice in medical treatment. The application of intratympanic aminoglycoside is also agreed in intractable patients without serviceable hearing. However, thoughts about the role and detailed methods of the surgical and adjunctive treatment options were not agreed, especially in intractable patients with good hearing. Further clinical studies and discussions would be necessary to provide consensus for the best treatment of Ménière’s disease in Korea.

      • 양성돌발성두위현훈 양상의 현훈을 보이는 전정신경초종 1예

        홍성광,최효근,김지수,구자원 한국레이저가공학회 2008 한국레이저가공학회 학술대회 논문집 Vol. No.

        Vestibular symptoms of vestibular schwannoma (VS) can be diverse, though positional vertigo is relatively unusual in VS. We experienced a case with VS presenting positional vertigo mimicking BPPV. A failure of repeated particle repositioning maneuver and observation of atypical nystagmus during follow-up prompted authors to examine the brain through magnetic resonance imaging (MRI). Brain MRI revealed 3.5 mm sized right intracanalicular VS. Diagnostic test showed grossly normal except abolished vestibular evoked myogenic potential response of right side. The patient had been followed-up over 3 years with tests repeated annually. In conclusion, VS may present positional vertigo with positional nystagmus. Ephaptic transmission which may be initiated and changed by head position or partial loss of vestibular tone from inferior vestibular nerve can be suggested as possible mechanisms. Radiologic evaluation should be considered for those patients who showed intractable positional vertigo or atypical positional nystagmus.

      • KCI등재후보

        Reliability of Air Caloric Response in Healthy Volunteers and Patients With Chronic Otitis Media

        홍성광,김지수,최진웅,구자원 대한평형의학회 2012 Research in Vestibular Science Vol.11 No.1

        Background and Objectives: To investigate reliability of the air caloric test compared to the water caloric test and to determine whether anatomical alterations due to chronic otitis media (COM) influence air caloric response. Materials and Methods: Fifty-six subjects without vestibulopathy (24 healthy individuals as control group and 32 patients with unilateral COM as experimental group) were included. The bithermal water and air caloric test were sequentially conducted in control group. The bithermal air caloric tests, high-resolution temporal bone computed tomography and endoscopic photography of the ear drum were obtained from experimental group. Results: Although maximal slow phase velocities and time to reach peak velocity using water irrigation were significantly higher and shorter, respectively, than those by air irrigation in normal subjects, caloric parameters on air caloric test agreed well with those of water caloric testing. However, inverted nystagmus occurred in 16 ears of 16 subjects, which was predominantly presented during warm air stimulation in the com patient group. The large tympanic membrane perforation and asymmetrical mastoid pneumatization were significant parameters affecting caloric response. The presented prediction model for cold-induced mspvs corresponded with observed values according to mastoid pneumatization. Conclusion: Although the air caloric stimuli resulted in a reliable response in healthy subjects, air caloric results among com patients affected by anatomical alteration as well as irrigation temperature. Presented mathematical model for cold induced mspv could serve as a good reference in measuring true vestibular function in com patients.

      • KCI등재

        토마스 만의 작품에서 나타나는 에로틱한 양상들

        홍성광 한국독어독문학회 1988 獨逸文學 Vol.41 No.1

        Diese Arbeit behandelt Eros und die erotische Ironie in Werken Thomas Manns, besonders in 「Tonio Kro¨ger」, 「Der Tod in Venedig」, 「Der Zauberberg」 und 「Doktor Faustus」. Im Gegensatz zu den anderen Autoren erscheinen die mann-ma¨nnliche Beziehung und die mann-weibliche Beziehung in seinen Werken auf besondere Weise. In seinen Werken beherrscht die verlorene Liebesmu¨he. Ich will dieses Phanomen Eros ergru¨nden. Thomas Mann meint, Eros ist eine ho¨chst verschlagene, gebrochene Liebe, eine Leidenschaft mit Vorbehalten. Man hat Eros bestimmt als die Bejahung eines Menschen, abgesehen von seinem Wert, Das ist keine sehr geistige, keine sehr moralische Bejahung, und auch die Bejahung des Lebens durch den Geist iat das nicht. Sie ist ironisch. Immer war Eros ein Ironiker. Die romantisch Ironie hebt durch Absolutsetzung des Subjets das Objekt teilweise auf, Bei Th. Mann dagegen ist die Ironie ein Mittel zur Selbзterhaltung durch Distanzierung des Ichs von der Daseinsgefa¨hrdung, Die Herkunft dieses Eros, der so gefa¨rbten Erotik ist unschwer aus Th. Manns Begegnung mit Wagner und Schopenhauer zu erkennen, Thomas Mann erlebt den Begriff des Willens als Erotik und erkennt die geistige Quelle der Tristanmusik in der Erotik,

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