케타민과 리도카인으로 시행한 소아 탈장 수술 2,230명

주종수,주현호,주인호,Joo, Jong Soo,Joo, Hyun Ho,Joo, In Ho 대한소아외과학회 2013 소아외과 Vol.19 No.2

Ketamine is a safe and effective drug for pediatric anesthesia, sedation and analgesia. We hoped to identify that surgeons could operate a pediatric hernia with the ketamine anesthesia without general anesthesia. The study was a consecutive case series of 2230 inguinal hernia patients aged 1 months to 17 years in a Joo's day-surgical clinic during 11-year period. The patients had pediatric inguinal hernia surgery without general anesthesia under the day-surgery system. We retrospectively analyzed the medical record of patients who were registered with the Diagnosis Related Group (DRG) system. All patients received ketamine (5mg/kg) and atropine (0.01mg/kg) intramuscularly before surgery. After anesthesia, we injected 1~2% lidocaine (Less than 5ml) subcutaneously at the site of incision and started operation. The surgical method was the high ligation method of the hernia sac.) In total 2230 patients, male were 1756 and female were 474. 2076 patients were a unilateral inguinal hernia at the time of surgery and 154 were bilateral hernia patients. Less than three months, depending on the age of the patients was 391, and less than 12 months the patient was 592 people (26.5%). After surgery, there were no accidents or long term complications associated with ketamine anesthesia. We think the surgeon can safely do the pediatric inguinal hernia surgery using ketamine and lidocaine without anesthesiologist through 11 years of our surgical experiences.

‘게으르고 나태한’ 조선을 개조하기: 대한제국 시기 문명개화에 대한 일고찰

주현호(Joo, Hyun-Ho) 영남대학교 인문과학연구소 2022 人文硏究 Vol.- No.99

본 논문은 대한제국 시기에 발행된 신문들에 보이는 ‘게으르고 나태한 조선인’ 담론을 통해 당시 조선 사회가 문명개화, 애국계몽, 자강, 진보, 민족주의 등과 같은 시대적 가치들에 대해 어떻게 인식하고 어떤 방식으로 대응해 나갔는지를 살펴본다. 먼저 본 논문은 중국중심 유가문명에서의 탈피가 가지는 함의를 살펴보고, 중국과의 문화적 단절이 개인과 국가의 발전을 위한 노동에 대한 권고로 이어지는 논리를 추적한다. 그 후 본 논문은 체육과 운동의 중요성에 대한 강조를 근대적 신체에 대한 자각이라는 관점을 통해 분석하며, 개인의 신체단련이 부국강병이라는 시대적 과제와 연결되는 논리를 규명한다. 끝으로 본 논문은 ‘게으르고 나태한 조선인’ 담론에 대해 보다 면밀하고 비판적인 접근이 필요함을 지적한다. 즉 조선 사람들이 게을러 일하기 싫어한다는 당시 사회풍조에 대한 비판은 일반 백성보다는 양반계층을 향해야 하며, 이 담론이 서구중심적 시각을 내포하고 있고 또한 이 담론에 조선의 식민화를 위해 조선인의 열등성을 강조한 일제의 부정적 조선관이 반영되어 있기 때문에 이에 대한 비판적 접근이 요구된다. By closely examining the discourse of “lazy Koreans,” circulated through Korean newspapers during the period of the Empire of the Great Han (1897-1910), I examine the ways Korean society at that time coped with the newly imported Western values relating to the ideas of civilization and enlightenment, progress, nationalism, etc. I first examine the importance of Korea’s cultural detachment from China and China-centered Confucian civilization and then investigate the newspapers’ assertion of Korea’s cultural detachment from China to encourage Korean people to work hard not only for each individual’s well-being but also for nation building. Next, I focus on the newspapers’ emphasis on physical education as a means to make each Korean healthy and to make the Korean nation wealthy and strong. I then point out the importance of a critical approach to the analysis of the “lazy Koreans” discourse, as the discourse reflects a Western-centered view of Korean society and is tinged with the Japanese colonial view of Korea.

Rethinking China-Centered Culturalism and the Tribute System from an East Asian Perspective

Joo Hyun ho(주현호) 서강대학교 인문과학연구소 2016 서강인문논총 Vol.0 No.45

중국중심적 문화주의는 이민족들과의 지속적인 접촉과 대립을 통해 형성된 중국 지배층의 세계관이라고 할 수 있다. 북방의 유목민, 남방의 소수민족 등에 둘러싸인 중원에 기반을 둔 중국의 초기 왕조 지배층은 자신들이 주위 이민족들보다 근본적으로 우월하고, 자신들의 우월함은 한족문화와 문명의 우수성에 기인한다는 믿음을 발전시켰다. 그들은 자신들 문화의 우수성에 대한 자신감을 바탕으로 중국을 세계의 중심으로 여기는 동시에 주위 이민족들을 문화주의의 권역 안으로 포섭해 나가며 공존을 모색했다. 중국과 동아시아 각국의 국제관계에 있어 큰 역할을 담당했던 조공제도는 이러한 중국중심적 문화주의에 기반을 두고 있었다. 조선은 17세기부터 19세기에 걸친 200년이 넘는 기간 동안 청의 주요 번속 중의 하나로 청을 중심으로 한 문화주의적 동아시아 세계관 구축에 큰 역할을 담당했다. 본 논문은 서구중심적 및 중국중심적 시각을 비판하는 동시에 국가의 경계를 넘어서는 초국적 시각 및 접근법의 중요성을 강조하며, 중국중심적 시각에서 주로 논의되어 왔던 문화주의와 조공제도를 중한관계를 바탕으로 한 동아시아적 시각을 통해 새롭게 분석한다. Sino-centric culturalism has been regarded as a traditional Chinese worldview that evolved from China’s long history of contact and struggle with its so-called barbarian neighbors. In particular, being confronted by northern nomads and southern aborigines, the Chinese ruling elites developed the idea that they were superior to the surrounding barbarians and that their superiority was primarily based on their advanced culture and civilization. Based on culturalist confidence, they deemed China to be the center of the world and claimed to live in great harmony with the so-called surrounding barbarians, imparting themselves the mission to convert the uncivilized peoples to civilization by educating them through Confucian principles. In its foreign relations, China’s advocacy of the culturalist worldview was reflected in the tribute system. The Chinese dynasties had designed the tribute system over time to embrace foreign countries, particularly in the East Asian region, into the framework of China-centered culturalism. Chosŏn Korea was the most consistent and loyal tribute-paying country to Qing China for more than two hundred years, until the Sino-Japanese War of 1894-95 ended the Sino-Korean tributary relationship. This paper emphasizes the importance of taking an East Asian, trans-national perspective, and challenges China-centered understanding of culturalism and the tribute system by placing the late Qing Chinese history within the broader context of Sino-Korean inter-state relations.

The Collapse of Self-Seduction and Colonial Mimicry: An Analysis of the Film M. Butterfly Compared to Its Earlier Versions

주현호(Hyun-ho Joo) 한국외국어대학교 외국문학연구소 2022 외국문학연구 Vol.- No.88

본 논문은 데이비드 크로넨버그 David Cronenberg의 1993년 영화 「엠. 버터플라이 M. Butterfly」를 존 루터 롱 John Luther Long의 1898년 단편소설 「마담 버터플라이 Madame Butterfly」 등과 비교 분석한다. 이를 통해 오리엔탈리즘 및 서구 식민주의에서 보여지는 서양과 동양, 백인과 유색인종, 남성과 여성, 이성애와 동성애, 식민주의의 지배자와 피지배자 등에 대한 이분법적 사고를 전면 재검토한다. 본 논문은 먼저 「엠. 버터플라이」에 등장하는 주요 인물 및 그들의 관계가 어떤 방식으로 이러한 이분법적 사고에 저항하고 있는지를 「엠. 버터플라이」가 부분적으로 기반하고 있는 「마담 버터플라이」와의 비교를 통해 밝힌다. 그 후 ‘자기유혹,’ ‘자기기만,’ ‘식민적 모방,’ ‘제3의 공간’ 등의 개념을 사용해 「엠. 버터플라이」 주인공들의 다층적 정체성과 그들 사이의 복잡한 관계망을 심층 분석하며, 결론적으로 이 영화에서 보여지는 오리엔탈리즘적 이분법에 대한 저항이 한계를 노정하고 있음을 규명한다. Through an in-depth analysis of the main characters and their relationship inDavid Cronenberg’s film M. Butterfly compared mainly to those in John LutherLong’s short story “Madame Butterfly,” this paper affords us a renewedunderstanding of the Orientalist hierarchy between the West and the East.The paper argues that, by constructing the multilayered identities of andcomplicated relationship between the main characters, René Gallimard andSong Liling, who cross the gendered and racially defined boundaries, thefilm deals critically with the Orientalist view of the West toward an Easternfeminine love, in which a beautiful, submissive Eastern woman is selflesslydevoted to a Western man. Using the ideas of self-seduction,self-deception, colonial mimicry, the Third Space, etc., the paper also pointsout the limitations of their crossing of the boundaries. That is, Gallimardcontinues blindly fantasizing about Oriental femininity to the end of the filmand Song’s deception and manipulation of Gallimard and his threats toGallimard’s superior position do not allow him to form a mutual partnershipwith Gallimard.

Returning to the Past to Confront the Present

朱賢鎬(Joo, Hyun-ho) 중국어문학연구회 2013 중국어문학논집 Vol.0 No.78

본 연구는 청말 민국초 시기 중국의 개혁적 지식인들이 보여주었던 墨子의 사상에 대한 이례적인 관심을 당시 지성사의 주요 흐름이었던 ‘中體西用’ 담론과 연결시켜 분석하였다. 본 연구의 핵심은 墨子의 사상을 재조명한 당시 지성사의 특징이 서구의 과학기술 및 철학사상을 적극적으로 수용하려는 개혁가들의 노력과 긴밀하게 연결되어 있었다는 사실을 규명한 것이다. 구체적으로 본 연구는 黃遵憲, 譚嗣同, 章太炎, 梁?超, 胡適등이 보여주었던 墨子의 사상에 대한 재조명을 통해, 청말과 민국초를 거치면서 墨子의 사상과 서구의 가치들이 ‘用’의 영역에서 ‘體’의 영역으로 이동하는 과정을 살펴보았다. 당시 지식인들이 서구의 가치들에 효과적으로 대응하기 위해 중국 전통을 재조명하고 재발굴하려 했던 태도는 근대 중국 지성사의 또 다른 특징인 ‘復古’의 경향과도 연결된다.

구강 악안면 근막간극 감염에 관한 임상통계학적 분석

주현호(Hyun Ho Joo),원동환(Dong Whan Weon),이상휘(Sang Hwy Lee),김일현(Il Hyun Kim) 대한구강악안면외과학회 2000 대한구강악안면외과학회지 Vol.26 No.5

We have conducted a retrospective study of 224 patients with the diagnosis of oral and maxillofacial infection who had been treated between 1988 and 1999 at Gyeong-Sang National University Hospital. This study was aimed to furnish the data of oral and maxillofacial infection and to aid diagnosis and treatment. The most common fascial space involved, as determined by clinical, radiologic, and operative findings, were the submandibular space(39.4%). The most frequent cause of oral and maxillofacial infection was odontogenic 68.8%. In the odontogenic cause, dental caries was the most common cause. Two-hundred three patients required surgical drainage of the abscess. Seventeen patients needed tracheostomy for airway control. The overall mortality was 0.9% despite aggressive anti-microbial therapy and early surgical intervention. All other patients had an uneventful recovery without major complication except osteomyelitis case(6.0%). The combination of early radiologic diagnosis, effective antimicrobial therapy, and intensive surgical management contributed to the good prognosis.

‘병든 중국’을 치료하기 - 청말 중국에서의 신체에 대한 새로운 인식 -

주현호 ( Joo Hyun-ho ) 대구가톨릭대학교 인문과학연구소 2022 인문과학연구 Vol.- No.45

China’s defeat in the two mid-nineteenth century Opium Wars led many Chinese Confucian scholars to realize that China was not the center of the world and damaged their long-standing pride in Chinese civilization. After that, a negative perspective of China grew rapidly in the West, represented by a view of China as the “sick man of Asia.” This negative perception was widespread m China as well. This paper examines the creation and dissemination of the sick man of Asia narrative and critically explores the Western-centered ideas that supported the narrative, such as social Darwinism, pathology, imperialism, and Orientalism. In addition, by analyzing reform-minded intellectuals’ worldviews and renewed views of the body and the Dianshizhai Pictorial’s illustrations of Western sports and medical technology, this paper investigates the ways in which the sick man of Asia narrative was reproduced in China and influenced Chinese society.

담관계암종에서 c-met, c-erbB-2, COX-2, IL-6의 발현과 임상 의의

주현호 ( Hyun Ho Joo ),송은영 ( Eun Young Song ),진상화 ( Sang Hwa Jin ),오상훈 ( Sang Hoon Oh ),최영길 ( Young Kil Choi ) 대한소화기학회 2007 대한소화기학회지 Vol.50 No.6

목적: 담관계암종의 형성 및 발달과정에 c-met, c-erbB-2, COX-2, IL-6 발현이 관여한다고 알려져 있으나 아직 병리적으로 분명하지 않다. 담관계암종에서 c-met, c-erbB-2, COX-2, IL-6 발현과 임상인자간의 관계를 규명하고자 한다. 대상 및 방법: 수술로 적출된 총 114예의 담관계암 조직에서 c-met, c-erbB-2, COX-2 및 IL-6 발현을 면역조직화학 방법으로 조사하였다. 상기 표지자의 발현과 상호 연관성을 분석하였다. 결과: 담관암 112예 중 34예(30.4%)에서 c-met 발현이 관찰되었고, c-erbB-2 발현은 112예 중 5예(4.5%), COX-2 과 발현은 113예 중 53예(46.9%), IL-6 발현은 113예 중 68예 (60.2%)에서 관찰되었다. 담관암이 근육외측 결체 조직까지 침윤한 경우에 c-met 발현율이 높았고(p=0.0262), 림프절 전이가 없을 때 IL-6 발현율이 높았다(p=0.0325). c-erbB-2 발현을 보이거나 COX-2 발현만을 보일 때 림프절 전이가 많았다(p=0.0442). 결론: 담관암종 발생에 c-met 유전자 이상이 일부 관여하며, 종양의 침습과 연관성이 있을 것으로 추정한다. COX-2 및 IL-6 발현도 관여할 것으로 추정하나 C-erbB-2 유전자 이상은 관여하지 않을 것으로 생각한다. 따라서, 담관암의 c-met, COX-2 및 IL-6 발현을 동시에 조사하는 것이 담관암 환자의 임상 경과를 예측하는 데 도움을 줄 것으로 생각한다. Background/Aims: c-met, c-erbB-2, interleukin (IL)-6, and cyclooxygenase (COX)-2 expressions are considered to be implicated in the carcinogenesis and progression of cholangiocarcinoma, but the molecular pathogenesis of cholangiocarcinoma is still poorly understood. We aimed to analyze the expressions of each marker and their relationships with clinicopathologic factors. Methods: One hundred and fourteen tissue samples were obtained from surgically resected specimens from patients with billiary tract cancer. The expressions of c-met, c-erbB-2, COX-2, and IL-6 were examined by immunohistochemically. The expression of each marker and correlations between these markers and clinicopathologic factors were analyzed. Results: The expression rates of each maker were as follows: c-met 34/112 (30.4%), c-erbB-2 5/112 (4.5%), COX-2 53/113 (46.9%), and IL-6 68/113 (60.2%), respectively. c-met expression was more frequently observed in cases with invasion through the adjacent connective tissues (p=0.0263). IL-6 overexpression was more frequently observed in cases with absent lymph node metastasis (p=0.0325). Either c-erbB-2 expression or COX-2 expression was significantly associated with lymph node metastasis (p=0.0442). Conclusions: The expression of c-met was closely related to the invasiveness of cholangiocarcinoma. Co-expression of c-met, COX-2 and, IL-6 showed a significant correlation with invasiveness and lymph node metastasis and these could be useful marker to guide clinical outcome in patients with cholangiocarcinoma. (Korean J Gastroenterol 2007;50:370-378)

티타늄 소강판 주위조직에 발생한 색소침착의 성질에 관한 연구

원동환,주현호,이상휘,김일현,Weon, Dong-Whan,Joo, Hyun-Ho,Lee, Sang-Hwy,Kim, Il-Hyun 대한구강악안면외과학회 2001 대한구강악안면외과학회지 Vol.27 No.1

The titanium miniplate osteosynthesis system has been used for fixation of bone fragments in the maxillofacial areas due to easy manipulation and even has been proposed for unnecessity of miniplate removal because of the biocompatibility and the corrosion resistance. But recently, there have been some suggestions for its removal, on the basis of findings that there have been pigmentations around the adjacent tissues during miniplate removal procedure and they are the depositions of metal particles. Purposes of this study are to ascertain the presence and nature of pigmentation observed within tissues adjacent to titanium miniplate, and to suggest possible causes of it. We could observe the black pigmentation during miniplate removal procedure for recent about 1.5 year. Pigmented tissues were stained with hematoxylin-eosin(H-E) for light microscophic(LM) examination to investigate the black pigmentations and the histomorphology around them. The scanning electron microscopy(SEM) with energy dispersive X-ray(EDX) analysis was used to examine the ultrastructural nature of pigmentations. Many metal particles with variable sizes and shapes were seen in the connective tissue by SEM and were identified as titanium by EDX.

간문부 담관암 수술 후 장기생존 예의 분석

김진수(Jin Soo Kim),주현호(Hyun Ho Joo),김광희(Gwang Hee Kim),김기훈(Ki Hoon Kim),최창수(Chang Soo Choi),오상훈(Sang Hoon Oh),최영길(Young Kil Choi),백낙환(Nak Whan Paik) 대한외과학회 2007 Annals of Surgical Treatment and Research(ASRT) Vol.73 No.6

Purpose: Although considerable progress has been made in the management of hilar bile duct cancer, the long-term outlook for most patients remains poor. This study was conducted to analyze the long-term survival (more than 5 years) after resection for hilar bile duct cancer focusing on the clinicopathological factors influencing the outcome, and to develop an optimal strategy to achieve long-term survival after a resection. Methods: A retrospective review was performed for 68 patients with hilar bile duct cancer who underwent surgical resection between 1988 and 2000. Survival rates and prognostic factors were assessed. Clinical and pathological factors of patients who survived more than 5 years were compared with patients whose survival was less than 5 years. Clinicopathological features characterizing the long-term survivors were also reviewed. Results: Seventeen patients survived longer than 5 years after resection. The actual 5-year survival rate was 25.0%. Perineural invasion and resection margin were identified as independent prognostic factors. When prognostic factors were compared between the long-term and short-term survivors, tumor depth, TNM stage, perineural invasion, and resection margin showed a significant correlation with longterm survival. Long-term survivors had early TNM stages with negative lymph node metastasis and absence of perineural invasion. Six of 17 long-term survivors exhibited a positive resection margin. Conclusion: Long-term survivors showed characteristic features of early TNM stages with absence of perineural invasion and negative resection margin. As long-term survival can be expected even in patients with bad prognostic factors, aggressive surgical resection should be attempted for patients with resectable disease.