[기획토론회_이광석 경북대 교수] 사회통합의 방향은 “공공복지”를 통해…

이광석 한국자치학회 2013 월간 공공정책 Vol.97 No.-

언어(言語)정책의 민간화에 관한 연구

이광석 한국정책학회 2006 韓國政策學會報 Vol.15 No.1

Under the Japanese rule, some Korean language scientists tried to preserve Korean cultural heritage in order to prepare for the Independence. They thought the best way was to compile a Korean language dictionary, which led to establish the rule of Korean orthography. Republic of Korea in the three decades (1960s-1980s) had been characterized by the Developmental State. In this period, Korean government monopolized Korean language policy and did not leave it to the private sector, which resulted in the restriction of the development of Korean language culture. Now in tandem with the Democratic State, this paper argues that it is time to readjust the state function in relation to Korean language policy, and pass it on to the private sector. The direction leads to the creation of genuine Korean culture and to export of the Korean culture to the world. 그 핵심을 말한다면첫째로, 언어정책 특색에 있어 전통적으로 민족주의적 성격이 주류이다. 이 점이 약탈국가 시대부터 우리를 지켜낸 힘이기도 하지만 세계화의 흐름 속에 갈등을 빚는 요인이기도 하다. 최근의 영어공용화 논쟁의 基底에는 이 두 흐름의 갈등이라 할 수 있겠다.둘째로, 그 후 언어정책은 발전국가시대 능률주의로 전환한다.셋째로, 언어정책에 있어 국가개입은 확대되어 왔는데 이는 발전국가의 영향으로 보인다.넷째로, 약탈국가 시대부터 Top-down 방식으로 전개되었기 때문에 그 영향으로 민중의 자발적 언어능력을 지나치게 제어하려 한다. 예컨대, 한글맞춤법규정에 있는 ‘교양있는’ 등의 규정이 그 보기이다. 달리 표현하여 지나치게 규범적이다.攀 이 말은 규범의 완화와 복수 표준 등의 조처가 필요하다. 비록 일반 言衆은 ‘테레비’라고 발음하지만 규범은 ‘텔레비전’이다. 아울러 언어학적 관점에서 볼 때 母音四角圖에 비추어 근접성이 있는 내(것), 네(것)이 바뀌어 내(꺼), 니(꺼)로 변하는 현상을 국어학계에서는 어떻게 처리할지 궁금하다.攀攀 다섯째로, 사상이나 학회 중심의 자연적인 흐름이 자리잡고 있다. 즉 상호 견제와 경쟁을 통해 언어학(국어학) 분야가 발전해 왔기 때문에 민간화의 가능성은 열어두고 있다고 하겠다.여섯째로, 귀납적이라기보다 연역적이다. 즉 빈도조사에 기인한 언어규정의 도출이라는 방향이 아니라 언어규정에 맞추어 현실 언어를 재단(裁斷)하려 한다는 점이다(이광석, 2006). 일곱째로, 물론 나중에 표준발음법 등이 제정되었지만 글에 대한 관심을 우선시하였다.

생유리 피부편을 이용한 종부 및 족저부 연부조직 결손의 재건

이광석,강기훈,권규호,임당재,Lee, Kwang-Suk,Kang, Ki-Hoon,Kwon, Kyu-Ho,Lim, Dang-Jae 대한미세수술학회 1998 Archives of reconstructive microsurgery Vol.7 No.2

We have investigated the clinical results of 33 cases of free flap transfer performed for the soft tissue defects of heel and sole. In donor sites, tensor fascia lata flaps were 4, dorsalis pedis flaps were 10, forearm flaps were 9, and latissimus dorsi flaps were 10. The recipient sites were heel in 22 cases, sole in 7 cases, and heel and sole in 4 cases. In these cases, the postoperative complications, morbidity of donor sites, recovery of sensation, and cosmetic results were evaluated in each flap. All the flaps survived successfully. The free flaps provided excellent functional and cosmetic results. The tensor fascia lata flap was more reliable free flap for the reconstruction of heel and sole defects.

말초 동맥 교감 신경 절제술을 이용한 레이노드 현상의 치료(증례 보고)

이광석,박종웅,서동훈,Lee, Kwang-Suk,Park, Jong-Woong,Suh, Dong-Hoon 대한미세수술학회 1997 Archives of reconstructive microsurgery Vol.6 No.1

The treatment of chronic digital pain and cold intolerance due to Raynaud's phenomenon is quite difficult especially it is combined with scleroderma. Several surgical trial such as cervicothoracic sympathectomy have been attempted for the medically unresponsible Raynaud's phenomenon, but their results were unsatisfactory. We have tried peripheral periarterial sympathectomy for the 44 years old female patient who had medically unresponsible severe Raynaud's phenomenon with scleroderma. Periarterial adventitial stripping was performed at the level of wrist, superficial palmar arch, common digital artery and proper digital artery about 1.5-2 cm in length. Preoperative angiography and radioactive angiography were done and preoperatively and postoperatively the blood flow was measured by the desk top computer-aided histogram. Both hands digital pain were markedly reduced after operation and blood flow increased as compaired with the preoperative measure.

상완 신경총 손상후 견관절의 외전 및 주관절의 굴곡 재건을 위한 신경 이전

이광석,강기훈,한상원,이기홍,Lee, Kwang-Suk,Kang, Ki-Hoon,Han, Sang-Won,Lee, Ki-Hong 대한미세수술학회 1998 Archives of reconstructive microsurgery Vol.7 No.2

We have performed the operations for the restoration of shoulder abduction and elbow flexion in 17 patients(20 cases of neurotization) of brachial plexus injury at the Department of Orthopaedic Surgery, Korea University Hospital from October 1991 to May 1997. The mean follow-up period was 42 months. After neurotization for brachial plexus injury, functional recovery of shoulder abduction and elbow flexion were good and fair in 65%. In the functional evaluation, the clinical results of whole arm type were poorer than those of upper arm type, and the operations performed within 6 months since the injury were better than those of other cases.

‘Zero 프라이버시’ 시대와 프라이버시권의 재구성

이광석 언론중재위원회 2016 언론중재 Vol.141 No.-

경골에 시행한 유리 생 비골 및 피부편 이식

이광석,박종웅,하경환,한상석,Lee, Kwang-Suk,Park, Jong-Woong,Ha, Kyoung-Hwan,Han, Sang-Seok 대한미세수술학회 1997 Archives of reconstructive microsurgery Vol.6 No.1

We have evaluated the clinical results following the 46 cases of free vascularized osteocutaneous fibular flap transfer to the tibial defect combined with skin and soft tissue defect, which were performed from May 1982 to January 1997. Regarding to the operation, flap size, length of the grafted fibula, anastomosed vessels, ischemic time of the flap and total operation time were measured. After the operation, time to union of grafted fibula and the amount of hypertrophy of grafted fibula were periodically measured through the serial X-ray follow-up and also the complications and results of treatment were evaluated. In the 46 consecutive procedures of free vascularized osteocutaneous fibular flap transfer, initial bony union were obtained in the 43 grafted fibulas at average 3.75 months after the operation. There were 2 cases in delayed unions and 1 in nonunion. 44 cutaneous flaps among the 46 cases were survived but 2 cases were necrotized due to deep infection and venous insufficiency. One necrotized flap was treated with latissimus dorsi free flap transfer and the other was treated with soleus muscle rotational flap. Grafted fibulas have been hypertrophied during the follow-up periods. The fracture of grafted fibula(15 cases) was the most common complication and occurred at average 9.7 months after the operation. The fractured fibulas were treated with the cast immobilization or internal fixation with conventional cancellous bone graft. In the cases of tibia and fibula fracture at recipient site, the initial rigid fixation for the fibula fracture at recipient site could prevent the fracture of grafted fibula to the tibia.

유리 피판 공여부로서 족부의 이병률

이광석,위대곤,한상원,Lee, Kwang-Suk,Wie, Dae-Gon,Han, Sang-Won 대한미세수술학회 1997 Archives of reconstructive microsurgery Vol.6 No.1

The methods of clinical applications of the foot as a free-flap donor site includes microvascular toe-to-finger transfer, free neurovascular flap transfer, first web space flap transfer, and osteocutaneous free flap transfer. We have evaluated the results of treatment for 35 patients to be undergone a microvascular reconstructive procedure with the foot as a donor site from January 1982 to June 1996. The performed operations were 16 cases of thumb reconstruction with wrap around procedure, 3 cases of tenocutaneous flap transfer, 10 cases of dorsalis pedis flap transfer, 2 cases of first web space free flap and 4 cases of toe-to-finger transfer. The follow up study was 69 months in average. Regarding to the various donor sites, morbidity was divided into five different categories: Cosmesis, Functional loss, Sensory loss, Wound complication, and Pain. According to the results of examination(35 patients), the results was excellent(25), good(9), fair(1), and poor(0). Among the categories, morbidity was higher at cosmesis. The patients under 50 years were better outcome. Among the operative methods from the foot as a donor site, thumb reconstruction with wrap around procedure showed poorest outcomes. So, We conclude that the foot as a free flap donor site is a good source for the microvascular reconstructive surgery. But, Preoperative donor site evaluation, adequate operative technique and post operative management are essential to decrease the morbidity of donor site.

미세 수술을 이용한 당뇨병성 족부병변의 재건

이광석,하경환,임당재,김태하,Lee, Kwang-Suk,Ha, Kyung-Hwan,Lim, Dang-Jae,Kim, Tae-Ha 대한미세수술학회 1999 Archives of reconstructive microsurgery Vol.8 No.2

In general, amputation has been performed in the treatment of diabetic foot which doesn't respond to the conservative treatment. We have evaluated the existence of post-operative infection, the morbidity of donor site, the degree of recovery of sensation, weight bearing ambulation and recurrence in the 6 cases(5 patients) of diabetic foot patients among the 230 cases of free flap transfer done in our department. In all cases of free flap transfer to diabetic foot, 100% of survival rate was shown. The sensory recovery was more than average of 40% of the area of the transferred flap, and two points discrimination was shown average of 5cm as a result. In all cases, no evidence of post-operative infection was discovered and the weight bearing gradually became easier, and at the average of 5 months after operation, the full weight bearing ambulation became possible. If the infection of diabetic foot and the level of blood sugar could be controlled successfully, the free flap transfer could be considered one of the treatment option to avoid amputation.

Risk and Management of Postoperative Urinary Retention Following Spinal Surgery

이광석,구교철,정병하 대한배뇨장애요실금학회 2017 International Neurourology Journal Vol.21 No.4

Purpose: Postoperative urinary retention (POUR) is a common complication after spinal surgery. However, no clear definition of POUR currently exists, and no studies have evaluated the management of POUR. We aimed to investigate the prognostic factors for eventual POUR-free status in spinal surgery patients. Methods: The records of patients who received a urologic consultation for POUR from January 2015 to December 2016 were reviewed. POUR-free status was defined as a voiding volume (VV) >100 mL and a VV ratio >50%. Patients with an indwelling Foley catheter and those with any postoperative complications were excluded. The patients were divided into 2 groups according to the primary management method (Foley catheterization [FC] or intermittent catheterization [IC]). Results: In total, 205 patients (median age, 70.6 years) were evaluated. Significant prognostic factors for eventual POUR-free status were intraoperative FC, previous spinal surgery, operative level (L3–5), lumbar fusion, and total volume (TV) at the time of POUR. Bladder training and medication did not reduce the time to POUR-free status. In patients who underwent FC, the duration of indwelling FC was a significant prognostic factor for POUR-free status. In a subanalysis, the TV (≥500 mL) and VV ratio at the time of POUR were significant prognostic factors for POUR-free status after primary management. Among the patients who achieved a POUR-free status, 8 (6.4%) experienced recurrent POUR. The VV ratio (<62.0%) was the only predictor of recurrent POUR. Conclusions: The criterion of POUR-free status is useful after spinal surgery. IC and FC were similar in their efficacy for the management of these patients.