• 제목/요약/키워드: Foreign cases

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식도천공의 치료 (Treatments of Esophageal Perforation - A Report of 14 cases -)

  • 구자홍;조갑호;김공수
    • Journal of Chest Surgery
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    • 제24권11호
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    • pp.1107-1114
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    • 1991
  • We have experienced fourteen patients of esophageal perforation at the department of thoracic and cardiovascular surgery, Chonbuk National University Hospital during the period from mar. 1980 to Oct. 1990. The ratio between male and female patients was 5 : 9, and their age ranged from 22 years to 69 years. The causes of th eesophageal perforation were iatrogenic in 6 cases, foreign body 5 cases, diverticulitis 2 cases, and postpneumonectomy 1 case. The locations were cervical esophagus in 2 cases, upper thoracic in 2 cases, mid-thoracic 4 cases, and lower thoracic 6 cases. The underlying diseases associated with perforation were lye stricture, diverticulum, achalasia, and postpneumonectomy empyema. The treatments were supportive in 6 cases and combined with surgical measures in 8 cases. surgical measurs were as follows : incision and drainage in 2 cases, esophagectomy with esophagogastrostomy 3 cases, esophagocardiomyotomy with partial fundoplication in 1 case, simple closure with myoplasty and thoracoplasty 1 case, and empyema drainage and gastrostomy 1 case. There was no mortality.

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주거지역 방범환경 조성을 위한 국내 법.제도의 현황과 개선방안에 대한 연구 (A Study on the Improvement of Domestic Legislative System for Crime-Safe Environment in Residental Area)

  • 최재은;김세용;정윤남
    • 한국주거학회:학술대회논문집
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    • 한국주거학회 2009년 춘계학술발표대회 논문집
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    • pp.155-160
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    • 2009
  • Safety of residents could be considered and then increased when we plan, design, and operate a city. In Korea, CPTED (Crime Prevention through Environmental Design) is currently being applied to new towns. However, it is not systemized and neither efficient, for there are no constraint provisions, and the foreign cases are not specifically customized to the current situation of the country. This means, the introduction of CPTED is an indispensable fact, but there are limits to the budget aids and actual application, for there is no legal base to support it. This study, therefore, aims to find the limits from analyzing related laws and regimes, administrative regulations, and applied cases, and to deduct improvement plans based on examined foreign cases. In this Study, the supporting system of foreign CPTED related laws and regulations was analyzed around the cases of England and U.S.A, and based on that information, the present condition and limits of CPTED related laws and regulations of Korea were deducted. As a result of this study, there were no constraint provisions to apply the design guidelines to actual planning, and there were limits on backup aid and actual application due to the lacking of analyzing the relevant area. Also, an acceptable framework must be arranged by the revision of laws and ordinances to compel the system, and link it with the CPTED certification system which will revitalize the whole system.

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최근에 경험한 기관 이물 3례 (Three Cases of the Foreign Bodies in the Trachea & Bronchus)

  • 이용화;이동수;옥흥남;이선철
    • 대한기관식도과학회:학술대회논문집
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    • 대한기관식도과학회 1978년도 제12차 학술대회연제 순서 및 초록
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    • pp.3.5-4
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    • 1978
  • 기도이물은 이비인후과 임상 영역에서 흔히 볼 수 있는 질환의 하나로서 지금까지 국내외에서 많은 보고와 통계 발표가 있었다. 저자는 최근에 경험한 기도이물 3례를 문헌 고찰과 함께 보고하는 바이다. 1. 증례 A 1977년 8월 30일 기침 및 경도의 호흡곤란으로 내원한 환자로서 진료인의 소홀로 인하여 이물이 장기간 체류될 뻔 하였던 예로서 이물을 삼킨지 약 25일만에 전신마취로 기관지경술하에 기관 분지부에서 약 2.2cm$\times$0.8cm 크기의 피리(plastic reed)를 제거하였으며 이후 환자의 상태는 급격히 호전되었다. 2. 증례 B 1977년 11월 21일 간혈적 기침 및 호흡곤란으로 본원 응급실에 이송되어 입원한 환자로서 이물제거가 용이치 않아 기관지절개술과 두차례에 걸친 기관지경술을 시행한 끝에 이물 제거에 성공한 예로서 우측 주기관지에서 약 4.9cm$\times$0.3cm 크기의 못을 제거하였으며 이후 폐렴 발생으로 약 5일간 치료를 받고 상태가 호전되어 퇴원하였다. 3. 증례 C 1977년 12월 19일 간혈적 기침을 주소로 내원한 환자로서 이물 진단하에 기관지경술을 실시하기로 예정하였으나 특이한 증상이 없자 환자가 내원하지 않아 이물제거가 늦어진 예이다. 기관지경술하에 우측 주 기관지로부터 약 2.0cm$\times$0.8cm 크기의 피리를 제거하였다.

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임대주택의 디자인 다양화를 위한 사례분석 연구 (Design Analysis of Affordable Housing Cases for Varieties of Public Rental Housing)

  • 이소영;오명원;강현재
    • 한국실내디자인학회논문집
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    • 제26권6호
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    • pp.126-134
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    • 2017
  • Since public rental housings (social housings) in Korea are extremely standardized and uniformed, a variety of needs of residents for their housing are hardly satisfied. Public rental housing conditions, its low quality and size limitations regardless of residents type and needs resulted into negative images of social housing and social discriminations. Therefore there is a growing demand for alternative housing options in terms of diversification of social housing design with consideration for changing households and housing requirements. The purpose of this study to investigate some housing design guidelines, to analyze layout of building complex, community designs, household units and characteristics, overall design characteristics (sustainable design features, facade design, window and balcony composition, color and materials) and to provide some design suggestions for social housing. Design guidelines are classified into site planning and building layouts, residential building and household units, and performance of housing. Community facilities and their design features provide uniqueness of the public residence. Overall housing size of foreign cases is bigger than the domestic cases. Narrow shape of household units are more dominant in Korean public rental housing. More various shape and forms are found in facade and window design in foreign cases. Some design suggestion are provided for more diverse housing units and design for public rental housing in Korea.

식도천공의 외과적 치처 및 임상고찰 (Surgical treatment of esophageal perforation)

  • 조성준
    • Journal of Chest Surgery
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    • 제27권7호
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    • pp.598-602
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    • 1994
  • We have experinced 20 cases of esophageal perforation from April, 1987 to August, 1993 at ourdivision of Thoracic and Cardiovascular Surgery, Korea University, Gu Ro Hospital. Here we investgates the causes of disease, symptoms and sign, locations, time lag from onset, treatment of perforation and the results.The ratio between male and female patients was 12: 8, and age ranged from 4 years to 70 years old.The cause of esophageal perforation were instrumental trauma 7 cases, stab wound 4 cases, foreign body 4 cases, spontaneous perforations 3 cases, and others 1 cases. The middle and lower portions of esophagus was frequently involved portion in our cases [11 cases of 20].The common complications after perforation were mediastinitis [6 cases] and empyema [2 cases].The method of treatment were as follows, primary repair of perforation, simple drainge techniques including simple cervical drainage and closed thoracostomy, diversion and two-staged operations during several months. There was no mortality in our cases.

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Diagnosing Micro Foreign Bodies with the Microscope

  • Kwon, Chan;Rhee, Seung Chul;Bahk, Su Jin;Cho, Sang Hun;Eo, Su Rak
    • Archives of Reconstructive Microsurgery
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    • 제23권2호
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    • pp.93-96
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    • 2014
  • The microscope is a surgical instrument with wide use in plastic surgeries more often than other departments due to the high rate of microscopic surgeries. Unfortunately, because the microscope is used mainly for digital replantations and free flaps, the utilization rate is low compared to the price and usability of the microscope itself. From September 2013 to March 2014, a foreign body which was untraceable with radiology in a patient who desired surgical exploration (one case), and a foreign body which was detected but was smaller than 3 mm (two cases) were removed using the microscope. All foreign bodies, which were fish bone, thin metals, or wooden objects, matching the history of the patients, were completely removed without damage. There were no complications and patient satisfaction was high through follow-up. We have described the microscope as the last and optimal examination tool in removal of micro foreign bodies. A simple change of thought, so that the microscope can be used as a second diagnostic tool will decrease complications by foreign bodies.

외국중재판정의 승인 및 집행거부와 관련한 중국법원의 사례연구 (A Case Study on the Denial of Recognition and the Enforcement of Foreign Arbitration Award in China)

  • 육영춘;하충룡;한나희
    • 한국중재학회지:중재연구
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    • 제30권2호
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    • pp.69-90
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    • 2020
  • The arbitration system has many advantages, including resilience, speed, ease of approval, and enforcement of foreign arbitration in international disputes, and it plays an important role in today's international business. As the world's economic activities increase, China's trade disputes are intensifying. In 2017, China emphasized the international cooperation and commercial expansion of foreign investment at "One Belt, One Road." Therefore, it is expected that international business will become more active, with the issue of how to recognize and enforce the foreign arbitration awards in China becoming highly important. In addition, South Korea and China maintained deep trade relations after establishing diplomatic relations in 1992 and concluding the Korea-China Free Trade Agreement, which will inevitably increase trade disputes. As far as South Korea is concerned, China is South Korea's largest trading partner, so it is important for South Korea to analyze how foreign arbitration awards are recognized and enforced in China. China's accession to the New York Convention in 1987 was the beginning of the enforcement of foreign arbitrators. However, since China has begun to recognize and enforce foreign arbitrators relatively late, there are many problems in terms of recognizing and enforcing foreign arbitral awards in China. This study introduces the concept and scope of foreign arbitral awards, as well as the legal basis and procedures for recognizing and enforcing foreign arbitral awards, and examines relevant cases and the denial of recognition and enforcement of a foreign arbitration award. In the end, some issues and remedies for the recognition and enforcement of the foreign arbitral awards system in China were concluded.

흉부손상의 임상적 관찰 (Injuries of the Chest)

  • 박주철;노준량
    • Journal of Chest Surgery
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    • 제10권2호
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    • pp.327-336
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    • 1977
  • A chinical analysis was performed on 383 ases of hest injurjes eperienced at Department of thoraci Surgery, Seoul National University Hospital during 21 year period From 1957 to 1977. Of 383 patients o hest injuries, 209 cases were result from nonpenetrating injuries whereas 175 were from penetrating injuries, and there were 258 cases of hemothorax or/and pneumothorax, 162 of rib fracture, 33 of foreign body, 26 of clavicle frcture, 26 of lung contusion, 17 of diaphragmati laceration, 14 of hemoperiardium, 14 of flail chest and others. Stab wound was the most common in penetrating injuries and followed by gunshot and shell fragments. The majority of nonpenetrating chest injury paiens were traffi accident vitims and falls accounted for the next largest group of accidents. Chest injuries were frequently encountered in the age group between 16 and 50 years, and 321 patients were male comparing to 62 of female. In blunt hest injuries the patients with five or more rib fractures had a 85 per ent incidence of intrathoracic injury and 19 per cent had an intraabdominal organ damage, whereas those with four or less rib fractures had a 69 per cent and a 6 per cent incidence respectively. The principal associated injuries were cerebral contusion on 19 cases, renal contusion on 10, liver laceration on 7, peripheral vessel laceration on 5, spleen laceration on 3 and extremity fracture on 18 patients. The principles of therapy for early complications of chest trauma were rapid reexpansion of the lungs by thoracentesis (46 cases) and closed thoracotomy (125 cases) but open thoracotomy had to be done on 90 cases (23.5%) because of massive bleeding or intrapleural hematoma, foreign body, cardiac injury, diaphragmatic laceration and bronhial rupture. The over all mortality was 2.87 per cent (11 among 383 cases), 8 cases were from penetrating injuries and 3 from nonpenetrating injuries.

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해외 사례를 통해 본 국내 아동·청소년 디지털 성폭력 피해 지원 제도 개선 방안 연구 -미국, 영국, 호주 지원 제도를 중심으로- (A Study on the Improvement of Support System on Child·Youth Damages due to Digital Sexual Abuse based on Foreign Cases -With a Focus on the Support System of the U.S., U.K., and Australia-)

  • 김혜진
    • 디지털융복합연구
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    • 제18권10호
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    • pp.59-80
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    • 2020
  • 본 연구의 목적은 본 연구의 목적은 우리나라의 디지털 성범죄 피해 회복 및 지원 제도의 문제점을 미국, 영국, 호주의 사례를 통해 분석하는데 있으며 디지털 성범죄에 대한 해외 선진 국가들의 입법, 제도 현황을 살펴보고 문제해결의 시사점을 제시한 점에 의의를 둔다. 연구방법은 문헌연구의 방식을 취했으며 판례 및 언론자료 비교 분석, 전문가 자문회의, 연구포럼, 해외 논문과 법과 정책에 관한 자료들을 참고하였다. 본 연구결과는 디지털 성착취 사건을 피해자의 관점에서 살펴보고 피해자 보호 및 지원에 대한 문제점을 해외 사례와 비교한 뒤 대응방안을 모색해야 한다. 디지털 성범죄의 특성상 무제한으로 확대 유포 될수 있다는 점에서 오프라인 상의 성폭력 피해자외의 본질적인 차이를 인지하고 각각의 사례를 전문적으로 분류해 필요에 맞는 피해자 지원 정책 및 가해자에 대한 처벌 및 제재가 이루어 질 필요성과 궁극적으로는 디지털 성폭력을 예방할수 있는 차원까지 되어야 한다는 결론을 제시 하였는데에 의의가 있다.