• 법제연구
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• 제53호
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• pp.491-524
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• 2017

상법상 해난구조제도는 원칙적으로 불성공 - 무보수의 원칙에 따라 선박 등의 물건의 구조에 성공한 경우에만 피구조물의 가액의 한도 내에서보수를 지급한다는 한계가 있다. 따라서 위 원칙에 따를 경우, 구조자가해난구조를 위해 여하한 노력과 시간을 소비한 경우에도 물건의 구조가성공하지 못하면 구조료를 청구할 수 없고, 인명만의 구조에 대해서도 아무런 보수를 지급하지 않는다. 그러나 현행법상 인명구조에 관한 위와 같은 법리가 과연 정당한가 하는 점에 관해서는 비판적 견해가 유력하다. 특히 물건의 가치와 비교할 수 없는 인간의 생명의 구조를 물건구조와연관시키는 것도 적절하지 않을 뿐 아니라, 인명만의 구조에 대해 아무런경제적 보상을 제공하지 않는 것은 구조료의 제공을 통해 해난구조를 장려하고자 하는 상법상 해난구조제도의 취지와도 부합하지 않는다는 비판이 가능하다. 한편 수상구조법 제39조는 구조본부장 등의 구난구호종사명령에 따라 수난구호업무에 종사한사람에 대해 일정한 구난구호비용을 지급하도록 규정하고 있고, 이러한 수난구호비용에는 수난구호업무종사자의명령에 따라 조난된 선박 등과 그 여객 승무원의 수난구호에 종사한자의 노무에 대한 보수와 그 밖의 구조비용이 포함된다. 수난구호종사명령에 따라 수난구호업무에 종사한 사람에 대한 위와 같은 규정은 물건구조에 실패함으로써 상법상 아무런 보수를 청구하지 못하거나, 오로지 인명만을 구조한 경우의 구조료청구와 관련한 문제점에 대한 최소한의 보호장치로 작용하여 해난구조 및 수난구호를 장려할 수 있는 동기로 작용할 수 있다는 점에서 의의가 있다. 다만 하나의 구조행위로 인해 구조자가 상법상 해난구조료 및 수상구조법상 수난구호비용의 청구를 할 수 있는 경우에는 그 중 큰 금액만을 청구할 수 있다고 할 것이다.

• Asian Pacific Journal of Cancer Prevention
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• 제14권12호
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• pp.7669-7674
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• 2013

Background: The hypothesis that patients who primarily progress on two consecutive chemotherapy regimens without evidence of clinical benefit may opt for supportive care was investigated. The purpose was to determine the quality of life in recurrent ovarian cancer patients choosing to receive salvage chemotherapy in addition to supportive care or palliative care alone. A secondary objective was to evaluate factors that affect quality of life in ovarian cancer patients. Materials and Methods: A descriptive study was conducted in patients who had histological confirmed epithelial ovarian cancer and failed to respond to at least one regimen of chemotherapy, coming for treatment at the King Chulalongkorn Memorial Hospital in Bangkok, Thailand over a six-month period from August 2012-March 2013. Each patient was asked to complete the FACT-G and a general personal questionnaire. The median quality of life score was analyzed. The Mann Whitney U Test was used to compare the difference between salvage chemotherapy and palliative care groups, and the Kruskal Wallis was used to evaluate other variables. Results: Thirty-eight ovarian cancer patients were identified who failed to respond to chemotherapy. Of the 38, 30 chose salvage chemotherapy and eight palliative care for further treatment. By histology the carcimnomas were predominantly endometrioid subtype and poorly differentiated. The majority of patients in this study had FIGO stage III, and ECOG status 0-1. The median quality of life score was 76.3 (35.8-94.0), with no significant differences between the groups. Factors associated with the quality of life were the ECOG score and number of chemotherapeutic courses. Conclusions: In the setting of refractory or recurrent epithelial ovarian cancer, patients who receive salvage chemotherapy have comparable quality of life scores with patients treated with palliative care alone, providing a contrast with previous studies.

• 대한두경부종양학회지
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• 제12권1호
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• pp.3-7
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• 1996

Nasopharyngeal carcinoma(NPC) is a disease whose primary initial treatment is radiation. Results of radiation therapy in early stage disease is promising; however, in stage IV disease, the best reported five-year survival is only about 30%. In patients with post-radiation recurrent disease, radiation controls only a small portion of patients, as well as being associated with significant radiation injury. In this paper we discuss the use of salvage treatment modalities for post-radiation recurrence. A retrospective chart review and analysis of salvage treatment results were performed for 39 patients with recurrent post-radiation NPC and positive cervical lymph nodes during the period beginning 1985 until 1995. Mean age of these patients was 52.3$\pm$10.37 years and male: female ratio was 1.8 : 1. Twenty patients were treated with salvage treatment, and ten patients were treated by salvage chemotherapy. A total of nine patients underwent surgical salvage treatment, including neck dissection(6), transnasal laser surgery and booster radiotherapy(2), and primary surgery(1). Salvage treatment were effective in reducing patients' pain in twenty patients (51.3%) and prolonging life in nine patients(23.1%); however, recurrence of disease within six months and/or residual disease by clinical or radiologic exam was noted in all patients receiving salvage radiotherapy, chemotherapy, laser surgery with radiotherapy, and primary site surgery. In the group undergoing salvage neck dissection, three patients(50%) were disease free for at least two years. Of the different modalities, radiotherapy was associated with the best quality of life while catastrophic salvage surgery resulting in insignificant prolongation of life was associated with the poorest quality of life. We conclude that salvage surgery is the optimal choice of treatment for regional recurrence such as nodal failure, however palliative salvage therapy could be preferred in other cases with recurrent post-radiation NPC.

• 해양환경안전학회지
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• 제18권4호
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• pp.336-344
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• 2012

해양에서 발생하는 사고는 선박, 선원 및 해운기업뿐만 아니라 사회 전반에도 매우 큰 영향을 미치며, 따라서 해양사고가 발생하였을 경우, 이를 신속하고 효율적으로 구난하는 것은 매우 중요하다. 특히, 대규모 해양오염이나 인명사고를 수반하는 해양사고는 매우 심각한 피해를 발생시킬 수 있기 때문에 해양사고를 당한 인명, 선박 및 재산을 효율적이고, 신속하게 구난하는 것은 특히 중요하다. 그러나 국내의 해양구난을 위한 역량은 매우 빈약한 상황이며, 비교적 좋은 장비 등을 갖추고 있는 해양경찰 또는 해군 등 공공부문과는 달리 민간구난업은 매우 열악한 기술적 및 경제적 상황에 처해 있다. 해양구난은 단순히 경제적 측면의 중요성뿐만 아니라 국가 안보적 측면에서의 중요성도 있기 때문에 이를 활성화하는 것은 매우 중요한 문제이다. 이에 본고에서 해양구난을 활성화하기 위한 방안을 법제도적 측면에서 검토하고 관련 개선방안을 제시하고자 한다. 개선안은 민간 및 공공부문을 포함한 전체적 활성화 방안과 민간부문의 활성화 방안을 제시하였다.

• 대한조선학회논문집
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• 제36권3호
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• pp.115-121
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• 1999

선박의 사고는 인명과 재산의 손실뿐만 아니라 사고 선박으로부터 유출되는 기름과 유해한 산적 화물에 의한 환경 오염을 초래하기 때문에 사고를 미연에 방지하는 것 뿐 만 아니라, 사고가 발생하였을 때 이에 신속히 대처함으로써 오명을 최소화하고 2차 사고의 위험을 줄이는 것이 매우 중요한 문제이다. 그러나 지금까지의 기술적 지원이 결여된 경험위주의 대처 방법으로는 사고선박에 대한 구난을 안전하고 신속하게 처리하기가 쉽지 않다. 본 연구에서는 체계적이고 과학적인 구난지원 도구를 개발하여 이를 사고 현장의 구난지원 작업에 투입하고자 한다. 이를 위하여 구난지원 체계를 구축하고, 프로토타입 시스템을 개발하여 사고선박에 대한 안전하고 신속한 구난지원 가능성을 검토하였다.

• 대한산업공학회지
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• 제19권1호
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• pp.73-77
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• 1993

This paper considers an Economic Order Quantity Model under random life cycle. It is assumed that the life cycle of the product is unknown; a random variable. Three cost parameters are considered; ordering cost, inventory carrying cost and salvage cost. Expected total cost is the optimization criterion. We show that the optimal cycle length is unique and finite, and present a simple line search method to find an optimal cycle length.

• 산업경영시스템학회지
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• 제33권3호
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• pp.219-224
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• 2010

Depreciation accounting has as its main objective, the recovery of the original cost of plant investment less net salvage, over the estimated useful life of that plant. Accuracy of the whole life technique in meeting this objective depends entirely on the original estimates of service life and net salvages for an account. Where the whole life technique has been used and original estimates prove inaccurate, excessive or deficient accumulations in the depreciation reserve frequently occur. To overcome this, the remaining life technique is suggested to better match the challenges of accelerated technology and competition within the regulated environment. The flexibility of the remaining life technique will allow an even chance to provide a complete recovery of the original cost.

• 산업공학
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• 제6권2호
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• pp.37-51
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• 1993

This paper studies the economic replacement method for production facilities which requires huge investment but are necessary for higher productivity and competability of products. That is, the general models for the decision of economic life of properties which minimizes the total costs throughout the usage life(Life cycle costs) are generated. Main factors which make influences for the decision of econmic life can be divided by three. These are the change of salvage value, repair and maintenance costs, and availability of production facilities with the passage of usage time. In this paper, the real world data for these three factors are collected and analyzed for the extraction of representative standard forms with the passage of time. And general models for economic replacement methods and optimal usage terms are presented through tables with the combination of the standard forms of these three main factors.

• Journal of Trauma and Injury
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• 제32권2호
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• pp.93-100
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• 2019

Purpose: Penetrating vascular trauma though less common poses a challenge to all Surgeons. This study was designed to analyse the profile, management modalities of vascular trauma and the outcomes thereof at a Trauma Care Centre in a Tertiary care setting in hostile environment in India. Methods: A prospective review of all patients with arterial and venous injuries being transferred to the Trauma Center at out Tertiary Care Center between June 2015 and May 2018 was done. Demographics, admission data, treatment, and complications were reviewed. Results: There were a total of 46 patients with 65 vascular injuries, 39 arterial injuries and 26 venous injuries. The age range was 21 to 47 years. Nineteen patients had both arterial and venous injuries. A total of 42 cases presented within 12 hours of injury and complete arterial transections were found in 33 cases (80.49%). There were three mortalities (6.52%) and three amputations (8.33%). The overall limb salvage rate was 91.67% with popliteal artery being the commonest injured artery. Poor prognosticators for limb salvage were increasing time to present to the trauma centre, hypovolemic shock, multi-organ trauma and associated venous injuries. Conclusions: Penetrating missile trauma leading to vascular injuries has not been widely reported. Attempting limb salvage even in cases with delayed presentation should be weighed with the threat to life before revascularisation and should preferably be done at a centre with vascular expertise. A team approach with vascular, orthopaedic, general surgeons, and critical care anaesthesiologists all aboard improve the outcomes manifold. Use of tourniquets and early fasciotomies have been emphasized as is the use of native veins as the bypass conduit. This is probably the largest study on penetrating Vascular trauma in anti-terrorism ops from the Indian subcontinent. It highlights the significance of prompt recognition and availability of vascular expertise in optimally managing cases of vascular trauma.

• Journal of Korean Neurosurgical Society
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• 제50권2호
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• pp.99-102
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• 2011

Objective : The purpose of this retrospective study was to evaluate the outcome of gamma knife radiosurgery (GKRS) and/or whole brain radiation therapy (WBRT) for the treatment of small cell lung carcinoma (SCLC) metastasis to the brain. Methods : From 2000 to 2010, 50 patients underwent GKRS for metastatic brain lesions originating from SCLC. Among these patients, 11 received prophylactic cranial irradiation (PCI) before the development of metastatic lesions (PCI group), and GKRS was performed as an initial treatment for newly diagnosed lesions in 12 patients who had not received PCI (primary GKRS group). In addition, GKRS was performed as a salvage treatment for progressive lesions after WBRT in 27 patients (salvage GKRS group). The medical records and imaging data of all patients were retrospectively analyzed. Results : The overall survival of the 50 patients was 20.8 months (range 1-53) after the diagnosis of primary tumor and 12.0 months (range 1-47) after the development of cerebral metastasis. Median survival after GKRS was 4.8 months (range 1-15) in the PCI group, 4.6 months (range 0-18) in the primary GKRS group, and 7.6 months (range 0-33) in the salvage GKRS group. Further treatment for progressive lesions after GKRS was necessary in 15 patients, after a mean interval of 3.8 months. Causes of death were systemic organ failure in 15 patients, deterioration of neurological state in 13 patients, and unknown or combined causes in 16 patients. The local control rate of the lesions treated with GKRS was 76.4% (decreased in 13 patients and stable in 16 patients at the final imaging follow-up (mean 5.60 months). Conclusion : GKRS is an effective local treatment for brain metastasis from SCLC both as an initial treatment for newly diagnosed lesions after PCI and as a salvage treatment for recurrent or progressive lesions. However, the survival benefit is not significant because most patients die of systemic multi-organ failure with a short life expectancy.