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      • KCI등재

        Palonosetron-Induced Anaphylaxis During General Anesthesia: A Case Report

        박형준,오경환,이훈희,이지향,강선명,박소영,권혁수,조유숙,문희범,김태범 대한천식알레르기학회 2017 Allergy, Asthma & Immunology Research Vol.9 No.1

        Palonosetron is a 5-hydroxytryptamine-3 (5-HT-3) receptor antagonist used for preventing postoperative nausea and vomiting. Compared with ondansetron and granisetron, it is a better drug because of prolonged action and minimal side effects. Some adverse effects of palonosetron have been reported. In this report, we describe a 37-year-old male who developed severe hypersensitivity reactions to palonosetron during surgery for kidney donation. His medical history was unremarkable, except for inguinal hernia with herniorrhaphy 8 years ago. The surgery was uneventful until 2 hours 20 minutes. After palonosetron injection, his blood pressure dropped to 80/50 mmHg, and facial edema, rash, conjunctival swelling, and wheezing developed. The patient was resuscitated by administration of ephedrine, hydrocortisone, and peniramine. Following the surgery, the patient was monitored for 3 days, and there were no subsequent anaphylactic reactions or other complications. The skin test on postoperative day 54 was positive for hypersensitivity to palonosetron. Although palonosetron is known for its safety, other hypersensitivity events have been reported. Ondansetron is another widely used 5-HT-3 antagonist, which has been reported to cause anaphylaxis. Therefore, clinicians should be aware of the possibility of patients experiencing severe adverse reactions to palonosetron.

      • KCI등재

        중국의 대북정책 결정요인 연구: 북한 생존전략(경제-핵무력 건설 병진노선)과의 상관관계

        박형준 동국대학교 북한학연구소 2017 북한학연구 Vol.13 No.2

        The purpose of this study is to identify the North Korean factors(regime maintenance) that are considered in China’s decision on North Korea policy. In other words, by analyzing the correlation between China’s strategic asset theory in North Korea and ‘Economy-Nuclear Parallel Policy’(Nuclear Test) that North Korea pursues as a strategy for survival, As well as the fact that it is the most important factor. China has set the top priority of North Korea policy to stabilize and maintain the North Korean regime. As a result, China is opposed to the North Korean sanctions that cause the destruction or destabilization of the North Korean regime when joining the UN Security Council, and they are not participating in the real threat of crude embargo. In addition, in order to resolve instability in the internal system of North Korea in 2008, Kim Jong Il promoted economic cooperation through high-ranking personnel visits and summit talks between the two countries, and quickly responded to Kim Jong Eun’s succession plan. This is because Kim Jong Il’s instability in the North Korean regime caused by his health problems was recognized as a serious crisis that undermined his national interests. Meanwhile, North Korea has proposed development strategies for the survival of the regime, such as the ‘economic and military deployment line’ of the Kim Il Sung era and the ‘Songun politics’ of the Kim Jong Il. Even in the Kim Jong Eun era, North Korea is responding to the US threat of system survival by emphasizing military preference and pursuing nuclear weapons and missile development through ‘Economy-Nuclear Parallel Policy’. In this way, the common denominator of ‘maintaining the regime’ works between North Korea and China. This is the driving force behind the continuing ‘strategic partnership’ between the North and the Central. 본 연구의 목적은 중국의 대북정책 결정 시 고려되는 북한 요인(체제 유지)을 규명하는데 있다. 즉 중국의 대북 ‘전략적 자산론’과 북한이 생존을 위한 전략으로 추진하고 있는 ‘경제-핵무력 건설 병진노선(핵실험)’과의 상관관계 분석을 통해 중국이 대북정책 결정 시 북한의 체제 유지를 주요하게 고려하고 있음을 살펴보고자 한다. 중국은 북한 체제의 안정 및 유지를 대북정책의 최우선 목표로 설정하고 있다. 이에 따라 중국은 유엔안보리 대북제제 동참 시 북한의 체제를 붕괴시키거나 불안정을 초래하는 대북제재에는 반대 입장을 표명하고 있으며, 실제적 위협이 되는 원유 금수조치에는 동참하고 있지 않다. 뿐만 아니라, 2008년 김정일 건강 이상 제기 시에도 북한 내부의 체제 불안정성을 해소하기 위해 고위급 인사의 방북, 양국 간 정상회담 등을 통해 경제협력을 활성화시켰으며, 김정은으로의 후계구도에 신속히 대처해 나갔다. 왜냐하면, 김정일의 건강이상으로 인한 북한 체제 불안정은 자국의 국가이익을 훼손시키는 심각한 위기로 인식했기 때문이다. 한편 북한은 과거 김일성 시대 ‘경제·군사병진노선’, 김정일 시대 ‘선군정치’ 등 체제 생존을 위한 발전전략을 제시해왔다. 김정은 시대에 들어서도 ‘경제·핵 병진노선’을 통해 사실상의 군사우선주의를 내세우고 핵무기 및 미사일 개발에 주력하면서 미국의 체제 생존 위협에 대응하고 있다. 이처럼 북·중 관계 사이에는 ‘체제 유지’라는 공통분모가 작동한다. 이는 북·중관계가 파탄에 빠지지 않고 ‘전략적 협력관계’를 지속시키는 동인이 되고 있다.

      • KCI등재후보

        당사자 관점에 입각한 다문화 연구의 필요성과 방향 고찰 - 재한 화교의 구술/수필 텍스트를 중심으로

        박형준 부산외국어대학교 다문화연구소 2021 다문화사회와 교육연구 Vol.9 No.-

        Efforts to understand the problems faced by multicultural parties have been carried out in various ways. However, the lives of multicultural parties have always been objects of sympathy or faver. Based on this recognition of the problem, this paper examines the necessity and direction of implementation of the ‘The point of view of the parties’, which has not received much attention in multicultural studies. The study results are summarized as follows. It was possible to confirm the necessity and core values of multicultural research based on the perspectives of the parties involved. First, multicultural research based on the perspective of the parties is a paradigm of ‘participation’ and ‘solidarity’ to faithfully reflect the position and rights of minorities. Second, the core of the parties' perspective is self-representation and the right to self-determination, which can provide a new direction for multicultural discourse and policies centered on intellectuals, activists, and bureaucrats. Third, multicultural research based on the perspectives of the parties does not exclude researchers, activists, and policy makers, but rather seeks solidarity and exchange. Next, the direction and cases of multicultural research based on the perspectives of the parties could be found in qualitative research and literature research. First, when using the existing field research method in multicultural party research, care must be taken not to target the subject. Second, as seen in the life and history of overseas Chinese in Korea, Korean society is a situation and environment in which it is difficult for multicultural parties to voice their voices. Third, minorities living in Korean society are deprived of self-representation and decision-making rights. Fourth, there are voices of resistance to restore the minority's self-representation and decision-making power.

      • KCI등재

        DMZ 평화 창출을 위한 신기능주의적 접근

        박형준 조선대학교 사회과학연구원 부설 동북아연구소 2018 동북아연구 Vol.33 No.2

        South Korea and North Korea signed the Armistice Agreement for the Korean War's truce and set up a demilitarized zone (DMZ) to prevent conflicts and surprises in 1953. However, under the division structure, the DMZ was heavily armed unlike its original purpose, and 876 cases of major violations of armistice agreements (military conflicts) caused serious human and material damage. Both sides' military clashes in the DMZ have worsened mutual distrust and conflict, hampering inter-Korean reconciliation and cooperation. Therefore, it is urgent to find a neo-functionalist approach to transform the DMZ into a peaceful space, so that the South and the North Korea can build sustainable peace. Nevertheless, most of the previous researches on the DMZ have not identified the crucial conditions of the peaceful use of the DMZ, and have not proposed a solution for building sustainable peace. It has been focused on how to use the DMZ peacefully without discussing some fundamentals of problem solving. At the same time, there has been a tendency to focus on economic benefits, the mitigation of military tensions, the conservation of ecological resources and ecotourism by utilizing the DMZ's geopolitical advantages and resources. The purpose of this study is to propose a neo-functionalist approach as a method for peaceful use of DMZ considering the problems raised above. This is because political and military problems reproduced and strengthened mutual hostility between the two Koreas and acted as an obstacle to the establishment of a peace regime on the Korean peninsula. Especially recent demolition and GP explosion in the DMZ can be a meaningful example supporting the neo-functionalist approach.

      • KCI등재

        유연 디스크 커플링의 비틀림 강성을 고려한 강성감소계수 산정

        박형준,강효림,한승호 대한기계학회 2022 大韓機械學會論文集A Vol.46 No.11

        Flexible disc couplings are used to smoothly transmit rotational powers between two shafts. Although the theoretical method proposed in the AGMA standard has been used to evaluate the torsional stiffness of couplings, it is challenging to accurately calculate the torsional stiffness owing to the out-of-plane deformation in the flexible disc pack. In this study, finite element models of two flexible disc couplings with different shapes, sizes, and torque capacities were established, in which the frictional conditions enabled the separation of contact surfaces for the flexible disc pack. The results of the finite element analysis showed that significant warping and out-of-plane deformation occurred in the flexible disc pack and increased the torsional angular displacement of the coupling. By comparing the torsional stiffness obtained from the theoretical and numerical results, the torsional stiffness reduction factors for the coupling were assessed and verified experimentally. 유연 디스크 커플링은 동력전달장치에서 오정렬을 허용하는 동시에 회전동력을 원활하게 전달하기 위해서 사용된다. 커플링의 비틀림 강성을 평가하기 위해서 AGMA 규격에서 제안한 이론식이 사용되고 있으나, 적층된 디스크 유연부재의 면외변형 거동으로 정확한 강성평가가 불가능하다. 본 연구에서는 형상, 크기 및 토크 용량이 서로 다른 두 유연 디스크 커플링을 대상으로, 적층된 얇은 디스크 간의 접촉 분리가 가능한 마찰조건을 구현하여 유한요소 모델을 구축하였다. 유한요소 해석 결과 비틀림 하중에 의해 압축 응력이 디스크 팩에 작용하면서 뒤틀림이 유발되고, 접촉면이 이탈되는 면외변형이 현저히 나타났다. 이는 여러 겹의 얇은 판으로 구성된 디스크 팩의 비틀림 각 변형에 큰 영향을 미쳐 제안된 커플링의 비틀림 강성을 현저하게 감소시켰다. 유한요소 해석을 통해 얻어진 결과를 이론식과 비교하여 디스크 유연부재에 의한 비틀림 강성감소계수를 산정하였고, 아울러 비틀림 시험을 수행하여 이의 정도를 평가하였다.

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