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      • 비종역성 膽道系疾患에 關한 臨床的 考察

        成志鏞 충남대학교 대학원 1976 論文集 Vol.6 No.-

        This study is a review and analysis of 60 cases of benign surgical diseases of the biliary system treated at Department of Surgery, Chungnam National University Hospital from July, 1972 to June, 1975. The results were as follows ; 1) Among 60cases, the causative diseases were cholecystitis with stone: 34 cases(56.7%), cholecystitis without stone: 7 cases(11.7%), empyema of gallbladder: 10 cases(16.7%), perforation of gallbladder: 5 cases(8.3%), acute cholangitis: 2 cases(3.3%) congenital anomaly: 1 case(1.7%), trauma: 1 case(1.7%). 2) The incidence was high in 31-50 years and average age was 48. Male was more prevalent than female. 3) The occurance was more in winter than in other season. 4) The duration from the first attack to admission was within 1 year in 21 cases(35%), 1-5 years in 15 cases(25%), and over 5years in 21 cases(35%). 5) The prominent symptoms and signs were pain at R. U. Q of abdomen, tenderness, jaundice, fever and chillness, indigestion, nausea and vomiting, hepatomegaly etc in order of frequency. 6) The rate of positive finding in T-tube cholangiogram was 32.5%(13 in 40 cases). 7) Operation procedures were as follows: cholecystectomy and choledochostomy. 33 cases(55.0%), cholecystectomy: 10 cases(16.7%), cholecystostomy: 8 cases(13.3%)and others: 9 cases. 8) Thirty-four cases had stones in C. B. D. and 16 cases in intrahepatic duct(72.4% and 34%). 9) Postoperative complications were wound infection in 5 cases(8.3%), residual stones in C. B. D. in 4 cases, bile leakage in 2 cases etc. 10) The operative mortality was 8.3% (5 cases) and septicemia was the cause of death in most of them.

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        委任立法의 限界와 行政立法에 대한 司法審査

        성지용 한국행정판례연구회 2011 행정판례연구 Vol.16 No.1

        The increase of delegated legislation is inevitable in the modern states. So the judicial control over administrative rule-making is more important than ever. Unless delegated by the act, delegated order cannot provide modification, supplementation of people’s rights and obligations or new contents which are not stipulated by the act. In this Supreme Court case, above legal principle which is established by the Supreme Court is confirmed again. The Supreme Court issued a ruling that Article 30-2 of the former Public Officials Salary Rules, which is a Presidential Decree and limits additional salary for continuous service up to certain times, unfavorably limits the right to claim for salary given by Article 10 of the former Military Personnel Salary Act without delegation of the former Military Personnel Salary Act which is the mother act, and it is invalid as it goes beyond the scope allowed by the mother act. In the above case, the Supreme Court divided on the interpretation of the Article 10 of the former Military Personnel Salary Act and the issue was whether it applied to ordinary times(majority opinion) or it applied only in times of national emergency(dissenting opinion). The Majority opinion hold that Article 30-2 of the former Public Officials Salary Rules stipulated the contents concerning rights and obligations of citizens without specific delegation of the mother act, but the dissenting opinion said that the administrative agency can provide the right to claim for salary with discretion. In this regard, this case is different from other cases which ruled the limits of delegated order. This case is meaningful because it emphasizes that it is necessary that administrative agency should examine thoroughly every relevant mother acts and review carefully whether the provisions meet the regulatory purpose of each relevant mother act and whether they are within the scope delegated by the mother acts, when it enacts or modifies the provisions concerning people's rights and obligations in the process of integrating many enforcement decrees of the acts relating state officials in various positions such as Public Officials Salary Rules into one enforcement decree of the act. 위임입법의 증가는 현대행정국가의 불가피한 현상이므로 이에 대한 사법적 통제의 중요성도 점점 높아지고 있다. 위임명령은 법률의 구체적인 위임이 없는 한 국민의 권리의무에 관한 내용을 변경, 보충하거나 법률에 규정되지 않은 새로운 내용을 규정할 수 없다. 대상판결은 이러한 대법원의 기존 입장을 다시 확인한 판결이다. 즉, 대통령령인 구 공무원보수규정 제30조의2가 근속가봉의 가산횟수를 제한한 것이 모법인 군인보수법 제10조가 규정한 보수청구권의 내용을 법률의 위임 없이 제한하였고 이는 모법의 규율 범위를 벗어나 무효라고 판시하였다. 다만, 대상판결은 모법인 군인보수법 제10조의 해석 여하(국가비상시에 적용되는 조항인지 평시에 적용되는 조항인지 여부)에 따라 구 공무원보수규정 제30조의2가 모법의 구체적인 위임이 없이 국민의 권리와 의무와 관련된 입법사항을 규정한 것인지(다수의견) 아니면 독립적으로 재량의 범위 내에서 새로운 보수청구권의 내용을 규정한 것인지(소수의견)에 대한 결론이 달라졌다는 점에서 일반적으로 위임명령의 한계를 다룬 사건들과는 다른 점이 있다. 나아가 대상판결은 공무원보수규정과 같이 여러 영역의 다양한 국가공무원들과 관련된 법률의 시행령들을 통합적으로 정비하여 1개의 시행령을 제정 및 개정하는 과정에서 국민의 권리나 의무와 밀접한 관련을 가지는 법규사항을 신설, 개정하는 경우에는 모법이 되는 여러 관련 법률들과의 관련성을 일일이 따져보아 해당 법규사항의 내용이 각개 법률이 규정하고 있는 입법취지에 부합하는 것인지 여부 또는 해당 법률들이 위임한 범위 내에 포함되는 내용인지 등에 관하여 각별한 주의를 기울일 필요성이 있다는 것을 자각하게 해 주었다는 점에서 의미가 있는 판결이라고 할 수 있다.

      • 胃에서 發生한 Adenoacanthoma : 1例報告 및 文獻考察 A Case Report and Review of Literatures

        成志鏞,徐輔祥,姜大榮,李泰淑 충남대학교 의과대학 지역사회의학연구소 1975 충남의대잡지 Vol.2 No.1

        Adenoacanthoma or squamous-cell carcinoma originating in the gastric mucosa is a fairly rare malignancy while most of the carcinomas in the stomach are adenocarcinoma with varying degree of differentiation. A 44-year-old Korean male was admitted to Chung Nam National University Hospital because of abdominal pain, indigestion, constipation, abdominal fullness and palpable tumor mass in the upper abdomen for 18 months. Subtotally gastrectomized specimen showed a deep ulcer, measuring 3.5 × 3.0 × 2.0 cm along the lesser curvature of the pylorus, and the ulcer edge is elevated with neoplastic infiltration. Microscopically many irregular cancer pearls are scattered in the sheets or cords of tumor cells which are consisted mainly of anaplastic, but sometimes individually keratinizing large hyperchromatic squamoid cells. A few nodes draining stomach are also invaded by the new growths.

      • 巨大尿管을 同伴한 二重尿管

        成志鏞,徐輔祥,李泰淑 中央醫學社 1975 中央醫學 Vol.28 No.3

        Duplication of the ureters occurs frequently, but a congenital double ureter with megaloureter is rather rare and has difficulty in diagnosis. This 3 year old female was admitted due to long lasting fever and abdominal distension for 16 month's duration. She also had paraplegia for 14 months, She was performed exploratory laparotomy due to markedly laterally displaced and distorted left renal pelvis and ureter, and was found to have hydronephrosis and megaloureter. She was performed adhesiolysis of distal periureteral fibrotic tissue on first operation resulting in successful decompression of hydronephrosis. But her symptoms recurred on 9th postoperative day. She was performed 2nd operation on 21st postoperative day and was performed left nephrouretectomy with good result. She was found to have incidental paraplegia due to poliomyelitis and active minimal pulmonary tuberculosis.

      • 家兎의 總輸膽管의 不完全閉鎖와 完全閉鎖가 肝機能에 미치는 影響

        成志鏞,孫基燮 충남대학교 의과대학 지역사회의학연구소 1985 충남의대잡지 Vol.12 No.2

        We have been encountered many troublesome and complicated problems in caring of the patients who have had a common bile duct stenosis and obstruction to intrinsic and extrinsic factors. Though numerous studies previously devoted to these problems which have relied upon experiment and practice, we are still far from the exact sequence of events. Author have worked with 78 adult rabbits of no particular strain and sex, weighing around 2kg and free from disease, feeding under same circumstances. The experimental animals have been applied partial and complete ligation of common bile ducts (C.B.D.), in order to know its influence on results of biochemical changes, chiefly liver function test. and obtained samples through cardiac puncture. The results were as follows 1. The value of serum G.P.T rose steeply on the first day about 18 times of control groups under incomplete ligation of the C.B.D. and rose to reach a plateau on 12 hours after ligation and then fell to almost same level to control group, control's levels on the 10th, 30th and 50th days 2, The serum alkaline phosphatase activity have risen to about 6 times of control group from 12 hours to the 2nd day after incomplete C.B.D. ligation and have risen to about 10 to 16 times from 12 hours to the 3rd days after complete of the C.B.D. ligation, thereafter both of them have fallen to the level of control group from the 10th day. 3. The serum albumin level has trend to decrease gradually after both incomplete and complete ligation of C. B. D. especially remarkable on the latter. 4. Almost all of serum total bilirubin level were similar to control group except the level of the 10th day's group. which was 6 times as high as control group after incomplete C.B.D. ligat ion. And druing first 10 days serum total bilirubin level have steeply risen from 13 to 22 times of control group, and then fallen to the level of control group from the 30th day after complete C.B.D. ligation. 5. All serum amylase level had rather slight fluctuation at the level of control group until the 30th day after both incomplete and complete lightion of the C.B.D. but those probably had no significant meaning. 6. There are significant meaning of interaction between duration and treatment during studying experiment on the serum G.P.T., alkaline phosphatase, albumin, and total bilirubin.

      • KCI등재
      • KCI등재

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