나의 인생회고(人生回顧) : 8년간 점심도 끊고 술도 끊었다

이상형 평화문제연구소 1984 통일한국 Vol.15 No.-

신축 공동주택에서의 쾌적 실내공기환경 조성방안

이상형,박명식,Lee, Sang-Hyeong,Park, Myeong-Sik 한국건축시공학회 2004 한국건축시공학회지 Vol.4 No.3

Femoral Nerve Palsy with Patella Fracture

이상형,이동주,우민수,권대규 대한슬관절학회 2013 대한슬관절학회지 Vol.25 No.4

Femoral neuropathy may be associated with various etiologies and can cause severe walking disability. We present the case of a 25-year-old woman who underwent surgical repair for a patella fracture and complained of lower extremity pain, paresthesia, and weakness postoperatively. Electromyography and magnetic resonance imaging (MRI) revealed partial peripheral neuropathy of the left femoral nerve associated with the patella fracture. To our knowledge, this is the first reported case of femoral neuropathy associated with a patella fracture.

뇌종양에 의한 두개강내 출혈

이상형,왕규창,김종수,이선호,김현집,조병규,한대희,심보성,최길수 대한신경외과학회 1988 Journal of Korean neurosurgical society Vol.17 No.5

919 consecutive brain tumor cases and 665 consecutive spontaneous intracranial hemorrhage cases were reviewed for the analysis of cases in which spontaneous intracranial hemorrhage caused by brain tumor was confirmed with gross operative findings. Authors analyzed their incidence, patients' demography, tumor histology, clinical symptoms and signs, predisposing factor, tumor vascularity, type of hemorrhage, relations between the clinical symptoms and signs and the type of hemorrhage, relations between the location of tumor and the type of hemorrhage and the outcome of treatment. The conclusions are as follow ; 1) The proportion of the hemorrhage caused by brain tumor to the total spontaneous intracranial hemorrhage was 5.1%(34/665). 2) The proportion of the spontaneous intracranial hemorrhage caused by brain tumor to the total brain tumor was 3.7%(34/919) and the proportion of that excluding pituitary adenoma was 2.5% (18/729). 3) Compared with the other brain tumors, oligodendroglioma and pituitary adenoma had significant tendency of hemorrhage (p<0.05, p<0.01, respectively) and meningioma had a significantly low incidence of hemorrhage(p<0.05). 4) The hemorrhage brought about major symptoms in 13 cases(72%), minor symptoms in 2 cases (11%). Three cases showed no symptoms related to the hemorrhage. 5) Among the 18 cases of spontaneous intracranial hemorrhage caused by brain tumor, one case with the major attack died of postoperative pneumonia. There were additional 2 motalities which were not related to the preoperative hemorrhage. And most of the symptoms associated with the preoperative hemorrhage stabilized or improved with operative treatment.

Mn-Zn Ferrite에 관한 연구

이상형,박봉두,오대섭,이우일 慶北大學校 生産技術硏究所 1970 生産技術 Vol.4 No.-

Effects on the characteristics of high frequency loss of Mn-Zn ferrites resulting from the added oxides Sb_2O_3 is more pronounced than those of Sb_2O_3. Effects of As_2O_3 is more pronounced than those of Sb_2O_3. 0.2~0.3 mole % of As_2O_3 was added to the mixtures of Fe_2O_3 (52.5%)-MnO (28.3%)-ZnO (19.2%), and sintered at 1400℃ for hours. The initial permeability μ was greater than 200, the loss factor tanδ/μ<2×10 exp (-6) at 100KHZz and the coercive force Hc <0.19Oe. The loss factor showed a flat characteristics to 200KHz.

생명의료윤리학에서 방법론 논쟁과 서사윤리

이상형 대동철학회 2019 大同哲學 Vol.88 No.-

이 논문의 목적은 생명의료윤리학에서 도덕적 판단과 행동을 정당화하는 방법을 모색하는 것이다. 생명의료윤리학에서 적절한 방법론이 무엇인가에 대한 논쟁이 하향식 방법론, 상향식 방법론, 정합론 간에 존재해 왔었다. 필자는 비첨과 췰드리스의 주장에 어느정도 동의하면서 정합론적 방법론을 생명의료윤리학에서 정당화하고자 한다. 그러나 생명의료윤리의 가장 전형적인 장소인 임상현장에서 의사와 환자의 관계를 고려할 때 정합론을 구체화시킬 수 있는 방법은 원칙주의와 함께 서사윤리임을 입증하고자 한다. 왜냐하면의사가 고려할 수 있는 도덕원칙인 선행/악행금지의 원칙은 서사윤리적 접근법을 취할 때환자의 자율성을 존중하면서 동시에 간섭주의적 정당성을 획득할 수 있기 때문이다. 또한환자가 고려할 수 있는 자율성 원칙 또한 간섭으로의 해방이나 결정과 선택의 자유만을 의미하는 것이 아니라 자신의 삶을 이해하고 공동체와의 관계 속에서 자신의 정체성을 형성할 수 있는 능력으로서의 자율성으로 이해될 때 진정한 자율성의 권리로 요청될 수 있다. 이뿐만 아니라 자율성 존중의 원칙은 의사와 환자의 관계를 상호 독립적으로 고려하는 것이 아니라 상호관계의 차원에서 고려하는 관계적 자율성으로 해석되어야 하며, 이 관계적자율성이 서사적 접근법에서 가능함을 주장하고자 한다. 따라서 하향식 방법론인 원칙주의의 장점과 하향식 방법론인 온건한 결의론의 장점을 결합하면서 서사윤리적 정합론의방법을 생명의료윤리학에서 정당화하고자 한다. The purpose of this paper is to seek methodology to justify moral judgment and behavior in biomedical ethics. There has been a debate about what a proper methodology is in biomedical ethics. I am in favor of some of the claims of Tom Beauchamp and James Childress, and I want to justify the coherent methodology in biomedical ethics. Principlism can be helpful as a guide to action in the uncertain situation of the area of biomedical ethics. But these principles, especially the principle of respect for autonomy, should be revised when considering the relationship between doctors and patients. In other words, an narrative approach is needed to maintain a coherent relationship between principles and for the relationship between doctors and patients to be recognized as a reciprocal relationship. Therefore, I would like to propose the narrative ethics to supplement the principlism. For narrativists, understanding an individual s life as a narrative and deploying narrative methodologies to read and interpret it, broadens and enriches our understanding of that life and deepens our insight into the relationship between the unravelling of human life and moral agency. Therefore, I conclude that a good principlist has narrativist tendencies and a good narrativist is inclined toward principlism.

뇌하수체선종의 경접형동 미세수술에 대한 임상적 분석

이상형,이승훈,정희원,김현집,한대희,심보성,최길수,민양기,민헌기 대한신경외과학회 1988 Journal of Korean neurosurgical society Vol.17 No.2

Anthor reviewed the 102 cases of pituitary adnomas treated via transsphenoidal adenomectomy from August 1977 to July 1987, at the Seoul National University Hospital. The results obtained were as follows : 1) Male to female ratio of pituitary adenoma treated by TSA was 1 : 1.6. 2) Seventy-five cases(74%) of pituitary adenomas were functioning(endocrine-active)adenomas and twenty-seven cases(26%) were nonfunctioning cendocrine-inactive). Functioning adenomas were composed of prolactin-secreting adenoma(47%), GH-secreting adenoma(25%) and ACTH-secrting adenoma(6%). 3) According to radiologic classification, intrapituitary adenoma(Grade Ⅰ)was 4%, intrasellar adenoma(Grade Ⅱ)54%, diffuse adenoma(Grade Ⅲ)30% & invasive adenoma(Grade Ⅳ)12%. 4) There was a significant relationship between prolactin value and size of prolactin-secreting adenoma, but no significant relationship was foung between h-GH value and size of GH-secreting adenoma. 5) In prolactin-secreting adenoma, microsurgical removal of the tumor follwed by bromocriptine administration was the most effective treatment modality. 6) In GH-secrting adenoma, decrease of fasting h-GH value was obtained more effectivly in cases who under went surgery plus radiation therapy than in cases with surgery alone. 7) In prolactin-secreting adenoma and GH-secreting adenoma, there was no relationship between degree of decrease in hormone values after TSA and size of the adenoma. 8) Improvement in visual acuity and visual field defect after TSA was obtained in 32% of all pituitary adenomas. There was no operative mortality and complications after TSA were accompanied in 40% of all cases, majority of which were a transient diabetes insipidus.

혐기/호기 활성슬러지 공정에서 혐기성 기간 중 미생물 floc에 의한 유기물질 흡착특성 연구

이상형,박종호,전항배 대한환경공학회 1996 대한환경공학회 학술발표논문집 Vol.1996 No.12

뇌동정맥기형의 치료에 있어서 색전술의 역할 : Experience of 15 Cases

이상형,김봉수,심기범,성정남,박인성,한문희,한대희 대한신경외과학회 1993 Journal of Korean neurosurgical society Vol.22 No.2

The authors report the results of treatment in 15 patients with intracranial arteriovenous malformations(AVM's) who underwent embolization with n-butyl cyanoacrylate(NBCA) and poly vinyl alcohol(PVA) particle between March. 1990 and August. 1992 at Seoul National University Hospital and discuss about role of endovascular treatment in the management of intracranial AVM' s. Seven patients(46.7%) had pre-operative embolization, microsurgery was done in six patients and radiosurgery was done in one patient In patients with pre-operative embolization. endovascular treatment had helped microsurgery in dissection, diminution of blood transfusion, and shorter time of surgery. AVM's of two patients(l2.5%) were totally occluded by embolization alone. But they had morbidity after embolization due to inadvertent occlusion. AVM's of six patied40 % were partially occluded and recurrence of previous symptoms bleeding revascularization, increase of AVM nidus developed during follow up. It is concluded that role of endovascular treatment is in tracranial AVM's ajuvant. definite, palliative. Except surgical resection after embolization, embolization alone should be done very cautiously in definite and palliative treatment.

뇌동맥류 파열에 의한 지주막하 출혈 환자에서 Nimodipine 치료에 대한 결과

이상형,한대희 대한신경외과학회 1994 Journal of Korean neurosurgical society Vol.23 No.11

In order to elucidate the clinical effectiveness of nimodipine treatment, we anayzed 322 consecutive patients with the aneurysmal subarachnoid hemorrhage operated between September, 1987 and December, 1991. The nimodipine treatment group of one hundred and forty-two patients(44.1 X ) was compared with the control group of one hundred and eighy patients(55.9X) treated without nimodipine during this period. The patients were randomly allocated to either group. The nimodipine was infused intravenously at 30ug/Kdhr for the first week beginning on the day of admission and then given orally at 36Omg/day for the following two weeks. Statistical anayses were done using the Student' s t-test and clinical variables were compared using the chi-square, Man-tel- Haenszel chi-square, two-tailed Fisher' s exact test. There was no difference in clinical and radiological variables known to influence the outcome of the disease, such as age, sex, presence of hypertension, history of previous subarachnoid hemorrhage, preoperative categorization by Hunt and Hess grade and Fisher' s classification, presence of hydrocephalus, location of aneurysm, multiplicity and vasospasm on preoperative angiography (p>0.05). The only difference was in the timing of surgery(p<0.05). The functional outcome, motality and morbidity, and mortality due to delayed ischemic deficits were not sigificantly different (p>O.OS, respectively). The number of patients with good functional recovery and the number of who developed delayed ischemic deficit(D1D) were not significantly different between the pups(p>O.O5), respectively. Nimodipine treatment did not improve the rate of good outcome in the aneurysmal subarachnoid hemorrhage in our study.