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아급성 뇌졸중 환자의 비디오 투시 연하 검사 소견과 뇌병변 부위 및 임상적 요인들의 연관성 ···
전우현,박건웅,이재현,정호중,심영주 대한뇌신경재활학회 2014 뇌신경재활 Vol.7 No.1
Objective: To investigate whether patterns of dysphagia were associated with the location of the brainlesion and clinical factors in subacute stroke patients. Method: One hundred and seventy-eight first-ever subacute stroke patients who underwentvideofluoroscopic swallowing study (VFSS) from January 2006 to April 2012 were enrolled in the presentstudy. Swallowing-related parameters were assessed by VFSS. The location of brain lesions wereclassified into the cortical, subcortical, and brain stem. The degree of cognitive impairment and theindependency of activities of daily living were assessed by the Korean version of mini-mental statusexamination and Korean version of modified Barthel index (K-MBI). Aphasia and hemineglect wereassessed by Korean version of Western aphasia battery and line bisection test. These data werecollected via retrospective chart review. Results: A reduced laryngeal elevation and prolonged pharyngeal delay time were associated with brainstem lesion. Other swallowing parameters were not associated with lesion topology. Pyriform sinusresidue was associated with the presence of aphasia and low K-MBI scores. Prolonged pharyngealdelay time was associated with the patient's age, type of stroke and brain stem lesion. Conclusion: Pyriform sinus residue was associated with clinical factors such as aphasia and K-MBIscores rather than with the location of brain lesion. However, reduced laryngeal elevation and prolongedpharyngeal delay time were predominant in brain stem lesions.
국제무역증진을 위한 유통증권(화물상환증 등) 법리의 명확성 제고
전우현 한국경영법률학회 2015 經營法律 Vol.25 No.2
This study is on the need of true and accurate writing of the Securities as a motive to compliance. In reality, it's still a big problem in the securities if the substance is different from the document. In the case of the carrier's loss of occupation when a third party obtains it can bring serious troubles with respect to the validity of the bonds. In reality, bills of lading, freight exchange slips and warehouse securities are documents having evidential function as well as negotiable instruments. These securities are subject to the contract of carriage (custody) and inevitablly has a essential character of carriage(custody) which can not ignore the causal relations (real relationship). This should be considered in interpreting the securities' credital force. Article 131 of the Commercial Code was revised in 2010. Obviously, the revised law stresses on the wording of the document itself more than substantial fact. However, the problem mentioned above has not been solved eventually. In particular, the essential relation between the carrier and consignor, holder of securities(real relationship) need to clear up the claiming credit of the bill of lading(securities of custody). In essence, the bill of lading is different from the promissary note and check, in that the former is influenced by the real relationship as the latter is not. Bill of lading is subject to the real performance, but the need of protection of its holer is another. About the credital force of the bill of lading, there are several traditional theories performed. But in my opinion, the carrier's fiduciary duty should be stressed in this issue additionally. The accurate writing of the transport documents(bills of lading) regarding the factual relationship (type, quality and quantity of cargo, packaging, shipping status, etc.) is absolutely of importance because it is the premise of claims(including claiming issuing bank). I propose that the carrier's attachment of the additional material of cargo shipments and samples of photos about the state of shipping. While this is not regulated in the Commercial Act, the attachment of these materials will reduce the trouble between the parties. Though the Commercial Code concerning the bill of lading has been revised, we should try to enhance the credibility of the bill of lading in the international market especially. For example, we should stress on the carrier's duty of care in the writing the documents. According to my opinion, in the case of the discrepancy between the wording and the real transaction, the concrete conclusion may differs from the traditional theories. I hope my proposal above can improve the Korea's international transactional surrounding and make the predictability of trade higher in the future.
북한의 보험법 연구 - 보험계약 통칙적 내용을 중심으로 -
전우현 한국재산법학회 2012 재산법연구 Vol.29 No.1
The recent death of Kim Jong Il in North Korea is looked on to affect South-North Korea's economic cooperation as well as the policy of reunification in Korea. A variety of insurance contract can be included in the economic cooperation between South and North Korea, and accordingly there can be conflict in the insurance contract. I wanted to analyze the characteristics of North Korea's Insurance Act and compare it with that of our Insurance Act, which will help us to solve(arbitration) the dispute in insurance premium and insurance money. And it is required that we know the norms of a society to understand its structure of social consciousness. When it comes to look at insurance contracts, it is impossible for the government to recompense all private damages caused by the natural disaster or other accident even in the communist distribution system. Thus, insurance serves as a useful safety device to the victims of individual, enterprises, institutions, cooperative farms in North Korea, which tells capitalist insurance system is inevitable even in North Korea. We need to research the North Korea's insurance system because South-North Korean economic cooperation will become much more closely than now if the North Korea's foreign policy changes to open its economic system. In the dispute on the damages in the land, sea or aviation accident, insurance contract will be useful to solve it. So North Korea's Insurance Act is needed to be examined closely. North Korea is an anti-liberty society, so it blames liberal insurance contract system as a means to sqeeze out the people. Nevertheless, North Korea admits the liberal economic principles of insurance law wholy. North Korea's insurance business is monopolized by the government. A social security system has been developed in the communist economy theoretically, and North Korea's insurance system is connected with this social security system. North Korea's insurance has dual system, which are insurance contract agreed by both parties and social insurance(labor insurance), which explains that North Korea's insurance contract may be interpreted like the social insurance. North Korea's Insurance Act was not aimed to avoid the risk in free business, but supervise the economic activities. The accumulation of premiums and the management of insurance fund are regarded as means of national economic stability and economic policy. North Korea's Insurance Act classifies insurance as personal insurance and property insurance, which has the characteristic classifing the insurance contract according to the insured objective. The parties of the insurance contract in North Korea are the insurer and the insured (policyholder). There is only insurance broker system among the insurance contract's intermediaries. But insurance broker's authority, right, obligation and responsibility are not clearly prescribed. The regulation of under insurance, excess insurance, double insurance is not clear, though North Korea's insurance contract law requires insurable interest. It has only the subrogation system as to the third party, without one as to the insured object. Insurance contract is null and void in North Korea, if it infringes the interests of society and the community, or is concluded illegally, or is concluded after insurance accident broke out. Nevertheless, its interpretation is not clear. And, revocation and cancellation of the contract can not be distinguished in North Korea's Insurance Act. Insurance contract can not be revoked arbitrarily by the insurer, which is like the liberal insurance contract law. When insurance premium is not payed, its sanction is strict as much as the insurer don't pay insurance money at all, though insurance accident breaks out. The reinsurance contracts are needed in North Korea particularly, as he original insurers cannot cover all the damages caused by the natural disasters and other risks. However, reinsurers should bear the burden to pinpoint the de... 북한의 보험법은 사경제 주체의 자유로운 사업상 위험을 회피하게 하려는 것이 아니라 경제감독적 차원에서 제정된 것이다. 보험사업도 공행정의 하나로 보고, 보험료의 축적과 보험금 기금의 관리는 국가 경제안정의 수단임과 동시에 경제정책의 일종으로 간주된다. 보험법의 원리로서 자발성(자원성), 의무성, 신용성이 거론되는데 그 중 자발성(자원성)과 의무성은 상호 모순되는 성격을 지니고 있고 신용성은 보험계약상 국제적으로 정립된 원칙을 수용한 것으로 평가된다. 북한에서도 보험계약의 당사자는 보험계약자와 보험자이다. 보험사업자인 보험자는 원칙적으로 국가기관(국가보험감독기관)만이 담당하고 특수경제지대에서만 그 예외가 인정된다. 보험모집 종사자로서는 보험모집인, 보험대리상은 없고 보험중개인제도만 존재한다. 그런데 보험중개인의 권한, 권리, 의무, 책임이 어떠한지에 대해서는 전혀 정한 바가 없다. 북한의 보험계약법도 피보험이익을 요구하지만 일부보험, 초과보험, 중복보험 등에 관한 규율이 분명하지 않고, 보험계약 자체가 우리처럼 원칙적으로 낙성․불요식 계약이 아니라 요물계약성, 요식계약성의 성질을 띠고 있다. 보험자 대위에 있어서도 제3자 대위만 규정하고 잔존물 대위에 대해서는 명문이 없다.
뇌경색 발병후 병발된 만성 애역(Chronic hiccup)의 뜸치료 1례
전우현,김진석,홍종희,홍상선,박석규,김진성,류봉하,류기원,박재우,Jeon, Woo-Hyeon,Kim, Jin-Seok,Hong, Jong-Hee,Hong, Sang-Sun,Park, Seok-Kyu,Kim, Jin-Seong,Ryu, Bong-Ha,Ryu, Ki-Won,Park, Jae-Woo 대한한방내과학회 2001 대한한방내과학회지 Vol.22 No.1
Hiccups, also known as singultus, are spasmodic involuntary contractions of respiratory muscles that shorten respiration. The characteristic sound is caused by rapid closure of the glottis. In oriental medicine, the mechanism of hiccups is "reversed flow of Ki". Hiccups have been associated with neoplasm, infections, seizures, diabetes. renal failure, alcohol ingestion, various drugs, and ischemic events of the myocardium or central nervous system. We present a case of chronic hiccups after cerebral infarction that was successfully treated using moxibustion therapy.
전우현 보험연구원 2002 보험금융연구 Vol.34 No.-
The contract of insurance is a contract of utmost good faith. The insureds and the insurers must behave to the partners with more fidelity than the ordinary contracts. The insured`s duty of disclosure is a good example demanded in the contract of insurance to this purpose. If he breaches it, he should be punished by reason of the breaching itself, not by causing insurance accident. The proviso of the Commercial Act §655 provides that if there is no causal relation between the insured`s breach of the duty of disclosure and the out breaking of the insurance accident, the insured is not to be blamed. But it is very odd and unreasonable for the insured having breached his duty to be exempted from the punishment by reason of the absence of the causal relation between his breaching and the insurance accident. The insured`s breach of the duty of disclosure must be blamed by itself, regardless of other behaviors or results. Thus I propose the proviso of the Commercial Act §655 is to be repealed.
시호 물 추출물의 마우스 골수세포를 이용한 유전독성 평가
전우현,정인권,강수진,구세광,이영준 한국한의학연구원 2012 한국한의학연구원논문집 Vol.18 No.2
In this research, the genotoxic effect of Bupleuri Radix (BR), the dried roots of Bupleurum falcatum Linne has been traditionally used as anti-inflammatory agent, was evaluated using the mouse micronucleus test. BR aqueous extract (yield = 16.52%) was administered once a day for 2 continuous days by oral gavage to male ICR mice at doses of 2,000, 1,000 and 500 mg/kg. Cyclophosphamide (CPA) 70 mg/kg was used as a known genotoxic agent in a positive control. The appearance of a micronucleus (MN) in polychromatic erythrocyte (PCE) is used as an index for genotoxic potential, and PCE ratio is used as an index of cytotoxicity. Although significant (p<0.01) increase of the number of PCE with one or more nuclei (MNPCE) was detected in CPA treated groups, no significant increases of MNPCE numbers were observed in all three different dosages of BR extracts treated mice with over 0.30 of the individual polychromatic erythrocyte ratio in all mice used in this study. The results obtained indicated that BR extract shows no genotoxicity effects up to 2,000 mg/kg dosing levels the limit dosage in rodents.
간경변에 의한 급성 대사성 뇌병증의 임상 양상 및 두부 자기공명영상 소견
전우현,김선영,권영오,정두교,박성파,서정규 대한신경과학회 2005 대한신경과학회지 Vol.23 No.5
Background: Chronic liver disease is a common cause of metabolic neurologic deterioration. We analyzed the clinical features and MRI findings of patients with liver cirrhosis who showed rapidly progressing cerebral dysfunction. Methods: From August 2001 to July 2003, we had 9 liver cirrhosis patients hospitalized due to acutely developed and rapidly progressed neurologic symptoms that were caused not by other metabolic disturbances. Blood tests and liver ultrasonography were performed to assess the severity of liver cirrhosis. A brain MRI study was done in all patients. Results: The causes of liver cirrhosis were viral hepatitis (n=6), chronic alcoholism (n=2), and autoimmune disease (n=1). Serum ammonia and electrolyte levels were within the normal range. Truncal or limbs ataxia and dysarthria were the most common symptoms. The corpus callosum and dentate nucleus of the cerebellum were commonly involved on diffusion- and T2-weighted MRI. In spite of intensive investigation and treatment, all patients had a rapidly deteriorating course with the appearance of uncontrolled abnormal movements and a decreased consciousness level. Their deaths occured within 1 month of the onset of symptoms. Conclusions: We present nine liver cirrhosis patients with characteristic clinical features and diffusion- and T2-weighted MRI findings for the first time. It is assumed that some neurologic circuit plays a role in pathogenesis.