• 대한지리학회지
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• 제51권5호
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• pp.667-690
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• 2016

본 논문은 경제지리학의 글로벌 생산네트워크 담론을 태동기부터 현재의 GPN 2.0 이론화 단계까지 통시적으로 검토한다. 이 과정에서 2000년대 초반 글로벌 생산네트워크 논의의 형성 과정을 글로벌 상품/가치 사슬망의 개념적, 분석적 문제와 결부시켜 설명하고, 이후 논의의 확장과 경험적 연구의 축적을 통해 글로벌 생산네트워크가 세계화 경제, 초국적 기업, 지역발전 간의 밀접한 관계에 주목하는 담론과 실천의 틀로 자리잡게 된 점을 강조한다. 반면, 이론적 결여의 문제에 대한 비판이 꾸준히 제기되었고, 이에 대한 응답으로 최근 Yeung and Coe는 인과적 매커니즘의 추상화와 이와 관련된 글로벌 생산네트워크 조직 전략의 유형을 중심으로 GPN 2.0 이론을 제안했다. 이 결과, 글로벌 생산네트워크 담론은 이론화 결핍의 문제를 해결할 수 있게 되었고, 연구자는 내부 조직화, 통제적 관계, 동반자적 관계, 외부교섭 등 다양한 생산네트워크 조직 전략을 기업경쟁력 강화 요인 및 위험환경과 결부시켜 탐구할 수 있게 되었다. 그리고 글로벌 생산네트워크와 글로벌 상품/가치 사슬 논의 간의 차이는 더욱 분명해졌는데, 여기에는 외부교섭 개념의 역할이 무엇보다 중요하다. 외부교섭은 GPN 1.0에서 가치, 착근성, 권력의 분석 개념을 포괄하고 있는 네트워크 형태로 판단되며, 이것은 기업이나 산업별 거버넌스 차이에 초점이 맞춰진 사슬 담론의 한계를 초월하게 해 줄 것이다.

• Journal of Korean Neurosurgical Society
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• 제60권6호
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• pp.738-748
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• 2017

Objective : We present our experience of microvascular decompression (MVD) for glossopharyngeal neuralgia (GPN) and evaluate the postoperative outcomes in accordance with four different operative techniques during MVD. Methods : In total, 30 patients with intractable primary typical GPN who underwent MVD without rhizotomy and were followed for more than 2 years were included in the analysis. Each MVD was performed using one of four different surgical techniques : interposition of Teflon pieces, transposition of offending vessels using Teflon pieces, transposition of offending vessels using a fibrin-glue-coated Teflon sling, and removal of offending veins. Results : The posterior inferior cerebellar artery was responsible for neurovascular compression in 27 of 30 (90%) patients, either by itself or in combination with other vessels. The location of compression on the glossopharyngeal nerve varied; the root entry zone (REZ) only (63.3%) was most common, followed by both the REZ and distal portion (26.7%) and the distal portion alone (10.0%). In terms of detailed surgical techniques during MVD, the offending vessels were transposed in 24 (80%) patients, either using additional insulation, offered by Teflon pieces (15 patients), or using a fibrin glue-coated Teflon sling (9 patients). Simple insertion of Teflon pieces and removal of a small vein were also performed in five and one patient, respectively. During the 2 years following MVD, 29 of 30 (96.7%) patients were asymptomatic or experienced only occasional pain that did not require medication. Temporary hemodynamic instability occurred in two patients during MVD, and seven patients experienced transient postoperative complications. Neither persistent morbidity nor mortality was reported. Conclusion : This study demonstrates that MVD without rhizotomy is a safe and effective treatment option for GPN.

• Journal of Korean Neurosurgical Society
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• 제46권4호
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• pp.351-354
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• 2009

Objective : Combined hyperative dysfunction syndrome (HDS) defined as the combination of HDSs such as trigeminal neuralgia (TN). hemifacial spasm (HFS) and glossopharyngeal neuralgia (GPN), which mayor may not occur simultaneously on one or both sides. We reviewed patients with combined HDS and demonstrated their demographic characteristics by comparing them with those of patients with a single HDS. Methods : Between October 1994 and February 2006, we retrospectively studied a series of 1,720 patients who suffered from HDS and found 51 patients with combined HDSs. We analyzed several independent variables in order to evaluate the prevalence and etiologic factors of combined HDS. Results : The combined HDS group accounted for 51 of 1,720 (2.97%) patients with HDS; 27 cases of bilateral HFS, 10 cases of bilateral TN and 14 cases of HFS with TN. Their mean age was 52.1 years (range, 26-79 years). There were 5 men and 46 women. Seven patients had synchronous and 44 patients metachronous onset of HDSs. By comparison of combined and single HDS groups, we found that age and hypertension were closely associated with the prevalence of combined HDS (p<0.05). Conclusion : This study revealed that combined HDS was very rare. Hypertension and age might be the most important causative factors to evoke combined HDS.