자연기흉의 개흉술 적응과 수술성적에 관한 연구

이재원,김근호,Lee, Jae-Won,Kim, Geun-Ho 대한흉부심장혈관외과학회 1987 Journal of Chest Surgery (J Chest Surg) Vol.20 No.1

The records of 268 patients, who were diagnosed as spontaneous pneumothorax during the period 1975 to 1984, treated at the department of thoracic and cardiovascular surgery, Hanyang University Hospital, were reviewed retrospectively to evaluate the effect of surgical intervention on each indications. Of these,.61 patients [22.8%] were taken operation to treat the pneumothorax after closed thoracostomy. We have classified the 61 patients to evaluate the therapeutic effect on each indications. And the therapeutic effect is based on the chest tube indwelling days. The results were as follows: 1. The chest tube indwelling days of the group who were taken closed thoracostomy only was average 14.13*9.17 days [range 5-66 days], and that of the group who were finally taken the thoracotomy after closed thoracostomy was 21.85*12.30 days [range 5-55 days]. 2. The indications of thoractomy were thoracoscopic findings, recurrence and continuous air leakage. 3. The chest tube indwelling day of the group who was taken thoracotomy by thoracoscopic findings was average 11.67*6.51 day, that was relatively short compared to those of the other groups. 4. The continuous air leakage group after closed thoracostomy was subdivided into three subgroups, continuous air leakage in 1st attack, thoracoscopic findings in 1st attack, and recurrence. 5. Of these, the chest tube indwelling day of the subgroup, who was taken operation by thoracoscopic findings, was 21.33e8.26, that was relatively short compared with those of the other subgroups. We use the thoracoscope as excellent diagnostic tool to detect the operation indication in the spontaneous pneumothorax patients. And we gain the benefits to shorten the chest tube indwelling days and admission days, and also to protect the recurrence.

건설재해현황 분석에서 나타난 중점관리 POINT

이재원,Lee, Jae-Won 한국건설안전협회 1997 建設 安全技術 Vol.25 No.-

'96. 건설재해예방 정책방향

이재원,Lee, Jae-Won 한국건설안전협회 1995 建設 安全技術 Vol.18 No.-

1960년대 정부 지원 정책 부재로 인한 우리나라 학교도서관의 정체(停滯)에 관한 고찰

이재원,Lee, Jae-Won 한국비블리아학회 2019 한국비블리아학회지 Vol.30 No.2

본 연구는 1960년대 정부의 지원 정책 부재가 우리나라 학교도서관 발전에 미친 영향에 대하여 고찰하고자 한다. 특히 1960년대에 학교도서관의 확산에도 불구하고 실효성 있는 <도서관법> 제정이 동반되지 않음으로 인하여, 이후 학교도서관이 쇠락할 수밖에 없었던 과정을 주로 살펴보았다. 이 논문은 그간 정부의 지원 정책에서 소외되어 온 학교도서관 역사를 되돌아보고, 어느 때보다 제도적 지원이 절실한 우리나라 학교도서관이 과거의 전철을 밟지 않도록 하는데 의의가 있다. This study examines the effect of the absence of a government support policy on the development of school libraries. Specially this article focuses on the rise and fall of school library in 1960's over the making first Library Law. It is meaningful that our school libraries, which have been alienated due to the lack of government polices, are not following in the footsteps of the past, as they are in need of state support.

승모판막 폐쇄부전증에서 신건삭 형성술을 이용한 판막 성형술의 임상분석

이재원,임한중,정성호,김건일,주석중,송현,송명근,Lee, Jae-Won,Lim, Han-Jung,Jung, Sung-Ho,Kim, Kun-Il,Choo, Suk-Jung,Song, Hyun,Song, Meung-Gun 대한흉부심장혈관외과학회 2001 Journal of Chest Surgery (J Chest Surg) Vol.34 No.4

배경: 승포판 전엽이나 교련 또는 여러 판엽에 걸쳐 광범위한 병변으로 인한 승모판 역류의 경우 수술수기에 대한 뚜렷한 정립이 되어 있지 않은 실정이다. 최근 이러한 병변의 승모판 역류의 경우 PTEE(Polytetrafluro-ethylene)을 이용한 신건삭 형성술의 시행이 점차 늘고 있다. 이에 저자들은 PTEE를 이용한 신건삭 형성술이 승모판 성형술에 어떠한 영향을 미치는지 알아보고자 하였다. 대상 및 방법: 1994년 1월부터 1999년 12월까지 승모판막 성형술을 시행 받은 322명의 환자 중에서 신건삭 형성술을 이용하여 승모판 성형술을 시행한 144례(I군)과 신건삭 형성술 이외의 방법으로 승모판 성형술을 시행한 178례(II군)를 대상으로 하였다. 두 군에서 수술 직후ㅘ 수술 후 6개월, 1년 및 1년 단위로 주기적인 심초음파를 시행하였고 이를 통계적 검정하였다. 결과: 같은 기간 승모판 성형술은 승모판막 폐쇄 부전증으로 내원한 환자의 95%(306)에서 추적 관찰이 가능하였다. 두 구난에 수술 전 혈류 역학적인 차이를 보이지 않았고, 수술 전 평균 승모판막 폐쇄 부전의 정도는 I군이 3.8$\pm$0.4, II군이 3.6$\pm$0.3였으나 수술 후 추적 관찰에서 각각 1.3$\pm$0.9와 1.1$\pm$0.7 정도의 양호한 판막 성형술의 결과를 보였고 승모판막 면적의변화나 승모판막에서의 평균 압력차이 등 혈류 역학적인 결과에도 차이를 보이고 있지 않았다. 술 후 3명(0.9%)의 조기 사망과 4명 (1.2%)의 후기 사망이 있었으나 두 군간의 차이는 보이지 않았다. 만기 생존율( 93.7$\pm$3.3 vs 88.0$\pm$1.95) 및 판막살패가 발생하기 않을 확률( 93.7$\pm$3.6 vs 93.3$\pm$3.4%) 과 재수술이 필요치 않을 활률(99.3$\pm$0.7 vs 96.0$\pm$1.9%), 색전증, 감염성 심내막염, 판막과 관련된 합병증 발생률 등에서 두 군간에 의미 있는 차이는 없었다. 전엽과 후엽에서 신건삭 형성술을 시행한 환자에서는 통계학적인 차이가 없었다(p=0.29) 결론: 신건삭 형성술을 이용한 승모판 성형술은 승모판 성형술의 증가(r=0.98, p<0.01)를 가져 왔을 뿐만 아니라 내구성과 안정성에 있어 기존의 안전화된 수술 수기와 견줄만하다. 특히 이러한 신건삭 형성술은 승모판 전엽에 병변이 있는 경우와 교련부 및 여러 엽에 광범위한 병변으로 인하여 재건술이 어려운 경우에도 승모판 재건을 가능하게 하는 우수한 수술 수리가 사료된다.

반 드 벨데의 응집성 연구

이재원,Lee Jae-Won 한국독어학회 2003 독어학 Vol.8 No.-

Die vorligende Arbeit behandelt die Probleme der $Koh\"{a}renz$ und Interpretation von van de Velde unter einigen Gesichtspunkten, welche mit der Frage $zusammenh\"{a}ngen$: Wie wird Sprachverstehen $erm\"{o}glicht$? Nach van de Velde besteht der wissen­schaftliche Zugang zu den Sprachverstehensprozessen und Interpretationsstrategien darin, dass man Erkenntnisse $\"{u}ber$ ihre bedingenden Faktoren gewinnt Seine Arbeit versucht diese bedingenden Faktoren in folgenden Gegebenheiten aufzufinden: 1) in den innersprachlichen Gegebenheiten, 2) in den $Referenzzusammenh\"{a}ngen$, auf die sich innersprachliche Gegebenheiten beziehen, 3) in den Handlungskontexten, in denen die verwendeten Sprachgegebenheiten ihre Funktionen haben, 4) in den zwischenmenschlichen $Kormnunikationsrahmenverh\"{a}lnissen$, 5) in den kognitiven Prozessen des Sprachrezipienten, in der neuro(psycho)logischen Ausstattung des Sprachbenutzers. Genau gesagt, bleiben die folgenden Fragen trotzdem immer nur offen: 1) Kann jede Ebene $f\"{u}r$ die $Koh\"{a}renz$ bei van de Velde in der Wirklichkeit schon da sein? 2) Sind die Wertigkeiten jeder Ebenen gleich? 3) Muss die $Koh\"{a}renz$ zwischen Inferenz und Verstehen sein? 4) Gibt es irgendeine Einheitstheorie, solche $interdisziplin\"{a}re$ Faktoren zu beherrschen?

Li(Ni_1-x-yCo_xMn_y)O₂계 이차전지 공정 스크랩으로부터 회수한 전이금속을 활용한 리튬이차전지 양극재 제조

이재원,김대원,장성태,Lee, Jae-Won,Kim, Dae Weon,Jang, Seong Tae 한국분말야금학회 2014 한국분말재료학회지 (KPMI) Vol.21 No.2

Cathode materials and their precursors are prepared with transition metal solutions recycled from the the waste lithium-ion batteries containing NCM (nickel-cobalt-manganese) cathodes by a $H_2$ and C-reduction process. The recycled transition metal sulfate solutions are used in a co-precipitation process in a CSTR reactor to obtain the transition metal hydroxide. The NCM cathode materials (Ni:Mn:Co=5:3:2) are prepared from the transition metal hydroxide by calcining with lithium carbonate. X-ray diffraction and scanning electron microscopy analyses show that the cathode material has a layered structure and particle size of about 10 ${\mu}m$. The cathode materials also exhibited a capacity of about 160 mAh/g with a retention rate of 93~96% after 100 cycles.

후부종격동에서 발생한 기형종 2례 보

이재원,김용진,김주현,Lee, Jae-Won,Kim, Yong-Jin,Kim, Ju-Hyeon 대한흉부심장혈관외과학회 1984 Journal of Chest Surgery (J Chest Surg) Vol.17 No.2

Tumors of the mediastinum are usually classified according to their location in the anterior, middle, or posterior mediastinum. Mediastinal teratomas are characteristically located at anterior mediastinum with only rare incidence in the posterior mediastinum. Two cases of posterior mediastinal teratoma were experienced recently, in the department of thoracic surgery, Seoul National University Hospital. The incidence of posterior mediastinal teratoma was 4.2% among 48 mediastinal teratomas in our experience. Two cases are all benign teratoma located at right posterior costophrenic angle, and histologically showed tissues from three germ layers including bone and fat.

심실중격결손증을 동반한 관상동정맥루 -치험 1예-

이재원,이홍섭,김창호,Lee, Jae-Won,Lee, Hong-Seop,Kim, Chang-Ho 대한흉부심장혈관외과학회 1986 Journal of Chest Surgery (J Chest Surg) Vol.19 No.2

Congenital coronary arteriovenous fistula is uncommon disease, and was first described by Krause in 1865. About 20% of the cases, it associates additional congenital heart diseases. A 5-year-old female patient was diagnosed as coronary AV fistula with VSD, and was taken surgical correction under cardiopulmonary bypass. VSD was small and subarterial in type, and the fistula was dilated as adult thumb tip size at its distal portion. VSD was closed directly through the pulmonary arteriotomy and the aneurysmal dilation was opened vertically, then it was obliterated using 5-0, 6-0 prolene continuous suture fashioning into a long slender tube. Postoperative course was uneventful.

베노이트의 ‘이미지 회복 전략’에 대한 비판적 고찰

이재원(Lee, Jae?Won) 한국수사학회 2016 수사학 Vol.0 No.26

The Stasis Theory was first developed by Hermagoras, a Greek rhetorician who taught in Rome during the Second Century B.C. The techniques were refined by Roman rhetoricians Cicero and Quintilian and used for many centuries to develop arguments for debates, persuasive speeches, and trials. ‘Stasis (from Greek στάσις ‘a standing still’)’ is a system designed to assist rhetors in identifying the central issues in given controversies, and in finding the appropriate argumentative topics useful in addressing these issues. There is a strong revival of interest in rhetoric in general and in Stasis Theory in particular. For example, Benoit (1995) maintained that the top priority of crisis management should be to recover a damaged image. He defined the communication strategy to recover an image as the Image Recovery Strategy and theorized that the Image Recovery Strategy is based on the Stasis Theory of Hermagoras in ancient Greek. This study sets out to compare the theory of ‘stasis’ in ancient Greek and ‘The Image Recovery Strategy’ of modern times.