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원발성열공망막박리 환자에서 단독유리체절제술과 수정체유화술 및 유리체절제술병합술의 결과 비교
구병영,사공민,장우혁 대한안과학회 2011 대한안과학회지 Vol.52 No.5
Purpose: To compare the outcomes of phacovitrectomy and vitrectomy only for treatment of primary rhegmatogenous retinal detachment. Methods: The anatomical success, functional success, and complications between Group I patients who underwent vitrectomy only and Group II patients who underwent phacovitrectomy for primary rhegmatogenous retinal detachment were retrospectively compared. Results: Twenty-one eyes (84.0%) in Group I had reattachment after vitrectomy only, and 27 eyes (90.0%) in Group II had reattachment after phacovitrectomy. However, the differences in the measures attributes were not statistically significant (p = 0.271). The logMAR visual acuity improved in both groups with no statistically significant difference between the two groups (p = 0.102). Postoperative complications included cataract progression in 20 eyes (80.0%) in Group I and 17 of the 20 eyes (68.0%) underwent cataract surgery within one year after the first surgery. Conclusions: Phacovitrectomy, irrespective of severe lens opacity, is a relatively effective combined surgical procedure in older patients with primary rhegmatogenous retinal detachment and impending presbyopia. The procedure allows for easy access to the periphery during vitreous shaving and prevents the need for a second cataract operation. J Korean Ophthalmol Soc 2011;52(5):537-543
조절되고 있는 한국인 원발개방각녹내장 환자를 대상으로 시행한 iStent inject® W 및 수정체유화술의 병합 수술의 결과
구병영,서제현,Leslie Jay Katz,임수호 한국녹내장학회 2024 한국녹내장학회지 Vol.13 No.1
초록목적아이스텐트 인젝트 W (iStent inject W)와 수정체유화술(병합군, IW)의 단기 안압 하강 효과를 보고하고, 백내장 수술 단독군(대조군, C)과 굴절변화를 비교하고자 한다. 대상 및 방법본 후향적 환자-대조군 연구에는 1) 백내장이 있으면서 IOP가 21 mmHg 이하로 조절되는 원발개방각녹내장 39안과 2) 녹내장 없이 백내장 수술만 시행 받은 100안이 포함되었다. IW군의 평균 안압, 녹내장 약물수, 최대교정시력, 굴절이상을 분석하고 ASCRS Double angle plot을 이용한 난시벡터를 C군과 비교하였다. IW군에서의 수술 성공은 다음 세 가지 기준에 따라 정의되었다: (A) 약제수 감소, (B) 안압 하강 20% 초과, (C) 약제수 감소 및 안압 하강 20% 초과. 결과IW군에서 평균 안압은 15.5 mmHg (점안액 1.6병)에서 수술 후 6개월 12.6 mmHg (0.2병)로 감소하였다(각 p < 0.001). 술 후 6개월 누적 성공률은 A, B, C 기준에 따라 각각 92.3, 38.5, 33.3%였다. 약제 사용 없이 IW군의 69.2%는 ≤ 18 mmHg, 48.7%는 ≤ 15 mmHg, 35.9%는 ≤ 12 mmHg를 달성했다. 약물치료 여부에 관계없이 IW군의 92.3%에서 ≤ 18 mmHg를 달성하였다. IW군에서 MAE는 0.35 ± 0.30 D였으며, 76.9%의 안이 0.50 D 이내의 구면렌즈대응치 차이를 보였다(C군 0.38 ± 0.30 D, 76%). 수술 전 및 수술 후 난시의 Centroid는 각각 0.31 D @ 168° ± 1.15 D 및 0.70 D @ 1° ± 0.86 D였다. 수술 전과 수술 후 평균절대치는 두 군 사이에 유의한 차이가 없었다(p = 0.918, p = 0.269). 결론약물의 개수 측면에서, 아이스텐트 인젝트와 수정체유화술의 병행은 조절되는 원발개방각녹내장 환자에게 중등도의 안압 하강 효과와 안정적인 굴절 결과를 보인다. Purpose To report the interim intraocular pressure (IOP)-lowering efficacy of combined trabecular microbypass stenting (iStent inject® W) and phacoemulsification (Combo group) and to compare refractive changes between the Combo and Control (cataract extraction only) groups. Methods This retrospective case-control study included 39 eyes with cataracts and controlled primary open-angle glaucoma (POAG) with IOP ≤ 21 mmHg as well as 100 non-glaucomatous eyes with cataracts. Mean IOP; number of anti-glaucoma medications; refractive outcomes of visual acuity, mean absolute error, and astigmatic vector analysis using the ASCRS double-angle plot were analyzed. Success in the Combo group was defined according to the following three criteria: (A) decreased medication number, (B) IOP reduction > 20%, and (C) decreased medication number and IOP reduction > 20%. Results In the Combo group, the mean IOP was reduced from 15.5 mmHg with 1.6 bottles of medication to 12.7 mmHg with 0.2 bottles at 6 months postoperatively (both p < 0.001). Surgical success rates according to criteria A, B, and C were 92.3, 38.5, and 33.33%, respectively. Overall, 69.2% of eyes achieved a final IOP ≤ 18 mmHg, 48.7% were ≤ 15 mmHg, and 35.9% ≤ 12 mmHg without medication, whereas 92.3% of eyes achieved IOP < 18 mmHg with or without medication. The mean absolute error was 0.35 ± 0.30 D (vs. 0.38 ± 0.33 D in control), and 76.9% of eyes in the Combo group had a spherical equivalent difference within 0.50 D (vs. 76.0% in control). Preoperative and postoperative centroid values were 0.31 D @ 168° ± 1.15 D and 0.70 D @ 1° ± 0.86 D, respectively. There were no statistical differences between the 2 groups with respect to preoperative and postoperative mean absolute values (p = 0.918 and p = 0.269, respectively). There were no vision-threatening complications, although mild complications of IOP spikes (n = 5, 12.8%), hyphemas (n = 4, 10.3%), and stent obstruction by the iris (n = 2, 5.1%) were documented. Conclusions In terms of number of medications, the Combo procedure with iStent inject® W and phacoemulsification for controlled POAG led to favorable modest IOP-lowering effects and refractive outcomes.
구병영,김원제,손준혁,Byoung Young Gu,Won Jae Kim,Jun Hyuk Son 대한안과학회 2011 대한안과학회지 Vol.52 No.5
Purpose: To determine the learning curve of dacryocystorhinostomy (DCR) performed by a single oculoplastic surgeon after one year of fellowship training. Methods: This retrospective review study comprised nasolacrimal duct obstruction patients that underwent endonasal DCR at our hospital between February 2006 and February 2008. The patients that completed at least six months of follow-up were included in the analysis. Exclusion criteria were patients less than 20 years of age and NLD obstructions due to malignancy or canalicular obstructions. Success was defined as duct patency on syringing at the final follow-up and no complaints of epiphora. Results: Out of 161 eyes, the overall surgical success rate was 83.2% (134/161 eyes) and the mean postoperative follow-up period was 6.5 months (6-18 months). Success rates gradually increased as follows: 71.2% (37/52 eyes) for the first group, 88.7% (47/53 eyes) for the second group, and 89.3% (50/56 eyes) for the third group (second and third group compared to first group, p = 0.025, p = 0.017, respectively). Conclusions: To ensure high DCR success rates, the novice surgeon should perform at least 50 surgeries. J Korean Ophthalmol Soc 2011;52(5):519-523
원발군날개에 대한 군날개절제술 후 일시양막이식술의 효과
구병영,이상범.Byoung Young Gu. MD. Sang-Bumm Lee. MD. PhD 대한안과학회 2012 대한안과학회지 Vol.53 No.6
Purpose: To investigate the clinical results, recurrence rates, and recurrence-related risk factors of temporary amniotic membrane patch (TAMP) after excision of primary pterygium. Methods: Recurrence grade was evaluated for 73 eyes with a mean follow-up of 15.5 months (range 9 to 56 months). Surgical results were classified into surgical success (G0/G1), conjunctival recurrence (G2), and corneal recurrence (G3). Recurrence rates were analyzed based on gender, age, Tan’s preoperative grading system, horizontal and vertical length of the preoperative pterygium, the corneal involvement size of the preoperative pterygium, planned or unplanned removal of amniotic membrane, and epithelial healing time. Using Kaplan-Meier survival analysis, the cumulative proportion of integrated G0/G1 was evaluated. Results: In the postoperative grading, 58 (79.5%) and 9 (12.3%) eyes were graded as clinically recurrence-free G0 and G1, respectively; 4 (5.5%) and 2 (2.7%) eyes were graded as clinically recurrence-occurred G2 and G3, respectively. The cumulative proportion of integrated recurrence-free G0/G1 at 24 months after surgery was 0.83 ± 0.08. T3 of Tan’s preoperative grading system was identified as the only risk factor for recurrence above G1 through multivariate logistic regression analysis (p = 0.02). Conclusions: The recurrence rate of the present TAMP study showed better results in comparison with 9.1 to 56.1% of recurrence rates in other studies. The TAMP has advantages of surgical procedure with ease, low complications, and low recurrence rates. Therefore, after surgical excision of primary pterygium, the authors concluded the TAMP is highly recommended for good clinical outcomes and low recurrence rates. J Korean Ophthalmol Soc 2012;53(6):749-760
기독교인의 종교적 성향과 죽음에 대한 태도와의 관계 연구
병영인 ( Young In Byun ) 한국복음주의상담학회 2013 복음과 상담 Vol.21 No.-
Death itself is fair to everyone, but a dying state, all about the fear of death, so unlikely to death, there is a need to study the attitudes. This study of the Christian religious orientation and attitudes toward death by age, gender attitudes and was to study the relationship. Five factors of death attitude were investigated in this study: death avoidance, fear for death process, fear for afterlife, neutral acceptance and approach acceptance. And two types of religious life were selected: intrinsic and extrinsic types. To this end, a survey of 331 people adults conducted research results are as follows. First, men have a tendency of women is higher than extrinsic, women, the higher the age, the higher extrinsic orientation. Second, the fear for death process and the fear for afterlife levels increased with increasing age. Third, The higher the intrinsic propensity showed a decreasing relationship fear for afterlife, fear for death process. Conversely, the increase of extrinsic orientation relationship that these fears were increased. Therefore, the Christians and the life of faith is not satisfied with that, intrinsic religious orientation will need to have.
병영 ( Kang Byung-young ) 동의대학교 경제경영전략연구소 2017 經濟經營硏究 Vol.12 No.1
This paper is trying to look for the ways using online communities in order to boost social enterprises. Enterprises in village and social corporation are major issue for regional economy growth and job creation. A rapid development IT has been changing the existing notion of business. SNS, online community are constantly transforming Business transaction. This study analysis current situations of community business in Busan and UK and Japan. Based on the results of study, a plan using information technology-based online communities is suggested as the way to boost community business.
박병영(Park Byung-Young) 한국사회학회 2000 韓國社會學 Vol.34 No.F
이 글은 산업부문에서 형성되는 기업부문의 이익조직화 형태와 정부와 기업 사이의 영향력을 결정하는 요인들을 검토함으로써, 산업부문 정부-기업 관계의 다양성과 그 결정 요인을 분석하려는 시도이다. 산업부문 정부기업 관계의 두 차원인 기업부문의 이익조직화와 정부와 기업 사이의 영향력 관계는 시장의 위치, 산업특성의 영향을 받는 산업조직의 양상, 산업특성과 전반적인 정부의 산업정책 전략과 조직 구조의 영향을 받는 정부의 개입 방식과 정책권한의 집중성에 의해 다양하게 나타난다. 1980년대 한국의 섬유산업은 협회적 유형의 이익조직화와 관료주도적 개입, 즉 관료지배형 조합주의라는 정부-기업 관계를 보여준다. 반면, 자동차산업의 정부-기업 관계는, 정부의 적극적인 개입에도 불구하고 실제로는 기업부문을 통제하지 못함으로써, 대기업주도형 개별주의 문형으로 귀결되었다. 반도체산업은 국내 반도체 대기업간의 제한적 협력 속에서 정부가 기업의 요구를 수용하는 대기업주도형 조합주의 유형을 보여준다. 이와 같은 산업부문 정부기업 관계는 1980년대 전반적인 정부-기업 관계의 번화가 무엇보다도 산업구조의 변화, 그리고 그에 따른 산업조직 양상의 변화에 근거하고 있음을 함축한다. 자본집약적, 기술집약적 산업의 발전은 산업에 대한 정부의 영향력을 약화시키게 되며, 산업 구조의 변화와 관련된 대기업부문의 성장 또한 정부의 산업에 대한 영향력을 약화시키는 요건으로 작용한다. Focusing on the textile, automobile, and semiconductor industries, this study sheds light on the diversity of sectoral government-business relations and their determinants. The government-business relationship has two dimensions. One is the mode of interactions; the other is the bilateral power influence in those interactions. The type of government-business relation of a particular industrial sector can be determined by many factors, such as the location of its main market, the industrial structure, the mode of government intervention, and the concentration of authority. The first two factors determine the business interests representation system and last three factors determine the bilateral power influence. Due to the interactions of these factors, the government-business relations of textile, automobile, and semiconductor industries were defined as bureaucracy-dominance corporatism, business-initiative individualism, and business-initiative corporatism, respectively. This study has some implications about the changes of Korean government-business relations, in general. First, the changes could happen mainly because of the dynamics of the industrial structure. Second, the growth of big firms is the most important factor in weakening the government’s capacity to intervene in the industrial sectors. In this respect, we can explain the dynamics of the Korean government-business relations in general after the 1960s.