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      • KCI등재

        실험적 안구천공상에서 일차적 공막돌륭술의 효과

        이경원,이석준,이종혁,Kyung-won Lee,M,D,Seok-joon Lee,M,D,Jong-hyuck Lee,M,D 대한안과학회 2005 대한안과학회지 Vol.46 No.1

        Purpose: Scleral buckles are frequently performed as an additional procedure in perforated ocular injury surgery, but little is known about their independent effect after ocular trauma. The authors made a posterior penetrating ocular injury model in rabbits to evaluate the isolated role of primary scleral buckle placement. Methods: Twenty eyes underwent surgery. The penetrating injury consisted of two 5 mm circumferential incisions placed five clock hours apart and 7 mm behind the limbus. A segmental scleral buckle was placed over a randomly chosen penetrating injury site after wound closure. The degree of the fibrous proliferation, traction, and the presence of retinal detachment were evaluated on follow-up examination. After enucleation and fixation, tissue sectioning was performed including injury sites. The greatest dimension of the fibrous proliferation at both wound sites was measured. Results: Two eyes were excluded from the study due to unsuccessful buckling. Four eyes developed a retinal detachment. The remaining 14 eyes showed varying degrees of proliferation and traction on the retina. The greatest dimension of the fibrous proliferation at the buckle site (1.69±0.29 mm) was significantly different from that at the non-buckle site (2.07±0.37 mm, P<0.05). Conclusion: Primary scleral buckle placement at the time of surgical repair reduces vitreous traction and decreases the degree of fibrous proliferation.

      • KCI등재후보

        범주형 환경변수를 고려한 부대성과평가 방법에 관한 연구 - DEA와 CCCA의 결합을 중심으로 -

        이경원,박명섭,임재풍,Lee, Kyung-Won,Park, Myung-Seop,Im, Jae-Poong 한국국방경영분석학회 2006 한국국방경영분석학회지 Vol.32 No.1

        There are many occasions that the performance of a corps is influenced not only by its own efforts but by the commander of the next higher unit in a vertical organizational structure. When the direction of the commander in the next higher organization is different from that of the actual evaluation agency, the unit under evaluation may get rated lower than what it should deserve. This study suggests an alternative method to evaluate the performance of military units in the situation that there exist critical environmental factors which affect the performance. This method employes DEA, a non parametric method, and Constrained Canonical Correlation Analysis(CCCA), a parametric method which is used to estimate a efficient frontier with multiple dependent variables and constraints. This article also exploits a set of categorical environmental variables in the CCCA to improve the fairness of performance evaluation. It is shown that the introduction of the categorical variables helps evaluating the true performance of individual units such as battalions subordinated to different next higher commanders. 계층구조로 이루어진 군부대에서 예하부대의 성과는 피평가부대의 개별적인 노력뿐만 아니라, 그 부대가 속해있는 지휘라인의 1차 상급지휘관의 부대지휘방향에 따라 상당한 영향을 받는 경우가 많다 평가를 담당하는 기관인 2차 상급조직에서 제시하는 평가요소에 대한 중요도가 1차 상급지휘관의 부대지휘방향과 상이하다면, 해당부대는 1차 상급지휘관의 의도를 충실히 구현하였음에도 불구하고 다른 지휘라인의 부대들보다 낮은 평가를 받을 수 있다. 본 연구는 계층적 구조하에서 성과방향의 차이를 야기하는 지휘라인별 특성을 집단외생변수로 취급하여 평가의 공정성을 기하기 위한 연구이다. 비모수적 기법인 DEA와 모수적 기법으로서 다수의 종속변수가 존재하고 모수의 제약을 반영할 수 있는 제약정준상관분석(CCCA: Constrained Canonical Correlation Analysis)의 결합모형을 이용하였으며, 이 과정에서 성과에 영향을 미치는 집단환경변수를 범주화하여 대대급 부대의 성과평가를 수행하였다.

      • KCI등재후보

        액와접근법을 이용한 무기하 내시경 갑상선 절제술 후 국소 부위 통증 조절 장치(On-Q<sup>Ⓡ</sup> PainBuster<sup>Ⓡ</sup>)와 자가 통증 조절 장치의 무작위 대조 연구에 대한 예비 자료

        이경원,박찬흔,박용래,현기훈,윤지섭,Kyung-Won Lee,Chan-Heun Park,Yong-Lai Park,Ki-Hun Hyun,Ji-Sup Yoon 대한갑상선-내분비외과학회 2013 The Koreran journal of Endocrine Surgery Vol.13 No.4

        Purpose: Gasless transaxillary approach to endoscopic thyroidectomy is a widely performed procedure for benign or malignant thyroid neoplasms. However, it requires wide dissection for approaching the target area. The intravenous patient-controlled analgesia (IV PCA) is an effective method for postoperative pain control and patients can use it according to their requirement. However, patients suffer from nausea, vomiting, sleep disturbance, etc. due to opioids. Pain pump ON-Q<sup>Ⓡ</sup> PainBuster<sup>Ⓡ</sup> (pain buster) has been used widely in various surgeries for control of postoperative localizing and wide area pain without side effects of opioid analgesia because it consists of Ropivacaine. Methods: From Aug. 2008 to Jan. 2013, Gasless transaxillary endoscopic thyroidectomy was performed in 90 patients in a single institution, who were divided into three groups, including the IV PCA, pain buster, and null groups. We compared postoperative outcomes, pain severity between groups. We recorded scores immediately, 6, 12, 24, and 48 hours after surgery following visual analog pain score (VAS), and investigated hospital stay and occurrence of events of nausea, vomiting, and complications. Results: In the IV PCA group, it was discontinued due to nausea in 36.7% of patients. No significant difference in pain severity following VAS score was observed among the three groups. However, smaller numbers of analgesia injections were required in the Pain buster group than in the other groups, and fewer patients suffered from constipation, compared with the PCA group. Conclusion: Pain buster showed even effects compared to IV PCA, with few side effects and less discomfort of patients, compared with the other groups. Therefore, pain buster was thought to be the proper method for pain control after dissection of the anterior chest wall, cervical area in order to secure an operative view for transaxillary endoscopic thyroi-dectomy.

      • KCI등재

        수정된 설계 방정식을 이용한 허니컴 구조의 차폐 효과 예측

        이경원,정영철,홍익표,육종관,Lee Kyung-Won,Cheong Yeong-Chul,Hong Ic-Pyo,Yook Jong-Gwan 한국전자파학회 2005 한국전자파학회논문지 Vol.16 No.9

        In this paper, the modified design equation of shielding effectiveness was presented to predict more accurately the shielding effectiveness of honeycomb structure with hexagonal waveguide. The design equation of shielding effectiveness in honeycomb was represented from adding shielding effectiveness of single lattice to shielding effectiveness of infinite array of single lattice. This paper proposed the generalized design equation of shielding effectiveness by analyzing basis lattice of hexagonal waveguide which composes honeycomb structure and infinite array structure of basis lattice. To provide the validity of the modified design equation of shielding effectiveness in this paper, comparison with other available date using 3D EM commercial software is made. 본 논문에서는 전자기 차폐 구조로 널리 알려진 육각형 도파관 구조를 갖는 허니컴 구조의 차폐 효과를 정확하게 예측하기 위하여 기존의 차폐 효과 설계식을 수정하여 새로운 차폐 효과 설계식을 제안하였다. 허니컴의 차폐 효과 설계 방정식은 단일 격자의 차폐 효과와 무수히 많은 격자 구조의 차폐 효과의 합으로 표현되는데, 본 논문에서는 허니컴 구조를 이루고 있는 육각형 기본 격자를 해석하고, 기본격자가 다수의 배열로 이루어진 해석을 통해 일반화 된 차폐 효과 설계 방정식을 제안하였다. 제안한 차폐 효과 설계 방정식의 유효함을 입증하기 위하여 상용 소프트웨어의 3D EM 시뮬레이션과 비교하였다. 또한, 측정 결과와 비교하여 본 논문에서 제안한 수정된 차폐 효과 설계 방정식이 기존의 설계 방정식보다 더 정확하다는 것을 보여주었다.

      • KCI등재

        탄소섬유강화플라스틱CFRP의 인장하중하에서의 파괴거동에 따른 음향방출신호 특성에 관한 연구

        이경원 ( Kyung Won Lee ),이상윤 ( Sang Yun Lee ),남준영 ( Jun Young Nam ),이종오 ( Jong Oh Lee ),이상율 ( Sang Yul Lee ),이보영 ( Bo Young Lee ) 한국항공운항학회 2010 한국항공운항학회지 Vol.18 No.4

        Recently, aerospace structures have lightweight trend in order to reduce the cost of fuel and system, Carbon Fiber Reinforced Plastic (CFRP) can give the ability to reduce weight at 20~50% as the substitution of metal alloy, and there are advantages such as high Non-rigid, specific strength and anti-corrosion, but it is difficult to prove its destruction properties due to heterogeneous structure and anisotropy. In this study we designed specimen, inducing distinguishing destructions of material (for example, matrix crack, fiber breakage, and delamination) by using the Carbon Fiber Reinforced Plastic (CFRP) which is used in a real aircraft, to apply acoustic emission technique to aerospace structures. And we gained data via tensile testing and acoustic emission technique, from which each fault signal was classified respectively by using AE parameters and waveform.

      • KCI등재

        오리엔탈리즘, 시오니즘, 테러리즘: 에드워드 사이드의『팔레스타인 문제』

        이경원(Kyung-Won Lee) 한국비평이론학회 2006 비평과이론 Vol.11 No.1

          Edward Said won his critical fame as the author of Orientalism that is held to have heralded the ‘beginning’ of postcolonial studies in Western academy. Since then Said has focused his critical attention on the questions of the Middle East and Palestine in particular. As a Palestinian Arab, Said launches an investigation into the long standing prejudices against Palestine espoused by Western media and ‘liberal’ intellectuals. Especially in The Question of Palestine, Said attempts to foreground the ‘real’ history of Palestine that has been silenced and distorted by dealing with it as an authentic and serious ‘question.’<BR>  The target of Said’s criticism is Zionism, a myth and ideology that has rationalized ‘the politics of dispossession.’ For Said, Zionism is a political, moral, and religious indulgence for all the violences inflicted on Palestinian people. In order to debunk the seemingly impregnable myth of Zionism, Said draws on the same analogy he used in Orientalism. As he stressed the huge gap between ‘the real Orient" and Orientalism or between ‘place’ and ‘topos,’ Said here explains the relationship between Palestine and Zionism in terms of ‘reality’ and ‘interpretation’ or ‘presence’ and ‘representation.’ Then Said provides a series of historical and statistical documents to prove that Palestine is neither an empty space waiting for the arrival of the chosen people nor a waste land inviting the transplantation of an advanced civilization, but a country with real people and legitimate history.<BR>  Another issue Said tackles in conjunction with Zionism is the problem of terrorism. Said’s attitude toward terrorism is quite ambivalent. While Said never endorses terrorism as such, he argues that Palestine is not the only party responsible for terrorism. For Said, Zionism is itself an ideological terrorism in that it justifies and mystifies the state terrorism of Israel. Moreover, the ultimate cause and leading actor of terrorism is rather Israel, not Palestine. In numerical terms, there is a remarkable asymmetry between what Israel has done to Palestine and what Palestine, in retaliation, has done to Israel.<BR>  But Said is not a champion of Palestinian terrorism and Islamic fundamentalism. As an in-between intellectual, Said tries to keep critical balance by directing his attention to the internal problems on Palestine"s part. A conflict of interests both among Arabian countries and among Palestinian peoples is a hindrance to the amicable settlement of the Palestinian question. Especially the bureaucratic and clandestine leadership of PLO becomes a target of Said’s open attack and bitter cynicism. For Said, the only solution to ‘the question of Palestine’ is not self-rule or autonomy but self-determination and independence. And the first step to this solution is an attempt at mutual understanding that acknowledges each other as partner for rational talking.

      • KCI등재

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