안전수지 저시력환자에서 저시력보조기구의 적용 1예

황준서,한영근,권지원.Joon Seo Hwang. M.D.. Young Keun Han. M.D... Ji Won Kwon. M.D.. 대한안과학회 2007 대한안과학회지 Vol.48 No.7

Purpose: To report the successful application of a Keplerian telescope in a low vision patient whose visual acuity was counting fingers, which is typically a difficult range for LVA adaptation. Methods: We used telescopes, distance low vision devices, in a 36-year-old man whose visual acuity, because of congenital corneal opacity, was limited to hand movement in his left eye and to counting fingers in his right eye. The objective was to improve his ability to participate in outdoor activities. Results: Even though the patient`s visual acuity was seemingly beyond improvement, his visual acuity was improved to the level of 20/100 with a distance low vision device, a Keplerian telescope 8×30. Conclusions: In the case of patients whose visual acuity is worse than counting fingers, it is usually difficult to improve poor vision by using telescopes for distance. However, in spite of restricted adaptation, low vision telescopes can be used to produce good results in low vision patients.

분쟁지역 환경협력의 유형과 안정적인 남북한 접경지대 환경협력을 위한 촉진요소 연구

황준서 서울대학교 통일평화연구원 2019 통일과 평화 Vol.11 No.2

The 2018 Pyongyang Joint Declaration was a watershed moment that could reroute the Korean Peninsula from frozen relationship to peaceful coexistence and concurrently, confirmed the importance of inter-Korean environmental cooperation. However, actual cooperation arrangements have not been developed as the inter-Korean relationship fell into stalemate again. This research investigated what guarantees the stability of border areas realising its full potential for cross-border environmental cooperation in post-conflict societies. First, three pathways of such cooperation were identified, and the inter-Korean cooperation was categorised under ‘buffer zone’ in which passive cooperation occurs in the low level of conflict. Against this backdrop, a case of Northern Ireland, which is well known for its successful peace process in the globe, was examined to understand what conditions contribute to forging robust and active cross-border environmental governance. Institutional guarantees, politico-economic incentives, secure financial resources, and self-standing cross-border cooperation between non-state networks emerged as facilitating conditions to environmental cooperation. Given that the post-war conflict still defines the atmosphere in the Korean Peninsula, unlike Northern Ireland, it was concluded that the inter-Korean environmental cooperation would be boosted by institutional guarantees that confirm the security of the inter-Korean border and the understanding of mutual interest in such environmental cooperation. 2018년 평양공동선언은 한반도 긴장을 개선하고, 비무장지대(DMZ)를 중심으로 접경지대 환경협력의 중요성을 확인했다. 그러나 접경지대 환경협력은 공동으로 직면한 환경문제를 해결하면서 신뢰를 구축하는 평화와 환경의 교차점이 될 수 있음에도 불구하고경제협력이나 문화협력 등 다른 협력 분야에 비해 상대적으로 학술적인 관심을 끌지 못했다. 따라서 본 연구는 분쟁지역 접경지대에서 어떠한 조건에 따라 환경협력이 안정적으로 유지될 수 있는지 살펴보았다. 분쟁지역 접경지대 환경협력은 갈등 수준과 환경협력의 적극성 여부에 따라 전환형, 완충형, 안정형으로 구분했고, 한반도는 낮은 갈등 수준에서 수동적인 환경협력이 진행 중인 완충형으로 파악했다. 본 연구는 적극적인 환경협력 관계를 구축하는 방법을 모색하기 위하여 전 세계에서 가장 모범적인 평화프로세스이행으로 알려진 북아일랜드와 아일랜드의 접경지대 환경협력 사례를 심층분석 하였다. 그 결과 제도적인 안전장치, 정치경제적 인센티브, 안정적인 재원 및 관계 유지, 독자적인 시민사회의 교류가 환경협력을 촉진하는 요소였다. 평화협정을 체결한 북아일랜드와 다르게 동결된 갈등상태를 유지하고 있는 한반도에서는 접경지대의 안전을 보장하는 동시에 환경협력을 추진하기 위한 제도적 안전장치와 상호이해관계를 반영한 정치경제적인센티브 확보가 가장 시급하다고 할 수 있다.

생태정의 관점에서 고찰하는 유럽연합의 환경범죄 대응 정책: 포용성, 비례성, 책무성을 중심으로

황준서 한국외국어대학교 EU연구소 2022 EU연구 Vol.- No.63

유럽연합은 국제사회에서 환경정책을 주도하는 행위자로 꼽히고 있지만, 지속가능성을 위협하는 불법 폐기물 매립, 야생동물 불법거래 등 각종 환경범죄의 성장과 기후위기에 직면해있다. 국경을 넘나들면서 규모가 성장하고 있는 초국가적 환경범죄는 21세기에 들어서 더욱 심각해지고 있는 환경불평등과 정의와도 직결되는 사안이라는 점에서 더욱 많은 관심이 필요하다. 본 논문에서는 녹색범죄학(green criminology)에서 논의되고 있는 생태정의(ecological justice) 관점을 바탕으로 환경범죄를 본래적 범죄(malum in se)와 금지적 범죄(malum prohibitum)로 구별하고, 유럽연합의 환경형법과 정의로운 전환정책을 분석한다. 현재 유럽연합은 최근 환경범죄 대응과 기후위기 등 환경정책을 강화해왔으나, 기업의 무분별한 상품생산 및 에너지 소비행위 등 지속가능성을 위협하는 활동들을 근본적으로 방지하기에는 법적 한계에 직면해있다. 이러한 한계는 유럽연합이 평등과 정의의 원칙을 환경범죄 대응에 적극적으로 수용하지 않은 데에서 기인한다고 볼 수 있다.

Building Sustainable Peace through the ‘Rights of Nature’ in Western Societies: Case Studies of New Zealand and Northern Ireland

황준서 한국인권학회 2023 인권연구 Vol.6 No.1

In a time of planetary crisis, human rights discourses have embraced post-anthropocentric perspectives that acknowledge the rights of nature. On the other hand, critical peace discourses that emphasise political, social, and ecological sustainability have gained more attention, which challenge the one-dimensional conception of peace that is espoused with the liberal paradigm of economic development. This journal article explores how the two post-anthropocentric discourses intersect and form a concept of post-anthropocentric sustainable peace. Case studies of New Zealand and Northern Ireland show institution-building and social movements are two pathways of practising sustainable peace that recognise the rights of nature. In conclusion, it is emphasised that in facing with the ecological crisis, human-centric human rights paradigms and peace built upon them are not only fragile but also unjust. Therefore, peace should be formed from the bottom, along with nature.

한국인 단순포진각막염 환자의 임상 분석

황준서,위원량,이진학,김미금,Joon Seo Hwang,Won Ryang Wee,Jin Hak Lee,Mee Kum Kim 대한안과학회 2007 대한안과학회지 Vol.48 No.9

부분결합간섭계와 초음파를 이용한 안축장 측정시 백내장 수술 후 굴절력 예측의 비교

황준서,이진학.Joon Seo Hwang. M.D... Jin Hak Lee. M.D.. 대한안과학회 2007 대한안과학회지 Vol.48 No.1

Purpose: To study the refractive outcome of cataract surgery employing partial coherence interferometry (PCI) and to compare this outcome with that of A-scan ultrasound in a prospective study of 96 eyes of 96 patients that underwent phacoemulsification with intraocular lens (IOL) implantation. Methods: The SRK-T formula was employed, using PCI (IOL Master?: the only commercially available model) and A-scan ultrasound data, to predict patients` implanted IOL power. Four to six weeks after cataract surgery, the refractive outcome was determined, and results from the two different biometry methods were compared. Results: Ninety-six patients (mean age: 67.64, SD: 9.91) underwent phacoemulsification with IOL implantation. The optical axial length obtained using the IOL Master? was significantly longer (p<0.001, Student??s t-test) than the axial length obtained via by A-scan ultrasound, 24.29 (SD 1.80) mm vs. 24.19 (1.75) mm. When using the IOL Master?, the mean prediction error (PE; planned target of refraction - postoperative refraction) was 0.30 (0.60) D, and the mean absolute prediction error (APE) was 0.51 (0.44) D. When using A-scan ultrasound, the mean PE was 0.01 (0.64) D, and the mean APE was 0.47 (0.43) D. The difference in mean APE between the two biometry methods was not statistically significant (p=0.236, Wilcoxon signed rank test). Among the eyes with an axial length greater than 25 mm, as determined by A-scan ultrasound, the difference in the mean APE was not statistically significant (0.48 (0.87) vs. 0.58 (0.61), p=0.094). Likewise, among the eyes for which with axial length measured by A-scan ultrasound longer than IOL Master?, the difference in the mean APE error was not statistically significant, (0.33 (0.30) vs. 0.46 (0.41), p=0.110). Conclusions: IOL power calculation using the PCI is as accurate as that using A-scan ultrasound for predicting the postoperative refractive state of patients who have undergone cataract surgery.

기로에 선 북아일랜드: 성 금요일 평화협정 체결 이후 갈등과 평화의 동학

황준서 한국외국어대학교 EU연구소 2021 EU연구 Vol.- No.58

1998년에 북아일랜드는 1972년부터 약 30년 동안 계속되었던 무력분쟁을 멈추고 평화로운 사회를 건설하기 위한 여정을 시작했다. 그러나 그 길은 절대 순탄하지 않았으며, 오히려 최근 브렉시트 이후 정치적으로, 사회적으로 더욱 더 불안해지고 있다. 본 논문은 북아일랜드를 위로부터 타협된 평화, 아래로부터 만들어지는 평화, 평화의 반대자들이 구성하는 ‘평화와 갈등의 동학’이 존재하는 공간으로 파악한다. 그리고 Romsbotham, Woodhouse & Miall이 제시한 모래시계 모델(Hourglass Model)을 기반으로 이 동학을 분석하여 북아일랜드가 여전히 정치적으로, 사회적으로 불안정한 원인이 ‘갈등 봉합’ 중심 갈등 해결 접근방식에 있음을 밝히고자 한다. Northern Ireland embarked on its journey to a long-awaited peace after the signing of the Good Friday Agreement in 1998. However, the road to peace has been bumpy and struck by Brexit, Northern Ireland is becoming more and more politically and socially unstable. This article understands Northern Ireland as a post-conflict space where three strands of peace and conflict - elite-brokered peace, localised bottom-up peace, and spoilers of peace - constitute ‘the dynamics of peace and conflict’. In light of Romsbotham, Woodhouse & Miall’s Hourglass Model, it argues that the socio-political instability of Northern Ireland is originated from its ‘conflict settlement’ approach to peace process.

Environmental Cooperation as a Driver of ‘Low Politics’ in the Baltic Sea: An Actor-Based Analysis

황준서,Hyunkyo Yu 서강대학교 유로메나연구소 2022 통합유럽연구 Vol.13 No.3

The geopolitical collision between the European Union (EU) and Russia is being heightened by the recent war between Russia and Ukraine. The former has financed Ukraine for self-defence and reinforced economic sanctions against Russia. In response, the latter has ceased energy exports to and increased the military strength in bordered areas with its European counterpart. As the war continues, the security tension intensified in the Black Sea diffuses to the Baltic Sea that the two great powers share. This research casted light on four types of organisations for ‘low politics’, which bridges Europe and Russia by addressing common agenda for the environment and public health. Those are intergovernmental organisations, city networks, civil society coalitions, and university networks. The study found that although these actors are not powerful enough to reshape the landscape of regional security politics, they contribute to confidence building in the long term and enhancing living standards through cross-border cooperation.

한국인 레베르선천흑암시 환자의 임상양상

황준서,김정훈,정호경,허장원,김성준,유영석.Joon Seo Hwang. M.D... Jeong Hun Kim. M.D... Ho Kyung Choung. M.D... Jang Won Heo. M.D... Seong-Joon Kim. M.D... Young Suk Yu. M.D.. 대한안과학회 2007 대한안과학회지 Vol.48 No.9

Purpose: To study the clinical characteristics and visual prognosis of Leber’s congenital amaurosis in Korea. Methods: Children who were diagnosed with Leber`s congenital amaurosis at Seoul Natioanl University Children`s Hospital between 1992 and 2004, were included in this study. The medical records pertaining to the clinical characteristics and visual outcomes of the patients were retrospectively reviewed. Results: The mean age of the patients at presentation and during the subsequent follow-up period was 15.5 and 62.7 months, respectively. The principal symptoms included lack of fixation (69.0%) and nystagmus (23.8%). At first observation, nystagmus was found in 40 patients, and the appearance of the fundi were variable, including `normal` (23.8%), pigmentary degeneration (54.8%), vascular attenuation (35.7%) and macular coloboma (19.0%). At the age of three to five years, 44.4% of patients had hyperopia greater than +5D. At the time of last follow-up, the visual acuities of the patients who were examined after the age of four were `hand motion` in 68.7%, ≥20/400 in 9.4%. No patient had visual acuity better than 20/200. Eight (25%) patients could read with glasses or low-vision aids. Conclusions: The visual prognosis of patients with Leber’s congenital amaurosis was poor in most cases, but a majority of our patients displayed a stable clinical course. Progression was rare, and one fourth of the patients were able to read with appropriate aides. In conclusion, regular follow-up care to assess visual function is necessary for optimal outcomes.

펠티어 소자를 활용한 차량 내부 공기 순환기

황준서,김정호,김용훈,이상규,홍승환,함태식,이현섭 한국트라이볼로지학회 2022 한국트라이볼로지학회 학술대회 Vol.2022 No.10