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      • KCI등재후보

        양성 대칭성 지방종의 치험례

        김석원,서동완,이성준,정윤규 대한성형외과학회 2002 Archives of Plastic Surgery Vol.29 No.6

        Benign symmetrical lipomatosis(BSL) is a rare disease of unknown origin characterized by symmetrical and diffuse deposits of nonencapsulated fatty tissue. It is located on the neck, the shoulder, the proximal regions of the extremities and the abdomen. It is strongly associated with alcoholism. Other associated diseases include liver disease, dyslipidemia, gout, abnormal glucose tolerance, and malignancies of the upper airways. BSL is found mainly in middle-age, mediterranean men. Imaging using either computed tomography or magnetic resonance imaging is often recommended. Dietary restriction provides no relief. Abstinence from alcohol may delay further progression but does not cause regression of the deformity. The only effective therapy for BSL is surgical removal but recurrence is common. Physicians should be aware of this condition because of its association with metabolic disease and malignancies

      • KCI등재

        그로테스크와 문화 콘텐츠 사례연구

        김석원 한국사진학회 2022 AURA Vol.- No.49

        This study dealt in part with the use of grotesque aesthetics and the concept of development strategies among grotesque's interdisciplinary research work. The purpose of studying grotesque in relation to cultural content was to visually expand the theoretical part of grotesque and examine how it is applied to reality. The theorist who examined intensively analyzed the points where grotesque, which appeared in Kaiser and Bachjin's grotesque books, can be created as cultural content. In other words, through the 'exploration of books' of the two theorists, we looked at what they consistently aim for in cultural content that visualizes various non-language type languages. In this study, the 'attractive elements' related to cultural content are summarized as normal/abnormal indistinguishable, grotesque society, and supernormal stimulation. The psychological reason for favoring this tendency in modern society is not clear, but this tendency has left traces of various cultures from prehistoric times to the present. The worldview of the culture that created such a phenomenon has also constantly changed and achieved grotesque development. The achievement of this study is that attempts to designate this phenomenon as a grotesque could still be found in cultural content.

      • KCI등재

        후방 지지 잠김 금속판 및 경 중수골 핀 삽입술을 이용한 유구중수골관절 골절-탈구를 동반한 유구골 골절의 수술적 치료: 단기 추시 결과

        김석원,이형준,박지강,정동민 대한수부외과학회 2022 대한수부외과학회지 Vol.27 No.3

        목적: 유구중수골관절 골절-탈구를 동반한 유구골 골절은 비교적 드문 골절 형태로, 치료법에 대한 명확한 기준은 확립되어 있지 않다. 특히 유구골의 골편이 얇고 분쇄가 심한 경우 직접 고정에 의해 안정성을 확보하기 어려운 경우가 많다. 저자들은 후방 지지 잠김 금속판 및 경중수골 금속핀 삽입술을 이용하여 유구중수골관절 골절-탈구를 동반한 유구골 골절을 수술 치료 후 그 결과를 보고하고자 한다. 방법: 2016년 5월부터 2022년 2월까지 유구골의 골절과 유구중수골관절 골절-탈구가 동반되어 수술을 한 12명의 환자를 대상으로 하였다. 12명 모두 남자로, 평균 연령은 30.3세, 수술 후 평균 추시 기간은 6개월 1주였다. 환자에 따라 맞춤형 디자인으로 변형시킨 후방 지지 잠김 금속판 및 경 중수골 금속핀 삽입술을 이용한 관혈적 정복술 및 내고정술을 시행하였고, 방사선 검사 및 이학적 검사로 치료 결과를 평가하였다. 결과: 마지막 추시 진료 시 시행한 방사선 평가에서 모든 예에서 골유합이 이루어졌다. Modified Mayo wrist score를 이용한 기능적 평가에서 우수 11예, 양호 1예로 나타났다. 추시 기간 내 정복 실패, 불유합, 감염 등의 합병증은 보이지 않았다. 결론: 유구중수골관절 골절-탈구를 동반한 유구골 골절에서 후방으로 전위된 골절편의 크기가 매우 작고, 분쇄가 심한 경우 후방 지지 잠김 금속판 및 경 중수골 금속핀 삽입술을 이용한 수술적 치료는 유용한 방법이 될 수 있다.

      • KCI등재후보

        Olfactory Dysfunction in Nasal Bone Fracture

        김석원,박범,이태근,김지예 대한두개안면성형외과학회 2017 Archives of Craniofacial Surgery Vol.18 No.2

        Background: All nasal bone fractures have the potential for worsening of olfactory function. However, few studies have studied the olfactory outcomes following reduction of nasal bone fractures. This study evaluates posttraumatic olfactory dysfunction in patients with nasal bone fracture before and after closed reduction. Methods: A prospective study was conducted for all patients presenting with nasal bone fracture (n=97). Each patient consenting to the study underwent the Korean version of Sniffin’ Sticks test (KVSS II) before operation and at 6 month after closed reduction. The nasal fractures were divided according to the nasal bone fracture classification by Haug and Prather (Types I–IV). The olfactory scores were compared across fracture types and between preoperative and postoperative settings. Results: Olfactory dysfunction was frequent after nasal fracture (45/97, 46.4%). Our olfactory assessment using the KVSS II test revealed that fracture reduction was not associated with improvements in the mean test score in Type I or Type II fractures. More specifically, the mean posttraumatic Threshold, discrimination and identification score decreased from 28.8 points prior to operation to 23.1 point at 6 months for Type II fracture with septal fracture. Conclusion: Our study has revealed two alarming trends regarding post-nasal fracture olfactory dysfunction. First, our study demonstrated that almost half (46.4%) of nasal fracture patients experience posttraumatic olfactory dysfunction. Second, closed reduction of these fractures does not lead to improvements olfaction at 6 months, which suggest that olfactory dysfunction is probably due to factors other than the fracture itself. The association should be further explored between injuries that lead to nasal fracture and the mechanism behind posttraumatic olfactory dysfunction.

      • KCI등재

        영화 “액트 오브 킬링”에 나타난 가해자와 피해자의 관계 연구

        김석원,김성호 한국디지털정책학회 2019 디지털융복합연구 Vol.17 No.7

        본 연구의 목적은 조슈아 오펜하이머(Joshua Oppenheimer)의 액트 오브 킬링 <The Act of Killing>에 나타난 가해자와 피해자의 관계에 대해서 살펴보고자 했다. 이를 위해서 가해자의 입장에서 사용한 이론적 도구는 르네 지라르(René Girard)의 ‘모방 폭력(mimetic desire)’, 한나 아렌트(Hannah Arendt)의 ‘악의 평범성(banality of evil)’을 연구하고, 피해자의 입장에서 발생하는 문제는 르네 지라르의 <희생양> 이론을 살펴보았다. 이 연구의 의미는 영화의 재현적 서사를 활용하여 지나간 과거의 대량학살의 재현 불가능성에 도전하고, 진실을 보여주기 위한 방법으로 다큐멘터리와 픽션의 결합을 추구했다. 또한, 가해자와 피해자의 화해는 ‘중립적인 측면의 공정성’을 확보했다는데 의미가 있다. 지금까지 영화에서 가해자와 피해자의 관계에 대한 연구는 간헐적으로 등장했지만 아직까지 부족한 실정이며, 향후 후속연구에서 좀 더 심도 있는 연구가 진행되어야 할 것이다. The purpose of this study was to look at the relationship between perpetrators and victims in Joshua Oppenheimer's Act of Killing. The theoretical tools used for this purpose were to study René Girard's "Mimetic desire" and Hannah Arrent's "banality of evil" and to look at René Girard's theory of “Le Bouc emissaire”. The meaning of the study used the reproducible narrative of the film to challenge the reproducibility of past genocide and seek the combination of documentary and fiction as a way to show the truth. Also, the reconciliation between the assailant and the victim is meaningful in securing 'neutrality of fairness'.but they are still lacking, and more in-depth studies will need to be conducted in future further studies.

      • KCI등재
      • KCI등재

        Squeeze Casting 에 의한 Al-SiCp 복합재료의 제조 조건에 관한 연구

        김석원,우기도,한상원 ( Sug Won Kim,Kee Do Woo,Sang Won Han ) 한국주조공학회 1994 한국주조공학회지 Vol.14 No.5

        N/A Al-2%Si-2%Mg alloy containing SiC particle in 20, 70㎛ were prepared by mean of squeeze casting with various pressure 50, 100, 150 and 220㎫ respectively. The specimens were made by casting into 50ø×100ℓ mold under various squeeze conditions(pressures, pressurizing temperature, particle sizes). Mechanical properties(hardness, tensile strength, elongation and wear characteristics) were evaluated at room temperature with those various fabrication factors. It became feasible to make favorable Al-SiCp composite free from casting defects by the injection of Ar gas during melting and 100㎫ pressure squeeze casting. However, pressure of 50㎫ was not sufficient to avoid completely porosity formation as a result of precessing and shrinkage during solidification. As the particle size is smaller and the squeeze pressure is higher, the hardness and tensile strength at room temperature are higher. Cell size became smaller gradually with increase of squeeze pressure. With increase of squeeze pressure(㎫), wear behaviors of those composites were changed from adhesive into abrasive wear, and the tendency of above behavior became outstanding with increasing sliding speed. The chemical reaction(4Al+3SiC→Al₄C₃+3Si) is more accelerated at interface between SiCp and matrix with increase of squeeze pressure. Therefore Al₄C₃ intercompound and Si peak intensity is increased at interface.

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