액와접근법을 이용한 무기하 내시경 갑상선 절제술 후 국소 부위 통증 조절 장치(On-Q^Ⓡ PainBuster^Ⓡ)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^Ⓡ PainBuster^Ⓡ (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.

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.

특이값 제거 기법을 적용한 수중 이동체의 음향 거리 추정

이경원,오단비,김기만,김태형,이희창,Kyung-won Lee,Dan-bi Ou,Ki-man Kim,Tae Hyeong Kim,Heechang Lee 한국음향학회 2024 韓國音響學會誌 Vol.43 No.4

수중 이동체의 방사소음을 측정하는 경우 이동체와 수신기 사이의 거리 정보가 중요한 요소이지만 수중에서는 Global Positioning System(GPS)를 사용할 수 없기 때문에 대체 수단이 필요하다. 대체 수단으로써 별도의 음향신호를 이용하여 도달 시간, 도달 시간 차 및 도달 주파수 차 등을 추정하여 거리를 측정한다. 하지만 채널 환경에 의해 오류가 발생하며, 이러한 특이값들은 연속적으로 거리를 측정함에 있어서 장애 요인이 된다. 본 논문에서는 거리 정보를 측정하는 과정에서 발생한 특이값들을 제거하기 위하여 사후 처리로써 V-곡선 형태의 함수로 곡선 적합하여 오류를 감소시키는 방법을 제안한다. 제안한 방법의 성능검증을 위해 모의, 호수 및 해상실험을 수행하였다. 호수실험 결과에서는 Root Mean Square Error(RMSE) 관점에서 약 85 % 정도로 거리 추정 오차가 감소하였다. When measuring the radiated noise of an underwater vehicle, the range information between the vehicle and the receiver is an important factor, but since Global Positioning System (GPS) is not available in underwater, an alternative method is needed. As an alternative, the range is measured by estimating the arrival time, arrival time difference, and arrival frequency difference using a separate acoustic signal. However, errors occur due to the channel environment, and these outliers become obstacles in continuously measuring range. In this paper, we propose a method to reduce errors by curve fitting with a function in the form of a V-curve as a post-processing to remove outliers that occurred in the process of measuring range information. Simulation, lake and sea trials were conducted to verify the performance of the proposed method. In the results of the lake trial, the range estimation error was reduced by about 85 % from the Root Mean Square Error (RMSE) point of view.

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.

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.

아체베와 응구기 -영어제국주의와 탈식민적 저항의 가능성-

이경원 ( Kyung Won Lee ) 영미문학연구회 2002 안과 밖 Vol.12 No.-

Particle Swarm Optimization을 이용한 다층 구조 레이돔 설계

이경원(Kyung-Won Lee),홍익표(Ic-Pyo Hong),박범준(Beom-Jun Park),정영철(Yeong-Chul Chung),육종관(Jong-Gwan Yook) 한국전자파학회 2010 한국전자파학회논문지 Vol.21 No.7

본 논문에서는 PSO(Particle Swarm Optimizaation)를 이용하여 다층 구조(c-sandwich) 레이돔을 설계하고, 레이돔 특성을 분석하였다. PSO를 이용한 레이돔 설계는 두 경우를 바탕으로 설계되었다. 첫 번째는 c-sandwich 레이돔의 skin과 core의 물질이 정해진 상태에서 PSO를 이용하여 각 층들의 최적의 두께를 결정하였으며, 두 번째는 양쪽 skin의 물질과 두께는 고정하고, 가운데 3개의 층에 대해 물질 상수와 두께를 PSO를 이용하여 최적의 값을 결정하였다. 설계된 두 레이돔 모두 0.1 ㎓에서 15 ㎓ 관심 주파수 대역 중, X-band에서 삽입 손실이 -0.3㏈ 이내의 우수한 성능을 가짐을 알 수 있었다. 레이돔 설계에 PSO를 적용함으로써 빠르고 정확하게 설계 업무를 수행할 수 있음을 보였으며, 경사 입사에 대한 경우에도 최적의 레이돔을 설계할 수 있음을 보였다. 또한 다양한 파라미터의 조합에서도 요구 성능에 부합하는 최적의 값이 결정됨을 보였다. 본 논문의 결과로부터 레이돔을 설계하기 위한 복잡하고 많은 계산을 생략할 수 있으며, 다양한 성능을 가지는 레이돔 설계 및 개발에 활용할 수 있다. In this paper, the design of multilayer radome within, the insertion loss, -0.3 ㏈ in X-band with PSO was carried out based on two cases. The first is that, deciding material constant of skin and core, each layer thickness of c-sandwich radome with PSO is found and the second is that, deciding material constant and thickness of the skins of both sides, the material constant and thickness of three layers between skins of both sides using PSO is decided. The performance of the designed radome almost agreed with the required performance. It was showed that the radome design applying PSO algorithm is easy and fast and the optimum radome is also designed in combination of the various parameters of radome. From these results, the radome having various performance can be designed except the tedious calculation and also be applied to various radome structure.

수소 사용시설 안전관리 항목 분석

이경원(Kyung-Won Lee),김동환(Dong-Hwan Kim),남태호(Tae-Ho Nam),이정운(Jung-Woon Lee),유근준(Geun-Jun Lyu),이연재(Yeon-Jae Lee),강민우(Min-Woo Kang),임동식(Dong-Sik Yim) 한국가스학회 2016 한국가스학회 학술대회논문집 Vol.2016 No.6

응급의료센터에서 수혈을 시행한 성인 외상환자에서 사망 예측 인자

이경원 ( Kyung Won Lee ) 대한외상학회 2012 大韓外傷學會誌 Vol.25 No.3

Purpose: The most common cuase of transfusion for trauma victims in an emergency department is hypovolemic shock due to injury. After an injury to an internal organ of the chest or the abdomen, transfusion is needed to supply blood products and to compensate tissue oxygen transport and bleeding. From the 1990`s, there have been some reports that transfusion is one of the major factors causing multiple-organ failure. Thus, as much as possible, tranfusion has been minimized in the clinical setting. This study aims to analyze the prognostic factors for mortality among trauma victims transfused with blood products in an emergency department. Methods: We conducted this study for the year of 2010 retrospectively. The study group included adult trauma victims tranfused with blood products in our ED. The exclusion criteria were discharge against medical advice, and missing follow-up due to transfer to another facility. During the study period, 34 adult trauma victims were enrolled. We compared the clinical variables between survivors and non-survivors. Results: the mean age of the 34 victims was 58.06 years, and males account for 58.5% of the study group. The most-frequently used form transportation was ambulance(119, 55.9%), and the most common injury mechanism was mobile vehicle accidents(67.6%). The mean revised trauma score (RTS) was 5.9, and the mean injury severity score (ISS) was 47.76. The mortality rate in the ED was 58.5%, Comparison of survivors with non-survivors showed statistical differences in injury mechanism, initial SBP, DBP, RTS, ISS, and some laboratory data such as AST, ALT, pH, PO2, HCO3, glucose (p<0.05). Regression analyses showed that mortality among adult trauma victims transfused in the ED correlated with RTS. Conclusion: When an adult trauma victim is transported to the ED and needs a tranfusion, the emergency physician carefully assess the victim by using physiologic data. (J Korean Soc Traumatol 2012;25:79-86)

Drude 모형 특성을 갖는 메타 물질의 임계각에 관한 연구

이경원(Kyung-Won Lee),홍익표(Ic-Pyo Hong),정영철(Yeong-Chul Chung),육종관(Jong-Gwan Yook) 한국전자파학회 2008 한국전자파학회논문지 Vol.19 No.9

본 논문에서는 드루드 모형(Drude model) 특성을 가지는 메타 물질의 굴절각 및 임계각을 해석적으로 분석하였다. 메타 물질 슬래브(slab)에서의 전자기파의 반사 및 투과 특성을 해석하기 위해 메타 물질에서 적용된 드루드 모형에서는 30 ㎓에서 각각 -1의 값을 갖는 유전율, 투자율을 사용하였다. 해석 결과로부터 드루드 모형에서 물리 상수(physical constant)의 부호가 주파수에 따라 연속적으로 변하기 때문에 주파수 대역별로 굴절각과 임계각이 각각 서로 다른 특성을 갖는다는 사실을 유도하였다. 본 논문에서 유도한 메타 물질의 주파수에 따른 굴절각 및 임계각 특성은 메타 물질의 주파수와 물리 상수간의 특성과 같은 전자기적 특성을 이해하고, 메타물질과 유전체간 다층 결합의 전파 특성 해석, 레이돔에 적용 가능한 신소재 메타 물질, 전기적 초소형 안테나와 같은 다양한 전자기파 응용에 유용하게 사용할 수 있다. In this paper, the refraction angles and the critical angles of metamaterials which is assumed by the Drude model are analytically studied. To analyze the electromagnetic reflection and the transmission properties of metamaterial slab, we used "-1" for the permeability and the permittivity at 30 ㎓ in Drude model for metamaterials in this paper, respectively. Due to the variation of signes of material constants for frequency ranges in Drude model, the derived refraction angle and the critical angles for each frequency ranges are differently observed. The results in this paper show that the properties the refraction angles and the critical angles for the broadband in metamaterials can be used to understand the electromagnetic properties of metamaterials and microwave applications.