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      • KCI등재

        연축성 발성장애 환자에서 냉동 보관한 보툴리늄 독소 주입술의 효과

        박신홍,소윤경,정한신,손영익,Park, Shin-Hong,So, Yoon-Kyoung,Jeong, Han-Sin,Son, Young-Ik 대한후두음성언어의학회 2007 대한후두음성언어의학회지 Vol.18 No.1

        Objectives: The aim of this study is to compare the efficacy of fresh versus frozen reconstituted botulinum toxin type A (BTX-A) for the treatment of adductor type spasmodic dysphonia. Materials and Methods: After reconstitution with normal saline, BTX-A was used within 4 hours or it was kept frozen in a consumer grade freezer at about $-25^{\circ}C$ for up to 4 months. Thirty patients with spasmodic dysphonia were randomly assigned and treated with the either fresh or frozen BTX-A. About 83% of injections resulted in a satisfactory outcome with 5.3 months of mean action duration. Treatment outcomes and side effects of total 161 injections were compared along the duration of keeping BTX-A frozen. Results: There were no statistical differences in the duration of action, self-rated satisfaction score, and the duration of hoarseness and/or aspiration between fresh and frozen BTX-A treated groups. No significant side effects were observed and the frozen BTX-A were proved to be free of bacterial contamination. Conclusion: After being reconstituted and kept frozen, BTX-A may be safely used for more than 4 months without significant loss of its effectiveness or additional side effects.

      • 작은 전정신경 종양의 수술 및 감마나이프 치료의 치료성적 및 삶의 질 평가

        박신홍(Shin Hong Park),조양선(Yang-Sun Cho),정규환(Kyu Whan Jeong),장전엽(Jeon Yeob Jang),류남규(Nam Kyu Ryu),정원호(Won-Ho Chung),홍성화(Sung Hwa Hong) 대한두개저학회 2007 대한두개저학회지 Vol.2 No.2

        Objective : The aim of this study was to evaluate the treatment result and quality of life (QOL) in patients with intracanalicular to small-sized vestibular schwannoma (VS), who were managed with microsurgery or gamma knife radiosurgery (GKS). Methods : Medical records of 40 patients who were available on the telephone interview and were followed up more than 6 months after treatment for VS of Koss grade 2 or less from 1997 to 2007 were reviewed. Eighteen patients were treated with microsurgery via translabyrinthine approach and 22 patients were treated with GKS. We evaluated tumor control rate, complications and QOL. To evaluate the QOL, we used the Glasgow Benefit Inventory questionnaires with telephone interview. Result : The mean observation time was 26.85 months. Sixteen patients (88.89%) in microsurgery group did not develop recurrence of tumor. Twenty patients (90.91%) in GKS group were controlled with less than 140% volume increase. One patient in microsurgery group had facial nerve palsy (FNP) worse than House-Brackmann (H-B) Grade III at last follow-up, while no patient developed FNP worse than H-B grade III in GKS group. Although GKS group had higher score in GBI questionnaires, the difference was not significant in comparison with microsurgery group. Conclusion : In small VS, microsurgey and GKS showed similar tumor control and complication rate. Microsurgery group did not have worse QOL than GKS group.

      • KCI등재후보

        한국.호주.뉴질랜드 치위생전공 교육과정 운영 비교

        김유린(Yu-Rin Kim),박신홍(Shin-Hong Park),강해미(Hae-Mi Kang),성미경(Mi-Gyung Seong),강현경(Hyun-Kyung Kang) 한국구강보건과학회 2021 한국구강보건과학회지 Vol.9 No.1

        Objectives: After comparing the operations of the dental hygiene curriculum in Australia, New Zealand, and Korea, this study attempted to find areas for improvement as well as possible complementary aspects in Korea’s curriculum. Methods: To compare the dental hygiene curriculums in Australia, New Zealand, and Korea, four universities in Australia, two universities in New Zealand, and 10 universities in Korea were selected. Results: The curriculums in Australia and New Zealand were operated as integrated education by level, with various subjects that are related to clinical practice. By contrast, in Korea, specific subjects were taught every semester. Conclusions: Through this study, it was confirmed that there is a need to revise the contents of the curriculum to demonstrate the competencies of Korean dental hygienists. It is necessary to conduct an in-depth examination of the direction of dental hygiene education in Korea and discuss the scope of work and competencies.

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