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민양기,이재서,Min, Yang-Gi,Rhee, Chae-Seo 대한수면의학회 1994 수면·정신생리 Vol.1 No.2
Obstructive Sleep Apnea Syndrome(OSAS), that is a complex disease of neuromuscular, respiratory and cardiovascular system, can be cured by various treatment such as weight control, medical and surgical intervention. As most of OSAS may be caused by various anatomical abnormalities, preoperative evaluation for exact anatomical site of obstruction must be needed. And various diagnostic procedures such as fiberoptic nasopharyngoscopy, Mueller test, cinefluoroscopy, cephalometry, computerized tomography, polysomnography would be used for this purpose. Uvulopalotopharyngplasty is currently the most popular method for the patient with OSAS among various surgical maneuvers and is very effective for the relieving the symptoms as like snoring, daytime somnolence, and nocturnal restlessness etc. Although subjective improvement is not compatible with it's objective assessment in postoperative evaluation for it's results, uvulopalatopharyngoplasty could be a recommandable surgical procedure because of it's ample effectiveness in promoting symptom improvement without any risk of serious complications.
민양기(Min, Yang-Gi),김판영(Kim, Pan-Young) 한국여행학회 2009 여행학연구 Vol.30 No.-
Although festivals studies have shown that improved service quality will contribute to increased participator satisfaction, and both of them influence visitors’ future behavioral intentions, there is still a lack of guidance in the festival studies in understanding the method to plan the experience programme. So, we focus on festival participator evaluation on experience program as use the IPA(important performance analysis). The study was conducted in a grape and wine growing area of Yeong-dong. Primary data identifying the characteristics of festival patrons was gathered from Grapes Festivals in Yeong-dong, 2009. Field-surveys were distributed at the 10 different events(programs) selected by procedures. And data were collected from 213 grapes festival participators. The results of the IPA is as like follows. In Expect-Satisfaction and Expect-Intention IPA result, the programs which were relate visitors’ primary purpose to the main theme of Yeong-dong Grapes Festival were highly expected, satisfied, and intented to the festival tourist Suggestions for the future search, do research he planner’s idea and suggestion to examine intention of experience program of festivals.
II. 구호흡(mouth breathing)을 초래하는 이비인후과질환
민양기(Min Yang-Gi) 대한치과교정학회 1986 대한치과교정학회지 Vol.16 No.2
비강(nasal cavity)과 인두(pharynx)의 주기능의 하나는 상기도(upper respiratory tract)로서 전비공(anterior nares)을 통해서 들이마신 공기를 하기도(lower respiratory tract)로 통과시키는 기능이다. 일반적으로 흡기가 전비공에서 후비공(choana)으로 직선으로 통과하지 않고, 전비공에서 흡입된 공기는 후상방으로 높이 올라가 곡선으로 후열(olfactory fissure)을 향하여 후비공 쪽으로 지나간다. 그러나 해부학적인 이상 즉, 비후된 비갑개(turbinate), 아데노이드증식증(adenoid hyperplasia), 비중격만곡(deviation of the nasal septum)등의 여러가지 이 부위의 원인에 의하여 정상 비호흡이 어려워지면 만성 비폐색(chronic nasal obstruction)이 생기게 되고 따라서 환자는 입이 반쯤 벌리고 구호흡(mouth breathing)을 하게 되며 우둔한 인상을 주고, 상악치아의 발육이상을 초래할 수 있다. 여기에 필자는 이비인후과 영역에서 구호흡을 초래할 수 있는 질환들에 관하여 약술하고자 한다.
권택균(Tack Kyun Kwon),성명훈(Myung Whun Sung),김광현(Kwang Hyun Kim),김정준,이철희(Chul Hee Lee),민양기(Yang Gi Min) 대한두경부종양학회 1998 대한두경부 종양학회지 Vol.14 No.2
Objectives: The authors tried to analyze the results of carotid artery sacrifice with or without preoperative carotid evaluation. Materials and Methods: Thirteen patients undergone carotid sacrifice were evaluated. Carotid balloon occlusion test (BOT) and single-photon emission computed tomography (SPECT) with technetium-99m-labeled hexamethylpropyleneamineoxime (99mTc-HMPAO ) were used for preoperative carotid evaluation. Results: The causes of carotid artery sacrifice consisted of the neck mass involving the carotid artery, spontaneous aneurysmal rupture, and traumatic pseudoaneurysm. Five patient had postoperative neurologic complications and two of them had permanent neurologic deficits. Conclusion: The authors stress that the preoperative evaluation in carotid artery sacrifice is imperable, and the BOT with SPECT can be used in selecting the method of treatment. But since these tests cannot predict the postoperative outcome perfectly, careful perioperative care of the patients should be exercised regardless of the results of the preoperative evaluation.
김광현(Kwang Hyun Kim),성명훈()Myung Whun Sung,이효정(Hyo Jeong Lee),이동욱(Dong Wook Lee),박범정(Bum Jung Park),성원진(Weon Jin Seong),민양기(Yang Gi Min),이철희(Chul Hee Lee),이재서(Chae Seo Rhee),이상준(Sang Jun Lee),노종열(Jong L 대한두경부종양학회 2002 대한두경부 종양학회지 Vol.18 No.1
Background and Objectives: To determine if laser endoscopic microsurgery is a reliable and appropriate approach in the treatment of laryngeal carcinomas. Materials and Methods: Retrospective study of 62 patients treated with CO2 laser from June 1988 to November 2000 at Seoul National University Hospital for laryngeal squamous cell carcinoma. All patients were treated with curative intention. Fifty three untreated patients with laryngeal carcinoma (39 glottic and 14 supraglottic carcinoma patients) had primary carbon dioxide laser microsurgery. Nine radiation failure patients were treated. Postoperative radiotheray was done for 17 patients. Neck dissection was performed simultaneously for 4 supraglottic cases with cervical nodal metastasis. Mean follow-up duration was 40 months. Results: In primary laser surgery group, distribution of tumors (American Joint Committee on Cancer, 1997) were 38 cases with Tl, 13 cases with T2, 2 cases with T3. Cure rate was 88.7%(47/53) and local control rate was 92.5%(49/53). Larynx was preserved in 94%(50/53) of patients. The overall 5-year survival rate(Kaplan-Meier) was 81.5%. In radiation failure group, 56% of patients were recurred after laser surgery. Conclusion: Laser surgery could be a better treatment modality for early laryngeal cancers and selected advanced cases. Additional radiation therapy should be considered if resection margin is not satisfactory.
側頭骨의 含氣度와 中耳腔의 容積이 中耳임피던스에 미치는 影響에 關한 硏究
閔陽基 최신의학사 1977 最新醫學 Vol.20 No.8
The impedance. audiometry has recently been essential to clinical audiology. The vibratory energy introduced into the external ear canal has known to be modified by many factors such as the mechanical property of eardrum, the motility of ossicles, the resistance of inner ear system and the air volume of tympanomastoid cavity. This study- was designed to observe the role of air volume in determining the middle ear impedance. To find it out, the change in middle ear impedance was studied in 12 dogs whose both temporal bones were connected with various sized hard-walled cavities. The middle ear impedance and the pneumatization of temporal bone were also examined in 333 human adults (509 ears) who proved not to have any previous and present illness of middle ear conduction system. Then the correlation between the pneumatization and the middle ear impedance was investigated. The results were as follows; 1. In the dog's middle ear, tympanometric curve of type A was only found, and its configuration was not changed by the air volume. 2. In the dog's middle ear, the static compliance revealed a linear increase in proportion to the air volume; the increasing rate was 0.05±0.02cc/cc of air volume. 3. In the human middle ear, the static compliance showed a tendency to increase in proportion to the pneumatization of temporal bone. 4. In the human middle ear, there was a significant regression equation between the pneumatization of temporal bone (X variable) and the static compliance of middle ear(Y variable); Y=0.22X+0.14±0.07 in the normal cases, Y=0.18X+0.13±0.04 in the pure sensorineural hearing loss cases, and Y=0. 19X+0. 16±0.05 in the total cases. 5. The above results suggest that the static compliance of middle ear have another clinical value as a diagnostic means examining the pneumatization of temporal bone.