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증례보고 : 36년간 지속된 난치성 절단통증 환자에서 척수자극술을 이용한 통증 관리
이미금 ( Mi Geum Lee ),한성진 ( Sung Jin Han ),이미경 ( Mi Kyoung Lee ),임상호 ( Sang Ho Lim ),김희주 ( Hee Zoo Kim ),최상식 ( Sang Sik Choi ) 대한마취과학회 2008 Korean Journal of Anesthesiology Vol.55 No.5
Spinal cord stimulation (SCS) is an effective therapy for chronic and intractable neuropathic pain. We present a case report of successful pain control using SCS implantation in a patient with chronic, intractable stump pain for 36 years. The patient lost his two legs under the knees during the Vietnam War and had an amputation. After that he suffered stump pain for 36 years due to recurrent neuroma even after neuroma excision was performed over 30 times. We inserted the dual percutaneous leads at the level of left T9 and right T10 in this patient and could get complete pain relief without any complications. (Korean J Anesthesiol 2008;55:648~51)
고혜주(Ko, Hye-Ju),강민재(Kang, Min-Jae),권혁제(Kwon, Hyuk-Jae),최예린(Choi, Yaelin),이미금(Lee, Mi-Geum),최홍식(Choi, Hong-Shik) 한국음성학회 2013 말소리와 음성과학 Vol.5 No.1
During adolescence the mutational period is characterized by the changes in the laryngeal structure, the length of the vocal cords, and a tone of voice. Usually, adolescents at 15 or 16 reach the voice of adults but the mutational period is sometimes delayed. Therefore, studies on the voice of adolescents between 16 ~ 18 right after the mutational period are required. Accordingly, this paper attempted to provide basic data about the normal standard for patients with voice disorders during this period by evaluating the vocal characteristics of males and females between 16 ~ 18 with an objective device bycomparing and analyzing them by sex and age. The study was conducted on a total of 60 subjects composed of each 10 subjects of each age. The vocal analysis was conducted by MPT (Maximum Phonation Time) measurement, sustained vowels and sentence reading. As for /a/ sustained vowels, fundamental frequency, hereinafter referred to as F?, jitter, shimmer, noise-to-harmonic ratio, hereinafter referred to as NHR were measured by using the Multi-dimensional voice program (MDVP) among the Multi-Speech program of Computerized Speech Lab (Kay Elemetrics). The sentence reading, mean F?, maximum F? and minimum F? were measured using the Real-Time Pitch (RTP) Model 5121 among the Multi-Speech program of Computerized Speech Lab (Kay Elemetrics). As a result, according to sex, there were statistically significant differences in F?, jitter, shimmer, mean F?, maximum F?, and minimum F?; and according to age, there were statistically significant differences in MPT. In conclusion, the voice of the adolescents between 16 ~ 18 reached the maturity levels of adults but the voice quality which can be considered on the scale of voice disorders showed transition to the voice of an adult during the mutational period.