특발성 호흡장애 증후군 환아에 관한 임상적 관찰

한미애,이인구,전정식,조성훈 최신의학사 1986 最新醫學 Vol.29 No.8

내시경하 부비동 수술시 Propofol과 Enflurane이 중심온도에 미치는 영향

한미애 인제대학교 백병원 2003 仁濟醫學 Vol.24 No.2

Background : The thermoregulatory system usually maintains temperature within 0.2℃ of normal, which is about 37℃ in humans. Anesthetic-induced inhibition of thermoregulation combines with exposure to a cold operating room environment to make most unwarmed patients hypothermic. Clinical doses of all tested general anesthetics decrease the threshold for response to hypothermia from approximately 37℃ (normal) to 33 to 35℃. So, we evaluated the core and peripheral palm temperature changes during endoscopic sinus surgery. Method : Thirty five patients of ASA physical status 1 or 2 who urderwent endoscopic sinus surgery were assigned randomly to a enflurane group(group 1, n=17) or a propofol group(group2. n=18). Anesthesia in both groups induced with propofol, ketamine and fentanyl. They maintained with enflurane or propofol continuous infusion and 50% nitrous oxide in oxygen. Core temperature was measured at the esophagus continuously and palm temperature was recorded at 15min intervals. Room temperature was 22℃. Results : Core temperature decreased significantly after induction of anesthesia in both groups, but no significant difference was found between the groups in terms of core, palm temperature changes. conclusion : Enflurane and propofol had no difference in core and palm temperature change pattern with time.

안과 백내장 수술시 진정 목적으로 사용된 propofol이 혈관통에 미치는 영향

한미애 인제대학교 백병원 2002 仁濟醫學 Vol.23 No.5

Anterior segment ophthalmic surgery is commonly performed under local anaesthesia. In order to improve patient comfort, a variety of sedation techniques has been employed in the past. we want to see that different propofol preparation method will affect propofol injection pain. Patients undergoing cataract surgery using local topical anesthesia(n=90) were allocated randomly to 3 groups and patient-controlled sedation(Automed 3300,Ace medical) using propofol and fentanyl was maintained no deeper than full eyelid closure with prompt response to verbal command. A mixture of 200㎎ of propofol and 100㎍ of fentanyl was infused to the patient at a rate of 10㎖/hr using a PCA device. The lock-out time was 1 min and bolus dose was 0.1㎖. Propofol amounts that patients received were 1.49-1.54㎎/㎏/hour and sedation score was not different among three groups(p=0.98). We concern about propofol injection pain, so in group U(n=30), unmodified room stored propofol was used. In C group(n=30), cold propofol(4°C) was used and CL group(n=30) used cold propofol with lidocaine(2% 40㎎) premixed method. Pain score was described with five-point score. Lidocaine premixed cold propofol(CL group) significantly reduced pain on injection compare to the U group(p<0.01). But cold propofol group(C) was not statistically different with U group(p=0.09). Our results suggest that cold propofol premixed with lidocaine can be used for preventing the pain of injection in patient-controlled sedation.

갈색 세포종환자의 마취관리 : A case study

한미애 인제대학교 백병원 2002 仁濟醫學 Vol.23 No.4

Pheochromocytoma is a rare disease that accounts for 0.1% of all causes of hypertesion(18, 19). The anesthertic management of pheochromocytoma has been dominated by attempts to minimize the dramatic increases in bloood pressure often encountered during surgery because of the sudden release of large quantities of cathecholamines into the circulation(4). Preoperative preparation with adrenergic blocking agents is the most widely used regimen, and it is recommended to attenuate intraoperative hypertensiom during open adrenaledtomy for pheochromocytoma(6) . But intraoperative difficulties were the results of the complexity of the disease in terms of pathfphysiology and treatment(3). We introduce one patient without typical symptoms( hypertension,headache,palpitation,tachycardia,diaphoresis) and he is not prepared with alpha blocker. Isoforane was the anesthetic of choice given in low concentration with medical air and oxygen by IPPV. Nitropruside and dopamine and phenylephrine were used during operation to control excessive swings in arterial pressure and pulse rate.

전이성 척추 종양제거를 위한 전신마취중 발생한 갑작스런 심정지 1예

한미애 인제대학교 2003 仁濟醫學 Vol.24 No.1

A 70-year-old, 30㎏ woman who wats emaciated, presented for metastatic T6 spine tumor removal. She had a subtotal gastrectomy and chemotherapy one year ago. She was premedicated with Glycopyrolate and a general anesthetic technique planned. Directed arterial blood pressure, electrocardiograph and pulse oximetry monitoring were established before induction of anesthesia with alfentanil, thiopental sodium. succinylcholine. Anesthesia was maintained with enflurane in oxygen and nitrous oxide and muscle relaxation facilitated with atracurium. Approximately 4hrs after initiation of induction of anesthesia, the surgeon sutured subcutaneous layer. Precisely at this time, the attendant anesthetist immediately noticed the arterial trace become flat lines with bradycardia. Resuscitation commenced with atropine injection and 100% oxygen administered by hand ventilation and external cardiac compression producing a systolic blood pressure of 30-50㎜Hg. After 1㎖(1㎎) of adrenaline 1:1000 followed by 1.0 mg atropine was given intravenously, external defibrillation of 300~joule was applied twice. After VF and VT, sinus rhythm returned with a pulse of 106 bpm and a blood pressure of 80/40㎜Hg. The patient appeared to have returned to pre-arrest concious level and no adverse effect with a cardiology consultation. On post-op 3 day, he was died with septic shock and multi-organ failure.

한국인 학습자의 중국어 성조 습득 발전 연구 - 3성 변조를 중심으로

한미애 한국언어연구학회 2021 언어학연구 Vol.26 No.2

Unlike Invariable tonality, which has a fixed pitch, Variable tonality exhibits dynamic changes during the pronouncing process. Among them, Tone 3 sandhi belongs to intangible modulation that leaves its appearance intact, but only makes temporary changes when pronounced, so Chinese learners have great difficulty in acquiring it. This study discussed the acquiring pattern of Tone 3 sandhi in Korean learners, and examined whether Chinese level and learning period affect Tone 3 sandhi through an experimental study. The results showed that, It was difficult for Korean learners to acquire 3+2 and 3+3, while 3+1 and 3+4 are relatively easy to acquire. Although the number of modulation errors of higher learner decreased noticeably as the learning period increased, the lower learner did not show much difference, and rather showed a reverse development from 3+3. Based on experimental results, this study makes several suggestions on Chinese tonal training.

분리와 통합의 기제로서 ‘혐오’ 프레임에 관한 연구: 프랑스 극우 정당의 사례를 중심으로

한미애 한국유럽학회 2022 유럽연구 Vol.40 No.3

This study aims to examine the frame of 'hate' as a mechanism for separation and integration through the case of French far-right parties. Many changes have occurred in the international community due to the COVID-19 virus, which is causing chaos around the world. Hate is a collective phenomenon of 'we hate', not 'I hate'. Threats to our identity are objects of loathing and separation from us. These target settings are encouraged or expanded through hate speech and hateful behavior by politicians, and in particular, in combination with the media and SNS, there is a phenomenon of expanded reproduction. French republican assimilationism regards cultural, religious, and ethnic differences as private areas, and integrated policies advocate tolerance and coexistence without intervening in private areas as much as possible. There was a disagreement between indigenous and Muslim migrants over the French identity ‘Laïcité’, and a misunderstanding arose that they did not suppress and acknowledge their culture. As a result, it has become an object of hatred as a fear-causing social evil, and the cultural hatred of Muslim immigrants has intensified among French natives. 본 연구는 프랑스 극우 정당의 사례를 통해 분리와 통합의 기제로서 ‘혐오’ 프레임에 대해 고찰하고자 한다. 전 세계를 혼란에 빠뜨리고 있는 코로나 19 바이러스로 인해 국제사회 내 많은 변화가 발생했다. 혐오는 ‘내가 혐오한다’가 아닌 ‘우리가 혐오한다’는 집단적인 현상으로 우리의 정체성을 위협하는 것은 혐오의 대상이며 우리로부터 분리시킨다. 이러한 대상 설정은 정치인들의 혐오 발언과 혐오주의 행동을 통해 부추김을 당하거나 확장되는데 특히 언론 및 SNS와 결합하여 확대 재생산되는 현상이 발생하고 있다. 프랑스 공화주의적 동화주의는 문화적 ・종교적 ・종족적 차이는 사적 영역으로 간주하며, 통합정책은 가능한 사적 영역에 개입하지 않고 관용과 공존을 표방한다. 라이시테라는 프랑스 정체성을 두고 원주민과 무슬림 이주민 간의 이견이 발생하며, 그들의 문화를 억압하고 인정하지 않는다는 오해가 쌓이게 되었다. 이로 인해 두려움을 유발하는 사회악으로서 혐오의 대상이 되며 프랑스 원주민들은 무슬림 이민자들에 대한 문화적 혐오감이 강해진 것이다. 프랑스 시민으로서 ‘큰 우리’가 형성되어있던 프랑스에서 원주민들은 아(우리, 프랑스 시민)와 비아(무슬림 이주자)를 분리하기 위해 ’혐오‘ 프레임을 통한 분리의 정당성을 획득했을 것으로 본다.

공공미술의 평가요소에 관한 모색 : 서울시 대학로의 조형물과 노원구의 삼중주 조형물을 중심으로

한미애 한국공공디자인학회 2007 공공디자인학연구 Vol.2 No.1

역할놀이 관련 work wheet 사례

한미애 강원과학교육연구회 2000 세미나 Vol.2000 No.1

Retranslation Hypotheses and Three Korean Translations of The Martyred

한미애,조의연 한국번역학회 2014 번역학연구 Vol.15 No.4

This paper is concerned with whether the second and third Korean translations of the novel The Martyred by the Korean American writer Richard Kim are retranslation or not based on Chesterman’s (2000) retranslation hypotheses. We look at the difference between retranslation and revision and discuss the validity of a descriptive hypothesis, in which retranslations tend to be closer to the source text. The second translated text is claimed to be a retranslation while the third is a revision of the second. There seems a mutual dependency between the second and the third translated text since the third revises only a small part of the second and contains a large portion of the same interpretations found in the second. We also show that Chesterman’s descriptive hypothesis is not valid for some retranslation phenomena. It is shown that revisions tend to be rather closer to the source text and to improve the quality of the earlier translations in terms of a semantic and stylistic equivalence.