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      • KCI등재

        다제내성 결핵의 진단과 치료

        강영애 대한의사협회 2014 대한의사협회지 Vol.57 No.1

        Multidrug-resistant tuberculosis (MDR-TB) is a great public health concern worldwide. MDR-TB denotes bacillary resistance to at least isoniazid and rifampicin. Extensively drug-resistant tuberculosis (XDR-TB) is MDR-TB with additional bacillary resistance to any fluoroquinolone and at least one second-line injectable drug. The treatment of MDR-TB requires prolonged administration of a toxic second line anti-tuberculosis drug and generally has poor outcomes. XDR-TB requires more complex treatment and has higher mortality. MDR- and XDR-TB arise because of inadequate or interrupted administration of first-line treatment and can be transmitted in the community. Thus, prevention of the emergence of resistance is the first principle in the management of MDR/XDR-TB. To prevent the emergence of drug resistance and transmission of MDR/XDR-TB, the adequate prescription of an anti-TB drug by a physician and good adherence of patients are essential. In addition, rapid diagnosis of drug resistance using molecular tests such as a line probe assay and Xpert MTB/RIF and the programmatic management of MDR/XDR-TB by designing an effective regimen using available drugs (a newer generation of fluoroquinolone, second-line injectable drugs, second-line oral drugs, and pyrazinamide) based on a guideline are an important strategy for controlling MDR/XDR TB. Despite the long duration of treatment, the treatment success rate of MDR-TB for patients who started treatment in 2009 has been 48% according to the World Health Organization. Thus, to improve the treatment outcomes of MDR/XDR-TB, new drug development is necessary.

      • KCI등재

        비디오투시조영검사를 통한 침습/흡인에 따른 음성의 음향적 분석

        강영애,지성주,구본석 대한이비인후과학회 2017 대한이비인후과학회지 두경부외과학 Vol.60 No.9

        Background and Objectives The present study aimed to investigate the effects of penetration/aspiration (P/A) on voice acoustic parameters. Subjects and Method Twenty-seven patients were analyzed with the videofluoroscopic swallowing study (VFSS) and then divided into two groups based on the modified Penetration and Aspiration Scale results. Ten patients (5 males and 5 females) were included in the Non-P/A group, and 17 patients (12 males and 5 females) in the P/A group. Stroke was the major cause of swallowing disorders. Three sustained /a/ vowels recorded in pre- and post-VFSS were analyzed. Mann-Whitney U-test was used to compare acoustic values before and after VFSS, and the receiver operating characteristics (ROC) curve with combination of significant parameters was also conducted. Results Among acoustic parameters, the length of analyzed sample (p=0.010), number of segments computed (p=0.018), total number detected pitch periods (p=0.017), and second formant (p=0.013) in pre- and post-VFSS were significantly different between Non-P/A and P/A groups. In the P/A group after VFSS, the means of these significant parameters decreased. According to ROC combined with four significant parameters, the probability of predicting P/A condition was 84% (p=0.005), the sensitivity was 80%, and the specificity was 80%. Conclusion Voice acoustic analysis can reflect voice changes by penetration/aspiration and the combination of significant parameters can also detect swallowing disorders. Therefore, voice analysis can be a reliable screening tool for patients with swallowing disorders. Korean J Otorhinolaryngol-Head Neck Surg 2017;60(9):454-62

      • KCI등재

        오양선 재연을 위한 고증 - 음악을 중심으로

        강영애 한양대학교 우리춤연구소 2017 우리춤과 과학기술 Vol.13 No.3

        이 연구는 고려시대부터 전해져 내려오는 당악정재 오양선 재연을 위한 고증작업이다. 오양선의 춤동작이나 의복 및 의물은 제외하고 반주음악에 중점을 두어 문헌을 살펴서 나타난 내용은 다음과 같다. 『고려사』와 『악학궤범』에 전하는 오양선의 반주음악은 당악계통의 음악인 오운개서조 , 만엽치요도, 최자령, 중강령, 보허자령(중강), 파자령이었다. 그러나 조선후기에는 당악곡이 모두 보허자령으로 대체되고 향당교주가 등장하였다. 1990년대에는 세령산, 도드리, 자진도드리, 타령과 보허자를 반주음악으로 하여 향악정재와의 변별력이 사라졌다. 본고에서 고증을 통해 제안하는 반주음악은 영산회상에서 벗어나 여민락계 음악과 보허자의 적절한 조화이다. This study is historical researches for reappearance of Dangakjeongjae(the Dang Dynasty's court dance) "Oyangseon" which has been handed down from Korea Period. This study examined literature focusing on music accompaniment, exclusive of dance motion, clothes and ornament of clothes, and the results of researches are as follows. The music for accompaniment of Oyangseon written in Korea History and Akhakgwaebeom includes the Dang Dynasty's music Oungaeseojo, Manyeobchiyodo, Choijaryeong, Junggangryeong, Boheojaryeong(Junggang) and Pajaryeong. However, in the later period of Jeseon Dynasty, all of Dang Dynasty's music were substituted by Boheojaryeong and Hyangdanggyoju reappeared. In 1990's, such music was changed into Seryeongsan, Dodeuri, Jajindodeuri, Taryeong and Boheojaand thus couldn't be distinguishable from Hyangakjeongjae(Korean court dance). Oyangseon's music for accompaniment proposed in this paper through historical researches is the music created by music belonging to Yeominrak being suitably harmonized with Boheoja harmonizing.

      • KCI등재
      • KCI등재

        지방자치단체간 문화관광축제의 연계유형 평가 - '2001 세계도자기엑스포' 개최 관계자와 방문객의 인식조사를 중심으로 -

        강영애,조중현,김용근 한국조경학회 2002 韓國造景學會誌 Vol.30 No.5

        The Purpose of this study is to suggest the necessity of linking and coordinating Cultural Tourism Festivals among local governments and to propose a plan for maximizing the effects of these festivals. The 'World Ceramic Exposition 2001 Korea' which took place from August 10th to October 28th was selected as a case study for the linkage plan of Cultural Tourism Festivals among local governments. Data were collected from a random sampling of visitors to 'World Ceramic Exposition 2001 Korea' from 24 to 28 October, 2001. 369 samples from a total 375 respondents were used for the final analysis. The contents of the questionnaire consisted of the cognition and satisfaction about the effects of the festival linkage among local governments and the preference of festival linkage types. The results of the analysis showed that not only festival staff but also visitors recognized the necessity of linking festivals among regions. Both visitors and festival staff had a positive attitude about the effects of the linked festival. In addition, they highly rated the 'World Ceramic Exposition 2001 Korea' as a successful festival. Visitors were satisfied with the festival. Furthermore, the number of visitors was more than staff expected. The organizing committee and staff considered the 'World Ceramic Exposition 2001 Korea' as a successful festival. The successful evaluation of the 'World Ceramic Exposition 2001 Korea' was related to the successful linkage of the festival. This study originated in the increased necessity of linking cultural Tourism Festivals among local governments. Since it is a transcendental study, it is not only significant but also limited. However, in the near future, more varied case studies about the linkages of Festivals will be conducted and these will generalize the results of this study and test the effectiveness of the linkage plans through positive analysis. For the effective linking of festivals among regions, it is necessary to study the definition of factors that affect visitors satisfaction, and determine which methods will improve visitors satisfaction.

      • KCI등재후보

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