중첩증후군:만성 폐쇄성 폐질환을 가 진 폐쇄성 수면무호흡-저호흡 증후군

최영미,Choi, Young-Mi 대한수면의학회 2008 수면·정신생리 Vol.15 No.2

Overlap syndrome can be defined as a coexistence of chronic obstructive pulmonary disease (COPD) and sleep apnea-hypopnea syndrome (SAHS). The association of COPD and SAHS has been suspected because of the frequency of both diseases. Prevalence of COPD and SAHS is respectively 10 and 5% of the adult population over 40 years of age. However, a recent study has shown that the prevalence of SAHS is not higher in COPD than in the general population. The coexistence of the two diseases is only due to chance. SAHS does not affect the pathophysiology of COPD and vice versa. Prevalence of overlap syndrome is expected to occur in about 0.5% of the adult population over 40 years of age. Patients with overlap syndrome have a more profound hypoxemia, hypercapnia, and pulmonary hypertension when compared with patients with SAHS alone or usual COPD patients without SAHS. To treat the overlap syndrome, nocturnal noninvasive ventilation (NIV) or nasal continuous positive airway pressure (nCPAP) can be applied with or without nocturnal oxygen supplement.

폐쇄성 수면 무호흡 증후군과 폐동맥 고혈압에서 엔도텔린-1의 역할

최영미,Choi, Young-Mi 대한수면의학회 2010 수면·정신생리 Vol.17 No.2

Obstructive sleep apnea syndrome is associated with significant cardiovascular morbidity and increased mortality. However, it was controversial whether obstructive sleep apnea syndrome could cause pulmonary hypertension. The controversy was resolved by several studies that have shown pulmonary hypertension in 20% to 40% of patients with obstructive sleep apnea syndrome without underlying other cardiopulmonary diseases and reductions in pulmonary arterial pressure in patients with obstructive sleep apnea syndrome after treatment with nocturnal continuous positive airway pressure. Recent studies provide strong evidence for endothelial dysfunction in obstructive sleep apnea syndrome and pulmonary hypertension. Endothelin-1 is a 21 amino acid peptide with diverse biologic activity such as highly potent vasoconstrictor and mitogen regulator that may play a key role in obstructive sleep ap-nea syndrome and pulmonary hypertension. Continuous positive airway pressure therapy is moderately effective in reducing pulmonary arterial pressure. Further researches are needed to assess the therapeutic efficacy of pharmacologic therapy with agents that inhibit the action of endothelin-1 in obstructive sleep apnea syndrome patients with pulmonary hypertension.

BCG 접종후 발생한 결핵성 농양 및 골수염 1례

최영미,강현호,조병수,차성호,임성직,이주희,Choi, Young Mi,Kang, Hyeon Ho,Cho, Byung Soo,Cha, Sung Ho,Lim, Sung Jic,Lee, Ju-Hee 대한소아감염학회 1998 Pediatric Infection and Vaccine Vol.5 No.1

BCG osteomyelitis is rare comlication and the incidence rate has been estimated to be 1/milion vaccinated neonate and infants. BCG osteomyelitis is also reported as a complication of intravesical BCG treatment for bladder carcinoma. We had experienced a 14 months old infant who presented swelling, tenderness and redness on left upper arm suspicious due to BCG vaccination. The MRI finding showed $2{\times}4{\times}4cm$ subcutaneous abscess with cortical defect on proximal humerus and axillary lymph adenopathy. The histologic finding showed diffuse caseous necrosis and Langhans type giant cell. We report A case of BCG osteomyelitis.

폐쇄성 수면 무호흡 증후군과 상기도 저항 증후군의 진단적 및 임상적 차이

최영미,Choi, Young-Mi 대한수면의학회 2011 수면·정신생리 Vol.18 No.2

It has been controversial whether upper airway resistance syndrome (UARS) is a distinct syndrome or not since it was reported in 1993. The International Classification of Sleep Disorders classified UARS under obstructive sleep apnea syndrome (OSAS) in 2005. UARS can be diagnosed when the apnea-hypopnea index (AHI) is fewer than 5 events per hour, the simultaneously calculated respiratory disturbance index (RDI) is more than 5 events per hour due to abnormal non-apneic non-hypopneic respiratory events accompanying respiratory effort related arousals (RERAs), and oxygen saturation is greater than 92% at termination of an abnormal breathing event. Although esophageal pressure measurement remains the gold standard for detecting subtle breathing abnormality other than hypopnea and apnea, nasal pressure transducer has been most commonly used. RERAs include phase A2 of cyclical alternating patterns (CAPs) associated with EEG changes. Symptoms of OSAS can overlap with UARS, but chronic insomnia tends to be more common in UARS than in OSAS and clinical symptoms similar with functional somatic syndrome are also more common in UARS. In this journal, diagnostic and clinical differences between UARS and OSAS are reviewed.

성인남자의 신체충실지수에 따른 체형 연구 - 대구 , 경북 지역의 성인남자 신체계측치를 중심으로 -

최영미(Young Mi Choi),김계선(Kyee Seon Kim),홍정민(Jung Min Hong) 대구가톨릭대학교 자연과학연구소 1995 응용과학연구논집 Vol.4 No.-

연구논문 : 작은 생물을 연구하는 과학자에 대한 초등학생들의 인식 및 이미지 분석

최영미 ( Young Mi Choi ),홍승호 ( Seung Ho Hong ) 한국초등과학교육학회 2014 초등과학교육 Vol.33 No.4

We investigated perceptions and image analysis on scientists studying small organisms reflected in elementary student`s drawing using a modified version of the Drawing-A-Scientist-Test. The participants were 530 of fifth and sixth graders consisted of 449 ordinary students and 81 science gifted students. The data were collected from associated words, images and explanatory notes depicted by students engaged in questionnaires. The results indicated that a larger number of students reminded small sized animals and/or plants as words associated with small organisms. In addition, some students depicted anthropomorphic or abstract microorganisms. In this study, more stereotypes of scientists` appearance were exhibited at sixth graders and city region group. Most of the students depicted indicators such as lab coat, glasses, scientific instruments for observing, indoor, male and young, whereas only a few students depicted collaborative work. There was statistically significant difference between girls and boys, because boys perceived male scientists only, while half of girls depicted female. More frequent research instruments and scientific captions were used when science gifted students depicted scientists studying small organisms. These results could be contributed to education on microorganisms in elementary science.

영월 방언의 거성형과 성조 변화

최영미(Choi Young-mi) 한글학회 2020 한글 Vol.- No.327

이 연구는 영월 방언 체언의 성조를 분석하고 약 30년이라는 시간차를 두고 거성형의 성조 실형을 비교하여 영월 방언 성조 변화를 설명하고자 했다. 그 결과, 영월 방언의 성조체계는 두 가지 성조 변화가 진행중임을 확인할 수 있었다. 하나는 성조체계 내에 영향을 주지 않는 단순한 음성 변화이고 다른 하나는 성조형 분포의 변화로 말미암아 성조체계 내에 재구조화가 일어나는 변화이다. 먼저, 단순한 음성 변화는 평복형과 상성형의 음조 변화이다. 최명옥(1999)의 자료에서는 평복형과 상성형의 음조는 어절의 둘째음절과 셋째음절에 어절에서 가장 높은 고조 [H]가 실현되었다. 그러나 30년 후인 현재 자료에서는 평복형과 상성형의 음조는 어절 끝에서 둘째음절에 어절에서 가장 높은 고조 [H]가 실현되었다. 다음, 영월 방언 성조체계 내에 재구조화를 촉발하는 성조형 분포의 변화이다. 30년 전 자료에서는 거성형이 분포의 제약 없이 안정적인 성조 실현을 보인다. 하지만, 현재 필자의 자료에서는 거성형이 매우 불안정한 성조 실현을 보인다. 즉, 영월 방언 거성형은 3음절 이상 어절에서 평2형(□□, □□ · □)에 합류해서 거성형이 존재하지 않고, ‘·말(斗)/M/[Mˉ ]’과 같이 1음절 단독형과 ‘·춤·이/M²/[HH]’처럼 2음절 어절에서도 첫소리가 강자음으로 시작하는 단어에서만 실현된다. 결국, 성조형 분포의 변화로 인해서 2음절 어절에서 거성형은 A유형(·춤·이/M²/[HH]), B유형(·풀·이/M²/[HH]~풀이/H²/[MH]), C유형(물이/H²/[MH]) 등이 공존한다. This study described the tone of substantive words and the tone changes of the departing pitch pattern in the Yeongwol dialect. In this study, two states of pitch patterns in the same region were studied over a more than 30-year interval. The results of this study indicate that the tonal system of the Yeongwol dialect has undergone two tone changes. One is a phonetic change that does not impact the tonal system. The other is a phonological change that is still in progress that is caused by the change in the distribution of X. These changes can be summarized as follows. First, the phonetic changes are the results of the pitch changes in the plain and rising pitch patterns. Thirty years ago, the highest peak was placed on the second syllable in a word, but now the highest pitch appears on the second-to-last syllable in a word. Second, the distribution of the departing pitch pattern that triggers the reconstruction in the tonal system of the Yeongwol dialect has changed. Thirty years ago, the departing pitch pattern was stable, but it has since become significantly unstable in the tonal system of the Yeongwol dialect. There are two main reasons why the tone of the departing pitch pattern has undergone some noticeable changes. One is that, in words of more than three syllables, the departing pitch pattern merges into the plain pitch pattern, resulting in no departing pitch pattern in the Yeongwol dialect tone patterns. The other is that the departing pitch patterns are realized in a limited way, even in the context of two-syllable words. There are three types of departing pitch patterns. Type A is realized as [HH], I would write this in A, B, C order depending on the speaker. Only type A is realized in words whose initial sounds start with strong consonants like /k<SUP>h</SUP>,t<SUP>h</SUP>,p<SUP>h</SUP>,tʃ<SUP>h</SUP>/. Therefore, it is likely that departing pitch patterns will gradually disappear from the tonal system, mainly due to their instability.

Single-port transumbilical Laparoscopic approach for adenxal surgery in gynecology(초)

최영미 ( Young Mi Choi ),( Yong Wook Jung ),( San Hui Lee ),( Ji Heum Paek ),( Eun Ji Nam ),( Jae Wook Kim ),( Young Tae Kim ),( Sang Wun Kim ) 대한산부인과학회 2009 대한산부인과학회 학술대회 Vol.95 No.-

푸코로 읽는 영화 〈네버 렛 미 고〉의 휴머니즘

최영미(Young-Mi Choi),조이운(I-Un Jo) 한국콘텐츠학회 2018 한국콘텐츠학회논문지 Vol.18 No.1

본 연구는 영화 〈네버 렛 미 고〉를 푸코의 권력이론 중 생명권력과 규율권력이 억압하는 사회적 구조에서 권력에 함몰되지 않고 주체적으로 실현하려는 인간의 가치로 분석하고자 한다. 과거 생사여탈권을 쥔 군주권력이 시행하던 신체형은 18세기 이후 생명권력으로 변모하여 인간의 신체를 교정하고 규율에 맞는 능력을 부여하여 기계처럼 작동하도록 하였다. 이러한 생명권력의 통제 속에서 인간은 질병을 치료받고 수명을 연장시키는 안전 욕구를 달성하며, 생산재로서 기능한다. 학교는 생명권력이 효율적으로 작동할 수 있도록 훈육을 통해 신체를 통제하고 규율을 내면화시킨다. 이 영화는 기존 복제인간을 소재로 한 영화들과 차별성이 있다. 복제인간들이 장기 기증자의 역할을 별도의 저항 없이 순응하거나 원본인간과 복제인간의 갈등이 드러나지 않는 점이 그러한 예다. 또한 기존 소설과 영화가 미래를 배경으로 한 것과 달리 1970년대부터 1990년대에 이르는 과거 회고 형식을 띤 점도 그렇다. 이들은 인간의 감정을 가지고 관계에 의존하거나 상실을 경험하며 독립적 자아를 찾고 유한한 삶의 한계 속에서 삶의 가치를 실현하고자 한다. This study aims to analyze the film Never Let Me by human value which is to be realized in the social structure suppressed by the power of life and the power of discipline in Foucault`s power theory. After 18century having changed monarch power holding the power of life-and-death that enforced corporal punishment, bio-power that corrected body and granted ability suitable discipline to people makes people worked like machine. In control of the bio-power, human achieved safe desire that cure disease and prolong life-span and worked as producer goods. School controls body and make people internalized rule using discipline for working bio-power efficiently. There is differentiation between this movie and the other about human clone. The clones adapt role as organ donator without resistance and there is no conflict between original and copy. Instead of preexistence novel and movie that is set in future, it is a form of past retrospect from the 1970s to 1990s. having emotions, They find independence ego and realize value of life in finite living by depending relation or undergoing loss.

국어 `가·다`류 동사의 성조 변화

최영미 ( Choi Young-mi ) 한말연구학회 2017 한말연구 Vol.- No.43

This paper has two aims. The one is to delineate tonal alternations of Ka·da-type verb in Korean, and the other is to elucidate the change of tonal alternations based on the corresponding relationship in five korean tonal dialect; Middle Korean, Changwon dialect, Jeongseon dialect, Pyeongchang dialect, and Bukcheong dialect. This paper can be summarized as follows. Tonal alternations of Ka·da-type verb in Korean is irregular. There are two types; H_M-1 type and H_M-1 type. The verbs `Ka·da, Na·da, Ja·da, O·da, Ji·da` belong to H_M-1 type and The verbs `Ju·da, Nu·da, du·da, ha·da` is a member of H_M-2 type. Tonal alternations of Ka·da-type verb in Middle Korean is irregular; When the verb stem is combined with the ending of verb, It`s tone is realized as plain tone, departing tone, or rising tone. and has an irregular paradigm. Later, however, tonal alternations of Ka·da-type verb has changed in Changwon dialect, Jeongseon dialect, Pyeongchang dialect and Bukcheong dialect; Tonal alternations of H_M-1 type are still irregular. but tonal alternations of H_M-2 type is changing regularly and have a single paradigm. Especially in Pyeongchang dialect, tonal alternations of H_M-2 type is completely regular. These changes are subject to change processes such as instability of the departing tone in the tonal system, analogical leveling, and analogical expansion.