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실용음악 전공 학생들의 발성치료 전후 성대 및 음성 특성 비교
황연신,심미란,김철준,최용석,김상연,최찬호,선동일,Hwang, Yeon Shin,Shim, Mi Ran,Kim, Chul Jun,Choi, Yong Suk,Kim, Sang Yeon,Choi, Chan Ho,Sun, Dong Il 대한후두음성언어의학회 2016 대한후두음성언어의학회지 Vol.27 No.2
Background and Objectives : Many students major in applied music singing have various difficulties in phonation when they sing or perform. But the studies about this cause are lack. The purpose of this study is whether singing voice therapy based on vocal music is effective or not to applied music singing students that have difficulties in phonation. Materials and Methods : Singing voice therapy program had been done to 8 students major in applied music singing during 7 weeks. We did laryngeal stroboscope, perceptual, acoustic and aerodynamic examination before and after singing voice therapy to this students. And we studied post examination results have differences or improvements compared to pre examination results. Results : Four male students don't have effective improvement after singing voice therapy but they shows slight improvement in aerodynamic examination values compared to pre examination values. Four female students shows improvement in aerodynamic examination values and pitch range increasing. Above all, one student's vocal nodules disappeared after singing voice therapy. Conclusion : Singing voice therapy based on music singing is very effective to the students major in applied music singing. Above all, their curriculum in applied music singing should include phonation training based on music singing before training perform and technic practices.
( Sung Eun Kim ),( Jae Yoon Jeong ),( Dae Won Jun ),( Eileen L. Yoon ),( Jae-jun Shim ),( Sang Bong Ahn ),( Yong Kyun Cho ),( Soung Won Jeong ),( Hyoung Su Kim ) 대한간학회 2018 춘·추계 학술대회 (KASL) Vol.2018 No.1
Aims: We investigate the efficacy and safety of entecavir (ETV) versus tenofovir (TDF) in treatment-naïve chronic hepatitis B (CHB) patients with chronic kidney disease (CKD) in real life setting. Methods: A total of 1,349 naïve CHB patients treated with ETV or TDF at least 1 year in 9 academic hospitals from Jan. 2012 to Dec. 2015 were enrolled. Among them, 44 patients had CKD at enrollment. CKD was defined as glomerular filtration rate <60ml/min/1.73m2. Renal functional decline was defined when serum creatinine level increased by more than 50% from baseline or over than 0.3 mg/dL at 1 year Results: A total of 44 patients (ETV=30 and TDF 14) were followed up for a median 28 months. There were no significant differences in cumulative biochemical response rate and culmulative HBeAg seroconversion rate between the ETV group and the TDF group at weeks 12, 24, and 48 of treatment. However, there were significant differences in culmulative virologic response rate between the ETV group and the TDF group at weeks 12, 24, and 48 of treatment (14%/31%/55% vs.14%/64%/86%, P =0.022). Renal functional decline occurred in 13 (29.5%) patients. Renal functional decline showed no significant difference between the ETV group and TDF group (33% vs. 21%, P=0.420). In multivariate analysis, serum albumin was an independent factor associated with renal functional decline (odd ratio, 0.28; confidence interval, 0.08- 0.95; P=0.041). However, age, sex, BMI, DM, hypertention, baseline HBV-DNA level, HBeAg positivity, cirrhosis, baseline renal function, bilirubin level, platelet count, hemoglobin level, ascites and treatment regimen were not associated with renal functional decline in CHB patient with CKD. Conclusions: TDF had better clinical efficacy than ETV in CHB patient with CKD. This study suggests that close monitoring of renal function are required for CHB patients with CKD and low albuminemia who are receiving antiviral agents.
Sang-Hyun Kim,Sung-Soo Kang,Hyun-Suk Shim,Jun-Beom Shim 대한시과학회 2017 대한시과학회지 Vol.19 No.2
목 적: 국내 및 해외 안경사의 직무범위와 국가시험 제도를 비교 분석하여, 국가시험 개선방향에 지표로 삼을 수 있도록 하고자 한다. 방 법: 국가시험관련 자료를 분석하여 국내 안경사의 직무범위와 시험제도를 해외 안경사와 비교분석해 보았으며, 실기시험 도입의 효과에 대해 안경사를 상대로 설문조사를 실시하였다. 결 과: 미국, 일본, 독일, 호주 등 안경사 면허제도가 체계화된 외국의 경우 다양한 형태로 임상실기시험 이 치러지고 있었다. 그러나 국내 안경사제도는 외국의 조제안경사(dispensing optician)와 검안사 (optometrist)의 직무를 포괄하는 제도로 운영되고 있으며, 국가시험에서는 실기과목을 30년째 이론시험으 로 대체하고 있어 실무능력을 제대로 평가하지 못하고 있다. 전국 안경사 설문조사 결과에 의하면 이러한 문 제로 발생한 신입안경사의 낮은 실무능력을 자체적으로 향상시키기 위해 재교육을 실시하고 있었다. 결 론: 시험제도는 교육현장의 질적 향상을 견인한다는 의미에서 시험제도의 체계적인 검토와 논의를 통 한 개선점 도출이 안경사 교육의 질 관리에 간접적으로 기여할 것으로 기대한다. Purpose:The purpose of this study is to make comparative analysis of the work capability and national licensing examination system between Korean opticians and other International opticians and provide an index for the improvement of national licensing examination.Method:A survey was conducted to the optometrists on the effectiveness of the introduction of clinical performance tests. We made comparative analysis of the job scope and national licensing examination system of korean opticians with those of international opticians by analyzing the data related to the national licensing examination.Result:In the case of foreign countries with systematic optician's license such as the United States, Japan, Germany, Australia, etc.,clinical and practical examinations of various forms have been conducted. Korean opticians system is operated as a system that covers the jobs of foreign dispensing optician‘s and optometries, but in the national licensing examination the practical subject is replaced with the theoretical examination for 30 years, and the practical ability is not properly evaluated. The results of the questionnaire showed that in the case of new optician, training was being conducted to improve the efficiency of the new work.Conclusions:It is expected that improvement through the systematic review and discussion of the examination system will contribute indirectly to the quality management of education for opticians in the sense that the examination system leads to the qualitative improvement of education field.
( Sung Soo Kim ),( Hyeon Jun Kim ),( Chang Heon Shim ) 대한고관절학회 2021 Hip and Pelvis Vol.33 No.2
Purpose: This study aimed to investigate the relationship between femoral offset (FO) and clinical outcomes of patients with femoral neck fracture following bipolar hip arthroplasty (BHA). Materials and Methods: Records for a total of 520 patients who underwent BHA for a femoral neck fracture between December 1, 2003, and September 30, 2018, were reviewed retrospectively. Patients with unclear medical records, a congenital deformity and preoperative trauma history of the hip, high-energy multiple trauma, or a history of neurodegenerative disease or cerebrovascular disease were excluded. The remaining 77 patients included in the analysis had a minimum follow-up period of one year. For clinical assessment, the postoperative pain visual analogue scale (VAS) and Harris hip score (HHS) were analyzed at each follow-up period. For radiological assessment, the difference in leg length discrepancy (LLD) and FO were measured. Results: The difference in mean FO postoperatively was 6.7±4.8 mm, and the difference in mean postoperative LLD was 4.9±3.4 mm. The mean HHS was 77.1±7.7, 82.3±8.6, 83.4±7.7, and 86.4±6.7 at 1, 3, 6, and 12 months postoperative, respectively. The correlation coefficient between FO and HHS in 1-year follow-up was -0.38, and a statistically significant outcome was found (P=0.001). For the HHS domain, the correlation coefficient for function at 1-year follow-up was -0.42, revealing a statistically significant outcome (P=0.0001). Conclusion: There was a statistically significant correlation between clinical outcomes and FO difference at 1 year after BHA in patients over 65 years of age with femoral neck fractures.