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신근만(Keun Man Shin),홍순용(Soon Yong Hong),최영 대한통증학회 1991 The Korean Journal of Pain Vol.4 No.2
N/A Cervical epidural steroid injection, although not as familiar to many anesthesiologists, can be useful in the management of patients with acute and chronic neck, shoulder and arm pain. My clinic personally contacted and interviewed thirty patients with cervical radiculopathy who re- ceived cervical epidural steroid injection. Twenty seven percent of the patients had a excellent response(greater than 75% improvement) and fifty percent of the patients had a good response (greater than 50% improvement) to an injection of steroid into the cervical epidural space. We have conciuded that cervical epidural steroid injection was very effective in the management of cervical radiculopathy and represented a possible alternative to surgery. Many anesthesiologists should add to their armamentarium the use of such techniques in the man- agement of cervical radiculopathy.
이호영,이동근,신승철,김만권 大韓神經精神醫學會 1992 신경정신의학 Vol.31 No.2
The present study examined the structure and patterns of ethnic identity in a sample of Korean-Chinese parents and their adolescents residing in the Jilin Province in China. The ethnic identity of these participants(total :148 parents:100 adolesents:48) includes two major components : Korean identity and Chinese identity. Each of these components was measured in three different modalities : behavioral, affective and cognitive. The results are summarized as follow ; 1) Generational comparisons between Korean identity scores of parents and adolescents indicated similarities in the modalities of cognitive and behavioral identities. Both groups shared a Korean orientation manifested in their high level of Korean behavior and cognition. However, both groups also shared a relatively high level of Chinese identity. In summary, dual identity appeared to be preserved over time. The parents scored higher than the adolescents in their affective modality of Korean identity. Chinese identity was scored higher in the adolescents than korean identity in their affective modality. The generational comparisons indicated that the adolescents were acculturated in their affect than their parents. 2) Comparison of men and women in the strength of identity' component showed higher cognitive scores among the men. in Korean identity, compared with Chinese identity. Men were more identified with "Chinese" and "Korean" in the affective component of their identity.
全尙根,申萬鏞 慶熙大學校 1985 論文集 Vol.14 No.-
Variation and heritability of leaf length and number of serration were investigated for 3-year-old seedlings from 75 mother tree in Korean white pine (Pinus koraiensis S. et Z.) The range of leaf length was from 2.1㎝ to 12.8㎝ and 7.37±0.18㎝ in average. Number of serration was ranged from 6.7 to 20.7 and the average was 12.91±0.50. Significant differences among families for the above two traits were recognized. Estimates of single tree and family heritability by variance analysis were h^2_I=0.15 and h^2_F=0.21 for leaf length, and h^2_I=0.38 and h^2_F=0.55 for number of serration respectively.
全尙根,申萬鏞 경희대학교 부설 식량자원개발연구소 1985 硏究論文集 Vol.6 No.-
Variation and heritability of leaf length and number of serration were investigated for 3-year-old seedlings from 75 mother trees in Korean white pine (Pinus koraiensis S. et Z.) The range of leaf length was from 2.1㎝ to 12.8㎝ and 7.37±0.18㎝ in average. Number of serration was ranged from 6.7 to 20.7 and the average was 12.91±0.50. Significant differences among families for the above two traits were recognized. Estimates of single tree and family heritability by variance analysis were h^(2)_(I)=0.15 and h^(2)_(F)=0.21 for leaf length, and h^(2)_(I)=0.38 and h^(2)_(F)=0.55 for number of serration respectively.
Partial-Thickness Rotator Cuff Tears
Shin, Keun-Man The Korean Pain Society 2011 The Korean Journal of Pain Vol.24 No.2
Although the incidence of partial-thickness rotator cuff tears (PTRCTs) was reported to be from 13% to 32% in cadaveric studies, the actual incidence is not yet known. The causes of PTRCTs can be explained by either extrinsic or intrinsic theories. Studies suggest that intrinsic degeneration within the rotator cuff is the principal factor in the pathogenesis of rotator cuff tears. Extrinsic causes include subacromial impingement, acute traumatic events, and repetitive microtrauma. However, acromially initiated rotator cuff pathology does not occur and extrinsic impingement does not cause pathology on the articular side of the tendon. An arthroscopic classification system has been developed based on the location and depth of the tear. These include the articular, bursal, and intratendinous areas. Both ultrasound and magnetic resonance image are reported with a high accuracy of 87%. Conservative treatment, such as subacromial or intra-articular injections and suprascapular nerve block with or without block of the articular branches of the circumflex nerve, should be considered prior to operative treatment for PTRCTs.
Review Article : Partial-Thickness Rotator Cuff Tears
( Keun Man Shin ) 대한통증학회 2011 The Korean Journal of Pain Vol.24 No.2
Although the incidence of partial-thickness rotator cuff tears (PTRCTs) was reported to be from 13% to 32% in cadaveric studies, the actual incidence is not yet known. The causes of PTRCTs can be explained by either extrinsic or intrinsic theories. Studies suggest that intrinsic degeneration within the rotator cuff is the principal factor in the pathogenesis of rotator cuff tears. Extrinsic causes include subacromial impingement, acute traumatic events, and repetitive microtrauma. However, acromially initiated rotator cuff pathology does not occur and extrinsic impingement does not cause pathology on the articular side of the tendon. An arthroscopic classification system has been developed based on the location and depth of the tear. These include the articular, bursal, and intratendinous areas. Both ultrasound and magnetic resonance image are reported with a high accuracy of 87%. Conservative treatment, such as subacromial or intra-articular injections and suprascapular nerve block with or without block of the articular branches of the circumflex nerve, should be considered prior to operative treatment for PTRCTs. (Korean J Pain 2011; 24: 69-73)
난치성 통증 환자의 치료를 위한 정위적 요부 후근신경절 절제술
신근만(Keun Man Shin),안철수(Cheol Soo Ahn),홍순용 대한통증학회 1996 The Korean Journal of Pain Vol.9 No.2
Stereotactic radiofrequency dorsal root ganglionotomy can be very useful procedures for the treatment of pain emanating from the lumbar segmental nerves. This procedure is reserved for patients who have failed conservative interventional treatments and in whom open surgical intervention is not an option. The advantages of the radiofrequency lesion method are presented, excellent control of the lesion process using temperature monitoring to quantify the lesion size, prevent boiling, and to produce differential destruction of neur- al tissue. The afferent fibers in the ventral root which are spared by dorsal rhizotomy but nerve fibers with their cells in the ganglion from either dorsal or ventral root can be destructed with stereotactic radiofrequency ganglionotomy. This technique is performed using a 100mm cannula with a 5 mm active tip. Repeated lateral fluoroscopic view should be taken to make sure that cannlua still resides within the superior, dorsal quadrant of the foramen. With the cannula in this position, electrostimulation is performed and good paresthesia on the leg should be noted with 0.3 and 0.5 volt at 50 Hz stimulation. At 2 Hz stimulation distinct dissociation between motor and sensory should be shown. Percutaneous lumbar ganglionotomy have carried out under local anesthesia on an inpa- tient basis in 6 patients. A series of 5 patients with metastatic cancer pain and a patient with compression fracture have been relieved of pain without serious complications.
신근만(Keun Man Shin),신삼철(Sam Chyul Shin),조용 대한통증학회 1996 The Korean Journal of Pain Vol.9 No.1
When medical therapy fail to relieve pain at tolerable level for patients confirmed with tri- geminal neuralgia, presence of mass lesion excluded, surgery is indicated. Innumerable surgical strategies have been attempted for the treatment of trigeminal neuralgia but only four have proven appropriate: stereotactic radiofrequency gasserian ganglionotomy, percutaneous glycerol gangliolysis, ® percutaneous microcompression, ? microvascular decompression. Radiofrequency thermocoagulation of the gasserian ganglion stems from the efforts of Sweet. This technique is the surgical treatment of choice around the world for surgical treatment for trigeminal neuralgia. Since 1986, over 14,000 cases have been reported utilizing this technique. To improve the treatment method further, an electrode with a flexible curved tip has been de- veloped for easier and more precise electrode placement and lesion produetion during the thermocoagulation of gasserian ganglion. This operation was performed recently on three patients at Hallym University Hospital, using a curved tip electrode. Complete relief of pain was achieved for all patient. However, some complications were noted.