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Ultrasound Guided Thoracic Paravertebral Space Block for Chronic Intractable Upper Back Pain
김명상,백민철,조한얼,박중현 대한임상통증학회 2021 Clinical Pain Vol.20 No.2
There are some cases of myofascial pain syndrome (MPS) with chronic upper back pain that does not respond to dry needling or trigger point injection, well-known treatments for MPS. A 67-year-old female developed a stabbing upper back pain with trigger point at left T7∼8 levels 10 years ago. She complained of the pain with Numeral Rating Scale (NRS) 8 points. Myofascial release technique and trigger point injection had no effect. Under ultrasound guidance 20 ml of 1% lidocaine was injected into thoracic paravertebral space. Immediately, the pain was reduced to NRS 4 points. One week later, the second block was performed in the same way as the first, and the pain was reduced to NRS 2 points. The stabbing pain disappeared, and oral opioids were discontinued. Ultrasound guided thoracic paravertebral space block is an effective and safe treatment for refractory MPS with chronic upper back pain.
공공갈등 해결에 미치는 영향요인 분석: 정부신뢰, 시민단체, 이념대립, 공론조사를 중심으로
김명상,김주경 단국대학교 분쟁해결연구센터 2022 분쟁해결연구 Vol.20 No.2
This study conducted an empirical analysis of the factors influencing public conflict resolution based on government trust, civic organization trust, civic organization intervention, ideological conflict, and public opinion surveys. As a result of the analysis, it was found that trust in the government and trust in civic organizations affect the resolution of public conflicts. It was found that the stronger the ideological conflict occurred, the more negatively it had a negative effect on public conflict. Through the results of this study, the government and civic organizations should make an effort to secure trust, and as the frequency and intensity of ideological conflicts have recently increased, it was judged that preparations are necessary. In the future, it is expected that the quality of the research will increase as more data subject to research are accumulated. 최근 과학기술의 발달로 인해 시민들이 공공정보에 대한 접근이 용이할 뿐만 아니라, 공공갈등에 대한 정보도 쉽게 접근할 수 있다. 또한, 공공사업에 대한 시민들의 찬성과 반대의 의견도 적극적으로 제시할 수 있으며, 이로 인해 공공갈등의 양상도 다양화되었다. 따라서 공공갈등을 해결하기 위해서는 다양한 요인들이 나타나는데 이러한 요인들을 실증적으로 분석한 연구는 미흡한 실정이다. 본 연구는 이러한 연구목적에서 공공갈등 해결에 미치는 영향요인을 정부신뢰, 시민단체 신뢰, 시민단체 개입, 이념대립, 공론조사로 설정하고 실증분석을 실시하였다. 연구분석 결과, 정부에 대한 정부신뢰와 시민단체에 대한 신뢰는 공공갈등 해결에 긍정적인 영향을 미치는 것으로 나타났으며, 이념대립이 심해질수록 공공갈등에 부정적인 영향을 미치는 것으로 나타났다. 본 연구 결과를 통하여 정부와 시민단체는 신뢰를 확보하기 위하여 노력해야 하며, 최근 이념대립에 대한 빈도와 강도가 높아짐에 따라 이에 대한 준비도 필요할 것으로 판단되었다. 향후 더 많은 연구대상 자료들이 축적된다면 보다 연구의 질이 높아질 것으로 기대된다.
후두미세수술후 지속적인 음성장애환자에 대한 임상적 고찰
김명상,표화영,최홍식,김영호,김광문 대한후두음성언어의학회 1997 대한후두음성언어의학회지 Vol.8 No.2
The persistent and recurrent dysphonia after microlaryngeal surgery was noted in tweleve patients. We reviewed the results of laryngostroboscopy, psychoacoustic evaluation, aerodynamic study and acoustic analysis according to the treatment modality. The causes of persistent dysphonia were attributed to vocal cord scarring, recurrent mass lesion, residual mass lesion, persistent inflammation, and hyperfunctional voice disorder. We noticed the better vocal function in the group treated with voice therapy or surgical therapy than the group treated with voice rest and medication. Therefore, we concluded that vocal function can be improved with the use of active, multidisciplinary approach which includes voice therapy, medical treatment and selected surgical resection according to the laryngeal lesions.
초정밀 가공기를 이용한 근접초소형 광시야각 광학계 기술 개발
김명상(M. S. Kim),양순철(S. C. Yang),김효식(H. S. Kim),김건희(G. H. Kim) 한국기계가공학회 2008 한국기계가공학회지 Vol.7 No.4
Due to improve form accuracy and surface roughness of a aspheric lens core that is made of Ni, the study is carried out on localization about a Subminiature Optics of Proximity and Wide Field of View. The required form accuracy P-V 0.2 ㎛ and surface roughness is Ra 10 ㎚. The design of experiment(DOE) is adopted to find a optimal cutting conditions which are spindle speed, depth of cut, feedrate. Finally, the effects of this study are replacing importation and strengthening competitiveness through the localization of the Subminiature Optics of Proximity and Wide Field of View.