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김범규,강진욱,김용재,남순열,Kim, Beom-Gyu,Kang, Jin-Wook,Kim, Young-Jae,Nam, Soon-Yuhl 대한기관식도과학회 2002 大韓氣管食道科學會誌 Vol.8 No.2
Aspirated and ingested foreign bodies continue to present challenges to otolaryngologists. The major discussions were the accurate diagnosis and speedy, safe removal of foreign body. Many diagnostic tools have been tried and removal of foreign bodies has been facilitated by technical improvements with rod lens telescope, video endoscope, flexible fiberoendoscope and safer anesthesia. In spite of these advances, more than 3000 children's death occur per year in the world because of foreign bodies and untold number of parients survive with variable sequelae. In these study, 59 consecutive cases of children and adults with tracheobronchial foreign bodies were reviewed from 1992 to 2001. We studied the history, symptoms, ausculatory radiologic, bronchoscopic finding and post operative complications. 71% (42 cases in 59 cases) of patients had foreign body aspiration history or choking crisis. In 64% (38cases) cough was observed. 81% (48cases) had abnormal finding in chest auscultation and 78% in chest X-ray. Computed tomography was done in 12 cases, all were founded foreign body shadow. Main site of foreign body was right main bronchus (41%, 24cases) and most frequent foreign body was peanut (36% , 21cases) . 4 experienced ICU(intensive care unit) care. 2 cases were failed to remove foreign. In these cases 1 cases was improved by steroid therapy and physical therapy and the other was treated with thoracotomy. We concluded the morbidity and motality were much correlated with speedy decision making and experienced skill of operator.
논문 : 기관평가지표 및 외형적 특성이 연구기관평가 결과 수용성에 미치는 영향
김범규 ( Beom Gyu Kim ),강경규 ( Kyung Kyu Kang ) 명지대학교 금융지식연구소 2013 금융지식연구 Vol.11 No.2
본 연구에서는 경제·인문사회연구회 소관 연구기관 조직구성원들의 기관평가지표 및 외형적 특성이 연구기관평가 결과 수용성에 미치는 영향을 분석함으로써 기관평가지표의 타당 성 및 평가 수용성의 중요성에 대한 시사점을 얻고자 하였다. 경제·인문사회연구회 소관 연구기관 14개 기관의 136명을 대상으로 BSC 평가지표의 4대 관점 및 기관의 역사성, 기관의 규모, 기관장 특성을 확인적 요인분석 및 영향검증을 실시하였다. 이와 함께 BSC 평가지표의 4대 관점에 대해 종합가중치를 분석하였다. 연구결과 BSC 평가지표는 평가의 수용성에 정(+)의 방향으로 영향을 미쳤고, 외형적 특성 도 정(+)의 방향으로 영향을 미치는 것으로 나타났다. BSC 4대 관점의 가중치 결과는 재무적 관점 지표, 학습과 성장관점 지표, 내부 프로세스관점 지표, 고객관점 지표 순으로 상대적 중 요도가 나타났다. 그러나 인구통계학적 변인은 평가수용성에 영향을 미치지 못하였다. 이와 같은 문헌검토와 실증분석 연구결과를 토대로 기관평가지표의 타당성 및 평가결과 수용성의 중요성이 확인되었다. 그러므로 연구기관의 감독책임을 맡고 있는 정부 관련부처 와 경제·인문사회연구회는 기관평가지표 변경 등에는 연구기관의 의견을 최대한 수렴하는 것이 중요한 요소라 할 수 있다. The importance of institution evaluations and the needs for change of perception on such evaluations are also the case of the research institutions affiliated to the National Research Council for Economic Humanities and Social Sciences. Such circumstances are differences in functions of 23 institutions, difficulties in research performance evaluation as research tends to be long-term and intricate to evaluate, and reluctance to non-financial aspects and lack of perception. In order to analyze the influences of BSC evaluation indicators on the evaluation results acceptance of institutions, external characteristics and the institution evaluation results were additionally selected as control variables. The study results can be summarized as follows. First of all, the results shows that the BSC evaluation indicators has positive influences upon the evaluation results acceptance of institutions. Secondly, the external characteristics has positive influences as well. External characteristics such as history, size, inspection results, director of institutions are in alignment with the evaluation acceptance. Third, it is shown that the other control factors consists of research/business management evaluation results and demographics do not affect the evaluation results acceptance. Fundamentally, any further research should focus on the appropriate BSC evaluation model particularly for research institutions. Specifically, deriving the relations between and among the factors of performance measurements will enable long-term development of institutions by providing them relevant information based on scientific and systematic measurement, and ultimately, contribute to management performance enhancement.
전방 접근법을 통한 경추 수술 후 성대 마비의 임상양상
김일우,김범규,김용복,노영수,안회영,박일석,Kim, Il-Woo,Kim, Beom-Gyu,Kim, Young-Bok,Rho, Young-Soo,Ahn, Hwoe-Young,Park, Il-Seok 대한후두음성언어의학회 2006 대한후두음성언어의학회지 Vol.17 No.2
Objective : The anterior approach to the cervical spine now selves as the surgical across of choice for cervical spine disease. Vocal cord paryalysis(VCP) follow the procedure as a complication, and it is most common complication of this procedure. However, the frequency and etiology of this injury are not clearly defined. This study was performed to establish the clinical features of vocal cord paralysis in anterior cervical spine surgery(ACSS). Material and Method : Retrospectively, medical records of patients who underwent ACSS at Hallym university medical center, Hangang Sacred Heart Hospital between January 2000 and March 2006 were reviewed. Further detailed review of the patients with documented VCP after surgery was then performed. Results : 242 ACSSs were performed and 9 patients with VCP were identified (3.71%) In 9 patients with VCP, 8 patients had right-sided approaches (6.01%) and 1 patient had left-sided approach (0.91%). All 9 patients had VCP on ipsilateral side and 8 patients were recovered completely on follow up period. Duration of ACSS, multilevel exposure and low-level (below the C6 level) exposure have been found to be associated with higher risk. Conclusion : For avoiding the recurrent laryngeal nerve injury, surgeon have to understand the clinical features of VCP in ACSS. As right-sided approach has a greater risk of recurrent laryngeal nerve injury, we suggest that the left-sided approach be given more consideration.
박일석,장재혁,김범규,김용복,노영수,안회영,김종현,Park Il-Seok,Chang Jai-Hyuk,Kim Beom Gyu,Kim Yong Bok,Rho Young Soo,Ahn Hwoe Young,Kim Jong Hyun 대한기관식도과학회 2005 大韓氣管食道科學會誌 Vol.11 No.1
Background and Objectives : Laryngotracheal stenosis in bum patients with inhalation have features distinct from other stenosis after intubation or tracheostomy. However few studies have been reported and the incidence was reported variable. The purpose of this study is to evaluate the clinical manifestation and the incidence of laryngotracheal stenosis in bum patients with inhalation. Methods We retrospectively analyzed 138 bum Patients diagnosed inhalation injury who admitted to Hangang Sacred Heart Hospital from July 2002 to June 2004. Result : 5 patients were developed laryngotracheal stenosis. The incidence of Laryngotracheal stenosis in bum patients with inhalation was $3\%$. Symptom developed early in 2 patients, late in 3 patients.4 patients required trachostomy as initial airway support. The location of stenosis is subglottic region except 1 patient. Montgomery T-tube was inserted in 3 patients, and Single-stage laryngotracheal reconstruction was performed in 1 patient. Conclusion Incidence of laryngotracheal stenosis in our study is lower than other reports due to late presentation of symptom and early discharge after acute bum stage. Inhalation injury may lead to severe complication and sequelae, therefore physicians should be have a awareness for early diagnosis and all burn patients who have a history of inhalation injury should be followed closely.
김태후,허철영,김범규,김용복,박일석,Kim, Tae-Hoo,Heo, Chul-Young,Kim, Beom-Gyu,Kim, Yong-Bok,Park, Il-Seok 대한기관식도과학회 2009 大韓氣管食道科學會誌 Vol.15 No.2
Esophageal diverticulum is a rare entity, the true incidence of which is unknown, mainly because there are usually no clinical symptoms. Most esophageal diverticulum are found incidentally during an endoscopic or radiologic examination. Their classification is based on anatomical location; namely, upper third(Zenker or pharyngoesophageal), middle third(thoracic), or lower third(epiphrenic). Here we report a 52-years-old female presenting with dysphagia and regurgitation. Esophagogram showed esophageal diveticulum at lower cervical esophagus. Its positional aspect, it is different from Zenker's diveticulum. Treatment is surgical via an endoscopic or external approach. In view of the patient's age and anatomical location, various surgical approaches were considered as a therapeutic option for the management. This paper presents our experience in the management of esophageal diverticulum which was unusual location and stapled open resection without sternotomy.