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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.
한국의 JDC와 중국의 HDF 이도면세점 사업 비교 연구
김명상 ( Myungsang Kim ),황자호 ( Zihao Huang ),양덕순 ( Duksoon Yang ) 사단법인 아시아문화학술원 2021 인문사회 21 Vol.12 No.4
본 연구는 세계 1위 규모의 면세점 매출을 기록하고 있는 한국과 세계 1위 규모의 면세품 소비를 기록하고 있는 중국을 대상으로 양국에서 운영하고 있는 이도면세점 사업을 비교 분석하여 활성화 방안을 모색하는데 그 목적이 있다. 이를 위해 학술논문, 학위논문, 연구보고서, 웹사이트 등의 자료를 비교분석하였다. 그 결과, 설립 주체, 법 규정 유무, 사업목적, 내국인 고객 비율 등은 유사하였지만, 면세한도, 품목, 매출 성장에 있어서는 차이를 보였다. 내국인의 비중이 높은 이도면세점의 특징을 고려하여 구매 절차 완화, 인터넷 판매 등의 제도개선에 노력을 기울인다면 활성화가 가능하다는 정책적 제언을 하였다. 본 연구의 결과는 한국과 중국의 이도면세점 사업 발전과 활성화를 위한 기초자료로 활용될 수 있기를 기대한다. The purpose of this study is to compare and analyze Korea, which has the world’s No. 1 duty-free shop sales, and China, which has the world’s No. 1 duty-free shop consumption, and find ways to revitalize the business. To this end, data such as academic papers, degree papers, research reports, and websites were compared and analyzed. As a result, the founder, the existence of laws and regulations, business purposes, and the proportion of domestic customers were similar, but there were differences in tax exemption, items, and sales growth. Considering the characteristics of Offshore Duty Free Shop, which has a high proportion of native customers, a policy suggestion was made that it would be possible to revitalize the system if efforts were made to ease purchasing procedures and improve the Internet sales. It is hoped that the results of this study can be used as basic data for the development and revitalization of the Offshore Duty Free Shop in Korea and China.
김명상(Myung Sang Kim),김영호(Young Ho Kim),홍정표(Jung Pyoe Hong),최은창(Eun Chang Choi),김광문(Kwang Moon Kim),홍원표(Won Pyo Hong) 대한두경부종양학회 1998 대한두경부 종양학회지 Vol.14 No.1
Backgroud and Objectives: Major salivary gland tumor is a rare disease with a largely unknown origin. And also corresponding to the diversity of histopathologic characteristics is an equally wide distribution of clinical behavior that makes treatment decisions difficult. The aim of this study is to analysis the clinical experience of our major salivary gland tumor and to suggest a guidline of management. Materials and Methods : We studied clinical manifestations and treatment results of 104 patients who were diagnosed as major salivary gland tumors. Tumor site, patient age and sex of the patients were analysed. Histopathologic diagnosis, treatment modality, lymph nodes metastasis, recurrence rate and 5-year survival rate were studied on malignant tumors. Results: 1) 48 patients were male and 56 patients were female. 2) Benign tumors were 79 cases. They consisted of 57 cases(72%) of parotid tumor, 22 cases(27%) of submandibular tumor. And pleomorphic adenoma was the most common benign tumor. 3) Malignant tumors were 25 cases and were consisted of 19 cases(76%) of parotid tumor, 4 cases(l6%) of submandibular tumor and 2 cases(8%) of sublingual gland tumor with high-grade mucoepidermoid carcinoma as the most common cause. 4) In the malignant tumors, the number of stage I, II tumors was 14 and that of stage III, IV tumors was 11. Neck node metastasis was noted in 8 cases. 5) 8 cases of malignant tumor were died and all of them had high-grade malignancy. And they were dead before 17 months from the time of diagnosis. 6) Mean survival duration in the malignant salivary gland tumor was 56 months. 7) High-grade malignancy had a 5-year survival rate of 57.9%. A 5-year survival rate of TI, T2 patients was 92.9% and that of T3, T4 patients was 36.4%. That of patients who had neck node metastasis was 37.5% and that of those who had tree neck was 82.4%. Conclusion: The results of this study suggest that the survival rate is dependent on the tumor size, lymph node matastasis and histologic grade. And also the early diagnosis and radical surgery result in the increased survival rate and are effective for prevention of the tumor recurrance.