Feasibility of ultrasound-guided posterior approach for interscalene catheter placement during arthroscopic shoulder surgery

신혜원,Jae Hyun Ahn,Hye In Jung,Choon Hak Lim,Hye Won Shin,Hye Won Lee,Hae Ja Lim,Suk Min Yoon,Seong Ho Chang 대한마취통증의학회 2011 Korean Journal of Anesthesiology Vol.61 No.6

Background: Continuous interscalene block has been known to improve postoperative analgesia after arthroscopic shoulder surgery. This was a prospective study investigating the ultrasound-guided posterior approach for placement of an interscalene catheter, clinical efficacy and complications after placement of the catheter. Methods: Forty-two patients undergoing elective arthroscopic shoulder surgery were included in this study and an interscalene catheter was inserted under the guidance of ultrasound with posterior approach. With the inplane approach, the 17 G Tuohy needle was advanced until the tip was placed between the C5 and C6 nerve roots. After a bolus injection of 20 ml of 0.2% ropivacaine, a catheter was threaded and secured. A continuous infusion of ropivacaine 0.2% 4 ml/hr with patient- controlled 5 ml boluses every hour was used over 2 days. Difficulties in placement of the catheter, clinical efficacy of analgesia and complications were recorded. All patients were monitored for 48 hours and examined by the surgeon for complications within 2 weeks of hospital discharge. Results: Easy placement of the catheter was achieved in 100% of the patients and the success rate of catheter placement during the 48 hr period was 92.9%. Postoperative analgesia was effective in 88.1% of the patients in the post anesthetic care unit. The major complications included nausea (7.1%), vomiting (4.8%), dyspnea (4.8%) and unintended vascular punctures (2.4%). Other complications such as neurologic deficits and local infection around the puncture site did not occur. Conclusions: The ultrasound-guided interscalene block with a posterior approach is associated with a success high rate in placement of the interscalene catheter and a low rate of complications. However, the small sample size limits us to draw definite conclusions. Therefore, a well-designed randomized controlled trial is required to confirm our preliminary study.

서울 성동지역 중학생에서의 여드름의 역학과 임상적 특성 및 인식도에 대한 통계적 고찰

신혜원 ( Hye Won Shin ),고주연 ( Joo Yeon Ko ),노영석 ( Young Suck Ro ) 대한피부과학회 2009 대한피부과학회지 Vol.47 No.2

Background: Acne is one of the most common dermatologic disorders of adolescence. Despite this, there have been few epidemiological studies conducted in Korea. Objective: The purpose of this study was to evaluate the prevalence, severity, and clinical characteristics of acne. In addition, the perceptions regarding acne causation, exacerbating factors, treatments, and sources of information among middle school students were investigated. Methods: In a middle school in Seoul, Korea, 629 students (all girls) in 2004 and 832 students (435 boys and 397 girls) in 2008 were asked to complete a questionnaire about the epidemiology, clinical features, and perceptions of acne. Results: In 2004, the prevalence of acne was 66.1% for girls and in 2008, the prevalence was 57.9% and 67.8% for boys and girls respectively. The severity of acne was evaluated using the Korean Acne Grading System (KAGS) and the results showed severity rates of 38.2%, 38.2% and 49.1% for grade 1, 21.6%, 15.2% and 16.1% for grade 2, 5.7%, 4.1% and 2.3% for grade 3, 0.3%, 0.2% and 0.3% for grade 4 and 0.3%, 0.2% and 0% for grade 5 for girls in 2004, and for boys and girls in 2008, respectively. In 2008, the prevalence of acne was higher in girls than boys (p=0.004); however, overall KAGS grades were higher in boys than girls (p=0.034). Additionally, an earlier onset of clinical acne was observed in girls (age 12.08) than boys (age 12.78) (p<0.001). The onset of clinical acne tended to be at a younger age in girls with an earlier onset of the first menarche (p<0.01). In both 2004 and 2008, more than 98% of the students reported their first case of acne on the face alone; however, current sites tended to involve the trunk along with the face (p=0.009, p<0.001, respectively). In 2008, the most commonly involved first site for facial acne was the forehead that over 70% of boys and girls had acne on their foreheads. The students thought high stress (64.5%, 42.0%, 51.2%), lack of sleep (33.8%, 35.7%, 40.2%), and lack of cleansing (26.6%, 35.7%, 45.7%) were the most common aggravating factors of acne for the girls in 2004, and for the boys and girls in 2008, respectively. In both 2004 and 2008, only about 10% of all acne patients had any kind of treatment for acne. Additionally, the students responded that they received information about the treatment of acne mostly from the Internet. The survey showed that `broadcasting` was the most important point to consider when choosing a hospital and `efficacy` when choosing a treatment option. Conclusion: We evaluated the epidemiological and clinical features of acne in adolescents, and learned that despite the high prevalence of acne among adolescents, only a few had actually had any treatment. Therefore, it is worthwhile to better inform middle school students about acne and the necessity for treatment to reduce acne severity and its impact on those affected. (Korean J Dermatol 2009;47(2):154∼163)

동대문 패션시장의 이미지와 패션제품에 대한 외국인 소비자의 인식 -두타몰 지역을 중심으로-

신혜원 ( Hye Won Shin ),김희라 ( Hee Ra Kim ),하오선 ( Oh Sun Ha ) 한국패션비즈니스학회 2010 패션 비즈니스 Vol.14 No.2

사회심리학 기반의 브랜드공간 특성 연구

신혜원(Shin, Hye-Won) 한국실내디자인학회 2013 한국실내디자인학회논문집 Vol.22 No.6

This study aims to provide direction for the brand goals approaching and analyzing previous studies in social psychology perspective, focusing on man and society relationship. 526 preceding ‘brand space’ associated papers from 1992 to 2012 were collected and analyzed them by year, by space and by theme utilizing the realism methodology, the theoretical relationship methodology. The numbers of the study for ‘brand space’ had increased gradually from 2003 to 2010 then climbed vertically and the most common study was about place, that shows there is a relationship between variou s social phenomena and human psychology. For the thematic analysis, ‘Social psychological components of the brand’ based on social psychology was used for analyzing the cognitive aspects, the relational aspects, and the attitudinal aspects. The most common study was the study of the cognitive aspects , and relational aspects, and lastly the attitudinal aspects in order. The strategy was the most common research for the brand associated study. The ultimate point of the strategy is to get ‘attitude’. From social psychology perspective, there is a cycle in the minds of consumers, ‘Identification’, ‘Internalization’, ‘Conformity’ and ‘Compliance’. Structure of these relationships can provide a clue that consumers’ attitude lead the consumers’ action.

가정위탁유아, 연장입양유아와 일반유아의 내적표상에서의 차이

신혜원(Hye Won Shin),민성혜(Sung Hye Min) 한국아동학회 2008 아동학회지 Vol.29 No.3

의류학 관련 교양과목 <영화로 만나는 패션> 개발과 운영사례

신혜원(Hye Won Shin),김희라(Hee Ra Kim) 한국의상디자인학회 2021 한국의상디자인학회지 Vol.23 No.2

사설 인터넷 강의와 EBS 특강 수강이 수학능력시험 사회탐구 영역 성적에 미치는 영향 분석

신혜원 ( Hye Won Shin ),장경호 ( Kyung Ho Jang ) 한국사회과교육학회 2011 시민교육연구 Vol.43 No.3

This paper investigates the effects of online private lectures and EBS lectures on the Scores of the Social Studies Inquiry Subject of the College Scholastic Ability Test (CSAT) using the 4th and 5th year Korea Education and Employment Panel that conveys some questionnaires regarding the CSAT. We used a method of two-stage least squares considering the endogeneity problem among variables and derived the following implications. First, the scores of the Social Studies Inquiry Subject are higher among the students who have an experience of private education. However, we could not find such results when we excluded students who did not study the subject after school. This result implies that private education is not necessarily superior to after-school studies in terms of public education when attempting to raise CSAT scores. Second, online private lectures do not yield statistically significant effects on CSAT scores compared to EBS lectures when we look into the group of students who took either online private lectures or EBS lectures. This result implies that the government policy that intends to relate the CSAT with EBS lectures might be effective in reducing households` economic burden for private lessons at least in the Social Studies Inquiry Subject.

북한의 국토 및 지역정책 연구 - 3대 정권을 중심으로

신혜원(Shin, Hye Won) 한국지역개발학회 2022 한국지역개발학회 학술대회 Vol.2022 No.11

대학 입시 전형 요소가 사교육에 미치는 영향

신혜원 ( Hye Won Shin ),장경호 ( Kyung Ho Jang ) 한국사회과교육학회 2013 시민교육연구 Vol.45 No.1

본 연구에서는 A대학 신입생을 대상으로 실시한 사교육 조사 결과를 이용하여 대학 입시전형 요소가 사교육에 미치는 영향을 분석하였다. 분석 결과, 대학 입시 전형 요소로 논술이사교육에 미치는 영향이 가장 큰 것으로 나타났다. 이는 논술이 다수의 대학에서 요구하는 전형 요소임에도 불구하고 고등학교에서의 체계적인 교육 방침이 없고, 대학에서도 이러한 고등학교의 상황을 고려하지 않은 채 주요 전형의 하나로 내세우고 있기 때문인 것으로 풀이된다. 사교육의 의존도를 낮추고 공교육 활성화를 통해 민주 시민 교육의 토대를 구축하기 위해서는 대학 입시 전형을 개선할 필요가 있는 것으로 보인다. This paper investigates the effects of university admission process on private education using the survey data for the freshmen who got into a university located in the metropolitan area in 2011. We use a logit analysis to find that essay tests have the greatest effect on the students` experiences on private education for the entrance examinations they prepared. We conjecture that the gap between the universities` requirement and the students` ability measured by the essay tests yields high demand for private education for the tests. This result raises the necessity to reform university admission process to make foundations of social studies education through lowering dependence on private education as well as cultivating school education.

음낭에 발생한 사마귀모양암

신혜원 ( Hye Won Shin ),김영훈 ( Young Hoon Kim ),고주연 ( Joo Yeon Ko ),노영석 ( Young Suck Ro ) 대한피부과학회 2008 대한피부과학회지 Vol.46 No.3

Verrucous carcinoma is a low grade, locally aggressive variant of squamous cell carcinoma, which usually occurs on the oropharynx, genitalia and sole. Verrucous carcinoma of the anogenital area, also known as a Buschke-Loewenstein tumor, most frequently arises on the glans penis and prepuce. However, there are few case reports of verrucous carcinoma arising on the scrotum. A 61-year-old man presented with a well-circumscribed, 3×4 cm sized, round, verrucous mass on the scrotum which developed 2 years ago. He had had diabetes mellitus for 9 years, but had not been treated. A biopsy specimen taken from the tumor revealed the typical finding of verrucous carcinoma. (Korean J Dermatol 2008;46(3):374∼377)