http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
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.
신혜원,Hye Na Yoo,Dong Hwan Kim,Han Lee,Hyeon Ju Shin,이혜원 대한마취통증의학회 2013 Korean Journal of Anesthesiology Vol.65 No.2
Background: Dexmedetomidine is an α2-adrenoreceptor agonist with sedative, analgesic and anxiolytic effects, and it has more selective α2-adrenergic effect than clonidine. We evaluate the effect of preansethetic dexmedetomidine 1 μg/kg single infusion on sedation, hemodynamics, anesthetic consumption, and recovery profiles during anesthesia. Methods: Forty-two female patients with American Society of Anesthesiologists physical status I or II undergoing gynecologic surgery with anticipated operation time of 2 h, were randomly assigned to receive dexmedetomidine 1 μg/kg (Dex group) or saline (control group) iv over 10 min before anesthetic induction. After tracheal intubation with propofol 2 mg/kg, cisatracurium 0.15 mg/kg iv, anesthesia was maintained with sevoflurane, O2 50%, N2O 50% around a BIS value of 40. Results: After study drug infusion, BIS of Dex group was lower than that of control group (93.9 ± 3.1 vs 51.5 ± 5.2, P < 0.05). Mean arterial pressure (MAP) and heart rate (HR) after intubation were increased in control group, but did not change in Dex group. During maintenance, there was no difference in MAP between groups, but HR of Dex group was lower compared to that of control group. End-tidal concentration (2.0 ± 0.5 vol% vs 1.4 ± 0.3 vol%, P < 0.05) and total cumulative consumption of sevoflurane (34.6 ± 3.8 ml vs 26.5 ± 5.3 ml, P < 0.05) were lower in Dex group than in control group. Recovery profiles, modified Aldrete score, postoperative nausea vomiting, and visual analogue pain score were not significantly different between groups. Conclusions: Preanesthetic dexmetomidine 1 μg/kg single infusion is a simple, easy, and economic general anesthetic adjuvant that maintains stable hemodynamics and decrease anesthetic consumption without the change of recovery profiles.
오랑우탄, 사이보그, 좀비: 포우 단편소설 속 탈인간화된 음성
신혜원(Hyewon Shin) 한국아메리카학회 2019 美國學論集 Vol.51 No.2
In “The Murders in the Rue Morgue,” “The Man That Was Used Up,” and “The Facts in the Case of M. Valdemar,” Edgar Allan Poe deconstructs the Eurocentric, anthropocentric definitions of “Man.” The orangutan’s “shrill voice,” the squeaky voice of a cyborgian war hero, and the disembodied voice of a patient under mesmeric treatment, appearing in these three stories, are altogether the acoustic signs that symbolize the dehumanized or posthuman conditions of humanity. While “The Murders in the Rue Morgue” exhibits the existence of the “animalistic” within the rational mind, in “The Man That Was Used Up” and “The Facts in the Case of M. Valdemar,” readers hear “acousmatic” voices. Due to the ambiguity of the acousmatic voice, which exceeds and disturbs the boundaries of the body as its source, this voice can be considered a sublime object. Frequently seen in gothic and horror stories, the sublime object evokes a sense of terror and anxiety. Poe uses these voices and auditory effects to maximize a thrilling sensation essential to the gothic and horror genres.
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)
신혜원 ( Hye Won Shin ),강명승 ( Myung Seung Kang ),고주연 ( Joo Yeon Ko ),노영석 ( Young Suck Ro ) 대한피부과학회 2008 대한피부과학회지 Vol.46 No.8
Plasma cell cheilitis is a rare, idiopathic, benign inflammatory disease of lips, characterized by dense plasma cell infiltrates in the upper dermis. It presents as erythematous patches with erosion usually on the lower lip of elderly people. Although, various therapeutic options, including topical steroids, intralesional injection of glucocorticoids, oral nystatin and topical antibiotics have been tried, none of them is promising. A 68-year-old woman presented with a 4-month history of erosive patches with crusts on her lower lip, which was resistant to topical corticosteroids. A histopathologic examination revealed dense inflammatory cell infiltration mainly consisting of plasma cells in the dermis, consistent with plasma cell cheilitis. She was treated with topical pimecrolimus and after 2 weeks of application, the lesion started to get better. After 7 weeks it had almost disappeared. Herein, we present a case of plasma cell cheilitis treated with topical application of pimecrolimus. (Korean J Dermatol 2008;46(8):1061~1064)
대응 짝 비열등성 임상시험에서 모의실험을 통한 ITT군과 PP군의 비교
신혜원 ( Hye Won Shin ),이준영 ( Jun Eyoung Lee ),안형진 ( Hyong Gin An ) 한국보건정보통계학회 (구 한국보건통계학회) 2011 보건정보통계학회지 Vol.36 No.2
Objectives: This research tries to evaluate proper analysis sets for matched-pair noninferiority clinical trials based on Sanchez and Chen`s work (2006). Methods: We evaluate intention-to-treat (ITT) with last observation carried forward (LOCF), ITT with mixed model for repeated measures (MIVIRM) and per-protocol (PP) using simulation study wit various scenarios. Results: From the simulation study, it is found that LOCF is simple and convenient to handle missing data, but it should be used with caution because it can result in biased effect estimation and lack of control on Type I error. On the other hand, ITT-MMERM has more control over Type Tenor and bias compared with ITT-LOCF and PP. Conclusions: In matched-pair noninferiority clinical trials, ITT with consideration of MMRM can be recommended for the primary analysis.
신혜원(Shin Hyewon),이자형(Lee Ja Hyung) 대한종양간호학회 2008 Asian Oncology Nursing Vol.8 No.1
Purpose: The purpose of this study was to evaluate resilience of children with cancer and their mothers. This study aims to identify the main factors behind the resilience of these patients and their mothers. Method: To measure the resilience of cancer patients, Kim’s (2002) resilience scale was utilized. The Korean Family Functioning Scale revised by Chae (2004) was used to calculate the resilience of mothers. Respondents for this study consist of 60 pediatric cancer patients and their mothers. Data was collected a Medical Center in Seoul, Korea. Descriptive statistics, t-test, ANOVA, and the Pearson’s correlation coefficients were used for data analysis. Results: The resilience mean of pediatric cancer patients is 98.32 (3.09±0.03) and of mothers is 64.95 (3.08±0.25). There appears to be a high resilience in pediatric cancer patients who hold religious beliefs. Similarly, there is a high resilience for mothers who are employed. And there is a significant positive correlation between the resilience of pediatric cancer patients and their mothers. Conclusions: As the study indicates that there is a definite relationship between the resilience of pediatric cancer patients and their mothers, it is vital to improve the condition of both the patient and his mother to augment the healing process.