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Changes in Respiration and Phonation in Acting Students after training with the Alexander Technique
이미금,최홍식,최현묵,백희숙,임성은,고상근,최예린 한국언어청각임상학회 2014 Communication Sciences and Disorders Vol.19 No.3
배경 및 목적: 알렉산더 테크닉은 머리의 위치와 목 근육의 이완으로 호흡 및 음성 산출에 도움을 준다. 본 연구의 목적은 음성을 전문적으로 사용하는 연기과 학생을 대상으로 알렉산더 테크닉 훈련 전·후의 호흡 및 발성 특성의 변화를 알아보고자 하였다. 방법: 연기과 학생 남자 4명과 여자 4명을 대상으로 알렉산더 테크닉 전문 지도교사의 지도하에 프로그램에 참여하도록 하였다. 알렉산더 테크닉 훈련 전·후 호흡 및 발성 특성의 변화를 비교하기 위해 음성평가는 호흡기능검사, 공기역학 검사, 음향학 검사, 전기성문파형 검사, GRBAS, K-VHI를 시행하였다. 결과: 호흡기능검사에서는 FVC, FEV1, FEV1/FVC은 유의한 차이가 없었다. 공기역학 검사에서는 MPT, GR, VE가 유의하게 증가하였으며 MFR, Psub 는 유의하게 감소하였다. 음향학 검사에서는 NHR 이 유의하게 감소하였다. 전기성문파형 검사에서는 CAx, DQx 가 유의하게 감소하였다. GRBAS 척도에 대한 평가에서는 G 척도가, K-VHI 를 이용한 평가에서는 총 합계와 신체적 영역 점수가 유의하게 감소하였다. 논의 및 결론: 본 연구는 알렉산더 테크닉을 훈련 한 후 음성변화에 대한 객관적 및 주관적인 수치를 국내·외에서 처음 제시함으로써 알렉산더 테크닉을 통한 훈련이 호흡 및 음성 변화에 효과가 있음을 객관적인 자료로 제시하였다는 점에 의의가 있다. Objectives: The Alexander Technique helps respiration and the projection of voice through changes in the location of the head and relaxation of neck muscles. This study provides objective data on changes in respiration and phonation after training with the Alexander Technique. Methods: A total of 8 students majoring in acting (4 female, 4 male) were selected to participate in a program under the guidance of an Alexander Technique specialist. In order to objectively compare figures, tests were done on respiratory function, aerodynamic analysis, acoustic analysis, and electroglottography (EGG). GRBAS and Korean-Voice Handicap Index (K-VHI) were also taken and evaluated. Results: In the respiratory function test, the FVC, FEV1, and FEV1/FVC had no significant differences. In the aerodynamic analysis, the MPT, GR, and VE significantly increased and the MFR, Psub significantly decreased. In the acoustic analysis, the NHR significantly decreased. In the EGG, the CAx and DQx significantly decreased. The GRBAS evaluation showed that the grade significantly decreased and the K-VHI evaluation showed that the total and the physical area (P) both significantly decreased. Conclusion: This study provides objective and subjective values on voice changes after the Alexander Technique was used for training. The effectiveness of the training technique was verified through objective data showing changes in respiration and phonation.
이미금,정월선,김홍순,이동철,장영진 대한마취통증의학회 2014 Anesthesia and pain medicine Vol.9 No.1
Background: We evaluated whether the analgesic superiority ofregional block over general anesthesia improves patient satisfaction. Methods: Patients were anesthetized with either general anesthesia(GA) (n = 30) or axillary brachial plexus block (BPB) (n = 30). GA was standardized to include induction with propofol and alfentaniland maintenance with desflurane in an oxygen/nitrous oxidemixture. BPB was performed using an axillary perivascular approach,and 1.5% lidocaine 20 ml with epinephrine (1 : 200,000) and0.5% levobupivacaine 20 ml were injected. Pain scores and numbersof times pushing the patient-controlled analgesia (PCA) buttonwere measured preoperatively and at 2, 6, and 24 hours after theend of surgery. On the first day after the operation, one of ourresearchers visited the patients to document their opinions of theiranesthetic experiences and their satisfaction scores. Results: Group BPB had lower visual analog scale scores at 2hours and 6 hours postoperatively. Numbers of times pushing thePCA button was also lower in Group BPB within the first 2 hoursand between 2–6 hours postoperatively. However, patient satisfactionscores were not statistically different between the two groups(84 ± 11 vs. 88 ± 12, P = 0.177). Conclusions: BPB provided superior analgesia after upper limbsurgery compared to GA, but for a complete understanding ofpatients’ satisfaction, detailed consideration of factors such assedation would be necessary.
이미금,김현정,이근화,최윤숙 대한통증학회 2016 The Korean Journal of Pain Vol.29 No.1
Background: Although opioids are the most commonly used medications to control postoperative pain in children, the analgesic effects could have a large inter-individual variability according to genotypes. The aim of this study was to investigate the association between single nucleotide polymorphisms and the analgesic effect of morphine for postoperative pain in children.Methods: A prospective study was conducted in 88 healthy children undergoing tonsillectomy, who received morphine during the operation. The postoperative pain score, frequency of rescue analgesics, and side effects of morphine were assessed in the post-anesthesia care unit. The children were genotyped for OPRM1 A118G, ABCB1 C3435T, and COMT Val158Met.Results: Children with at least one G allele for OPRM1 (AG/GG) had higher postoperative pain scores compared with those with the AA genotype at the time of discharge from the post-anesthesia care unit (P = 0.025). Other recovery profiles were not significantly different between the two groups. There was no significant relationship between genotypes and postoperative pain scores in analysis of ABCB1 and COMT polymorphisms. Conclusions: Genetic polymorphism at OPRM1 A118G, but not at ABCB1 C3435T and COMT Val158Met, influences the analgesic effect of morphine for immediate acute postoperative pain in children. (Korean J Pain 2016; 29: 34-39)
림프관평활근종증을 동반한 산모의 제왕절개술을 위한 마취관리-증례 보고-
이미금,김홍순,손운락,박희연 대한마취통증의학회 2013 Anesthesia and pain medicine Vol.8 No.4
Lymphangioleiomyomatosis (LAM) is a rare, progressive cystic lung disease, characterized by a proliferation of immature smooth muscle cell (LAM cell) in the airway, parenchyma, lymph nodes and pulmonary vessels. It mainly affects women in their reproductive years. It is clinically manifested by recurrent pneumothorax,progressive dyspnea on exertion and chylothorax; it can also ultimately lead to respiratory failure. However, no curative treatment for LAM is currently available. We report an anesthetic management for cesarean delivery in a parturient newly diagnosed with LAM.
An anesthetic experience of a patient with paraneoplastic encephalitis -A case report-
이미금,곽현정,김홍순,정월선,양미란 대한마취통증의학회 2012 Anesthesia and pain medicine Vol.7 No.1
Paraneoplastic encephalitis associated with an ovarian teratoma has been related to the development of antibodies to specific heteromers of the N-methyl-D-aspartate receptor (NMDAR). The disorder, known as anti-NMDAR encephalitis, is characterized by psychiatric symptoms, seizures, mood and behavioral changes as well as involuntary movement. Since the NMDAR is the target of many anesthetic drugs, the presence of anti-NMDAR antibodies might influence the requirements of anesthetics or their effects. We report the presentation and anesthetic experience of a young patient with anti-NMDAR encephalitis undergoing surgical excision of two ovarian teratomas, and we also review the relevant literature.
이미금,이경천,김홍순,박설주,서영제,신현주 대한마취통증의학회 2015 Korean Journal of Anesthesiology Vol.68 No.6
There are many different approaches to ultrasound-guided supraclavicular brachial plexus block (US-SCBPB), and each has a different success rate and complications. The most commonly performed US-SCBPB is the corner pocket approach in which the needle is advanced very close to the subclavian artery and pleura. Therefore, it may be associated with a risk of subclavian artery puncture or pneumothorax. We advanced the needle into the central part of the neural cluster after penetrating the sheath of the brachial plexus in US-SCBPB. We refer to this new method as the “central cluster approach.” In this approach, the needle does not have to advance close to the subclavian artery or pleura. The aim of this study was to evaluate the clinical outcomes of the central cluster approach in US-SCBPB.
증례보고 : 36년간 지속된 난치성 절단통증 환자에서 척수자극술을 이용한 통증 관리
이미금 ( Mi Geum Lee ),한성진 ( Sung Jin Han ),이미경 ( Mi Kyoung Lee ),임상호 ( Sang Ho Lim ),김희주 ( Hee Zoo Kim ),최상식 ( Sang Sik Choi ) 대한마취과학회 2008 Korean Journal of Anesthesiology Vol.55 No.5
Spinal cord stimulation (SCS) is an effective therapy for chronic and intractable neuropathic pain. We present a case report of successful pain control using SCS implantation in a patient with chronic, intractable stump pain for 36 years. The patient lost his two legs under the knees during the Vietnam War and had an amputation. After that he suffered stump pain for 36 years due to recurrent neuroma even after neuroma excision was performed over 30 times. We inserted the dual percutaneous leads at the level of left T9 and right T10 in this patient and could get complete pain relief without any complications. (Korean J Anesthesiol 2008;55:648~51)
Profound Hypotension after an Intradermal Injection of Indigo Carmine for Sentinel Node Mapping
조윤이,이미금,이경천,윤순영 한국유방암학회 2013 Journal of breast cancer Vol.16 No.1
Intradermal injections of indigo carmine for sentinel node mapping are considered safe and no report of an adverse reaction has been published. The authors described two cases of profound hypotension in women that underwent breast-conserving surgery after an intradermal injection of indigo carmine into the periareolar area for sentinel node mapping.