• Title/Summary/Keyword: 병발성

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전통음악 및 서양음악 가수에 대한 음악 음형대 및 성대진동양상에 대한 연구

  • 홍기환;박병암;양윤수;김현기
    • Proceedings of the KSLP Conference
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    • 1997.11a
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    • pp.254-254
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    • 1997
  • 서양음악을 전공하는 숙달된 가수들은 공연시 효과적인 소리의 울림현상을 생성하여 노래소리가 잘 전달되는데 이는 노래소리에 대한 음악 음형대의 형성에 기인한다. 그러나 판소리의 일반적인 창법은 발성중 적절한 감정의 삽입과 더불어 아주 깨끗한 소리보다는 적절하게 탁음을 조화시키므로서 우리민족의 정서에 맞는 감정을 전달하는 것으로 판소리 가수만이 가지는 독특한 발성법에 의해 성대의 과다한 접촉 및 진동에 의해 병변이 초래되며 심한 경우 발성기관에 병적인 병변이 발생하여 치료를 요하는 경우도 많다. (중략)

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Acoustic Features and Structural Disorders in Korean Singers (가수들에 대한 음향음성학적 특성 및 성대병변에 대한 분석)

  • 홍기환
    • Proceedings of the KSLP Conference
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    • 1998.11a
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    • pp.211-212
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    • 1998
  • 소리란 인간만이 가지는 특유한 발성구조에 의해 생성되는 음으로서 주로 언어소통을 목적으로 발성된다. 소리의 생성은 일정한 성문하압과 성대의 긴장 및 내전운동이 형성되면 공기가 성대를 통과하면서 성대가 진동하여 발생되며 발성된 음은 후두, 인두 구강등의 발성기관에서 공명되고 증폭되므로서 특이한 음색을 가진 소리로 발생되는 것이다. 그 중에서 노래소리란 이러한 발성기관의 종합적이고 이상적인 조화에 의해 발생되는 소리의 극치이다. 그러나 이러한 발성기관이 이상적으로 조화되지 않을 경우 소리의 변화 및 성대에 병변이 초래되어 치료를 요하는 경우도 있다. (중략)

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Clinical Characteristics and Abnormal p53 Expression of Lung Cancer Associated with Multiple Primary Cancer (다발성 악성종양에 동반된 폐암의 임상 특징과 변이형 p53 발현)

  • Shin, Chang-Jin;Park, Hye-Jung;Shin, Kyeong-Cheol;Shim, Young-Ran;Chung, Jin-Hong;Lee, Kwan-Ho
    • Tuberculosis and Respiratory Diseases
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    • v.47 no.3
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    • pp.331-338
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    • 1999
  • Background: Nearly 10% of cancer patients will develop a second primary cancer within ten years after surgical removal of the primary tumor. The detection of risk factors for developing multiple primary tumors would be important This study was conducted to evaluate the clinical characteristics and abnormal p53 expression of lung cancer associated with multiple primary cancer(MPC). Method: Clinical characteristics and abnormal p53 expression were compared between 20 cases of lung cancer(NSCLC ; 16 cases, SCLC ; 4 cases) associated with MPC and 26 cases of primary non-small cell lung cancer. Result: MPC associated with lung cancer was gastric cancer(8), lung cancer(2), esophageal cancer(2), colon cancer(2), laryngeal cancer(1), bladder cancer(1), small bowel cancer(l), adrenal cancer(1), hepatocellular carcinoma(1), and breast cancer (1) in order. The clinical stage of primary NSCLC was relatively advanced, but NSCLC associated with MPC was even distribution at each stage. The detected incidences of abnormal p53 expressions were 62.5% in NSCLC associated with MPC and 76.9% in primary NSCLC(p>0.05). Conclusion: There was no difference in abnormal p53 expression between non-small cell carcinoma associated with multiple primary cancer and primary non-small cell carcinoma.

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Singing Voice Care

  • 권영경
    • Proceedings of the KSLP Conference
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    • 2003.11a
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    • pp.184-186
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    • 2003
  • 배경 : 전문 음성 사용자(professional voice user)중 성악인들은 특히 음성문제에 관심이 많으며, 전문 성악인이나 성악전공학생들은 항상 가장 좋은 발성으로 아름다운 연주를 하기 위해 노력한다(이정희 1992 ; 황화자 1999 ; Appleman 1986). 목적 : 병변이 없는 정상 성악인과 병변이 있는 성악인의 경우, 음성언어치료사가 행할 수 있는 치료접근법을 알아보고자 한다. (중략)

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Comparison of Clinical Characteristics and Polysomnographic Findings between REM Sleep Behavior Disorder with and without Associated Central Nervous System Disorders (중추신경계질환 동반 여부에 따른 렘수면 행동장애의 임상 특성과 수면다원기록소견 소견 비교)

  • Lee, Yu-Jin;Jeong, Do-Un
    • Sleep Medicine and Psychophysiology
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    • v.12 no.1
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    • pp.58-63
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    • 2005
  • Objectives: REM sleep behavior disorder (RBD), characterized by excessive motor activity during REM sleep, is associated with loss of muscle atonia. In recent years, it has been reported that RBD has high co-morbidity with CNS disorders (especially, Parkinson's disease, dementia, multiple system atrophy, etc.). We aimed to assess differences in clinical and polysomnographic findings among RBD patients, depending on the presence or absence of central nervous system (CNS) disorders. Methods: The medical records and polysomnographic data of 81 patients who had been diagnosed as having RBD were reviewed. The patients were classified into two groups: associated RBD (aRBD, i.e., with a clinical history and/or brain MRI evidence of CNS disorder) and idiopathic RBD (iRBD, i.e., without a clinical history and/or brain MRI evidence of CNS disorder) groups. Twenty-one patients (25.9%) belonged to the aRBD group and 60 patients (74.1%) belonged to the iRBD group. The clinical characteristics and polysomnographic findings of the two groups were compared. Results: Periodic limb movement disorder (PLMD), i.e., PLMI (periodic limb movement index)>5, was observed more frequently in the aRBD group than in the iRBD group (p<0.001, Fisher's exact test). Also, obstructive sleep apnea syndrome (OSAS), i.e., RDI (respiratory disturbance index)>5, was found more frequently in the aRBD group (p=0.0042, Fisher's exact test). The percentages for slow wave sleep and sleep efficiency were significantly lower in the aRBD group than in the iRBD group. Conclusion: We found that 1 out of 4 RBD patients had associated CNS disorders, warranting more careful neurological evaluation and follow-up in this category of RBD. In this category of RBD patients, we also found more frequent PLMD and OSAS. These patients were also found to have lower slow wave sleep and sleep efficiency. In summary, RBD patients with associated CNS disorders suffer from more disturbed sleep than those without them.

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Primary Pleural Small Cell Carcinoma - A case report- (원발성 흉막 소세포암 - 1예 보고 -)

  • Kim, Jae-Jun;Wang, Young-Pil;Park, Jae-Kil;Lee, Seok-In
    • Journal of Chest Surgery
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    • v.43 no.6
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    • pp.829-832
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    • 2010
  • A primary pleural small cell carcinoma is an extremely rare disease. Because of a newly developed metastatic lesion, we performed an operation on a patient who had undergone a right upper lobe lobectomy for adenocarcinoma 3 years previously. We resected the pleural lesion and the pathology report showed that it was not a metastatic lesion, but rather, it was a primary pleural small cell carcinoma. So we reported this case and we review the relevant literature.

Bullectomy Using 2 mm Videothoracoscope in Primary Spontaneous Pheumothorax (원발성 자연기흉에서 2 mm 비디오흉강경을 이용한 기포절제술)

  • Lee, Yuen-Jae;Park, Cheul;Kim, Han-Yong;Yoo, Byung-Ha
    • Journal of Chest Surgery
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    • v.34 no.3
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    • pp.260-263
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    • 2001
  • 비디오흉강경을 통한 기포절제술이 술후 통증, 창상으로 인한 감염등의 합병증을 줄였고, 미관상의 효과와 더불어 짧은 입원기간으로 빠른 사회로의 복귀를 가져왔다. 1999년 11월 18일부터 2000년 4월 19일까지 6개월동안 수술적응증이 되는 20례의 원발성 자연기흉 환자를 개흉술로의 전환 없이 2mm 비디오 흉강경을 이요하여 기포 절제술을 시행하였다. 수술창성은 단순 흉강삽관술을 시행하였을때와 거의 흡사했다. 원발성 자연기흉 환자에서는 병변이 상엽에 국한되어 있는 경우가 대부분이고, 늑막유착이 없거나 심하지 않아서 2mm비디오 흉강경으로도 기포절제술이 가능하게 되어 수술창상을 줄일수 있었다.

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Primary Malignant Melanoma of the Vagina: A Case Report (질의 원발성 악성 흑색종: 증례보고)

  • Jang Ji-Young;Kim Do-Kang;Lee Eun-Hee;Kim Jun-Sang
    • Radiation Oncology Journal
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    • v.21 no.3
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    • pp.245-249
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    • 2003
  • A primary malignant melanoma of the vagina is a very rare gynecological malignant tumor. Its clinical behavior is more aggressive than that of cutaneous and vulvar melanomas. We present a case of a large sized primary melanoma of the lower third of the vagina, with a cervical lesion, in a 58-year-old postmenopausal woman. The patient was treated with conventional external radiation therapy and intracavitary radiotherapy (ICR), without surgical treatment. Although the primary lesion showed a partial response, the patient died of extensive metastases, which were found 4.5 months after the initial diagnosis. We suggest that shortening the treatment period, such as hypofractionated radiation therapy and surgical removal, and various systemic therapies for preventing early distant metastasis, are appropriate treatments for a primary malignant melanoma of the vagina, with a large tumor size.

The Septic Knee Arthritis Caused by Klebsiella pneumoniae in a Patient with Type 2 Diabetes Mellitus and Osteoarthritis of the Knee (제2형 당뇨 및 골관절염을 동반한 환자에서 발생한 Klebsiella pneumoniae균에 의한 화농성 관절염)

  • Ha, Joong-Won;Lee, Sanghyeon;Park, Sang-Hoon;Kim, Tae-Yup
    • Journal of the Korean Orthopaedic Association
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    • v.54 no.1
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    • pp.67-71
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    • 2019
  • Klebsiella pneumoniae causes that liver abscess mostly, also spread to pneumonia, meningitis, urinary tract infections. Septic arthritis caused by K. pneumoniae is a quite rare and has not been reported in Korea. Therefore, the authors report a case of the septic arthritis in the knee joint caused by K. pneumoniae in a patient with type 2 diabetes mellitus and osteoarthritis of the knee that successfully treated by early detection and arthroscopic synovectomy.

Anterior Mediastinal Tumor

  • Lee, Jae-Kyo
    • Journal of Yeungnam Medical Science
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    • v.27 no.2
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    • pp.98-104
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    • 2010
  • Primary anterior mediastinal neoplasms comprise a diverse group of tumors and account for 50% of all mediastinal masses. Thymic epithelial neoplasm are most common and classified into thymoma, invasive thymoma, and thymic carcinoma. Neuroendocrine differentiation of thymic epithelial neoplasm are rare malignancies. Germ cell tumor (GCT) is second most common anterior mediastinal tumor and most of them are mature cystic teratoma. Malignant mediastinal GCT are rare than benign. Primary thoracic lymphoma is rare than thoracic involvement of systemic lymphoma and most common location of primary thoracic lymphoma is anterior mediastinum. The clinical and radiologic appearance of the most common masses are reviewed.

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