• Proceedings of the KOR-BRONCHOESO Conference
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• 1995.04a
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• pp.89.2-89
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• 1995

일반적으로 기관협착의 치료는 기관절재후 단단문합술로 가능하나 광범위한 기관협착이 발생하였을 때는 그 치료가 매우 어렵다. 이경우는 기도전벽을 개방하여 경부 피부와 기관연을 봉합하는 Trough를 형성한 뒤 이차적으로 연골이식이나 경부 피부를 이용한 피판을 만들어서 기관을 재건하는 Trough방법이 주로 적용되고 있다. 이 때 이식되는 연골은 늑연골 이나 비중격 연골이며 측벽의 재건에는 늑연골이 좋고 전벽의 재건에는 점막이 붙어 있는 비중격 연골의 복합이식편이 사용될 수 있다. 본 교실에서는 기관 절제 후 단단문합술이 불가능하였던 5명의 환자에서 Trough방법을 이용하여 기관 재건에 성공하였기에 그 결과를 보고하고자 한다.

• The Journal of the Korea Contents Association
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• v.9 no.8
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• pp.350-359
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• 2009

This thesis in the social welfare-related institutions in the Seoul area, art therapy and the therapist based on the status of welfare-related agencies in the community of art therapy is to present possibilities and challenges. Research results presented by Health and Welfare, where seven of the 14 kinds of social welfare facilities, participate in the survey and the target organ, 45.1% of art therapy's role in social welfare-related institutions and gradually establish the location was the result. Art therapy is to conduct the current difficulties in institutions about the environmental factors related to a professional therapist and art therapist in the therapist's expansion as a major research and maintenance was network. Welfare-related agencies and community relationships we maintain mutual relationship, and are formed within the community have an effect on consciousness and collectivization. To provide the opportunity which realize the value in the art therapy by applying more to expand the variety of professional method. First, secure the facility of art therapy environment and the therapists. Second, if the art therapy association secures the integrated system, it makes a connection with professional therapists to improve recruitment environment in the art therapy community and therapists need to be addressed by all involved is a challenge. Third, a therapist for the duration of training in order to access a variety of academic and clinical research is the importance of the process of learning the training and supervision is to discuss the issue.

• Journal of Music and Human Behavior
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• v.13 no.1
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• pp.19-40
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• 2016

This study provides numerical data on the status of music therapy practices in 54 hospice and palliative care settings in Korea. Two different questionnaires for music therapists and coordinators were sent to 54 coordinators via email, and 47 (87%) hospitals and centers replied by email or post. The survey period was October 30 through December 5, 2014. Music therapists were asked to respond to 65 questionnaire items regarding working conditions, environment, session process, and personal competence. Coordinators were asked to complete 28 questionnaire items regarding the status of music therapy in their perspective setting. Twenty-two (46.8%) hospitals and centers were running music therapy programs with 28 music therapists, and 19 (67.9%) of these music therapists majored in music therapy. There was a significant difference between music therapists (M= 3.43, SD = 0.96) and coordinators (M= 2.73, SD = 0.77) regarding conditions and environment of music therapy sessions (p < .05). The circumstances and conditions for music therapy are inad quate for optimal implementation of music therapy practice. However, the perceived benefits of music therapy by coordinators suggest that music therapists do play an important role in hospice and palliative care. This research provides the first quantitative baseline data of music therapy status in hospice and palliative care settings in Korea.

• Journal of Chest Surgery
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• v.29 no.9
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• pp.1045-1049
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• 1996

Post-intubation tracheoesophageal fistula is rare, and its management causes a serious problems to surgeons. We have experienced 4 cases in 3 patients. Simple ditcision and closure of the fistulas were done by trans-cervical approach after weaning of ventilator. The tracheal defect was closed by simple suture, and the esophageal defect was closed in two layers before a viable muscle flap was interposed between the two suture lines in order to prevent recurrence. There was one delayed tracheal stenosls and one recurrent fistula, and these complications were also managed success ully.

• Proceedings of the KOR-BRONCHOESO Conference
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• 1995.04a
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• pp.90.2-90
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• 1995

기관 협착증은 기관 삽관, 기관절개술 혹은 외상 등에 의해 주로 발생하고 드물게 종양이나 염증성 질환에 의해 생길 수 있다. 치료의 원칙은 정상 발성기능을 가진 충분한 기관강을 유지하는데 있으며 여러 치료방법 중 기관절제 및 단단문합술은 다른 방법이 실패하였거나 협착정도가 심한 경우에 시행할 수 있고, 정상기관강을 유지함으로써 해부, 생리학적으로 가장 이상적인 수술방법으로 알려져 있다. 저자들은 1990년부터 1994년까지 경부기관 8례, 경부 및 흉부기관을 동반한 기관협착증 1례에서 기관 절제 및 단단문합술을 실시하였다. 전례에서 suprahyoid release를 시행하였으며, 술중 가능한한 회귀신경은 확인하지 않았으며 술후 2일째 기관발거를 실시하였다. 합병증으로 술후 1례에서 일측성대마비가 있었으며 문합부 육아조직 형성이 2례가 있었으나 전례에서 성공적인 기관발거가 가능하였다.

• Proceedings of the KOR-BRONCHOESO Conference
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• 2003.09a
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• pp.113-113
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• 2003

성문과 성문하부의 기도 폐쇄는 위치 정도 원인 기간 등은 환자에 따라 다르고 그 치료방법 역시 다양하다. 주 원인으로는 기관내 삽관, 각종 외상 및 화상 등 을 들 수 있다. 이러한 질환의 치료 목적은, 기관내 튜브나 기관 캐뉼러 를 통하지 않고 비강을 통하여 자연스럽게 호흡할 수 있도록 기도를 유지 하면서 발성이 가능하고 기고 흡인 없이 연하가 가능하도록 하며 기침 반사가 원활하게 되도록 하는데 있다. 치료목적의 달성을 위하여 협착의 경우, 단계 즉 초기 단계 또는 성숙단계 여부, 위치, 정도, 범위 환자의 연령 전신상태 등을 술전에 잘 평가하고 수술도중의 소견과 술자의 경험이나 기호에 따라 적절한 치료법을 선택하여 치료해야 한다. 후두 외상에 의한 기도 문제는 다른 외상에 비해 흔하지 않은데 이는 연골의 유연성과 후두의 가동성 그리고 후두가 하악과 흉골사이에 위치하여 외상시 보호받게 되는 해부학적 특성에 기인한다. 여러 요인으로 인하여 진단이 늦어질 수도 있는데 이러한 경우 심각한 증상이 초래 되거나 치료가 의 시기가 지나 후두 또는 기관 협착, 발성장애등의 후유증이 유발 될 수 있다.

• Tuberculosis and Respiratory Diseases
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• v.64 no.3
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• pp.206-209
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• 2008

Tracheal tuberculosis is a relatively uncommon form of tuberculosis and can result in acute tracheal obstruction early in the disease course. This is a report of a case of tracheal tuberculosis with unusual clinical presentation.

• The Journal of Korean Academy of Sensory Integration
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• v.16 no.2
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• pp.26-35
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• 2018

Objective : The aim of this study was to investigate job tasks of Korean pediatric occupational therapists focusing on sensory integration intervention provided in hospitals, private centers, welfare centers, and to identify job differences depending on the types of agency. Methods : A survey was performed for 122 pediatric occupational therapists focused on sensory integration intervention by utilizing a questionnaire from July to September 2017. The questionnaire was consisted of job description for the pediatric occupational therapists. Results : There were differences in tasks' importances, frequencies, and difficulties according to the three type of agency. Differences were showed total 10 tasks in importance, total 7 tasks in frequency, and total 2 tasks in difficulty depending on the agency type. Conclusion : Occupational therapists need to identify job differences depending on agency type and to develop essential competencies required to perform the job tasks which emphasized at each agency.

• Korean Journal of Head & Neck Oncology
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• v.8 no.1
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• pp.1-5
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• 1992

기관연골까지만 침윤된 갑상선암에서 침윤된 기관연골을 면도식으로 깍아 내는 술식을 선택했을때 효과적인 치료방법이 되는가를 알아보기 위하여 본 연구를 실시하였다. 1979년 부터 1988년까지 10년간수술이 시행된 갑상선암환자 432예중 기관연골까지만 침윤된 환자는 16예 이였다. 남자가 3예, 여자가 13예 이었으며, 이들의 평균 연령은 55.8세 이었고, 조직학적으로는 유두상암이 14예, 여포상암이 2예 였다. 전예에서 침윤된 기관연골을 면도식으로 깍아내였으며, 수술후 보조치료로 방사성 동위원소 치료나 외부 방사선 조사를 추가하였고, 또한 갑상선 홀몬 투여로 TSH 억제 치료를 하였다. 평균 추척 기간은 67.7개월이었다. 16예중 무병생존은 4예에 불과하였고, 12예가 치료에 실패했는데 이중 7예는 갑상선암의 재발로 사망하였다. 이상의 결과로 면도식 절제술은 갑상선암이 기관연골에 침윤되었을 때의 술식으로는 부적당하며 무병 생존율을 향상시키기 위해서는 비록 표재성인 기관연골 침윤이라도 기관제술과 같은 적극적인 술식 선택이 바람직하다고 사료되었다.

• The Korean Society of Law and Medicine
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• v.22 no.4
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• pp.89-115
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• 2021

Korea's health care delivery system is based on the Medical law and the National Health Insurance Act. In order to efficiently operate limited medical resources, it is classified to use medical institutions according to the severity of the disease. The question is whether a tertiary care hospital can terminate a medical contract for a patient, if treatment for severe diseases has already been performed at a tertiary care hospital. In the case of termination of treatment, the Korean court has both a judgment that recognizes the right to terminate and a judgment that denies the termination. Among the U.S. rulings, there are rulings that order transfer to a skilled nursing facility or nursing home or home if acute treatment is no longer needed. Considering that medical resources are limited, it is necessary to acknowledge the right to terminate the contract of the medical institution when treatment by a medical institution is completed.