untitled
|
|
|
- 연지 강
- 1 years ago
- Views:
Transcription
1 Research in Vestibular Science Vol. 17, No. 3, September 2018 O riginal A rticle pissn , eissn 현훈을동반한돌발성감각신경성난청환자에서의전정기능과예후 이세아, 김효준, 김보경, 이종대 순천향대학교의과대학부천병원이비인후과 Vestibular Function and Prognosis of Sudden Sensorineural Hearing Loss with Vertigo Se A Lee, Hyo Jun Kim, Bo Gyung Kim, Jong Dae Lee Department of Otorhinolaryngology-Head and Neck Surgery, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon, Korea Received Jun 1, 2018 Revised Jun 4, 2018 Accepted Jun 4, 2018 Corresponding Author: Jong Dae Lee Department of Otorhinolaryngology, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine, 170 Jomaru-ro, Wonmi-gu, Bucheon 14584, Korea Tel: Fax: ljdent@schmc.ac.kr ORCID code: Copyright c 2018 by The Korean Balance Society. All rights reserved. This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. Objectives: Vertigo combined with sudden sensorineural hearing loss (SSNHL) is known as a poor prognostic factor. We investigated clinical findings and vestibular function tests in patients of SSNHL with vertigo to find the prognostic factors. Methods: We retrospectively evaluated data on the patients diagnosed with SSNHL with vertigo at Bucheon Soonchunhyang University Hospital from March 2009 to February We reviewed medical records and the results of vestibular function tests and audiometry. Results: Of the 68 patients, 30 (44.1%) showed profound hearing loss and 53 (77.9%) showed poor recovery. Age and the degree of initial hearing loss showed negative prognostic factor in hearing recovery. Abnormal results of cervical vestibular evoked myogenic potentials (cvemp) also showed significantly differences between good and poor recovery groups. Conclusions: In this study, most of the patients of SSNHL with vertigo showed poor recovery. Age, degree of initial hearing loss, and the abnormal result of the cvemp have a negative effect on the prognosis of hearing recovery. Res Vestib Sci 2018;17(3):90-94 Keywords: Sudden sensorineural hearing loss; Vertigo; Prognosis; Vestibular function 서론돌발성난청은일년에 10만명당 5 20명정도에서특별한원인없이갑자기발생하는감각신경성난청으로이명과현훈등의증상을동반하기도한다. 발병원인이나기전에대해서는아직명확하게밝혀지지않았으나, 바이러스감염, 혈관장애, 내이질환등이원인으로생각되고있다 [1,2]. 일반적으로돌발성감각신경성난청환자의자연회복률은약 32% 65% 정도로보고되고있다 [2,3]. 하지만, 소아나 40세이상의연령, 현훈, 고음역의청력소실, 어음명료도의저하등이동반된경우에는예후가불량한것으로알려져있다 [2,4,5]. 특히, 돌발성감각신경성난청환자의 30% 40% 는현훈을 90
2 이세아외 3 인. 현훈을동반한돌발성감각신경성난청환자의전정기능 호소하는데, 현훈이동반되는경우청력소실이심한경우가많고, 현훈이없는돌발성감각신경성난청환자와비교하면회복률이좋지않은것으로알려져있다 [6]. 예후가나쁘다고알려진현훈을동반한돌발성감각신경성난청환자에서온도안진검사, 양성돌발두위현훈, 경부전정유발근전위 (cervical vestibular evoked myogenic potential) 등다양한요인이청력회복에영향을미친다고보고자마다다르게보고되고있다 [7-9]. 따라서이번연구는현훈을동반한돌발성감각신경성난청환자에서의전정기능검사결과와예후와의연관성을알아보고자하였다. 대상및방법 1. 대상 2009년 3월부터 2018년 3월까지본원이비인후과에내원하여급성돌발성감각신경성난청으로진단받고치료받은환자중에서현훈을동반한환자를대상으로후향적의무기록을분석하였다. 돌발성난청의과거력이있거나, 중추성현훈이나메니에르병이의심되는경우, 중이염이있는경우, 내원하여시행한자기공명영상에서전정신경초종이있는경우는대상에서제외하였다. 경우불변 (no improvement) 로구분한뒤, 완전회복과부분회복을좋은회복 (good recovery), 경도회복과불변을나쁜회복 (poor recovery) 로보았다 [11]. 대상환자들은외래에서 frenzel goggle (Nagashima Medical Instruments, Tokyo, Japan) 을이용하여자발안진검사와체위성안진검사를시행하여자발안진유무와양성돌발두위현훈동반여부를확인하였다. 온도안진검사는환자를 60 o 눕힌상태에서외이도에섭씨 24 o C와 50 o C의공기로 1분간온도자극을주었으며, Jonkee 공식을이용하여반고리관마비를계산하였다. 반고리관마비 (canal paresis) 가 25% 이하를정상, 초과하였을때를비정상으로해석하였다. 경부전정유발근전위검사는 90 db의클릭음을헤드폰으로자극하였고, p13과 n23의잠복기와진폭차의비를구하여본원검사실정상치와비교하였다. 파형이없거나양이진폭차의비 (vestibular evoked myogenic potential asymmetry) 가 27.7을초과했거나, p13의잠복기가 msec을초과했을때비정상으로하였다 [12]. 통계는 IBM SPSS Statistics ver (IBM Co., Armonk, NY, USA) 프로그램을이용하여환자의임상양상및전정기능의손상정도와청력회복과의관계는 Student t-test 와 chi-square test 또는 Fisher exact test를통해검증하였다. 통 2. 방법현훈을동반한급성돌발성감각신경성난청환자에서입원당시측정한순음청력검사, 자발안진검사, 체위성안진검사, 온도안진검사, 경부전정유발근전위검사등을분석하였다. 순음청력검사는 500, 1,000, 2,000, 4,000 Hz에대한주파수별청력손실을 4분법으로평균청력역치를계산하였다. 이환초기의난청의정도는 Hong 등 [10] 이분류한방법에따라 grade 1 (26 55 db), grade 2 (56 90 db), grade 3 (91 db 이상 ) 로분류하였다. 2개월간의추적관찰후청력회복을평가하였는데, 청력회복은 Sigel s criteria를기준으로 25 db 역치이내로청력호전이있는경우완전회복 (complete recovery), 15 db 이상청력호전이있고최종 db 범위의청력역치인경우를부분회복 (partial recovery, PR), 15 db 이상청력호전이있고최종 45 db 이상범위의청력역치인경우를경도회복 (slight recovery), 15 db 미만으로청력호전이있거나최종 75 db 이상범위의청력역치인 Table 1. Demographic and clinical characteristics of SSNHL with vertigo patients Demographic findings Value Age (yr) 49.46±15.17 Sex, male:female 35:33 (51.5:48.5) Hearing loss side, right:left 31:37 (45.6:54.4) Degree of initial hearing loss Grade 1 14 (20.6) Grade 2 24 (35.3) Grade 3 30 (44.1) Spontaneous nystagmus 15 (22.1) BPPV 7 (10.3) Canal paresis Normal 41 (60.3) Abnormal 27 (39.7) cvemp Normal 22 (32.4) Abnormal 46 (67.6) Values are presented as mean±standard deviation or number (%). SSNHL, sudden sensorineural hearing loss; BPPV, benign paroxysmal positional vertigo; cvemp, cervical vestibular evoked myogenic potential. 91
3 계학적유의수준은 p-value 0.05 미만으로하였다. 결 과 경부전정유발근전위검사결과는통계적으로유의한차이를보였다. 그외, 성별, 병변의위치, 자발안진과양성돌발두위현훈유무, 온도안진검사결과는유의한차이가없었다. 총 68명의환자를이번연구에포함하였다 (Table 1). 이들의평균연령은 49.46±15.17세였고, 성별에따라남자가 35명 (51.5%), 여자가 33명 (48.5%) 이었다. 이환초기청력소실정도는 grade 1이 14명 (20.6%), grade 2가 24명 (35.3%), grade 3가 30명 (44.1%) 이었다. 자발안진이 15명에서관찰되었고, 온도안진검사상비정상은 27명 (39.7%) 이었고, 경부전정유발근전위검사에서비정상소견은 46명 (67.6%) 이었다. 또한 7명에서병변측에양성돌발두위현훈이동반되었는데, 5명은후반고리관결석증, 2명은수평반고리관결석증이었다. 최종회복정도를분석했을때, 15명은좋은회복, 53명은나쁜회복에해당하였다 (Table 2). 좋은회복군의평균연령은 41세로나쁜회복군의평균연령인 52세보다유의하게낮았으며, 두군간의초기청력소실정도는나쁜회복을보인군에서보다높은경향성을보였고, 또한나쁜회복을보인군에서비정상적인경부전정유발근전위검사가흔했다. 두군간에환자의연력및초기청력소실정도, Table 2. The difference between good and poor recovery in patients of SSNHL with vertigo Findings Good recovery (n=15) Poor recovery (n=53) p-value Age (yr) 41.00± ± * Sex, male:female 6:9 29: Hearing loss side, right:left 9:6 22: Degree of initial hearing loss 0.024* Grade Grade Grade Spontaneuous nystagmus BPPV Canal paresis Normal Abnormal 5 22 cvemp 0.049* Normal 8 14 Abnormal 7 39 Values are presented as mean±standard deviation or number. SSNHL, sudden sensorineural hearing loss; BPPV, benign paroxysmal positional vertigo; cvemp, cervical vestibular evoked myogenic potential. 고찰돌발성난청은 1944년 De Kleyn [13] 이처음보고한이후현재까지도정확한원인이나예후에대해밝혀지지않았다. Noury와 Katsarkas [14] 은돌발성난청에서현훈이동반되면청력소실정도가농이거나고음역청력소실이동반되는경우가많다고하였고, Nakashima와 Yanagita [15] 의연구에서도비슷한결과를보였다. 이연구에서는현훈을동반한돌발성감각신경성난청환자를대상으로연구를진행하였다. 전체환자 68명의환자중에서 91 db 이상의청력소실을보이는환자가 30명 (44.1%) 이고, 나쁜회복을보이는경우가 53명 (77.9%) 이었는데, 현훈이동반된경우초기청력소실정도가심한경우가많고, 나쁜예후를보이는기존의연구결과와유사하였다. 예후에있어서초기의청력소실정도가연관성이있다고알려져있다. Sheehy [16] 은초기의청력손실이클수록예후가나쁘다고보고하였다. Hong 등 [17] 의연구에서초기청력소실이 100 db가넘는전체환자에서완전회복을보인환자는한명도없었고, 단두명만이부분회복을보였다. 이연구에서도이환초기의청력소실정도가좋은회복과나쁜회복을보인두환자군에서유의한차이를보였으며고도난청을보인환자들이많은영향이라고생각한다. 양성돌발두위현훈이동반된돌발성난청이청력회복에미치는영향에대해서는아직논란이많다. Lee와 Ban [18] 은돌발성난청환자에서동반된양성돌발두위현훈은미로의손상을보이는것으로, 돌발성난청의나쁜예후인자라고보고하였다. 반면, Kim 등 [19] 은양성돌발두위현훈이동반된돌발성난청환자가양성돌발두위현훈이없는돌발성난청환자와유의한차이를보이지않았고, 양성돌발두위현훈이주요예후인자로볼수없다고보고하였다. 이연구에서도양성돌발두위현훈은치료후회복과유의하지않은상관관계를보였다. 현훈을동반한돌발성감각신경성난청환자에서의전정신경검사와청력회복에대한다양한연구들이보고되었다. Iwasaki 등 [20] 은연구를통해온도안진검사와전정유발근전위검사의비정상소견과청력회복과의관계에대하여 92
4 이세아외 3 인. 현훈을동반한돌발성감각신경성난청환자의전정기능 보고하였다. 현훈을동반한돌발성감각신경성난청환자의 45% 에서온도안진검사상이상소견을보였고, 77% 에서전정유발근전위검사상파형의소실을보였는데, 온도안진검사상이상을보인환자중 50% 이상청력회복을보인환자는 20% 밖에보이지않았다. Shih 등 [21] 의연구에서는, 현훈을동반한돌발성난청환자중, 온도안진검사상비정상반응을보인경우, 정상반응을보인경우보다청력회복이나쁜경우통계적으로유의하게많음을보고하였다. 특히, 돌발성난청의예후와전정유발근전위검사와의연관성에대한연구들을살펴보면, Hong 등 [10] 의연구에서는전정유발근전위반응의비정상파형과청력회복의정도는유의한차이를보이지않았으나, Yun 등 [22] 의연구에서는전정유발근전위검사상정상과비정상두군간청력회복의차이를보여예후에영향을미치는것으로나타났다. 이연구에서는온도안진검사상에서는유의하지않았으나, 나쁜회복을보인환자군에서경부전정유발근전위반응의비정상소견을보인비율이 73.6% 로좋은회복을보인환자군과비교하여통계학적으로유의하게높은수치를보였다. 구형낭과와우의해부학적위치가가까워서소리에너지전달과정에서동시에손상이발생가능하다는점과둘다총와우동맥 (common cochlear artery) 에서혈액공급을받는다는점과연관이있다고생각된다 [23,24]. 이연구의한계점으로는현훈을동반하지않은군을조사하여비교하지않은점, 증례수가많지않다는점, 환자의전정기능을평가하는데있어수평반고리관과구형낭에국한되어있다는점이있다. 또한, 환자의청력도의양상에대한연구가이뤄지지않아청력도양상과돌발성감각신경성난청의예후와의관계를확인할수없었다. 결론적으로, 현훈이동반된돌발성감각신경성난청환자에서대부분이나쁜청력회복을보였고, 환자의나이, 이환초기청력소실정도, 경부전정유발근전위검사상비정상파형을보인경우에서청력회복에나쁜예후를보였다. 중심단어 : 돌발성감각신경성난청, 현훈, 예후, 전정기능이해관계 (CONFLICT OF INTEREST) 저자들은이논문과관련하여이해관계의충돌이없음을명시합니다. 감사의글 (ACKNOWLEDGMENTS) 이연구는순천향대학교연구기금의지원을받았습니다. REFERENCES 1. Chau JK, Lin JR, Atashband S, Irvine RA, Westerberg BD. Systematic review of the evidence for the etiology of adult sudden sensorineural hearing loss. Laryngoscope 2010;120: Mattox D E, Simmons FB. Natural history of sudden sensorineural hearing loss. Ann Otol Rhinol Laryngol 1977;86(4 Pt 1): Conlin AE, Parnes LS. Treatment of sudden sensorineural hearing loss: I. A systematic review. Arch Otolaryngol Head Neck Surg 2007;133: Byl FM Jr. Sudden hearing loss: eight years' experience and suggested prognostic table. Laryngoscope 1984;94(5 Pt 1): Mattox DE, Lyles CA. Idiopathic sudden sensorineural hearing loss. Am J Otol 1989;10: Shaia FT, Sheehy JL. Sudden sensori-neural hearing impairment: a report of 1,220 cases. Laryngoscope 1976;86: Park K, Chung JH, Min HJ, Lee SH, Park CW. Evaluation of vestibular function in idiopathic sudden sensorineural hearing loss. Korean J Otorhinolaryngol-Head Neck Surg 2010;53: Niu X, Zhang Y, Zhang Q, Xu X, Han P, Cheng Y, et al. The relationship between hearing loss and vestibular dysfunction in patients with sudden sensorineural hearing loss. Acta Otolaryngol 2016;136: Park HM, Jung SW, Rhee CK. Vestibular diagnosis as prognostic indicator in sudden hearing loss with vertigo. Acta Otolaryngol Suppl 2001;545: Hong SM, Byun JY, Park CH, Lee JH, Park MS, Cha CI. Saccular damage in patients with idiopathic sudden sensorineural hearing loss without vertigo. Otolaryngol Head Neck Surg 2008;139: Siegel LG. The treatment of idiopathic sudden sensorineural hearing loss. Otolaryngol Clin North Am 1975;8: Lee JD, Park MK, Lee BD, Park JY, Lee TK, Sung KB. Otolith function in patients with head trauma. Eur Arch Otorhinolaryngol 2011;268: De Kleyn A. Sudden complete or partial loss of function of the octavus-system in apparently normal persons. Acta Otolaryngol 1944;32: Noury KA, Katsarkas A. Sudden unilateral sensorineural hearing loss: a syndrome or a symptom? J Otolaryngol 1989; 18: Nakashima T, Yanagita N. Outcome of sudden deafness with and without vertigo. Laryngoscope 1993;103: Sheehy JL. Vasodilator therapy in sensory-neural hearing loss. Trans Am Laryngol Rhinol Otol Soc 1960;1960:
5 17. Hong SM, Ko YG, Park CH, Lee JH, Kim JH. Analysis of hearing improvement in patients with severe to profound sudden sensorineural hearing loss according to the level of pure tone hearing threshold. Eur Arch Otorhinolaryngol 2012;269: Lee NH, Ban JH. Is BPPV a prognostic factor in idiopathic sudden sensory hearing loss? Clin Exp Otorhinolaryngol 2010;3: Kim YH, Kim KS, Choi H, Choi JS, Han CD. Benign paroxysmal positional vertigo is not a prognostic factor in sudden sensorineural hearing loss. Otolaryngol Head Neck Surg 2012;146: Iwasaki S, Takai Y, Ozeki H, Ito K, Karino S, Murofushi T. Extent of lesions in idiopathic sudden hearing loss with vertigo: study using click and galvanic vestibular evoked myogenic potentials. Arch Otolaryngol Head Neck Surg 2005; 131: Shih CP, Chou YC, Chen HC, Lee JC, Chu YH, Wang CH. Analysis of caloric test responses in sudden hearing loss. Ear Nose Throat J 2017;96: Yun KS, Suh MW, Rhee CK, Jung JY. Otolith function test for a prognostic factor of idiopathic sudden sensorineural hearing loss. Korean J Audiol 2008;12: Golz A, Westerman ST, Westerman LM, Goldenberg D, Netzer A, Wiedmyer T, et al. The effects of noise on the vestibular system. Am J Otolaryngol 2001;22: Perez R, Freeman S, Sohmer H, Sichel JY. Vestibular and cochlear ototoxicity of topical antiseptics assessed by evoked potentials. Laryngoscope 2000;110:
untitled
구자원외 3 인. 후반고리관단독이상을보인돌발성난청환자 Research in Vestibular Science Vol. 16, No. 4, December 2017 Case Report pissn 2092-8882, eissn 2093-5501 https://doi.org/10.21790/rvs.2017.16.4.161 후반고리관기능이상만을보인현훈을동반한돌발성난청환자
Otology Korean J Otorhinolaryngol-Head Neck Surg 2018;61(10): / pissn / eissn C
Otology Korean J Otorhinolaryngol-Head Neck Surg 18;61(1):58-13 / pissn 92-5859 / eissn 92-6529 https://doi.org/1.3342/kjorl-hns.17.1 Caloric Test as a Possible Prognostic Indicator in Sudden Deafness
975_983 특집-한규철, 정원호
Focused Issue of This Month Gyu Cheol an, MD Department of Otolaryngology ead & Neck Surgery, Gachon University of College Medicine E - mail : han@gilhospital.com Won-o Jung, MD Department of Otolaryngology
012임수진
Received : 2012. 11. 27 Reviewed : 2012. 12. 10 Accepted : 2012. 12. 12 A Clinical Study on Effect of Electro-acupuncture Treatment for Low Back Pain and Radicular Pain in Patients Diagnosed with Lumbar
online ML Comm Otology Korean J Otorhinolaryngol-Head Neck Surg 2014;57(8):511-7 / pissn / eissn
online ML Comm Otology Korean J Otorhinolaryngol-Head Neck Surg 2014;57(8):511-7 / pissn 2092-5859 / eissn 2092-6529 http://dx.doi.org/10.3342/kjorl-hns.2014.57.8.511 Clinical and Prognosis of Idiopathic
Lumbar spine
Lumbar spine CT 32 111 DOI : 10.3831/KPI.2010.13.2.111 Lumbar Spine CT 32 Received : 10. 05. 23 Revised : 10. 06. 04 Accepted : 10. 06. 11 Key Words: Disc herniation, CT scan, Clinical analysis The Clinical
untitled
Research 이병민 in 외 Vestibular 5인. 돌발성난청에서 Science Vol. 메니에르병으로의 17, No. 3, September 진행 2018 빈도 O riginal A rticle pissn 2092-8882, eissn 2093-5501 https://doi.org/10.21790/rvs.2018.17.3.95 돌발성난청에서메니에르병으로의진행빈도
<303620BFF8C0FA20C0CCC0AFC0E72DC0CCBAB4B5B72E687770>
Research in Vestibular Science Vol. 11, No. 1, March 2012 Original Article pissn 2092-8882, eissn 2093-5501 전정유발근전위를이용한어지럼환자의전정기능평가 순천향대학교의과대학서울병원이비인후과학교실 이유재, 이찬구, 조상혁, 박영주, 김효진, 이권형, 이병돈 Vestibular Function
Microsoft Word doc
KISEP Otology Korean J Otolaryngol 2006;49:7-12 돌발성난청환자에서촬영한자기공명영상의진단적유용성 안중호 1 이정현 2 여남경 1 배기훈 1 윤태현 1 이광선 1 정종우 1 The Diagnostic Value of Magnetic Resonance Imaging in Patients with Sudden Sensorineural
A 617
Special Issue Diabetic Retinopathy Won Ki Lee, M.D. Department of Ophthalmology The Catholic University of Korea College of Medicine Kangnam St. Mary s Hospital E mail : wklee@catholic.ac.kr Abstract R
139~144 ¿À°ø¾àħ
2 139 DOI : 10.3831/KPI.2010.13.2.139 2 Received : 10. 04. 08 Revised : 10. 04. 26 Two Case Report on Wrist Ganglion Treated with Scolopendrid Pharmacopuncture Accepted : 10. 05. 04 Key Words: Wrist Ganglion,
386-390.hwp
386 HANYANG MEDICAL REVIEWS Vol. 29 No. 4, 2009 우리나라 미숙아의 통계와 의료비용 Statistics and Medical Cost of Preterm in Korea 윤혜선 을지대학교 노원을지병원 소아청소년과학교실 Hye Sun Yoon, M.D., Ph.D., Department of Pediatrics, Nowon
김범수
Analysis of Outcomes after Resection of Sarcomatous Hepatocellular Carcinoma Purpose: Sarcomatous hepatocellular carcinoma (HCC) is rare. Therefore, the clinicopathologic characteristics and prognosis
황지웅
Comparison of Laparoscopy and Exploration in the Distal Pancreatectomy BACKGROUND: To determine the benefits of laparoscopic surgery compared with exploration, the clinical outcomes of open and laparoscopic
<283732372D3733312920B4D9C3CAC1A120BCD2C7C1C6AEC4DCC5C3C6AEB7BBC1EEC0C720B3EBBEC8C0C720BDC3B7C2BAB8C1A4BFA120B4EBC7D120C0AFBFEBBCBA20C6F2B0A1283035292E687770>
대한안과학회지 제 49 권 제 5 호 2008 J Korean Ophthalmol Soc 49(5):727-731, 2008 DOI : 10.3341/jkos.2008.49.5.727 다초점 소프트콘택트렌즈의 노안의 시력보정에 대한 유용성 평가 김현경 1 김효명 2 정성근 1 가톨릭대학교 의과대학 성모병원 안과학교실 1, 고려대학교 의과대학 안암병원 안과학교실
<30312DC1A4BAB8C5EBBDC5C7E0C1A4B9D7C1A4C3A52DC1A4BFB5C3B62E687770>
Journal of the Korea Institute of Information and Communication Engineering 한국정보통신학회논문지(J. Korea Inst. Inf. Commun. Eng.) Vol. 19, No. 2 : 258~264 Feb. 2015 ID3 알고리즘 기반의 귀납적 추론을 활용한 모바일 OS의 성공과 실패에 대한
Otology Korean J Otorhinolaryngol-Head Neck Surg 2016;59(12): / pissn / eissn
Otology Korean J Otorhinolaryngol-Head Neck Surg 2016;59(12):819-24 / pissn 2092-5859 / eissn 2092-6529 https://doi.org/10.3342/kjorl-hns.2016.59.12.819 Clinical Characteristics of Traumatic Benign Paroxysmal
untitled
Research in Vestibular Science Vol. 14, No. 4, December 2015 Original Article pissn 2092-8882, eissn 2093-5501 지속되는향지성수평반고리관양성돌발성두위현훈의임상적특성 서남대학교의과대학명지병원이비인후과 고경민, 송미현, 박진우, 이준희, 신용국, 심대보 Clinical Characteristics
04조남훈
Received : 2011. 11. 16 Reviewed : 2011. 11. 25 Accpeted : 2011. 12. 5 A Case Report of Prescribing Yanghyeolgeopung-tang(yangxuequfeng-tang) to Two Patients with Cervical Disc Herniation and Headache
노영남
Purpose: Delayed massive hemorrhages from pseudoaneurysm rupture of the peripancreatic large arteries, after pancreaticoduodenectomy, are fatal. We reviewed the clinical course and outcome of bleeding
untitled
Research in Vestibular Science Vol. 17, No. 2, June 2018 Original Article pissn 2092-8882, eissn 2093-5501 https://doi.org/10.21790/rvs.2018.17.2.44 메니에르병에서경부 Vestibular Evoked Myogenic Potential 과반응의양상
untitled
Research in Vestibular Science Vol. 16, No. 3, September 2017 Case Report pissn 2092-8882, eissn 2093-5501 https://doi.org/10.21790/rvs.2017.16.3.92 난치성양성돌발두위현훈의양상을보이는화골성내이염 1 예 한림대학교의과대학이비인후 - 두경부외과학교실
Abstract Background : Most hospitalized children will experience physical pain as well as psychological distress. Painful procedure can increase anxie
Volume 12, Number 1, 92~102, An Intervention Study of Pain Reduction during IV Therapy in Hospitalized Children Myo-Jin Kim 1), Joung-Hae Bak 1), Won-Seok Seo 2) Mi-Young Kim 3), Sun-Kyoung Park 3), Jai-Soung
Otology Korean J Otorhinolaryngol-Head Neck Surg 2018;61(12): / pissn / eissn I
Otology Korean J Otorhinolaryngol-Head Neck Surg 2018;61(12):658-62 / pissn 2092-5859 / eissn 2092-6529 https://doi.org/10.3342/kjorl-hns.2018.00353 Influence of Fatigability on the Timing of Reassessment
Kor. J. Aesthet. Cosmetol., 및 자아존중감과 스트레스와도 밀접한 관계가 있고, 만족 정도 에 따라 전반적인 생활에도 영향을 미치므로 신체는 갈수록 개 인적, 사회적 차원에서 중요해지고 있다(안희진, 2010). 따라서 외모만족도는 개인의 신체는 타
RESEARCH ARTICLE Kor. J. Aesthet. Cosmetol., 20-40대 여성의 외모만족도가 미용관리태도에 미치는 영향 홍수남 1, 김효숙 2 * 1 건국대학교 뷰티사이언스디자인학과, 2 건국대학교 의상디자인과 Effects of Extrinsic Body Satisfaction on Beauty Management Behavior of
untitled
Research in Vestibular Science Vol. 17, No. 1, March 2018 Original Article pissn 2092-8882, eissn 2093-5501 https://doi.org/10.21790/rvs.2018.17.1.18 가측반고리관양성돌발성체위성현훈에서관찰되는자발안진의임상적중요성 이준 1,*, 장세훈 2,*,
( )Jkstro011.hwp
비인강암의방사선치료결과및생존율에관한예후인자분석 2005 2 1 2005 3 28. :, Tel: 053)250-7665, Fax: 053)250-7984 E-mail: jhkim@dsmc.or.kr 정영연외 2 인 : 비인강암의예후인자분석 정영연외 2 인 : 비인강암의예후인자분석 Carcinoma of the nasopharynx treated by radiotherapy
DBPIA-NURIMEDIA
The e-business Studies Volume 17, Number 4, August, 30, 2016:319~332 Received: 2016/07/28, Accepted: 2016/08/28 Revised: 2016/08/27, Published: 2016/08/30 [ABSTRACT] This paper examined what determina
12이문규
Review on Conservative Treatment of Spinal Scoliosis Moon-kyu Lee, O.M.D., Gil-jae Lee, O.M.D., Yun-kyung Song, O.M.D., Hyung-ho Lim, O.M.D. Dept. of Oriental Rehabilitation Medicine College of Oriental
1..
Volume 12, Number 1, 6~16, Factors influencing consultation time and waiting time of ambulatory patients in a tertiary teaching hospital Jee-In Hwang College of Nursing Science, Kyung Hee University :
인문사회과학기술융합학회
Vol.5, No.5, October (2015), pp.471-479 http://dx.doi.org/10.14257/ajmahs.2015.10.50 스마트온실을 위한 가상 외부기상측정시스템 개발 한새론 1), 이재수 2), 홍영기 3), 김국환 4), 김성기 5), 김상철 6) Development of Virtual Ambient Weather Measurement
Meniere s Disease and Related Objective Tests Song JJ, et al. 니에르병으로 진단될 수 있고 이 질환의 특징인 변동성 난청 이명 등이 없어도 메니에르병으로 진단될 수 있다는 문제를 갖고 있어서 최근 이를 극복하기 위한 다양
online ML Comm Clinical Review Korean J Otorhinolaryngol-Head Neck Surg 2012;55:476-81 / pissn 2092-5859 / eissn 2092-6529 http://dx.doi.org/10.3342/kjorl-hns.2012.55.8.476 The Diagnosis Criteria of Meniere
<30345F283439372D353034295F313135375FC0CCB5BFC8F15FB5B5B7CEC5CDB3CEC0C720B0BBB1B8BACE20B0E6B0FCBCB3B0E8B0A120C5CDB3CE20B3BBBACEC1B6B8ED2E687770>
J of Korean Tunn Undergr Sp Assoc 15(5)497-504(2013) eissn: 2287-4747 http://dx.doi.org/10.9711/ktaj.2013.15.5.497 pissn: 2233-8292 도로터널의 갱구부 경관설계가 터널 내부조명에 미치는 영향에 관한 연구 이미애 1 ㆍ이동희 2 * 1 아이라이트 대표이사 2
Otology Korean J Otorhinolaryngol-Head Neck Surg 2017;60(5): / pissn / eissn Th
Otology Korean J Otorhinolaryngol-Head Neck Surg 217;6():29-14 / pissn 292-89 / eissn 292-629 https://doi.org/.3342/kjorl-hns.216.17139 The Effect of Different Counselors on Treatment Outcome of Tinnitus
KISEP Otology Korean J Otolaryngol 2000;43:482-7 수직반고리관기능짝에대한회전검사 한규철 Analysis of Vertical Semicircular Canal Rotational Test in Healthy Adults Gyu Ch
KISEP Otology Korean J Otolaryngol 2000;43:482-7 수직반고리관기능짝에대한회전검사 한규철 Analysis of Vertical Semicircular Canal Rotational Test in Healthy Adults Gyu Cheol Han, MD Department of Otolaryngology-Head and Neck
KISEP Otology Korean J Otolaryngol 1999;42: 외측반규관기원의양성발작성두위안진 연세대학교의과대학이비인후과학교실 정운교 이원상 김문석 이주환 이세영 Direction Changing Positional Nystagmus from
KISEP Otology Korean J Otolaryngol 1999;42:576-81 외측반규관기원의양성발작성두위안진 연세대학교의과대학이비인후과학교실 정운교 이원상 김문석 이주환 이세영 Direction Changing Positional Nystagmus from Canalolithiasis and Cupulolithiasis of Lateral Semicircular
DBPIA-NURIMEDIA
The e-business Studies Volume 17, Number 6, December, 30, 2016:275~289 Received: 2016/12/02, Accepted: 2016/12/22 Revised: 2016/12/20, Published: 2016/12/30 [ABSTRACT] SNS is used in various fields. Although
03-서연옥.hwp
농업생명과학연구 49(4) pp.31-37 Journal of Agriculture & Life Science 49(4) pp.31-37 Print ISSN 1598-5504 Online ISSN 2383-8272 http://dx.doi.org/10.14397/jals.2015.49.4.31 국가산림자원조사 자료를 적용한 충남지역 사유림경영율 추정 서연옥
Table 1. Distribution by site and stage of laryngeal cancer Supraglottic Glottic Transglottic Total Stage Total 20
KISEP Head and Neck Korean J Otolaryngol 1999;42:1284-9 후두암수술환자에대한치료성적 송달원 김희준 정현수 김영한 안재현 이복수 박선호 Treatment Result in Laryngeal Cancer Patients Submitted to Surgical Treatment Dal Won Song, MD, Hee Jun
< FB5B5BAF1B6F32C20B8F1C2F D34292E687770>
Case Report J Sasang Constitut Med 2014;26(4):379-388 http://dx.doi.org/10.7730/jscm.2014.26.4.379 Abstract A Case Study of Soyangin Patient with Hyperhidrosis Treated Successfully with Hyungbangsabaek-san(
KISEP Otology Korean J Otolaryngol 1999;42: 수평반고리관양성발작성두위현기증 김영기 윤용주 김인 Benign Paroxysmal Positional Vertigo of the Horizontal Semicircular Cana
KISEP Otology Korean J Otolaryngol 1999;42:836-42 수평반고리관양성발작성두위현기증 김영기 윤용주 김인 Benign Paroxysmal Positional Vertigo of the Horizontal Semicircular Canal Young Ki Kim, MD, Yong Joo Yoon, MD and In Kim MD
ºÎÁ¤¸ÆV10N³»Áö
case of brugada syndrome presented as chest pain STRCT rugada syndrome was described in 1992 as a new clinical entity characterized by electrocardiographic STsegment elevation in the right precordial leads
untitled
Research in Vestibular Science Vol. 15, No. 1, March 2016 Original Article pissn 2092-8882, eissn 2093-5501 양성돌발성두위현훈의치료후장기추적연구 : Kaplan-Meier 생존분석 연세미래이비인후과의원 임구일 Long-Term Outcomes of Canalith Repositioning
03이경미(237~248)ok
The recent (2001-2010) changes on temperature and precipitation related to normals (1971-2000) in Korea* Kyoungmi Lee** Hee-Jeong Baek*** ChunHo Cho**** Won-Tae Kwon*****. 61 (1971~2000) 10 (2001~2010).
KISEP Otology Korean J Otolaryngol 2000;43:7-14 청신경종의크기에따른어지러움의양상및전정기능검사의특징 정원호 홍성화 조양선 김성민 장병찬 최재연 이승진 Characteristics of Vertigo Manifestations and
KISEP Otology Korean J Otolaryngol 2000;43:7-14 청신경종의크기에따른어지러움의양상및전정기능검사의특징 정원호 홍성화 조양선 김성민 장병찬 최재연 이승진 Characteristics of Vertigo Manifestations and Vestibular Function Tests in Patients with Acoustic
<30322EBABBB9AE2E687770>
Research in Vestibular Science Vol. 10, Suppl. 1, June 2011 Symposium pissn 2092-8882, eissn 2093-5501 가장흔한질환인양성돌발성두위현훈의여러아형에따른적절한이석정복술의선택과방법 아주대학교의과대학이비인후과학교실 정연훈, 임혜진 Management of Benign Paroxysmal
THE JOURNAL OF KOREAN INSTITUTE OF ELECTROMAGNETIC ENGINEERING AND SCIENCE Sep.; 30(9),
THE JOURNAL OF KOREAN INSTITUTE OF ELECTROMAGNETIC ENGINEERING AND SCIENCE. 2019 Sep.; 30(9), 712 717. http://dx.doi.org/10.5515/kjkiees.2019.30.9.712 ISSN 1226-3133 (Print) ISSN 2288-226X (Online) MOS
005송영일
Received : 2015. 12. 09 Reviewed : 2015. 12. 16 Accepted : 2015. 12. 16 Sternal Fracture occurred after Thai Massage : A Case Report Young-Il Song, K.M.D. 1, Dong-Eun Kim, K.M.D. 1 1 Department of Rehabilitation
???? 1
The Korean Journal of Applied Statistics (2014) 27(1), 13 20 DOI: http://dx.doi.org/10.5351/kjas.2014.27.1.013 Maximum Tolerated Dose Estimation by Stopping Rule and SM3 Design in a Phase I Clinical Trial
YI Ggodme : The Lives and Diseases of Females during the Latter Half of the Joseon Dynasty as Reconstructed with Cases in Yeoksi Manpil (Stray Notes w
497 의사학 제24권 제2호(통권 제50호) 2015년 8월 Korean J Med Hist 24 ː497-532 Aug 2015 c대한의사학회 http://dx.doi.org/10.13081/kjmh.2015.24.497 pissn 1225-505X, eissn 2093-5609 역시만필( 歷 試 漫 筆 ) 의 사례로 재구성한 조선후기 여성의 삶과 질병
(
317 318 319 320 1 3 5 5 5 5 2 321 : 1.,,,,, 06 2. X-ray beam penetration (density) (contrast) 03 3. patch coating, precipitation, flaking 03 4. centering 03 5. Esophagus, cardia, fundus, body, angle, antrum,
DBPIA-NURIMEDIA
Journal of the Korea Institute of Information and Communication Engineering 한국정보통신학회논문지(J. Korea Inst. Inf. Commun. Eng.) Vol. 19, No. 5 : 1031~1039 May. 2015 정보보호 산업의 경제적 파급효과 및 기여도 분석 김방룡 1 홍재표 2* Economic
IL-1β, IL-1RN, IL-8, MUC, NAT, GST 등 ) IL-1β, IL-1RN, IL-8, MUC, NAT, GST 등 ) IL-1β, IL-1RN, IL-8, MUC, NAT, GST 등 ) l l l α β α β β α β β α β 목적 (Background/Aims): 위암의가족력과 Helicobacter pylori 감염은각각위암발생의위험인자로알려져있으나,
Kor. J. Aesthet. Cosmetol., 라이프스타일은 개인 생활에 있어 심리적 문화적 사회적 모든 측면의 생활방식과 차이 전체를 말한다. 이러한 라이프스 타일은 사람의 내재된 가치관이나 욕구, 행동 변화를 파악하여 소비행동과 심리를 추측할 수 있고, 개인의
RESEARCH ARTICLE Kor. J. Aesthet. Cosmetol., 한국 중년 여성의 라이프스타일이 메이크업 추구이미지와 화장품 구매행동에 미치는 영향 주영주 1 *, 이순희 2 1 서경대학교대학원미용예술학과, 2 신성대학교 미용예술계열 The Effects of The Life Style for Korean Middle Aged Women on
878 Yu Kim, Dongjae Kim 지막 용량수준까지도 멈춤 규칙이 만족되지 않아 시행이 종료되지 않는 경우에는 MTD의 추정이 불가 능하다는 단점이 있다. 최근 이 SM방법의 단점을 보완하기 위해 O Quigley 등 (1990)이 제안한 CRM(Continu
한 국 통 계 학 회 논 문 집 2012, 19권, 6호, 877 884 DOI: http://dx.doi.org/10.5351/ckss.2012.19.6.877 Maximum Tolerated Dose Estimation Applied Biased Coin Design in a Phase Ⅰ Clinical Trial Yu Kim a, Dongjae Kim
Jkbcs016(92-97).hwp
Expression of bcl-2 and Apoptosis and Its Relationship to Clinicopathological Prognostic Factors in Breast Cancer - A Study with Long Term Follow-up correlated with the survival rate.(journal of Korean
A Study on the Relationships between Self-Differentiation and Adaptability Factors for Senior Dementia Patients Care Givers Department of Social Welfare, Seoul Welfare Graduate University Full-time Lecturer
<3034BFF8C0FA2DC1A4BCBAC7D82E687770>
Research in Vestibular Science Vol. 9, No. 3, September 2010 Original Article pissn 2092-8882, eissn 2093-5501 수평반고리관양성돌발성두위현훈의치료효과예측 : Gufoni 수기를이용한예비연구 충남대학교의학전문대학원신경과학교실 문정수, 신종욱, 김현정, 백인철, 오응석, 오지은,
Journal of Educational Innovation Research 2019, Vol. 29, No. 2, pp DOI: 3 * Effects of 9th
Journal of Educational Innovation Research 2019, Vol. 29, No. 2, pp.357-378 DOI: http://dx.doi.org/10.21024/pnuedi.29.2.201906.357 3 * Effects of 9th Grade Students Participation in Career Curriculum Cluster
- iii - - i - - ii - - iii - 국문요약 종합병원남자간호사가지각하는조직공정성 사회정체성과 조직시민행동과의관계 - iv - - v - - 1 - - 2 - - 3 - - 4 - - 5 - - 6 - - 7 - - 8 - - 9 - - 10 - - 11 - - 12 - - 13 - - 14 - α α α α - 15 - α α α α α α
서론 34 2
34 2 Journal of the Korean Society of Health Information and Health Statistics Volume 34, Number 2, 2009, pp. 165 176 165 진은희 A Study on Health related Action Rates of Dietary Guidelines and Pattern of
(JBE Vol. 21, No. 1, January 2016) (Regular Paper) 21 1, (JBE Vol. 21, No. 1, January 2016) ISSN 228
(JBE Vol. 1, No. 1, January 016) (Regular Paper) 1 1, 016 1 (JBE Vol. 1, No. 1, January 016) http://dx.doi.org/10.5909/jbe.016.1.1.60 ISSN 87-9137 (Online) ISSN 16-7953 (Print) a), a) An Efficient Method
자기공명영상장치(MRI) 자장세기에 따른 MRI 품질관리 영상검사의 개별항목점수 실태조사 A B Fig. 1. High-contrast spatial resolution in phantom test. A. Slice 1 with three sets of hole arr
Original Article pissn 1738-2637 J Korean Soc Radiol 2012;67(2):129-134 The Survey of Magnetic Resonance Imaging Quality according to in Korea 1 자기공명영상장치(MRI) 자장세기에 따른 MRI 품질관리 영상검사의 개별항목점수 실태조사 1 Hyun-Hae
09김정식.PDF
00-09 2000. 12 ,,,,.,.,.,,,,,,.,,..... . 1 1 7 2 9 1. 9 2. 13 3. 14 3 16 1. 16 2. 21 3. 39 4 43 1. 43 2. 52 3. 56 4. 66 5. 74 5 78 1. 78 2. 80 3. 86 6 88 90 Ex e cu t iv e Su m m a r y 92 < 3-1> 22 < 3-2>
원위부요척골관절질환에서의초음파 유도하스테로이드주사치료의효과 - 후향적 1 년경과관찰연구 - 연세대학교대학원 의학과 남상현
원위부요척골관절질환에서의초음파 유도하스테로이드주사치료의효과 - 후향적 1 년경과관찰연구 - 연세대학교대학원 의학과 남상현 원위부요척골관절질환에서의초음파 유도하스테로이드주사치료의효과 - 후향적 1 년경과관찰연구 - 연세대학교대학원 의학과 남상현 원위부요척골관절질환에서의초음파 유도하스테로이드주사치료의효과 - 후향적 1 년경과관찰연구 - 지도김석원교수 이논문을석사학위논문으로제출함
untitled
Research in Vestibular Science Vol. 15, No. 4, December 2016 Original Article pissn 2092-8882, eissn 2093-5501 https://doi.org/10.21790/rvs.2016.15.4.121 수면자세가양성돌발성두위현훈의발생에미치는영향 서남대학교의과대학명지병원이비인후과 신용국,
2 1896 2 26 ( ) 2 7-20 2) 1897 1898 ( )3) 6 1902 8 1904 10 10 (19 05-1914 ) ( ) ( ) 4) 1915 ( ) ( ) 1917 2) 3) 4) 285
13 2 ( 25 ) 2004 12 Korean J Med Hist 13 284 296 Dec 2004 ISSN 1225 505X 1) * ** ** 1 1920 1930 40 ( 1896-1973) 80 * ** 1) 2003 284 2 1896 2 26 ( ) 2 7-20 2) 1897 1898 ( )3) 6 1902 8 1904 10 10 (19 05-1914
09구자용(489~500)
The Study on the Grid Size Regarding Spatial Interpolation for Local Climate Maps* Cha Yong Ku** Young Ho Shin*** Jae-Won Lee**** Hee-Soo Kim*****.,...,,,, Abstract : Recent global warming and abnormal
14.531~539(08-037).fm
G Journal of the Korea Concrete Institute Vol. 20, No. 4, pp. 531~539, August, 2008 š x y w m š gj p { sƒ z 1) * 1) w w Evaluation of Flexural Strength for Normal and High Strength Concrete with Hooked
untitled
Research in Vestibular Science Vol. 14, No. 4, December 2015 Original Article pissn 2092-8882, eissn 2093-5501 전정신경염에서비디오두부충동검사를이용한전정기능회복평가 순천향대학교의과대학 1 부천병원신경과학교실, 2 서울병원신경과학교실, 3 천안병원신경과학교실 김준현 1, 이태경
Shin JH, et al. 수 있다고 보고되었다. 3) 또한, 내이는 전하소뇌동맥의 분지 인 내이 동맥(cochlear artery)에 의하여 혈류를 공급 받고 있으므로, 전하소뇌동맥의 혈류 저하가 난청을 유발한다는 연구도 있다. 4) 전하소뇌동맥이 내이에 미치는 영
online ML Comm ORIGINAL ARTICLE Korean J Audiol 2010;14:202-206 pissn 2092-9862 / eissn 2093-3797 Analysis of the Anterior Inferior Cerebellar Artery Vascular Loop Using 3D Fast Imaging Employing Steady
THE JOURNAL OF KOREAN INSTITUTE OF ELECTROMAGNETIC ENGINEERING AND SCIENCE Dec.; 27(12),
THE JOURNAL OF KOREAN INSTITUTE OF ELECTROMAGNETIC ENGINEERING AND SCIENCE. 2016 Dec.; 27(12), 1036 1043. http://dx.doi.org/10.5515/kjkiees.2016.27.12.1036 ISSN 1226-3133 (Print) ISSN 2288-226X (Online)
Ⅰ. 서 론 鼻 茸 은 비강과 부비동의 점막이 염증성, 부종성 변 화로 돌출되어 발생하는 질환으로 비교적 흔하며 그 표면이 매끄럽고 회백색 혹은 회적색을 띠고 있다. 감 염과 알레르기가 중요한 발병원인으로 생각되고 있으 며, 치료 후에도 잘 재발하는 만성 염증성 질환이
J Korean Med Ophthalmol Otolaryngol Dermatol 2015;28(2):85-92 pissn 1738-6640 eissn 2234-4020 http://www.ood.or.kr http://dx.doi.org/10.6114/jkood.2015.28.2.085 Case Report / 증례 지혈겸자 적출술을 이용한 비용종 환자의 치험
590호(01-11)
T H E K O R E A N D O C T O R S W E E K L Y www.docdocdoc.co.kr I N S I D E 38 3 5 6 7 10 13 28 29 30 31 38 41 42 2 Advertisement Government & Medicine 3 Government & Medicine 4 Government & Medicine Government
이형석외
KISEP Head and Neck Korean J Otolaryngol 2004;47:1146-50 성문암종에서수직부분후두절제술 한양대학교의과대학이비인후과학교실 이형석 김기태 민현정 박철원 태경 Vertical Partial Laryngectomy in Glottic Cancer Hyung Seok Lee, MD, Ki Tae Kim, MD, Hyun Jung
Sheu HM, et al., British J Dermatol 1997; 136: Kao JS, et al., J Invest Dermatol 2003; 120:
Sheu HM, et al., British J Dermatol 1997; 136:884-890 Kao JS, et al., J Invest Dermatol 03; 1:446-464 1 10 0 3 Day Normal MLE Lotion Lotion MLE Cream Cream 80 7 70 6 3 Day Normal MLE Lotion Lotion MLE
Suppression Head Impulse Test Kang YJ, et al. 억제 두부충동검사 는 두부충동검사의 일종으로 비디오 두부충동검사 - 의 장비에 다른 검사의 패러다임을 적용하여 기존 두부충동검사에서 관찰할 수 없었던 전정 안반사 를 억제하는 방향으로의
Otology Korean J Otorhinolaryngol-Head Neck Surg 2018;61(2):76-84 / pissn 2092-5859 / eissn 2092-6529 https://doi.org/10.3342/kjorl-hns.2017.00353 Clinical Feasibility of Suppression Head Impulse Test
09권오설_ok.hwp
(JBE Vol. 19, No. 5, September 2014) (Regular Paper) 19 5, 2014 9 (JBE Vol. 19, No. 5, September 2014) http://dx.doi.org/10.5909/jbe.2014.19.5.656 ISSN 2287-9137 (Online) ISSN 1226-7953 (Print) a) Reduction
KISEP 돌발성난청의병인에서면역계의역할에관한연구 Abstract 여상원 박용수 김규식 장기홍 Role of Immune System in the Pathogenesis of Sudden Deafness Sang Won Yeo, M.D., Yong S
KISEP 40 8 1997 돌발성난청의병인에서면역계의역할에관한연구 Abstract 여상원 박용수 김규식 장기홍 Role of Immune System in the Pathogenesis of Sudden Deafness Sang Won Yeo, M.D., Yong Soo Park, M.D., Que Chic Kim, M.D., Ki Hong Chang, M.D.
- i - - ii - - iii - - iv - - v - - vi - - 1 - - 2 - - 3 - 1) 통계청고시제 2010-150 호 (2010.7.6 개정, 2011.1.1 시행 ) - 4 - 요양급여의적용기준및방법에관한세부사항에따른골밀도검사기준 (2007 년 11 월 1 일시행 ) - 5 - - 6 - - 7 - - 8 - - 9 - - 10 -
KISEP Case Reports Korean J Otolaryngol 1999;42:232-6 경미로접근법으로제거한거대소뇌교각종양 4 예 박찬민 황보철 신종헌 손수준 Four Cases of Large Cerebellopontine Angle Tumors Remove
KISEP Case Reports Korean J Otolaryngol 1999;42:232-6 경미로접근법으로제거한거대소뇌교각종양 4 예 박찬민 황보철 신종헌 손수준 Four Cases of Large Cerebellopontine ngle Tumors Removed by Translabyrinthine pproach Chan Min Park, MD, Cheul
<3032BFF8C0FA2DB1E8B5BFBFED2E687770>
Research in Vestibular Science Vol. 9, No. 3, September 2010 Original Article pissn 2092-8882, eissn 2093-5501 양성돌발성두위현훈환자의임상적분석 순천향대학교의과대학이비인후과학교실 배창희, 이인효, 박동욱, 김정은, 장혁순, 김동욱 Clinical Study of Benign
433대지05박창용
Recent Changes in Summer Precipitation Characteristics over South Korea Changyong Park* JaYeon Moon** Eun-Jeong Cha*** Won-Tae Yun**** Youngeun Choi***** 1958 2007 6 9 6 9 10 10 10 10 10 Abstract This
( )Kju225.hwp
비임균성비뇨생식기감염에서 의진단적효용성 Usefulness of the Mycofast Test (MYCOFAST Evolution 2) for the Diagnosis of Nongonococcal Genitourinary Infections Hang Ro Park, Yang Hyun Kim, Ho Jae Lee, Jea Sang Oh, Hyoung Jin
Fig. 1. Laryngoscopic findings according to Yonekawa Fig. 2. possible etiologic factors. 2A Smoking, 2B Gastroesophageal reflux symptom, 2C Skin
KISEP Head and Neck Korean J Otolaryngol 2000;43:873-7 라인케부종의원인및음성학적고찰 안중호 남순열 Possible Etiology and Voice Analysis of Reinke s Edema Joong Ho Ahn, MD and Soon-Yuhl Nam, MD Department of Otolaryngology,
DBPIA-NURIMEDIA
The e-business Studies Volume 17, Number 6, December, 30, 2016:237~251 Received: 2016/11/20, Accepted: 2016/12/24 Revised: 2016/12/21, Published: 2016/12/30 [ABSTRACT] Recently, there is an increasing
08김현휘_ok.hwp
(Regular Paper) 21 3, 2016 5 (JBE Vol. 21, No. 3, May 2016) http://dx.doi.org/10.5909/jbe.2016.21.3.369 ISSN 2287-9137 (Online) ISSN 1226-7953 (Print) a), a) An Audio Coding Technique Employing the Inter-channel
03-ÀÌÁ¦Çö
25 3 (2004 9 ) J Korean Oriental Med 2004;25(3):20-31 1), 2), 3) 1) 2) 3) Grope for a Summary Program about Intellectual Property Protection of Traditional Knowledge (TK)etc. Discussed in WIPO Hwan-Soo
A Study on Married Female Immigrants Life Style and Marriage Satisfaction in Terms of Preparing Their Old Age in Chungcheongnam-do Department of Gerontology, Hoseo University Doctoral Student : Hi Ran
untitled
Research in Vestibular Science Vol. 15, No. 2, June 2016 Original Article pissn 2092-8882, eissn 2093-5501 메니에르병환자의치료에서 Isosorbide의유용성평가를위한다기관무작위연구 1 삼성서울병원이비인후과, 2 연세대학교의과대학세브란스병원이비인후과, 3 인하대병원이비인후과,
도비라
광고학연구 : 제24권 5호(2013년) The Korean Journal of Advertising, Vol.24, No.5 (2013). pp.99 116 대학생 광고공모전이 광고업계 취업에 미치는 영향: 대학생과 실무자의 인식 비교를 중심으로 차 유 철 우석대학교 광고이벤트학과 교수, 언론학박사 이 희 복 상지대학교 언론광고학부 교수, 언론학박사* 신
16(1)-3(국문)(p.40-45).fm
w wz 16«1y Kor. J. Clin. Pharm., Vol. 16, No. 1. 2006 x w$btf3fqpsu'psn û w m w Department of Statistics, Chonnam National University Eunsik Park College of Natural Sciences, Chonnam National University
KIM Sook Young : Lee Jungsook, a Korean Independence Activist and a Nurse during the 이며 나름 의식이 깨어있던 지식인들이라 할 수 있을 것이다. 교육을 받은 간 호부들은 환자를 돌보는 그들의 직업적 소
1 의사학 제24권 제1호(통권 제49호) 2015년 4월 Korean J Med Hist 24 ː1-34 Apr 2015 c대한의사학회 http://dx.doi.org/10.13081/kjmh.2015.24.1 pissn 1225-505X, eissn 2093-5609 간호부 이정숙의 독립운동 김숙영* 1. 서론 2. 본론 1) 출생에서 정신여학교 수학시절까지
歯1.PDF
200176 .,.,.,. 5... 1/2. /. / 2. . 293.33 (54.32%), 65.54(12.13%), / 53.80(9.96%), 25.60(4.74%), 5.22(0.97%). / 3 S (1997)14.59% (1971) 10%, (1977).5%~11.5%, (1986)
THE JOURNAL OF KOREAN INSTITUTE OF ELECTROMAGNETIC ENGINEERING AND SCIENCE Mar.; 28(3),
THE JOURNAL OF KOREAN INSTITUTE OF ELECTROMAGNETIC ENGINEERING AND SCIENCE. 2017 Mar.; 28(3), 163 169. http://dx.doi.org/10.5515/kjkiees.2017.28.3.163 ISSN 1226-3133 (Print) ISSN 2288-226X (Online) PCB
- i - - ii - - iii - - iv - - v - - 1 - - 2 - - 3 - - 4 - - 5 - - 6 - - 7 - - 8 - - 9 - - 10 - - 11 - - 12 - - 13 - - 14 - - 15 - - 16 - - 17 - - 18 - - 19 - α α - 20 - α α α α α α - 21 - - 22 - - 23 -
Korean J Otorhinolaryngol-Head Neck Surg 2016;59(12): 하는 반면 등 소음 자체를 얼마나 수용할 수 있는지 측정하는 것도 임상적으로 도움을 줄 수 있다 수용소음레벨 은 목표 이야기 와 배경 화자 잡음 을 들려주어 청취
Otology Korean J Otorhinolaryngol-Head Neck Surg 2016;59(12):825-30 / pissn 2092-5859 / eissn 2092-6529 https://doi.org/10.3342/kjorl-hns.2016.59.12.825 The Normative Value of Acceptable Noise Level Test
Korean J Otorhinolaryngol-Head Neck Surg 2017;60(8):411-5 에서 어음명료도가 증가하며 이는 곧 청소년기의 학습 능력의 증대와 연결될 수 있으므로 적극적인 치료가 필요하다 치료 방법으로는 외이도 성형술이 세 이상의 소아에서 시
Case Report Korean J Otorhinolaryngol-Head Neck Surg 2017;60(8):411-5 / pissn 2092-5859 / eissn 2092-6529 https://doi.org/10.3342/kjorl-hns.2016.16243 A Case of the Vibrant Soundbridge Implantation to
Analyses the Contents of Points per a Game and the Difference among Weight Categories after the Revision of Greco-Roman Style Wrestling Rules Han-bong
Analyses the Contents of Points per a Game and the Difference among Weight Categories after the Revision of Greco-Roman Style Wrestling Rules Han-bong An 1 & Kyoo-jeong Choi 2 * 1 Korea National Wrestling
,,,.,,,, (, 2013).,.,, (,, 2011). (, 2007;, 2008), (, 2005;,, 2007).,, (,, 2010;, 2010), (2012),,,.. (, 2011:,, 2012). (2007) 26%., (,,, 2011;, 2006;
,,.. 400,,,,,,.,,, -, -, -., 3.. :, Tel : 010-9540-0640, E-mail : sunney05@hanmail.net ,,,.,,,, (, 2013).,.,, (,, 2011). (, 2007;, 2008), (, 2005;,, 2007).,, (,, 2010;, 2010), (2012),,,.. (, 2011:,, 2012).