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보건소등록결핵환자(保健所登錄結核患者)에 대(對)한 사회의학적(社會醫學的) 조사연구(調査硏究)
김종순,Kim, Jong-Soon 대한예방의학회 1974 Journal of Preventive Medicine and Public Health Vol.7 No.1
A socio-medical survey was carried out on 1,108 cases of pulmonary tuberculosis who had registered and 220 cases unregistered at Jeonju health center in 1973, during from June 1 to July 31, 1974. As the results of this survey, the following conclusions were obtained. 1. Of the total 1,108 cases of pulmonary tuberculosis there were 708 new cases, while remaining 400 were old cases and rate of registration was 4.0 per thousand person. 2. The highest rate of registration of the newly diagnosed pulmonary tuberculosis could be found in bacteriological examination while 54.4 per cent in X-ray examination. 3. As for the educational status of the tuberculosis patients, primary school graduates contituted the greatest proportion or 64.6 per cent, middle school graduates 13.6 per cent, high school graduates 6.8 per cent and collge graduates only 0.7 per cent. 4. By age group of the cases, at age of 20 to 29 years occupied 23.6 per cent (262 out of 1,108 cases), 17.9 per cent at age of 40 to 49 years. 5. The greatest proportion or 38.4 per cent of the cases had no occupation. 6. The living standard of the patient's household, low class constituted 60.6 per cent of the total households. 7. By distribution of residential area, farming area was 5.0 per thousand person, 4.0 in downtwon and suburban areas. 8. The greatest proportion or 70.0 per cent of positive cases in X-ray examination was unregistered in August, 63.6 per cent in July 1973. 9. 220 out of 1,108 cases(19.9%) were unregistered pulmonary tuberculosis in X-ray and bacteriological examinations. 10. For age groups of unregistered caes, most prevalent age group was 30 to 39. 11. Regarding on the cases of unregistration, 'indifference for disease' occupied highest rate with 31.9 percent' and 'private secret' with 15.7 per cent. 12. Of the total 457 cases drop-outed, there were 78 complete heald cases while remaining 207 inactive.
김종순 대한고유수용성신경근촉진법학회 2019 PNF and Movement Vol.17 No.2
Purpose: Ultrasound imaging is commonly used to measure the pennation angle of human skeletal muscles in vivo. However, manual assessment of the pennation angle using ultrasound images is subjective and time-consuming and requires a high level of examiner skill. The architectural analysis of human skeletal muscles is thus challenging. Automated approaches using image processing techniques are therefore required to estimate the pennation angle in ultrasound images. The purpose of this study was thus to assess the intra-tester and inter-tester reliability and validity of the pennation angle using an automatic measurement program. Methods: Twenty-two healthy young adults (mean age = 22.55 years) with no medical history of neurological or musculoskeletal disorders voluntarily participated in this study. Ultrasound imaging was used to measure the pennation angle of the gastrocnemius muscle at rest. One examiner acquired images from all the participants. The intra-tester and inter-tester reliability were evaluated using the intraclass correlation coefficient (ICC) to estimate reliability. Validity was measured using Pearson’s correlation coefficient. Results: The intra-rater reliability was excellent for the automatic pennation angle measuring program and the manual pennation angle assessment method (ICC>0.95). The inter-rater reliability was also excellent for both methods (ICC>0.93). All the correlation coefficients for the automatic pennation angle measuring program and the manual pennation angle assessment method were 0.79, which indicated a significantly positive correlation (p<0.05). Conclusion: Pennation angle measurement using the automatic pennation angle measuring program showed acceptable reliability and validity. This study therefore demonstrated that the automatic measuring program was able to automatically measure the pennation angle of skeletal muscles using ultrasound images, and thus made it easy to investigate skeletal muscle architecture.
Colombini 방법에 의한 요추부 추간판 크기 추정에 관한 연구
김종순,Kim, Jong-Soon 대한물리치료학회 2007 대한물리치료학회지 Vol.19 No.1
Purpose: As a preliminary study, the purpose of this study was to examine the indirect estimation of the lumbar intervertebral disc size by two anthropometric methods, in order to compare these indirect methods with the direct analysis by radiological imaging. Methods: The wrist, elbow, knee, and ankle joint (both right and left) diameters were measured in 52 volunteers, and then intervertebral disc size was calculated using two anthropometric methods (Colombini and modified Colombini). The data were analysed with independent t-test to assess clinical usefulness. Results: When using right and left joint diameter, there was no significant difference in the estimation value of the L4-5 and L5-S1 intervetebral disc sizes. However, the study has shown that male subjects have significantly larger L4-5 and L5-S1 intervertebral disc sizes, compared with those of female subjects. In addition, disc sizes calculated by Colombini's formula were significantly larger than modified Colombini's formula. Conclusion: The indirect estimation of the intervertebral disc size by anthropometric method can be considered as a clinically useful method. However, further study should be conducted to compare anthropometric values with other radiological imaging.
족관절 골절의 견고한 내고정 후 조기 능동적 관절운동과 체중부하가 예후에 미치는 영향
김종순,이동화,신규석,김중석 대한골절학회 2000 대한골절학회지 Vol.13 No.2
Purpose: Because of the risk of redisplacement after operative treatment of ankle fracture, postoperative immobilization in a plaster cast without weight bearing has often been used. Early weight bearing, however, would no doubt facilitate rehabilitation for many patients and fulfills one of the most important aims of internal fixation. In our study, we compared the clinical and radiological results of cast immobilization with late weight bearing and early weight bearing with ankle exercise. Material and Methods: Forty-two patients, who had ankle fractures treated with rigid internal fixation between February 1996 and January 1998, were randomly assigned to either cast immobilization with late weight bearing (n=20) or ankle exercise with early weight bearing (n=22). Radiologic follow-up was performed for the evaluation of redisplacement and clinical results between the two groups were compared. Result: No postoperative redisplacement was present in either group. After at least 1 year follow-up, no significant differences were found between the two groups in clinical results by Meyer's criteria. Conclusion: We concluded that postoperative early ankle exercise and weight bearing in rigid fixation of ankle fracture may be useful.