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이주향,문상원,신용운,이윤정,Ju Hyang Lee,Sang Won Moon,Yong Woon Shin,Yoon Jung Lee 대한안과학회 2010 대한안과학회지 Vol.51 No.5
Purpose: To report the clinical findings and the treatments of patients with dacryocystocele, presenting as an uncommon mass in the medial canthal area of adults. Case summary: Five patients, diagnosed with dacryocystocele, complained of epiphora and mucopurulent discharge and were found to have a medial canthal mass. Four of these patients presented with symptoms of acute dacryocystitis. One patient underwent repeated endonasal dacryocystorhinostomy (endonasal DCR) with silicone implantation, but the epiphora returned a few months after the treatment. The patient then received external dacryocystorhinostomy (external DCR) with silicone implantation. Two patients experienced recurrence after the first endonasal DCR and, therefore, received repeat endonasal DCR with silicone implantation via a maximum excision of the enlarged lacrimal sac. One patient underwent external DCR with silicone implantation due to acute inflammation with chronic dacryocystitis, and one attempted conservative treatment after refusing any surgical procedure but suffered a relapse. In the surgical cases, no patients experienced recurrence after the final procedure, and they all had a favorable course during the 6 to 14 months of follow-up. Conclusions: Dacryocystocele in adults always requires a surgical procedure. Additional maximum excision of the lateral wall of an enlarged lacrimal sac could be performed to reduce the possibility of recurrence. J Korean Ophthalmol Soc 2010;51(5):751-757
이주향 ( Lee Ju-hyang ),윤은주 ( Yoon Eun-joo ) (사)한국마이스관광학회(구 한국컨벤션학회) 2017 MICE관광연구 Vol.17 No.3
As the convention is based on PCO’s professionalism and by PCO, related services and professional vendors are linked, PCO’s role is one of the most significant role in convention industry. In the convention industry, recognizing the importance of manpower and active research of human resources was been progressed but, from the host organization, empirical research of PCO’s staff dispatch was not done. As an organization in this dissertation we have aimed to analyze experience of PCO’s staff dispatch by using Phenomenological research method and using Giorgi (2004)’s research technique, presenting individual characteristic of experience and common essence was purpose of research. As the result to accept host organization's PCO dispatch request as it is, PCO companies’ manpower structure is limited to accept it. Also, institutionally PCO’s dispatch is ‘contract’ but current situation is formed as ‘dispatch'. This might cause as legal issue. Therefore, host organization should get fair, proper recognition and attitude to PCO. Also upon contract host company has to get enough conference between PCO.
스테로이드 유발 고안압증 환자에서 선택적 레이저 섬유주성형술의 효용성
이주향,성민철,조희윤,이윤정,Ju Hyang Lee,Min Cheol Seong,Hee Yoon Cho,Yoon Jung Lee 대한안과학회 2011 대한안과학회지 Vol.52 No.7
Purpose: To report the effectiveness of selective laser trabeculoplasty (SLT) in patients with intraocular hypertension refractory to maximum tolerated medical therapy after intravitreal triamcinolone acetonide (IVTA). Case summary: The records of 3 patients with steroid-induced intraocular hypertension that did not respond to maximum tolerated medical therapy were retrospectively reviewed. The patients received SLT instead of filtering surgery or Argon laser trabeculoplasty. The mean intraocular pressure (IOP) of 13.7 mm Hg increased to 30.7 mm Hg within 13 days of IVTA. IOP was uncontrolled despite maximum tolerated medical therapy. Patients underwent SLT 15.3 weeks after IVTA. Mean IOP decreased to 16 ± 3.0 mm Hg after 1 day, 19.7 ± 8.0 mm Hg after 1 week, 17 ± 8.0 mm Hg after 1 month, 12.3 ± 2.9 mm Hg after 3 months and 12.3 ± 0.6 mm Hg after 4 to 6 months. The number of IOP lowering drugs were decreased to 1 from 4.3 after 6 months of SLT. Conclusions: SLT may be effective and safe for the treatment of steroid-induced intraocular hypertension refractory to maximum tolerated medical therapy. J Korean Ophthalmol Soc 2011;52(7):876-880
리바운드 안압계, 비접촉 안압계, 골드만 압평안압계의 비교 및 중심각막두께와의 상관성
이주향,성민철,강민호,조희윤,이윤정,Juhyang Lee,Mincheol Seong,Minho Kang,Heeyoon Cho,Yoonjung Lee 대한안과학회 2012 대한안과학회지 Vol.53 No.7
Purpose: To compare the level of accuracy of intraocular pressure (IOP) measurements of a rebound tonometer (RT) Icare?, and non-contact tonometer (NCT), using Goldmann Applanation tonometer (GAT) as a reference to evaluate the influence of central corneal thickness (CCT) on IOP readings in the Korean population. Methods: In a prospective study of 273 eyes, IOP was measured with RT, GAT, and NCT and compared to CCT measurements. Patients were assigned to one of 3 groups based on IOP measurements of GAT and 1 of 2 groups based on CCT. The comparison of the IOP values of RT, GAT, and NCT was performed between the IOP and CCT groups, and the differences among tonometers were evaluated. Results: The RT showed statistically significant correlation with the GAT compared to the NCT. The CCT was related to RT measurements. The RT values compared to the GAT was underestimated in thin corneas and overestimated in thick corneas. Conclusions: There was a significant correlation between the RT and the GAT measurements compared with the NCT. However, RT is influenced by CCT and correlates less with GAT in low IOP ranges, suggesting that corneal thickness should be taken into consideration during such measurements. J Korean Ophthalmol Soc 2012;53(7):988-995
이주향 ( Juhyang Lee ) 한국보건경제정책학회 2022 보건경제와 정책연구 Vol.28 No.2
본 연구에서는 65세 이상 노인장기요양보험 인정자를 대상으로 장기요양서비스 이용 양상과 의료이용의 관계에 대해 실증적으로 분석하였다. 이를 위해 장기요양서비스를 재가서비스와 시설서비스로 구분하여 해당 서비스 이용자의 의료이용 경험 및 의료비용에 미치는 영향을 Two-part model을 사용하여 분석하였다. 특히 의료이용의 경우 급성기 병원 입원, 요양병원입원, 그리고 외래 이용으로 세분화하여 장기요양서비스 이용이 각각의 의료이용에 있어서 대체재 및 보완재의 역할을 하고 있는지를 파악하고자 하였다. 분석 결과, 요양병원 이용의 경우 시설서비스 이용군과 재가서비스 이용군 모두 요양병원 이용 경험에는 음(-)의 효과를 나타내었으며 요양병원 입원비용 및 입원일수 측면에서도 상당한 감소 효과를 보였다. 특히 시설서비스 이용군에서의 감소효과가 재가서비스 이용군보다 상대적으로 크게 나타나 요양병원과 요양시설 간의 대체효과가 더욱 명확하게 확인되었다. 급성기 병원 이용과 관련해서는 재가서비스 이용군과 시설서비스 이용군 모두 급성기 병원 이용 경험과 양(+)의 관계를 보였으나 입원 비용 및 입원일수의 감소 효과는 큰 것으로 나타났다. 이러한 결과는 장기요양서비스 이용이 의료이용의 대체재 또는 보완재 역할로서 의료비와 의료접근성에 영향을 미친다는 것을 시사한다. The purpose of this study is to empirically analyze the relationship between long-term care service use types and medical utilization for those who are certificated as long-term care insurance for the elderly over 65 years of age. We analyzed using the two-part model, and divided the long-term care service users into the home service use group, the facility service use group, and the non-use group, and examined their medical experience and medical use. As a result of the analysis, both the facility service use group and the home service use group showed negative(-) effects on the use of geriatric hospitals, and showed significant reduction in hospitalization costs and number of days in the geriatric hospitals. In particular, the reduction effect in the facility service use group was relatively greater than that of the home service use group, proving the substitution effect between geriatric hospitals and nursing facilities more clearly. Also, both the home service use group and the facility service use group showed a positive(+) relationship with acute hospital utilization, however, in both groups, the cost of hospitalization and the number of days of hospitalization showed a reduction effects. These results suggest that medical utilization and long-term care service affect medical expenses and medical accessibility, as substitutes or supplements to each other. Therefore, it is necessary to review the elderly health policy considering the cost of social insurance, including both health insurance and long-term care insurance, and health results for the elderly who have a desire for medical care and long term care services.