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야뇨증 환아들의 심리사회적 특성에 대한 다기관 연구 : 행동 및 정서 문제를 중심으로
조수철,김재원,신민섭,황준원,한상원,박관현,이상돈,김경도,김건석,서홍진,이유식,정재용,김영균,문두건,남궁미경,한창희,조원열,김영식,배기수,이종국,정우영,신의진 大韓神經精神醫學會 2005 신경정신의학 Vol.44 No.6
Objectives : The aim of this study was to examine the behavioral and emotional problems associated with nocturnal enuresis in Korean children. Methods : Three hundred eighteen children with nocturnal enuresis, together with their parents, completed the Child Behavior Checklist (CBCL), Disruptive Behavior Disorder Scale according to DSM-IV (DBDS), Children's Depression Inventory (CDI), State-Trait Anxiety Inventory for Children (STAIC), and Piers-Harris Children's Self-Concept Scale (PHCSC). Ninety-three normal students were selected as the control group. Results : Compared to the normal control group, the mean scores with regard to the withdrawn, social problems, attention problems, delinquent behavior, aggressive behavior, externalizing problems and total problems profiles were significantly higher in the nocturnal enuresis group according to the CBCL results. The nocturnal enuresis group also scored significantly higher in the ADHD and ODD profiles of the DBDS. The nocturnal enuresis group was more depressed and anxious than the control group according to the results of the CDI and STAI. The mean score of the PHCSC was significantly lower in the nocturnal enuresis group when compared to the normal control group. Conclusion : The results of this study suggest that children with nocturnal enuresis in Korea have clinically relevant behavioral and emotional problems. The findings support the link between nocturnal enuresis and psychopathology in Korean children.
Case Report : Anesthetic experience of a patient with hereditary factor 11 deficiency (Hemophilia C)
Yee Suk Kim,Eun Yong Chung,Jun Rho Yoon,In Soo Han,Ah Reum Park,Tae Kwan Kim,Chul Woo Lee 대한마취과학회 2009 Korean Journal of Anesthesiology Vol.56 No.6
Factor XI deficiency (also called Hemophilia C) rarely occurs among ethnicities other than Ashkenazi Jews. A boy was scheduled for frontoethmoidectomy due to bilateral chronic rhinosinusitis. He was incidentally found to have factor XI deficiency due to prolonged aPTT on preoperative laboratory finding. His medical history reveals frequent epistaxis 2 or 3 times per day and his factor XI and XII activity were 17% (normal; 60-140%) and 34% (normal; 60-140%), respectively on furthermore laboratory evaluation. He was diagnosed as hereditary factor XI deficiency. He underwent the operation with administration of the fresh frozen plasma without complication. (Korean J Anesthesiol 2009; 56: 706~8)
Kim Sol,Woo A La,Yong Seung Hyun,Leem Ah Young,Lee Su Hwan,Lee Sang Hoon,Kim Song Yee,Chung Kyungsoo,Kim Eun Young,Jung Ji Ye,Kang Young Ae,Park Moo Suk,Kim Young Sam,Park Youngmok 대한의학회 2024 Journal of Korean medical science Vol.39 No.20
Background: Coinfections with multiple nontuberculous mycobacterial (NTM) species have not been widely studied. We aimed to evaluate the clinical characteristics and treatment outcomes in patients with NTM-pulmonary disease (PD) caused by coinfection with multiple NTM species. Methods: We retrospectively reviewed patients with NTM-PD at a tertiary referral hospital in Korea between March 2012 and December 2018. Coinfection was defined as two or more species of NTM pathogens isolated from the same respiratory specimen or different specimens within three months. Results: Among 1,009 patients with NTM-PD, 147 (14.6%) NTM coinfections were observed (average age 64.7 years, 69.4% women). NTM species were identified more frequently (median 6 vs. 3 times, P < 0.001) in the coinfection group than in the single species group, and follow-up duration was also longer in the coinfection group (median 44.9 vs. 27.1 months, P < 0.001). Mycobacterium avium complex (MAC) and M. abscessus and M. massiliense (MAB) were the dominant combinations (n = 71, 48.3%). For patients treated for over six months in the MAC plus MAB group (n = 31), sputum culture conversion and microbiological cure were achieved in 67.7% and 41.9% of patients, respectively. We divided the MAC plus MAB coinfection group into three subgroups according to the target mycobacteria; however, no statistical differences were found in the treatment outcomes. Conclusion: In NTM-PD cases, a significant number of multiple NTM species coinfections occurred. Proper identification of all cultured NTM species through follow-up is necessary to detect multispecies coinfections. Further research is needed to understand the nature of NTM-PD in such cases.
( Yee Suk Kim ),( Jae Seung Hur ),( Kyu Tae Hwang ),( Il Yong Choi ),( Young Ho Kim ) 대한고관절학회 2014 Hip and Pelvis Vol.26 No.2
Purpose: The purpose of this study was to compare the outcomes of osteosynthesis using compression hip screw fixation versus bipolar hemiarthroplasty in AO type A2 intertrochanteric fractures. Materials and Methods: From March 2003 to December 2009, 89 patients were included in this study. They were treated using compression hip screws (43 cases) or bipolar hemiarthroplasty (46 cases). The mean age of patients was 77.7 years (65-94 years) and the mean follow-up period was 5.9 years (1-8.3 years). For comparison of the outcomes in the two groups, statistical analyses were performed with parameters including anesthesia time, operation time, amount of transfusion, hospital stay, general complications, clinical outcome, time of partial weight-bearing using a walker, and radiological failure rate. Results: Differences in the amount of transfusion, general complications, and clinical outcome (Merle d’Aubigne´ and Postel score) were not statistically significant between the two groups. The bipolar hemiarthroplasty group showed better results than the compression hip screw group for anesthesia time and the time of partial weight-bearing using a walker. Radiological failures were observed in hips in one case (2.2%) of bipolar hemiarthroplasty, and in four cases (9.3%) of compression hip screw fixation. Conclusion: Among elderly individuals with AO type A2 intertrochanteric fractures, patients treated with bipolar hemiarthroplasty were able to perform early ambulation. However, no significant difference in operation time, amount of postoperative transfusion, clinical results, hospital stay, and radiological failure rate was observed between the bipolar hemiarthroplasty and compression hip screw fixation groups.
Kim, Sung,Shin, Dong Hee,Kim, Ju Hwan,Jang, Chan Wook,Park, Jun Woo,Lee, Hosun,Choi, Suk-Ho,Kim, Seung Hyun,Yee, Ki-Ju,Bansal, Namrata,Oh, Seongshik IOP 2016 Nanotechnology Vol.27 No.4
<P>Resonance effects in the thickness-dependent ultrafast carrier and phonon dynamics of topological insulator Bi<SUB>2</SUB>Se<SUB>3</SUB> are found irrespective of the kind of substrate by measuring thickness-dependent abrupt changes of pump-probe differential-reflectivity signals (Δ<I>R</I>/<I>R</I>) from Bi<SUB>2</SUB>Se<SUB>3</SUB> thin films on four different substrates of poly- and single-crystalline (sc-) ZnO, sc-GaN and SiO<SUB>2</SUB>. The absolute peak intensity of the Δ<I>R</I>/<I>R</I> is maximized at ∼<I>t</I> <SUB>C</SUB> (6 ∼ 9 quintuple layers), which is not directly related to but is very close to the critical thickness below which the energy gap opens. The intensities of the two phonon modes deduced from the oscillatory behaviors superimposed on the Δ<I>R</I>/<I>R</I> profiles are also peaked at ∼<I>t</I> <SUB>C</SUB> for the four kinds of substrates, consistent with the thickness-dependent Raman-scattering behaviors. These resonant effects and others are discussed based on possible physical mechanisms including the effects of three-dimensional carrier depletion and intersurface coupling.</P>
Dyspnea and Palpitation during Pregnancy
(Hyun Suk Choi),(Seung Suk Han),(Hyun Ah Choi),(Hae Sung Kim),(Chan Guk Lee),(Youn Yee Kim),(Ji Ju Hwang),(Jeong Bae Park),(Hyun Ho Shin) 대한내과학회 2001 The Korean Journal of Internal Medicine Vol.16 No.4
N/A Objectives: Dyspnea and palpitation are common features of pregnancy. While several theories have been put forward to explain the etiology of gestational dyspnea and palpitation, there have been few systemic studies of its incidence, severity and time-course in a group of normal women. Methods: We interviewed postpartum women, within 3 days after delivery, about dyspnea and palpitation. Separately from this interview, we performed 24-hour ECG monitoring for obstetric patients with palpitation before delivery. Results: The subjects interviewed were 261 women, of whom 37.5 percent and 11.5 percent experienced dyspnea and palpitation, respectively. These symptoms had a tendency to increase to term. The presence of arrhythmias could be documented in only 22% of patients having 24-hour Holter monitoring. Conclusion: Dyspnea and palpitation were common among normal pregnant women and had a tendency to increase to term.
40세 미만의 환자에서 시행한 제3세대 알루미나-알루미나 관절면을 이용한 인공 고관절 전치환술
김이석(Yee-Suk Kim),김성재(Sung-Jae Kim),황규태(Kyu-Tae Hwang),최일용(Il-Yong Choi),김영호(Young-Ho Kim) 대한정형외과학회 2011 대한정형외과학회지 Vol.46 No.6
목적: 40세 미만의 젊은 환자에서 시행한 제3세대 알루미나-알루미나 인공 고관절 전치환술의 최소 5년 이상 추시 결과를 알아보고자 하였다. 대상 및 방법: 2000년 4월부터 2006년 3월까지 수술 받은 환자 중 40세 미만으로 제3세대 알루미나-알루미나 관절면을 이용하여 무시 멘트 인공 고관절 전치환술을 시행받은 50명, 57예를 대상으로 하였다. 남자 24명, 여자 26명이었고 수술 당시 환자의 평균 연령은 30.3세(18-39세)였다. 평균 추시 기간은 8.0년(5-11년)으로서, 수술 전 진단명은 류마티스 관절염이 가장 많았다. 임상적 결과와 방사선학적 결과 및 합병증을 관찰하였다. 결과: Harris고관절 점수(Harris hip score)는 최종 추시 시 96점으로 향상되었으며, 서혜부 통증은 없었으나 대퇴부 통증은 2예에서 호소하였다. 관절내 잡음(squeaking)은 1예에서 관찰되었다. 모든 삽입물은 견고한 골성 안정 고정을 보였으며, 삽입물 해리와 골용해는 관찰되지 않았다. 합병증은 대전자 불유합 l예, 수술 후 조기 탈구 1예가 있었으며, 세라믹 파손, 감염, 재수술은 없었다. 결론: 40세 미만의 젊은 환자에서 시행한 제3세대 알루미나-알루미나 인공 고관절 전치환술에서 우수한 결과가 관찰되었다. 관절내 잡음에 대해서는 장기 추시 관찰이 필요할 것으로 생각된다. Purpose: We investigated the results of the third generation alumina on alumina bearing total hip arthroplasty in patients under the age of forty. Materials and Methods: Fifty patients (57 hips) under the age of forty, who had uncemented total hip arthroplasty using third generation alumina bearing, between April 2000 and March 2006 were observed. The group consisted of 24 men and 26 women The average age at the operation was 30.3 years (18-39 years). The average follow up period was 8.0 years (5-11 years). The most common cause for surgery was rheumatoid arthritis. We assessed the clinical and radiological results and postoperative complications. Results: The mean Harris hip score at the last follow-up was 96 points on average. There was no inguinal pain. However, there were two hips of which the patient was experiencing thigh pain. One hip with squeaking was observed. We could observe the stable bony fixation of implants in all hips There were no aseptic loosening and no osteolysis around the implants. Postoperative complications included one hip with nonunion of trochanteric osteotomy and one hip with dislocation. There were no ceramic fractures, no postoperative infections and no revisions. Conclusion: We observed the favorable clinical and radiographic outcomes of the third generation alumina on alumina total hip arthroplasty in patients under the age of forty. However, in the case of squeaking, a longer term follow-up is needed.