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조백기,박종갑,김형옥,김성욱,백승철,김진우,김시용,안규중,전재복,오지원,김낙인,이규석,오칠환,김수남,김상태,손숙자,신용우,김동석,이원우,권경술,서대헌,황규왕,이종석,고재경,강원형,정기양,최응호,김기홍,박석돈,강승주,함정희,명기범,김방순,구상완,김병수,원영호,김한욱,송은섭,정병수,노병인,홍창권,박장규,한지윤,김광중,구대원,김종민,김재홍,유희준,양경미 대한의진균학회 1998 대한의진균학회지 Vol.3 No.2
Background: Onychomycosis, especially toenail onychomycosis has become one of the common fungal infection and has historically been regarded as a cosmetic rather than medical problem by many patients, even by physicians. Recently, however, there are several reports that is a refractory disease which may cause a deleterious effect on patiets quality of life (QOL). Objective: The purpose of this study was to investigate the impact of toenail onychomycosis on QOL in Korea and to assess the chandes of QOL after treatment. Methods: Total 1004 patients with toenail onychomycosis which was confirmed by clinical findings and KOH preparation were were enrolled at 47 dermatologic centers in Korea, and interviewed with standardized QOL questionnaire before and after sytemic antifungal treatment. Responses to the questionnaire were scored by 5-point scale (1∼4) and averaged, and were analyzed for 5 dimensions of emotional impact, social impact, symptorn and functional impact, patients views concerning treatment, and relationship with doctor. Results: 1. Before and after treatment, the most serious impact was emotional dimension showing 1.90 and 1.30 in average score (AS), and social (AS: 1.14 and 0.83) and symptom and functional impact (AS: 1.05 and 0.92) was also affected. 2. In female rather than male, statistically more significant impact on patients QOL was observed in all dimensions. 3. After treatment, 3 of 5 dimensions were improved significantly - emotional dimension (AS : from 1.90 to 1.30), social dimension (AS: from 1.14 to 0.83), patients view concerning treatment (AS: from 1.34 to 1.02). 4. The drgree of patients satisfaction at the therapeutic effect was very high- 62.4% (immediately after treatment) and 65.8% (9 months affer initiation of treatment) of patients answered excellent or good. Conclusion: This study confirms that toenail onychomycosis has significant impact on the overall QOL of patients. Also the effect of antifungal therapy on patients QOL were watisfactory. Therefore, both doctor and patient should pay more attention to the treatment of onychomycosis. [Kor J Med Mycol 3(1): 115∼124]
Ultrasound-guided Pulsed Radiofrequency of the Third Occipital Nerve
Kim, Eung Don,Kim, Young Hoon,Park, Chong Min,Kwak, Jung Ah,Moon, Dong Eon The Korean Pain Society 2013 The Korean Journal of Pain Vol.26 No.2
A C2-3 zygapophygeal joint is a major source of cervicogenic headache. Radiofrequency (RF) neurotomy is preformed widely for zygapophygeal joint pain. Conventional RF denervation technique is generally performed under fluoroscopic control. Recently, ultrasound-guided radiofrequency on zygapophygeal joint has emerged as an alternative method. We report our experiences of two successful ultrasound-guided pulsed radiofrequencies on 39-year-old and 42-year-old males, who complained occipital headache and posterior neck pain.
Guidelines for prescribing opioids for chronic non-cancer pain in Korea
( Eung Don Kim ),( Jin Young Lee ),( Ji Seon Son ),( Gyeong Jo Byeon ),( Jin Seok Yeo ),( Do Wan Kim ),( Sie Hyeon Yoo ),( Ji Hee Hong ),( Hue Jung Park ) 대한통증학회 2017 The Korean Journal of Pain Vol.30 No.1
As the treatment of chronic non-cancer pain gradually increases, clinicians have more opportunities to encounter opioid prescription. However, guidelines for prescribing opioids for chronic non-cancer pain have never been published in Korea. The present guidelines were prepared by reviewing various research data. In cases in which the data were insufficient, recommendations were presented following discussion among experts affiliated with the Opioids Research Group in the Korean Pain Society. The present guidelines may need to be continuously revised and amended as more clinical evidence is acquired. (Korean J Pain 2017; 30: 18-33)
Clinical Practice Guideline for Cardiac Rehabilitation in Korea
Chul Kim,성지동,Jong Hwa Lee,김원석,Goo Joo Lee,Sungju Jee,Il-Young Jung,Ueon Woo Rah,Byung Ok Kim,Kyoung Hyo Choi,Bum Sun Kwon,Seung Don Yoo,Heui Je Bang,Hyung-Ik Shin,김용욱,Heeyoune Jung,Eung Ju Kim,Jung Hw 대한재활의학회 2019 Annals of Rehabilitation Medicine Vol.43 No.3
Objective Though clinical practice guidelines (CPGs) for cardiac rehabilitation (CR) are an effective and widely used treatment method worldwide, they are as yet not widely accepted in Korea. Given that cardiovascular disease is the second leading cause of death in Korea, it is urgent that CR programs be developed. In 2008, the Government of Korea implemented CR programs at 11 university hospitals as part of its Regional Cardio-Cerebrovascular Center Project, and three additional medical facilities will be added in 2019. In addition, owing to the promotion of CR nationwide and the introduction of CR insurance benefits, 40 medical institutions nationwide have begun CR programs even as a growing number of medical institutions are preparing to offer CR. The purpose of this research was to develop evidence-based CPGs to support CR implementation in Korea. Methods This study is based on an analysis of CPGs elsewhere in the world, an extensive literature search, a systematic analysis of multiple randomized control trials, and a CPG management, development, and assessment committee comprised of 33 authors—primarily rehabilitation specialists, cardiologists, and thoracic surgeons in 21 university hospitals and two general hospitals. Twelve consultants, primarily rehabilitation, sports medicine, and preventive medicine specialists, CPG experts, nurses, physical therapists, clinical nutritionists, and library and information experts participated in the research and development of these CPGs. After the draft guidelines were developed, three rounds of public hearings were held with staff members from relevant academic societies and stakeholders, after which the guidelines were further reviewed and modified. Principal Conclusions CR involves a more cost-effective use of healthcare resources relative to that of general treatments, and the exercise component of CR lowers cardiovascular mortality and readmission rates, regardless of the type of coronary heart disease and type and setting of CR. Individualized CR programs should be considered together with various factors, including differences in heart function and lifestyle, and doing so will boost participation and adherence with the CR program, ultimately meeting the final goals of the program, namely reducing the recurrence of myocardial infarction and mortality rates.
김형돈(Hyung Don Kim),우동일(Dong Il Woo),김응준(Eung Joon Kim) 한국체육측정평가학회 2011 한국체육측정평가학회지 Vol.13 No.2
이 연구는 2010년 국제체조협회(FIG)에서 주관한 Aerobic FIG World Series 대회 경기자료를 기초로 하여 국제에어로빅체조경기 심판판정의 엄격성과에 적합도 정도를 분석함으로써 심판판정의 객관도를 규명하는데 목적이 있다. 본 연구의 대상은 2010년 국제체조협회(FIG)에서 주관한 Aerobic FIG World Series 대회의 남자 개인경기, 여자 개인경기에 출전한 16명의 선수들의 점수를 분석한 10명의 심판이다. 에어로빅체조 심판은 예술심판4명 실시심판 4명 난도심판 2명으로 구성되어 있고, 수집된 심판의 자료는 Rasch의 Rating Scale Model을 적용하여 심판의 엄격성 수준과 일관성 정도를 추정하였으며, 심판판정의 기록 자료의 적합도는 내적합 지수와 외적합 지수를 이용하여 검증하였다. 피험자의 경기력 점수와 심사자의 일관성 정도 및 엄격성 수준을 추정하였으며, 또한 모형에 대한 자료의 적합도는 내적합(infit)지수와 외적합(outfit)지수를 이용하여 검증하였으며 그 결과는 다음과 같다. 첫 째, 국제에어로빅체조 경기의 심판판정의 엄격성은 유의하게 나타나지 않았다. 둘 째, 국제에어로빅체조 경기의 심판판정의 일관성은 심판에 따라 차이가 있다. 결론적으로 에어로빅체조 심판은 개인의 경험, 주관적 판단, 그 외 다양한 요인에 의해 평정척도를 교육받은 것과는 달리 상이하게 적용함으로써 판정의 엄격성이나 일관성 정도에 차이를 보이게 되었다. 이로 인해 심판판정의 객관도를 낮추는 결론을 초래하게 된다. The object of the present study is to investigate referee decision`s objectivity by analysis of referee decision`s strictness and suitability. The reference rests on Aerobic FIG World Series data which is sponsored by Federation Internationale de Gymnastique(FIG). Subjects of study are referees(n=10) of 2010 Aerobic FIG World Series who analyze male, female individual match player`s grades. Aerobics referee is consist of Artistic referee 4, Conduct referee 4, Level of difficulty referee 2. Collected referee`s data is applied to Rasch`s Rating Scale Model to analyze referee`s strictness level and consistency level. Suitability of referee decision`s recorded data is verified by infit index and outfit index. Results of the present study were as follows: 1) Referee decision`s strictness of the International Aerobic competition is not significant. 2) Referee decision`s consistency of the International Aerobic competition is different as per referee. In conclusion, aerobics referees apply Rating scale differently with personal experience, subjective judgement and so on. For this reason, objectivity of referee decision is diminished.