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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 Results : Compared to the normal control group, the mean scores with regard to the withdrawn, social problems, attention problems, delinquent behavior, aggressive behavior, externalizing problems and total problems profiles were significantly higher in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.
( 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.
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, 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>
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.
Serum CA 19-9 Level Correlates CT Severity Score in Patients with NTM-PD
( Kangjoon Kim ),( Hye-jeong Lee ),( Seung Hyun Yong ),( Su Hwan Lee ),( Sang Hoon Lee ),( Song Yee Kim ),( Kyungsoo Chung ),( Eun Young Kim ),( Ji Ye Jung ),( Moo Suk Park ),( Young Sam Kim ),( Joon 대한결핵 및 호흡기학회 2020 대한결핵 및 호흡기학회 추계학술대회 초록집 Vol.128 No.-
Background Until now, there is no validated clinical biomarker of nontuberculous mycobacterial pulmonary disease (NTM-PD) in terms of evaluating disease severity or treatment response. Limited data suggests that elevated serum carbohydrate antigen 19-9 (CA 19-9) is observed in the patients with NTM-PD, and the level decreases following the successful NTM-PD treatment. Methods This retrospective study examined 79 NTM-PD patients who conducted both measurement of serum CA 19-9 level and chest computed tomography (CT) scan, less than a month apart. The NTM-PD disease severity were rated by the scoring system based on CT images. Correlation between the CT score and the serum level of CA 19-9 were evaluated by using Spearman’s correlation coefficient and Spearman’s partial correlation coefficient, and the latter was controlled for the variables of age, sex and body mass index (BMI). Results Serum CA 19-9 levels had a positive correlation with the CT score, especially for the score of total (rs=.416, p<0.01), and the sub-score of bronchiectasis (rs=.251, p<0.05), bronchiolitis (rs=.289, p<0.01), cavity (rs=.221, p<0.05), and consolidation (rs=.303, p<0.01). Patients’ BMI had a negative correlation with the CT score (rs=-.358, p<0.01), but had no significant correlation with serum CA 19-9 level itself. After controlling for the variables of age, sex and BMI, partial correlation analysis showed statistically significant positive correlation between serum CA 19-9 level and the CT score of bronchiectasis, bronchiolitis, cavity, consolidation, and total sum (Table 1). Conclusion Serum CA 19-9 levels had a positive correlation with the CT severity score of NTM-PD. Serum CA 19-9 may be a useful biological marker for evaluating disease activity or therapeutic response in the patients with NTM-PD, and further study is warranted.
Hydroxyapatite 피복된 ABG I 삽입물을 이용한 무시멘트 인공 고관절 전치환술: 최소 10년 이상 추시 결과
김이석 ( Yee Suk Kim ),박동혁 ( Dong Hyuck Park ),황규태 ( Kyu Tae Hwang ),김영호 ( Young Ho Kim ),최일용 ( Il Yong Choi ) 대한고관절학회 2013 Hip and Pelvis Vol.25 No.3
목적: ABG I 삽입물을 이용한 무시멘트 인공 고관절 전치환술 후 최소 10년 이상 추시한 결과를 알아보고자 한다. 대상 및 방법: 최소 10년 이상 추시가 가능한 121예를 대상으로 임상적, 방사선학적 결과를 분석하고, Kaplan-Meier 생존 분석을 시행하였다. 결과: 최종 추시 Harris 고관절 점수는 평균 84점이었으며, 비구컵 주위의 골용해는 53예(43.8%), 비구컵 해리는 5예(4.1%)에서 관찰되었다. 대퇴 스템 주위 골용해는 11예(9.1%), 스템 해리는 2예(1.7%)에서 관찰되었다. 폴리에틸렌 마모율은 0.23 mm/yr로 측정되었고 재수술은 모두 44예(36.3%)에서 시행되었다. 원인 질환에 따른 결과의 차이는 발견할 수 없었다. 비구컵의 원인으로 재수술을 한 경우 16년 생존율 56.3%, 대퇴 스템이 원인인 경우 16년 생존율 98.1%로 관찰되었다. 결론: ABG I 인공 고관절 삽입물을 이용한 무시멘트 인공 고관절 전치환술의 최소 10년 추시상 높은 골용해 발생과 낮은 비구컵 생존율을 보이는 등 우려스러운 결과가 확인되었다. 따라서, ABG I 인공 고관절 삽입물을 사용하였던 환자들에 대한 면밀한 추시 관찰이 필요할 것으로 사료된다. Purpose: The purpose of this study was to evaluate the outcomes of total hip arthroplasty (THA) with an ABG I hip prosthesis after a minimum ten-year follow up. Materials and Methods: From January 1996 to March 2001, 121 hips in 104 patients, whi were followed up for a minimum of ten-years, were enrolled in this study. The clinical and radiographic outcomes were evaluated and Kaplan-Meier survival analysis was performed. Results: The mean Harris hip score at the last follow-up was 84 points. A radiolucent line around the cup, osteolysis, and cup loosening were observed in 5 hips(4.1%), 53 hips(43.8%), and 5 hips(4.1%), respectively. In the femoral side, osteolysis and stem loosening were observed in 11 hips(9.1%) and 2 hips(1.7%), respectively. The mean linear wear rate of the polyethylene liner was 0.23 mm/yr. Forty four revisions(36.3%) were performed. The outcomes were similar regardless of the cause of primary THA. The survival rate with the end point of revision due to cup loosening was 56.3%, and revision due to stem loosening was 98.1% after a 16 year follow-up. Conclusion: High polyethylene wear and the disappointing survival rate of the ABGI cup were observed after a minimum ten year follow-up. Therefore, close observation of patients who have received an ABG I prosthesis is necessary.