Effect of Total Hip Arthroplasty on Ipsilateral Lower Limb Alignment and Knee Joint Space Width: Minimum 5-Year Follow-up

Choi Yun Seong,Park Jung-Wee,Kim Tae Woo,Kang Kee Soo,Lee Young-Kyun,Koo Kyung-Hoi,Chang Chong Bum 대한의학회 2023 Journal of Korean medical science Vol.38 No.20

Background: This study aimed to 1) assess the effect of total hip arthroplasty (THA) on coronal limb alignment, namely, the hip–knee–ankle angle (HKA), 2) identify factors that determine changes in the HKA, and 3) determine whether alignment changes influence the knee joint space width. Methods: We retrospectively evaluated 266 limbs of patients who underwent THA. Three types of prostheses with neck shaft angles (NSAs) of 132°, 135°, and 138° were used. Several radiographic parameters were measured in the preoperative and final radiographs (at least 5 years after THA). A paired t-test was used to confirm the effect of THA on HKA change. Multiple regression analysis was performed to identify radiographic parameters related to HKA changes following THA and changes in knee joint space width. Subgroup analyses were performed to reveal the effect of NSA change on the HKA change, and the proportion of total knee arthroplasty usage and changes in radiographic parameters between maintained joint space and narrowed joint space groups were compared. Results: The preoperative mean HKA was 1.4° varus and increased to 2.7° varus after THA. This change was related to changes in the NSA, lateral distal femoral angle, and femoral bowing angle. In particular, in the group with a decrease in NSA of > 5°, the preoperative mean HKA was largely changed from 1.4° varus to 4.6° varus after THA. The prostheses with NSA of 132° and 135° also led to greater varus HKA changes than those with an NSA of 138°. Narrowing of the medial knee joint space was related to changes in the varus direction of the HKA, decrease in NSA, increase in femoral offset. Conclusion: A large reduction in NSA can lead to considerable varus limb alignment after THA, which can have adverse effects on the medial compartment of the ipsilateral knee.

Dipyridamole 부하 심근 SPECT에서 Dipyridamole의 작용과 부작용

고창순(Chang Soon Koh),이명철(Myung Chul Lee),정준기(June Key Chung),이동수(Dong Soo Lee),최창운(Chang Woon Choi),배상균(Sang Kyun Bae),양형인(Hyung In Yang),여정석(Jeong Suk Yeo) 대한핵의학회 1993 핵의학 분자영상 Vol.27 No.2

N/A Dipyridamole is an agent that may be used to noninvasively evaluate coronary artery disease. The effect of dipyridamole infusion its generally related to its induced peripheral vasodilatory effect. In normal person, heart rate is generally increased slightly while blood pressure decrease, but the achieved double product and related myocardial oxygen consumption have no significant change. The purpose of this study is to examine the effect and side effect of dipyridamole, and to compare different response to dipyridamole among the patients. We evaluated 847 patients who underwent dipyridamole stress myocardial SPECT. 93.6% of them had induced hypotension 0.9% showed no change of blood pressure, 5.5% had increased blood pressure 8.3% had no change of pulse rate more than 10% of basal pulse rate. Among diabetes, 16.9% was not change of pulse rate, 6.7% in non-diabetes. There was no significant correlation between age and rate pressure product rest(RPPr), in patients without perfusion defects on SPECT(y=7.1x+48.4r=0.13 p>0.01). As increasing age, RPPs/RPPr was declined(y=-11.6x+68.9 r=0.17 p〈0.01), similar results were obtained in patients with perfusion defect. The size of perfusion defect on myocardial SPECT have no correlation between RPPr and RPPs/RPPr. The side effects of dipyridamole included chest pain and chest tightness, headache, abdominal pain, dizzness, nausea, and dyspnea. As increasing age, dipyridamole-induced cardiac work at rest was increased, cardiac response to dipyridamole was decreased.

4분과 : 미래 기후변화 시나리오에 따른 우리나라 소나무 임부의 재적 추정

김문일 ( Moon Il Kim ),이우균 ( Woo Kyun Lee ),( Gui Shan Gui ),( Hang Nan Yu ),최솔이 ( Sol E Choi ),김창길 ( Chang Gil Kim ),권태성 한국임학회 2014 한국산림과학회지 Vol.103 No.1

본 연구는 우리나라 주요 수종인 소나무림을 대상으로 RCP(Representative Concentration Pathway)8.5 시나리오에 따른 임목 재적의 시·공간적 변이를 예측하기 위해 수행되었다. 전국 규모의 예측을 위해 5차임상도와 국가산림자원조사 자료를 이용하였으며, 기후와 공간의 변이가 임목 생장에 미치는 영향을 반영하기 위해 기상 및 지형인자를 반영한 생장모형을 적용하였다. 모형의 검증을 위해 시, 도별 산림통계와 모형 결과를 비교한 결과, 비교적 높은 적합도를 보이는 것으로 나타났다. 기후변화를 고려하였을 때, 소나무림의 임분 재적은 현재 131 m3/ha에서2050년에는 212.42 m3/ha까지 증가 할 것으로 예측되었으며, 현재의 기후가 유지될 경우에는 221.92 m3/ha까지 증가할 것으로 예측되었다. 기후변화의 영향으로 인해 일부 고산지대를 제외한 대부분의 지역에서 소나무림의 생장률이감소할 것으로 예측되었으며, 특히 해안지역과 남부지역에서 생장률의 감소가 클 것으로 나타났다. 본 연구결과를 통해 기후변화가 소나무림 생장에 미치는 영향을 시·공간에 따라 정량화 할 수 있었으며, 이는 기후변화 적응을 고려한 산림관리 및 시업계획을 수립하는데 유용하게 활용될 수 있을 것이다. The main purpose of this study is to measure spatio-temporal variation of forest tree volume basedon the RCP(Representative Concentration Pathway) 8.5 scenario, targeting on Pinus densiflora forests which is the main tree species in South Korea. To estimate nationwide scale, 5th forest type map and National Forest Inventory data were used. Also, to reflect the impact of change in place and climate on growth of forest trees, growth model reflecting the climate and topography features were applied. The result of the model validation, which compared the result of the model with the forest statistics of different cities and provinces, showed a high suitability. Considering the continuous climate change, volume of Pinus densiflora forest is predicted to increase from 131 m3/ha at present to 212.42 m3/ha in the year of 2050. If the climate maintains as the present, volumeis predicted to increase to 221.92 m3/ha. With the climate change, it is predicted that most of the region, except for some of the alpine region, will have a decrease in growth rate of Pinus densiflora forest. The growth rate of Pinus densiflora forest will have a greater decline, especially in the coastal area and the southern area. With the result of this study, it will be possible to quantify the effect of climate change on the growth of Pinusdensiflora forest according to spatio-temporal is possible. The result of the study can be useful in establishing the forest management practices, considering the adaptation of climate change.

2003년 국내 중증급성호흡기증후군 진료 현황 및 문제점 분석

이진수,김은실,정문현,백제중,정선화,안주희,최영화,이선희,고철우,김성범,김민자,박승철,기현균,송재훈,최상호,김양수,이상오,조용균,박영훈,정숙인,김연숙,이흥범,손창희,장성희,정희진,김우주 대한감염학회 2004 감염과 화학요법 Vol.36 No.3

목적 : 2002년 말 중국에서 SARS가 발생한 이후 국내에서도 2003년 10월까지 총 3명의 추정환자, 17명의 의심환자가 보고되었다. 향후 추가적인 SARS의 유행이 우려되는 상황에서, 그간의 SARS 환자 진료에 있어서의 실질적인 준비사항, 진료 현황 등에 대한 조사를 통해 문제점을 파악하여, 향후 더 나은 대비가 될 수 있도록 개선점을 제시하고자 하였다. 재료 및 방법 : SARS로 의심되는 환자를 진료 경험이 있는 병원의료진을 대상으로 2003년 10월에 설문조사를 실시하였다. 설문에는 SARS 환자 진료 시의 실질적인 조치, 진료 현황, 병실, 응급실 및 외래에서의 격리 시설과 준비사항, 보건당국의 관리와 지원에 관한 사항을 포함하였다. 결과 : 대상이 되는 22개 병원 중 17개(17/22, 77.2%) 병원이 설문에 응하였다. SARS 환자를 위한 격리실은 응급실, 외래, 일반병실 및 중환자실에서 각각 9개(9/17, 52.9%), 5개(5/17, 29.4%), 15개(15/16, 93.7%), 4개(4/16, 25%) 병원에서 음압처리가 되어있지 않은 일인실 혹은 다인실이 사용되었고, 1개(1/16, 6.3%) 병원에서만 일반병실에서 음압격리실이 운영되었다. 입원환자의 진찰 시 개인보호구의 착용은 거의 모든 의료기관에서 이루어졌다. 보건당국에서 SARS지정병원의 시설 등을 사전에 확인한 곳은 1곳(1/12, 8.3%)이였고, 14개 병원(14/15, 93.3%)에서는 보건당국에 의뢰한 검사결과를 통하 받지 못하였다. 결론 : 의료기관에서 SARS 환자용 격리실뿐만 아니라 기존의 격리실 설비 등이 미흡하였으며, 특히 중환자실 및 외래의 준비가 더욱 부족하였다. 보건당국의 의료기관에 대한 종합적인 지원이 부족하였고, 병원과의 원활한 연계가 잘 이루어지지 않았다. SARS 만이 아닌 격리를 필요로 하는 질환의 적절한 진료를 위해 향후 병원 시설의 정비와 정부차원에서의 보다 구체적이고 실질적인 대책마련이 필요하다. Background : There was an worldwide outbreak of the Severe Acute Respiratory Syndrome (SARS) originated from China in late 2002. During that period three cases of suspected SARS and 17 cases of probable SARS were reported in Korea. With the concerns about the reemergence of SARS-coV transmission, it is important to be prepared for any possibility. So, this study is aimed to analysis the past measures in managing SARS and propose the amendatory plans to improve the preparedness. Materials & Methods : Questionnaires were collected among clinicians with any experience in managing the probable or suspected SARS cases in Oct. 2003. 17 out of 22 hospitals responded to the questionnaire. The contents in the questionnaire were practical activities, personal equipments, response plans, isolation facilities in emergency centers, outpatient clinics, general wards and intensive care units, and relationship with the public health department. Results : The dedicated isolation rooms in emergency centers, outpatient clinics, general wards, and intensive care units were prepared in 9 (9/17, 52.9%), 5 (5/17, 29.4%), 15 (15/16, 93.7%), and 4 (4/16, 25.0%) hospitals, respectively. Except for one hospital that newly made negative pressure room for SARS, single or multi-bed rooms without airborne infection control were used in all the other hospitals. The personal precaution principles were kept quite well in general wards. Before the designation of SARS hospital by the public health department prior evalution to see if the hospital was suitable for managing SARS was conducted in only 1 (1/12, 8.3%) hospital. The results of laboratory diagnosis were reported back in 1 (1/15, 6.6%) hospital. Conclusions : The isolation facilities which can control airborne infection were almost deficient not only for SARS but also for other respiratory transmissible diseases. For the infection control of transmissible diseases including SARS, more investment is needed on medical facilities and comprehensive support from the public health department required.

심혈관계 질환으로 관상질환 집중치료실에 입원한 환자들의 혜후 측정을 위한 APACHEⅢ점수 체계의 임상적 유용성

이공섭,이창선,최현주,홍종서,강지향,김도형,이민영,오인균,김병엽,김상억,김학찬,한승혜,이재용,지영우,안경주 대한순환기학회 2000 Korean Circulation Journal Vol.30 No.8

자치단체의 재정운영과 인센티브에 관한 연구

이창균(Lee, Chang Kyun) 한국재정학회(구 한국재정·공공경제학회) 1997 재정논집 Vol.12 No.2

With the advent of local autonomy, citizens’ demands for the efficient management of public services and local public finance will be rapidly increased. Therefore, the present financial management system should be changed. This study concerns about the financial management of local government in accordance with the changes of local public financial environments. Especially, this study deals with the incentive system for the efficient financial management of local government. Accordingly, this study is focused on the following contents. 1) theoretical approaches to the incentive system in local public financial management. 2) finding out the problems of incentive system. 3) suggestions for the introducing new incentive system for efficient financial management of local government.

미래 기후변화 시나리오에 따른 우리나라 소나무와 참나무 임분의 탄소흡수량 추정

김문일 ( Moon Il Kim ),이우균 ( Woo Kyun Lee ),최솔이 ( Sol E Choi ),유동훈 ( Dong Hoon Ryu ),김창길 ( Chang Gil Kim ) 한국임학회 2014 산림과학 공동학술대회 논문집 Vol.2014 No.-

본 연구는 우리나라 주요 수종인 소나무와 참나무를 대상으로 RCP 8.5 시나리오와 산림 생장모형, 제5차 임상도를 이용하여 2020년에서 2050년까지의 미래 탄소 흡수량 변화를 예측하고, 이에 따라 두 수종의 미래 탄소 흡수량의 감소가 나타나는 취약 지역을 예측하기 위하여 수행되었다. 시 도별 산림통계와 모형의 결과를 비교한 결과, 비교적 높은 적합도를 보이는 것으로 나타났다. 이에 본 모형을 이용하여 추정한 탄소 흡수량은 현재와 기후가 같다고 가정하였을 때, 2050년 소나무 4.01(std. 1.42), 참나무는 4.38 tCO2/ha/year(std. 1.42)으로 2020년과 비교하여 각각 18.7%, 27.6% 감소하는 것으로 나타났다. 기후변화를 고려하였을 때에는 2050년 소나무 3.00(std. 2.42), 참나무가 5.82(std. 2.51) tCO2/ha/year으로 나타났다. 본 연구를 통하여 소나무와 참나무의 탄소 흡수량 변화를 추정할 수 있었으며, 이를 이용하여 미래 탄소 흡수 기능 취약지역을 분석 할 수 있었다. 이는 향후, 기후변화 적응을 위한 산림 분야의 정책 및 산림 관리 계획에 있어 기초 자료로서 활용될 수 있을 것이다. The purpose of this study was to predict of the carbon sequestration about Quercus spp. and P.densiflora 2020 to 2050 and vulnerable area such as decrease carbon sequestration by using RCP 8.5 scenarios and forest growth model, 5th forest type map. The comparison result between the province forest statistic data and predict data which is data from growth model showed a high suitability. The carbon sequestration was estimated using by two assumption. one of the result, which was assumed the future climate same current climate was appeared P.densiflora 4.01 (std. 1.42), Quercus spp. 4.38tCO2/ha (std. 1.42) in 2050. Each result decrease 18.7, 27.6 percent compared with 2020. another result, which is assumed the climate change in the future was appeared P. densiflora 3.00 (std. 2.42), Quercus spp. 5.82 (std. 2.51) tCO2/ha. Through this study we predicted not only carbon sequestration change but also, the vulnerable area about carbon sequestration function. The result of the study can be useful for the adaptation policy and forest management of climate change.

서울의 Penicillinase Producing Neisseria Gonorrhoeae 발생빈도(1996)

김재홍,황동규,전재홍,김윤석,김중환,김용준,이창균,임동진,김현수,조창근,김경문,박상훈,전우형,김희성,이호정,차명수,김갑형,김형석,김석우,황지환,박병순,권오상,이민수,송기훈,성소영,이인섭,부태성 대한화학요법학회 1999 대한화학요법학회지 Vol.17 No.2

Background : In recent years, gonorrhea has been panedemic and remains one of the most commom STDs in the world, especially in developing countries. Objective & Methods: For the detection of a more effective therapeutic regimen and assessing the prevalence of PPNG, we have been trying to study the patients who have visited the VD Clinic of Choong-Ku Public Health Center in Seoul since 1980 by means of the chromogenic cephalosporin method. Results: In 1996, 139 strains of N. gonorrhoeae were isolated, among which 53(39.0%) were PPNG. Conclusion: Our results suggests that after a peak of 74.3% in 1993, the prevalence of PPNG in Seoul is gradually declining.

흰쥐의 뇌,척수 및 신경절에서 내장기관과 관련된 신경원의 추적에 관한 미세형태학적연구 - Ⅱ. 감각신경세포체와 신경섬유의 표지부위

이창현,오인균,이동협,장극선,이무삼 대한해부학회 1996 Anatomy & Cell Biology Vol.29 No.6

마그네트론 코스퍼터링 방법에 의해 증차된 구리-니켈 박막의 물성 분석

이재엽,서수형,박창균,박진석 漢陽大學校 工學技術硏究所 1999 工學技術論文集 Vol.8 No.1

마그네트론 코스퍼터링 방법을 이용하여 박막형 스트레인 게이지에 사용되는 구리-니켈 박막을 증착하고, 그 구조적, 전기적 물성을 체계적으로 분석하였다. 박막 증착시 dc 및 rf 전력, 반응실 압력, 기판 온도 등을 주요 증착 변수로 하여 다양한 기판재료 위에 구리-니켈 박막을 증착하고, 박막내의 니켈/구리 조성비, 박막의 결정성, 표면 형상, 전기적 비저항등의 물성을 측정였으며 물성 결과와 사용된 증착 조건과의 상관관계를 도출하였다. 본 연구를 통하여 코스퍼터링 방법에 의하여 다양한 원자조성 비를 가지는 구리-니켈 박막을 용이하게 증착할 수 있음을 입 중하였다. The magnetron co-sputtering method has been adopted to fabricate a CuNi thin film for strain gauge load cells. Thin films of CuNi are deposited under various conditions, such as dc/rf power, working pressure, and substrate temperature. The Nu/ci atomic ratio, crystallinity, surface morphology, and electrical resistivity of CuNi films deposited have been measured and characterized as a function of deposition condition. It is suggested from this work that a wide range of atomic composition of CuNi film can be easily controlled by using the co-sputtering method.