部分缺損性 畸形

黃昌柱 대한의학협회 1962 대한의학협회지 Vol.5 No.8

요추 유합술 후 발생한 인접 분절 질환의 위험인자

황창주,이성우,안영준,김영태,이동호,이춘성 대한척추외과학회 2008 대한척추외과학회지 Vol.15 No.1

Study Design: Retrospective study of adjacent segment disease. Objectives: To describe the incidence and clinical features of adjacent segment disease (ASD) after lumbar fusion and to determine its risk factors. Summary of Literature Review: The reported incidence of adjacent segment problems is variable, and little has been discussed about surgically treated cases. Risk factors also have not been precisely identified, especially based on structural changes seen on magnetic resonance imaging (MRI). Materials and Methods: We analyzed the records of 1,124 patients who underwent lumbar or lumbosacral instrumented fusions between August 1995 and March 2006 and had at least one year follow-up. Of these patients, 28 patients who needed secondary operations because of ASD were included in this study. The disease group was compared with an age-, sex-, fusion level-, and follow-up period-matched control group composed of the same number of patients, toward the purpose of analyzing six variables as risk factors. Results: The incidence of ASD requiring surgical treatment was 2.48%. The mean patient age was 58.4 years, which showed no statistically significant difference from that of the population in which ASD did not develop (57.0 years, p=0.429). Only 1 distal ASD occurred among 21 floating fusions. Facet degeneration was a significant risk factor (p 0.01) on logistic regression analysis. Conclusion: Our study patients with ASD complained of severe symptoms with frequent neurological abnormalities. The incidence of distal ASD was much lower than that of proximal ASD. Pre-existing facet degeneration may confer a high risk of adjacent segment problems after lumbar fusion procedures.

농가부채 해결을 위한 한농연의 대책안

황창주,Hwang, Chang-Ju 대한양돈협회 1998 養豚 Vol.20 No.11

Analgesic Efficacy and Safety of Prolonged- Release Oxycodone/Naloxone in Korean Patients with Chronic Pain from Spinal Disorders

황창주,정성수,이규열,이재협,문성환,김진혁,조규정,안재성,김동수,박예수,박혜정 대한정형외과학회 2018 Clinics in Orthopedic Surgery Vol.10 No.1

Background: A prolonged-release formulation of oxycodone/naloxone has been shown to be effective in European populations for the management of chronic moderate to severe pain. However, no clinical data exist for its use in Korean patients. The objective of this study was to assess efficacy and safety of prolonged-release oxycodone/naloxone in Korean patients for management of chronic moderate-to-severe pain. Methods: In this multicenter, single-arm, open-label, phase IV study, Korean adults with moderate-to-severe spinal disorderrelated pain that was not satisfactorily controlled with weak opioids and nonsteroidal anti-inflammatory drugs received prolongedrelease oral oxycodone/naloxone at a starting dose of 10/5 mg/day (maximum 80/40 mg/day) for 8 weeks. Changes in pain intensity and quality of life (QoL) were measured using a numeric rating scale (NRS, 0–10) and the Korean-language EuroQol-five dimensions questionnaire, respectively. Results: Among 209 patients assessed for efficacy, the mean NRS pain score was reduced by 25.9% between baseline and week 8 of treatment (p < 0.0001). There was also a significant improvement in QoL from baseline to week 8 (p < 0.0001). The incidence of adverse drug reactions was 27.7%, the most common being nausea, constipation, and dizziness; 77.9% of these adverse drug reactions had resolved or were resolving at the end of the study. Conclusions: Prolonged-release oxycodone/naloxone provided significant and clinically relevant reductions in pain intensity and improved QoL in Korean patients with chronic spinal disorders. (ClinicalTrials.gov identifier: NCT01811238)

Posterior Correction of Adolescent Idiopathic Scoliosis with High-Density Pedicle Screw-Only Constructs: 5 Years of Follow-Up

황창주,백종민,조재환,윤소정,이동호,이춘성 연세대학교의과대학 2020 Yonsei medical journal Vol.61 No.4

Purpose: This study aimed to analyze radiological outcomes in patients with adolescent idiopathic scoliosis (AIS) who underwent posterior correction with high-density pedicle screw-only constructs. We hypothesized that high-density pedicle screw-only constructs in AIS would provide a high correction rate and would facilitate the maintenance of the correction or obviate the loss thereof. Materials and Methods: We retrospectively analyzed radiological outcomes over a minimum follow-up period of 5 years in patients with AIS who underwent posterior correction with high-density pedicle screw-only constructs. A total of 124 consecutive patients were included. Demographic data, including age, sex, operated fusion level, numbers of screw, Lenke curve type, Risser stage, and follow-up period were retrospectively collected from electronic medical records and radiological measurements including serial follow-up. Results: The average number of pedicle screws was 1.96/vertebra. The average curve correction was 48.3% for the proximal thoracic (PT) curve, 83.1% for the main thoracic (MT) curve, and 80.2% for the thoracolumbar/lumbar (TL/L) curve at final followup. Use of high-density pedicle screw-only constructs helped achieve excellent correction rates, with no significant loss of correction at final follow-up. Conclusion: We obtained excellent correction rates of 48.3% for PT, 83.1% for MT, and 80.2% for TL/L curves using high-density pedicle screw-only constructs in AIS, with no significant loss of correction at final follow-up.

Influence of Self-rating Creativity Factors on Major Competency in University Students Majoring in Health Science

황창주 한국비교정부학회 2018 한국비교정부학보 Vol.22 No.2

The purpose of this study was to examine the influence of the self-rating creativity factors of college students majoring in health science on their past, present and future major competencies. A self-administered survey was conducted from November 1 to 15, 2017, and the answer sheets from 284 respondents were gathered and analyzed. The findings of the study were as follows: As for general characteristics including gender and creativity factors, the men were ahead of the women in terms of every creativity factor. By age, there was a tendency that their scores become higher with age, and statistically significant differences were found especially in imagination, originality, sensitivity, fluency, flexibility and total creativity areas. 2. Regarding general characteristics including gender and major competency, the female students were more excellent in past competency, and the male students were better at current competency and future competency. As to learning style, the morning people were statistically significantly more excellent in past competency, future competency and total major competency. 3. Among creativity factors, flexibility and sensitivity(r=.835) areas were most closely correlated to present competency and future competency(r=.777) among the subfactors of major competency. Total major competency become better when knowledge factor that was one of creativity factors was better. 4. As a result of making a stepwise multiple regression analysis to determine which creativity factors affected major competency, total major competency was under the influence of knowledge and elaboration, and past major competency was affected by elaboration, imagination and sensitivity. Current major competency was under the influence of creativity and imagination, and future major competency was affected by knowledge and originality.

마미 증후군의 원인과 임상 양상

황창주,김영태,이동호,이춘성,하정기,이태균 대한척추외과학회 2013 대한척추외과학회지 Vol.20 No.4

Study Design: A literature review. Objectives: To describe the causes and clinical characteristics of cauda equina syndrome. Summary of Literature Review: The cauda equina syndrome, complex symptoms and signs expressed as variable clinical manifestation, has rare incidence but needs attention since it can bring about serious complications and sequales if neglected. Materials and Methods: The Author reviewed articles reporting the causes and clinical manifestation of cauda equina syndrome. Results: There are marked inconsistencies in the current evidence base surrounding the definition due to various clinical presentation of cauda equina syndrome. Conclusion: As there is no symptom or sign which has an absolute diagnostic value in establishing the diagnosis of cauda equina syndrome, any patient in whom a clinical suspicion of cauda equina syndrome arises must undergo urgent magnetic resonance imaging for diagnosis. 연구 계획: 마미 증후군에 대한 문헌 고찰. 목적: 마미 증후군의 원인 및 임상 양상 등에 대해 알아보고자 한다. 선행 문헌의 요약: 다양한 임상 양상으로 발현되는 증상 및 징후의 복합체인 마미 증후군은 드물게 나타나기는 하지만, 간과할 경우 심각한 합병증 및후유증을 초래할 수 있기 때문에 주의를 요한다. 대상 및 방법: 문헌 고찰결과: 마미 증후군은 발현 양상이 다양하기 때문에 아직까지 널리 인정되고 있는 명확한 정의는 없다. 결론: 마미 증후군을 진단하는데 있어서 절대적인 진단적 가치를 가지는 증상 및 징후는 없기 때문에 임상적으로 의심되는 환자에 대해서는 진단을 위해 자기 공명 영상을 긴급하게 시행하여야 한다.

친환경농산물 구매 실태와 영향요인 분석

황창주,이상엽 한국자치행정학회 2010 한국자치행정학보 Vol.24 No.1

국민들의 소득수준이 높아지고 생활의 질이 향상됨에 따라 안전하고 질 좋은 식품에 대한 관심과 함께 친환경농산물에 대한 관심이 증대되고 있다. 친환경농산물의 구매 현황 파악과 소비자특성분석을 통하여 소비의 특징과 문제점을 알아보았다. 친환경농산물 구매 시 고객만족도와 재구매의사를 측정한 후 어떤 요인들이 영향을 미치는지를 분석한 후 구매 활성화 방안을 제시하였다. 구매 실태와 영향요인을 체계적으로 분석하여 소비자나 생산자, 유통업체간에 정보를 제공하고자 친환경농산물 소비자를 대상으로 설문조사를 하였다. 설문 대상은 대도시, 중소도시, 농촌지역 등 도시별 규모에 따라 이들 지역의 학생 또는 성인 남녀를 대상으로 하였다. 환경관심도, 친환경농산물만족도, 품질, 홍보, 신뢰감이 친환경농산물 재구매의사에 유의한 영향을 미치는 요인으로 분석되었고, 건강관심도, 환경관심도, 친환경농산물만족도, 품질 요인이 친환경농산물을 타인에게 권유하려는 의사에 유의한 영향을 미치는 변수로 분석되었다. 친환경농산물의 구매 활성화방안으로 친환경농산물의 인식 제고, 품질 향상과 차별화, 친환경 브랜드 관리, 서비스와 유통망 개선, 신뢰 확보를 위한 인증체계 개선, 안전성 확보를 위한 품질관리제도 등을 제시하였다.

Views on ‘Good Class’ of University Students in Health Department

황창주 한국비교정부학회 2019 한국비교정부학보 Vol.23 No.2

This study was performed to examine the view on the good class of the university students in health department and the results of analyzing 403 self-administered questionnaires collected from March 04, 2019 to March 25, 2019 are as follows. In the average score of good class by area, the area of educational contents was the highest with 4.02 points followed by environment with 4.01 points, perspective with 3.91 points, teaching method with 3.86 points and the evaluation with 3.83 points in order. In the view by gender on the good class according to general characteristics, the male students showed significantly higher scores (teaching method: 3.97 points; evaluation: 4.00 points) than the female students (teaching method: 3.83 points; evaluation: 3.76 points, and the students majoring nursing showed the significantly higher scores in for all elements of major. When the satisfaction with the classes was high, the satisfaction with major was high, and the higher the satisfaction with the classes and major, the higher the degree of clinical link. The explanatory power of the independent variable that explain the satisfaction with major, satisfaction with classes and the degree of clinical link was shows as 9.9%, 8.7% and 10.6%, respectively, and for the factor having influence on the satisfaction with major was environment (beta= .210), that on the satisfaction with classes was perspective (Beta= .185) and educational contents (Beta = .299), that on the degree of clinical link was perspective (Beta = .234), educational contents (Beta=-.349) and evaluation (Beta=.286).In conclusion, for the good class, the establishment of class strategy reflected the students' demands is required and the teacher's effort to perform effective classes is needed by communicating actively with the students during the class and by applying diverse teaching method.

친환경농산물의 구매 활성화 방안

황창주,이상엽 한국행정학회 2009 한국행정학회 학술발표논문집 Vol.2009 No.-