소건막류

김윤정,안재훈,Kim, Yoon-Chung,Ahn, Jae Hoon 대한족부족관절학회 2013 대한족부족관절학회지 Vol.17 No.1

The bunionette, or a 'tailor's bunion', is a lateral bony prominence of the fifth metatarsal head. A bony deformity itself rarely causes symptom but if a painful inflammation of the overlying soft tissue is accompanied, it needs treatment. Conservative care using a shoe modification, padding, or orthosis is effective in most cases. Surgical management is indicated when the conservative methods have failed to improve symptoms, and the techniques include exostectomy, metatarsal osteotomies (distal, diaphyseal, or proximal), metatarsal head resection or fifth ray resection. We reviewed the etiology, clinical features, radiographic classification, nonoperative and operative treatments of the bunionette.

초음파를 활용한 아킬레스 건 파열의 보존적 치료 결과 추시 -증례 보고-

김윤정,안재훈,신동철,Kim, Yoon-Chung,Ahn, Jae Hoon,Shin, Dong-Cheul 대한정형외과초음파학회 2011 대한정형외과 초음파학회지 Vol.4 No.2

아킬레스 건의 급성 파열은 최근 레저 활동의 증가로 인하여 그 빈도가 점점 증가하고 있으며 수술적 및 보존적 치료 방법 모두 장단점이 보고되고 있다. 저자들은 급성 아킬레스 건 파열에 대해 석고 고정을 이용한 보존적 치료를 시행하고 그 치유 과정을 초음파를 이용해 추시하였다. The incidence of acute Achilles tendon rupture is increasing as sporting activities are becoming more popular nowadays. There are many reports on the merits and disadvantages of surgical or conservative treatment for the injury. We performed a conservative treatment of acute Achilles tendon rupture with a serial casting and observed the progression of tendon healing ultrasonographically.

대구 지역 청소년 및 미혼 여성 자궁내막증 환자의 임상 특성에 관한 비교연구

김윤정,최민혜,정민지,이정호,이택후,Kim, Yoon-Jeong,Choi, Min-Hye,Chung, Min-Ji,Lee, Jung-Ho,Lee, Taek-Hoo 대한생식의학회 2007 Clinical and Experimental Reproductive Medicine Vol.34 No.3

목 적: 본 연구는 청소년기와 성인 미혼 여성에서의 자궁내막증의 특징을 비교해 보고 청소년기에 조기 발견 및 치료의 중요성에 대해 알아보고자 한다. 연구방법: 000년 1월부터 2007년 9월까지 대구 소재 두 대학병원을 방문하여 수술을 시행한 환자를 대상으로 청소년 (14$\sim$21세, 23예)과 성인 미혼 여성 (22$\sim$26, 107예)의 자궁내막증의 임상양상, 진단과정, 수술소견, 혈액검사소견(CA-125) 등을 의무 기록 분석을 통한 후향적인 방법으로 비교하였다. 결 과: 대구 지역 청소년은 cyclic pain을 주증상으로 흔히 호소하였다. 청소년은 52.2%가 stage I, II였으며, stage III는 47.8%, stage 4는 없었다. 반면에 성인에서는 stage I이 1.86%에 불과하였으며, stage II 및 stage III가 82.2%로 대다수를 차지하였으며 stage IV도 15.8%차지하였다. 청소년에서도 CA-125가 상승되어 있는 경우가 많았고 이를 병의 경과 관찰에 이용할 수 있을 것이다. 청소년에서 순수 자궁내막증을 의심하여 수술한 경우는 전체 23예 중에 10예에 불과하였으며 이외 13예는 다른 진단으로 시행한 수술에서 우연히 발견되었다. 이는 전체 56.5%로 많은 비중을 차지하며, 성인 여성에서 27.5%에 불과한 것과는 대조적이다. 결 론: 대구 지역 청소년들을 대상으로 시행한 이번 연구에서는 청소년기에서 주기성 통증이 우세하였으며 이는 임상증상 만으로도 조기 발견에 도움이 될 수 있을 것이다. 자궁내막증은 진행하는 병임은 틀림없으므로 만성 골반통이 있는 청소년을 대상으로 적절한 산부인과적 검사를 통한 조기 진단 및 치료가 중요할 것으로 사료된다. Objective: The purpose of this study is to find out the differences of clinical characteristics of endometriosis and to emphasize the significance of early diagnosis of endometriosis to protect disease progression in adolescents. Methods: A retrospective analysis was carried out. All cases (n=130) were diagnosed surgically as endometriosis between January 2000 and August 2007 in two university hospitals in Daegu. Adolescents were 23 cases and unmarried young women were 107 cases. Data were collected through review of medical records. Results: The predominant symptom in adolescents was cyclic pain. 52.2% of adolescent patients were stage I or II. And stage III was 47.8% but stage IV was none. The other side 82.2% of unmarried young women patients were stage II or III and stage IV was 15.8%. Serum CA-125 level was elevated in adolescents, also. But there was no significant difference between the two groups. Conclusions: Endometriosis is progressive disease. Early diagnosis is necessary for prevention of the disease progression and free from pain. Appropriate gynecologic examination and careful concerns about adolescents are mandatory.

관절경적 족관절 유합술 후 조기 체중부하 보행

김윤정,조성욱,정진화,Kim, Yoon-Chung,Cho, Sung-Wook,Chung, Jin-Wha 대한족부족관절학회 2014 대한족부족관절학회지 Vol.18 No.4

Purpose: The accepted general management principle after ankle arthrodesis is to maintain non-weight bearing for 6 to 8 weeks. The aim of this study was to report clinical outcome of patients allowed early weight bearing after arthroscopic arthrodesis. Materials and Methods: We analyzed medical records and radiographs to determine fusion rate and complication risk of 22 sequential patients allowed to walk under short leg cast within 3 days after arthroscopic ankle arthrodesis using 2 screws from January 2008 to June 2012. The minimum follow-up period was 18 months, and the mean age of the patients was 67 years. Results: The mean visual analog scale was decreased from 8.9 points preoperatively to 2.3 points after 12 months. Complete ankle fusion was achieved in 19 patients (86.4%) at 3-month follow-up. There were 2 cases of delayed union and one case of nonunion at 12-month follow-up. There was no other complication such as wound problem, persistent swelling of the ankle. Conclusion: Bony union may not be interfered even though patients were allowed to walk under cast within a few days after arthroscopic ankle arthrodesis.

식사가 불량한 영유아의 기질과 식행동, 부모의 식행동과 식사지도 방법의 특성

김윤정(Yoon Jung Kim),한영신(Young Shin Han),정상진(Sang Jin Chung),이윤나(Yoon Na Lee),이상일(Sang Il Lee),최혜미(Hay Mie Choi) 대한지역사회영양학회 2006 대한지역사회영양학회지 Vol.11 No.4

The purpose of this study was to determine the characteristics of infants` temperaments and eating behaviors, mothers` eating behaviors and feeding practices in poor eating infants. The participants were 80 infants of 12-24 months (27 poor eaters and 53 matched normal controls) from a hospital and a public health center. Mothers were questioned about their eating behaviors and feeding practices, and infants` temperaments, eating behaviors, and nutrient intakes by one day food recall. Subjects were divided by mean nutrient adequacy ratio (MAR, < 0.75; poor eater). Intakes of Ca, P, Fe, Zn, thiamin, riboflavin, niacin, vitamin C, E, folate were below 75% RDA in poor eaters, whereas protein, thiamin, riboflavin, vitamin B6, C, folate exceeded 125% RDA in good eaters. Rhythmicity of infants` temperaments and eating behaviors, restriction of mothers` eating behaviors and feeding practices were significantly lower, whereas activity levels of infants` temperaments were higher than good eaters. In multiple logistic regression model of poor eaters, activity of infants` temperaments (T, OR: 1.19, CI: 1.05 - 1.35) and attention spans of infants` eating behaviors (A, OR: 1.18, CI: 1.03 - 1.35) were significantly positive, whereas rhythmicity of infants` eating behaviors (R, OR: 0.79, CI: 0.67 - 0.94) was significantly negative [E (the logit) = -6.8644 + 0.1712 × T - 0.2337 × R + 0.1641 × A]. Our findings suggest that examination of eating behaviors, feeding practices, and temperaments will help target interventions to improve infants` food intakes, and these variables should be examined at the time of nutrition counseling. (Korean J Community Nutrition 11(4) : 449 ~ 458, 2006)

CFD를 이용한 자바라 튜브의 맥동소음저감 최적화 설계에 대한 연구

김윤정(Yoon Jung Kim),정진경(Jin Kyeong Chung),김병준(Byeong Jun Kim),정우원(Woo Won Jeong) 대한기계학회 2014 대한기계학회 춘추학술대회 Vol.2014 No.5-2

딥러닝 기반 위성영상 복원에 관한 연구

임지현(Yim Ji Hyeon),이재열(Lee Jae yeol),김민아(Kim Min-A),정대원(Chung Dae Won) 한국통신학회 2020 한국통신학회 학술대회논문집 Vol.2020 No.11

소아암 생존 청소년의 질병력과 부모지지에 따른 삶의 질

김윤정 ( Yoon Jung Kim ),차혜경 ( Hye Gyeong Cha ),김정애 ( Chung Aie Kim ),박윤자 ( Yoon Ja Park ),김혜진 ( Hye Jin Kim ),서종진 ( Jong Jin Seo ),권혜진 ( Hye Jin Kwon ) 대한간호학회정신간호학회 2008 정신간호학회지 Vol.17 No.1

류마티스 전족부 변형에 대한 변형 Hoffman 술식의 중기 결과

김윤정(Yoon-Chung Kim),최현철(Hyun Chul Choi),이효진(Hyo Jin Lee),안재훈(Jae Hoon Ahn) 대한정형외과학회 2021 대한정형외과학회지 Vol.56 No.6

목적: 류마티스 전족부 변형은 심한 무지 외반증과 소족지의 갈퀴 족지 변형으로 이루어진다. 저자들은 류마티스 전족부 변형에 대한 변형 Hoffman 술식의 중기 결과를 분석하고자 하였다. 대상 및 방법: 18명, 22예의 환자가 변형 Hoffman 술식 후 최소 2년 이상 추시되었다. 평균 연령은 54.7세였고 평균 추시 기간은 3년 4개월이었다. 임상적으로 시각통증척도와 미국 정형외과 족부족관절학회 점수를 술 전 및 술 후에 비교하였다. 또한 술 후 합병증과 환자의 만족도 및 족저부 굳은살의 소실 여부를 조사하였다. 방사선학적으로 무지 외반각, 제1-2 중족골간각, 제1 족지 지간각, 제1 족지 지간 관절의 관절염 발생 여부, 제1 중족지 관절 족배 굴곡각, 제1 중족지 관절의 유합 기간 등을 측정하였다. 결과: 임상적으로 시각통증척도와 미국 정형외과 족부족관절학회 점수는 술 전 평균 7.1점과 평균 30.3점에서 최종 추시 시 평균 1.5점과 평균 83.1점으로 호전되었다(p<0.001). 술 후 만족도는 전 환자가 만족하였으며, 술 후 족저부 굳은살은 모든 예에서 소실되었다. 방사선학적으로 무지 외반각, 제1-2 중족골간각, 제1 족지 지간각은 술 전 각각 평균 52.8도, 13.3도, 7.5도에서 최종 추시시 16.2도, 8.7도, 14.6도로 변화하였다(p<0.001). 제1 중족지 관절의 족배 굴곡각은 평균 17.2도였으며, 제1 중족지 관절은 평균 11.1주에 유합되었다. 합병증으로 소족지의 거상지 변형이 2예, 창상 문제가 1예, 제1 족지 지간 관절의 관절염이 2예에서 발생하였다. 제1 중족지 관절의 불유합은 관찰되지 않았다. 결론: 류마티스 전족부 변형에 대해 변형 Hoffman 술식은 안전하고 만족스러운 술식으로 사료된다. Purpose: A rheumatoid forefoot deformity includes severe hallux valgus and claw toe of the four lateral toes. The authors intended to analyze the mid-term results of the modified Hoffman procedure for a rheumatoid forefoot deformity. Materials and Methods: Twenty-two feet of eighteen patients were followed up for more than two years after the modified Hoffman procedure. The mean age was 54.7 years, and the mean follow-up period was three years and four months. Clinically visual analogue scale (VAS) and American Orthopaedic Foot and Ankle Society (AOFAS) MP-IP score were analyzed preoperatively and postoperatively. The postoperative complications, the satisfaction of patients, and the presence of plantar callosity were also analyzed. Radiographically, the hallux valgus angle, the 1st intermetatarsal angle, the 1st interphalangeal angle, the 1st interphalangeal joint arthritic change after the operation, and the dorsiflexion angle and the time to union of the 1st metatarsophalangeal joint were analyzed. Results: Clinically, the VAS and AOFAS score were respectively improved from 7.1 points and 30.3 points preoperatively to 1.5 points and 83.1 points postoperatively (p<0.001). All patients were satisfied with the results. Plantar callosity disappeared in all cases. Radiographically, the mean hallux valgus angle, the 1st intermetatarsal angle, and the 1st interphalangeal angle changed from 52.8°, 13.3°, and 7.5° preoperatively to 16.2°, 8.7°, and 14.6° postoperatively (p<0.001). The mean dorsiflexion angle of the 1st metatarsophalangeal joint was 17.2° postoperatively. The mean time to radiographic union of the 1st metatarsophalangeal joint was 11.1 weeks. There were two cock-up deformities of the lesser toe, one wound problem, and two hallux interphalangeal joint arthritis as a complication. There were no cases of nonunion of the 1st metatarsophalangeal joint. Conclusion: The modified Hoffman procedure appears to be a safe and satisfactory procedure for a rheumatoid forefoot deformity.

한국인에게서 당뇨병성 말초 신경병증을 선별하기 위한 문진표의 유용성

정윤석(Yoon Sok Chung),채봉남(Bong Nam Chae),홍은경(Eun Gyoung Hong),이성규(Seong Kyu Lee),노혜림(Hae Lim Noh),김윤정(Yoon Jung Kim),신영구(Young Goo Shin),이관우(Kawn Woo Lee),김현만(Hyeon Man Kim) 대한내과학회 1999 대한내과학회지 Vol.57 No.1

N/A Discrepancies exist in the currently available data on the prevalence of diabetic neuropathy. Variations in the prevalence of diabetic neuropathy have reflected the different criteria used to form its diagnosis. The majority of diagnostic criteria are less practical in many routine clinical settings where there is a need for a simple assessment using widely available techniques to rapidly screen large numbers of patients. We already reported that the questionnaire of Feldman's two-step assessment was less useful in Koreans, because of the different expression of neuropathic symptoms. We proposed a representative questionnaire which was based on patients' own complaints, and assessed its clinical availability. Methods : Ninety diabetic patients(45 cases with diabetic neuropathy, 45 cases without neuropathy) were included in this study. Diabetic neuropathy was diagnosed by neurologic examination and nerve conduction velocity. The questionnaire consisted of 7 questions on foot sensation (prickling, lancinating, burning, numb), which are frequent complaints of diabetic patients. All subjects were assessed with the questionnaire. Results : 1. The most sensitive symptom was tingling sensation (75.6%) and the least sensitive one was numbness(28.9%). 2. The most specific symptom was numbness(82.2%) and the least specific one was tingling sensation(33.3%). 3. If we would assume that three or more of symptoms were diagnostic, the sensitivity and specificity were 66.7% and 53.3%, respectively. Conclusion : Our new questionnaire can be used as a screening test or a follow-up tool for the diagnosis of diabetic peripheral neuropathy in Koreans.