외상성 뇌손상 환자의 삶의 질 수준에 대한 연구

박준순,노승호 大韓神經精神醫學會 1997 신경정신의학 Vol.36 No.4

이 연구는 TBI 환자의 삶의 질이 실제로 정상인에 비하여 어느 정도인지 전반적인 면에서 그리고 정신사회적인 면과 신경행동 증상적인 면으로 나누어 알아보고자 하였다. TBI 환자 31명과 정상대조군 31명을 대상으로 하였고 삶의 질에 대한 평가는 QL-Index, SIP, HISCL, NRS을 사용하였다. 그 결과는 다음과 같다. 1) TBI군과 대조군 사이의 삶의 질 수준을 비교한 결과 QL-Index, SIP, HISCL, NRS 척도 모두에서 두 군간의 유의한 차이가 있었다. (p〈0.01). 2) QL-Index에서 보고한 TBI군의 삶의 질 저하의 정도는 67.4±19.2였고 대조군은 8.1±6.4였다. TBI군은 사회적 활동에서 손상이 가장 심했고 삶에 대한 전망, 건강상태, 일상적 활동, 그리고 지지적 유대관계 순이었다. 3) SIP에서 보고한 정신사회적 장해 정도는 TBI군이 67.2±20.1이었고 대조군은 8.5±6.9였다. TBI군은 업무수행에서 손상이 가장 심했고 집안관리, 사회적 상호관계 순이었으며 신체관리 및 운동성과 섭식에서 가장 낮았다. 4) HISCL에서 보고한 TBI군의 주관적인 증상은 기억력 감퇴가 가장 심했고 집중력, 소음 과민성 순이었으며 광과민성과 불면이 가장 적었다. 5) NRS로 평가한 TBI군의 객관적인 증상은 신체적 염려를 가장 높게 평가하였고 우울감, 불안 순이었으며 환각적 행동, 이해력 결손을 가장 낮게 평가하였다. NRS 4가지 요인들로 나누어 손상의 정도를 평가한 결과 요인 Ⅲ(신체/불안)이 가장 높았으며 요인 Ⅰ(인지/에너지), 요인 Ⅱ(이인지기능), 그리고 요인 Ⅳ(언어)의 순이었다. 6) TBI군의 QL-Index, SIP, HISCL 그리고 NRS 점수들의 상관을 구해 본 결과 각 척도 점수들 사이 모두에서 유의한 상관을 보였다(p〈0.01), 그리고 상관의 정도는 객관적인 삶의 질 척도에 비해 주관적인 삶의 질 척도에서 더 높았다. 이상을 요약하면 삶의 질의 전 영역에서 TBI군의 저하가 큰 것으로 평가되었다. TBI 환자는 업무수행력과 사회적 어려움을 놓게 평가한 반면 의사들은 신체 증상과 우울 증상 등의 정서적 어려움을 높게 평가하였다. This study was designed to investigate the quality of life(QOL) in the patient with traumatic brain injury(TBI), in view of the global, psychosocial and neurobehavioral aspects of QOL. Thirty-one patients with TBI and corresponding matched controls were rated with a global measure(Quality of Life-Index ; QL-Index), a psychosocial measure(Sickness Impact Profile : SIP), and a self-rating(Head Injury Symptom Checklist : HISCL) and an objective symptom scales(Neurobehavioral Rating Scale : NRS). The results were as follows : 1) There were significant difference between the TBI and the control groups in the level of QOL measured by all scales(p〈0.01). 2) On QL-Index, the decrement of QOL was 67.4±19.2 in TBI group, and 8.1±6.4 in control group. In TBI group, the severity of impairment was highest in Activity(involvement in own occupation), and the following items were 'Outlook in Life', 'Perception of own Health', 'Activities of Daily Living', Support of Family and Friends' in decreasing order of severity. 3) On SIP, the degree of psychosocial dysfunction was 67.2±20.1 in TBI group, and 8.5±6.9 in control group, the impairment was highest in 'Work' and the following items were ‘Home Management’ and ‘Social Interaction’, with ‘Body Care and Movement’ and ‘Eating’ the lowest. 4) On HISCL the severity of subjective symptoms of TBi patients was highest in ‘Memory’, and the next were ‘Concentration’ and ‘Noise sensitivity’ and the lowest ‘Light sensitivity’ and ‘Insomnia’. 5) On NRS, the severity of objective symptoms of TBI patients was highest in ‘Somatic concern’, ‘Depressive mood’, and ‘Anxiety’ in decreasing order. Among the four factors of NRS, the severity of impairment was highest in Factor Ⅲ(Somatic/Anxiety), and the next were Factor Ⅰ(Cognition/Energy), Factor Ⅱ (Metacognition), and Factor Ⅳ(Language). 6) There was significant correlation among the total scores of all the above scales in the patients with TBI(p〈0.01).

장애 평가 후 5년 경과된 외상성 뇌손상 환자의 정신사회적 기능에 대한 연구

박준순,노승호 大韓神經精神醫學會 2005 신경정신의학 Vol.44 No.5

Objectives : This study was designed to investigate the long-term psychosocial outcome of the patients with traumatic brain injury (TBI) about five years after initial assessment of disability. The psychosocial outcome was evaluated in the areas of cognitive function, neurobehavioral symptoms, socio-occupational function, purpose of life, and quality of life. Methods : Twenty seven patients with TBI (TBI-S) were selected, who had admitted to the department of Neuropsychiatry of the Wonkwang University Hospital with a primary diagnosis of TBI for the initial assessment of disability during the period 1994-1998. At first, the author assessed their functions with the Neurobehavioral Rating Scale, Social Occupational Functioning Assessment Scale, and Quality of Life Index. And the patients completed the Korean Wechsler Adult Intelligence Scale, Rey-Kim Memory Test and Kims Executive Function Test, the Head Injury Symptom Checklist, Korean version of SmithKline Beecham Quality of Life Scale and Purpose-in-Life Test. The data from the TBI-S were compared between those from the TBI patients (TBI-C) who had received brain injury at the similar time and the TBI-S and admitted for the assessment of disability. Results : Although there was no significant difference between the two TBI groups in the areas of cognitive function, such as generaI intelligence, verbal comprehension, visuo-spatial function, attention, memory, and executive function, the TBI-S showed significantly lower neurobehavioral symptoms, higher socio-occupational functioning, and higher purpose in life and quality of life levels than the TBI-C. Though 5 years had passed since injury the TBI-S still had various emotional and somatic symptoms and remained at the relatively lower levels in psychosocial functioning. Conclusion : The overall long-term psychosocial outcome of the TBI patients depends significantly on the status at the initial assessment of disability about 5 years ago. The improvement was seen in the areas of neurobehavioral symptoms and socio-occupational functioning but not in cognitive function. In spite of the improvement in some areas they still remained at relatively low levels in purpose-in-life and quality of life. This findings suggest that the specialized medical and social support is needed for their rehabilitation.

만성 추간판성 요통(discogenic lumbago) 환자에게 Intradiscal Radiofrequency Thermocoagulation을 시행한 후 발생한 추간판염 -증례 보고-

박준순,김종일,이상곤,반종석,민병우,Park, Jun-Soon,Kim, Jong-Il,Lee, Sang-Gon,Ban, Jong-Seuk,Min, Byoung-Woo 대한통증학회 1999 The Korean Journal of Pain Vol.12 No.1

We have observed discitis developed after Intradiscal radiofrequency thermocoagulation in a patient with chronic discogenic low back pain. Recently, it is becoming more common that pain-managers perform disc-manipulation or, a nerve block after penetrating a disc, so postprocedural infection of disc can be a problem. To prevent discitis, very carefull attention must be given to ensure aseptic conditions during this procedure. However, if it occurs, it needs to be treated properly. In this case, a good result was obtained by treatment with absolute bed rest, pain management, and antibiotics.

만성 추간판성 요통 ( discogenic lumbago ) 환자에게 Intradiscal Radiofrequency Thermocoagultion 을 시행한 후 발생한 추간판염

박준순(Jun Soon Park),김종일(Jeng Il Kim),이상곤(S 대한통증학회 1999 The Korean Journal of Pain Vol.12 No.1

We have observed discitis developed after Intradiscal radiofrequency thermocoagulation in a patient with chronic discogenic low back pain. Recently, it is becoming more common that pain-managers perform disc-manipulation or, a nerve block after penetrating a disc, so postprocedural infection of disc can be a problem. To prevent discitis, very carefull attention must be given to ensure aseptic conditions during this procedure. However, if it occurs, it needs to be treated properly. In this case, a good result was obtained by treatment with absolute bed rest, pain management, and antibiotics.

외상성 뇌손상 환자의 삶의 목적 수준 : 삶의 질 수준과의 상관을 중심으로 Correlation with Quality of Life

노승호,박준순 圓光大學校 醫科學硏究所 1997 圓光醫科學 Vol.13 No.1-2

This study was designed to investigate the purpose in life and the quality of life(QOL) levels of the patients with traumatic brain injury(TBI), who had received brain injury more than 6 months prior to interview. Purpose-in-Life Test(PIL), Quality of Life Index(QOLI), Sickness Impact Profile(SIP), Head Injury Symptom Checklist(HISCL), and Neurobehavioral Rating Scale(NRS) were administered to thirty-one brain-injured patients and corresponding matched controls. The results were as follows: 1) PIL and QOL levels of the brain-injured patients were significantly lower than those of the normal control group(p<0.01): 2) the mean PIL score of TBI patients was 58.3±22.7, which meant the patients still remained in the state of existential vacuum. 3) On QOLI, the decrement of QOL was 67.4±19.2 in TBI group, and 8.1±6.4 in control group. In TBI group, the severity of impairment was highest in 'Activity(involvement in own occupation)', and the next were 'Outlook on life', 'Perception of own health', 'Activities of daily living', and 'Support of family and friends' in that order. 4) On SIP, a psychosocial measure, the degree of psychosocial dysfunction was 67.2±20.1 in TBI group, and 8.5±6.9 in control group. In TBI group, the impairment was highest in 'Work', and the next were 'Home management' and 'Social interaction', and that was lowest in 'Body care and movement' and 'Eating'. 5) The severity of subjective symptoms of TBI patients was highest in 'Memory', and the next were 'Concentration' and 'Noise sensitivity', and lowest in 'Light sensitivity' and 'Insomnia' on HISCL. 6) On NRS, the severity of objective symptoms of TBI patients was highest in 'Somatic concern', 'Depressive mood', and 'Anxiety' in that order. 7) In comparison of correlations among measures rating PIL and QOL, the level of correlation was highest in between self-reporting measures of QOL (QOLI-SIP, -HISCL), and the next was in between PIL and self-reporting measures of QOL (PIL-HISCL, -SIP, -QOLI). And there were relatively low levels of correlation between NRS and PIL, and NRS-QOLI.

반도체·디스플레이 장비용 바닥 환경진동허용규제치의 실험적 평가방법 고찰

안채헌,최정희,박준순,박민수,An, Chae Hun,Choi, Jeong Hee,Park, Joon Soon,Park, Min Su 한국반도체디스플레이기술학회 2021 반도체디스플레이기술학회지 Vol.20 No.1

The semiconductor and display equipment demands an ultra-fine precision of several nm to several ㎛, and the scale is getting smaller due to the explosive development. The manufacturing process equipment for such products with ultra-fine precision is very sensitive to ultra-small vibrations flowing from the floor, resulting in problems of production defects and yield degradation. The vibration criteria are a standard that regulates the vibration environment of the floor where such precision process equipment will be installed. The BBN vibration criteria defined the allowable vibration velocity level in the frequency domain with a flat and inclined line and presented a rating according to it. However, the actual vibration criteria have appeared with various magnitudes in the frequency domain according to the dynamic characteristics of individual equipment. In this study, the relationship between the relative motion of two major points in the equipment and the vibration magnitude of the floor is presented using the frequency response function of a simple 3-DOF model. It is describing the magnitudes according to the frequency of the floor vibration that guarantees the allowable relative motion and this can be used as the vibration criteria. In order to obtain the vibration criteria experimentally a method of extracting through a modal test was introduced and verified analytically. It provides vulnerable frequency and magnitude to floor vibration in consideration of the dynamic characteristics of individual equipment. And it is possible to know necessary to improve the dynamic characteristics of the equipment, and it can be used to check the vibration compatibility of the place where the equipment will be installed.

개흉술 후 흉부 및 요부 경막외강으로 투여된 Meperidine의 진통효과 비교

김종일,이상곤,박준순,민병우,반종석 대한마취과학회 1999 Korean Journal of Anesthesiology Vol.37 No.3

Background : Meperidine, having intermediate lipid solubility, permits postthoracotomy analgesia. The aim of this study is to compare the analgesic efficacy, side effects, and patient satisfactions of istered thoracic versus lumbar epidural route anesthesia during the first 48 hours postthoracotomy. Methods : A prospective randomized study was conducted for 48 hours after thoracotomy with ridine administered 50 mg as a bolus and continuously at 0.21 mg/kg/hr via either a thoracic (group T), or a lumbar (group L) epidural catheter at the end of the operation. Postoperative pain was assessed 2, 8, 24, 48 hours after the operation on a visual analog scale (VAS). Side effects and levels of patient ction of the epidural analgesia were assessed. Results : There were no significant intergroup differences in heart rate, blood pressure, pain score, side effects and levels of patient satisfaction with analgesia. Conclusions : We conclude that there is no difference between thoracic and lumbar epidural eridine analgesia for postthoracotomy pain relief. (Korean J Anesthesiol 1999; 37: 453∼458)

산업연관분석을 이용한 수산업의 경제적 파급효과 추이 분석

박경일 ( Kyoung Il ),박준순 ( Joon Soon Park ),서주남 ( Ju Nam Seo ) 한국수산경영학회 2012 수산경영론집 Vol.43 No.3

Today, the Korean fisheries is undergoing significant hardships, both domestically and internationally. While declining amount of catch, ascending international oil prices and others pose a compelling challenge to the fishing sector, the ever strengthening influence of international institutions related to fisheries and international trade organizations also compel to bring about myriad of changes in the realm of fishery products. Against the backdrop, this study attempted to examine the fisheries catch, aquaculture, service, processing fields in terms of its rippling effect and of how the industry has been changed by analyzing the past and present through an input-output analysis. As for research methods, 168 items of the input-output tables in 2000, 2005, 2009, and 2010 were integrated to form and classify 32 sectors (28 basic sectors+catch, aquaculture, fishery service, processed fishery products) so as to generate production inducement coefficient, sensitivity coefficient, and impact coefficient. The analysis results revealed that: though the linkage effect of fishery industry was not very sizable, the impact coefficient of the processed fishery products was high; the consumption and investment coefficient sector among production inducement coefficient was on an upturn trend; the export coefficient was tended to decline. In the future research, it is necessary to carry out a study based on the integration of detailed classification (404 sector) and a study and analysis of fishery industry by different regions through the inter-regional input-output tables. The fishery industry is one of the crucial industries in Korea. The fishery industry is not only important in its own right but also significant as it exerts influence over other industries. Therefore, it is required that there should be more investment and supports for the development of the fishery industry, and pay efforts to ensure that the investment and development could lead to mutual growth for both the fishery and other various industries.