강직성 척추염과 동반된 경수손상 환자의 치료 경험 : 증례보고 Case Report

장호열,조용은,윤도흠,오성훈,박형천,김영수 대한신경외과학회 1991 Journal of Korean neurosurgical society Vol.20 No.12

A case of cervical cord injury with neurological deficit in patient with ankylosing spondylitis is presented. Ankylosing spondylitis causes a high incidence of spinal cord injury with a minor trauma and at that time inital treatments and combined complications are quite different from other spinal cord injuries. We discuss the treament and complications of spinal cord injury in ankylsing spondylitis with literatures review.

요추간반 탈출증에서 적외선 체열 촬영과 통증 척도와의 상관 관계

장호열,진동규,조용은,김영수 대한신경외과학회 1999 Journal of Korean neurosurgical society Vol.28 No.2

구강 내 소수술 시 midazolam을 이용한 의식하 진정법의 활용

장호열,유인순,김현철,이상철 대한치과이식임플란트학회 2007 The Korean Academy of Implant Dentistry Vol.26 No.1

Internal sinus floor elevation 시 상악동의 폭경에 따른 골이식재 선택

장호열,이장렬,궁화수,김현철,박일해,이상철 대한치과이식임플란트학회 2008 The Korean Academy of Implant Dentistry Vol.27 No.1

터키안 상부 배아 세포성 종양의 임상경험

장호열,최중언,정상섭,이규창 대한신경외과학회 1991 Journal of Korean neurosurgical society Vol.20 No.12

The germ cell tumors are classified to germinoma, immature teratoma, mature teratoma, choriocarcinoma, yolk sac tumor and embryonal carcinoma. We analzyed 10 cases of suprasellar germ cell tumors which had been treated at Yonsei University Hospital from 1980 to 1990. Results of our study were summurized as follows : Common clinical symptoms are diabetes insipidus, visual dysfunction, panhypopituitarism, etc. Therapeutic plan can be based on serum and CSF AFP and HCG level. Pretreatment and posttreatment hormonal evaluation wer performed and hormonal replacement were required in all patients. Germinoma showed good outcome but immature teratoma showed bad outcome by multisystem involvement. More advanced new chemotherapeutic and immunotherapeutic agents must be studied for this tumor.

일부 성인의 계속구강관리프로그램 인식과 요구도

장호열 ( Ho-yeol Jang ),이수련 ( Su-ryeon Lee ),이윤지 ( Yun-ji Lee ),이수빈 ( Soo-bin Lee ),이하늘 ( Ha-neul Lee ),이혜빈 ( Hye-bin Lee ),황수정 ( Soo-jeong Hwang ) 한국치위생과학회 2016 치위생과학회지 Vol.16 No.6

본 연구는 구강보건교육에 대한 경험, 계속구강건강관리프로그램 필요성과 참여 의향을 알아보기 위해 2016년 6월1일부터 8월 3일까지 대전광역시에서 거주하며 치과에서 1회이상 진료를 받은 경험이 있는 만 19세 이상 성인 중 303명을 편의추출하여 설문조사하였다. 그 결과, 3회 이상 이를 닦는 대상자는 72.6%였으며 구강보조용품을 사용하는 대상자는 55.8%였고 칫솔질 시간이 2분 이상인 대상자는 55.8%였다. 치면착색제 경험은 1일 칫솔질 횟수에 영향을 미쳤으며 치면착색제 경험, 칫솔질 교육, 구강보조용품 사용 교육, 치주질환 예방 교육은 구강보조용품 사용과 1회 칫솔질 시간에 영향을 미쳤다. 계속구강건강관리 프로그램이 필요하다고 생각하는 대상자는 93.1%였으며 계속구강건강관리프로그램 참여의향은 68.0%였다. 계속구강건강관리 프로그램 1회 참여비용은 1만원 이상 2만원 미만이 70.3%로 가장 많았으며 관리주기는 6개월이 42.6%로 가장 많았다. 계속구강건강관리 프로그램 요구도는 구강세균검사 74.3%, 칫솔질 교육 71.6%, 구취검사 69.3%, 구강보조용품 교육 46.9%, 치면세균막검사 42.9%, 타액검사 37.6% 순이었다. 계속구강건강관리 프로그램 필요성 인지에 영향을 미치는 요인은 고졸 이하에 비해 대졸 이상 4.514배, 구강보조용품을 사용하지 않은 군에 비해 사용하는 군이 2.878배, 칫솔질 시간이 2분 미만군에 비해 2분 이상군이 3.138배 필요성 인지가 높았다. 계속구강건강관리 프로그램 참여 의향에 영향을 미치는 요인은 치주질환 예방 교육 경험이 없는 군에 비해 예방교육 경험이 있는 군이 1.915배 높았으며 구강보조용품 사용을 하지 않는 군에 비해 사용하는 군이 2.065배 높았다. 따라서, 치과에 내원하는 환자에게 지속적으로 구강보건교육을 하는 것이 계속구강건강관리 프로그램에 참여율을 높일 수 있다고 생각되었다. 또한, 구강세균검사나 구취검사 등이 성인 계속구강건강관리 프로그램에 포함되는 것이 추천되며 계속구강건강관리 프로그램이 본인이 부담할 수 있는 적정 비용 수준으로 보험 급여화될 수 있도록 제안해야 한다. Dental caries and periodontal disease are considered to be chronic, but can be prevented through an incremental oral health program covering all ages. The National Oral Health Program for adults provides oral health exam and scaling, and is covered by national health insurance for those over 20 years of age in Korea. The aim of this study was to collect basic data for developing an oral health program for adults by identifying factors related to awareness and need. The data were obtained by convenience sampling of 303 subjects. The use of dental plaque disclosing agents affected tooth brushing frequency, toothbrushing time and use of oral auxiliary devices. Education on toothbrushing methods affected toothbrushing time and use of oral auxiliary devices. Of those surveyed, 93.1% replied that an incremental oral health program for adults was needed, and 68.0% intended to participate. In a regression model, the factors that had an effect on the perceived need for an oral health program were education level, use of oral hygiene auxiliary devices, and toothbrushing time, and the factors affecting intent to participate were education for prevention of periodontal disease and the use of oral hygiene auxiliary devices. The subjects stated that the following oral health programs were needed: an oral bacteria exam (74.3%), toothbrushing education (71.6%), a bad breath exam (69.3%), education on use of oral hygiene auxiliary devices (46.9%), a dental plaque exam (42.9%) and a saliva exam (37.6%). Oral health education appears to be an important factor for participation in an incremental oral health program.

보건의료 분야 빅데이터 활용 실태 및 결합데이터 요구도 조사

정자혜,장호열,박균익,윤지은 한국보건정보통계학회 2024 보건정보통계학회지 Vol.49 No.1

. Objectives: To investigate the status of secondary data and big data platform utilization and the demand for integrated data in the health care sector. Methods: An online survey was conducted using a structured questionnaire targeting members of six academic societies in the healthcare field. A total of 220 researchers responded to the survey. Results: 88.2% of respondents said they had experience using secondary data sources in the healthcare field, and 19.0% responded that they had experience linking data using the healthcare big data platform. Among the data in the health and medical field, the most used dataset was health insurance claims data, and if linking between dataset, the most desired linked data type is ‘National Health and Nutrition Examination Survey-Health Insurance Claims Data–National Health Examination-Death Information’. The advantages of linked data on big data platforms were ‘large volume of big data or representative’, ‘diversity of data’, and ‘long-term follow-up’. The major items requiring improvement were ‘delay in time to provide data’, ‘limitation of data provision range’, and ‘low linkage rate between dataset’. Conclusions: To promote the use of linked data in the health care field, comprehensive efforts are needed, including rapid data provision, improvement of the combination rate, standardization of data, and establishment of ethical guidelines.

치아결손부에 자가치아 이식술을 시행한 치험례

손효정,장호열,금윤선,김현철,이상철 대한치과이식임플란트학회 2009 The Korean Academy of Implant Dentistry Vol.28 No.1

Hoarseness after Section of a Cervical Vagus Nerve Schwannoma

노성현,장호열 대한말초신경학회 2017 The Nerve Vol.3 No.1

Schwannomas of the cervical vagus nerve are slow-growing asymptomatic solitary neck masses that rarely undergo malignant change. We report the case of a 41-year-old man who presented with a six-month history of a painless neck mass and paroxysmal coughing after palpation of the mass. Surgical excision of the mass was performed, and histopathological examination revealed that the mass was a schwannoma. The patient developed hoarseness after removal of the schwannoma, which originated from the fibers of the recurrent laryngeal nerve (RLN). We describe the relationship of the tumor and RLN and review the anatomy of the vagus nerve.

Recycling of Cervical Artificial Disc for the Symptomatic Adjacent Segment Disorder Combined with Instability on Total Disc Replacement Area: A Case Report

임은현,장호열,박정윤,양국희 대한척추신경외과학회 2010 Neurospine Vol.7 No.3

The authors describe the revision case of a 58‐year‐old man who presented with pain in the neck and both shoulders after C4‐5 cervical total disc replacement(C‐TDR) and C5‐6 anterior cervical discectomy and fusion(ACDF), and in whom there was evidence of instability with sagittal translation at the C4‐5 TDR level and of a herniated cervical disc(HCD) at the left side of C3‐4. The revision surgery was performed as follows: previous plate removal at the C5‐6 level, artificial disc removal and ACDF at the C4‐5 level with cage and previous plate insertion, and TDR at the C3‐4 level using the previously implanted C4/5 artificial disc. If instability develops at the level of an artificial disc, we perform additional posterior fusion or anterior removal of the artificial disc and fusion. However, if we encounter combined adjacent segment disc disease, we may reuse the unstable segment artificial disc at the adjacent segment and perform salvage anterior fusion on the unstable segment. This is the first report issued on the management of instability after previous C‐TDR involving a switch to ACDF and the use of new TDR at the adjacent level. Furthermore, we conceptually recommend a solution to an emerging problem of adjacent segment disease due to the heterotopic ossification(HO) after C‐TDR.