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지리정보체계를 이용한 강릉시 12 세 아동의 지역별 영구치우식분포 평가 : Analysis using geographic information system
이승우,함영록,마득상,박덕영 대한구강보건학회 2001 大韓口腔保健學會誌 Vol.25 No.1
In Korea, the prevalence of dental caries is considered to be disproportionately high in rural area. This oral health disparity between urban and rural area is likely to exist in Kangnung-city. This study aimed to examine public dental health problems and to help setting priorities of dental health programs of Kangnung-city. One dentist conducted dental examination and data were obtained from population of 12 year-olds in Kangnung-city(2,948 person). Intraexaminer reliability on the status of tooth surface was assessed using kappa index(k=0.93). We examined the population data, dental caries experience, sealants placement experience, and distribution of dental health care institutions relevant to the geographical distribution of oral health care in Kangnung-city. Results were summarized and presented by geographic information system(GIS) techniques. In spite of severe disparity of geographical accessibility to oral health care between urban and rural area, DMFT index was not different significantly and slightly higher in urban area. However, DT rate was significantly higher in rural area than that of urban area. Rate of subjects who experienced sealants placement was different by areas. We could find low primary preventive activities, and low secondary preventive activities in several areas. Activities of public oral health sector should be promoted to improve oral health by prevention-oriented public oral health programs. Geographic information system was useful to summarize and compare various data relevant to oral health disparity.
Acute Kidney Injury and Kidney Damage in COVID-19 Patients
나기량,김해리,함영록,최대은,이강욱,문재영,김연숙,천신혜,손경목,김정옥,김성민,정형석,전재완 대한의학회 2020 Journal of Korean medical science Vol.35 No.28
Background: Coronavirus disease 2019 (COVID-19) is caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. This disease, which is quickly spreading worldwide, has high potential for infection and causes rapid progression of lung lesions, resulting in a high mortality rate. This study aimed to investigate the effects of SARS-CoV-2 infection on renal function in patients with COVID-19. Methods: From February 21 to April 24, 2020, 66 patients diagnosed with COVID-19 at Chungnam National University Hospital were analyzed; all patients underwent routine urinalysis and were tested for serum creatinine, urine protein to creatinine ratio (PCR), and urine albumin to creatinine ratio (ACR). Results: Acute kidney injury (AKI) occurred in 3 (4.5%) of the 66 patients, and 1 patient with AKI stage 3 underwent hemodialysis. Upon follow-up, all 3 patients recovered normal renal function. Compared with patients with mild COVID-19, AKI (n = 3) occurred in patients with severe COVID-19, of whom both urine PCR and ACR were markedly increased. Conclusion: The incidence of AKI was not high in COVID-19 patients. The lower mortality rate in SARS-CoV-2 infection compared with previous Middle East respiratory syndrome and SARS-CoV infections is thought to be associated with a low incidence of dysfunction in organs other than the lungs.
송창훈,배홍진,함영록,나기량,이강욱,최대은 전해질고혈압연구회 2017 Electrolytes & Blood Pressure Vol.15 No.2
Ethylene glycol is a widely used and readily available substance. Ethylene glycol ingestion does not cause direct toxicity; however, its metabolites are highly toxic and can be fatal even in trace amounts. Poisoning is best diagnosed through inquiry, but as an impaired state of consciousness is observed in most cases, poisoning must be suspected when a significantly elevated osmolar gap or high anion gap metabolic acidosis is found in blood tests. Hemodialysis and alcohol dehydrogenase inhibitors such as ethanol and fomepizole are a part of the basic treatment, and timely diagnosis and treatment are crucial because any delays can lead to death. However, there are few reported cases in Korea, and no report on the use of fomepizole. Herein, we report a case of acute renal failure caused by ethylene glycol poisoning that was treated with fomepizole and hemodialysis and present a literature review.