갑상선 질환자에게 적용한 중재 프로그램에 대한 체계적 문헌고찰 - 국내연구를 중심으로

오현주,조정화,Oh, Hyun-Joo,Cho, Jeong-Hwa 한국융합학회 2021 한국융합학회논문지 Vol.12 No.4

본 연구는 국내 갑상선질환자를 대상으로 한 중재 연구 프로그램의 특성과 결과변수를 분석하기 위한 체계적 문헌고찰 연구이다. 국내 5개의 데이터베이스에서 2019년까지 발표된 문헌을 체계적으로 고찰하였다. 확인한 824편 중 선정기준에 맞는 6편을 추출하였다. 본 연구의 결과 프로그램은 교육, 활동, 상담으로 분류되었다. 교육 및 상담요법은 심리사회적인 변수와 신체생리적인 변수에 유의한 영향을 미치고 있었다. 활동요법은 신체생리적 변수에 유의한 영향을 나타내었다. 본 연구는 국내 갑상선질환자를 위한 다양한 중재 프로그램의 개발과 운영방안에 대한 근거를 제시하였다는 것에 의의가 있으며 향후 갑상선질환자의 신체생리적 기능과 심리사회적 문제를 고려한 융합적 프로그램개발연구에 활용될 수 있을 것이다. This study is a systematic review of literature to analyze the characteristics and outcome variables of intervention research programs for domestic thyroid patients. We systematically reviewed the literature published until 2019 in five domestic databases. Six of the 824 confirmed articles were extracted according to the selection criteria. The results of this study were classified into education, activities, and counseling. Education and counseling therapy had a significant effect on psychosocial and physiological variables. Activity therapy had a significant effect on physiological variables. This study presented the basis for the development and implementation of various intervention programs for domestic thyroid patients and can be used for the study of the convergence program development considering physiological and psychosocial problems of the thyroid patients.

양독백호탕으로 호전된 소양인 사지 말단부위 냉증 환자 1례 보고

오현주,황민우,Oh, Hyun-Joo,Hwang, Min-Woo 사상체질의학회 2017 사상체질의학회지 Vol.29 No.3

Objectives The purpose of this study was to report significant improvement of peripheral coldness in patient, who was diagnosed with 'Soyangin Chest-heat symptomatic pattern' and applied medication based on Sasang Constitutonal medicine. Methods The patient was treated with herbal medications, according to his own symptomatology. The objective outcome was measured by thermography and the subjective sensation was assessed by using Visual Analogue Scale (VAS). Results The symptoms of peripheral coldness improved remarkedly without any side effects. Accessory symptoms and original symptoms also changed for the better. Conclusions This results show that it is available that peripheral coldness is treated with herbal medications according to Sasang Constitutional medicine, especially ingenious in terms of the fact that some patient can be diagnosed with heat-based condition on the basis of original symptoms, although his/her chief complaint is classified as cold pattern.

듀안안구후퇴증후군의 얼굴돌림과 내전시 과도한 상하전에 대한 수술적 치료

오현주,문성혁,김명미,Oh Hyun Ju,Sung Hyuk Moon,Myung Mi Kim 대한안과학회 2013 대한안과학회지 Vol.54 No.6

Purpose: To present the results of patients undergoing surgical treatment and determine clinical guidelines for the face turn, and up and down shoot in Duane retraction syndrome (DRS). Methods: Thirty-four patients with DRS were treated with single horizontal rectus muscle recession, lateral rectus (LR) recession with Y-splitting, or LR recession with Y-splitting combined with medial rectus (MR) recession. The different treatment approaches were based on the angle of deviation in the primary position, versions, and ductions. In all patients, ocular alignment, face turn and up and down shoot were assessed preoperatively and postoperatively. Results: The average standard deviation reduced from 18.5 ± 6.5 prism diopters (PD) to 4.6 ± 5.8 PD in horizontal rectus muscle recession and 14.4 ± 5.5 PD to 1.6 ± 2.8 PD in LR recession with Y-splitting. LR recession with Y-splitting combined with MR recession was effective in reducing globe retraction. Postoperative 4-mm LR recession with Y-splitting did not change ocular alignment; 7-mm LR recession with Y-splitting showed an average correction of 12.8 PD. Postoperatively, all patients presented a reduction in face turn; however, there was no statistically significant difference between the 2 procedures (Mann-Whitney U test, p = 0.620). Conclusions: Decisions regarding surgical approaches in DRS should be based on the amount of deviation in primary eye position, the expression of up and down shoot, and the degree of face turn. Surgeons planning Y-splitting of LR with MR recession must consider modifying the MR recession amount due to the smaller LR recession effect of Y-splitting compared with conventional LR recession.

만성중심장액맥락망막병증에서 절반 에너지보다 낮은 에너지를 이용한 광역학치료의 효과

오현주,장우혁,사공민,Hyun Ju Oh,MD,Woohyok Chang,MD,PhD,Min Sagong,MD,PhD 대한안과학회 2013 대한안과학회지 Vol.54 No.7

Purpose: To investigate the safe, effective light dose for photodynamic therapy (PDT) in the treatment of chronic central serous chorioretinopathy (CSC). Methods: Thirty-eight eyes of 37 patients with chronic CSC were recruited for this study. From November 2009 to July 2010 and from April 2011 to February 2012, PDT was performed using 50% and 25% of the full light dose in 27 eyes of 27 patients (group I) and 11 eyes of 10 patients (group II), respectively. The minimum follow-up period was 6 months. Mean change in best corrected visual acuity (BCVA) and central retinal thickness, hyperpermeability change from abnormal choriocapillaris, success rate, recurrence rate, and complications were analyzed. Results: Group I showed that BCVA (log MAR) improved significantly from 0.33 ± 0.17 to 0.14 ± 0.15 at 6 months (p < 0.001). However, there was no significant improvement of BCVA (p = 0.050) in group II. One eye out of 27 eyes (3.7%) in group I and 5 eyes out of 11 eyes (45.5%) in group II showed recurrence at the 6-month follow-up (p = 0.016). After initial PDT, hyperpermeability from abnormal choriocapillaris reduced or disappeared at 95.5% in group I and 54.5% in group II at month 3 (p = 0.016). No patient in either group experienced severe adverse events. Conclusions: PDT performed with 50% of the full light dose appears to be a more useful method in the treatment of chronic CSC, with less frequent recurrence, than PDT using 25% of the full light dose.

팔당호의 오염퇴적물 분포 조사

오현주,홍종엽,이상득,정문조,Oh, Hyeon-Ju,Hong, Jong-Youb,Lee, Sang-Deuk,Chung, Moon-Jo 대한환경공학회 2000 대한환경공학회지 Vol.22 No.7

수도권의 상수원으로 사용되고 있는 팔당호를 대상으로 34개의 지점에서 깊이별로 퇴적물을 채취하여 퇴적물의 분포 및 오염현황을 조사하였다. 퇴적물의 강열감량과 CODcr, 총인, 총질소 농도를 분석하였고, 호소 수질 환경에 따라 퇴적물에서 재용출 가능성이 있는 인의 함량을 살펴보기 위해 존재형태별로 인을 분석하였다. 퇴적물의 지역별 깊이별 오염도 분석 결과 팔당호의 경우, 퇴적층의 심도에 따른 오염물질 농도 차는 그다지 크지 않았고, 이러한 오염도 분석결과로부터 팔당호 오염 퇴적물 분포도를 작성할 수 있었다. 또한, 호소 심층 환경에서 퇴적물로부터 재용출 가능한 인은 전체의 약 20~30%인 것으로 나타났으며 이러한 결과는 앞으로 관련연구에 기초 자료로 활용될 수 있을 것이다. Status of the contaminated sediments in Lake Paldang was investigated. Sediment samples were taken at 34 points and analyzed in terms of ignition loss, CODer, total P and total N. The contamination level did not show any significant variation with depth of the sediments, which indicated the contaminants were recalcitrant. The type of P in the sediment was analyzed, and the sum of adsorbed P and NAI-P, that can be re-solubilized under the reductive condition, was found to be 20-30% of the total P. From the analysis of the water quality change along with the flowing path, it would be concluded that the effect of the sediments on the water quality is insignificant yet in Lake Paldang. However, long term analysis covering at least four seasons should be continued in order to get a more reliable conclusion. A depth profile map of the sediment in Lake Paldang was provided.

건칠 추출물이 Streptozotocin으로 당뇨를 유도한 흰쥐에 미치는 영향

오현주,고성규,신용철,Oh, Hyun-Joo,Ko, Seong-Gyu,Shin, Yong-Cheol 대한예방한의학회 2006 대한예방한의학회지 Vol.10 No.1

Rhus verniciflua Stokes(RVS) has been widely used as a food and traditional herbal medicine in Korea. RVS has been reported that the extract from its wood and fruit has strong antioxidant activity and anticancer effect but there is little information on Lacca Sinica Exsiccata(LSE), the resin of RVS, as a medicinal use. The aim of this study was to evaluate the antidiabetic effect of ethanol-eluted extract of LSE on streptozotocin(STZ) - induced diabetic rats. Diabetes was induced in male Sprague-Dawley rats with STZ injection. Oral administration of LSE extract(50mg or 100mg/kg of body weight/day) was given to diabetic group. During 4 weeks of experiment, diabetic rats showed significant weight loss and decreasing feed efficiency ratios(FER) compared with normal rats, while the diabetic group orally fed with LSE extract showed a trend of decreasing weight loss and a significant increase of FER(p<0.05). In 4 weeks after induction of diabetes, diabetic rats showed an increase in weight of liver, kidney and heart, whereas the diabetic rats administered with LSE extract showed a reduction in the weight of heart. Blood glucose level was decreased in diabetic rats treated with LSE extract, but it was not statistically significant. Glutamic oxaloacetic transaminase, Glutamic pyruvate transaminase and total cholesterol levels were lower in the diabetic group treated with LSE extract than in untreated diabetic group, but not significant. These results present that LSE may partly have antidiabetic effect and may protect against the development of diabetic heart complications resulting from impaired glucose metabolism.

기능성 소화불량증이 호전된 소양인 비수한표한병 환자 3례 보고

오현주,홍승민,황민우,Oh, Hyun-Joo,Hong, Seung-Min,Hwang, Min-Woo 사상체질의학회 2016 사상체질의학회지 Vol.28 No.3

Objectives The purpose of this study was to report significant improvement of functional dyspepsia in 3 patients, who were diagnosed with 'Soyangin Spleen Cold-based Exterior Cold disease' and applied medication based on Sasang Constitutonal medicine.Methods The patients were treated with herbal medications, according to their own constitution. The objective outcome was measured by body composition analyzer and Gastrointestinal Symptom Rating Scale (GSRS), and the subjective sensation was assessed by using Visual Analogue Scale (VAS).Results The symptoms of functional dyspepsia improved remarkedly in all respects, without any side effects. Original symptoms also changed for the better.Conclusions This results show that it is available that functional dyspepsia is treated with medicines according to Sasang Constitutional medicine.

Salmonella enteritidis 위장관염에 합병된 급성 비결석성 담낭염 1예

오현주,강현식,강기수,김승형,김봉수,김광식,Oh, Hyun-Ju,Kang, Hyun-Sik,Kang, Ki-Soo,Kim, Seung-Hyung,Kim, Bong-Soo,Kim, Kwang-Sig 대한소아소화기영양학회 2009 Pediatric gastroenterology, hepatology & nutrition Vol.12 No.1

저자들은 평소 건강하던 9세 남아에게서 Salmonella enteritidis 위장관염에 합병된 급성 비결석성 담낭염을 임상증상, 혈액 검사 및 배양 검사, 복부 초음파 검사등을 통하여 진단 할 수 있었다. 또한 항생제 치료와 비수술적 방법인 경피경간 담낭배액술을 통하여 성공적으로 치료 하였기에 이에 보고하는 바이다. We report a rare case of acute acalculous cholecystitis (ACC) caused by Salmonella enteritidis infection in a previously healthy 9-year-old boy. Salmonella enteritidis was isolated from stool and bile culture. The diagnosis of ACC was established upon clinical, laboratory, and ultrasonographic findings. The patient was successfully treated using percutaneous transhepaticcholecystic drainage (PTCCD) in combination with antibiotics therapy.

수치지질도의 세계측지계 좌표변환 (ArcToolbox를 이용한 충주 및 황강리 도폭의 사례)

오현주,Oh, Hyun-Joo 대한자원환경지질학회 2015 자원환경지질 Vol.48 No.6

우리나라에서는 2010년부터 국제적으로 통용되는 세계측지계의 사용을 의무화하였다. 이에 따라 현재 국토지리정보원에서 발행되는 수치지도는 세계측지계 기준으로 제공되고 있다. 그러나 현재도 대부분의 수치지질도는 동경측지계 기준으로 제공되고 있다. 따라서 사용자들은 수치지질도를 이용한 2D/3D 지질공간분석에 있어서 수치지질도의 좌표를 세계측지계로 변환하여 사용할 수밖에 없는 실정이다. 따라서 본 논문에서는 수치지질도의 좌표정의 및 변환에 익숙하지 않은 사용자들을 위해 ArcToolbox를 이용한 동경측지계로의 좌표정의 및 세계측지계로의 좌표변환 방법을 소개하고자 한다. 이때 좌표정의 및 변환의 객관성을 도모하기 위해서 인접한 1:5만 축척의 충주와 황강리의 지질도폭을 예를 들어 사용하였다. 동경측지계 좌표정의에 있어 충주와 황강리 도폭을 각각 동경측지계 중부원점과 동부원점으로 정의하였고, 황강리 도폭을 다시 동경측지계 중부원점으로 변환하여 충주 도폭과 병합하였다. 세계측지계 좌표변환에 있어 병합된 충주 및 황강리 도폭은 다시 세계측지계 중부원점으로 변환하였다. 변환 결과, 병합된 충주와 황강리 도폭은 수치지도(대소 367041) 위치와 정확히 일치하였다. 이와 같은 방법으로 과거에 만들어진 수치지질도의 좌표문제를 효과적으로 해결 할 수 있었다. 따라서 본 논문에서 제시한 좌표정의 및 변환 방법은 향후 다양한 수치주제도들의 2D/3D 지질공간분석시 주제도들의 전처리 과정으로 유용하게 사용될 수 있을 것으로 기대된다. In Korea, the use of world geodetic system(WGS) has been mandated in year 2010. Accordingly, the national geographic information institute(NGIS) provides the digital maps according to the WGS. Nevertheless, most of the digital geological maps are still based on the Tokyo Datum(TD). Therefore, users should conduct 2D/3D geological spatial analysis after converting the coordinates of digital geological maps to WGS. The conversion process is often tedious and troublesome for certain users. Therefore, in this study, the method to transform coordinate from TD to WGS using ArcToolbox is introduced for users not familiar with the process. For a better appreciation, the Chungju and Hwanggang-ri digital sheets of 1:50,000 scale was chosen as an example. Here, Chungju and Hwanggang-ri sheets were defined based on the TD-central origin and TD-east origin, respectively. The two sheets were merged after the transformation of TD-east origin of Hwanggang-ri to the TD-central origin, and eventually transformed to WGS-central origin. The merged map was found to match exactly with the digital map(Daeso 367041). The problem of coordinate determination in previous digital geological maps was solved effectively. The proposed method is believed to be helpful to 2D/3D geological spatial analysis of various geological thematic maps.

한국표준질병사인분류의 개정에 관하여

오현주,OH, Hyun-Ju 한국생명보험의학회 2008 保險醫學會誌 Vol.27 No.1

The 5th revision of Korean Classification of Diseases(KCD) became effective on January 1, 2008. It has reflected the changes made to the tenth revision of International Classification of Diseases (ICD-10) between 1998 and 2005 and the suggestions of academic and related societies in Korea. Two important alterations seem to have a major implication in the insurance industry. One would be the official introduction of a Korean version of International Classification of Diseases for Oncology, third edition(ICD-O-3). The borderline ovarian tumor is classified as a borderline neoplasm, which was classified as a malignant neoplasm in the previous edition of International Classification of Diseases for Oncology. The other would be the appearance of non-C-code malignant neoplasm for the diseases, such as polycythemia vera, newly classified as a malignant neoplasm by the current edition of International Classification of Diseases for Oncology. The National Office of Statistics(NSO) adopted the way of implementation used in the Australian Modification of International Classification of Diseases(ICD-10-AM), instead of assigning them into corresponding C code. Overall, the changes made in this revision doesn't seem to have a serious impact on the insurance industry since it has only reflected updates made to ICD-10.