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한국판 소아 양극성장애 설문지 2.0(Child Bipolar Questionnaire 2.0)의 신뢰도 및 타당도 연구
천근아,신동원,김보라,소윤섭,전진용,송동호 大韓神經精神醫學會 2008 신경정신의학 Vol.47 No.3
Objectives : The Child Bipolar Questionnaire 2.0 (CBQ 2.0) is a rapid screener with a Core Index subscale of symptom dimensions frequently reported in childhood-onset bipolar disorder (BD) and scoring algorithms for DSM-Ⅳ BD, with and without ADHD, and the proposed Narrow, Broad, and Core phenotypes. This report provides preliminary data on the reliability and validity of the CBQ 2.0-Korean version. Methods : Core Index subscale to effectively predict diagnostic classification by structured interview was assessed using the Kiddie-Schedule for Affective Disorders and Schizophrenia-Present and Lifetime Version-Korean Version (K-SADS-PL-K). Test-retest and inter-rater reliabilities of the CBQ 2.0 were assessed. Correlation of Korean Child Behavior Checklist (K-CBCL) with CBQ 2.0-Korean version was performed. Results : The CBQ 2.0 screening algorithms performed with a specificity of 66.7% and a sensitivity of 94.7% in classifying subjects with K-SADS-PL-K diagnosis of BD vs. no BD. The Core Index subscale had “good” agreement with K-SADS-PL-K diagnosis (Kappa=0.676) in identifying BD, ADHD-only, and no diagnosis. Conclusion : This preliminary data is from a sample derived from the child and adolescent psychiatric clinics, further validation is needed with community based samples in which childhood-onset BD is rarer and diagnoses more diverse. The CBQ 2.0-Korean version shows potential for rapid and economically feasible identification of possible childhood-onset BD cases as defined by DSM-Ⅳ criteria as well as by alternate disease phenotypes.
문아윤,신경훈,석동우 한양대학교 이학기술연구소 2004 이학기술연구지 Vol.7 No.
진해만 두 정점의 자기특성과 대자율의 비교를 바탕으로 하여 중금속 농도 변화가 자화강도 변화에 미치는 영향을 있는지를 살펴보았다 이를 위해 깊이에 따른 중금속 농도 변화 (산화환원 환경) 그리고 유기물' 의 함량을 조사하였다 본 연구에서는 5가지의 중금속(Al, Fe, Cr, Ni, Mn)의 농도가 측정되었으며, 자화강도와 중금속의 농도 변화는 대체적으로 유사한 경향을 나타내었고, 산화환원환경에서 각각 중금속과 자화강도의 상관성이 다르게 나타났다. 산화환경에서는 반대되는 경향을 보이고, 환원환경에서는 비슷한 상관성을 나타낸다. 총유기물(TOM)과 대자율을 비교해 보면 두 정점의 유기물 농도가 다르게 나타나며, 산화환경에서 반대되는 경향성을 나타내고, 환원환경에서 비슷한 경향을 보인다. 이것은 산화환원 환경에 따라 유기물 함량과 중금속 의 존재형이 변화하므로 서로 연관성이 있다고 생각된다. The impact of heavy metal concentrations on magnetization compared to magnetic susceptibility is investigated by the measurements of heavy metals (redox change) and organic matter contents in the sediment core samples at two stations of the Jinhai Bay. In the present study, five heavy metals (Al, Fe, Cr, Ni, Mn) concentrations were determined, and indicated generally similar trends with the corresponding magnetization. The relationship between heavy metal concentration and magnetization depend on redox-environmental conditions, showing negative correlation under the oxidation environment and positive correlation under reduction environment, respectively. Comparing total organic matter content with magnetic susceptibility, organic matter contents at both stations are different, and showed a opposite trend against magnetic susceptibility in oxidation parts, and a similar pattern in reduction parts. These results demonstrate that both organic matter contents and heavy metal speciation are influenced by redox-condition.
김아진,김준식,신동운,백광제,한승백,이용주 대한응급의학회 2000 대한응급의학회지 Vol.11 No.3
Traditionally, the Rhododendron species has been used in gastrointestinal disorder or hypertension. Grayanotoxin exists in honey, flowers, pollen, and the nectar of the Rhododenron species. We experienced 3 cases of Grayanotoxin intoxication. The symptoms of intoxication were nausea, vomiting, hypotension, bradycardia, diplopia, dizziness, and chest discomfort. Generally, the treatment for Grayanotoxin intoxication is fluid resuscitation and injection of atropine sulfate. The patients who were intoxicated with Grayanotoxin were discharged without complication after supportive care.
무증상으로 발견된 담낭-담관 누공을 동반한 Mirizzi 증후군 1예
홍진희,전태주,서지영,서동대,오태훈,신원창,최원충,신은아,김기환 인제대학교 2009 仁濟醫學 Vol.30 No.-
Mirizzi's syndrome is a rare complication of the gallstone disease, characterized by narrowing of the common bile duct (CBD) due to chronic extrinsic compression of an impacted gallstone in the cystic duct or the neck of the gallbladder. The impacted gallstone may erode into the bile duct, causing cholecystocholedochal fistula. The patients generally have history of repeated attacks of jaundice and abdominal pain. But there is no report about asymptomatic Mirizzi syndrome with cholecystocholedochal fistula which were found incidentally. So herein we present our clinical experience with a case of asymptomatic Mirizzi syndrome with cholecystocholedochal fistula in a young female.
Image Transfer Using Cellular Phones and Wireless Internet Service
Shin, Dong-Ah,Doo, Tae-Hoon,Kim, Hyo-Jun,Kim, Hyoung-Ihl The Korean Neurosurgical Society 2006 Journal of Korean neurosurgical society Vol.39 No.6
Objective : Neuroimaging data are of paramount importance in making correct diagnosis. We herein evaluate the clinical usefulness of image transfer using cellular phones to facilitate neurological diagnosis and decision-making. Methods : Selected images from CT, MRI scans, and plain films obtained from 50 neurosurgical patients were transferred by cellular phones. A cellular phone with a built-in 1,300,000-pixel digital camera was used to capture and send the images. A cellular phone with a 262,000 color thin-film transistor liquid crystal display was used to receive the images. Communication between both cellular phones was operated by the same wireless protocol and the same wireless internet service. We compared the concordance of diagnoses and treatment plans between a house staff who could review full-scale original films and a consultant who could only review transferred images. These finding were later analyzed by a third observer. Results : The mean time of complete transfer was $2{\sim}3\;minutes$. The quality of all images received was good enough to make precise diagnosis and to select treatment options. Transferred images were helpful in making correct diagnosis and decision making in 49/50 [98%] cases. Discordant result was caused in one patient by improper selection of images by the house staff. Conclusion : The cellular phone system was useful for image transfer and delivery patient's information, leading to earlier diagnosis and initiation of treatment. This usefulness was due to sufficient resolution of the built-in camera and the TFT-LCD, the user-friendly features of the devices, and their low cost.