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곽호성(Kwak, Ho-Soung),유은영(Yoo, Eun-Young),박혜연(Park, Hae Yean),이서현(Lee, Seo-Hyun),한대성(Han, Dae-Sung),박지혁(Park, Ji-Hyuk) 대한신경계작업치료학회 2020 재활치료과학 Vol.9 No.4
목적 : 본 연구의 목적은 인지기능저하 노인을 선별할 수 있는 이중과제를 활용한 노인인지기능 선별검사를개발하는 것이다. 연구방법 : 2019년 5월부터 8월까지 경기도 및 충청도에 있는 지역사회 기관에서 60세 이상 노인 229명을대상으로 개발된 Y-DuCog(Yonsei Dual Task Cognitive Screening Test)의 신뢰도 및 타당도 검증과인지기능저하 노인의 분류 기준점을 확인하였다. 결과 : MMSE-K, MoCA-K와 Y-DuCog와의 상관분석을 실시한 결과 Y-DuCog의 이중과제 효과와 이중과제초당 정답 수에서 상관관계를 보였다. 내적 일치도 분석 결과 이중과제 효과와 이중과제 초당 정답 수의Cronbach’s-α 값은 각각 .848(p<.01), .916(p<.01)의 신뢰도를 보였고, 검사-재검사 신뢰도는 ICCs가.969∼.996으로 높게 나타났다. 선별기준점은 총 수행시간 DTE에서 31.76초를 기준으로 88.7%의 민감도와 83.5%의 특이도를, 총 이중과제 CRR에서 0.38개를 기준으로 84.5%의 민감도와 76.6%의 특이도를 보였다. 결론 : 본 연구를 통해 Y-DuCog의 신뢰도 및 타당도가 검증되었다. Y-DuCog는 기존 지필 평가의 제한점인 교육수준과 문자에 영향을 받지 않으며 간편하고 빠르게 검사를 시행할 수 있어 노인의 인지기능 평가 및 중재 방법에 대한 효과성 검증 시 사용될 수 있을 것으로 기대한다. Objective : The purpose of this study was to develop a Yonsei dual task cognitive screening test (Y-DuCog) for the elderly. Methods : The reliability and validity test of Y-DuCog (Yonsei Dual Task Cognitive Screening Test) was developed by 229 elderly people aged over 60 years from community organizations at Gyeonggi-do and Chungcheong-do from May 2019 to August 2019. In addition, the criteria for classifying elderly with cognitive impairment were presented. Results : The correlation analysis between MMSE-K, MoCA-K and Y-DuCog were a correlation between the DTE and CRR of Y-DuCog. As a result of internal consistency, Cronbach’s-α values of DTE and CRR showed .848 (p<.01) and .916 (p<.01), respectively. The test-retest reliability was high. The screening point showed 88.7% sensitivity and 83.5% specificity at 31.76 seconds in total DTE, and 84.5% sensitivity and 76.6% specificity at 0.38 in total dual-task CRR. Conclusion : This study verified the reliability and validity of Y-DuCog. It was found that the level of education was not a barrier to the undertaking of this test. Furthermore, the test could be performed easily and quickly. It is also expected to be used to evaluate the effectiveness of cognitive function assessment and intervention methods in the elderly.
Acupuncture를 이용한 하악골 골절수술경험 - 증례보고 -
길홍모(Hong Mo Khil),곽호성(Ho Sung Kwak),노 식(Sh 대한통증학회 1996 The Korean Journal of Pain Vol.9 No.1
Based on points of neuroendocrine physiology, stimulus developed at the acupuncture site can pass to the pituitary gland through somatosensory and activated descending inhibitory mechanism which onginated in raphe magnus of midbrain. For the operation of mandible fracture, acupuncture anesthesia was performed at 6 points of both forearm and both feet by method taking point on distant segment. Acupuncture anesthesia deals with central analgesic mechanism and the theory of dif-fuse noxious inhibitory control.
증례보고 : 우발적인 경막외강 내로의 Ondansetron 주입 -증례보고-
김보성 ( Bo Song Kim ),곽호성 ( Ho Sung Kwak ),임필재 ( Pil Jae Lim ) 대한마취과학회 2007 Korean Journal of Anesthesiology Vol.52 No.6
We encountered a case of an accidental epidural injection of ondansetron through an epidural catheter. No neurological complications were noted. This case highlights the need for more attention to minimize the risk of epidural injections. (Korean J Anesthesiol 2007; 52: 712~4)
김범석 ( Bum Suk Kim ),구민석 ( Min Seok Koo ),임필재 ( Pil Jae Lim ),김상호 ( Sang Ho Kim ),이명애 ( Myung Ae Lee ),곽호성 ( Ho Sung Kwak ) 대한마취과학회 2006 Korean Journal of Anesthesiology Vol.51 No.4
The temporomandibular joint can be dislocated during anesthesia as a result of excessive oral opening and direct laryngoscope handling. Occasionally, yawning can be observed during the induction of anesthesia with propofol. The forceful and voluntary yawning after a propofol injection can lead to a dislocation of the temporomandibular joint. We report a case of an anterior dislocation of the temporomandibular joint upon induction with propofol, which caused difficulties in mask ventilation and endotracheal intubation. Although intubation had been carried out successfully in this case, an unanticipated difficult airway can be confronted at anytime. Therefore, anesthesiologists should be aware of the management of a difficult airway and practice various methods according to a difficult airway algorithm. (Korean J Anesthesiol 2006; 51: 483~5)
김상범,곽호성,안창근,오화진 대한마취과학회 1996 Korean Journal of Anesthesiology Vol.31 No.5
Bronchopleural fistula is an uncommon but serious complication of lung resection, with a high mortality and morbidity. Problems associated with bronchopleural fistula and empyema are related to positive-pressure ventilation, which may result in infectious contamination of healthy lung tissue, loss of air, decreased alveolar ventilation leading to carbon dioxide retention, and the development of a tension pneumothorax. We experienced difficult intubation in patient who has large bronchopleural fistula and anatomic deviations of intact bronchus of the left lung, so we used a long single lumen tube made by attaching an another cuffed endotracheal tube under direct vision. The arterial oxygenation was effective, but carbon dioxide elimination was inadequate. After the operation, the ordinary cuffed endotracheal tube was intubated orally and the patient was transferred to the ward without problems 6 days after the operation.
윤성근,곽호성,이홍선,박명혜 대한마취과학회 1995 Korean Journal of Anesthesiology Vol.29 No.6
Aortic aneurysm has been associated with degeneration of the media of the aorta. Hypertension is the most important predisposing factor for aortic dissection, being present in 70% to 90% of afflicted patients. Morbidity in patient with aortic aneurysm is most commonly due to cardiopulmonary, neurologic and renal complication. Perioperative mortality for elective abdominal aortic aneurysm repair is 2% to 5%. During performance of Dacron graft interposition, left atriofemoral pump bypass was undertaken with centrifugal blood pump, having lesser hemolysis and lower microemboli, to provide adequate circulation distal to the level of aortic occlusion and to prevent serious left ventricular strain by maintenance of blood pressure at near normal levels. A 26-year-old male patient with extensive dissecting aneurysm involving descending thoracic and abdominal aorta was operated successfully with use of centrifugal blood pump, he was improving hemiplegia, even with brief duration of oliguria. (Korean J Anesthesiol 1997; 33: 979∼983)
마취중 기관내관의 Cuff Volume의 증가에 대한 고찰
김혜경,곽호성,서병태 대한마취과학회 1977 Korean Journal of Anesthesiology Vol.10 No.3
The cuffs were inflated with 7ml of air, and then exposed to 50 or 66 percent nitrous oxide for 1 hour to 4 hours. The cuff volume were increased with relation to concenturation and time related fashion. As cuff volume were increased during nitrous oxide and oxygen anesthesia, overexpansion of cuff may cause upper airway obstruction and trauma on the compressed tracheal wall. It maybe better to deflate cuff volume intermittently during prolonged anesthesia to avoid overexpansion of cuffs.