요통과 하지방사통에 대한 경막외 스테로이드 주입후 발생한 치명적 합병증 - 증례보고 -

김태준,김충현,정진환,백광흠,김재민,오석전,Kim, Tae Joon,Kim, Choong Hyun,Cheong, Jin Hwan,Bak, Koang Hum,Kim, Jae Min,Oh, Suck Jun 대한신경외과학회 2000 Journal of Korean neurosurgical society Vol.29 No.3

Epidural steroid injection(ESI) has been a commonly applied conservative therapy for the management of chronic low back pain and sciatica. However, there are many reports concerning various local, systemic and neurological complications related to ESI. We report two cases with fatal complications after ESI for low back pain and sciatica. In both patients, ventriculitis and meningitis were causative factors to be fatal. Aseptic procedures and careful post-procedure assessment are essential to avoid serious complications following ESI.

미세혈관 감압술중 뇌간청각유발전위 감시장치의 유용성

김태준,고용,김영수,오성훈,김광명,오석전,Kim, Tae Joon,Ko, Yong,Kim, Young Soo,Oh, Seong Hoon,Kim, Kwang Myung,Kim, Nam Kyu,Oh, Suck Jun 대한신경외과학회 2000 Journal of Korean neurosurgical society Vol.29 No.5

Objective : Surgery for the microvascular decompression is mostly concerned with injury to the cranial nerves or brain stem by cerebellar retraction. Intraopeartive brain stem auditory evoked potentials(BAEPs) has been continuously monitored on surgery to evaluate the extent of injury, recovery of the nerves and prognosis. Methods : Of the 161 cases of CP angle surgery from Feb. 1996 to Apr. 1998, 103 cases were monitored during operation. Thirty five patients who had undergone similar surgery were selected and evaluated ; 23 patients were monitored and 12 were not during surgery. If monitor showed more than 0.5 mSec delay of latency, surgeon was given a warning not to retract brain any more. If more than 1mSec delay, surgeon was informed to stop surgery and wait for the returning of evoked potentials. The level of amplitudes and delay of latencies during the initial stage of operation, opening the dura, insertion of teflon patches, and closing the dura and recovery were then compared. Resuls : Twenty patients were male and 15 were female. Their average age was 50.26 years. Mean amplitude during the initial stage of operation was $0.60{\pm}0.25mV$, at opening the dura $0.56{\pm}0.26$, after teflon patches insertion $0.49{\pm}0.20$, and after closure of dura $0.47{\pm}0.28mV$. Mean latency during the early stage of operation was $6.08{\pm}0.67mSec$, at opening of dura $6.38{\pm}0.55$, insertion of teflon $6.97{\pm}0.59$, and closing the dura $6.17{\pm}0.54$. There was statistical significance in the difference of amplitudes between each procedures, and in the difference of latencies. For the complete recovery of amplitude and latency, it usually took average 5.65 minutes(0-20 min). In monitored group, only one patient required more than 20 minutes to recover and suffered from hearing disturbance after surgery. Others were recovered within 10 minutes without complications. However, 4 out of 12 patients who were not monitored showed hearing disturbance, and 1 patient had temporary facial palsy and dizziness(p=0.000). Conclusion : The results indicate that continuous intraoperative monitoring of BAEPs during CP angle surgery is seen mandatory procedure to prevent operative complications.

두경부암 환자의 방사선 치료시 자체 제작한 고정용구 (Shoulder Retractor)에 대한 유용성 평가

김태준,진선식,김동현,김동욱,정원규,김경태,Kim, Tae Jun,Jin, Sun Sik,Kim, Dong Hyun,Kim, Dong Wook,Chung, Weon Kuu,Kim, Kyoung Tae 대한방사선치료학회 2014 대한방사선치료학회지 Vol.26 No.1

목 적 : 본 연구에서는 두경부 암 환자의 방사선 치료 시 Neck node lower region까지 Target이 위치한 환자의 경우 기존의 상품화 된 두 가지 고정용구와 자체개발한 Shoulder Retractor의 유용성을 비교 평가하고자 한다. 대상 및 방법 : 본원에서 치료한 두경부암 환자 6명을 대상으로 사용한 고정용구의 종류에 따라 각각 2명씩 분류하여 좌, 우 Shoulder 위치변화와 Set up의 정확성을 OBI를 이용한 2D/2D 영상정합 위치보정 후 좌표 분석을 통해 비교하여 유용성을 확인해 보았다. 결 과 : 고정용구 종류에 따른 영상정합 위치보정 값(OBI A-P상 좌, 우 Shoulder 위치변화값)에 대한 평균값과 표준편차는 A그룹에서는 RT.Shoulder $1.07mm{\pm}3.99mm$, LT.Shoulder $-4.35mm{\pm}2.09mm$이고, B그룹에서는 RT.Shoulder $-0.37{\pm}5.91mm$, LT.Shoulder $1.26{\pm}5.28mm$, C그룹에서는 RT.Shoulder $-0.63{\pm}2.44mm$, LT.Shoulder $0.25mm{\pm}1.61mm$으로 나타났다. SET UP의 영상유도좌표 분석에서는 평균 및 표준편차 값이 A그룹에서 Vrt $-2.06{\pm}2.68mm$, Lat $-1.11{\pm}8.15mm$, Lng $0.34{\pm}3.78mm$, Rot $0.51{\pm}0.77^{\circ}$이고, B그룹에서 Vrt은 $-1.18{\pm}1.82mm$, Lat $-0.94{\pm}2.13mm$, Lng $-0.67{\pm}1.98mm$, Rot $0.91{\pm}1.04^{\circ}$이고, C그룹에서 Vrt은 $0.12{\pm}2.18mm$, Lat에서 $-0.79{\pm}1.62mm$, Lng에서 $-0.79{\pm}2.64mm$, Rot $0{\pm}0.49^{\circ}$으로 나타났다. 결 론 : 자체개발한 고정용구는 좌,우 Shoulder의 위치변화에 대한 재현성을 유지시킴에 있어 유용함을 알수있었고, 환자 변위요소(환자가 잡은 줄을 놓치는 현상과 발 끝의 위치와 모양에 따라 잡은줄이 한쪽으로 치우치는 현상)와 환자의 체중 변화로 인한 환자 자세의 고정문제를 줄임으로써 Set up의 오차를 줄이고 환자의 재현성을 유지시키는데 도움이 될 것으로 사료된다. Purpose : We compared the set-up accuracy and right-left Shoulder position variation of the manufactured device and other commercial shoulder-retractors in the head and neck radiation treatment. Materials and Methods : Six patients consist of three groups which were used three different Shoulder retractors. We measured position corrections of left and right Shoulder and the couch after the image guidance by using on board imager (OBI) for six head and neck patients who has the extended target to the neck node lower region. Results : The position variation correction of left (right) Shoulder after image guidance were $1.07{\pm}3.99mm$ ($-4.35{\pm}2.09mm$), $-0.37{\pm}5.91mm$ ($1.26{\pm}5.28mm$), $-0.63{\pm}2.44mm$ ($0.25{\pm}1.61mm$) for group A, B and C. The vertical, lateral, longitudinal position and angular corrections of the couch after image guidance were $-2.06{\pm}2.68$, $-1.11{\pm}8.15$, $0.34{\pm}3.78mm$, and $0.51{\pm}0.77$ degree for group A, $-1.18{\pm}1.82$, $-0.94{\pm}2.13$, $-0.67{\pm}1.98mm$, and $0.91{\pm}1.04$ degree for group B and $0.12{\pm}2.18$, $-0.79{\pm}2.64$, $0.79{\pm}2.64$, and $0.00{\pm}0.49$ degree for group C. Conclusion : In this preliminary study, we found the positioning accuracy of the manufactured Shoulder retractor is comparable to other commercial Shoulder retractors. We expect that the reproducibility and accuracy of the patient set-up could be improved by using the home made Shoulder retractor in the head and neck radiation treatment.

그 넉넉하고 풍요로운 고향의 추석 달

김태준,Kim, Tae-Jun 대한출판문화협회 1991 출판저널 Vol.91 No.-

출판저널 칼럼

김태준,Kim, Tae-Jun 대한출판문화협회 1990 출판저널 Vol.69 No.-

한방 치료로 호전된 만성 설염 치험 1례

김태준,곽병문,이유정,김희택,kim, Tae-Jun,Kwak, Byeong-mun,Lee, You-Jung,Kim, Hee-Taek 대한한방안이비인후피부과학회 2021 한방안이비인후피부과학회지 Vol.34 No.3

Objectives : The purpose of this study is to report the effectiveness of Korean medical treatments on chronic glossitis using Yanggyeok-sangagam based on tutakbeop(透托法), and Ikgibohyeol-tanggagam based on botakbeop(補托法) and bobeop(補法). Methods : We treated a 83-year-old female patient who had glossitis by Korean medicine and acupuncture treatment. These treatments were performed from 2020.8.4. to 2021.3.4. We have confirmed the improvement of white plaque like a pseudomembranous pattern lesion and pain. We recorded images that include change of symptoms. Results : After the treatments were done, the scores of numeric rating scale(NRS), oral assessment guide(OAG) and oral health impact profile-14(OHIP-14) were decreased. The NRS score was decreased from 7 to 1. The OAG score was decreased from 20 to 9. The OHIP-14 score was decreased from 34 to 5. Conclusions : According to the result, Korean medical treatments such as Korean medicine and acupuncture treatment, followed by the cure rules- tutakbeop(透托法), botakbeop(補托法) and bobeop(補法) can be effective for the treatment of chronic glossitis.

전자산업의 새로운 도약을 위한 한해

김태준,Kim, Tae-Jun 한국전자정보통신산업진흥회 1986 電子振興 Vol.6 No.1

무증상 성인에서 헬리코박터 파일로리 감염과 다양한 전신 염증 표지자의 연관성 결여

김태준 ( Tae Jun Kim ),표정의 ( Jeung Hui Pyo ),이혁 ( Hyuk Lee ),백선영 ( Sun-young Baek ),안수현 ( Soo Hyun Ahn ),민양원 ( Yang Won Min ),민병훈 ( Byung-hoon Min ),이준행 ( Jun Haeng Lee ),손희정 ( Hee Jung Son ),이풍렬 ( Poong 대한소화기학회 2018 대한소화기학회지 Vol.72 No.1

Background/Aims: Helicobacter pylori (H. pylori) infection has been known to cause various extra-gastric diseases, which may be mediated by an increase in systemic inflammation. Thus, we examined the association between H. pylori infection and various markers of systemic inflammation in a large sample of asymptomatic adults. Methods: Cross-sectional data were obtained from 17,028 adults who completed routine health check-ups. H. pylori infection status was determined using a serum immunoglobulin G test, and systemic inflammation was assessed using the C-reactive protein (CRP) levels, neutrophil/lymphocyte ratio (NLR), and platelet/lymphocyte ratio (PLR). Results: Multiple linear regression model-adjusted for potential confounders-revealed that H. pylori infection was not associated with CRP levels (coefficient: -0.012, 95% confidence interval [CI]: -0.037, 0.012, p=0.319), NLR (coefficient: 0.055, 95% CI: -0.027, 0.138, p=0.192), or PLR (coefficient: 1.798, 95% CI: -1.979, 5.574, p=0.351). In a multivariable logistic regression model, H. pylori infection was not associated with the risk of CRP levels being elevated to ≥0.1 mg/dL (odds ratio: 0.96, 95% CI: 0.81, 1.08) or ≥0.3 mg/dL (odds ratio: 1.02, 95% CI: 0.84, 1.19). In the multivariable model, CRP levels elevated to ≥0.1 mg/dL were significantly associated with body mass index, current smoking status, hypertension, and diabetes mellitus. Regular exercise and high-density lipoprotein cholesterol were factors that minimized the elevation of CRP levels. Conclusions: Chronic infection with H. pylori was not associated with various inflammatory markers. Further investigation is needed to clarify the interaction between H. pylori infection, systemic inflammation, and extra-gastric disease. (Korean J Gastroenterol 2018;72:21-27)

신경회로망을 이용한 TCSC 적용 LQG 제어에 관한 연구

金泰儁(Tae-Jun Kim),李丙河(Byung-Ha Lee) 대한전기학회 1999 전기학회논문지A Vol.48 No.3

세계 청소년의 시민의식과 우리나라 시민교육의 시사점

김태준(Tae-Jun Kim),설규주(Seol Kyu Joo),조영하(Young Ha Cho),이기홍(Gihong Yi),한숭희(Soong Hee Han),김정민(Jung Min Kim),박정애(Jungae Park) 중앙대학교 한국인적자원개발전략연구소 2011 역량개발학습연구 Vol.6 No.2

본 연구는 한국이 국제시민교육연구(International Civic & Citizenship Education Study, 이하ICCS)에 공식적으로 참여하여 실시한 대규모 국제 조사 자료의 비교를 통해 한국의 시민교육 수준과 위상을 면밀하게 점검하고자 하였으며 이를 토대로 향후 시민교육에 대한 시사점을 얻고자 하였다. 시민교육에 대한 이해와 역량, 성향을 평가하기 위해 38개국의 만 13.5세의 학생 약 14만명을 대상으로 조사가 이루어졌으며, 우리나라에서는 150개 학교, 5,000여명의 학생 및 교사, 학교장이 참여하였다. 조사결과, 시민 관련 지식을 평가하는 검사에서 한국 청소년의 성취도는 565점(국제 평균 500점)으로 핀란드와 덴마크에 이어 3위를 차지하였다. 한국 청소년들의 지식수준이 높게 나타난 것과는 달리 시민의식 관련 태도나 참여수준은 매우 낮았다. 한편 이 같은 결과에 영향을 주는 시민교육환경에 대한 다양한 분석을 통해 향후 시민교육에 주는 시사점을 논의하였다. The purpose of the study is a) to investigate the result of the International Civic and Citizenship Education Study (ICCS) of the International Association for the Evaluation of Educational Achievement (IEA) and b) to examine the current state of Korean ICCS survey to suggest political implications of civic education in Korea. ICCS reports on student achievement in a test of conceptual understandings and competencies in civics and citizenship on the basis of the collected survey data from 38 countries. About 140,000 students have participated and the average age of the participated students is 13.5. In regards to the data collected in Korea, 150 schools were selected and roughly 5,000 people (students, teachers, and principals) participated in the survey. Results reveal that the level of civic knowledge among Korean students is quite high. The achievement level of civic knowledge among middle school students is 565 points, compared to the international average of 500. Among all the participating nations, the scores of Finland and Denmark are the highest with both scoring a 576, followed by Korea that is ranked 3rd. On the other hand, Korean students` civic attitudes and civic participation scores are comparatively low. Thus, through variously analyzing the “civic education environment” factor, which lead the above findings, the current paper discusses the future implications for civic and citizenship education.