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Effect of Phacoemulsification on Intraocular Pressure in Healthy Subjects and Glaucoma Patients
백성욱,권순일,박인원,서울 대한의학회 2019 Journal of Korean medical science Vol.34 No.6
Background: We investigated how cataract surgery might influence long-term intraocular pressure (IOP) change in both healthy subjects and glaucoma patients. Methods: A retrospective analysis of patients who had had clear corneal phacoemulsification with a minimum of 12 months of follow up was performed. Glaucoma patients with medically controlled open-angle glaucoma and healthy subjects with no glaucoma were included in the analysis. The change of IOP after phacoemulsification and factors associated with postoperative IOP change were investigated. Results: In total, 754 eyes of 754 patients, specifically 106 patients with glaucoma and 648 patients with no glaucoma (i.e., healthy subjects) were enrolled. The phacoemulsification effected a reduction of IOP: 1.03 ± 3.72 mmHg in healthy subjects and 1.08 ± 3.79 mmHg in glaucoma patients at postoperative 1 year (P = 0.656). There were negative coefficients of IOP until 1 year of follow up (all P < 0.001), but the IOP change gradually showed a less steeply decreasing slope (correlation coefficient: −0.993), compared with those for 1 week and 1 month of follow up (correlation coefficients: −1.893 and −1.540, respectively). In the multivariate analysis, age and preoperative IOP showed significant associations with postoperative IOP change (regression coefficients: −0.034 and 0.419 respectively, all P < 0.001). Conclusion: Phacoemulsification resulted in IOP reduction, which effect regressed in healthy subjects and glaucoma patients over the course of long-term follow up. Therefore, long-term monitoring of IOP change is needed. In cases of higher preoperative IOP and young patients, phacoemulsification alone is a reliable option for IOP control.
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<<傷寒論>> 太陽病 堤綱의 鍼灸學的 分經 및 定證의 運用 方法論에 關한 硏究
백성욱,손성철,이준범,황민섭,윤종화 대한침구의학회 2005 대한침구의학회지 Vol.29 No.3
Objective : The following study was undertaken in order to seek the acupuncture operation method of <<Sang Han Lun(傷寒論)>> Liu-Jing-Bian-Zheng(六經辯證). Methods : Based on the documents quoted in <<Sang Hang Za Bing Lun ․ Xu Wen(傷寒雜病論 ․ 序文)>> of "Zhang, Zhong-Jing(張仲景)", the relativity of the theory of Jing-Mai(經脈) and Liu-Jing-Bian-Zheng of convalescence, and from the Liu-Jing-Bing(六經病), the origin and implication that caused Tai-Yang-Bing(太陽病) to form was studied on the basis of acupuncture medicine publications and the commentary writing of <<Sang Han Lun>>. Results 1. <<Sang Han Lun>> Liu-Jing-Bian-Zheng has succeeded and was developed based on Liu-Jing-Fen-Zheng(六經分證) of <<Su Wen ․ Re Lun(素問 ․ 熱論)>>. In addition, the summary of Liu-Jing-Bing became the general principle of Fen-Jing(分經) and Ding-Zheng(定證) that may be applicable to Fenghan(風寒), Wenre(溫熱), Lili(疫癘) and Zabing(雜病). 2. Most commentators of <<Sang Han Lun>> in the Song, Ming and Ching Dynasties of <<Sang Han Lun>> interpreted the Tai-Yang-Bing in physiological and pathological aspects of Rong-Wei(榮衛) as the disease of the bladder meridian that oversees the skin of the human body. 3. From the Liu-Jing-Bing of <<Sang Han Lun>>, the region of acupuncture treatment of Tai-Yang-Bing is treated with the needle from the point of view of Bing-Zheng-Lun-Zhi(辨證論治) with the basis of the important region of acupuncture of the small intestine meridian ․ bladder meridian and governor vessel.
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백성욱 대한신경정신의학회 1982 신경정신의학 Vol.21 No.3
In order to study the prognostic factors and symptoms which could influence outcome of schizophrenia, the author surveyed 43 schizophrenic patient who met D.S.M.-III schizophrenic criteria and who could be followed up until Feb. 1982, among 108 schizophrenic patients who had been admitted Busan National University Hospital fr- om Mar. 1976 to Feb. 1980 for the first time. The outcomes were scored by the modified scale and the mean score were analyzed by using T-test (two-tailed) and correlation coefficient. The results were as follows 1 . The outcomes were highly significantly better in acute onset, and in proper late onset age and the good premorbid adjustment. 2. The outcome was highly signficantly poor when the premorbid personality was sichizoid. 3. The outcomes were negatively corelated to the number of admissions and significantly poor when the intelligence was below the average. 4. The outcomes were negatively corelated to the duration of discontinuence of medication and total duration of hospitalization. 5. The outcome was highly significantly poor in the patients with emotional blunting while significantly better in the patiauts with guily feelings. 6. The outcome was not favorable even when the patients had depressive symptom or positive family history,
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