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      • KCI등재

        망막혈관종성증식에 동반된 망막색소상피파열에서 항혈관내피세포성장인자 주입술의 임상결과

        황현지(Hyun Ji Hwang),장영석(Young Suk Chang),김종우(Jong Woo Kim),이태곤(Tae Gon Lee),김철구(Chul Gu Kim),조성원(Sung Won Cho),이동원(Dong Won Lee),한정일(Jung Il Han),김재휘(Jae Hui Kim) 대한안과학회 2016 대한안과학회지 Vol.57 No.1

        Purpose: To evaluate the treatment outcomes of intravitreal anti-vascular endothelial growth factor (VEGF) therapy for retinal pigment epithelial (RPE) tear in retinal angiomatous proliferation (RAP). Methods: In the present study we retrospectively analyzed the medical records of 14 patients (14 eyes) diagnosed with RPE tear secondary to RAP treated with intravitreal anti-VEGF. Best-corrected visual acuity (BCVA) when the RPE tear developed was compared with BCVA at 6 months and at the final follow-up. Results: The mean age of the study patients was 75.1 ± 7.0 years and the mean follow-up period was 23.7 ± 13.7 months. During the follow-up period, patients were treated with a mean of 2.8 ± 1.3 intravitreal anti-VEGF injections. The mean logarithm of minimal angle of resolution BCVA when the RPE tear developed, at 6 months and at the final follow-up was 1.25 ± 0.44, 1.44 ± 0.56, and 1.65 ± 0.39, respectively. The BCVA at 6 months was not different from the baseline value (p = 0.258), whereas the BCVA at the final follow-up was significantly worse than the baseline value (p = 0.002). Conclusions: The prognosis of RPE tear in RAP is poor despite anti-VEGF therapy. This result suggests further investigations regarding the prevention of RPE tear or more effective treatment method for this condition are necessary.

      • KCI등재

        조절성 인공수정체 탈구에 의한 급성 폐쇄각 증례

        황현지(Hyun Ji Hwang),황영훈(Young Hoon Hwang),이정진(Jung Jin Lee),김병엽(Byoung Yeop Kim) 대한안과학회 2016 대한안과학회지 Vol.57 No.9

        Purpose: To report a case of acute angle closure after cataract surgery using an accommodative intraocular lens (IOL), WIOL-CF??(GELMED, Praha, Czech). Case summary: A 46-year-old male patient underwent phacoemulsification and implantation of WIOL-CF?? into the capsular bag. Seven months after the surgery, a sudden increase in intraocular pressure (IOP) associated with angle closure was observed. Ultrabiomicroscopy revealed a dislocated WIOL-CF?? that was pushing the peripheral iris anteriorly. Despite the use of IOP-lowering medication and peripheral laser iridotomy, IOP was not controlled. After the use of cycloplegics, the angle was widened and IOP decreased; however, after nine days, the WIOL-CF?? was completely dislocated into the anterior chamber and so was removed. Conclusions: When performing cataract surgery using WIOL-CF??, a possibility of dislocation of IOL and subsequent angle closure should be considered. 목적: 조절인공수정체인 WIOL-CF?? (GELMED, Praha, Czech)를 사용하여 백내장 수술을 받은 환자에게 발생한 급성폐쇄각의 증례를 보고하고자 한다. 증례요약: 46세 남자 환자에게 초음파유화술로 백내장 제거 후 WIOL-CF?瑛? 수정체낭에 삽입하였다. 수술 후 특별한 문제는 없었으나 7개월째에 급성 폐쇄각이 발생하면서 안압이 상승하였다. 초음파 생체 현미경 검사에서 WIOL-CF?瑛? 수정체낭에서 앞쪽으로 탈구되어 주변부 홍채를 앞으로 밀고 있는 양상을 보였다. 안압 조절을 위해 안압하강제를 사용하고 및 주변부 레이저 홍채절개술 시행하였으나 효과가 적었다. 탈구된 WIOL-CF?瑛? 위치를 뒤쪽으로 이동시키기 위해 조절마비제를 점안하였고, 그 결과 전방은 깊어지고 안압은 잘 조절되었다. 하지만 조절마비제를 사용한 9일 뒤에 WIOL-CF?瑛? 전방으로 완전히 탈구되어 WIOL-CF?瑛? 제거하였다. 결론: WIOL-CF?瑛? 이용하여 백내장 수술하는 경우, 인공수정체 탈구 및 그에 따른 폐쇄각 발생 가능성을 고려해야 할 것으로 생각한다.

      • KCI등재후보

        스마트폰과 고니오메타를 이용한 어깨관절의 안쪽돌림과 바깥돌림의 신뢰도와 타당도

        정민기 ( Min-gi Jung ),임나영 ( Na-young Im ),최유리 ( Yu-ri Choi ),황현지 ( Hyun-ji Hwang ),조아영 ( A-young Cho ),추연기 ( Yeon-gi Choo ),오태영 ( Tae-young Oh ) 대한신경치료학회 2016 신경치료 Vol.20 No.2

        Purpose This research was performed to inquire the reliability and validity of internal rotation and external rotation of shoulder joint using smart phone and goniometer to healthy subjects. Methods Universal goniometer and two android application, hysical tools YMED ROM and goniometer developed by Nagomi.aqu was used to collect the data from 30 healthy subjects in age of 20s, 15 male and 15 female, from S University in Busan, Republic of Korea. As a procedure, all subjects were properly stretched before the experiment. The active internal and external rotation of right arm of each subject were measured and 3 raters measured each subject 5 times with 3 different tools, overall 15 times for each subject. And each rater were blindfolded to conceal the results from other raters. SPSS 20.0 software were used to process all statistics, and intraclass correlation coeffienct (2.k) model were used to calculate the reliability and pearson correlation coefficient validity were used to calculate the validity. Results As the result, intrarater reliability of 3 raters showed high reliability (ICC>0.9). Interrater reliability showed high reliability in all measurement (ICC>0.9), validity of measuring tools showed very high correlation in both active internal and external rotation of shoulder joint. Conclusion This research showed the value measured with goniometer application using gyroscope of smartphone is reliable. Peculiarly, the value of both reliability and validity of external rotation was higher than that of internal rotation

      • KCI등재

        여대생의 체중감량 제품 복용 영향 요인

        고상진(SangJin Ko),송주희(Ju Hee Song),이주현(Ju Hyun Lee),이하은(Ha Eun Lee),황현지(Hyun Ji Hwang) 한국산학기술학회 2018 한국산학기술학회논문지 Vol.19 No.3

        현대 사회에서 외모가 자신을 표현하는 중요한 가치로 부상함에 따라 날씬함이 아름다움의 상징으로 여겨지고 있다. 이에 본 연구에서는 여대생들의 신체상, 외모관련 사회문화적 태도, 비만 스트레스와 다이어트 행동이 체중감량 제품 복용에 미치는 영향을 조사하고자 시도되었다. 자료수집은 2017년 6월과 7월에 온라인 설문조사 프로그램을 이용하여 220명의 여대생을 대상으로 신체상, 외모관련 사회문화적 태도, 비만 스트레스와 다이어트 행동에 대해 조사하였다. 자료분석은 SPSS WIN 프로그램을 이용하여 χ<SUP>2</SUP>–test, 피어슨 상관관계 분석, 로지스틱 회귀분석을 이용하였다. 연구결과, 체중감량 제품의 복용군과 비복용군 사이에는 신체상, 외모관련 사회문화적 태도, 비만스트레스와 다이어트 행동에 유의한 차이가 있었으며, 모든 변수는 서로 유의한 상관관계가 있었다. 체중감량 제품 복용에 영향을 미치는 요인은 외모관련 사회문화적 태도(OR=1.15, CI=1.03∼1.29), 비만 스트레스(OR=1.13, CI=1.06∼1.20), 다이어트 행동(OR=1.21, CI=1.10∼1.33)과 체중감량 제품에 대한 부작용 지식(OR=3.86, CI=1.62∼9.20)으로 나타났다. 따라서 여대생을 대상으로 건강한 체중에 대한 올바른 지식과 체중감량 제품 복용이 필요한 경우, 제품의 성분, 부작용에 대한 적절한 정보전달이 이루어져야 한다. Appearance has become an important means of expressing oneself in modern society, and women often desire to lose weight. Therefore, this study examined the diets of female college students with high weight loss needs and analyzed the effects of their body image, sociocultural attitude, body stress and diet behavior on intake weight loss products. Data were collected from 220 Korean female college students from June to July using an online survey program. The questionnaires included body image scale, Sociocultural Attitude Towards Appearance Questionnaire (SATAQ), Body Attitudes Questionnaire (BAQ) and diet behaviors scale. Data were analyzed by descriptive statistics, the χ<SUP>2</SUP>–test, Pearson’s correlation coefficients, and logistic regression analysis using the SPSS 22.0 program. There were significant differences in body image, SATAQ, obesity stress and diet behavior between groups. All variables were significantly correlated with each other. Factors influencing weight loss products intake by female university students were SATAQ (OR=1.15, CI=1.03–1.29), obesity stress (OR=1.13, CI=1.06–1.20), diet behaviors (OR=1.21, CI=1.10–1.33), and knowledge regarding the side effects of weight loss products (OR=3.86, CI=1.62–9.20). Thus, it is necessary to teach female college students to recognize healthy weight control methods. Moreover, if weight loss products are needed, appropriate information should be provided regarding the ingredients and side effects of the product.

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