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한국인 갑상샘 기능 이상 환자에서 갑상샘눈병증의 임상 특징
우경인,김윤덕,이상렬,안성형연구회,Kyung In Woo,Yoon-Duck Kim,Sang Yeul Lee For Korean Society of Ophthalmic Plastic and Reconstructive Surgery 대한안과학회 2008 대한안과학회지 Vol.49 No.9
Purpose: To investigate the clinical manifestation of thyroid orbitopathy among patients with thyroid dysfunction. Methods: A cross-sectional study was conducted at 24 general hospitals in Korea. All dysthyroid patients who visited the endocrinology clinic for 1 week were included. Data were collected during an interviewer- administered questionnaire. Thyroid orbitopathy was diagnosed in cases with relevant symptoms according to the VISA classification for which an eye examination was performed. Three hundred seventy-one patients who had thyroid orbitopathy out of 1986 dysthyroid patients were evaluated. Results: Vision symptoms were presented in 10.5% of thyroid orbitopathy patients, inflammation symptoms in 43.1%, strabismus in 15.1%, and appearance and exposure symptoms in 86.3% of patients. Among the eye symptoms, proptosis was most prevalent in 56.9% of patients followed by eyelid retraction in 31.5%, diplopia in 15.1% and optic nerve dysfunction in 2.4% of patients. Median value of exophthalmometry in the thyroid orbitopathy group was 16 mm and 17 mm in the proptosis group. Patient self assessment for thyroid orbitopathy from the onset of the disease was "greatly improved" in 12.1% of patients, "improved" in 19.5%, "unchanged" in 51.2%, "worse" in 19.6%, and "much worse" in 1.0% of patients. Conclusions: Among dysthyroid patients, significant amount was found to have symptoms related with thyroid orbitopathy. The patients with thyroid orbitopathy, except for the mildest cases, need to be managed by a thyroid eye disease specialist for further assessment and care. J Korean Ophthalmol Soc 2008;49(9):1387-1396
Prevalence and Risk Factors for Thyroid Eye Disease among Korean Dysthyroid Patients
우경인,김윤덕,이상렬 대한안과학회 2013 Korean Journal of Ophthalmology Vol.27 No.6
Purpose: To determine the prevalence of thyroid eye disease among dysthyroid Korean patients and to analyzethe relationship between demographic data, lifestyle risk factors, and status of thyroid disease and thyroid eyedisease. Methods: All dysthyroid patients who visited endocrinology clinics in 24 general hospitals in Korea during achosen one-week period were enrolled in this cross-sectional study. Data were collected during an interviewer-administered questionnaire and chart review. Demographic data, lifestyle risk factors, and status of thyroiddisease variables were analyzed as risk factors using multivariable regression models to identify independentassociations with thyroid eye disease. Results: A total of 1,632 dysthyroid patients were included (1,301 females [79.7%] and 331 males [20.3%]). Twohundred eighty-three of these patients (17.3%) had thyroid eye disease. Multiple logistic regression analysesrevealed that female gender, young age, Graves’ disease, dermopathy, anti-thyroid medication treatment, andradioiodine treatment were independent risk factors for thyroid eye disease. Conclusions: The lower prevalence of thyroid eye disease in dysthyroid Korean patients and the influence ofgender on risk factors in this study are novel findings compared to studies performed involving Europeans. Although the risk factors for thyroid eye disease are understood in part, a more in-depth comparative study ofgender and ethnic groups is needed to fully understand the biological significance of the demographic factors.
軍 김염성 질환의 GIS 구축 - 한타바이러스를 중심으로 -
우경인 ( Koung-in Woo ),서지원 ( Ji-won Seo ),김미랑 ( Mirang-rang Kim ),김유진 ( Yu-jin Kim ),석웅 ( Ung Seok ),황일웅 ( Il-ung Hwang ) 국군의무사령부 2017 대한군진의학학술지 Vol.48 No.1
Objectives: To materialize Hantavirus GIS system at the Medical Emergency Operation Center after renting the server from exterior enterprise in June 2016 and receiving s/w for operating Hantavirus DB and GIS operation from the Agency for Defense Development. Method: We implemented the GIS system at the Medical Emergency Operation Center under the cooperation with AFMC’s Communication & Operation Planning Department after renting the equipments from exterior enterprise and receiving s/w technologies for operating the Hantavrisu DB and GIS operating. Results: We ran the system at the Medical Emergency Operation Center on 23<sup>rd</sup> September 2016. Conclusion: The GIS system can visually and spatially materialize the geographical and personnel information or infectious diseases outbreak in military. By using the system, it is considered that patient outbreak status, density and trend can more easily or rapidly detected which will lead to an effective management or infectious diseases in military. Furthermore, the system is believed to capacitate an early prevention activities by predicting proliferation area or infectious diseases in times of nationwide emerging infectious diseases crisis. This will contribute to an early cease of epidemic crisis which will ultimately preserve combat power.