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이경용,길태영,정호길,신승주 대한안과학회 2020 대한안과학회지 Vol.61 No.4
Purpose: To report a case of both ocular perforation due to periocular acupuncture therapy with vitrectomy in the right eye and barrier laser photocoagulation without vitrectomy in the left eye. Case summary: A 58-year-old female presented with ocular pain and decreased visual acuity in both eye. She had received periocular acupuncture therapy 4 days earlier. Dilated fundoscopy revealed vitreous hemorrhage. B-scan ultrasonography revealed vitreous opacity. Thus, at the request of the patient, vitrectomy was performed in only the right eye, and did not performed in the left eye. Intraoperatively, we identified retinal laceration in the temporal and inferior retina. In the left eye, the sites of retinal hemorrhage were observed in the temporal and inferior retina in the fundus examination, and a barrier laser photocoagulation was performed around the lesion. At the three-month postoperative follow-up, the patient’s visual acuity was 0.5 in the right eye without macular edema. In the left eye, visual acuity was 0.01 with macular edema observed on optical coherence tomography. Conclusions: Authors present a case of a patient with vitreous hemorrhage and ocular perforations caused by periocular acupuncture therapy in both eye, able to compare the results of eyes that performed vitrectomy and that did not performed vitrectomy in a same patient. The recovery of visual acuity in eye that performed vitrectomy was better than eye that did not performed vitrectomy. Therefore, we consider performing vitrectomy in patients with eye perforation. 목적: 안구주위 침술에 의해 양안 안구천공 및 유리체출혈이 발생한 환자의 우안에 유리체절제술을 시행하고, 좌안에 유리체절제술 없이 레이저광응고술 치료를 시행한 증례를 보고하고자 한다. 증례요약: 58세 여자 환자가 양안의 통증 및 시력저하를 주소로 내원하였다. 내원 4일 전 무자격자에 의하여 양안 안구 주위에 침을 맞았다고 하였다. 안저검사에서 양안 유리체출혈, 초음파검사에서 유리체혼탁이 관찰되었다. 침에 의해 발생한 안구천공 및 유리체출혈을 진단하였다. 우안은 유리체절제술을 시행하였고, 좌안은 환자 요청하에 유리체절제술을 시행하지 않았다. 수술 중 우안 망막이측 및 하측에 열상 부위를 확인할 수 있었다. 좌안은 안저검사에서 망막 이측 및 하측에 망막출혈 부위를 확인하고, 병변 주변에레이저광응고술을 시행하였다. 3개월 후 우안은 황반부종 없이 시력 0.5로 측정되었고, 좌안은 황반부종 소견이 관찰되며 시력 0.01로 측정되었다. 결론: 침술에 의한 안구천공으로 양안 유리체출혈이 발생한 환자의 증례를 목격하였으며, 동일 환자에서 각각 유리체절제술을 시행한 눈과 유리체절제술을 시행하지 않은 눈의 결과를 비교할 수 있는 경험을 하였기에 이를 보고하는 바이다. 유리체절제술을 시행하지 않은 눈에 비해 시행한 눈의 시력 회복에 더 좋은 경과를 보였다. 따라서 안구천공 환자에서 유리체절제술 시행을 고려해야 한다.
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한국 근로자를 위한 Daily Hassles 스트레스 척도 개발 : DHS-KW
이경용,박상희,川村則行,小牧元,정진욱,富岡光稙 한국보건사회학회 2001 보건과 사회과학 Vol.9 No.-
The purpose of this research was to evaluate the reliability and validity of Korean version of Daily Hassles Scale for Korean Workers(DHS-KW). In order to determine the appropriate items, reliability, content validity and construct validity of DHS-KW, we use I-T analysis, Cronbach's alpha coefficient and factor analysis. For the concurrent validity, we administer a stressor scale and a stress reaction scale both of which has high reliability and validity. Authors administered self check questionnaires including 45 items-DHS-KW translated from Japanese Daily Hassles Scale invented by Tomioka et al, NIOSH Generic Job Stress Questionnaire to workers from different four private companies located primarily in the Seoul metropolitan area. The subject was consisted of 355 men and 81 women. Their average ages was 35.1 years and 25.9 years, respectively. The survey was conducted under the name of an Adult Disease Prevention Survey, and the respondents gave written informed consent. Statistical analysis was conducted by SPSS v10.0 for Windows. As a result of factor analysis, five factors were extracted from 29 items (consisting of job-related problems, personal relationships, domestic and daily problems, health problems and lack of time to spare). Cronbach's alpha coefficients for each factor range from 0.73 to 0.86. The correlation coefficient between the total score for the 29 items and Job Demand of the NIOSH was 0.56(p<0.01), respectively. These results demonstrated the reliability and validity of the DHS-KW. This confirms that the DHS-KW is a reliable scale for assessing worker's daily stress including job stress. The comparative research related to the health influence of stress in Japan and Korea by the same stress scale is expected in the future.
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