홍씨 앞방각측정법의 임상적 유용성

강신희,박기호,홍철,김동명,Shin Hee Kang,M,D,Ki Ho Park,M,D,Chul Hong,M,D,Dong Myoung Kim,M,D 대한안과학회 2007 대한안과학회지 Vol.48 No.3

Purpose: To compare the Hong`s grading method, utilized for slit-lamp grading of the mid-peripheral angle, with other conventional grading methods. Actual angle was measured by ultrasound biomicroscopy (UBM) for comparison. Methods: Fifteen eyes with narrow angles and eighteen eyes with wide angles were studied. The average age of thirty-three subjects was 46.8±19.2, and the male to female ratio was 1:3.7. The mid-peripheral angle was graded by Hong`s, van Herick`s and Spaeth`s grading system. The actual anterior chamber angle was evaluated by UBM and the correlation between each grading system and actual angle was investigated. Results: The results from the Hong`s grading (r=0.802, R2=0.643, p<0.01), Spaeth`s grading (r=0.728, R2=0.530, p<0.01) and van Herick`s grading (r=0.618, R2=0.382, p<0.01) methods correlated significantly with the actual angles. Conclusions: The Hong`s grading method was an easy and effective tool to evaluate anterior chamber angle. In addition, the results of the Hong`s grading method were closer to the actual angle than the other methods.

영국과 한국의 건강도시 사업 평가방법 비교 연구

강신희(Shin Hee Kang),남은우(Eun Woo Nam),문지영(Ji Young Moon) 한국보건교육건강증진학회 2013 보건교육건강증진학회지 Vol.30 No.2

대한민국 만19세 남자의 근시 유병율: 유병율과 교육수준 및 도시화의 관계

강신희 ( Shin Hee Kang ) , 김평식 ( Pyeoung Sik Kim ) , 최동규 ( Dong Gyu Choi ) 대한안과학회 2004 대한안과학회지 Vol.45 No.12

병원의 사회적 책임 활동과 성과: 직원 인식조사를 바탕으로

강신희 ( Shin Hee Kang ),김주나 ( Joo Na Kim ),서영준 ( Young Joon Seo ) 대한보건협회 2015 대한보건연구 Vol.41 No.3

연구목적 : 본 연구는 최근 사회적 이슈이면서 경영의 한 패러다임으로 주목받고 있는 기업의 사회적 책임을 병원의 현실에 맞게 응용하여, 병원의 사회적 책임 활동의 수준과 병원성과와의 관계를 알아보고자 수행되었다. 연구방법 : 본 연구에서는 병원의 사회적 책임경영 활동이 병원 경영성과와 관계가 있을 것이라는 가설을 설정하고 병원을 분석단위로 하여 다음과 같은 연구모형을 설정하였다. 모형에서는 독립변수로 인권, 근로환경, 환경적 책임, 환자보호, 지역사회공헌의 5개 변수를 선정하고, 종속변수로는 직원만족도, 내부커뮤니케이션, 환자만족도, 병원이미지, 병원평판의 5개 변수를 설정하여 독립변수들이 (+) 또는 (-)의 영향을 미치는 것으로 설정하였다. 분석에 이용된 병원은 수련병원 55개소와 지방의료원33개소였다. 자료는 자기기입식 설문조사를 통해 수집하였고, t-test와 회귀분석을 실시하였다. 연구결과 : 병원성과에 유의한 영향을 미치는 요인은 근로환경과 환자보호활동, 지역사회 공헌활동인 것으로 나타났다. 즉,근로환경이 좋을수록, 환자보호활동이 활발할수록, 지역사회 공헌활동 수준이 높을수록 병원성과가 높아졌다. 이는 사회적 책임경영활동이 활발할수록 기업이나 제품의 이미지, 고객만족도가 높아진다는 기존의 연구결과를 지지해 주는 것이다. 결론 : 우리나라 병원의 사회적 책임경영활동은 아직 활발한 수준으로 이루어지지 않고 있음을 확인할 수 있었으며, 직장내 인권과 지역사회 환경에 대한 책임을 더욱 강화할 필요가 있는 것으로 나타났다. 또한 병원 외부에 대한 사회적 책임활동과 병원 내부의 직원들을 대상으로 한 사회적 책임활동이 동시에 병행되어야만 그 효과가 더욱 커질 수 있음을 보여주고 있다. Objective: The purpose of this study is to investigate the status quo of Social Responsibility (SR) activities of Korean hospitals and to examine the relationship between SR activities and Social Performance (SP). Methods: SR activities of hospitals, the independent variables of the study, consist of three components; workplace responsibility, environmental responsibility, and socio-economic responsibility. SP, the dependent variables of the study, contains five variables; employee satisfaction, internal communication, patient satisfaction, hospital image, and hospital reputation. The sample used in this study consisted of 55 private teaching hospitals and 33 municipal public hospitals. Data were collected with self-administered questionnaires and analyzed using t-test and regression analysis. Results: The main results of the study were as follows. First, the level of SR activities was significantly different in terms of the bed size and hospital type. Second, SR activities have significant positive correlation with SP. Third, the two variables of the workplace responsibility and working condition have significant effect on three dependent variables of the study; employee satisfaction, internal communication, and hospital image. Conclusion: The results of the study imply that hospitals need to enhance internal SR activities first prior to trying to conduct external SR activities for the community.

상측분절시신경형성부전 환자와 정상안압녹내장 환자의 망막신경섬유층 두께 비교

김주현,강신희,박주현,이가영,Joo Hyun Kim,Shin Hee Kang,Joo Hyun Park,Kayoung Yi 대한안과학회 2013 대한안과학회지 Vol.54 No.2

Purpose: To analyze the peripapillary retinal nerve fiber layer (RNFL) in superior segmental optic hypoplasia (SSOH) patients and normal tension glaucoma (NTG) patients with inferior visual field defects using optical coherence tomography (OCT). Methods: Ten eyes of 10 patients with SSOH and 10 eyes of 10 patients with NTG were evaluated. The peripapillary RNFL thickness measured by OCT was compared between the 2 groups. Results: The mean RNFL thickness was not significantly different between SSOH patients (79.60 ± 12.54 μm) and NTG patients (77.10 ± 8.52 μm) (p = 0.089). Among the quadrant parameters, there were no significant differences between the 2 groups (p > 0.05). In a clock-hour analysis, the peripapillary RNFL thickness of the NTG group was significantly thicker than the SSOH group in 12, 1, and 2 o’clock (p = 0.029, 0.007, 0.043, respectively). In contrast, the peripapillary RNFL thickness of the SSOH group was significantly thicker than the SSOH group in 6, and 7 o’clock (p = 0.029, 0.007, respectively). Conclusions: Peripapillary RNFL thickness in patients with SSOH was thinner than in those with NTG in the superonasal region, but thicker in the inferotemporal region indicating a different retinal nerve fiber defect pattern between the 2 diseases.

하사근기능항진 환자에서 하사근절제술의 효과 분석

박주현,강신희,최동규,Joo Hyun Park,MD,Shin Hee Kang,MD,Dong Gyu Choi,MD,PhD 대한안과학회 2011 대한안과학회지 Vol.52 No.1

Purpose: To investigate the effect of inferior oblique (IO) myectomy by analyzing the correlation of the amount of inferior oblique overaction (IOOA), hypertropia and excyclotorsion before, between, and after IO myectomy in patients with various degrees of IOOA. Methods: A total of 86 eyes from 59 patients with IOOA who underwent IO myectomy were enrolled in the present study. The correlation analysis was performed for the amount of IOOA, hypertropia and excyclotorsion before and after surgery, according to the preoperative amount of IOOA, hypertropia, and excyclotorsion. Results: The IOOA decreased from +2.5 ± 0.6 before surgery to -0.01 ± 0.25 (p < 0.05) after surgery. The vertical deviation was 5.7 ± 6.3 prism diopter (PD) and 2.3 ± 5.2 PD (p < 0.05) postoperatively. The amount of cyclodeviation was 15.3 ± 7.6° before surgery and 6.6 ± 5.7° (p < 0.05) after surgery. The amount of surgical correction for IOOA and the hypertropia was significantly correlated with preoperative deviation (p < 0.05, p < 0.05). The amount of excyclotorsion before and after surgery was also positively correlated but was not statistically significant (p = 0.05). Conclusions: IO myectomy can correct any degree of IOOA, hypertropia, and related excyclotorsion. J Korean Ophthalmol Soc 2011;52(1):67-73

섬유주절제술 후 홍채절개부를 통한 유리체탈출 1예

김민욱,이효경,강신희,신민철,Min Uk Kim,MD,Hyou Kyung Lee,MD,Shin Hee Kang,MD,Min Chul Shin,MD,PhD 대한안과학회 2012 대한안과학회지 Vol.53 No.4

Purpose: To report the results of anterior vitrectomy for obstruction of the aqueous outflow shunt by prolapsed vitreous strands after trabeculectomy. Case summary: Trabeculectomy was performed on a pseudophakic primary open angle glaucoma patient with uncontrolled intraocular pressure under maximum tolerable medical therapy. Three months after trabeculectomy, the bleb flattened and the intraocular pressure elevated. On gonioscopic examination, vitreous strands prolapsed through the iridectomy site obstructing the inner ostium. The maximum tolerable medical therapy and Nd:YAG laser vitreolysis were attempted, but the intraocular pressure was not controlled. Anterior vitrectomy was performed to remove the prolapsed vitreous strands. After anterior vitrectomy, the bleb regained filtering function and the intraocular pressure was stabilized. Conclusions: In a case with a prolapsed vitreous into the anterior chamber obstructing the outflow shunt of the aqueous humor after trabeculectomy, anterior vitrectomy showed therapeutic effects. J Korean Ophthalmol Soc 2012;53(4):602-606

한방의료서비스 이용과 만족도의 영향요인에 대한 계통적 고찰

서영준(Young-Joon Seo),강신희(Shin-Hee Kang),김연희(Yeon-Hee Kim),최대봉(Dae-Bong Choi),신현규(Hyun-Kyu Shin) 대한한의학회 2010 대한한의학회지 Vol.31 No.1

한의원 환자들의 한방의료 이용 행태 및 만족도 실태

서영준(Youngjoon Seo),강신희(Shin-Hee Kang),김연희(Yeon-Hee Kim),최대봉(Dae-Bong Choi),신현규(Hyun-Kyu Shin) 대한한의학회 2010 대한한의학회지 Vol.31 No.2

한국인에서 빛간섭단층촬영기로 측정한 시신경 유두주위 망막신경섬유층 두께의 연령에 따른 변화

권용대(Yong Dae Kwon),강신희(Shin Hee Kang) 대한검안학회 2012 Annals of optometry and contact lens Vol.11 No.1

목적: 정상 한국인에서 빛간섭단층촬영기로 측정한 시신경 유두주위 망막신경섬유층 두께의 연령과 위치에 따른 변화를 알아보고자 하였다. 대상과 방법: 13세에서 82세까지의 정상인 자원자 237명 470안을 대상으로 빛간섭단층촬영기를 이용하여 시신경 유두주위 망막신경섬유층 두께를 측정하고, 측정 지점 각각에서의 연령 변화에 따른 두께의 변화를 분석하였다. 결과: 평균연령은 43.0세이고, 전체 대상의 망막신경섬유층의 평균 두께는 106.5±10.5μm였으며, 연령이 증가함에 따라 유의하게 감소하였다. 측정 위치별로 하이측에 해당하는 226∼246 지점이 연령증가와 가장 큰 음의 상관관계를 보였고, 연령대별 망막신경섬유층 두께의 감소는 30대의 8시 방향에서 가장 급격하게 감소하였다. 결론: 빛간섭단층촬영기로 측정한 한국인의 망막신경섬유층의 두께는 연령증가에 따라 하이측에서 상이측보다 급격한 감소를 보였고, 30대 연령대에서 가장 빠르게 망막신경섬유층의 두께가 감소되어, 녹내장을 포함하는 시신경 질환을 진단하거나 진행여부를 판단할 때 연령증가와 위치에 따른 의한 망막신경섬유층의 감소를 고려하여야 할 것으로 판단된다. Purpose: To investigate the relationship between peripapillary retinal nerve fiber layer (RNFL) thickness measurements by time domain optical coherence tomography (TD-OCT) in a normal Korean population and aging. Methods: 470 eyes of 237 healthy Korean volunteers (age range 13∼82 years, mean age 43.0 years old) were enrolled in this clininical cross-sectional study. The peripapillary RNFL was measured by TD-OCT (Stratus OCT). The thickness of the peripallary RNFL was obtained at the 256 points of circular edge around the optic disc with diameter 3.4 mm. The relationship between peripapillary RNFL thickness and age was analyzed. Results: The mean age was 42.95 years. The mean RNFL thickness of the healthy Korean people was 106.5±10.5μm. There was a significant negative correlation in average RNFL thickness with increasing age. In the nasal quadrant, there was no significant negative correlation with increasing age. At the scan points from 226 to 246 (8 o clock direction), the RNFL thickness was decreased with age significantly. Among age groups, thirties group was disclosed most decreasing rate at 8 o clock direction. Conclusions: The RNFL thickness of normal Korean population appeared to decrease with increasing age especially in the inferotemporal and superotemporal portions. The property of RNFL thickness with a decreasing tendency of different degrees according to the area over time should be considered in diagnosis and follow up of glaucoma patient.