• 제목/요약/키워드: Veterans Hospital

검색결과 348건 처리시간 0.022초

SPG4 유전자 변이에 의한 유전경직하반신마비를 보인 가족 1예 (One Family with Hereditary Spastic Paraplegia due to SPG4 Gene Mutation)

  • 조정선;김두응;김정미;한영수;하상원;박상은;한정호;조은경
    • Annals of Clinical Neurophysiology
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    • 제7권2호
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    • pp.138-140
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    • 2005
  • Strumpell, in 1880, was the first to describe familial case of spastic paraplegia characterized by progressive weakness and spasticity of the lower limbs with little or no involvement of the upper extremities. This syndrome is heterogeneous in inheritance, age of onset, severity and associated signs. We present one family with autosomal dominant hereditary spastic paraplegia (HSP) due to SPG4 (spastin) gene mutation which is confirmed by genomic DNA isolated from peripheral blood.

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Veterans Hospital Medical Expenses Increase & Decrease Characteristics and Convergence Phenomenon-Focusing on the implications of the medical support system for national veterans-

  • Yu, Tae Gyu
    • International Journal of Advanced Culture Technology
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    • 제9권1호
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    • pp.16-21
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    • 2021
  • As the average age of national veterans has increased from 69 years old(2011) to 71 years old(since 2015) over the past five years, the overall medical service cost of veterans has increased by about 20%. The main cause of this phenomenon is 'ultra-aging', which accounts for 67% of veterans, while the proportion of health insurance patients aged 70 or older is 9%. Therefore, it is judged that the analysis of the trend of use of medical services at veterans hospitals in each region that is in charge of severe medical services of national veterans can serve as an opportunity to seek countermeasures for the severe medical system of national veterans. First of all, based on the details of major medical expenses (hospitalization, outpatient, pharmaceutical expenses) by region for the last 10 years(2010-2019), data significance was performed through a chi-square test, and the Central Veterans Hospital and Non-Central Veterans Hospital using EXCEL. 'Expected frequency' was calculated by year. By applying the CHITEST(observation frequency, expected frequency) function again, the p-value(p<0.05) was calculated, and the profit bias of each region's veterans hospital could be determined. The specific research method is for the last 10 years(2010-2019) for state-sponsored patients_outpatient treatment income, state-sponsored patients_hospitalization income, exempt patients_outpatients at the Central Veterans Hospital, Busan Veterans Hospital, Gwangju Veterans Hospital, Daegu Veterans Hospital, and Daejeon Veterans Hospital. A one-way analysis of variance was conducted to verify the significance of the difference between group averages on the status of 5 medical revenues of veterans hospitals in each of the 5 regions, including medical treatment income, reduced patients_hospitalization income, and reduced patients_medicine expenses. It was found to be significant(p<0.05) at all levels, including region and type. Finally, the bias in the profit structure of regional veterans hospitals was the highest in 2017(p=0.0004) and the lowest in 2013(p=0.0349). In addition, in the profit structure of the Veterans Hospital, the year in which the'regional' variable worked the most was 2019, and the year with the least affected was 2010. The order of the former is Jungang(=31,674,713), Busan(=12,314,614), Gwangju(=11,957,038), Daegu(=10,168,015), and Daejeon(=6,991,034), and the order of the latter is Jungang(=57,868,791), and Busan(=19,183,194). Gwangju(=17,904,712), Daegu(=15,656,034), and Daejeon(=14,377,395). In conclusion, the profit bias of veterans hospitals repeatedly raced the lowest(p=0.01986) and highest(p=0.03499) for the past five years(2010-2014) year by year, with the 'regional' variable being the most in the veterans hospital's profit structure It was identified as a major influence factor. On the other hand, for the last 5 years (2015-2019), the influence factors of the'regional' variable every year were in 2015(p=0.02015), 2016(p=0.01741), 2017(p=0.00045), and 2018(p=0.00394). in 2019(p=0.00227), a significant difference was confirmed at a very low level.

상어 간유 흡인에 의한 지방성 폐렴 1예 (A Case of Lipoid Pneumonia Induced by Aspiration of Shark Liver Oil)

  • 이진석;주홍돈;이귀래;한창완;조영삼;박운식;정동성;한종학;김재홍;손영우;노용호;김정례
    • Tuberculosis and Respiratory Diseases
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    • 제41권6호
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    • pp.670-675
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    • 1994
  • 본 저자들은 스쿠알렌(Shark liver oil)을 반복적으로 사용한 75세 남자 환자에서 방사선 소견과 객담 검사로 진단한 지방성 폐렴 1예를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.

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감각성 길랑바레 증후군 1예 (A Case of Sensory Guillain-Barre syndrome)

  • 최용석;김정미;한영수;차경만;한정호;조은경;김두응
    • Annals of Clinical Neurophysiology
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    • 제6권1호
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    • pp.57-60
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    • 2004
  • The sixty two-year-old woman was admitted with facial diplegia and ataxic gait. Neurological examination revealed areflexia and sensory ataxia with decreased sensation of position and vibration in both lower extremities. Electrophysiologic study suggest motor dominant demyelinating polyneuropathy and bilateral facial neuropathy. CSF study revealed no cells and increased proteins. After intravenous immunoglobulin therapy, sensory ataxia and electrophysiological study had markedly improved for 3 months.

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임상양상과 유전자수가 비전형적인 연관관계를 갖는 근긴장성 이영양증 형제 1례 (Atypical Correlation between CTG Repeat Size Variation and Clinical Manifestation in Brothers of Myotonic Dystrophy)

  • 김정미;조은경;조정선;최용석;한영수;한정호;김두응
    • Annals of Clinical Neurophysiology
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    • 제6권1호
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    • pp.61-63
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    • 2004
  • The copy numbers of the CTG repeats are known to relate to the severity of clinical symptoms for myotonic dystrophy. The positive correlation between clinical manifestations and CTG repeat size has been demonstrated previously. A genetically confirmed myotonic dystrophy patient with 90 CTG repeat number had more severe clinical manifestation than brother with 120 CTG repeats, in adulthood.

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말초성 안면신경 마비로 발현된 교뇌-연수 인접 부위 뇌경색 1예 (A Case of Peripheral Facial Palsy in Ponto-medullary Junction Area Infarction)

  • 조정선;김두응;김정미;한영수;하상원;박상은;한정호;조은경
    • Annals of Clinical Neurophysiology
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    • 제8권2호
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    • pp.186-189
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    • 2006
  • A 69 year-old woman was admitted with sudden left facial weakness. She had no other neurologic deficit, except for left peripheral type facial palsy. She had a presumptive diagnosis of Bell's palsy. The blink test was indicative of left facial neuropathy due to left medullary lesion. Diffusion weighted (DWI) brain MRI demonstrated high signal signal lesion in left dorsolateral ponto-medullary junction. Apperant diffusion coefficient (ADC) brain MRI showed low signal lesion in the same area. We present an unusual case of ipsilateral peripheral facial palsy in dosolateral ponto-medullary infarction without other neurologic deficits.

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순목반사검사를 응용한 안면근육 공동반사운동 평가 (Evaluation of Facial Synkinesis With Applied Blink Reflex Test)

  • 김정미;한영수;조정선;박상은;하상원;한정호;조은경;김두응
    • Annals of Clinical Neurophysiology
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    • 제7권2호
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    • pp.88-92
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    • 2005
  • Blink reflex could be a useful tool to differentiate facial synkinesis as one of complications of facial neuropathy, from volitional associated movements. We had performed applied blink reflex test for 23 patients with objective evidence of hemifacial weakness in which orbicularis oculi muscle(zygomatic branch) and mentalis muscle(mandibular branch) are electrophysiologically evaluated in response to supraorbital stimulation of trigeminal nerve. For an unaffected side of face there is no evidence of positive blink reflex from the mentalis muscle. We concluded that a positive blink reflex from mentalis muscle is almost always suggestive of chronic facial neuropathy even in clinical silence of facial synkinesis, or an aberrant reinnervation after peripheral facial neuropathy, and does not electrophysiologically correlate with the severity of facial palsy.

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$^{131}I$-MIBG Scintigraphy로 진단된 재발성 갈색 세포종 1예 - Report of A Case - (A Case of Recurrent Pheochromocytoma Diagnosed by $^{131}I$-MIBG Scintigraphy)

  • 정동성;이귀래;한창완;조영삼;박운식;정윤형;주홍돈;박성기;김성환;김정례;문대혁
    • 대한핵의학회지
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    • 제28권3호
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    • pp.402-406
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    • 1994
  • 저자등은 10년 전 좌측 부신의 갈색 세포종으로 수술한 후 건강하게 지내다가, 6개월 전부터 증상을 호소하는 49세 남자 환자에서 생화학적 검사상 재발을 확신할 수 없었으나, MIBG scintigraphy로 진단하여 수술을 시행한 부신외 갈색 세포종 1예를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.

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외상후 스트레스 장애 환자에서 해마용적과 기억기능 (Hippocampal Volume and Memory Function in Patients with Posttraumatic Stress Disorder)

  • 정문용;정화용;유현;정혜경;최진희
    • 생물정신의학
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    • 제8권1호
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    • pp.131-139
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    • 2001
  • This study was conducted to evaluate the effect of PTSD on memory function and hippocampal volume, and to identify major variables correlated to hippocampal volume and memory function. Thirty four Vietnam veterans were collected for this study, among whom eighteen were PTSD patients and sixteen were combat control subjects. The author used Impact of Event Scale(IES), Combat Exposure Scale(CES), Hamilton Depression Rating Scale(HDRS) and Beck Depression Inventory (BDI). Korea Memory Assessment Scale(K-MAS) was assessed for memory function. Magnetic resonance imaging(MRI) was used to measure hippocampal volume. There were significant differences between PTSD and Non-PTSD veterans in IES, HDRS and BDI. Significant difference was found in verbal memory and total memory of K-MAS between PTSD and Non-PTSD veterans. There was significant difference in hippocampal volume between PTSD and Non-PTSD veterans. Short term memory, verbal memory and total memory were positively correlated to hippocampal volume. Hippocampal volume was negatively correlated to IES, HDRS, and BDI. These results suggest that PTSD severity be associated with hippocampal atrophy and memory dysfunction. Reduced or smaller hippocampal volume may be preexisting risk factor for stress exposure or the development of PTSD on combat exposure.

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