• 한국보건간호학회지
• /
• 제14권1호
• /
• pp.114-121
• /
• 2000

This study is designed to evaluation of the Community based Opthalmologic Health Services(CBOHS) for elderly carried out for last three years from 1994. The subjects were total 236 aged over 57 in Chuncheon city. Kangwon province. and the period of data collection was from Feb. 24th. 1996 to Feb. 27th. 1996. For evaluation of CBOHS. the questionnaire was consisted of participation rate. and perception about the service. the level of satisfaction and things to improve. Result were obtained as follows: 1. The number of participants was $95(40.3\%)$ among total subjects. The places provided services were the health service center of Seoul National University in Chuncheon city and community health center. The participants were known from announcements of community staff$(66.3\%)$. 2. Non participants were $59.7\%$ among total subjects. mam causes of missing wasn't known'. 3. The services that participants screening test$(41.2\%)$. provided provided operation$(45.5\%)$. 4. The question about things to improve were continuous follow up and more many glasses provision These fingings may indicate that the CBOHS need more announcement. continuous follow up and provide more many glasses. As proved the satisfaction of CBOHS for elderly. the next study can be performed about the relevant factor of the services.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
• /
• 제27권2호
• /
• pp.184-188
• /
• 2001

Horner's syndrome as a complication of orthognathic surgery is given little attention of head and neck surgery and is a relatively benign and transient condition. A 18-year-old male referred to our department with long and anteriorly projected chin. The cephalometric evaluation revealed a skeletal Class III relationship. A 10-mm setback of the mandible to eliminate Class III relationship and 4-mm vertical reduction genioplasty were performed. Three weeks after operation, the patient was recognized anhidrosis in left face and the head, and ptosis of left eye. The trauma to cervical sympathetic nerve during left sagittal split ramus osteotomy was thought to be the cause of Horner's syndrome. Patient was treated by dermatologic and opthalmologic care. Follow-up examination 8 months later, he was recovery of horner's symptom.

• 한방안이비인후피부과학회지
• /
• 제19권3호통권31호
• /
• pp.232-236
• /
• 2006

Objectives : Strabismus refers to the oculomotor muscles imbalance that results from improper alignment of the visual axes of the two eyes. It may be divided into paralytic and nonparalytic strabismus. Paralytic strabismus is primarily result from neurologic problem and nonparalytic strabismus is more strictly opthalmologic problem. At first we used this method(electroacupuncture at oculomotor muscles) and gained good recoveries for adult paralytic strabismus cases or Miller-Fisher syndrome, and I tried to know the effective and safety for children cases. Methods : We treated the case by using the electroacupuncture at paralytic oculomator muscles. The case was treated almost daily and every treatment was enforced 10 minutes. We use the PG-306 electra-acupuncture products(Suzki Iryoki Co. Japan) and apply the low consequence wave of I-8Hz Results : We found that the case was recovered perfectly in short term and appealed any sides effect or compliant. So I try to apply this treatment in many children cases and make the treating protocol for them.

• 한방안이비인후피부과학회지
• /
• 제15권1호
• /
• pp.219-225
• /
• 2002

By the treatment of herb-med, acupunture and Korean(韓方)- medicine, symptoms of nasal polyp has taken a turn for the better, but nasal polyp itself was removed in completely was imppssible. Althogh a surgical operation of western -medicine, the nasal polyp tend to recur. In China, the new treatment that Chinese(漢方)-medicine and western-medicine combined was tried. The trial was effective in decreasing recurrance rate and treatment period. But it's a case of completely removed Nasal polyp through the more vanous Korean(韓方)-medicine, The patient answered in the affinnative of electric acupunture, nasal bloodletting, vaporization, external application against the existing treatment(herb-med, acupunture, moxa). If electric acupunture, nasal bloodletting, vaporization, external application are receiving careful study, they are a help to nasal polyp and opthalmologic, otolaryngologic disease.

• 동의생리병리학회지
• /
• 제17권1호
• /
• pp.247-250
• /
• 2003

Objectives : Strabismus refers to the muscle imbalanced that results from improper alignment of the visual axes of the two eyes. It may be divided into paralytic and nonparalytic strabismus. Paralytic strabismus is primarily result from neurologic problem and nonparalytic strabismus is more strictly opthalmologic problem. We try to improve the remedial value of acute paralytic strabismus. Methods : We treated the cases by use of electra-acupuncture at paralytic extraocular muscles. The cases were treated almost daily and every treatment were enforced 10 minutes. We use the PG-306 electra-acupuncture products(Suzuki Iryoki Co. Japan) and apply the low consequence wave of 1-8Hz Results : We found that two cases were recovered almost three months and one case is treated till now and improved. So we try to apply this treatment in many cases and make the treating protocol of acute paralytic strabismus.

• 한국수의병리학회지
• /
• 제7권1호
• /
• pp.17-21
• /
• 2003

From February to September in 1996, a lot of blind cattle were reported in Dangjin Area of Chungnam Province. Blindness were observed in the 143 calves of the 1,496 calves from 79 farms. Blind cattle were found only in the farms where green pasture was not fed. After administration of vitamin A as the type of feed additives and parenteral injection, the blindness cases were not occurred in those farms. Both pupils were totally dilated with the absence of pupillary light reflex in all blind cattle. In the ophthalmoscopic examination, the fundus revealed multi focal linear white mottling which was more severe in nontapetal fundus than tapetal fundus. Serum vitamin A concentration was as low as 4.1 ,$\mu\textrm{g}$/dl in the calves of the affected farms. Narrowing of optic foramen, retinal degeneration and optic disc atrophy were shown in pathological findings.

• Maxillofacial Plastic and Reconstructive Surgery
• /
• 제21권3호
• /
• pp.277-283
• /
• 1999

This study was aimed at furnishing the data of Naso-orbito-ethmoidal fractures and aiding treatmenting Naso-orbito-ethmoidal fractures A 5-year review of Naso-orbito-ethmoidal fractures and concomitant injuries is presented. The patients were treated in the Dept. of Oral and Maxillofacial Surgery of Wankwang University Hospital from Jan. 1, 1993 to Dec. 31, 1997. The results were as followes: Male predominated over female by a ratio of 4.6 : 1. The most common reasons is traffic accident(88.2%). The elapsed time from injury to operation is average 9.2 days, and the mean admission days were 79 days and removal of plates were average 217.3 days. The most associated facial bone fractures is Zygomatico-Maxillary complex fracture(20%). Associated injuries were neurologic injury(29.4%), orthopedic injury(23.5%), opthalmologic injury(17.6%), body injury(5.8%), neuropsychologic injury(5.8%) and otolaryngologic injury(5.8%) in this order. The most injured teeth were upper and lower incisors. The intubation methods for surgery were orotracheal(29.57%), submental(29.5%), and nasotracheal technique(41%). Most patients had complications, that were post-traumatic telecanthus, nasal depression, scar formation. This results suggest that early diagnosis and treatment is prerequisits to satisfactory result. Aggressive management of NOE fracture with direct or bicoronal exposure with aid of CT is now an accepted norm.

• Journal of Preventive Medicine and Public Health
• /
• 제23권3호
• /
• pp.345-357
• /
• 1990

Accumulated data on medical care utilization among the insured in Korea Medical Insurance Corporation can explain the health status of the population. The purpose of this study was to analyze a change of the disease-mix and utilization pattern by controlling the size of the population enrollment. Major findings of the study are as follows : 1. The changes of inpatient disease-mix a. Utilization rate was 139.2% in 1988 against 1980. b. Disease groups higher than the average utilization rate included neoplasms, endocrine, nutritional and metabolic diseases and immunity disorders, mental disorders etc. Meanwhile, disease groups seen less often were infections and parasistic diseases, diseases of blood and bloodforming, diseases of the digestive system etc. c. Utilization rate was up 106.3% in 1988 compared to 1985, and diseases above that average level were ill-defined intestinal infections, chronic liver disease and cirrhosis, diabetes mellitus, essential hypertension, etc. d. The disease-mix by institution in 1988 compared to 1985 shows that chronic disorders rank high in general hospitals whereas opthalmologic, obstetric, and orthopedic diseases rank high in private clinics. 2. The changes of outpatient disease-mix a. Utilization rate was up 175.2% in 1988 compared to 1980. b. Disease groups higher than the average utilization rate included neoplasms, endocrine, nutritional and metabolic diseases and immunity disorders, mental disorders etc. And disease groups seen less often were infections and parasistic diseases, diseases of the respiratory system, diseases of the genitourinary system. etc. c. Utilization rate was up 104.0% in 1988 compared to 1985, and diseases above that average level were gastric ulcer, diseases of hard tissues of teeth, etc. And diseases seen below that average level were acute nasopharyngitis(common cold). acute upper respiratory infections of multiple or unspecified sites, etc. It was concluded that medical care utilization level was increased, and that, from 1980 to 1988, disease-mix shifted to the chronic disorders. Chronic disorders accounted for more medical care utilization in general hospitals.

• Journal of Preventive Medicine and Public Health
• /
• 제28권2호
• /
• pp.433-449
• /
• 1995

The study subjects in this study are 295 workers who work on one electronics industry, and they were composed of 93 VDT and 202 non-VDT workers. This study was carried out to obtain the prevalence of subjective symptoms and to compare psychological symptom scores from SCL-90-R between VDT and non-VDT work groups. And to verify the relationship between VDT work related symptoms and psychological symptoms, the author compared SCL-90-R T scores between symptom complaining and non-complaining groups. The results are summarized as follows : 1. Throughout the prevalence study of VDT work related symptoms according to VDT work state, the author could select the final 10 symptoms by sex;'eye fatigue', 'foggy vision', 'neck discomfort or pain', 'shoulder discomfort and pain', 'light headedness', 'dizziness', 'acne', 'itching sensation on face', 'difficulty in concentration', 'memory disturbance' in males, and 'blurred vision', 'foggy vision', 'neck discomfort or pain', 'shoulder discomfort and pain', 'abdominal distention', 'indigestion', 'acne', 'prickling sensation on face', 'difficulty in concentration', 'memory disturbance' in females. 2. Throughout comparison of psychological symptom scores from SCL-90-R between VDT and non-VDT workers, except 'Interpersonal sensitivity' in female, Mean T score were higher in VDT workers, but not significantly different between the two groups. These results indicate that the relation between VDT work status and psychological symptoms are not strongly correlated. 3. Because of the nonspecific characteristics of VDT work related symptoms, from the 40 subjective symptoms, the author selected the final 10 symptoms by sex, especially correlated to VDT, and divided the study subjects into symptom complaining and non-complaining groups. The mean SCL-90-R T scores between the two groups were compared. Except for the opthalmologic symptoms in females, the scores were significantly different between the two groups in all symptoms. And this indicates that the VDT work related symptoms strongly correlated with the present individual psychological conditions. 4. Due to understand that which of the 9 psychological symptom dimensions are strongly correlated with the subjective symptoms, the author excuted muliple logistic regression analysis, and the result were as follows; 'depression' and 'somatization', in male, and 'obsessive-compulsive' and 'somatization' in female.

• Journal of Genetic Medicine
• /
• 제7권1호
• /
• pp.37-44
• /
• 2010

목적: Kabuki 증후군은 정신 지체를 동반하는 선천성 다발성 기형 증후군이다. 우리나라에서는 현재까지 6례의 Kabuki 증후군 증례가 산발적으로 보고 된 바 있다. 본 연구에서는 저자들이 경험한 Kabuki 증후군 환자 6명의 임상 및 유전학적 특징을 조사하고, 이를 외국 문헌들과 비교 분석해 보고자 하였다. 대상 및 방법: 2003년부터 2009년까지 아주대학교 병원 유전질환 전문센터에서 Kabuki 증후군으로 진단되어 추적 중인 6명의 한국인 여아를 대상으로 하였으며, 의무기록을 후향적으로 검토하여 이들의 임상 및 검사 소견을 수집하고 분석하였다. 결 과: 6명의 환자 모두가 특징적인 얼굴 모습 및 발달 지연 소견을 보이고 있었고, 손끝의 태아 패드 또한 모든 환자에서 확인되었다. 이외에도 대부분의 환자가 생후 성장 지연(83.3 %) 및 근력 저하(83.3%) 소견을 보였다. 안과적인 이상 또한 흔하게 동반되었는데, 특히 사시(83.3%)가 가장 흔한 안과적 이상 소견이었다. 선천성 심장 기형은 50%의 환자에서 동반되었으며, 골격계통의 증상으로는 짧거나(83.3%) 굽은(50%) 5번째 손가락, 관절의 과신전(50%) 및 고관절 탈구(16.7%) 등으로 다양하였다. Kabuki 증후군의 가족력을 가진 환자는 없었으며, 핵형 분석 및 array CGH를 포함한 세포유전학적 분석에서 Kabuki 증후군의 원인으로 생각되는 이상 소견은 발견되지 않았다. 결 론: 한국인 Kabuki 증후군 환자들이 보이는 임상 양상은 매우 광범위하며 다양한 신체 기관을 침범하고 있다. 비록 Kabuki 증후군의 임상적특징들이 비교적잘 알려져 있기는 하지만, 아직질환의 원인으로 추정되는 유전적 이상은 확실히밝혀지지 않았다. 적절한 질환의 관리및 유전상담이 이루어지기 위해서는 Kabuki 증후군의 자연 경과 및 유전적 배경에 대한 추가적인 연구가 필요하다고 생각된다.