• 대한임상검사과학회지
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• 제37권3호
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• pp.212-215
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• 2005

Carpal tunnel syndrome (CTS) is the most common entrapment neuropathy in clinical practice, with a 0.1% life time risk in the general population. Conventional neurophysiological studies have been useful in the diagnosis of this condition, as have a number of more specialized procedures. Therefore, we evaluated the diagnostic sensitivities of several parameters in nerve conduction technique for CTS patients. We analyzed 100 patients (159 hands) who were diagnosed with CTS clinically and electrophysiolosically. Median motor and sensory nerve conduction velocities (MCV and SCV) with wrist, palm, and finger stimulation were performed in traditional methods. Sensitivities of each test were calculated and compared to normal control data. The sensitivities of existing nerve conduction method were noted in terminal latency on median nerve, 2nd finger-wrist segment, 3rd finger-wrist segment, palm-wrist segment and distoproximal ratio, as 72.96%, 92.45%, 94.34%, 94.97%, and 97.48%, respectively. In the early course of CTS, sensory nerve conductions in the median nerve are more valuable than motor nerve conduction. Sensory nerve conductions are usually affected before motor nerve conductions in CTS. In this study, we detected that slowing of median SCV was the most frequent in the distoproximal ratio.

• Journal of Trauma and Injury
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• 제24권2호
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• pp.105-110
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• 2011

Purpose: Chest injuries in multiple trauma patients are major predisposing factor for increased length of stay in intensive care unit, prolonged mechanical ventilator, and respiratory complications such as pneumonia. The aim of this study is the evaluation of lung injury score as a risk factor for prolonged management in intensive care unit (ICU). Methods: Between June to August in 2011, 46 patients admitted to shock and trauma center in our hospital and 24 patients had associated chest damage without traumatic brain injury. Retrospectively, we calculated injury severity score (ISS), lung injury score, and the number of fractured ribs and performed nonparametric correlation analysis with length of stay in ICU and mechanical ventilator support. Results: Calculated lung injury score(<48 hours) was median 1(0-3) and ISS was median 30(8-38) in study population. They had median 2(0-14) fractured ribs. There were 2 bilateral fractures and 2 flail chest. Ventilator support was needed in 11(45.8%) of them for median 39 hours(6-166). The ISS of ventilator support group was median 34(24-34) and lung injury score was median 1.7(1.3-2.5). Tracheostomy was performed in one patient and it was only complicated case and ICU stay days was median 9(4-16). In correlation analysis, Lung injury score and ISS were significant with the length of stay in ICU but the number of fractured ribs and lung injury score were predicting factors for prolonged mechanical ventilator support. Conclusion: Lung injury score could be a possible prognostic factor for the prediction of increased length of stay in ICU and need for mechanical ventilator support.

• 한국인터넷방송통신학회논문지
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• 제13권2호
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• pp.217-223
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• 2013

저출산과 고령화에 따른 교통약자의 증가에 따라 베리어프리 환경에 대한 관심이 높아지고 있다. 고령화 현상은 세계적인 추세로 변화하는 사회여건을 고려하고 발전하는 유비쿼터스 기술을 이용한 교통안전시설과 이동지원시설의 설치가 필요한 시점이다. 장애인, 노약자를 위한 이동성 향상을 위하여 최근 급진적으로 발전되고 있는 IT기술을 활용하여 제거 또는 감소시켜 줌으로써 Barrier Free 환경이 구축되도록 하여야 한다. 본 연구에서는 유비쿼터스 기술의 적용을 위하여 보행 및 안전지원시스템의 도입 필요성 및 도입시 필요한 고려사항에 대한 검토결과를 제시한다. 해외 기술개발 사례를 분석하여 향후 도로 및 보행환경에서의 유비쿼터스 기술의 도입을 위한 기초자료를 제공하고, 도입 방안을 검토하였다.

• Archives of Plastic Surgery
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• 제41권5호
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• pp.480-485
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• 2014

Background The objective of this article is to evaluate clinical outcomes of combined orbital floor and medial wall fracture repair using a three-dimensional pre-bent titanium implant in an East Asian population. Methods Clinical and radiologic data were analyzed for 11 patients with concomitant orbital floor and medial wall fractures. A combined transcaruncular and inferior fornix approach with lateral canthotomy was used for the exposure of fractures. An appropriate three-dimensional preformed titanium implant was selected and inserted according to the characteristics of a given defect. Results Follow-up time ranged from 2 to 6 months (median, 4.07 months). All patients had a successful treatment outcome without any complications. Clinically significant enophthalmos was not observed after treatment. Conclusions Three-dimensional pre-bent titanium implants are appropriate for use in the East Asian population, with a high success rate of anatomic restoration of the orbital volume and prevention of enophthalmos in combined orbital floor and medial wall fracture cases.

• Asian Pacific Journal of Cancer Prevention
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• 제13권9호
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• pp.4281-4284
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• 2012

Background: Osteosarcoma is the most common bone cancer in children, responsible for a high rate of amputation and death. This is the first long-term, population-based, epidemiologic and survival study in Thailand. Objective: To study the incidence and survival rates of pediatric osteosarcoma in Khon Kaen. Method: Childhood osteosarcoma cases (0-19 years) diagnosed between 1985-2010 were reviewed. The data were retrieved from the population-based data set of the Khon Kaen Cancer Registry and medical records from Srinagarind Hospital, Faculty of Medicine, Khon Kaen University. All cases were censored until the end of April 2012. The age-standardized incidence rate (ASR) was calculated using the standard method. Survival experience was analyzed using the standard survival function (STATA 9.0) and presented with a Kaplan-Meier curve. Results: 58 cases were enrolled. The overall ASR was 14.1 per million. Males and females were equally affected. The peak incidence was for 15-19 year-olds in both sexes (ASR=10.4 per million in males and 8.5 in females). The 5-year overall survival rate was 27.6% (95% CI: 15.8-40.8%). The median survival time was 1.6 years (95% CI: 1.2-2.1). In a subgroup analysis, the patients who received only chemotherapy survived longer (5-year survival 45.7%, median survival time 4.1 years, p=0.12). Conclusion: The incidence rate for childhood osteosarcoma was slightly less than those reported for Western countries. The survival rate was also lower than reports from developed countries. Further evaluation of the treatment protocol and risk factor stratification is needed.

• Asian Pacific Journal of Cancer Prevention
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• 제14권9호
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• pp.5061-5065
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• 2013

Background: Oral tongue squamous cell carcinoma (OTSCC) is the most common cancer diagnosed within the oral cavity worldwide. Many studies in India report OTSCC ranking among the top two most common subsites within the oral cavity. India is often labeled the oral cancer capital of the world. The incidence of tongue cancers in the population-based cancer registry (PBCR) of Chennai is showing an increasing trend. A majority of the oral cavity cancers (85%) in our cancer center present in advanced stages (III and IV). In contrast, early tongue cancers (stages I and II) constitute nearly 45% of all OTSCCs. Aim: The aim of this study was to analyze the clinical profile and epidemiological trends in our early stage tongue cancer patients with an emphasis on tobacco and alcohol habits. Materials and Methods: This retrospective analysis was based on a prospectively collected database of 458 consecutive early stage OTSCC in-patients at a tertiary care oncology centre in Chennai between 1995 and 2008. Results: Our study suggests that the earlier trends have clearly changed whereby nearly half of our patients are now never-tobacco users. The findings of the study indicate that a majority of the patients were never alcohol users (86.4%) and nearly half of them were never tobacco users (49.3%), and they had the best survival outcomes. This increasing trend of OTSCC among non-tobacco users is in contrast to our earlier experience of tongue cancer more than five decades ago.The median age of patients in our study was 53.3 years; the male to female ratio was approximately 2:1. The median follow up for the 458 patients was 53 months. Conclusions: Our study importantly as well as interestingly shows a conspicuous absence of association with the traditional risk factors, tobacco and alcohol.

• 한국경제지리학회지
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• 제17권3호
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• pp.554-566
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• 2014

본 연구에서는 1998년부터 2012년까지 15년간의 16개 시 도 패널자료를 이용하여 자치단체의 세입 세출 등 재정변수들 및 인구, 고령인구비율, 실업률, 부양비 등 비재정변수들과 1인당 GRDP로 정의한 지역경제력 간의 관계를 분석하였다. 구체적으로 그랜저 인과관계 분석을 시행하였고, 지역경제력으로 일 방향 또는 양 방향 인과관계가 존재하는 변수들을 설명변수로 한 회귀분석을 시행한 후 통계적으로 유의한 영향을 미치는 변수들에 대해 누적적 영향 유무를 검정하였다. 그 결과 1인당 지방세액, 1인당 사회개발비, 중위연령 등은 양(+)의 영향을 미치는 것으로 나타났으나 부양비는 음(-)의 영향을 미치는 것으로 나타났다. 또한 1인당 보조금, 1인당 지방세액, 1인당 사회개발비, 중위연령 등은 지역경제력에 누적적 영향을 미치고 있다.

• Safety and Health at Work
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• 제5권4호
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• pp.191-197
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• 2014

Background: Disabling fatigue is common in the working age population. It is essential that occupational health (OH) professionals are up-to-date with the management of fatigue in order to reduce the impact of fatigue on workplace productivity. Our aim was to evaluate the impact of one-day workshops on OH professionals' knowledge of fatigue and chronic fatigue syndrome (CFS), and their confidence in diagnosing and managing these in a working population. Methods: Five interactive problem-based workshops were held in the United Kingdom. These workshops were developed and delivered by experts in the field. Questionnaires were self-administered immediately prior to, immediately after, and 4 months following each workshop. Questionnaires included measures of satisfaction, knowledge of fatigue and CFS, and confidence in diagnosing and managing fatigue. Open-ended questions were used to elicit feedback about the workshops. Results: General knowledge of fatigue increased significantly after training (with a 25% increase in the median score). Participants showed significantly higher levels of confidence in diagnosing and managing CFS (with a 62.5% increase in the median score), and high scores were maintained 4 months after the workshops. OH physicians scored higher on knowledge and confidence than nurses. Similarly, thematic analysis revealed that participants had increased knowledge and confidence after attending the workshops. Conclusion: Fatigue can lead to severe functional impairment with adverse workplace outcomes. One-day workshops can be effective in training OH professionals in how to diagnose and manage fatigue and CFS. Training may increase general knowledge of fatigue and confidence in fatigue management in an OH setting.

• Journal of Korean Neurosurgical Society
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• 제67권2호
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• pp.158-165
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• 2024

Objective : Superficial temporal artery (STA)-middle cerebral artery (MCA) anastomosis is conducted for flow augmentation. In this study, we measured the STA cut flow of a Korean population and evaluated the relationship between STA cut flow and long-term patency of the bypass. Methods : A retrospective study was conducted. Intraoperative measurement of STA flow was conducted using a microvascular flow meter on patients who underwent STA-MCA. After cutting the distal end, the STA flow rate was measured with no resistance and recorded. After finishing anastomosis, STA flow was measured and recorded. The cut flow index was calculated by dividing post anastomosis flow by cut flow in intracranial atherosclerotic stenosis patients. Results : The median STA cut flow was 35.0 mL/min and the post anastomosis flow was 24.0 mL/min. The cut flow of STA decreased with aging (p=0.027) and increased with diameter (p=0.004). The cut flow showed no correlation with history of hypertension or diabetes mellitus (p=0.713 and p=0.786), but did correlate a positively with history of hyperlipidemia (p=0.004). There were no statistical differences in cut flow, STA diameter, and post anastomosis flow between the frontal and parietal branches (p=0.081, p=0.853, and p=0.990, respectively). Conclusion : The median STA cut flow of a Korean population was 35 mL/min. Upon reviewing previous articles, it appears that there are differences in the STA cut flow between Western and Asian patients.

• 국제지역연구
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• 제15권1호
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• pp.549-570
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• 2011

이 글은 선진국, 개발도상국 그리고 한국에서의 인구고령화 현 상태와 추세를 고찰하는 것을 목적으로 한다. 2009년 현재 세계인구 중 65세 이상 노인의 비중은 8%이다. 한편 노인인구의 비율은 개발도상국(그리고 한국)보다 선진국이 훨씬 높다. 그래서 우리는 인구고령화 현상을 흔히 유럽, 미국, 일본 등 선진국에서 일어나는 현상으로 간주한다. 이는 잘못이다. 미래에는 인구고령화가 선진국보다 개발도상국 그리고 한국에서 훨씬 더 심각한 사회문제로 나타날 것이다. 인구고령화는 선진국보다 개발도상국(그리고 한국)에서 급격하게 진행되고 있다. 그것은 선진국에 비해 개발도상국에서 인구변천이 최근시점에 그리고 단기간에 이루어졌기 때문이다. 그 결과 현재 노년부양비, 노령화지수, 중위연령은 선진국이 한국과 개발도상국보다 더 높지만, 미래에는 그것들은 선진국보다 한국과 개발도상국에서 크게 그리고 급격하게 변동할 것으로 전망된다. 게다가 젊은세대의 부담을 훨씬 더 가중시키는 초고령인구도 선진국보다 개발도상국에서 급격히 증가할 것으로 전망한다. 그러므로 개발도상국에서 개인의 생존전략 혹은 정부정책을 인구고령화에 관련시켜 수립할 때, 우리는 선진국과 개발도상국에서 이와 같이 인구고령화가 상이하다는 사실을 고려할 필요가 있다.