• Journal of Digital Contents Society
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• v.19 no.3
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• pp.587-593
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• 2018

The syndromic surveillance system is designed to identify illness clusters before diagnoses are confirmed and reported to public health agencies, to provide rapid public health response, and thereby to reduce morbidity and mortality. Korea Centers for Disease Control and Prevention (KCDC) has implemented the emergency department-based syndromic surveillance system. To design upgraded and enhanced functions of the current syndromic surveillance system in KCDC for the early warning of adverse disease events, we surveyed many papers. This paper describes the operation status of syndromic surveillance system in other countries and the improvement of the syndromic surveillance system in KCDC.

• 월간산업보건
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• s.187
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• pp.4-9
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• 2003

세계보건기구(WHO)에서는 동남아시아를 중심으로 발생하기 시작했던 급성호흡기감염을 '중증급성호흡지증후군(SARS)'으로 공식 명명하고 전 세계에 경보령을 발동, 각국에서는 경계령을 발동하여 환자 발생감시체제를 가동하였다. 또한 올 겨울 SARS가 다시 유행할 것에 대비해 철저한 대비책을 세워나가야 한다는 전문가의 의견이 제시되기도 하였다. 특히 우리나라는 WHO의 SARS 위험평가 분류에 의거 저위험지역에 해당되나 상반기 사스유행지역인 중국 등과 밀접한 교류가 많은 점을 감안하여 교점지역에 준하여 의료기관 중심 SARS 감시체계를 운영하고 단계별로 감시체계를 전국 병원으로 확대하기로 하였다. 이에 편집실에서는 한동안 전 세계 초미의 관심사였던 SARS에 대해 정리해보는 기회를 갖고자 원고를 청탁하여 특별기고로 다루고자 한다.

• 월간산업보건
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• s.186
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• pp.4-16
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• 2003

세계보건기구(WHO)에서는 동남아시아를 중심으로 발생하기 시작했던 급성호흡기감염을 '중증급성호흡지증후군(SARS)'으로 공식 명명하고 전 세계에 경보령을 발동, 각국에서는 경계령을 발동하여 환자 발생감시체제를 가동하였다. 또한 올 겨울 SARS가 다시 유행할 것에 대비해 철저한 대비책을 세워나가야 한다는 전문가의 의견이 제시되기도 하였다. 특히 우리나라는 WHO의 SARS 위험평가 분류에 의거 저위험지역에 해당되나 상반기 사스유행지역인 중국 등과 밀접한 교류가 많은 점을 감안하여 교점지역에 준하여 의료기관 중심 SARS 감시체계를 운영하고 단계별로 감시체계를 전국 병원으로 확대하기로 하였다. 이에 편집실에서는 한동안 전 세계 초미의 관심사였던 SARS에 대해 정리해보는 기회를 갖고자 원고를 청탁하여 특별기고로 다루고자 한다.

• Journal of Veterinary Clinics
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• v.20 no.4
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• pp.431-436
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• 2003

The purpose of this study is to evaluate urine protein-to-creatinine ratio as a parameter for early detection of nephrotic syndrome and as a parameter for monitoring effectiveness in early course of treatment. Nine healthy dogs were sensitized by intravenous injection with 1 $\mu$g of endotoxin and 5 mg of native bovine serum albumin. After 1 week, 120 mg of cationized bovine serum albumin was injected intravenously 5 times a week. Among nine dogs, five dogs were confirmed as having developed glomerulonephritis and nephrotic syndrome by increase of urine protein-to-creatinine ratio(>1.0), hypoalbuminemia (<1.5 g/dl), hypercholesterolemia (> 240 mg/dl) and azotemia (BUN>40 mg/dl). During the induction of glomerulonephritis and the progression to nephrotic syndrome, the increase of urine protein-to-creatinine ratio was firstly detected. 1 to 4 weeks later, hypoalbuminemia, hypercholesterolemia, and azotemia were detected. Prednisolone (2.2 mg/kg, bid) was administered orally to the dogs with induced nephrotic syndrome. In early stage of treatment, the increase of serum albumin and decrease of serum cholesterol were detected. 1 to 4 weeks later, decrease of urine protein-to-creatinine ratio was detected. It was concluded that urine protein-to-creatinine ratio is a useful parameter for early detection of nephrotic syndrome, and serum albumin and cholesterol are useful parameters for the monitoring in early course of treatment in nephrotic syndrome.

• Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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• 2015.05a
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• pp.754-755
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• 2015

Computer Vision Syndrome(CVS) is a temporary condition resulting from focusing the eyes on a computer display for protracted, uninterrupted periods of time. To prevent CVS, you have to blink your eyes frequently, also have to keep distances from monitor. In this paper, real-time notification system for preventing CVS by checking user's distance between eyes and monitor and user's frequency of nictation in real time through monitor webcam is described.

• Clinical and Experimental Pediatrics
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• v.52 no.3
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• pp.370-375
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• 2009

Purpose : The risk of metabolic syndrome (MS) and cardiovascular disease in Turner syndrome (TS) patients is high. We analyzed metabolic factors in adults with TS and evaluated the metabolic risk of insulin resistance. Methods : Forty-three adults with TS were enrolled. The frequency of MS and the values of the metabolic factors were analyzed. Patients were divided into insulin resistant and non-resistant groups according to values of homeostasis model assessment of insulin resistance (HOMA-IR). The correlations of HOMA-IR with metabolic parameters were analyzed. Results : The frequency of MS was 7% and those of each metabolic parameter were as follows: insulin resistance, 16.3%; central obesity, 15.4%; hypertriglyceridemia, 2.3%; low HDL cholesterol, 9.3%; hypertension, 36.8%. The insulin-resistant group had significantly higher values of body mass index (BMI), waist circumference (WC), fasting plasma glucose (FPG), HOMA-IR, and systolic blood pressure (SBP) than the non-resistant group (P<0.05). HOMA-IR showed a significantly positive correlation with BMI, WC, FPG, and SBP and showed a negative correlation with HDL cholesterol. Conclusion : This study suggests that adults with TS have a high risk of metabolic syndrome, and insulin resistance is correlated with metabolic factors. Therefore, TS patients should have their metabolic parameters monitored regularly to minimize metabolic complications and prevent cardiovascular diseases.

• 대한예방의학회:학술대회논문집
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• 1998.10b
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• pp.237-238
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• 1998

• The Journal of Korea Assosiation for Disability and Oral Health
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• v.14 no.1
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• pp.17-21
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• 2018

Williams syndrome (WS) is a rare congenital disorder which is caused by microdeletion of approximately 1.6 MBP from the long arm of chromosome 7 at 7q11.23. It is characterized by cardiovascular anomalies, elfin face and mental retardation. The most typical oral signs in patient with WS are hypodontia, reduced mesio-distal dimensions both in the primary and permanent teeth, macroglossia, excessive interdental spacing, enamel hypoplasia and enamel hypomineralization. The majority of children with WS have mild to moderate mental retardation, generalized anxiety disorder, hyperactivity disorder and sensitivity to sounds. The purpose of this presentation is to describe dental treatment for a child with WS. A 9-year-old boy diagnosed with WS had caries on his first permanent molars. Because of the poor cooperation, these teeth were filled temporarily with glass ionomer, and treatment under general anesthesia was planned. Under general anesthesia, caries treatment of first permanent molar and extraction of primary molar was successfully performed and there was no postoperative complications related to general anesthesia. Open bite, hypodontia, excessive dental space, enamel hypoplasia, enamel hypomineralization were observed which were characteristic in WS.

• The Journal of Korea Assosiation for Disability and Oral Health
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• v.15 no.1
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• pp.45-49
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• 2019

Bartter syndrome is an inherited renal tubular disorder characterized by hypokalemia, hypochloremic metabolic alkalosis, hyperreninemia, hyperprostaglandinism, and normal blood pressure. Bartter syndrome is classified by neonatal and classic type. Clinical manifestation of Bartter syndrome considered in dental treatment include tendency to dehydration, vomiting and erosion, attrition and abrasion of the teeth. A 2-year-4 month old boy with Bartter syndrome type III was referred to the Seoul National University Dental Hospital for dental evaluation and treatment. He showed hypokalemic hypochloremic metabolic alkalosis and had been treated with indomethacin and potassium chloride. He had hypocalcified teeth with or without multisurface caries lesions in all dentition and the erosion of maxillary teeth was detected. Dental procedure under general anesthesia was scheduled due to multiple caries and his medical condition. The dental procedure was successfully performed. This case suggests that electrolyte imbalances need to be treated prior to dental treatment and complete coverage restoration is necessary to protect the eroded teeth. An appropriate management plan for the patients with Bartter syndrome should include considerations of the need for close interaction with the pediatrician for pre- and post-operative care. General anesthesia may be recommendable to manage the patients having multiple caries with Bartter syndrome.

• Journal of Yeungnam Medical Science
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• v.10 no.1
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• pp.1-17
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• 1993

고빈도 환기법은 최근에 개발되어 임상에 응용되면서 호흡생리학, 마취학, 집중치료의 학등의 분야에서 호흡부전의 새로운 치료법으로 관심이 집중되고 있는 환기법이다. 현재까지 고빈도 환기법중 고빈도 양압 환기와 제트 환기는 비교적 많은 연구가 되고 있고 임상적으로 사용되고 있으나 고빈도 진동 환기법은 제한적으로 사용되고 있다. 앞으로 고빈도 진동 환기법에 대해서도 더 많은 연구가 되어야 할 것이다. 또한 최근 개발되고 있는 고빈도 흉벽 진동 환기와 체표면 진동 환기에도 관심을 기울이면 호흡부전 환자의 치료에 바람직한 새로운 환기법이 될 수 있을 것으로 기대된다. 현재 고빈도 환기법의 몇몇 적용형태는 기관지-늑막루등의 폐압손상으로 인한 병변의 치료외에도 기관수술, 흉부수술, 뇌수술에서 수술부위의 움직임을 최소화시키면서 충분한 가스교환율 이룩할 수 있어서 효과적으로 이용되고 있다. 그러나 응급심폐소생술, 폐쇄성 폐질환, 성인 또는 영아 호흡곤란증후군등과 같은 질환에서의 적용은 더 규명되어져야겠다. 고빈도 환기법의 여러가지 문제점중 적절한 환기빈도의 결정, 충분한 습도를 공급하는 장치, 고빈도 환기의 정확한 감시장치의 개발등은 앞으로 우선적으로 해결해야 할 문제점이다. 또한 임상에 더욱 효과적으로 응용될 수 있는 새로운 환기법이 되기 위해서는 고빈도 환기법의 호흡생리와 안정성등에 관한 연구도 병행되어야겠다.