• 디지털융복합연구
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• 제11권9호
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• pp.209-219
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• 2013

본 연구의 목적은 119구급대원의 근골격계 질환에 대하여 파악하고자 함이다. 119구급대원의 근골격계 질환을 조사하기 위해 경기도에 소재하고 있는 소방서 119구급대원 485명을 대상으로 설문조사를 하였으며 빈도분석, 교차분석을 실시하고 chi-square검정, 상관관계를 실시하였다. 결과는 다음과 같다. 119구급대원들의 일반적 업무에 대하여 부담을 갖고 있으며, 그러한 업무 부담이 근골격계 질환에 영향을 미치는 것으로 나타나 전체 대상자의 67.6%가 근골격계 질환이 있다고 하였다. 여성 구급대원이 남성 구급대원보다 더 높은 유병률을 보였으며, 기혼자가 미혼자에 비하여 유병률이 더 높았고, 가사노동시간이 3시간 이상 하는 경우에 유병률이 높았으며, 소방대원으로 근무한 경력이나 구급대원으로 근무한 경력이 길수록 증상이 더 나타났다. 또한, 근골격계 증상이 나타나는 부위로는 허리(36.4%), 어깨(19.2%), 목(14.9%), 다리/발(13.2%), 손/손목/손가락(12.0%), 팔/팔꿈치(4.3%) 순으로 나타났다.

• Tuberculosis and Respiratory Diseases
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• 제58권6호
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• pp.600-606
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• 2005

Background : The development of bronchoscopic equipment along with the precision of radiographic techniques had reduced the mortality rate of patients with tracheobronchial foreign bodies but has been no change in the incidence of tracheobronchial foreign bodies since their introduction. The aim of this study was to assess the clinical characteristics of a tracheobronchial foreign body aspiration and to evaluate the efficacy of the treatment modality in children and adults. Methods : This is a retrospective review of 64 patients who underwent bronchoscopic procedures for the treatment of aspirated foreign bodies from December 1994 through March 2004 at the Chonnam national university hospital. Results : There were 47 males and 17 females, aged from 1 month to 78 years. Most of the patients had no underlying illness except for one patient with a cerebrovascular accident that contributed to the foreign body aspiration. The most common symptom was cough, which was noted in 54 patients (84.3%). The other presenting symptoms were dyspnea (48.8%), fever (20.3%), sputum (14%), vomiting (7.8%), and chest pain (4.6%). Those whose tracheobronchial foreign bodies were diagnosed more than 2 days after the aspiration (21 patients) were more likely to have pneumonia than those whose foreign bodies were diagnosed within 2 days (p = 0.009). Foreign bodies were visualized in the plain chest radiographs in 12 cases (18.8%), while others showed air trapping (21, 32.8%), pneumonia (15, 23.4%), atelectasis (7, 10.9%), and normal findings (9, 14.1%). The foreign bodies were more frequently found in the right bronchial tree (36) compared with the left bronchial tree (22, p = 0.04). In order to remove the foreign bodies, twenty (31.2%) cases were removed using flexible bronchoscopy, while 42 (65.6%) and 2 (3.2%) cases required rigid bronchoscopy and surgery, respectively. Conclusions : Tracheobronchial Foreign body aspiration had a bimodal age distribution in the infancy and old age around 60 years. They were found more frequently in the right bronchial tree. In addition, patients whose foreign bodies were diagnosed more than 2 days after the aspiration were more likely have a infection. Rigid bronchoscopy is the procedure of choice for uncooperative children and for those with foreign bodies lodged deeply in the small bronchial tree.

• The Journal of Advanced Prosthodontics
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• 제5권1호
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• pp.29-35
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• 2013

PURPOSE. To longitudinally assess the quality of life in maxillectomy patients rehabilitated with obturator prosthesis. MATERIALS AND METHODS. Thirty-six subjects were enrolled in the span of 16 months, out of which six were dropouts. Subjects (age group 20-60 years) with maxillary defects, irrespective of the cause, planned for definite obturator prosthesis, were recruited. The Hindi version of European Organization for Research and Treatment of Cancer, Head and Neck version 1 of Quality of Life Questionnaire was used before surgical intervention and one month after definitive obturator. Questionnaire includes 35 questions related to the patient's physical health, well being, psychological status, social relation and environmental conditions. The data were processed with statistical package for social science (SPSS). Probability level of P<.05 was considered statistically significant. RESULTS. The quality of life after rehabilitation with obturator prosthesis was 81.48% (${\pm}13.64$) on average. On item-level, maximum mean scores were obtained for items problem with teeth ($1.87{\pm}0.94$), pain in mouth ($1.80{\pm}0.92$), trouble in eating ($1.70{\pm}0.88$), trouble in talking to other people ($1.60{\pm}1.22$), problems in swallowing solid food ($1.57{\pm}1.22$) and bothering appearance ($1.53{\pm}1.04$); while minimum scores were obtained for the items coughing ($1.17{\pm}0.38$), hoarseness of voice ($1.17{\pm}0.53$), painful throat ($1.13{\pm}0.43$), trouble in having social contacts with friends ($1.10{\pm}0.40$) and trouble having physical contacts with family or friends ($1.10{\pm}0.31$). CONCLUSION. Obturator prosthesis is a highly positive and non-invasive approach to improve the quality of life of patients with maxillectomy defects.

• Journal of the Korean Data and Information Science Society
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• 제28권4호
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• pp.769-781
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• 2017

본 연구는 간호사의 건강문제와 업무에 대한 부담감이 프리젠티즘에 미치는 영향을 파악하고자 시행되었다. 연구대상은 K도와 D광역시 4개의 종합병원에 근무하는 간호사로 편의추출 방식으로 수집하였다. 연구결과 간호사의 건강문제는 목 어깨 등 허리통증이 가장 많이 나타났 고, 간호사는 평균 3.62개의 건강문제를 가지고 있는 것으로 나타났다. 간호사의 프리젠티즘은 100점 만점에 평균 $43.37{\pm}12.43$점으로 나타났다. 건강문제의 개수와 업무에 대한 부담감과 프리젠티즘은 유의한 정적인 상관관계가 나타났다. 건강문제의 개수와 업무에 대한 부담감은 현 병동에서의 근무기간, 직급, 의료 기관 규모, 성별 등의 인구사회 학적 요인을 통제한 상태에서 간호사의 프리젠티즘에 유의한 영향을 주는 것으로 확인되었다. 이는 업무에 대한 부담감을 낮출수록, 건강문제를 잘 관리 할수록 간호사의 프리젠티즘을 낮 출 수 있다는 결과이다. 따라서 향후 간호사의 개인수준, 조직수준, 사회수준에서 업무에 대한 부담감을 낮출 수 있는 방안이 필요하며, 이를 통해 프리젠티즘을 최소화하여 생산성을 높일 수 있어야 하겠다.

• 한국임상수의학회지
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• 제31권6호
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• pp.519-522
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• 2014

2년령 2 kg 말티즈가 진행성 사지마비와 목의 통증으로 내원하였다. 개는 알 수 없는 외상 이후 지난 2주간 스테로이드로 처치되었으나 점진적으로 상태가 악화되었고, 사지마비 상태가 되었다. 내원 시 개는 보행이 불가능한 사지마비 상태를 보였다. 방사선 사진과 CT 결과, C2의 가로골절과, 환추관절과 C2-C3의 불완전 탈구가 발견되었다. 추가적으로, MRI 상에서 뇌수종이 관찰되었다. Screw, Wire 와 PMMA를 사용한 C1-C3의 안정화가 시행되었다. 수술 후 4주에 임상 증상이 개선되었고, 개는 수술 6주 후에 이전과 마찬가지로 보행이 가능하였다. 본 증례의 Screw, Wire 와 PMMA를 안정화로 경추 골절을 효과적으로 치료하였다.

• 대한한방내과학회지
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• 제22권3호
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• pp.299-307
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• 2001

Objectives: Fatigue is a common symptom experienced by many people who visit Oriental medical clinics or hospital. However, there has been little study about the fatigue in the Oriental medical academic world. For this reason, we attempted to investigate the present status of fatigue of outpatients, and its relation with Health Practice Index(HPI). Methods: The subjects were 63 outpatients who visited the Tonification Clinic in Kyunghee Oriental Medical Center between January 1, 2001 and July 31, 2001. Their chief complaint was fatigue and they did not have any physical or mental problem. They were given a questionnaire which included questions reflecting general characteristics, fatigue degree and health habits. We measured degree of fatigue by Chalder scale et al. Health habits were investigated about 5 articles out of 'Breslow 7 Health habits'. Results: Among the subjects, 48 people(76.2%) were considered as 'fatigue patients' by the Chalder scale. Of this 48 fatigue patients, 27 people(56.3%) had manifested fatigue for more than 6 months. The average of scale II for all the patients was 14.05, which indicates moderate degree of fatigue. They complained fatigue, drowsiness and general weakness, dryness and discomfort of the eyes, headache, shoulder pain and neck stiffness, dizziness, heat in the upper part of the body, and poor concentration. There were no differences in degree of fatigue according to Health habits including exercise or not, smoking or not, the frequency of drinking, hours of sleeping, and body mass index. Conclusions: Many people complain fatigue symptom. Therefore doctors should have more interest in fatigue and care. This study can provide standards of prognosis of fatigue patients. Also prospective studies are needed to find relationship between health habits and fatigue degree.

• 대한한방내과학회지
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• 제27권3호
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• pp.555-560
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• 2006

Objectives : The objective of this study is to analyze what quality of life(QOL) scales are frequently used in cancer patients and lay a cornerstone to develop new QOL scales adequate for oriental medical anti-cancer treatment in the future. Methods : We searched 151 articles concerned with 'QOL and scale and cancer' from PubMed and classified them according to periods. nations. cancer types and symptoms. Results: 138 articles(91%) were published after 1996. 65 articles(43%) were published in USA. For breast. lung, prostate. esophageal cancer and melanoma. European Organization for Research and Treatment of Cancer-quiality of life questionaire(EORTC-QLQ) was used most frequently to evaluate quality of life. Functional Assessment of Cancer Treatment(FACT) for bladder cancer. Hospital Anxiety and Depression Scale(HADS) for colorectal cancer and of Washington Quality of Life questionnaire(UW-QOL) for Head & Neck cancer were used repeatedly. And for the patients with the symptoms such as bone marrow depression. depression. pain. dyspnea. nausea & vomiting and voice change. the investigators used EORTC-QLQ mainly to evaluate QOL. FACT-An(anemia) for anemia. FACT-BMT(bone marrow transplant) for bone marrow depression were applicated generally. Conclusions It is anticipated that further investigations will be performed to develop adequate QOL scales for oriental medical anti-cancer therapy.

• 구강회복응용과학지
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• 제37권3호
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• pp.171-176
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• 2021

종격동기종은 치과 영역에서 매우 드물고 잠재적으로 위험한 합병증이다. 이의 흔한 원인으로는 핸드피스와 고압 공기/물 주사기를 사용하는 발치, 근관치료, 잇몸 밑 치은연하 소파술 등이 있다. 본 증례는 임플란트 식립을 위한 전 치료로 주사기를 이용하여 상악동에 골이식을 시행받은 61세 여자에게서 발생한 대량의 종격동기종과 피하기종의 증례이다. 환자는 치료 도중 갑작스럽게 발생한 구강 통증과 함께 의식 소실이 발생하였고, 응급실로 전원 되었다. 영상학적 검사상 종격동기종과 함께 얼굴과 목부위 전체에 피하기종이 발견되었다. 예방적 항생제, 산소 흡입, 금식 등의 보존적 치료가 이루어졌고, 합병증 없이 7일 만에 퇴원하였다. 환자의 실신은 시술 중 상악동 천공 후 과량의 공기유입으로 인해 발생한 종격동기종에 의해 순간적인 강한 흉부 압박으로 혈압 감소와 통증 쇽에 의한 것으로 생각된다. 치과 치료 중 환자가 의식을 잃었다면 기도 폐쇄의 위험성이 있기 때문에 종격동기종을 즉각적으로 감별하고 치료해야 한다.

• 한방안이비인후피부과학회지
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• 제34권1호
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• pp.112-135
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• 2021

2020년 7월부터 2020년 12월까지 일개 보건소 건강증진과에서 관할지역 거주 중증 장애인 중 뇌병변 장애와 지체 장애인을 대상으로 한의약 장애인 방문건강관리 표준프로그램을 진행하였고, 이 중 1명의 중증 지체 장애인이 구강 건조증을 앓고 있어, 한의 치료의 개입을 통한 통합적인 관리한 결과는 다음과 같다. 1. 팔물탕(八物湯) 연조엑스제를 포함한 한의 치료는 YDQ에 의해 음허(陰虛)로 변증된 지체 장애인의 약물 유발성 구강 건조를 완화시키고 삶의 질을 호전시켰다. 2. 건강 보험에 포함된 한의 치료를 제공하여 한·양방 통합적 개입으로 양약으로 발생한 구강 건조 증상을 관리할 수 있었다. 3. 6개월간 투약된 팔물탕(八物湯) 연조엑스로 인한 이상 반응은 없었다. 4. 팬데믹 상황에서 한의약 방문 진료와 전화 진료가 혼합된 형태의 공공보건기관의 한의약 건강증진사업으로 장애인의 SHCN를 충족하고 장애인의 만성 질환 관리가 가능한 부분을 확인할 수 있었다. 5. 본 연구는 한방안이비인후피부과 증상 및 질환도 보건소 한의약 건강증진사업으로 포함할 수 있는 가능성을 확인하였으며, 유관 학회의 협력 및 지원과 연구가 필요하다고 생각된다.

• Journal of Korean Neurosurgical Society
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• 제65권4호
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• pp.549-557
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• 2022

Objective : This study analyzed the risk factors in patients who developed distal junctional kyphosis (DJK) after posterior cervical fusion. Methods : We retrospectively analyzed the clinical and radiographic outcomes of 64 patients, aged ≥18 years (51 and 13 male and female patients, respectively), who underwent single-staged multilevel (3-6 levels) posterior cervical fusion surgery due to multiple cervical spondylotic myelopathy. The surgeries were performed by a single spinal surgeon between January 2012 and December 2017. Demographic data, clinical outcomes, and radiological results were collected. We divided the patients into a DJK group and a non-DJK group according to the presence of DJK and investigated the risk factors by comparing the differences between the two groups. Results : Of the 64 patients, 13 developed DJK. No significant differences in clinical results were observed between the two groups before and immediately after the surgery. At the final follow-up, a higher visual analog score for neck pain was observed in the DJK group compared to the non-DJK group (p<0.01). The DJK group had a significantly lower T1 slope and a significantly higher C2-7 sagittal vertical axis (SVA) before surgery compared to the non-DJK group (p=0.03 and p<0.01, respectively). Immediately after surgery, the difference between the two groups decreased and no significant difference was observed. However, at the last follow-up, a significantly higher C2-7 SVA was observed in the DJK group (p<0.01). At the last follow up, there is no discrepancy in T1S-CL. In multiple logistic regression analysis, preoperative higher C2-7 SVA and preoperative lower T1 slope were identified as independent risk factors (p=0.03 and p<0.01, respectively). As a result, it was confirmed that DJK occurred along the process of returning to preoperative values. Conclusion : DJK can be considered to be caused by cervical misalignment due to excessive change in the surgical site in patients with low T1 slope and high C2-7 SVA before surgery. This also affects the clinical outcome after surgery. It is recommended to refrain from excessive segmental lordosis changes during multilevel cervical post fusion surgery, especially in patients with a small preoperative T1 slope and a large SVA value.