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빅 데이터를 이용한 뚜렛증후군 환자와 관련된 안과적 임상양상의 유병률 조사
정도희(Do Hee Jung),이수정(Soo Jung Lee) 대한안과학회 2021 대한안과학회지 Vol.62 No.9
목적: 뚜렛증후군 환자와 관련된 안과적 임상양상의 유병률을 빅 데이터를 이용해 알아보고자 하였다. 대상과 방법: 국내에서 2012년 1월 1일부터 2016년 12월 31일까지 뚜렛증후군 진단코드(F95.2)를 받은 18세 이전의 환자들을 대상으로 하였다. 뚜렛증후군과 관련되었다고 보고된 안과적 임상 양상인 틱 장애, 눈꺼풀연축, 불수의적 주시 이상, 사시와 더불어 조사된 적이 없었던 약시와 굴절이상을 안과적 임상 코드로 선정하여 심평원에서 추출한 표본을 바탕으로 한 빅 데이터를 이용하여 빈도를 조사하였다. 결과: 총 3,643명의 뚜렛증후군 환자가 연구 대상으로 포함되었으며 남자가 2,777명, 여자가 866명이었고, 틱 장애는 3,643명(100%), 눈꺼풀연축 진단코드를 받은 환자 수는 48명(1.3%)이었으며 불수의적 주시 이상 진단코드는 9명(0.2%), 사시 진단 코드를 받은 환자수는 109명(3%)이었다. 또한, 약시 진단코드를 가진 환자수는 29명(0.8%)이었으며, 굴절이상 진단코드를 가진 환자수는 1,306명(35.8%)이었다. 결론: 뚜렛증후군은 여러 안과적 이상을 동반할 수 있으므로 신경정신과 의사와 안과의사의 협력과 정기적인 안과검진이 필요할 것으로 생각된다. Purpose: To investigate the prevalence of ophthalmic manifestations in patients with Tourette syndrome using big data based on samples extracted from the Health Insurance Review and Assessment Service. Methods: The study participants included Korean patients under the age of 18 years who had received a Tourette syndrome diagnostic code (F95.2) between January 1, 2012, and December 31, 2016. Ophthalmic manifestations reported to be related to Tourette syndrome such as tic disorder, blepharospasm, involuntary gaze abnormality, and strabismus were selected as ophthalmic clinical diagnostic codes; amblyopia and refractive errors that had never been investigated in conjunction with Tourette syndrome were also selected. Prevalence was investigated using big data. Results: A total of 3,643 Tourette syndrome patients (2,777 men and 866 women) were included in the study. The number of patients receiving a tic disorder diagnostic code was 3,643 (100%); blepharospasm, 48 (1.3%); involuntary gaze abnormalities, 9 (0.2%); and strabismus, 109 (3%). In addition, the number of patients receiving an amblyopia diagnostic code was 29 (0.8%), and the number of patients with a refractive errors code was 1,306 (35.8%). Conclusions: Tourette syndrome can be accompanied by several ophthalmic manifestations. Thus, cooperation between a neuropsychiatrist and an ophthalmologist, and regular ophthalmological examinations, are considered necessary.
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윤소영(Yoon, So Young) 건국대학교 몸문화연구소 2016 건국대학교 몸문화연구소 콜로키움 발표자료 Vol.2016 No.9
Peter Shaffer’s Equus is a salient text for digging up the meaning of space and relationships between Alan and Horse-God Equus, between Alan and Father, and between Alan and Dysart. Based on a true story, this text is said to take 2 years and a half to complete. Known for eccentric and violent behavior on horses, protagonist Alan Strang was sent to hospital to consult the doctor Martin Dysart. He did blinding six horses by pricking their eyes with a sharp weapon. This play reifies three kinds of relationships converging on Alan; his objects are Equus, Father and Dysart. All the three characters function as Alan’s double. First, Equus is Alan’s mother, idealized god/father and Alan himself. Second, Alan’s father as a double functions as Alan’s unconsciousness. Repression and prohibition are placed in the name of the father. Last, Dysart is thought to be Alan’s alter ego. Reversal of roles between Alan and Dysart happens when Alan asks Dysart a few questions and vice versa. While Dysart plays a role in digging up Alan’s unconsciousness and past, during the process he feels from Alan some passion, which he hasn’t got ever. This play has a circular structure of two monologues by Dysart at the beginning and at the end. Dysart’s confessional monologues show how he feels about the limitation of his job and how he should correct many abnormal adolescents in the name of cure. According to him, he acts like a priest to do that. In conclusion, this play shows the importance and dynamic aspects of space and relationships with Alan. In particular, Alan’s room and the stable as a temple and Dysart’s office are mainly significant space to show how Alan’s relationships with Equus, Father and Dysart develop.
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