Doxycycline으로 치료한 피부 반흔 유육종증 1예

고주연,이창우 대한피부과학회 2002 大韓皮膚科學會誌 Vol.40 No.12

Scar sarcoidosis is a rarely encountering variant of cutaneous sarcoidosis and its pathogenesis is still unknown. When inactive scars that have been quiescent for years develop a red or purple hue with induration, we should doubt whether they become infi1trated with sarcoid granuloma or not. We report herein a 45-year-old patient with recurrent scar sarcoid, who shows indurated plaques on the right chin and raised serum level of angiotensin converting enzyme, although there was no evidence of systemic involvement. She was treated with oral doxycycline of moderate doses and skin lesions were cleared after 9 months of treatment. (Korean J Dermatol 2002;40(12) : 1573∼1575)

탈색소 모반 및 혈관종과 동반된 다발성 밀크커피색 반점 1예

고주연,노영석,이창우,김재홍 대한피부과학회 2002 大韓皮膚科學會誌 Vol.40 No.10

When 6 or more cafe'-au-lait spots(CALS) tend to be randomly widely distributed, we must rule out neurofibromatosis(NF). Nevus depigmentosus is a congenital nonprogressive hypopigmented patch that shows histologically decreased pigmentation while CALS shows increased pigmentation. We report a case of a 16-month-aid girl showing generalized multiple cafe-au-lait spots with segmental nevus depigmentosus and capillary hemangioma on her right upper back. A possible explanation for the co-occurrence of CALS and nevus depigmentosus could be the concept of mosaicism.

Inter-rater Reliability of the K-GMFM-88 and the GMPM for Children with Cerebral Palsy

고주연,김민영 대한재활의학회 2012 Annals of Rehabilitation Medicine Vol.36 No.2

Objective To examine inter-rater reliability of the Korean version Gross Motor Function Measure (K-GMFM-88)and the Gross Motor Performance Measure (GMPM) based on the video clips. Method We considered a sample of 39 children (28 boys and 11 girls; the mean age=3.50±1.23 years) with cerebral palsy (CP). Two pediatric physical therapists assessed the children based on video recordings. Results For the K-GMFM-88, the intraclass correlation coefficient (ICC3, 1) ranged from .978 to .995, and Spearman’s correlation coeffi cient ranged from .916 to .997. For the GMPM, ICC3, 1 ranged from .863 to .929, and Spearman’s correlation coeffi cient ranged from .812 to .885. With the gross motor function classifi cation system classifi ed according to the functional level (GMFCS I-II vs. III-V), the ICCs were .982 and .994 for the K-GMFM-88total score and .815 and .913 for the GMPM total score. There were good or high correlations between the subscales of the two measures (r=.762-.884). Conclusion The K-GMFM-88 and GMPM are reliable tools for assessing the motor function of children with CP. These two methods are highly correlated, which adds more reliability on them. Thus, it is advisable to use K-GMFM-88 and GMPM for children with CP to assess gross motor function.

Functional Improvement after the Gross Motor Function Measure-88 (GMFM-88) Item-Based Training in Children with Cerebral Palsy

고주연 대한물리치료학회 2017 대한물리치료학회지 Vol.29 No.3

Purpose: The aim of this study was to investigate applicability of the GMFM-88 in planning intervention for CP children. Specifically, this study assessed functional improvement after a four-week GMFM-88 item-based training in CP children divided into three age groups (≤24 months, 25–48 months, and >48 months) and five levels of the gross motor function classification system (GMFCS). Methods: Subjects were 264 children with CP (mean age 32.90 months) recruited from one CP clinic. The GMFM-88 item-based training was planned for each child, after an interview with its caregiver. To investigate functional improvement after the intervention, minimum important difference (MID) and MID proportion for the change in scores of GMFM-88 were calculated. Results: The GMFM-88 scores increased after the interventions in all three age groups (p<0.05). In particular, children with CP aged ≤24 months and at the GMFCS level II showed greater functional improvement after training. Conclusion: This study found that the GMFM-88 item-based training would be used to plan activity-oriented intervention both in clinic and home in each CP child.

토지이용-교통 통합모델 개발 현황과 국내 적용 사례

고주연 도시정책학회 2011 도시정책학회 학술대회 Vol.2011 No.1

온실가스 감축을 위한 미국의 토지이용-교통 연동계획 사례 연구

고주연,이승일Go. Joo-Yeon,Lee. Seungil 도시정책학회 2011 도시부동산연구 Vol.2 No.2

The impact of climate change by greenhouse gas has been increasing. Around the world many countries announced their goals for reducing global greenhouse gas. Korean government, which declared its reduction goal, need, however, practical means to achieve it. For this purpose, we researched the land-use transportation linkage planning by the MPO of the USA, which is evaluated as one of most effective policies.In this study, we investigated the effects of land-use transportation plans conducted by the Southern California as a case study in order to make Korean planners convinced of land-use transportation linked one.

Development of Korean the Version of the Developmental Coordination Disorder Questionnaire (DCDQ-K)

고주연,이완희,정지윤,김영아 대한물리치료학회 2020 대한물리치료학회지 Vol.32 No.1

Purpose: This study translated the developmental coordination disorder questionnaire’07 (DCDQ’07) into Korean and investigated the psychometric properties of the Korean DCDQ (DCDQ-K) using validation processes. Methods: The subjects were 300 parents with typically developing children aged 5-15 years (162 girls and 138 boys, mean age 9.24 years, SD 2.59) across the country. To develop the Korean DCDQ, a forward-backward-original author feedback-panel meeting-pilot study with parents was done. The internal consistency, test-retest reliability performed two weeks apart, content validity, discriminative validity, convergent validity, and constructive validity were examined with the pre-version of the DCDQ-K. Results: Approximately 15.33% of the subjects were probably shown DCD using DCDQ-K. Significant differences in age and province were observed in the DCDQ-K total score. The reliabilities and validities were good in the DCDQ-K. Conclusion: The DCDQ-K is a reasonable screening tool for DCD children.

Multifocal Lesions of Morphea in a Patient with Systemic Lupus Erythematosus

고주연,주민숙,김용석,이창우 대한피부과학회 2008 초록집 Vol.46 No.10

개정된 의료법상 설명의무에 관한 고찰

고주연 대한이비인후과학회 부산,울산,경남 지부회 2017 임상이비인후과 Vol.28 No.1

중증뇌성마비 아동의 건강관련 삶의 질

고주연,이병희,김민영 대한재활의학회 2009 Annals of Rehabilitation Medicine Vol.33 No.4

Objective: To describe the motor development and quality of life in children with severe cerebral palsy (CP) stratified by gross motor function classification system (GMFCS), and to investigate various factors that affect quality of life in these subjects. Method: Ninety eight children with severe cerebral palsy, mean age 5.8y, were included. The assessment consisted of a clinical evaluation of gross motor function measure (GMFM), a semi-structured interview for child health questionnaire (CHQ), and a review of medical records. Results: CP in GMFCS level V showed lower mean score of GMFM and CHQ than level IV (p<0.05). Scores that present physical quality of life were lower than scores of psychosocial quality of life (p<0.05). Motor distribution and sex were found to be significant factors that affect quality of life in children with severe CP (p<0.05). In particular, as the father’s education level is higher, the physical quality of life in CP is better (p<0.05). Conclusion: In this study, we report general life quality status of children with severe CP in Korea. Some factors such as severity and distribution of paralysis of the CP, sex, parental factor were found to affect their quality of life. We suggest that it is necessary to consider not only motor function, but also quality of life for children with severe CP. Objective: To describe the motor development and quality of life in children with severe cerebral palsy (CP) stratified by gross motor function classification system (GMFCS), and to investigate various factors that affect quality of life in these subjects. Method: Ninety eight children with severe cerebral palsy, mean age 5.8y, were included. The assessment consisted of a clinical evaluation of gross motor function measure (GMFM), a semi-structured interview for child health questionnaire (CHQ), and a review of medical records. Results: CP in GMFCS level V showed lower mean score of GMFM and CHQ than level IV (p<0.05). Scores that present physical quality of life were lower than scores of psychosocial quality of life (p<0.05). Motor distribution and sex were found to be significant factors that affect quality of life in children with severe CP (p<0.05). In particular, as the father’s education level is higher, the physical quality of life in CP is better (p<0.05). Conclusion: In this study, we report general life quality status of children with severe CP in Korea. Some factors such as severity and distribution of paralysis of the CP, sex, parental factor were found to affect their quality of life. We suggest that it is necessary to consider not only motor function, but also quality of life for children with severe CP.