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서종근,이호원,서승돈,박성파 대한수면연구학회 2013 Journal of sleep medicine Vol.10 No.2
Kleine-Levin syndrome is characterized by recurrent episodes of hypersomnia and associated cognitive and behavioral impairments. We present a 47-year-old female patient with recurrent hypersomnia and disorder of appetite. During each episode, patient slept more than 24 hours with hyperphagia or anorexia. Physical examinations, laboratory tests, and brain MRI showed no significant abnormality in the patient. Nocturnal polysomnographic study showed high sleep efficiency, reduced sleep latency and REM sleep latency, and increased sleep stage 1 & 2. The multiple sleep latency tests showed one episode of sleep-onset REM periods. This is the first atypical case of Kleine-Levin syndrome in Korea which showed short duration of episodes and hypersomnia combined with anorexia.
Pharmacological Treatment of Epilepsy in Elderly Patients
서종근,조용원,김근태,김동욱,양광익,이순태,변정익,노영주,강경욱,김대영 대한신경과학회 2020 Journal of Clinical Neurology Vol.16 No.4
The incidence and prevalence of epilepsy are highest in elderly people, and the etiologies of epilepsy in the elderly differ from those in other age groups. Moreover, diagnosing and treating epilepsy in elderly people may be challenging due to differences in clinical characteristics and physiological changes associated with aging. This review focuses on the pharmacological treatment of epilepsy in elderly patients.
요양병원에서의 장기요양 복지용구 급여 수요 발생 탐색 및 특성 분석: 지리 접근성과 이용 특성을 중심으로
서종근 비판과 대안을 위한 사회복지학회/ 건강정책학회 2024 비판사회정책 Vol.0 No.83
복지용구는 장기요양 재가급여로서 지역사회 요양을 지원하지만, 제도 운용 목적과 다르게 요양병원에서 사용되고 있다. 이에 본 연구는 요양병원을 중심으로 장기요양 복 지용구 급여 수요가 발생하였는지 탐색하고, 요양병원 입원노인-지역 거주노인 간의 복 지용구 급여 이용 불균형이 발생하였는지 규명하고자 하였다. 이를 위해, 행정구역별 요 양병원-복지용구 사업소 간 거리 측정하여, 요양병원을 중심으로 복지용구 공급시장이 형성되었는지 분석하였다. 또한, 요양병원 입원노인-재가노인 간의 복지용구 급여 이용 금액을 평균 비교하여, 두 집단의 평균 급여 이용 차이를 분석하였다. 분석 결과는 다음과 같다. 시군구별 요양병원과 복지용구 기관 수는 상관관계 및 인과 관계 모두 유의미하게 나타났다. 또한, 요양병원 반경 1km 이내 60%의 복지용구 사업소 가 위치하였고, 3.5km 이내 복지용구 사업소가 90%가 근접해 위치하였다. 요양병원 입 원환자와 재가 노인 간 장기요양 복지용구 급여 이용 평균을 비교한 결과, 입원환자의 복지용구 이용 평균이 유의미하게 높아, 본 제도의 취지와 다르게 재가노인이 아닌 입원 노인의 급여이용이 높다는 급여 불균형이 관찰되었다. Welfare medical devices benefits, which is a long-term care home benefit, is provided to support for elderly at home, but unlike the purpose of the system, it is used for hospitalization of the elderly. This study examined whether there was a demand for welfare medical devices benefits in nursing hospitals. Furthermore, we sought to determine whether there was an imbalance in the use of welfare medical devices benefits between elderly in nursing hospitals and elderly at home. For this purpose, the distance between nursing hospitals and welfare medical devices business offices in each administrative district was measured in order to analyze whether welfare medical devices suppliers were located nearby nursing hospitals. In addition, the average usage of welfare medical devices benefit was compared between the elderly hospitalized in nursing hospitals and the elderly at home. The findings are as follows. The number of nursing hospitals and welfare medical devices institutions by administrative district showed significant correlation and causality. Furthermore, 60% of welfare medical devices institutions were located within a 1 km radius of the nursing hospital, and 90% of welfare medical devices businesses were located within a 3.5 km radius. In addition, as a result of comparing the average use of long-term care welfare medical devices benefits between patients hospitalized in nursing hospitals and the elderly at home, the average use of welfare medical devices for hospitalized patients was higher significantly, showing that, contrary to the purpose of the system, the benefit use was imbalance between hospitalized elderly and elderly at home.
서종근,김병건,주민경,조수진,정필욱,문희수,김병수,안진영,손종희,정재면,최윤주,문혜진,박성파 대한신경과학회 2022 대한신경과학회지 Vol.40 No.3
Background: Migraine patients have a higher frequency of suicidality than people without migraine. The aim of this study was to identify suicidality and its risk factors in migraine patients. Methods: We enrolled 358 migraine patients from 11 hospitals. We collected data regarding their clinical characteristics and the patients completes the questionnaires. We also interviewed patients with the Mini International Neuropsychiatric Interview (MINI)plus version 5.0.0 to identify their suicidality. The International Classification of Headache Disorders, third edition, beta version was used in headache diagnosis. Results: The frequency of suicidality in migraine patients was 118 (33.0%). Migraine patients with suicidality were more likely to have a major depressive disorder or generalized anxiety disorder than those without suicidality. Among variables, risk factors for suicidality in migraine patients were female (odds ratio [OR], 4.110; 95% confidence interval [CI], 1.55310.878; p=0.004), attack duration (OR, 2.559; 95% CI, 1.2105.413; p=0.011), Patient Health Questionnaire9 (OR, 1.111; 95% CI, 1.0381.189; p=0.002), and Generalized Anxiety Disorder7 (OR, 1.194; 95% CI, 1.1011.294; p<0.001). Conclusions: Suicidality in migraine patients is common. Therefore, clinicians who take care of migraine patients should be concerned about suicidality and its risk factors such as female gender, attack duration, depression or anxiety
서종근,이호원,박성파 대한수면연구학회 2014 Journal of sleep medicine Vol.11 No.1
Neurodegenerative diseases result from deterioration of neurons which may eventually lead to central nervous system-related dysfunction including sleep disorders. The pathogenesis of these disturbances may be secondary to direct structural alterations of the sleep-wake generating cells and networks or be the consequence of several indirect mechanisms. The most frequent sleep disturbances in patients with neurodegenerative diseases are insomnia, hypersomnia, parasomnias, excessive nocturnal motor activity, circadian sleep-wake rhythm disturbances, and respiratory dysrhythmias. Here, we classify the neurodegenerative diseases, taking into consideration the type of molecular neurodegeneration as synucleinopathies and tauopathies and reviewed sleep disorders observed in each degeneration type. The aim of this review is to provide data on sleep disturbances in two categories of neurodegenerative disorders.
작은침샘 종양으로 인해 재발한 말초성 편측 안면마비 1예
서종근,김선영,박성파,서정규,이호원 대한임상신경생리학회 2008 Annals of Clinical Neurophysiology Vol.10 No.1
Since the majority of cases with unilateral peripheral facial palsy are idiopathic, radiological studies such as CT or MRI are not usually recommended for further evaluation. We report a patient with peripheral facial palsy caused by minor salivary gland tumor which was demonstrated by appropriate imaging study.