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척수수막류 환아의 종족 변형에 대한 전경골근 건 이전술
박건보(Kun Bo Park),박희완(Hui Wan Park),오경수(Kyoung Soo Oh),김현우(Hyun Woo Kim) 대한정형외과학회 2006 대한정형외과학회지 Vol.41 No.2
목적: 척수수막류 환아의 종족 변형에 대한 전경골근 건 이전술을 시행하고 치료 결과를 분석하여 술식의 제한점과 적응증을 제시하고자 하였다. 대상 및 방법: 술 후 최소 12개월(평균 25개월) 이상 추적 관찰이 가능하였던 16명의 환아(평균 연령 7년 2개월), 27예를 대장으로 술 전 및 술 후 시행된 보행분석과 역동적 족저압 측정값을 분석하였다. 결과: 종족 변형의 재발 내지 악화 혹은 다른 형태의 족부 기형은 발생하지 않았으며, 족근관절의 입각기 최대 굴곡이 증가하였고 최대 신전은 감소하였다. 종골부의 비례 추진력은 술 후 감소하였으나, 술 전 골반 회전 운동범위의 차이에 따라 뚜렷한 임상적 결과의 차이를 나타냈다. 술 전 보행주기 중 증가된 골반 회전 운동범위를 보인 경우 종골부 비례 추진력의 감소는 그렇지 않은 환아에 비해 작았으며, 또한 이들에서 감소된 슬관절 굴곡-신전 운동범위와 고관절 외전의 증가와 골반 사위의 증가가 관찰되었다. 결론: 단순히 전경골근의 근력이나 환아의 신경분절 수준만을 고려하여 수술을 시행할 경우 만족스럽지 못한 결과를 얻을 수 있으며, 술 전 시상면에서의 감소된 슬관절 운동범위와 관상면 및 횡단면에서의 증가된 고관절 및 골반의 운동범위는 전경골근 건 이전술의 나쁜 예후인자로 판단된다. Purpose: To examine the results of tibialis anterior tendon transfer for the treatment of a calcaneus deformity in children with a myelomeningocele. Materials and Methods: Twenty-seven feet in sixteen children were examined in this study. The mean age at the time of surgery was 7<SUP>+2</SUP> years (range, 4<SUP>+11</SUP>-14<SUP>+9</SUP>) and the mean follow up duration was 25 months (range, 15-50). Three-dimensional gait analysis and dynamic foot-pressure measurement were performed to analyze the results of the index operation. Results: There was no recurrence or aggravation of the deformity. The sagittal kinematics of the ankle improved, and the relative impulse of the calcaneus decreased postoperatively. Those patients with an increased range of motion of the pelvic rotation during gait showed less improvement in the relative impulse of the calcaneus than those with a good range of pelvic rotation. They also had a lower range of knee sagittal motion and an increased range of abduction of the hip, and up-obliquity of the pelvis. Conclusion: A good range of motion of the hip and pelvis in coronal and transverse planes, and of the knee in the sagittal plane are important predictors of the functional transfer of tibialis anterior tendon in patients with a calcaneal gait in a myelomeningocele.
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40대 이상 농촌 및 중소도시 성인의 식품섭취 패턴 (Pattern)과 질환별 유병위험도 : 한국인유전체역학조사사업 일부 대상자에 대해
안윤진(Ahn Younjhin),박윤주(Park Yun-Ju),박선주(Park Seon-Joo),민해숙(Min Haesook),곽혜경(Kwak Hye-Kyoung),오경수(Oh Kyung-Soo),박찬(Park Chan) 韓國營養學會 2007 Journal of Nutrition and Health Vol.40 No.3
Recently, dietary pattern analysis was emerged as an approach to examine the relationships between diet and risk of chronic diseases. This study was to identify groups with population who report similar dietary pattern in Korean genome epidemiology study (KoGES) and association with several chronic diseases. The cohort participants living in Ansung and Ansan (Gyeonggi province) were totally 10,038. Among those, 6,873 subjects with no missing values in food frequency questionnaire were included in this analysis. After combining 103 food items into 17 food groups, 4 dietary factors were obtained by factor analysis based on their weights. Factor 1 showed high factor loadings in vegetables, mushrooms, meats, fish, beverages, and oriental-cereals. Factor 2 had high factor loadings in vegetables, fruits, fish, and factor 3 had high factor loadings in cereal-oriental, cerial-western and snacks. Factor 4 showed positive high factor loadings in rice and Kimchi and negative factor loadings in mushrooms and milk and dairy products. Using factor scores of four factors, subjects were classified into 3 clusters by K-means clustering. We named those 'Rice and Kimchi eating' group, 'Contented eating' group, and 'Healthy and light eating' group depending on their eating characteristics. 'Rice and Kimchi eating' group showed high prevalence in men, farmers and 60s. 'Contented eating' group and 'Healthy and light eating' group had high prevalence in women, people living in urban area (Ansan Citizen), with high-school education and above, and a monthly income of one million won and more. 'Contented eating' group appeared lower distribution proportion in the sixties and 'Healthy and light eating' group does higher in the fifties. 'Contented eating' versus 'Rice and Kimchi eating', odds ratio for hypertension, diabetes, metabolic syndrome and obesity significantly decreased after adjusting age and sex (OR = 0.64, 0.73, and 0.85 respectively, 95% CI). Although our results were from a cross-sectional study, these imply that the dietary patterns were related to diseases. (Korean J Nutr 2007; 40(3): 259~269)
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