흰쥐 척수에서 피라밋바깥로를 배제한 피라밋로 운동유발전위의 구분에 관한 연구

조준,박용구,이무삼 대한해부학회 2000 Anatomy & Cell Biology Vol.33 No.2

척추전방전위증의 업무상질병 인정기준 개선

조준,윤도흠,박용구,Cho, Joon,Yoon, Do Heum,Park, Young Gou 대한신경외과학회 2000 Journal of Korean neurosurgical society Vol.29 No.12

Objective : World Health Organization and International Labour Organization, in June 8, 1999, requested that working conditions should be reformed ethically right and economically solid for 2.7 billion world labour force. The purpose of this study is to request compensable surgical therapeutic options and to suggest the renewal in cognizance criteria for worker's compensation, especially in spondylolisthesis. Methods : Regarding spondylolisthesis, we obtained data from Korea Labor Welfare Corporation(KLWC). Spinal disease occurrence incidences and medical fees of National Federation of Medical Insurance(NFMI) were analysed. The compensated 122 spinal instrumented cases included 117 male and 5 female patients, aged from 23 to 72 years old(mean : $45{\pm}9.85$). We compared Korean and Foreign Workers Compensation Law. Results : Numbers of herniated nucleus pulpus(78 cases), spinal fractures(34 cases) and dislocations(4 cases) were claimed after spinal interbody fusion operation and were compensated. These compensated degenerative diseases, work related illness, occurred in the course of work. A case of 52-year old spondylolisthesis patient with Disability Grade 8 was compensated by KLWC, according to its occurrence at work by accident. With exception of trauma at work by accident, current cognizance criteria were too narrow to be compensable, especially in surgical therapeutic option, for worker's spondylolisthesis. Conclusion : Considering both worker's compensation law and clinical pathologic progress, we believe that spondylolisthesis should be regarded as a compensable occupation related disease if and when aggravates rapidly in the course of work. We suggest a new cognizance standard to KLWC for labour welfare and proper worker's compensation.

성인에서 지속적인 낫형동을 동반한 자연퇴축된 위축뇌탈출증의 MR영상소견

조준,김미영,노홍기,문원진 대한자기공명의과학회 2006 Investigative Magnetic Resonance Imaging Vol.10 No.2

위축뇌탈출증(atrectic cephalocele)은 중앙의 두피하부에 있는 피부로 덮힌 병변으로서 수막과 아교세포나 중추 신경계 조직의 잔유물들을 포함한다. 수직동이 없거나 잔유물로 남아있는 경우 낫형동(falcin sinus)이 다시 관류하게 되어 정맥의 배출이 가능하게 된다. 위축된 뇌탈출증 또는 지속적인 낫형동은 소아에서 주로 기술되어 왔으며, 성인에서는 매우 드문 병변이다. 저자들은 성인에서 자연퇴화된 위축뇌탈출증이 지속적인 낫형동을 동반한 매우 드문 증례를 보고하고자 하며 MR영상과 MR정맥조영술은 정확한 해부학적 묘사와 진단에 유용하였다.

두피에서 재발한 융기성 피부섬유육종의 MR영상: 증례 보고

조준,김미영,노홍기 대한자기공명의과학회 2006 Investigative Magnetic Resonance Imaging Vol.10 No.2

A 48-year-old man presented with a dermatofibrosarcoma protuberans (DFSP) of the scalp associated with local recurrence. Axial T1- and T2-weighted images demonstrated a well-circumscribed hypointense and intermediate hyperintense mass in the skin and subcutaneous layer of the scalp, respectively. Contrast-enhanced T1-weighted images showed the strongly enhanced mass invasion to the skin, subcutaneous layer and adjacent galeal layer. Scalp DFSP is very uncommon but is an aggressive tumor, so MR imaging diagnosis of the extent of the lesion to underlying structures, and initial wide local resection is important to prevent recurrence.

The Effects of Food Stability and Unmet Medical Needs Experienced by the Elderly on the Suicidal Ideation: Focused on the Mediating Effect of Depression

조준,최정민 (사)한국조리학회 2019 한국조리학회지 Vol.25 No.9

The purpose of this study is to identify the mediating effect of depression on the relationship between food stability and unmet medical needs experienced by the elderly and the suicidal ideation of the elderly. To test the study hypothesis, logistic regression analyses and sobel-tests were used for 1,671 elderly persons aged 65 years or older. According to the results, first, a partial mediating effect of depression was found in the relationship between the dietary life conditions and unmet medical needs experienced by the elderly and the suicidal ideation of the elderly. Based on the foregoing, practical and policy proposals that will enable the control of the suicidal ideation of the elderly were suggested.

OSID 시스템 체계 연구를 통한 객체기반연속수치지도 관리

조준 대한공간정보학회 2011 한국지형공간정보학회 학술대회 Vol.2011 No.5

거대 뇌하수체 종양에서 경접형골동 접근수술

조준,문창택,장상근 건국대학교 1996 學術誌 Vol.40 No.2

In large pituitary tumors, especially suprasellar extended pituitary adenomas, its surgical treatment has been controversial. To discuss and evaluate the transsphenoidal operative effects in large suprasellar extended pituitary tumor, we respectively search out articles and do operations. Under the C-arm fluoroscopic guidance, well contrast enhanced tumor tissue was grossly total removed without diaphragm sellae perforation and was also fascilitated by the intratumoral metrizamide injection intraoperatively and the positive pressure air injection via lumbar subarachnoid catheter. Also, visual evoked potentials (VEP's) were monitored through the operative procedures. Even though thin or thick tumor capsule was adhesed to optic nerve, optic chiasm, Internal carotid artery and hypothalamus, with the help of double conrast and subarachnoidal air pressure, transsphenoidal tumor removal was done safely and less complicated for patient. Recently, in a case of large suprasellar extended ACTH secreting Cushing's syndrome, we achieved grossly total removal and good visual function recovery using the trans-sphenoidal approach with our technique. With a case presentation, the authors suggest that the double contrast method with VEP's monitoring during large suprasellar extended pituitary tumor removal via trans-sphenoidal approach would be safe and helpful. Key Words : large pituitary tumors, trans-sphenoidal approach, double contrast, VEP, Cushing's syndrome.

Traumatic Entrapment of the Vertebrobasilar Junction Due to a Longitudinal Clival Fracture: A Case Report

조준,문창택,최우진,장상근,고영초,노홍기,강현승 대한의학회 2008 Journal of Korean medical science Vol.23 No.4

Vertebrobasilar junction entrapment due to a clivus fracture is a rare clinical observation. The present case report describes a 54-yr-old man who sustained a major craniofacial injury. The patient displayed a stuporous mental state (Glasgow Coma Scale [GCS]=8) and left hemiparesis (Grade 3). The initial computed tomography (CT) scan revealed a right subdural hemorrhage in the frontotemporal region, with a midline shift and longitudinal clival fracture. A decompressive craniectomy with removal of the hematoma was performed. Two days after surgery, a follow-up CT scan showed cerebellar and brain stem infarction, and a CT angiogram revealed occlusion of the left vertebral artery and entrapment of vertebrobasilar junction by the clival fracture. A decompressive suboccipital craniectomy was performed and the patient gradually recovered. This appears to be a rare case of traumatic vertebrobasilar junction entrapment due to a longitudinal clival fracture, including a cerebellar infarction caused by a left vertebral artery occlusion. A literature review is provided.

노인홀대의 실태와 대응방안에 관한 연구

조준 동신대학교 2006 論文集 Vol.16 No.-

The goal of this research is to investigate the actual conditions of the elder abuse and find out the countermeasures on the issue. The research has been practiced with 284 seniors living in Mok-po area and they were interviewed individually. The results of this study may be summarized as follows ; 21.5% of the respondents, 61 had been experienced a certain sort of abuses. The highest frequency is financial abuse(37.9%), and followed by negligence(29.7%) and emotional abuse(26.1%). physical abuse is answered by 6.3% of the abuse-experienced. As far as the causes of abuse are concerned, 'illness or not being healthy' is responded most as 34.9%. 'children's lack of morals'(30.6%), 'financially powerless'(14.8%), and 'no educational background'(3,2%) are the next. The result shows that the elderly intend to regard aging is the main cause of the abuse. This study suggests that elder abuse is not only the matter of an individual or a certain families, partly resulted from structural problems of society. The fact urges welfare-minded measures are urgently called for and various policies are required in practical and diverse view.

의료품질의 향상을 위한 두피절개 및 드레싱 방법의 개선 효과 분석:CT 영상안내에 의한 직선형 또는 S자형 두피절개와 액상 드레싱효과

조준,엄기수,박근상,김미영,이동규 한국품질경영학회 2006 품질경영학회지 Vol.34 No.4

The authors aimed to analyze the quality improvement efficiency of wound dressing with 2-octyl cyanoacrylate(2-OCA) in stereotactic image guided linear or sigmoid incisions in a cohort of consecutive craniotomy patients, and to compare clinical results with those of iodine-dressing and silk sutured patients underwent conventional craniotomy surgery with large pedicle flap incisions without stereotactic guidance. In methods, 26 patients were involved as the study group at one hospital. We retrospectively compared their results with those of 38 consecutive control patients at the same unit. The suggested new medical material, 2-octyl cyanoacrylate(2-OCA), resultantly decreased or prevented the contaminated fluid influx from scalp outside. The mean infection rate for the control group (7.89%) was relatively higher than that of the study group (3.85%). In addition, the use of stereotactic image guided craniotomy was significant to reduce operation time, to simplify operative procedures and to decrease potential risk factors.攀†교신저자 mykim@inha.ac.kr ※ 이 연구는 2004년도 건국대학교 학술진흥연구비 지원으로 수행되었음.攀攀