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노인 청각선별을 위한 순음 가청 역치를 이용한 Ling test 유용성 평가
홍효성(Hyo Seong Hong),허승덕(Seung Deok Heo) 한국언어치료학회 2016 한국언어치료학회 학술발표대회 논문집 Vol.2016 No.12
Purpose: Hearing loss is one of the common problems for geriatric population in an aging society. Early detection of hearing loss, diagnosis and rehabilitation for hearing loss are important for the health of the elderly. Smartphone and application can be help for early detection of hearing loss. Elderly people are blunt in using their hands, which makes them avoiding complicated steps, so it"s more advantageous if it is able to make applications simpler. Because Ling 6 test is so simple that it is used in hearing screening in infants and young children, and daily checks for hearing impaired person. This study evaluate the effectiveness of application_based Ling 6 (app_Ling 6) test for the elderly"s hearing screening by using pure tone hearing threshold level (HTL). Method: 41-elderly (82 ears), who are more than 65-year of age and lived in Daegu and Geoje area were participated. Hearing screening was performed at a place where the noise level was less than 50 ㏈(A), and Tympanogram, app_Ling 6, and pure tone screening (PTS) was examined. The results were obtained which was the correct response rate at app_Ling 6, and HTL of 2 PTAs, 2 ㎑, 4 ㎑ at PTS. Comparisons among tests were analyzed by paired t-test (IBM SPSS Statistics 22). Results: In terms of the type of tympanogram, type A was observed 73 ears, and type B in 9 ears. The correct response rate was 96.64% of /a/, 89.02% of /i/, 51.21% of /u/, 36.58% of /m/, 12.19% of /s/, 67.07% of /sh/, respectively. HTL was 34.39 ± 16.42 dB HL for 2 PTAs, 37.07 ± 17.05 dB HL for 2 ㎑ and 47.56 ± 17.82 dB HL for 4 ㎑ respectively. 6 phonemes of app_Ling 6 test showed a significant relationship with the HTL of 2 PTAs, 2 ㎑ and 4 ㎑ (p= .000). Conclusions: The app_Ling 6 test can be used comfortably and easily in a in a friendly environment as a tool for early detection of hearing loss of presbycusis. In addition to that, because family members and geriatric care workers can implement the test easily, it would be helpful to increase the effects of hearing detection.
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장폐쇄 증상 있는 절제 불가능한 4기 대장암 환자에서 완화 치료 이후의 장기 성적 비교: 자가팽창금속스텐트 대 수술
유홍열 ( Hong Yeol Yoo ),박지원 ( Ji Won Park ),김병창 ( Byung Chang Kim ),손대경 ( Dae Kyung Sohn ),홍창원 ( Chang Won Hong ),박성찬 ( Sung Chan Park ),최효성 ( Hyo Seong Choi ),오재환 ( Jae Hwan Oh ) 대한임상종양학회 2011 Korean Journal of Clinical Oncology Vol.7 No.2
목적(Purpose): 본 연구의 목적은 장폐쇄 증상이 있는 완전절제가 불가능한 4기 대장암 환자에서 완화 목적의 자가팽창금속스텐트를 시술한 경우와 완화 목적으로 수술을 시행한 경우의 장기 임상 성적을 분석하는 것이다. 대상 및 방법(Methods): 2002년 1월부터 2010년 5월까지, 완화 스텐트 삽입(n = 88)과 완화 수술을 시행한(n = 96)환자들을 대상으로 스텐트 삽입 및 수술의 성공률, 합병증, 재원기간, 합병증 발생까지의 기간, 항암치료까지의 기간, 전체 생존률을 분석하고, 생존률과 관련한 예후인자를 평가하였다. 결과(Results): 스텐트군의 초기 합병증은 수술군보다 낮았으나(26.1% vs 47.9%, P = 0.002), 후기 합병증과 주요 합병증 발생률이 더 많았다(P < 0.05). 또한, 스텐트 시술 후 발생하는 장관련 합병증의 비율은 수술군보다 더 많았다(P = 0.037). 수술군에서의 전체 생존기간 중앙값은 스텐트군보다 더 높았고(15.7개월 vs. 9.1개월), 시술 또는 수술 후 합병증으로 인해 추가로 치료를 받아야 하는 경우도 스텐트군에서 많았다(P <0.001). 결론 (Conclusions): 스텐트 삽입은 상대적으로 덜 침습적이며 빠른 증상 호전을 기대할 수 있다. 그러나, 완화 목적의 스텐트 삽입은 완화 수술 보다 후기 합병증 발생 빈도가 높아 환자의 원발 병소, 증상 정도, 등의 환자 상태를 고려하여 적절한 완화치료를 고려할 필요가 있다. Purpose: The aim of this study was to compare the long-term outcomes and the efficacy between palliative self-expanding metal stent (SEMS) and palliative surgery in unresectable stage IV patients with obstructive symptoms. Methods: Patients with symptomatic unresectable stage IV colorectal cancer who underwent insertion of SEMS (n = 88) or palliative surgery (n = 96) from January 2002 to May 2010 was included in the analysis. The success rates, complications, hospital day, time from treatment procedure to chemotherapy, and the overall survival were compared between the two groups. The independent factors related with overall survival were assessed. Results: Early complication rate in the SEMS group was lower than in the surgery group (26.1% vs 47.9%, P = 0.002). However, the SEMS group had a higher late complication rate and major complication rate than the surgery group. (P < 0.05). The percentage of bowel complications after procedure and additional procedures after complications in the SEMS group were higher than in the surgery group (P = 0.037). The overall survival in the surgery group was higher than in the SEMS group (median 15.7 months vs. 9.1 months), and more patients had to receive additional treatment due to complications in the SEMS group (P< 0.001). Conclusion: SEMS therapy has been considered as relatively simple and less invasive treatment. However, it has more late complications and lower overall survival rates. Therefore, palliative treatment should be applied more carefully considering the site of tumor, symptoms and the status of the patient.
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