Background : Spinal cord injured patients are increased due to occupational and traffic accidents. To give them a comprehensive and continuous medical service, the authors investigated the factors that could influence the psychopathology and functional level and the relationship of psychopathology and functional level.
Methods : 56 spinal cord injured patients ranging in age from 18 to 57 years who were under treatmtnet at rehabilitation centers were completed the study.
Results : The depression scale of the patients who got religion was significantly lower than that of the patients who did not. Somatization scale was higher in patients of duration of more than 1 year. Other demographic factors did not influence the psychopathology. Barthel index was influenced by the level of injury and the duration, but there was no relation between the psychopathology and Barthel score.
Conclusion : The authors expected that psychopthology could influence the functional level of spinal cord injured patients, but the results we got from this study was not. There was no significant relation between the level of injured cord and the phychopathology.
Background : Inspite of the significance of early detection for glaucoma, the majrity of primary care physician does not mesure intraocular pressure in their setting due to limitation of technique for conventional tonometry. The purpose of this study was to compare the effectiveness of noncontact tonometry(NCT) using the air-puff noncontact tonometer(CT-50, Topcon, Ltd, Japan) with that of conventional tonometry using the Goldmann applanation tonometer as a screening tool for glaucoma.
Methods : Intraocular pressure was measured by a technician using the air-puff NCT 3 times and by a skillful ophthalmologist using the Goldmann applanation tonometry once in both eyes of 153 patients who visited eye clinic from June, 1993 to July. 1993.
Results : Air-puff NCT correctly identified 12 of the 13 eyes with an intraocular pressure above 21mmHg measured by Goldmann applanation tonometry for a sensitivity of 92.3%, and 267 of the 268 eyes with an intraocular pressure less than 21mmHg for a specificity of 91.1%. The two methods of intraocular pressure measurement yielded similar pressure readings. The correlation coefficinet is 0.91(Y=0.80X +1.81).
Conclusion : Air-puff NCT is an easy, safe, and practical method of intraocular pressure measurement. So we suppose that air-puff NCT can availably be used in primary care setting to detect glaucoma.