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심운택,배일훈,오장균,조영채 충남대학교 의과대학 지역사회의학연구소 1991 충남의대잡지 Vol.18 No.1
For the purpose of promotion of mental health in the rural elderlies, we surveyed 506 elderlies by means of Mini-Mental State Examination(MMSE) for evaluation of cognitive functions. We assesed degree of cognitive function impairments and association between cognitive function and socio-environmental conditions. The results were as follows : 1. Proportion of severe and mild cognitive function impairments were increased as incresing age, and mean scores of MMSE became decreased significantly among them(P<0.001). 2. In female, rates of severe and mild cognitive function impairment were high and mean scores of MMSE were significantly lower than male(P<0.001). 3. In widow group, proportion of severe and mild cognitive function impairment were high and mean scores of MMSE were significantly low(P<0.001). 4. As decreasing familly numbers, proportion of severe and mild cognitive function impairment became high and mean scores of MMSE were significantly low(P<0.01). 5. In physical handicaped group, proportions of severe and mild cognitive function impairment were high and mean scores of MMSE were significantly low(P<0.001). 6. In low scores of physical ability group, proportions of severe and mild cognitive function impairment were high and mean scores of MMES were significantly low(P<0.001). 7. Most item-scores of MMSE were significantly correlated. 8. In stepwised multiple regression analysis, age, existence of physical disorder, sex and scores of physical ability were selected highly correlated variables and power of explanation was 0.1528.
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Diagnostic Criteria of Internal Jugular Phlebectasia in Korean Children
전정우,추무진,배일훈,신시옥,최영석,이동욱,심규화 연세대학교의과대학 2002 Yonsei medical journal Vol.43 No.3
Internal jugular phlebectasia (IJP) is a fusiform dilatation of the internal jugular vein (IJV), usually presented as a neck mass in children. Accurate diagnosis from carefully directed history, physical examination, and radiological study could result in lifesaving therapy. We performed our study to suggest possible clinical diagnostic criteria for IJP in Korean children. We reviewed three cases of IJP (patients group) and compared the diameter of the internal jugular phlebectasias with diameters of IJVs in ten normal children (control group) using ultrasonography (USG). There were no significant differences in the range of diameters in the resting state between the two groups. The diameters on the right side, compared with those on the left side, showed no statistical significance (p>0.05). The range of expanding diameter and average expanding ratios (resting state to Valsalva maneuver × 100%) showed a statistical difference between the two groups (p<0.05).
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안성구,고광선,조인성,이경주,배일훈,이혜림 대한내과학회 1991 대한내과학회지 Vol.40 No.6
Thrombotic thrombocytopenic purpura is a relatively rare syndrome of uncertain etiology, characterized by thrombocytopenia and microangiopathic hemolytic anemia. Most patietns have either fever, neurologic manifestations, or renal abnormalities. Thrombotic thrombocytopenic purpura was considered a rapidly progressive disase with a high mortality. However, recent reports indicate that most patients recover by improvement of treatment method. The pathologic finding is that hyaline thrombi, composed of aggregated platelets, occlude arterioles and capillaries of virtually every tissue. Although endothelial cell proliferation may be observed in proximity to the lesions, inflammatory reactions and vasculitis are not observed. We experienced a patient treated with steroids, anti-platelet agents, and fresh frozen plasma which had little therapeutic effect. But clinical and labor a brief review of the literature.
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이경주,고광선,김선영,조인성,배일훈 대한내과학회 1990 대한내과학회지 Vol.39 No.4
Choriocarcinom is a rapidly invasive, widely metastatic neoplasm that is usually intrauterine and associated with gestation. Half of these cases are associated with hydatidiform moles; one-fourth of them are associated with abortion or ectopic pregnancy. The remaining fourth are associated with a normal pregancy in which the infant is normal. Extrauterine, nongestational choriocarcinoma is uncommon. Most cases arise in the gonads, mediastinum, or retroperitoneum with a striking male predilection. Although the lungs are a frequent site of metastatic choriocarcinoma, primary choriocarcinoma of the lung is exceedingly uncommon. We experienced a case of primary choriocarcinoma in a 28-year-old woman who had right chest pain for 5 years. On simple chest film, a 8×8cm sized, well-dermacated, homogenous, and ovoid mass was found on the right lower lung field. The qualitative urine β-HCG was positive, and serum β-HCG was 17140 mIU/ml. The tumor had features of choriocarcinoma at percutaneous needle aspiration biopsies. Careful examination of the patient's entire body, especially the genital tract, failed to disclose foci of choriocarcinoma other than that in the right lung. Right lover and middle obectomy and chemotherapy with MAC was done. After that, the levels of β-HCG in the blood fell to normal range.
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박성규,고광선,김선영,조인성,이경주,배일훈,박찬권,백상현 대한내과학회 1990 대한내과학회지 Vol.39 No.2
Lymphangioleiomyomatosis is a rare disease of women, usually of childbearing age, characterized by the proliferation of benign but atypical smooth muscle cells in the walls of the lymphatics of the lower respiratory tract, pleula, mediastinum, and retroperitoneum. The disease is clinically manifested by recurrent chylous pleural effusion, Pneumothorax, or ascites and hemoptysis. We experienced a case of pulmonary 1ymphan-gioleiomyomatosis in a 30-year-old female patient who had suffered from recurrent pneumothorax associated with normal pregnancy, so we report it with a brief review of the literature.
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