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一部地域 老人들의 主權的 建康水潗에 영향을 미치는 IADL에 관한 硏究
김근조,박흥기,권혁수,배수찬 대한정형물리치료학회 2001 대한정형도수물리치료학회지 Vol.7 No.1
This research have been made to define how the IADL (Instrumental Activity of Daily Living) performance and the subjective health index of the Aged are affected by their residential circumstance, gender and age, and how deeply these two factors are related and interact. For the period of June 1 to July 31, 2000, we had conducted a questionnaire and direct interview with 693 persons over age sixty-five (65) in Daejon and in other adjacent area, grouping into three different residential types The Aged living at home, The Aged living at welfare facilities and The Aged living alone, and studied on how the IADL performance and the subjective health index of the Aged are influenced and interact as per their characteristics, daily activity and mentality. We had analyzed all the data obtained through this research by the method of : - analysis of frequency as per specific factors by SPSS 10.0/PC+, - x^2 test, - t - test, - ANOVA, - multiple regression analysis by factors. The research concludes followings : a. It appears that the three (3) factors such as gender, age and residential circumstance of the Aged deeply affect the IADL performance and subjective health index of the Aged. (p<0.01) b. With regard to IADL performance of the Aged by the gender, it was analyzed that the female-Aged gains 23.8 point on average, which shows the performance of the female-Aged is less independent. (p<0.01). In addition, it was also found that the IADL performance is becoming less and less independent following their age increasing. In analyzing IADL performance by the residential type, it appears that the Aged living at welfare facilities gains the lowest 21.5 points and is least independent. It was also found that the Aged living at welfare facilities need some assistances from others for their performing IADL. (20-24 point) (p<0.001) c. With regard to the subjective health index of the all-Aged participated in this research, the analysis indicates 8.8 point and this is considered as a point of general standard (7-10 point). In analyzing this index by the gender, the female-Aged gains only 8.6 point which explains a lot of female-Aged consider they are not really healthy. (p<0.001) In analyzing this index by the residential type, the Aged living at welfare facilities and the Aged living alone gain the comparatively lower point, - respectively 8.4 point for the Aged living at welfare facilities and 8.8 point for the Aged living alone. The Aged living at these two residential types express they are obviously in a bad situation of health. (p<0.001) d. With regard to the factors affecting the IADL performance and the subjective health index of the Aged, it was analyzed that the IADL performance can largely be affected by the factors such as depression, frequency of going-out and age rising, and that the subject health index can also deeply be affected by depression, pain and by how much they are satisfied with their current living conditions. e. It was analyzed that the interacting between the IADL performance and the subjective health index is not that strong but even weak. As a result, we were able to conclude that the IADL performances is less independent in case of the female-Aged, the Aged living at welfare facilities, and following the age rising. As for the subjective health state the Aged themselves are aware of, we concluded that the female-Aged, the Aged living at welfare facilities and the Aged living alone, are more critical about their health. From this research, we were able to realize that, when the OMT (Orthopedic Manual Therapy) needed, the physical therapists are really required to have a correct and cautious understanding of the situation in which the aged persons are, and take care of them with more concerns and more improved treatment.
냉동 건조 탈회 동종골 이식후 골막이 골 형성 과정에 미치는 영향에 관한 실험적 연구
이동근,엄인웅,민승기,권혁도 大韓顎顔面成形再建外科學會 1995 Maxillofacial Plastic Reconstructive Surgery Vol.17 No.4
Periosteum in general is described as a specialized fibrous membrane of mesenchymal origin consisting of two basis layers : outer fibrous layer consists of irregularly arranged dense connective-tissue with fibroblasts, and inner osteogenic or cambial layer is composed of more loosely arranged fibers, greater vascularity and flatted spindle-shaped pre-osteoblasts. This periosteum may serve in controlling bone growth, especially mandibular growth has been emphasized. But, the periosteum enwrapping the facial skeleton have been studied for many years leaving a controversy in opinion regarding the function of these structures. We evaluated the bone formation activity of te periosteum in allogeneic bone grafts which bones are made of freeze-dried preparation preoperatively. We made the calvarial bone defects, 5×7mm sized, amd grafted with allogeneic bone in rats, which a half of specimens has dissected the overlying periosteum and a rest intacted. After bone grafting, we evaluated the capacity ofbone formation of periosteum, 1, 2, 4, 6, 8 weeks postoperatively. There are subtle differences of bone formation during early healing period after demineralized allogeneic bone grafting between control groups with periosteum and experimental groups without periosteum.
증예(症例) : 심장을 침범하고 염색체 이상을 동반한 원발성 과호산구 증후군 1예
권혁진 ( Hyeok Jin Kwon ),이호경 ( Ho Kyung Lee ),송은기 ( Eun Ki Song ),이승룡 ( Seung Ryong Lee ),김원호 ( Won Ho Kim ),채제건 ( Jei Keon Chae ),고재기 ( Jae Ki Ko ) 전북대학교 의과학연구소 2002 全北醫大論文集 Vol.26 No.2
The idiopathic hypereosinophilic syndrome(HES) is defined by the sustained eosinophilia without the apparent etiologies and with any organ involvement. Congestive heart failure resulting from cardiac involvement is a major cause of morbidity and mortality. A 21-year-old female patient had visited with hoarseness and exertional dyspnea. Fine crackles and holosystolic cardiac murmur were heard. Mild cardiomegaly in chest x-ray and hepato- and splenomegaly in computed tomography were observed. Severe mitral and tricuspid regurgitation accompanied with pulmonary hypertension was observed in echocardiographic examination. Limitation of mobility of the posterior mitral leaflet and tricuspid valve and thickening of endocardium may be caused by the eosinophilic infiltration. Cardiac involvement was confirmed by endomyocardial biopsy. The bone marrow biopsy was reported as a chromosomal abnormality of karyotype(46,XX,del(5)(p15)), which is exclusively seen in idiopathic HES. Therefore, we report a case of HES with chromosomal abnormality and cardiac involvement.
Leukocytoclastic vasculitis induced by erythropoietin: a case report
( Hyeok-jin Kwon ),( Jung-hwan Kim ),( Dong-hwa Yoo ),( Jung-ho Yoon ),( Ki-ho Kim ) 대한피부과학회 2021 대한피부과학회 학술발표대회집 Vol.72 No.2
Leukocytoclastic vasculitis (LCV) is a reactive process of the small blood vessels that has distinct histopathologic features characterized by the presence of vascular and interstitial polymorphonuclear leukocytes, some of which display fragmentation (leukocytoclasis). Numerous conditions, including drug reactions, infections, connective tissue and autoimmune disorders, malignancies, and ingestion of or exposure to foodstuffs and chemicals, have been implicated in the development of LCV. The pathogenesis of drug induced cutaneous LCV generally involves immune complex formation and deposition in the cutaneous capillaries, resulting in endothelial injury and extravasation. A 74-year-old Korean female visited the hospital with diffuse erythematous purpura on upper and lower extrimities lasting 3 months. In her medical history, she was injected erythropoietin 3 months ago, before presenting skin lesion. The skin lesion had appeared after 1week of erythropoietin injection. She was diagnosed as leukocytoclastic vasculitis with skin biopsy, and successfully treated with topical glucocorticoid. Herein we report a rare case that erythropoietin can induce cutaneous leukocytoclastic vasculitis