조기발현 치매(초로기 치매)의 특징과 비약물적 접근법에 관한 연구동향 조사

원경아(Won, Kyung-A),이민아(Lee, Min-A),심주영(Sim, Ju-Young) 한국노인작업치료학회 2020 한국노인작업치료학회지 Vol.2 No.1

목적 : 본 연구의 목적은 조기발현(초로기) 치매의 행동심리·인지적 특징과 더불어 일상생활활동 수행능력을 알아보고, 이들을 대상으로 한 비약물적 중재법들을 체계적으로 분석하여 제시하고자 한다. 연구방법 : 국내외 데이터베이스 중 NDSL, RISS, Google Scholar를 통해 조기발현(초로기) 치매와 관련된 문헌을 수집하였다. 수집된 문헌들의 제목·초록·전문 순으로 검토하여 조기발현(초로기) 치매환자의 특징과 비약물적 중재법에 대한 내용을 추출한 후 결과를 체계적으로 제시하고자 하였다. 결과 : 조기발현 치매 유형에는 알츠하이머형 치매, 혈관성 치매, 전측두엽 치매 등이 있으며, 노인성 치매와는 다른 양상을 보이며 비전형적인 경우가 많은 것으로 나타났다. 행동심리·인지적 증상뿐만 아니라 수단적 일상생활활동 수행능력의 감소가 두드러지며, 증상 완화 또는 악화 지연을 위해 인지활동, 신체활동, 사회활동 등과 관련된 다양한 비약물적 중재법들이 적용되고 있는 것으로 확인되었다. 결론 : 본 논문은 노인성 치매가 아닌 조기발현 치매의 특징과 비약물적 중재법에 대해 일목요연하게 기술하였다. 본 연구는 국내 조기발현 치매 관련 연구가 적은 상황에서 조기발현 치매의 원인, 증상, 비약물적 중재법 등에 대해 체계적으로 정리하고자 했다. 본 연구결과는 향후 병원뿐만 아니라 지역사회와 가정에서 활용될 수 있을 것으로 기대된다. Objective : This study aimed to investigate the behavioral·psychological and cognitive characteristics of early-onset dementia, as well as patients ability to perform activities of daily living, and to systematically analyze and introduce non-pharmacological interventions. Methods : Literature related to early-onset dementia was collected through NDSL, RISS, and Google Scholar. We reviewed the articles in order of title, abstract and full text, and tried to show systematically the results after extracting the contents from non-pharmacological intervention methods and characteristics of patients with early-onset dementia. Results : Types of early-onset dementia include Alzheimer s dementia, vascular dementia, and frontotemporal dementia. Patients with early-onset dementia are different from senile dementia and are often non-typical. In patients with early-onset dementia, behavioral·psychological and cognitive symptoms, as well as a decreased ability to perform instrumental activities of daily living are noticeable. It was confirmed that various non-pharmacological interventions related to cognitive, physical, and social activity are applied to relieve symptoms. Conclusion : This paper clearly describes the characteristics of early-onset dementia and non-pharmacological interventions for patients with early-onset dementia. This study is meaningful in that it systematically summarizes the causes, symptoms, and non-pharmacological interventions of early-onset dementia as studies related to early-onset dementia in Korea are scarce. Thus, the results of this study are expected to be helpful not only for hospitals, but also for communities and families dealing with early-onset dementia.

급성 골수성 백혈병 환자에서 발생한 침습성 아스페르길루스중에 대한 수술적치료 1 예

배영환;어원식;어상민;김승만 김태영;박수영;서영경;정은주;안효정 인제대학교 2011 仁濟醫學 Vol.32 No.-

Invasive pulmonary aspergillosis is known to have a poor prognosis and major cause of morbidity and motality in patients with hematologic disease. Without adequate therapy, invasive pulmonary aspergillosis will almost always progress to fatal pneumonia. Early administration of antifungal agents in patient with invasive pulmonary aspergillosis is most important. And surgical resection of aspergillous-infected tissue may be useful in patients with lesions that are contiguous with great vessel and lesions causing hemoptysis. We reported a rare case of surgical resection as curative treatment for invasive pulmonary aspergillosis patient in 58-year-old man who had the history of acute myeloid leukemia.

다기관 기능부전을 초래한 치명적인 삼일열 말라리아 증례

박상원,김동우,박주원,이순일,신영학,김의종,오명돈,최강원 대한감염학회 2005 감염과 화학요법 Vol.37 No.2

삼일열 말라리아는 국내에서 재유행하고 있는 감염질환으로, 일반적으로 양성의 임상경과를 거친다. 저자들은 특이한 질병력이 없이 건강하였던 젊은 성인이 국내에서 삼일열 말라리아에 걸린 후 다기관기능부전과 폐출혈으로 사망한 증례를 경험하였다. 환자의 중증 임상경과를 설명할 만한 특이한 인자가 발견되지 않았다. Vivax malaria is a re-emerging infectious disease in Korea with cumulating 19,416 cases as of December 2003 since 1993. Vivax malaria is generally a benign disease with few severe complications. Even in the worldwide literature, there are only small number of case reports on severe complications. We experienced a fatal vivax malaria in a previously healthy young adult with severe multi-organ failure and fatal massive pulmonary hemorrhage. The patient presented with abdominal pain and shock. There were splenic hemorrhage, disseminated intravascular coagulation, oliguric acute renal failure requiring dialysis, and pulmonary hemorrhage leading the patient finally to death. The initial parasitemia was 2,046/μL. Thin smear and PCR revealed only Plasmodium Vivax. There was no explainable cause of death except for the only serological suggestion of Mycoplasma pneumoniae infection without correlating clinical evidence. This is a first case of fatal vivax malaria in Korea since its re-emergence in 1993. Further case monitoring is needed to define whether this is a index case or an isolated one.

Multiple myeloma 환자에서 Bortezomib치료 후 발생한 마비성 장폐색증 1례

김준영,이원식,손창학,박성길,진한영,박석주,조영완,정은욱,강명주,박정하,주영돈 인제대학교 2006 仁濟醫學 Vol.27 No.-

Bortezomib is the first clinically available proteasome inhibitor that is clinically effective in the treatment of multiple myeloma. A proteasome inhibitor acts through multiple mechanisms to arrest tumor growth, tumor spread, and angiogenesis. The main adverse effects of bortezomib are gastrointestinal symptoms, cytopenia, fatigue, and peripheral neuropathy. To date, severe paralytic ileus has not been reported as a toxic effect of bortezomib treatment in multiple myeloma. Bortezomib is a novel agent that has only been used clinically for 30 months, so a need exists to further evaluate its toxicity. We report a case of grade Ⅲ (NCI CTCAE v3.0) or grade Ⅳ(SWOG toxicity criteria) paralytic ileus in a 65-year-old man with relapsed multiple myeloma who underwent one cycle of single-agent bortezomib treatment scheduled in a 21-day cycle (1.3 mg/㎥ as a single i.v. bolus on days 1, 4, 8, and 11).

전기 방열기가 국화재배온실의 난방에 미치는 영향

서원명 ( Won Myung Suh ),임재운 ( Jae Woon Leem ),김영주 ( Young Ju Kim ),민영봉 ( Young Bong Min ),김현태 ( Hyeon Tae Kim ),허무룡 ( Moo Ryong Huh ),윤용철 ( Yong Cheol Yoon ) 경상대학교 농업생명과학연구원(구 경상대학교 농업자원이용연구소) 2010 농업생명과학연구 Vol.44 No.4

경상대학교 교내에 설치되어 있는 1-2W형 온실을 대상으로 전기 방열기를 이용하여 국화 재배온실의 난방효과를 검토한 결과는 다음과 같다. 실험기간동안 최고, 평균 및 최저 외기온은 각각 -3.8~21.3℃, -5.2~16.1℃ 및 -12.5~14.4℃ 정도의 범위로 나타났으며, 온실 내외의 평균상대습도 각각 43.5~98.6% 및 35.2~100%로 나타났다. 12월 중순부터 2월 상순까지 최저 외기온은 대략 -5.0~-10.0℃ 전후로 나타나 진주기상대의 최근 자료와 비교하면 상대적으로 최저기온이 낮게 나타나는 경향이 있었다. 야간의 경우, 방열기 직하부의 엽온이 방열기 중간 지점에서 측정한 엽온 보다 크게 2~3℃정도 높게 나타나거나 또는 미미하지만 약간 높게 나타나는 경향이 있었다. 근권부의 경우, 직하부나 중간 지점에서의 온도 차이는 거의 없는 것으로 나타났고, 근권부의 최고온도와 기타 최고 온도의 발생 시점을 보면, 약 2시간정도의 지체현상이 있음을 알 수 있었다. 그리고 실험기간동안 난방에 소요된 총 소비전력량, 공급에너지 및 총 난방비는 각각 2,800kWh, 2,408,000kcal 및 112,000won 정도였다. 화석연료인 경유로 난방할 경우, 총 난방비는 224,500won 정도였다. 방열기를 이용하여 난방할 경우, 난방비를 약 50% 정도 줄일 수 있을 것으로 판단되었다. An analysis in heating effects of an electric radiator located in a 1-2W type chrysanthemum (3 cultivars) cultivation greenhouse installed in Gyeongsang National University drew the following conclusions. During the experiment period, the highest, average, and the lowest outside temperatures were in the ranges of -3.8~21.3℃, -5.2~16.1℃ and -12.5~14.4℃, respectively, and the average relative humidity inside and outside the greenhouses were in the ranges of 43.5~98.6% and 35.2~100%, respectively. From mid-December to early February, the lowest outside temperature was recorded as approximately -5.0~-10.0℃, which showed that it tended to be relatively lower than the temperatures recorded at the Jinju Meteorological Observatory. During the night, the leaf temperature measured directly under the radiator tended to be higher by 2~3℃ than that those at the middle point of the radiator, or higher by anegligible amount. In the case of root zone temperature, it was found that there was almost no difference between temperatures of the part directly under and the middle point, and the time when the highest temperature of root zone and other highest temperatures took place showed that there was about a 2-hour delay phenomenon. The total electricity consumption, energy supply and total heating cost during the experiment period were 2,800 kWh, 2,408,000 kcal and 112,000 won, respectively. When diesel, a kind of fossil fuel, was used as heating oil, the total heating cost was around 224,500 won. It was estimated that the total heating cost could be reduced by around 50% if a radiator was used.

야생 설치류의 한타바이러스 감염에 대한 연구

백락주,송진원,송기준,박광숙,최영주,강주일,이용주 대한감염학회 1997 감염 Vol.29 No.6

목적:국내 야서중에 한타바이러스의 숙주는 등줄쥐와 집쥐로 알려져 있으나, 한국에 서식하고 있는 다양한 야생 설치류를 채집하여 한타바이러스에 대한 항체검사를 실시하여 새로운 혈청형의 한타바이러스가 있는지를 혈청학적으로 규명하고자 하였다. 방법:국내에 서식하고 있는 야생 설치류를 1995년 10월부터 1996년 10월까지 7종 551수의 야시와 4종 97수의 소형동물을 채집하여 한타바이러스에 대한 항체검사를 간접형광항체법으로 실시하였다. 결과: 1) 야서 7종 551수와 소형동물 4종 97수를 대상으로 한탄바이러스의 감염율은 등줄쥐 17.2%(29/162), 흰넓적다리붉은쥐 8.7%(2/23), 대륙밭쥐는 25%(2/8), 그리고 땃쥐는 7.1%(1/14)이었다. 그리고 야생토끼는 8.8%(7/80)가 서울바이러스에 대한 항체를 가지고 있었다. 등줄쥐의 양성혈청중 대부분은 서울바이러스와 일부는 푸말라바이러스, 프로스펙트힐바이러스, 뉴욕바이러스와도 교차반응이 있었다. 흰넓적다리붉은쥐 2수와 대륙밭쥐 2수는 5가지 한타바이러스 모두에 교차 반응이 있었다. 2) 다람쥐는 9.5%(28/283)가 채집지역에 관계없이 한탄바이러스에 대한 항체를 가지고 있었고 항체기는 1:16 내지 1:256으로 비교적 낮았으며 서울바이러스, 푸말라바이러스, 프로스켁트힐바이러스와 뉴욕바이러스에 각각 반응하는 것도 일부는 교차반응을 보이는것도 있다. 청설모는 10.3%(7/68)가 한탄바이서르에 대한 항체를 가지고 있었으며 항체가는 1:16 내지 1:1,024이었으며 일부는 교차반응이 있었다. 3) 야생토끼의 서울바이러스에대한 항체양성율은 8.8%(7/80)이었으며 이중에 2수는 한탄바이러스와 교차반응이 있었고, 푸말라바이러스, 프로스켁트힐바이러스, 뉴욕바이러스와는 교차반응이 없었다. 항체가는 1:16 내지 1:64로 비교적 낮았다. 결론:등줄쥐는 한탄바이러스에 의한 감염이지만 흰넓적다리붉은쥐, 대륙밭쥐, 다람쥐 그리고 청설모의 일부는 한탄바이러스가 보다 다른 한타바이러스에 대한 항체가가 높았고 특히 일부 다람쥐 혈청은 푸말라바이러스 혹은 프로스켁트힐바이러스에만 반응하였다. 그리고 야생토끼는 서울바이러스에 대한 감염율이 높은 것으로 보아 국내에 한탄바이러스와 서울 바이러스 이외에 새로운 혈청형의 한타바이러스가 있는 것을 사료된다. Background: Hantavirus are widley distributed in rodents populations even in geographical areas where hemorrhagic fever with renal syndrome(HFRS) has not been reported. Multiple species of Murid and Arvicolid rodents serve as the natural reserviors of hantaviruses. Serologic diagnosis using hantaviral antigens indicates that hantaviruses are widley distibuted in wild rodents. This study were designed to find the distribution of hantaviruses among wild rodents and small mammals in Korea, 1995-1996. Methods: Rodents were trapped alive in selected areas. A total of 551 wild rodents from 7 species and 97 small mammals from 4 species were captured in Korea. Serologic evidence for hantavirus infection were tested using five hantavirus antigens by indirect immunofluorescent antibody technique(IFA). Among 162 Apodemus agrarius, 23 Apodemus peninsulae, 8 Clethrionomys regulus, 6 Microtus fortis, 1 Mus musculus, 283 Tamias sibiricus, 68 Sciurus vulgaris, 14 Crocidura laciura, 80 Lepus sinensis, 2 Capereolus capereolus and 1 Nyctereutes procyonoides. Results: 29 A. agrarius, 2 A. peninsulae, 1 C. laciura, 2 C. regulus, 27 T. sibiricus and 7 S. vulgaris were sero positive agaist hantaan virus and 7 L. sinensis were IF antibody positive against Seoul virus. Some of Tamias sibiricus were only seropositive against puumala virus or prospect hill virus. Conclusion: This data suggests that new serotypes of hantavirus might distribute among rodents in Korea.

구강균에 대한 각종 한약제의 증식 억제

정영건,지원대,김성영,곽동주,서수교,백경연 한국위생과학회 1997 한국위생과학회지 Vol.3 No.1

The effect of oriental medicines an the growth of oral bacteria(B. pumilus JU4, B. coagulans JU6, B. subtilis var globigii JU7 and B. subtilis var. globigii JU9) which were isolated from teeth, gums and tongues of patients was investigated. lt was shown that the water extracts of Glycyrrhiza glabra L. var. glandulifera Regel et Zucc., Schizandrae Fructus and Coptidis Rhizoma have the strong antimicrobial activity against every test organism. Especially, the water extract of Schizandrae Fructus has the most antimicrobial activity against all test bacteria of which MIC were the same as 0.25%. The growth of oral bacteria B. pumilus JU4 was inhibited by addition of the water extracts of Glycyrrhizae Radix, Schizandrae Fructus and Coptidis Rhizoma in the concentration of 0.9%, 0.2% and 0.1% respectively. It was tested that specific growth rates of B. pumilus JU4 in each concentration of the water extracts of Glycyrrhizae Radix, Schizandrae Fructus and Coptidis Rhizoma. From the results, the test showed that mean of specific growth rates of B. pumilus JU4 decreased 102%, 186% and 210% in 3% concentration of the water extracts of Glycyrrhizae Radix, Schizandrae Fructus and Coptidis Rhizoma more than those in control respectively.

선호도 조사를 통한 ㄴ첨가 현상의 실현 양상 연구

국경아,김주원,이호영,Kook, Kyungnk-A,Kim, Ju-Won,Lee, Ho-Young 대한음성학회 2005 말소리 Vol.53 No.-

A Study of N-Insertion Preferences in KoreanKyung-A Kook, Ju-Won Kim, Ho-Young LeeSince n-insertion is not an obligatory process in Korean, it is necessary to investigate what factors influence n-insertion preferences and whether n-insertion preferences have been changed over time. To find answers to these questions, an n-insertion preference test using a questionnaire was conducted. 183 words were selected for this test and 167 subjects participated in the test. The results of this test show that the n-insertion preferences were influenced by the speakers' age, the number and structure of the syllable, word class, phonetic environments, and familiarity. It is suggested that the results of this test should be incorporated into the Principles of Standard Pronunciation and in the Grand Dictionary of Standard Korean.

운동유형이 비만 남성의 건강관련체력과 신체둘레변화에 미치는 영향

원영두,조완주 朝鮮大學校 스포츠科學硏究所 2006 스포츠科學硏究 Vol.17 No.-

This study examined Influences on the changes from Health Related Physical Fitness and body circumference in the obese Men according to Exercise Types. It selected 30 men in their twenties having over 30% of body fat. residing in G metropolitan city and divided them into 10 in aerobic exercise group, 10 in anaeiobic exercise group and 10 in aerobic and anaerobic exercise group and conducted 12-weeks training by exercise types. It obtained the following conclusions. 1. Aerobic exercise group in the changes of body composition by exercise types showed statistically significant differences in weight and body fat as the level of p<.001 and anaerobic exercise group had statistically significant difference as the level of p<.01. Aerobic and anaerobic exercise groups showed statistically significant differences as the level of p<.001. 2. Aerobic exercise group in the changes of health-related Physical Fitness by exercise types showed statistically significant differences in flexibility and cardiopulmonary endurance as the level of p<.OO1 and anaerobic exercise group had statistically significant difference in muscular strength as the level of p<.05 and in flexibility as p<.01. Aerobic and anaerobic exercise groups showed statistically significant differences in flexibility and cardiopulmonary endurance as the level of p<.01. 3. Aerobic exercise group in the changes of girth of physical parts by exercise types showed statistically significant differences in girth of chest as the level of p<.001 and in girth of waist, hip and thigh as the level of p<.01 and anaerobic exercise group had statistically significant difference in girth of thigh as the level of p<.01. Aerobic and anaerobic exercise groups showed statisticallv significant differences in girth of waist as the level of p<.05 and in that of thigh as the level p<.01

간경변 환자에서 Oro-cecal Transit Time의 측정

원경준,이준,변유미,조민근,조주연,서정균,김영대,박찬국,김만우 朝鮮大學校 附設 醫學硏究所 2008 The Medical Journal of Chosun University Vol.33 No.2

Background: Neurotransmitter like substances in the gut have been proposed to contribute to the overall portal systemic encephalopathy (PSE). The source of the ammonia in patients with PSE is mainly the small bowel, as a result of the conversion of glutamine in the diet to glutamate and ammonia. PSE is highly responsive to changes in diet, to antibiotic therapy and to ingestion of nondigestible disaccharides such as lactulose. This study was performed to evaluate the relationship between PSE and oro-cecal transit time. In addition, performed to evaluate the effect of severity, cause, complications of liver cirrhosis on oro-cecal transit time. Methods: Between August 2006 and February 2007, 48 cirrhotic patients consecutively was enrolled in study their oro-cecal transit time after informed consent was obtained. A non-invasive hydrogen breath test was used to study oro-cecal transit time (OCTT). Result: The OCTT were delayed in cirrhotic patients with PSE compared without PSE (123.3 ± 42.7 min vs 170.0 ± 58.3 min, p<0.05). OCTT tended to prolongate further as the damage in the liver got worse, nevertheless the result was statistically meaningless (p<0.111). Neither presence of ascites or cause of PSE had any influence on gastrointestinal transit. Conclusions: Cirrhotic patients with PSE have more delayed OCTT than without PSE. Further research is needed to find out the relationship between OCTT and severity of liver cirrhosis.