저강도 복합운동프로그램이 여성노인의 일상생활체력과 낙상효능감에 미치는 영향

이홍균,김은정 대한물리의학회 2024 대한물리의학회지 Vol.19 No.1

PURPOSE: The purpose of this study was to examine the effectiveness of a low-intensity combined exercise program on daily physical fitness parameters such as balance, flexibility, muscle strength, and fear of falling of elderly women in the community. METHODS: This study assigned 30 elderly women randomly into two groups: The control and experimental groups. The control group (n = 15) underwent routine gait. The experimental group (n = 15) underwent the low-intensity combined exercise. The exercise program in this study comprising combined exercise, including balance, flexibility, muscle strength training, and the exercise program using props was conducted twice a week for 8 weeks. RESULTS: The average age of the control and experimental groups was 77.27 years and 78.33 years, respectively. There were significant differences in static balance (t = -4.167, p < .001), dynamic balance (t = 2.463, p < .001), (t = -3.870, p < .001), (t = -2.262, p < .001), (t = -5.732, p < .001), (t = -6.573, p < .001), and fear of falling (t = -5.129, p < .001). CONCLUSION: The results show that low-intensity combined exercise is an effective intervention that improves physical health fear of falling in older women. The combined exercise program was found to be more effective in terms of physical function and fall-related psychological function compared to the control group that only walked.

Cardioplegic Solution 을 이용한 개심술의 실험적 연구

이홍균 대한흉부심장혈관외과학회 1978 Journal of Chest Surgery (J Chest Surg) Vol.11 No.4

대동맥궁 동맥류1 치험례

이홍균,김세화,이양삼 대한흉부심장혈관외과학회 1971 Journal of Chest Surgery (J Chest Surg) Vol.4 No.2

Aneurysm of the Aorta is a grave disease mostly producing disabling symptoms and ultimate death by rupture and hemorrhage without surgical intervention. Aneurysm of the thoracic aorta is more common in arteriosclerosis than syphilitic origin,since the incidence of cardiovascular syphilis has been reduced significantly in recent decades and the life span of population has increase. We have experienced a case of luetic aneurysm of aortic arch without pulse in tile left arm which was succesfully treated by surgical intervention.

Bronchopulmonary Sequestration: 1례 보고

이홍균,홍기우 대한흉부심장혈관외과학회 1973 Journal of Chest Surgery (J Chest Surg) Vol.6 No.2

Bronchopulmonary sequestration is a congenital malformation characterized by a cystic portion of the lung that derives its arterial blood supply through anomalous aberrant vessel directly of the systemic circulation. An aberrant systemic vessel supplying the lung was reported by Huber in 1777. Although this lesion is uncommon disorder, there are several reports on operative death caused by exanguinating hemorrhage from the aberrant arteries to the bronchopulmonary sequestration to that it has received a great deal of attention. Two type of bronchopulmonary sequestration have been identified: Intralobar pulmonary sequestration is usually contained within the visceral pleura of a pulmonary lobe and its venous drainage to the pulmonary venous system. Extrapulmonary sequestration is usually within the pleural sheath its own and its vasculature drains into the azygos or hemiazygos system. we presented one case of intralobar pulmonary sequestration which led to motor paralysis, chylothorax and hemorrhage that are consequent on postoperative complication.

개심술에 대하여

이홍균,이영균,홍승록 대한흉부심장혈관외과학회 1971 Journal of Chest Surgery (J Chest Surg) Vol.4 No.1

산전산후 철결핍성빈혈에 대한 경구용철제 Ferrous Betainate, DYNAVL, 투여에 대한 임상적 연구

이홍균 최신의학사 1984 最新醫學 Vol.27 No.3

Environmental Awareness and Environmental Practice in Korea

이홍균 한국학중앙연구원 한국학중앙연구원 2004 Korea Journal Vol.44 No.3

자궁외임신의 임상적 양상과 치료에 관한 연구

이홍균,김복린,조용균,유태환,박경미,김은우,김재완 대한산부인과학회 1995 Obstetrics & Gynecology Science Vol.38 No.7

1989년 8월 16일부터 1993년 12월 31일까지 만 4년5개월간 상계백병원 산부인과에서 입원치 료 후 여러 가지 검사상 자궁외임신으로 확인된 450예에 대한 임상적 고찰을 통하여 다음과 같은 결론을 내렸다. 1. 분만건수에 대한 자궁외임신의 빈도는 1:36명(450/16030명)이었다. 2. 호발연령은 31-35세가 34.9%로 가장 많았으며, 26-35세가 68.2%로 나타났다. 3. 분만횟수는 미경산부가 29.3% 1회 분만이 34% 2회분만이 31.8%로 나타났다. 4. 임신중절의 경험이 있는 환자는 289예(64.2%)였고, 이중 1회가 15예(33.3%)로 가장 많았다. 5. 기왕력은 과거 개복술을 경험한 경우가 23.8% 복강경 난관불임술을 경험한 경우가 19.9% 자궁외 임신을 경험한 경우가 6.4%로 나타났다. 6. 주요 임상증상은 하복부 동통이 89.6%, 무월경이 77.8% 질출혈이 54%로 나타났다. 7. 초음파검사상 더글라스와 액상소견이 71.1% 자궁부속기 종괴소견이 66.7%에서 나타났다. 8. 착상부위는 난관이 98.2%이었고, 이중 팽대부가 73.3% 협부가 13.3% 체부가 6.2% 순으로 나타났다. 9. 수술방법은 환측 난관절제술이 81.6%로 가장 많이 시행되었고, 복강경수술법이 7.3% methotrexated 의 사용이 1.8%로 나타났다. 10. 복강경 출혈량이 500cc이하가 42.4%로 가장 많았고, 수혈이 필요없었던 경우가 42.9%로 나타났다. 11. 조사대상 450예중 특별한 합병증으로 사망한 경우는 없었다. This study was undertaken for the clinical evaluation and treatment on 450 patients with ectopic pregnancy who were admitted and treated at Sanggye Paik Hospital from Aug, 16 1989 to Dec. 31 1993. The results were as follow; 1. The incidence of ectopic pregnancy was 1 in 36 deivery (450/16030). 2. The most common age group was 26-35 years of age (68.2%). 3. Nullipara was 29.3% and the cases who experiened artificial abortion was 64.2%. 4. According to past medical history of illness previous laparotomy was noted in 23.8%, previous laparoscopic tubal sterilization in 19.3% and repeated ectopic pregnancy in 6.4%. 5. In clinical symptoms, low abdominal pain was encountered in 86.6% amenorrhea in 77.8% vaginal spotting in 54%. 6. In ultrasonographic findings on admission, fluid accumulation of Cul-de-sac was encountered in 71.1% adnexal mass in 67.7%. 7. The sites of ectopic pregnancy were salpinxes in 442 cases (98.2%) and ovaries in 6 cases(1.3%) In the cases of tubal pregnancies, the lesions were most commonly located at the ampulla portions(330 cases, 73.3%). 8. Laparotomy was done in 81.1% pelviscopic operation in 7.3% and chemotherapy using methrotrexate in 1.8%. 9. Intraabdominal hemorrhage below 1000cc in amount was 65.5%. 10. Average blood volume transfused was 1.6 pints(640cc). 11. There was no fetal case in 450 ectopic pregnancies.

임신중독증에 있어서 모체혈액내의 혈소판수와 태아의 자궁내 발육지연에 관한 연구

이홍균,김용봉,조용균,김호성,박종향 대한산부인과학회 1990 Obstetrics & Gynecology Science Vol.33 No.9

다른 합병증을 동반하지 않은 임신중독증 환자 30례(경증:6례, 중증:24례)를 대상으로 모체혈액내 순환하고 있는 혈소판의 수를 측정하여 혈소판수의 감소된 정도와 태아의 자궁내 발육지연간의 상관관계를 관찰하여 다음과 같은 결과를 얻었다. 1. 임신중독증 환자의 혈소판수는 정상임부에 비하여 유의하게 감소되어 있었다. 2. 혈소판수의 감소된 정도가 심할수록 태아의 발육지연도 심하게 나타났고 혈소판수의 감소된 정도와 태아의 자궁내 발육지연 사이에는 유의한 상관관계가 있었다. 나아가, 임신중독증 환자의 혈소판수가 매우 낮으면, 임신중독증의 증상이 잘 조절되고 있다 하더라도 태아는 고위험상태에 있어 즉시 분만시킬 지표가 될 수 있을 것으로 생각된다. Disseminated intravascular coagulation is a feature of pre-eclampsia. If deposition of fibrin and platelets in the placenta contributes to the placental insufficiency and intrauterine growth retardation of toxemia, then it would be expected that this may be accomapnied by depletion of circulating platelets in the maternal bloodstream. Therefore, we examined 30 patients with pre-eclampsia for evidence of an association between intrauterine growth retardation and maternal platelet depletion. The results were as follows: 1. The number of platelet was low significantly in the pre-eclampsia group compared with normal pregnant controls. 2. In pre-eclampsia, reduced maternal levels of circulating platelets were found to correlate with intrauterine growth retardation. This suggests that disseminated intravascular coagulation and fibrin deposition contribute to the placental damage of pre-eclampsia. Furthermore, a low platelet count may be an indicator that the fetus is at extra risk and that it needs to be delivered even though the pre-eclampsia is unde control.

개심술에 있어서의 심근보

이홍균 대한흉부심장혈관외과학회 1981 Journal of Chest Surgery (J Chest Surg) Vol.14 No.1