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흉부 유연성 운동이 척추측만증 환자의 폐활량과 흉곽 확장에 미치는 영향
심재훈,오덕원,이규완 한국전문물리치료학회 2002 한국전문물리치료학회지 Vol.9 No.2
The objectives of this study were to investigate the effects of thoracic flexibility exercise on chest function and mobility and to provide the information of physical therapy for patients with idiopathic scoliosis. Forty female subjects who were diagnosed with scoliosis participated in this study and were divided into the experimental and control groups. The experimental group consisted of 20 patients who were treated with thoracic flexibility exercise program during the admission (10 days) and one month after discharge. The control group consisted of 20 patients who were not treated with thoracic flexibility exercise program. Vital capacity was measured using a respirometer. The chest expansion were calculated using differences of chest circumference between maximum inspiration and maximum expiration measured under armpits, at the junction between the sternum and xyphoid process, and at the waist. All subjects were measured two times: before the admission and at one month after discharge. Data were compared by groups using independent t-test. Vital capacity and chest expansion values (the armpit, chest and waist values) were significantly higher for the experimental group compared to those of the control group (p<.05). The findings of this study show that thoracic flexibility exercise program can lead to an increase in vital capacity and chest expansion and has a positive effects in relieving symptoms and restoring thoracic mobility.
김재헌,한민철,박성재,정준호,심봉석,조민선 이화여자대학교 의과대학 2005 EMJ (Ewha medical journal) Vol.28 No.1
Ectopic ureteral orifice presents predominantly in young girls with duplicated kidneys and ureters, and mostly drains from ectopic ureters were associated with non-duplicated upper urinary systems and it is called a single system ectopic ureter. It is frequently associated with renal dysplasia or agenesis and ureterocele. Compared with ectopic ureter draining from the duplicated kidney, the diagnosis of single system ectopic ureter is often delayed because the ectopic ureter may be associated with a single small dysplastic, poorly functioning kidney. We report a case of single system ectopic ureter associated with dysplastic and poorly functioning kidney.
한민철,김재헌,박성재,변동원,강덕희,심봉석 이화여자대학교 의과대학 2004 EMJ (Ewha medical journal) Vol.27 No.2
Renal cell carcinoma can presents wide range of signs and symptoms, and commonly associated with paraneoplastic syndrome. Paraneoplastic manifestations are present in up to 20% of patients with renal cell carcinoma. There is convincing evidence that renal cell carcinoma tumor cells elaborate proteins that serve as mediators of endocrine (ex ; ectopic production of parathyroid hormone-related protein or erythropoietin) as well as nonendocrine paraneoplastic syndromes. A paraneoplastic syndrome may be the various clinical presentation of renal cell carcinoma in a significant number of patients, therefore mimicked other general disease. We report a case of renal cell carcinoma associated with paraneoplastic syndrome mimicking pyelonephritis.
Relationship Between Disaster and Corruption: Focusing on country-level analysis
( Jae Hun Shim ) 한국정책학회 2021 International Journal of Policy Studies Vol.12 No.2
In this study, the existing research on corruption in the field of disaster management discusses the effects of increased risk from disasters on corruption and the effects of corruption on disasters from a one-way perspective, respectively. It also starts from the awareness of the lack of discussion on disaster vulnerability in the impact of corruption on disasters. Based on the necessity of this study, the cyclical relationship between them was empirically analyzed by verifying the mediating effect of corruption on the effect of increased risk from disasters on disaster vulnerability. To this end, the risks of natural disasters classified into earthquake, flood, tsunami, typhoon, and drought for 164 countries out of 195 countries in the world, and the risks from conflict and violence, were composed of human disasters, By measuring the degree of corruption, the relationship between variables was verified using multiple regression analysis to verify the mediating effect. As a result of the analysis, the increase in risk due to the occurrence of a disaster had a significant effect on weakening the vulnerability to disaster, and it was confirmed that the occurrence of a disaster was a factor inducing corruption. Therefore, when considering the cyclical relationship between risk from disasters, disaster vulnerability, and corruption, this study suggests that a one-way perspective on the relationship between disasters, corruption, and disaster vulnerability can mutually influence from a cyclical perspective. It emphasizes the need for an anti-corruption strategy that can secure accountability and transparency at the domestic as well as international level to reduce corruption in the field of disaster management.
( Jae Yun Kim ),( Jae Hang Shim ),( Sung Jun Hong ),( Jong Yeun Yang ),( Hey Ran Choi ),( Yun Hee Lim ),( Ho Sik Moon ),( Jaemoon Lee ),( Jae Hun Kim ) 대한통증학회 2017 The Korean Journal of Pain Vol.30 No.2
Background: Spinal pain is most common symptom in pain clinic. In most cases, before the treatment of spinal pain, physician explains the patient`s disease and treatment. We investigated patient`s satisfaction and physician`s explanation related to treatments in spinal pain patients by questionnaires.Methods: Anonymous questionnaires about physician`s explanation and patient`s satisfaction in each treatment and post-treatment management were asked to individuals suffering from spinal pain. Patients who have spinal pain were participated in our survey of nationwide university hospitals in Korea. The relationships between patient`s satisfaction and other factors were analyzed.Results: Between June 2016 and August 2016, 1007 patients in 37 university hospitals completed the questionnaire. In the statistical analysis, patient`s satisfaction of treatment increased when pain severity was low or received sufficient preceding explanation about nerve block and medication (P < 0.01). Sufficient explanation increased patient`s necessity of a post-treatment management and patients` performance rate of post-treatment management (P < 0.01).Conclusions: These results show that sufficient explanation increased patients` satisfaction after nerve block and medication. Sufficient explanation also increased the practice of patients` post-treatment management. (Korean J Pain 2017; 30: 116-25)
Jae Hun Shim,최세영,Joon Hee Gook,Yong-June Kim,Woo Heon Cha,Dae Hee Kim,Kyeong Hee Kim,Young Woong Park,Jin Mo Um,Il Sung Lim,Kyung Keun Seo,Kyu Seon Cho,Young Jae Lee,이미경,김태형 대한요로생식기감염학회 2021 Urogenital Tract Infection Vol.16 No.1
Purpose: Overactive bladder (OAB) is characterized by a series of highly prevalent symptoms among older adults. This study used the Overactive Bladder Symptom Score (OABSS) and Patient Perception of Bladder Condition (PPBC) tools to evaluate the efficacy and stability of solifenacin fumarate in the treatment of OAB.Materials and Methods: This was a prospective, multicenter, single-arm, 12-week study that enrolled 163 OAB patients. The patients received 5 mg/day of solifenacin fumarate. The changes in the OABSS, symptoms, and PPBC scores were evaluated at 0, 4, and 12 weeks. Subgroup analysis of the OABSS and PPBC scores based on sex, diabetes mellitus (DM) status, and body mass index (BMI) were also evaluated.Results: At the baseline (week 0), the mean OABSS for all patients was 8.45±2.38(p=0.199). Subsequently, the mean OABSS declined to 5.41±2.69 (p=0.255) at four weeks and 4.21±2.61 (p=0.240) at 12 weeks. The OABSS subscore and PPBC score decreased significantly during the study (p<0.01). After cases were stratified according to sex, DM status, and BMI, the mean OABSS (mean and subscore) and PPBC score at four and 12 weeks were also improved significantly relative to the baseline scores (both p<0.05). The overall incidence of adverse events was 7.36% (12 cases), and three patients (1.82%) permanently discontinued solifenacin fumarate because of the adverse events.Conclusions: Solifenacin fumarate is a safe and effective treatment alternative for relieving OAB symptoms, considering the balance between the efficacy, patientsʼwell-being, and tolerability.
Jae-Hun Shim,Hwa-Soo Koong,Seung-Chul Chon 대한인간공학회 2013 大韓人間工學會誌 Vol.32 No.6
Objective: This study compared the effects of streamlined shoes on dynamic gait and foot plantar pressure in healthy young adults. Background: With the importance of ankle and lower extremity mechanism, streamlined shoes are contributing to a static gait factors. However, the study of dynamic gait factor is still insufficient. Method: Sixty subjects were randomly allocated to two groups: experimental group(n=30) and control(n=30), respectively. The experimental group performed streamlined shoes, whereas the control group applied usual shoes. Main outcome measurements were assessed contact time, step length and foot plantar pressure using gait analysis with the treadmill. Independent t-test was used to compare the both groups. Results: Compared with control group, contact time of forefoot, midfoot and hindfoot decreased significantly in experimental group(p<.05), Step length increased significantly in experimental group(p<.05). Foot plantar pressure of midfoot and hindfoot increased significantly in experimental group(p<.05), whereas that of forefoot did not show significantly in experimental group(p>.05). Conclusion: Our findings suggest that streamlined shoes was more effective than usual shoes in dynamic gait change including contact time and step length and foot plantar pressure in healthy young adults. Application: The results of streamlined shoes might help to control for the gait of industrial workers.
심재헌(Jae Hun Shim),국준희(Joon Hee Gook),장인호(In Ho Chang),손정민(Jung Min Sohn),성신우(Sin Woo Seong),지병훈(Byung Hoon Chi) 대한비뇨기종양학회 2021 대한비뇨기종양학회지 Vol.19 No.2
Microbiomes are known to have a beneficial effect on human health by promoting the effective removal of improperly functioning immune cells and protecting the host from pathogen infection. On the other hand, these microbiomes are also known as the causative agent of numerous malignant tumors. Until now, the bladder has been regarded as aseptic, but the concept of the “sterile bladder” has been changed with the discovery of living bacteria embedded in the bladder with the recent development of polymerase chain reaction and culture techniques. This paper referred to the relationship between microbiome and bladder cancer. Microbiome will be able to be seen as a non-invasive biomarker to predict the success rate of intravesical bacillus Calmette-Guerin instillation treatment in patients of bladder cancer.