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Paraquat poisoning에서의 hemoperfusion 치료 경험
김영조,김시환,최재성,윤경우,최수봉,김종설 대한신장학회 1986 Kidney Research and Clinical Practice Vol.5 No.1
Para quat is a widely used herbicide and its in-gestion induces acute renal failure, hepatic dysfunction and progressive respiratory failure with high mortality rate. Charcoal hemoperfusion has been used in the treatment of various poisoning including paraquat since 1948, but it has not been reported yet in Korea. So we report charcoal hemoperfusion in a case of paraquat poisoning with review of literature. The present case was a 14-year-old female who was admitted due to dysphagia and epigastric pain. The above mentioned chief complaints occurred 6 days prior to admission when she ingested paraquat with suicidal attempt. She was treated with 4 times of charcoal hemoperfusion using Gambro Adsorba 150C in addition to conventional treatment and achieved favorable progress in both clinical and laboratory examination. Up to 7 Iilonths after paraquat poisoning she was free of any complication so we presume that she vras completely recovered from the deleterious effect of paraquat. Hemoperfusion is a safe, effective and simple method of treating severe poisoning and it seems to be of particular value in paraquat poisoning because it is endemic in Korea and no specific treatment is available in paraquat poisoning. We suggest that measurement of various serum drug Ievel should be available and further evaluation of hemoperfusion in various disease states are necessary.
김영조,이주현,박지혁 대한신경계작업치료학회 2014 재활치료과학 Vol.3 No.1
목적 : 본 연구에서는 참여(participation)를 종속변인으로 선정한 국내외의 논문들을 수집 분석하여 참여 평가에 대한 활용도를 알아보고자 하였다. 또한, 근래에 투고된 참여 논문들의 정보를 종합하여 참여 평가를 목적으로 사용한 평가도구 사용현황과 참여 증진을 위한 중재의 종류, 논문 별 목적, 대상자, 디자인 등을 분석하여 국내외의 참여 연구의 현황을 확인하였다. 연구 방법 : 2004년부터 2013년 까지 최근 10년 사이의 논문을 대상으로 “Occupational Therapy<전문> AND stroke <제목> AND participation<제목>”을 주제어로 검색하였다. 국외 논문은 Pubmed를 이용하였고, 국내 논문은 국가 전자 도서관, 국회도서관, 학술연구정보서비스를 통해 검색이 이루어졌다. 결과 : 선행연구의 고찰 결과, 총 12편의 논문이 사용되었으며 국외 논문은 11편, 국내 논문은 1편이 검색되었다. 참 여수준 향상을 위한 중재는 2편의 논문에서 확인되었다. 가장 많이 쓰인 연구 디자인은 조사(survey)였으며 총 4개의 논문에서 설문지, 전화, 방문조사 등을 통해 이루어졌다. 평가도구는 총 21종류의 평가도구가 29회 사용되 었다. 가장 빈번하게 사용된 평가도구는 Activity Card Sort(ACS)로 3회 사용되었다. 결론 : 국내외적으로 참여에 대한 연구는 매우 부족한 실정이며, 이는 변화된 현재 추세를 따라가지 못하는 처세이다. 앞으로는 뇌졸중 환자들의 보다 나은 삶을 위하여 신체적 기능 향상만이 아닌 참여 증진을 위한 연구가 보다 진행 되어야 할 것이다.
60 cm flexible sigmoidofiberscope 로 관찰된 대장 폴립 및 종양의 임상적 관찰
김영조(Young Jo Kim),이헌주(Heon Ju Lee),정문관(Moon Kwan Chung),최재성(Heon Ju Lee),이영현(Moon Kwan Chung),김종설(Chong Suhl Kim) 대한소화기학회 1985 대한소화기학회지 Vol.17 No.1
N/A The author had an opportunity to study 480 cases with chief complaints of various gastrointestinal symptoms who subsequently underwent to 60cm flexible sigmoidofiberscope examination during the period June 1983 to July 1984 at Department of Internal Medicine, School of Medicine, Yeung-Nam University and the following results were obtained. 1) The incidence of lesions through endoscopy were following that, 48 patients (10%) had colonic polyps, 13 patients (2.7%) had ulcerating cancers among 480, the ratio of male and female was 59:41, the most common range of age was sixth decade, 27.9% of 61 cases (17 cases) and above fifth decade was 86.9% (43 cases). 2) Analysis of histopathological finding revealed that the most common polyps were adenoma, 40% of 42 cases (17 cases), the most common size was less than 1cm of 48 cases(38 cases) and synchronous polyps were 21% of 48 cases (10 cases). 3) The size of malignant changed polyps was l. 5cm and 2cm respectively in 2 cases 4) The seven cases among present series were found at above 25cm from conventional 25cm rigid sigmoidoscopy is not being reached.
김영조(Young Jo Kim),정영기(Young Ki Chung),이병욱(Byung Wook Lee),이상룡(Sang Ryong Lee),최동준(dong Joon choi) 대한소화기학회 1986 대한소화기학회지 Vol.18 No.2
A clinical analysis ivas carried out on 46 cases of pyloric channel ulcers collected from 4,565 persons who had taken gastrofiberscopic examinations from Maich, 1981 to Fchruary, 1986 at the 1)Department of Internal Medicine in the Maryknoll hospital. The results obtained were as follows: 1) Pyloric channel ulcer devloped in 3.8% of incidence from all cases of peptic ulcer. 2) The male to female ratio was 2.5:1. Those in the 4th decades were the most frequently observed age group and the average was 46.2 years of age. 3) The most frequent complaint was upper ahdominal pain with a rate of 69.6% and the next came indigestion, nausea and vomiting, belching, bloating in order. weight loss was in minority (10.9). 4) The most common site of channel ulcer vas anterior wall with a rate of 59.5% and the frequency of the other sites were lesser curvature, greater curvature, posterior wall in order. 5) Considering the healing process of ulcer, the most frequent stage was active stage, the next came healing and scarring stage in order. 6) The longitudinal diameter of active channel ulcer was below 5mm with 68.8% of incidence and almost ones were l0mm or less. The majority of those were round shape. 7) In 45.7% of all cases the channel ulcer did not cambine ulcers on the other sites and 37.0% of the channel ulcers combined gastric ulcer.
김영조(Young Jo Kim),신봉석(Bong Seok Shin),정병수(Byoung Soo Chung),나경수(Kyoung Soo Na) 대한피부과학회 2002 대한피부과학회지 Vol.40 No.6
N/A Background : Vitiligo is concerns disorder caused by a loss of epidermal pigment cells. The pigment cells in the skin and uveal tract are similar in their physiology and morphology and share a common embryologic origin. Object : The purpose of our study was to determine the nature of the relationship between vitiligo and ocular disease. Methods : Fifty-two patients with vitiligo were examined for ocular abnormalities. Results : There were 17ocular abnormalities our study; 5 fundal focal hypopigmented spots (9.6%), 6 iris pigment clumps(11.5%), and 6 lens opacity(11.5%). Conclusion : We believe that vitiligo may affect pigment cells in the eye. Therefore, all patients with vitiligo should have ocular examination.