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장기간 스테로이드 및 Sulfasalazine 투여를 받아 온 아메바성 대장염 의 임상경과
이준규(Jun Kyu Lee),석웅(Woong Seok),천재희(Jae Hee Chun),김유선(You Sun Kim),최일주(Il Ju Choi),김주성(Joo Sung Kim),정현채(Hyun Chae Jung),송인성(In Sung Song),김정룡(Chung Yong Kim) 대한소화기학회 2000 대한소화기학회지 Vol.36 No.3
Many of water-borne infectious diseases are under control nowadays because of the improvement of hygiene and sewage system, but some of them (e.g. amebic colitis) are still endemic in developing countries. Since there is no definite method of diagnosis, amebic colitis is often diagnosed too late or misdiagnosed as idiopathic inflammatory bowel disease. There have been some reports that treatment with glucocorticoids or immuno-suppressive agents may lead to catastrophic result in amebic colitis. We experienced a 65-year-old man who showed somewhat different clinical consequences. He had longstanding hematochezia with lower abdominal pain, and was misdiagnosed as ulcerative colitis. Because his symptom continued over a year despite treatment with glucocorticoids and sulfasalazine, total colectomy was considered. However, the diagnosis of amebic colitis was made with repeated stool parasite examinations, colonoscopic biopsy and serologic tests. He showed dramatic improvement after the antiamebic therapy with metronidazole. (Kor J Gastroenterol 2000;35:398 - 403)
이버들 ( Buddle Lee ),석웅 ( Woong Seok ),임형렬 ( Hyungryul Lim ),전철구 ( Cheolgu Jeon ),서남주 ( Namjoo Seo ) 국군의무사령부 2019 대한군진의학학술지 Vol.50 No.1
Objectives; The purpose of this study is to install an air purifier at the army training center dormitory and to check the pneumonia prevention effect according to the air quality Methods; We selected unit with frequent pneumonia and studied between 568 people who used air purifiers and 1,710 people who did not use them from November 30, 2017 to April 27, 2018. PM2.5, PM10, carbon dioxide and VOC were measured at 9points in both the air cleaner and non-use groups, and were performed every 2hours from 22:00 to 06:00 the next day. The number of pneumonia diagnoses and upper respiratory tract infections between the air pufier and no-use group were checked and statistically verified. Results; Mean±SD of PM2.5, PM10 was 29.7±48.0㎍/㎥, 55.9±135.1㎍/㎥ for air purifier use group, 115.0±346㎍/㎥, 259.0±371.7㎍/㎥ for nonuse group, and significantly lower for air purifier use group.(p<0.05) Mean±SD of carbon dioxide, VOC was 2,439±1,042ppm, 429.9±146.3㎍/㎥ for air purifier use group, 3,147±1388ppm, 589±264㎍/㎥ for nonuse group, and significantly lower for air purifier use group.(p< 0.05) RR(Relative Risk) of pneumonia patients in the air purifier and non-use group was 4.65, but the P-value was 0.08.(p >0.05). Conclusions; Air purifiers improve the air quality of the training dormitory, but have not proved sufficient to prevent pneumonia.
김미랑 ( Mirang Kim ),유정아 ( Jeonga Yu ),배은경 ( Eunkyoung Bae ),석웅 ( Woong Seok ),하범만 ( Beomman Ha ),최병섭 ( Byungseop Choi ) 국군의무사령부 2020 대한군진의학학술지 Vol.51 No.1
Objective; This study aims to check adequacy of current obesity classification in Korea among young male soldiers. Method; We surveyed 316 military personnel who agreed this study with structured questionnaire. They answered voluntarily the questionnaire and also wrote down their data of medical examination, body composition and army physical fitness test. Results; Subjects were classified as by Body Mass Index(BMI): underweight(<18.5) 1, normal(18.5-22.9) 129(40.8%), overweight(23-24.9) 91(28.8%), obese(25-29.9) 78(24.7%), severe obese (30≤) 17(5.4%). Obesity rate was 30.1% by BMI 25, 14.6% by Body fat(25%) and 18.7% by waist cimcumference(90cm), respectively. This classification by BMI presents 87% of sensitivity, 79.6% of specificity based on 25% Body fat. When we analysed BMI ROC curve by Body fat(25%), sensitivity and specificity were 80.4% and 90% at the point of BMI 26.05. Almost two-third(67%) of Overweight group and one-third(30.8%) of Obese group showed more than 45% of muscle ratio. All of them had less than 25% body fat. In the over obese group, there were statistically significant differences when analyzing the abnormality of medical examination and passing the physical fitness test by dividing into 45% muscle ratio and 25% body fat, respectively. Conclusion; This study shows that it may be appropriate to reclassify some of overweight(23≤BMI<25) and Obese(25≤BMI<30) young men as normal or overweight in Republic of Korea Army considering possibility of muscle excess. If we study more subjects in the future, new and appropriate cut-off values from normal to obese could be suggested.
이준규(Lee Joon Kyu),김상균(Sang Gyun Kim),천재희(Jae Hee Chun),서승오(Seung O Seo),석웅(Woong Seok),정용진(Yong Jin Jung),채인호(In Ho Chae) 대한내과학회 2000 대한내과학회지 Vol.58 No.6
N/A We report a case of extraluminal leiomyosarcoma of inferior vena cave(IVC) in a 56 year old woman. She was admitted to our hospital because of right lower quadrant discomfort for a month. Radiologic finding including ultrasonography, computerized tomography, magnetic resonance imaging showed heterogenous solid mass adhering to IVC and the confirmative diagnosis was made by ultrasonography guided percutaneous needle biopsy. She underwent radical resection surgery. No adjuvant treatment was performed and she has been in the follow up without recurrence of the disease.(Korean J Med 58:681-685, 2000)