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신현수(Hyun Soo Sin),신영호(Young Ho Sin),이일세(Il Se Lee),강문규(Moon Gyoo Kang),석준(Jun Seug),박성배(Sung Bae Park),김현철(Hyun Chul Kim) 대한내과학회 1997 대한내과학회지 Vol.53 No.2
N/A Objectives: Over the last 30 years, despite the increasing sophistication in medical care, the mortality of acute renal failure(ARF) has remained virtually unchanged at 40-50%, but the reasons remain unknown. This study intend to identify prognostic risk factors influencing survival and predict the mortality in ARF patients. Methods: We retrospectively analyzed 152 patients with ARF who required renal replacement therapy, or whose serum creatinine level above 5 mg/dl, from Jan. 1988 to May. 1995. Multiple factors which may influence mortality were evaluated by univariate and multivariate analysis. Results: 1) Of the 152 patients, 97 were male and 55 were female. The mean age was 47 years and the overall mortality was 36.8%. 2) Based on the univariate analysis, age>60 years, cause of ARF, APACHE II score, number of failing organs, peak serum creatinine level, PaO₂, coma, hypotension, ARDS, GI bleeding, ventilatory support, need for antiarrhythmics, DIC, cardiovascular failure, pulmonary failure, neurological failure, and gastrointestinal failure were all significant factors discriminating between survivors and nonsurvivors(p<0.05) 3) By multivariate analysis, hypotension, coma, ventilatory support, and age over 60 years were significant independent predictors influencing survival in ARF patients and logistic equation and logit score were as follows : z=-2.04+1.32(age over 60)+2.18(hypotension)+2.88 (ventilatory support) + 3.28(coma) P=ez/(1+ ez) 4) In ROC(receiver-operating characteristic)curve, when the cutoff point was 0.2, maximum sensitivity was 75% and maximum specificity was 82%. Conclusion : In ARF, prognostic risk factors for mortality were age over 60 years, hypotension, assisted ventilation and coma. The logit score by multiple analysis is a reliable predictor of mortality in ARF patients, however the further studies are required to confirm these results.
박상민 ( Sang Min Park ),신영호 ( Young Ho Sin ),박종원 ( Jong Won Park ),박세관 ( Se Kwan Park ),이용희 ( Yong Hee Lee ) 대한류마티스학회 2001 대한류마티스학회지 Vol.8 No.2
Systemic lupus erythematosus (SLE) is a disease of unknown etiology in which tissues and cells are damaged by pathogenic autoantibodies and immune complexes. The central nervous system may be involved in 25~75% of patients. Neuropsychiatric manifestations of SLE include psychosis, affective disease, seizure, stroke. The main brain CT and MRI findings consisted of diffuse brain atrophy, infarction, hemorrhage. Intracranial calcification in a patient with SLE has been rarely reported. We experienced a patient with SLE who present marked intracranial calcification.
횡문근융해중을 동반한 급성 신부전으로 인해 악화된 특발성 부갑상선 기능저하증 1 예
최종현(Jong Hyun Choi),박상민(Sang Min Park),김경천(Kyung Cheon Kim),최기영(Ki Young Choi),박세관(Sae Gwan Park),박종원(Jong Won Park),신영호(Young Ho Sin),이용희(Yong Hee Lee) 대한신장학회 2001 Kidney Research and Clinical Practice Vol.20 No.2
Idiopathic hypoparathyroidism is extremely rare disease. We experienced an interesting case of idio- pathic hypoparathyroidism associated with acute renal failure caused by toxic epidermal necrelysis com- bined with rhabdomyolysis. This 36-years-old male patient was suffered from bullous erythematous scalding skin lesion on lower extremity, back, and chest. After 10 days, he was admitted with the chief complaints of generalized seizure, carpopedal spasm, stuporous mentality. Skin biopsy showed edematous change with extravasated erythrocytes in upper dermis and several individually necrotic keratinocytes. On laboratory finding, marked decreased serum PTH level were demonstrated. Increased muscle uptake of technetium-99m MDP were noticed on bone scan. Prolonged Q-T interval on electrocardiogram was also noted. We could diagnose his disease as severe hypocalcemia(hypocalcemic crisis) developed associated with acute renal failure caused by toxic epidermal necrolysis combined with rhabdomyolysis in patient with idiopathic hypoparathyroidism. He was treated by hydration, urine alkalinization, 2 times of hemodialysis and supplementary calcium, vitamin D during the admission.
강현숙,김백윤,박미진,신영호 한국스포츠리서치 2005 한국 스포츠 리서치 Vol.16 No.2
The purpose of this study was to explore the effects of Taichichuan training on the variables of cognitive-affective states. The subjects of the study consisted of 22G middle aged women in Jeonju areas. The survey methods of this research are the 5 Likert Scale modified the Cognitive Affective States Scale by Yang. Myung-Hwan(1998). The used statistical methods for the data analysis were M. SD. Paired sample T-Test. The results obtained by the appropriate analytic processes were followed. 1. In hedonic enjoyment, Taichichuan training women were lower than non-activity women. 2. In feeling of flow, Taichichuan training women were higher than non-activity women. 3. In self-realization, Taichichuan training women were higher than non-activity women. 4. In self-confidence, Taichichuan training women were higher than non-activity women.