경추 신전-견인 운동이 경증 거북목증후군 환자의 경추정렬, 통증, 기능장애에 미치는 영향

한효진,이재남,현기훈,양영식,Han, Hyo-jin,Lee, Jae-nam,Hyun, Ki-hoon,Yang, Young-sik 대한정형도수물리치료학회 2019 대한정형도수물리치료학회지 Vol.25 No.2

Background: The purpose of this study was to determine the effects of cervical extension-traction exercise on cervical alignment, pain, and neck disability in patients with mild turtle syndrome. Methods: Thirty two outpatients with mild turtle neck syndrome were recruited and randomly divided into two groups. Participants in the experimental group was applied cervical extension-traction exercise (CETE, n=16) and in the control group applied cervical stabilization exercise (CSE, n=16) for three times a week for 4 weeks. Results: Cobb angle and Jochumsen depth were CETE showed significant difference within the group post test (p<.05). And the CETE was significantly higher than the CSE. In the pressure pain threshold, both CETE and CSE showed significant differences within post test (p<.05). And the CETE was significantly higher than the CSE. Neck disability index were significant (p<.05) in the CETE post test. There was no significant difference between the two groups. Conclusion: Our results of this study showed that applying cervical extension-traction exercise to patients with mild turtle syndrome improved cervical alignment, pain and neck dysfunction.

신경 회로망을 이용한 Square Root Chip 설계

한효진(Hyo-Jin Han),정호선(Ho-Sun Chung) 한국통신학회 1989 한국통신학회 학술대회논문집 Vol.1989 No.11

症例(증례) : 거대 자궁 근종으로 인한 폐쇄성 요로병증과 급성 신부전 1예

한효진 ( Hyo Jin Han ),김희정 ( Hui Jung Kim ),이태환 ( Tae Hwan Lee ),강경표 ( Kyung Pyo Kang ),박성광 ( Sung Kwang Park ),김원 ( Won Kim ) 전북대학교 의과학연구소 2008 全北醫大論文集 Vol.32 No.1

A 40-year-old woman was admitted due to abdominal pain and oliguria with one day of fever and voiding difficulty. Laboratory data revealed pyuria and azotemia, and kidney ultrasonogram and urography MRI showed bilateral hydronephrosis and a huge uterine myoma. Enterobacter aerogenes was cultured from both blood and urine. A uterine myoma was diagnosed about 2 years ago, recently she planned total hysterectomy because of abdominal distention and back pain. Initially we performed percutaneous nephrostomy (PCN). After normalization of patient`s body temperature and serum creatinine level, we performed total abdominal hysterectomy with nephrostomy catheter in place. Follow-up ultrasonogram revealed both hydronephrosis disappeared, and then we removed the percutaneous nephrostomy catheter.In conclusion, uterine myoma may cause obstructive nephropathy and acute renal failure.

탄력 및 비탄력과 탄력을 결합한 테이프 적용이 견갑골 운동이상증을 가진 만성 뇌졸중 환자의 어깨 통증과 고유수용감각, 상지 기능 수준에 미치는 영향

양성화,한효진,현기훈,Yang, Seong-hwa,Han, Hyo-jin,Hyun, Ki-hoon 대한정형도수물리치료학회 2019 대한정형도수물리치료학회지 Vol.25 No.1

Background: Scapular dyskinesis is one of the risk factors for upper extremity injury in patients with chronic stroke. Taping can used as an adjunctive treatment for this. The aim of this study was to investigate the effects of rigid tape in conjunction with elastic tape and elastic tape only on shoulder pain, proprioceptor, and function of chronic stroke patients with scapular dyskinesis. Methods: Participants were randomly assigned to elastic tape (ET) group (n=10) and both tape (BT) group (n=10). Both ET and BT groups performed therapeutic exercise on the upper extremity with taping applied for 4 weeks. Therapeutic exercise was performed 30min/day, 5 times/week. Clinical outcome measures used Numerical pain rating scale with a faces pain scale for pain, angle at shoulder join position sense (JPS) for proprioceptor, and Fugl-meyer assessment upper extremity for function. Results: Clinical outcomes were measured at initial baseline, after 4weeks. There were statistically significant differences in pain, JPS, and function after 4 weeks in both groups (p<.05). There was no significant difference in pain and JPS between the groups, and There was a statistically significant difference in function in the BT group compared to the ET group (p<.05). Conclusions: This results suggest that accurate clinical assessment and appropriate taping can improve proprioceptor and function of the upper extremity in patients with chronic stroke.

슬관절 전치환술 환자에서 대한 오타고 운동프로그램이 균형, 보행능력, 낙상 효능감에 미치는 영향

송현승,이재남,한효진,Song, Hyun-seung,Lee, Jae-nam,Han, Hyo-jin 대한정형도수물리치료학회 2020 대한정형도수물리치료학회지 Vol.26 No.1

Background: The aim of this study was to conduct an Otago exercise program with total knee replacement patient (TKR) in a clinical setting and ascertain its effects on balance, walking ability and falls efficacy. Methods: The participating subjects were 30 people who had been diagnosed with TKR. They were assigned to two groups (Exp; Otago exercise and general physical therapy, n=15; Con; balance exercise and general physical therapy, n=15), and the exercises were conducted for three sessions per week for four weeks. The main balance outcomes were evaluated using the timed up and go test (TUG), while walking ability was evaluated using the 10m walk test (10MWT), direction change ability was measured using the figure 8 of walk test (F8WT), and the decrease of fear was evaluated using the modified falls efficacy scale (MFES). Results: In the analysis results, the Exp group showed significant increases in TUG, 10MWT, and F8WT within the both groups. There were significant differences in all variables between the Exp group and the Con group at the post-intervention evaluation, but there was no significant difference between the groups with respect to the TUG. Conclusion: The results of this study demonstrated that Otago exercise would be useful to improve balance and walking for TKR patients who want to improve their abilities and activities of daily living.

의료기관관련 폐렴

이흥범 ( Heung Bum Lee ),한효진 ( Hyo Jin Han ) 대한결핵 및 호흡기학회 2011 Tuberculosis and Respiratory Diseases Vol.70 No.2

Pneumonia is frequently encountered in the clinical fields, both as a cause for admission and as a complication of the underlying disorder or as the course of treatment. Pneumonia is the second most common hospital-acquired infection and is associated with the highest morbidity and mortality rates among hospital-acquired infections. The guidelines for the management of hospital-acquired pneumonia by the American Thoracic Society include identifying individuals who have recently received antibiotics therapy or have been in medical facilities; these individuals are at higher risk for infection with multiple drug resistant organisms. Individuals, who have acquired pneumonia according to this clinical scenario, have what is known as healthcare-associated pneumonia (HCAP). Patients with HCAP should be considered to have potentially drug-resistant pathogens and should receive broad spectrum empiric antibiotic therapy directed at the potentially resistant organisms. In this paper, the diagnosis, risk factors, and treatment of HCAP are discussed.

가정환경개선 서비스가 지역사회 치매 노인의 낙상 위험성과 일상생활 독립성에 미치는 영향

주유미(Ju, Yumi),박주연(Park, Ju-Yeon),한효진(Han, Hyo-Jin),유제광(Ryu, Jeh-Kwang) 한국노인작업치료학회 2021 한국노인작업치료학회지 Vol.3 No.2

목적 : 본 연구는 지역사회 거주 치매 환자를 대상으로 가정환경개선 서비스를 제공하고 효과성을 검증하기 위함이다. 연구방법 : 태안군 치매안심센터에서 총 16명의 치매 진단을 받은 노인을 연계 받아 총 8주간 가정환경개선 서비스를 진행하였다. 각 대상자 개인별로 1주일에 1회씩 총 6회기의 재가방문 서비스를 제공하였다, 사전-사후 평가를 포함하여 개인 행동평가, 가정환경 컨설팅, 가정환경개선, 일상생활 훈련, 및 인지 전략 교육 등을제공하였다. 서비스 전후 효과를 알아보기 위하여 가정환경평가 프로토콜(HEAP)과 추가로 활동-특정 균형 자신감 척도(ABC), 낙상 행동요인 척도(FaB), 한국판 일상생활활동 평가(K-ADL)과 수단적 일상생활활동 평가(K-IADL)의 독립성 변화를 평가하였다. 사전-사후 점수 비교는 Jamovi 2.2.2를 통해 분석하였다. 결과 : 중재 결과 가정 내 위험환경, 적응, 시각적 단서, 관찰에서는 통계적으로 유의미한 환경변화가 있었다(p<.001). 단, 가정환경의 편안함은 통계적으로 유의한 개선이 없었던 것으로 나타났다. 또한, 중재 후 균형자신감, 낙상 행동요인, 수단적 일상생활의 독립성에 통계적으로 유의한 변화가 있었던 것으로 나타났다(p<.001). 반면 일상생활의 독립성에는 변화가 없었다(p=.186). 전반적 서비스 만족도는 10점 만점에 9.6점으로 매우 높게 나타났다. 결론 : 지역사회 거주 치매 환자를 대상으로 하는 가정환경개선 서비스는 가정 내 생활 환경의 개선뿐만 아니라노인의 낙상을 예방하고 수단적 일상생활의 독립성을 향상하는데 효과적인 것으로 나타났다. 추후 더 많은모집단을 통해 서비스를 제공하고 서비스의 효과성을 체계적으로 분석해볼 필요가 있다. Objective : The aim of this study was to provide a home modification service for elderly people with dementia living in the community and to verify its effectiveness. Methods : Sixteen elderly people diagnosed with dementia participated in the home modification service provided in this study. Six home visits were provided for each individual subject. Including pre-and post-evaluation, personal behavior evaluation, home environment consulting, home environment modification, daily activities training, and cognitive strategy education were provided. To examine the effects before and after the service, changes in the environment, balance confidence, fall behavioral factors, and independence of ADL and IADL were evaluated. The preand post-score comparisons were analyzed using Jamovi 2.2.2. Results : The intervention showed statistically significant environmental changes in home hazards, adaptation, visual cues, and observation (p<.001). However, there was no statistically significant improvement in the comfort of the home environment. Also, there were statistically significant changes in activity-specific balance confidence, fall behavioral factors, and independence in IADL after intervention (p<.001). On the other hand, there was no change in independence in ADL (p=.186). Overall satisfaction with the service was very high at 9.6 out of 10. Conclusion : The home modification service for the elderly with dementia living in the community was found to be effective not only in improving the living environment at home, but also in preventing falls and improving the independence of IADL. In the future, it will be necessary to provide services to a larger population and investigate its effectiveness.

침 시술에 의해 발생한 감염성 천장관절염

이태환 ( Tae Hwan Lee ),강선미 ( Seon Mi Kang ),고강석 ( Kang Suk Ko ),한효진 ( Hyo Jin Han ),김희정 ( Hui Jung Kim ),김재문 ( Jae Moon Kim ),류완희 ( Wan Hee Yoo ) 대한류마티스학회 2006 대한류마티스학회지 Vol.13 No.4

Infectious sacroiliitis is an uncommon disease and the diagnosis is very difficult due to unawareness of the disease. The predisposing conditions to the disease are pelvic trauma, respiratory or genitourinary infection, skin infection, pregnancy, endocarditis, intravenous drug abuser and recent dental manipulation. The clinical characteristics of the disease are fever, leukocytosis, pain and tenderness of buttock, gait disturbance and positive result of blood culture and imaging study of sacroiliac joint. To our knowledge, the acupuncture induced infectious sacroiliitis with bacteremia is one of the rarely reported cases. We have recently experienced a case of infectious sacroiliitis as a very unusual complication of the acupuncture. In this case, increased signal intensity in the SI joint was found in the MRI. and focal hot uptake in SI joint was observed in bone scan. Staphyolococcus areus were cultured in the blood sample. Under the diagnosis of infectious sacroiliitis with bacteremia, the antibiotics was administered, and the clinical symptoms and laboratory findings were completely improved. This case report emphasizes that an acupuncture is a predisposing factor of the infectious sacroiliitis with bacteremia.

증례(症例) : 폐암으로 의심된 폐흡충증 1예

오호준 ( Ho Jun Oh ),황정환 ( Jeong Hwan Hwang ),김재문 ( Jae Moon Kim ),김이식 ( Yi Shik Kim ),한효진 ( Hyo Jin Han ),이원석 ( Won Seok Lee ),전형구 ( Chon Hyung Ku ),소재승 ( Jae Seung Soh ),김형일 ( Hyoung Il Kim ),송민주 ( Min 전북대학교 의과학연구소 2007 全北醫大論文集 Vol.31 No.1

폐흡충증은 Paragonimus westermani의 중간숙주인 민물게나 가재 등을 생식하거나 불충분한 조리를 하여 먹음으로써 인체에 감염되는 기생충 질환으로, 보건 위생의 향상과 식생활의 변화로 발생은 감소하였으나, 아직도 때때로 마주치게 된다. 이 질환은 임상증상이나 방사선학적 소견이 다양하게 나타나므로 국내에서 흔한 폐결핵, 폐 종양과 같은 다른 폐-늑막 질환들과 쉽게 구분되지는 않으나, 환자의 병력과 검사 소견을 종합하면 어렵지 않게 진단할 수 있으며, 매우 짧은 기간의 치료로 완치가 가능한 질환이므로 이에 대한 관심은 꼭 필요하다. 저자들은 민물게나 가재 등을 생식하거나 불충분한 조리 기왕력이 없는 환자에서, 객혈을 동반한 공동 모양의 종괴를 주소로 내원하여 흉부 컴퓨터 단층 촬영 및 PET/CT상 공동 모양의 폐암이 의심되었던 폐흡충증 환자를 경험하여 보고하는 바이다. 흉부 컴퓨터 단층 촬영 및 PET/CT 상 폐암이 강력히 의심되어 경피적 침 생검술을 시행하였고, 조직학적으로 Paragonimiasis가 확진 되어 praziquantel 25mg/kg/day을 2일간 복용하였다. Pulmonary paragonimiasis is a parasite disease of the lung and is caused by infestation with Paragonimus westermani, lung flukes or other species of Paragonimus. Although improvements in public health and changes of dietary habits have made the prevalence of paragonimiasis getting to be decreased in Korea, we still encounter the disease occasionally. Pulmonary paragonimiasis patients have presented with a variety of clinical and radiological features. In addition, some of these various presentations seem to be different from the classic features reported earlier. Herein, we report a case of a 39-year-old man with pulmonary paragonimiasis, without a history of ingestion of freshwater crab or crayfishes, who presented with hemoptysis and cavitary lung mass mimicking lung cancer on computed tompgraphy (CT) and positron emission tomography using 18F-fluoro-2-deoxy-D-glucose (FDG-PET)/CT scan. Since lung cancer could not be ruled out from the diagnosis considering its radiologic findings, a percutaneous thoracic needle biopsy was performed, and histological examination confirmed a definitive diagnosis of paragonimiasis. The patient was administered praziquantel at a dose of 25mg/kg/day for two days.

증예(症例) : 동종골수이식을 시행받은 환자에서 발생한 Pneumocystis Jitoveci 폐렴에 합병한 자발성 약측성 기흉

이석 ( Seok Lee ),강선미 ( Seon Mi Kang ),최정환 ( Chung Hwan Choi ),김이식 ( Yi Shik Kim ),한효진 ( Hyo Jin Han ),조양동 ( Yang Tong Cho ),이나리 ( Na Ri Lee ),송은기 ( Eun Kee Song ),곽재용 ( Jae Yong Kwak ),임창열 ( Chang Yeol 전북대학교 의과학연구소 2006 全北醫大論文集 Vol.30 No.2

Pneumocystis jiroveci (이전의 carinii) 폐렴은 면역력이 저하되어 있는 환자에게 심각하고 잠재적으로는 생명을 위협할 수 있는 감염으로, 조혈모세포 이식을 시행받은 환자에게서 주요한 감염원이 되고 있다. 중요한 위험 인자로는 광범위 이식 편대 숙주병, 지속적인 코티코 스테로이드의 사용, 악성 질환의 재발 등이 있다. 기흉은 에이즈와 연관된 Pneumocystis jiroveci 의 합병증으로 알려져 있음에도 불구하고, 조혈 모세포 이식을 시행받은 환자에게서는 좀처럼 보고된 자가 없다. 이에 본 저자들은 동종 조혈 모세포 이식후에 합병증으로 발생한 Pneumocystis jiroveci 폐렴에 속발하여, 양측의 난치성 자발성 기흉을 보인 27세 남자 환자의 증례를 보고하는 바이다.