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강직성 척추염 환자에서 대동맥 박리를 동반한 마르팡 증후군 1예
류지원 ( Ji Won Ryou ),박지영 ( Ji Young Park ),송은주 ( Eun Ju Song ),허진욱 ( Jin Wuk Hur ) 대한내과학회 2013 대한내과학회지 Vol.84 No.6
A 33-year-old male presented with an acute onset of back pain and abdominal pain. He was 189.9 cm tall and had an arm span of 194 cm, and had mild pectus carinatum as well as arachnodactyly. Plain radiographs showed kyphoscoliosis of the lumbar spine, bamboo spine of the thoracic spine, and sacroiliitis of the pelvis. Abdominal computed tomography revealed debakey type 3 aortic dissection. We prescribed beta blockers to control his blood pressure. According to the modified New York criteria, we diagnosed him with HLA negative ankylosing spondylitis and initiated therapy with nabumetone and sulfasalazine. We later diagnosed Marfan syndrome based on the Ghent criteria and mutation screening at the fibrillin-1. After treatment, he has been followed up without symptoms or complications. (Korean J Med 2013;84:873-877)
PTSD가 북한이탈주민의 남한사회적응에 미치는 영향 -자아탄력성, 사회적 교류의 조절효과를 중심으로-
김재엽 ( Jae Yop Kim ),최지현 ( Ji Hyeon Choi ),류원정 ( Won Jung Ryou ) 한국사회복지연구회 2012 사회복지연구 Vol.43 No.4
본 연구는 북한이탈주민의 남한사회적응에 영향을 미치는 요인을 발견하고자 실시되었다. 북한이탈주민의 외상 후 스트레스 장애(PTSD)가 남한사회적응에 미치는 영향과 이 경로에 서 자아탄력성 및 사회적 교류가 조절효과를 갖는지 검증하였다. 조사대상은 2010년 여성가족부에서 실시한 전국 가정폭력실태조사의 북한이탈주민 조사자료 중 만 19세 이상 64세 이하의 북한이탈주민 301사례이다. 연구결과 북한이탈주민의 PTSD는 남한사회적응에 영향을 미쳤으며, PTSD가 높을수록 남한사회적응이 감소하였다. PTSD가 남한사회적응에 영향을 미치는 경로에서 사회적 교류의 조절효과가 발견되어, PTSD가 높아도 사회적 교류 수준 이 활발하면 남한사회적응이 높아지는 것으로 나타났다. 연구결과를 바탕으로 북한이탈주민 의 남한사회적응을 증진하기 위한 정책적·실천적 개입방안을 제안하였다. The present study is designed to discover factors which influence North Korean defectors`social adjustment in South Korea. For this purpose, the researchers verified the path on which North Korean defectors` PTSD influence their social adjustment in South Korea. Additional examination of moderating effect of resilience and social interaction on this path is executed. The researchers examined 301 cases of North Korean defectors in age between 19 and 64,from the results of "National Survey on Family Violence."The result demonstrated that North Korean defectors` PTSD has influence on their social adjustment in South Korea, as the higher the PTSD, the lower the social adjustment. Moderating effect of social interaction is discovered. That is, dynamic social interaction can enhance social adjustment thou there is high level of PTSD. The researchers give practical suggestions to advance social adjustment of North Korean defectors based upon the result.
나영순(Young Soon Na),류지원(Ji Won Ryou) 한국인체예술학회 2001 한국인체미용예술학회지 Vol.2 No.1
This study is on basic skill for up-style and desiormat. Up-style which can accent the facial expressions through application of various designs can express the elegant beauty of women most effectively. Even though professional hairdressers have recognized, this skill is very difficult to match for each of the customers who have a variety of moods and preferences. To overcome these difficulties, the researcher introduced a basic skill and design format to form up-style, one of the most difficult skills in hairdressing, with the easiest ways. I introduced: First, the basic condition to form up-style, Second, the methods to understand and apply the basic treatments and skills on up-style, Third, the methods which help assistant hairdressers to find out and analyse the exact design concept of the basic format on up-style. Up-style which is styled with these ways will be a perfect style. Finally, I hope this study would be useful basic information to hair-designers who enact up-style.
고령의 무릎 골관절염 환자에서 Tramadol/Acetaminophen 복합제와 비스테로이드성 소염제의 유효성 및 안전성 비교
김세영 ( Se Young Kim ),류지원 ( Ji Won Ryou ),허진욱 ( Jin Wuk Hur ) 대한류마티스학회 2012 대한류마티스학회지 Vol.19 No.1
Objective. To compare the analgesic effectiveness and safety of tramadol 37.5 mg/acetaminophen 325 mg combination tablets (tramadol/acetaminophen) with non-steroidal anti-inflammatory drugs (NSAIDs) for the treatment of osteoarthrits in elderly patients. Methods. This randomized controlled study enrolled 48 patients with chronic knee osteoarthritis where the diagnostic period was over 3 months. Patients with at least moderate pain [visual analog scale (VAS) with scores ≥40/100 mm] after the washout period were randomized to tramadol/ acetaminophen or NSAID. All patients received tramadol/ acetaminophen 1 tablet TID or NSAID (naproxen 500 mg) BID. The primary outcome measures were the final pain VAS scores. Secondary measures included pain relief (5 point Likert scale), adverse events, and overall medication assessments. Results. In total, 43 intent-to-treat (ITT) patients received tramadol/acetaminophen (n=21) or NSAID (n=22). Mean baseline pain VAS scores showed no difference between two groups. ITT analysis showed significantly better mean final VAS scores (38.45 vs 31.24, p=0.004) and mean final pain relief scores (2.18 vs 2.95; p=0.007) for tramadol/acetaminophen rather than for NSAID. The most common treatment related adverse events with tramadol/acetaminophen were nausea/vomiting (47.6%) and constipation (33.3%). Epigastric soreness and heartburn was more frequent in NSAID treatment. Conclusion. Tramadol/acetaminophen combination showed better effectiveness in pain reduction compared with NSAIDs when used for the treatment of osteoarthritis in elderly patients.
( Yong Hoon Kim ),( Ki Hyon Seo ),( Ju Ok Na ),( Jae Sung Choi ),( Ho Sung Lee ),( Ji Won Ryou ) 대한내과학회 2014 대한내과학회 추계학술대회 Vol.2014 No.1
Background: Chemical pleurodesis is usually not effective for MPE accompanied with atelectasis, loculation and pleural invasion which need another approaches. Recently intrapleural chemotherapy with cisplatin has not been recommanded fi rstly because of low yields and high recurrence of MPE. However, most trials of intrapleural cisplatin were done one time with low doses. We expected more than one intrapleural cisplatin injection with higher dose might be better for complicated MPE. Methods: Patients were enrolled from 1 July 2013 to 30 June 2014. Intrapleural cisplatin (50 mg) injections were done two times via chest tube at 24hr interval after complete drainage of PE. Following each injection, chest tube was clamped for 6hrs. If there was no shfting on decubitus x ray or daily amount of drainage reduced by < 30 ml, chest tube was removed. Between one and two weeks after injections, CT or decubitus view was taken to evaluate early response. Late response was determined monthly thereafter. CR: no residual PE or no shifting on CT/x ray. PR: presence of minimal PE (subpleural fl uid = 1 cm in width). Stable: decreased but more than minimal. Failure or Relapse: no decreased or more increased PE in 2wks or progression after early response. Results: 22 complicated MPE (11 atelectasis, 8 pleural invasion, 2 loculation and 1 refractory to previous pleurodesis) in 20 patients were included. Early responses showed 14 CR (63.6%) and 8 PR (36.4%) (100% RR). Mean duration of overall response was 101ds. Late response was determined in 19 MPEs. Two (10.5%) were relapsed at 42 and 281ds and 2 (10.5%) were changed to stable from early CR/PR. RR of late reponse was 78.9% (15/19). Conclusions: Two consecutive intrapleural injection of cisplatin was highly effective for complicated MPE in both early and late periods.