Elderly kidney transplant recipients have favorable outcomes but increased infection-related mortality

임정훈,Lee Ga Young,Jeon Yena,Jung Hee-Yeon,Choi Ji Young,CHO, JANG-HEE,Park Sun Hee,김용림,Kim Hyung-Kee,Huh Seung,유은상,Won Dong Il,Kim Chan-Duck 대한신장학회 2022 Kidney Research and Clinical Practice Vol.41 No.3

Background: The number of elderly patients with end-stage kidney disease has been increasing, but the outcomes of kidney transplants (KT) remain poorly understood in elderly patients. Therefore, we evaluated the clinical outcomes of elderly KT recipients and analyzed the impact of elderly donors. Methods: This retrospective cohort study included patients who underwent KT between 2000 and 2019. KT recipients were divided into four groups according to a combination of recipient and donor age (≥60 or <60 years); elderly recipients: old-to-old (n = 46) and young-to-old (n = 83); young recipients: old-to-young (n = 98) and young-to-young (n = 796). We compared the risks of mortality, graft failure, and acute rejection between groups using Cox regression analysis. Results: The incidence of delayed graft function, graft failure, and acute rejection was not different among groups. Annual mean tacrolimus trough level was not lower in elderly recipients than young recipients during 10-year follow-up. Mortality was significantly higher in elderly recipients (p = 0.001), particularly infection-related mortality (p < 0.001). In multivariable Cox regression analysis, old-toold and young-to-old groups had increased risk of mortality (adjusted hazard ratio [aHR], 2.89; 95% confidence interval [CI], 1.14– 7.32; p = 0.03; aHR, 3.06; 95% CI, 1.51–6.20; p = 0.002). However, graft failure and acute rejection risks were not increased in elderly recipients. Conclusion: In elderly recipients, graft survival and acute rejection-free survival were not inferior to those of young recipients. However, mortality, especially risk of infection-related death, was increased in elderly recipients. Thus, low immunosuppression intensity might help decrease mortality in elderly recipients.

Young-Ki Kim

Sun-young Park,Youngjae Lee,Jinyoung Song,Seok-ho Jeon,Ji-yoon Jeong,강병택,강지훈,장진화,장동우 한국임상수의학회 2016 한국임상수의학회지 Vol.33 No.3

Signalment: An 8-month-old female Alaskan malamute was presented for progressive cluster seizure disorder. Results: There were no abnormalities on neurological examination, survey radiographs, or blood analysis. Magnetic resonance (MR) imaging and computed tomography revealed extension of the olfactory bulb and frontal lobe into the nasal cavity. They also confirmed abnormal anatomy of the nasal turbinates within the rostral part of the nasal cavity and the absence of a cribriform plate. On T2-weighted and fluid-attenuated inversion recovery images, the herniated brain showed heterogeneous and hyperintense signals consistent with intraparenchymal edema. Transverse MR images showed brain herniation into the right frontal cavity and an asymmetrical lateral ventricle because of a left midline shift. On contrast-enhanced MR images, the protruding brain parenchyma was mildly enhanced. Ethmoidal encephalocele was suspected as the final diagnosis. Despite symptomatic treatment, the dog continued to exhibit seizures and was euthanized. Clinical relevance: Ethmoidal encephalocele is a rare disease in dogs. However, it could be considered as a cause of seizure in young dogs.

식민지 조선의 카페여급을 다루는 역사연극과 역사연구 -<이상, 열셋까지 세다>와 <깃븐우리절믄날>을 중심으로

전영지 ( Jeon Young-ji ) 한국드라마학회 2017 드라마연구 Vol.0 No.51

본고는 한국계 미국인 극작가 성 노(Sung Rno)의 희곡 <이상, 열셋까지 세다>(1999)와 한국인 극작가 성기웅의 희곡 <깃븐우리절믄날>(2008)의 비교를 통해 역사연극과 역사연구 사이의 관계에 대해 묻는다. 두 희곡 작품 모두는 일제강점기 요절한 천재시인 이상의 단편소설을 기반으로 이상과 이상의 주변인물들 간의 자살기도를 동반하며 일어났던 애정문제를 다룬다. 게다가 이 애정문제에 중심이 되는 여주인공들은 모두 카페여급으로 설정되어 있다. 그러나 이러한 강한 유사성에도 불구하고 두 작품의 카페여급 캐릭터, 그린과 권영희는 매우 상이한 인물로 설정되어있다. 식민지 조선의 기생과 기생의 근대적변형인 카페여급은 매춘 또는 `자유연애`에 관여하는 동시에 전통기예 또는 근대성을 향유하는, 양가성(兩價性)을 지닌 여성들로 여겨졌으나, 두 희곡은 이러한 양가적 특징 중 하나의 측면은 강조하고 다른 하나의 측면은 축소시켜 완전히 다른 상(像)의 여성캐릭터를 제시한 것이다. 필자는 두 희곡이 보이는 이러한 차이에 주목하고 한국어와 영어로 쓰인 식민지 조선의 카페여급에 대한 역사 연구서들을 검토하여 두 개의 다른 언어권에서 생산된 역사 서술 내러티브들이 보이는 공통의 관심과 관점을 밝힐 것이다. 결국 본고는 역사연극과 역사연구 모두 본질적으로 과거의 이야기를 잠재적 독자/관객과 소통하고자 시도하는 내러티브이기 때문에 언어가 누구와 소통할 것인가를 규정하며 상이한 역사쓰기를 추동한다고 주장한다. This paper explores the relationship between history plays and historical studies by conducting a comparative analysis of Yi Sang Counts to Thirteen (1999) by Korean American playwright Sung Rno and Showa 10, Our Joyful Young Days (Gitbeun-uri-jeolmeun-nal, 2008) by Korean playwright Ki-woong Sung, as well as that of Korean-written and English-written historical studies concerning cafe-maids in colonial Korea. The two plays portray strong similarities; the both deal with the 1930s Korean poet Yi Sang and his love conflict, which included cafe-maids in its center and entailed suicide attempts. Nevertheless, the two cafe-maids - Green in Yi Sang Counts to Thirteen and Young-hee Kwon in Showa 10, Our Joyful Young Days - appear considerably different even in their job descriptions. While gisaeng and its modern incarnation of cafe-maids had ambivalent features of artistic talents/modern intellectualism and prostitution, the two plays provide the audience with different pictures by highlighting one aspect and blurring the other. Considering such dramaturgical technique in history narratives, I examine whether Korean and English-speaking historical scholarships concerning cafe-maids in colonial Korea echo the differences of the plays, and ask why, if they do. This research ultimately suggests that history plays and historical studies are alike as an attempt to communicate past stories with their potential readers/audiences, and thus conditioned by languages that storytellers choose, since the languages establish who their potential communication partners would be.

자연산 점몰개, Squalidus multimaculatus Hosoya et Jeon의 새인두흡충, Clinostomum complanatum (Rudolphi, 1814) 감염

박명애 ( Myoung Ae Park ),서정수 ( Jung Soo Seo ),정승희 ( Sung Hee Jung ),최희정 ( Hee Jung Choi ),전은지 ( Eun Ji Jeon ),지보영 ( Bo Young Jee ),이완옥 ( Wan-ok Lee ),우승호 ( Sung Ho Woo ),이은혜 ( Eun Hye Lee ) 한국어병학회 2011 한국어병학회지 Vol.24 No.2

경상북도 영덕군의 하천에 서식하는 점몰개 spotted barbel gudgeon (Squalidus multimaculatus Hosoya et Jeon)의 근육에서 새인두흡충 Clinostomum complanatum (Rudolphi, 1814)의 피낭유충이 발견되었다. 감염된 점몰개는 "yellow grub"인 기생충의 피낭유충으로 인해 표면이 울퉁불퉁하게 보였으며, 수면위에 힘없이 유영하였고 일부 폐사한 개체도 발견되었다. 분리된 탈낭유충의 형태는 혓바닥 모양이었으며, 크기는 2.85~5.89 mm×0.8~1.99 mm였다. 어체당 1~98 개의 피낭유충을 분리하였으며 평균 감염수는 25개로 나타났다. 특히, 성어크기인 평균 7 cm 정도의 점몰개는 100% 감염되어 있었다. 본 연구는 한국의 자연수계에 서식하는 어류에서 C. complanatum 의해 질병이 발생하고 폐사가 일어난 첫 보고이다. The metacercariae of Clinostomum complanatum (Rudolphi, 1814) were isolated in the whole body muscle of wild freshwater fish, spotted barbel gudgeon (Squalidus multimaculatus Hosoya et Jeon) from the local river in Yeongdeok, Gyeongsangbuk-do, Korea. The infected fish with bumpy body surface by "yellow grub" showed erratic swimming behavior and some fish were died. The isolated excysted metacercariae were tongue shaped and 2.85~5.89 mm × 0.8~1.99 mm in size. 1~98 metacercariae were isolated in individual fish and mean infection intensity was 25. All examined adult spotted barbel gudgeon sizing 7 cm in body length were infected. This is the first report of disease outbreak and mortality caused by C. complanatum infection in wild freshwater fish in Korea.

식약청 HACCP 지정 여부에 따른 위탁급식소의 HACCP에 필요한 시설ㆍ기구의 구비실태 비교

전지영,문혜경 창원대학교 생활과학연구소 2003 생활과학연구 Vol.- No.7

In this study, based on HACCP prerequisite program in Food Sanitation Act, essential facilities and equipment for HACCP implementation were identified. And other purpose of this study was to compared present status of facilities and equipment at HACCP appointed contract foodservices by KFDA(Korea Food and Drug Administration) and those of non-appointed. Usage status of facilities and equipment (total 49 items) were surveyed on 12 appointed foodservices and 33 non-appointed foodservices. The Results showed significant differences between two groups from 34 items. It was found that the general usage status level at the appointed foodservices were considerably higher than that of the non-appointed. The appointed foodservices had many essential items included in the Food Sanitation Act, but non-appointed foodservices possessed a few items.

게르�의 유럽에 대한 인식

전지용 조선대학교 전통문화연구소 1997 전통문화연구 Vol.5 No.-

발치 및 비발치 치료 전후 악궁 폭경의 변화

전지윤,김수정,강승구,박영국 대한치과교정학회 2007 대한치과교정학회지 Vol.37 No.1

일반적으로 네 개의 소구치 발치를 동반한 교정치료는 비발치 치료에 비하여 치열궁 폭경을 더 좁게 만들어, 미소 시 구각 부위에 어두운 구강 내 공간, 소위 buccal corridor를 형성함으로써 비심미적인 결과를 낳는다는 견해가 있다. 한편 발치 치료는 오히려 하악의 견치간 폭경을 증가시키며, 비발치 치료와 비교하여 악궁 폭경의 변화에 있어 유의한 차이를 보이지 않는다는 상반된 연구결과가 존재한다. 이 연구는 발치 치료와 비발치 치료 시 악궁 폭경의 변화를 관찰하여 실제적으로 발치 치료가 미소 시 협측 분절에 미치는 영향을 규명하고자 시행되었다. 경희대학교 치과병원 교정과에서 치료받은 환자 중 전악에 고정식 장치를 사용하여 네 개의 제1소구치 발치 치료를 받은 30명과 비발치로 치료한 30명의 치료 전후 연구 모형을 비교 분석한 결과 악궁 폭경의 변화는 다음과 같다. 네 개의 제1소구치 발치 치료 시 비발치 치료와 비교하여 상악의 견치간 폭경 변화는 유의한 차이가 없었으나, 하악의 견치간 폭경은 유의하게 더 많이 증가하였다. 구치간 폭경 변화는 상악과 하악 치열궁 모두에서 두 군 간에 유의한 차이가 나타났는데, 발치군에서 구치간 폭경이 감소한 반면에 비발치군에서는 구치간 폭경이 증가하였다. 미소 시 노출되는 악궁 폭경은 비발치군보다 발치군에서 더 크게 나타났으며, 이는 치열궁 폭경의 축소가 발치 치료 시 당연히 예상되는 결과가 아님을 시사한다. Objective: This study was performed to investigate the influences of extraction and nonextraction treatment on smile esthetics by measuring dental arch width changes. Methods: Pretreatment and posttreatment study models of 30 first premolar extraction cases and 30 nonextraction cases were randomly selected to determine whether extraction treatment results in narrow dental arches, and a consequent unaesthetic smile. Arch widths were measured from the cusp tips of the canines and the first molars. Posterior arch widths were also measured at a constant arch depth derived by averaging randomly chosen nonextraction models. Results: The intercanine widths increased significantly in the extraction sample, whereas the intermolar widths decreased significantly. The arch width at a standardized arch depth was significantly wider in the extraction subjects. Conclusion: These results elucidate that constriction in arch width is not a materialized consequence of extraction treatment. It leads to postulate that an esthetically compromising effect from narrow dental arches on smile is hardly anticipated with extraction treatment.

불안정 지지면을 이용한 운동 프로그램이 뇌졸중 환자의 균형에 미치는 효과

이지연,김용수,김진섭,박진현,최윤희,전덕훈,김경 대구대학교 특수교육재활과학연구소 2010 再活科學硏究 Vol.28 No.1

본 연구의 목적은 뇌졸중 환자의 재활을 위하여 불안정 지지면을 이용한 운동 프로그램이 균형 능력과 운동 기능 능력에 미치는 효과를 알아보고자 실시하였다. 불안정 지지면의 이용한 치료는 임상적으로 뇌졸중으로 인한 편마비 환자뿐만 아니라 스포츠 손상 및 노인들의 질환 등 다양한 병인을 가진 환자들의 치료에 이용되고 있다. 대부분의 뇌졸중 환자들은 재활 훈련을 할 수 있는 병원이나 기관에서 치료를 받을 때에 지지면의 차이를 제공함으로써 보다 더 안정한 지지면에서 적응할 수 있는 방법이 요구되고 있다. 하지만, 아직도 불안정 지지면을 이용한 구체화된 치료적 운동 방법과 객관적 평가에 대한 연구가 미비한 실정이다. 이러한 문제점을 해결하기 위하여 최근 뇌졸중 환자의 불안정 지지면과 이론적 근거를 바탕으로 한 운동 프로그램에 대한 연구가 더욱 필요하다. 본 연구에서는 실험군과 대조군이 같은 운동 프로그램을 적용하였을 때, 두 그룹 간에서 나타나는 균형 향상과 운동 기능 향상에 어떠한 효과를 주는지 살펴보고자 하였다. The purpose of this article was to study the effect of the exercise programme that uses the unstable supporting surface to rehabilitate cerebrovascular patients on balance ability and exercise function ability. The therapy is being clinically used for the patients with diverse pathological factors such as hemiplegia caused by CVA, sports injury, and diseases in the elderly. when most patients with CVA are treated in the hospital or institute that can provide rehabilitation training, they need to be given the way to adjust more stable surpporting surface by being provide with various stages of surface. However, the actual therapeutic exercises is still needed and the study for objective assessments wants conducting. To solve these problems, the study of unstable surface exercise programmes based on the evidences recently need to be made for the patients with CVA. in this study, we intend to look into what effects on the balance improvement and the exercise function are different from the experimental group to the control group with the same programme applied to the two groups.

수술로 호전되지 않은 췌장 농양을 내시경 치료로 완치한 1 예

서희영;전태주;김선영;강미선;허란;박지영;서동대;오태훈 인제대학교 백병원 2011 仁濟醫學 Vol.32 No.-

Necrotizing pancreatitis develops in about 10-20% of patients with acute pancreatitis, and pancreatic abscesses develop in 3% of them. The mortality of pancreatic abscess has been reported up to 40% in one study. Recently, there are several reports that show good results with n on-surgical therapy, such as percutaneous drainage and endoscopic drainage, but if the non-surgical drainage fails, surgical therapy are recommended. However, there is no definite therapeutic method which is suggested yet so far after the failure of the surgical drainage. So we report the case in which we experienced successful treatment of pancreatic abscess by endoscopic removal of necrotic tissue through the gastrocystostomy, after the failure of the surgical debridement and internal drainage through gastrocystostomy.

노인 인구에서 신경인지기능저하와 혈청 지질농도와의 상관성

유영선,최석주,정성수,김지은,윤성욱,전동욱,백준형,박성우,이정구,추일한,김영훈 大韓神經精神醫學會 2008 신경정신의학 Vol.47 No.6

Objectives : In this study, the authors evaluated the correlation between eurocognitive impairments and serum lipids levels among Korean elderly over the age of 65. Methods : A total of 609 elderly individuals participated in this study. Screening for cognitive impairments were carried out using the Mini-Mental Status Examination-Korean version (MMSE-KC). There were 197 subjects above 1.5SD Of MMSE- KC and they were evaluated using the Korean versions of the Consortium to Establish a Registry for Alzheimer's Disease (AD) (CERAD-KC) and Geriatric Depression Scale (GDS-K). Results : There was a correlation between old age/low levels of education and AD (p<0.05, P<0.01). There was an inverse correlation between the serum level of total cholesterol and the word list recognition test scores. The serum levels of LDL cholesterol were inversely correlated with the scores on the constructional praxis test, word list recall test and word list recognition test. Inverse correlations between the serum level of triglyceride and scores on the word list recall test and word list recognition test were also observed. Conclusion : There were inverse correlations between the serum levels of lipids and language/memory function in subjects with AD.