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목 폄 근력강화운동과 가슴 폄 근력강화운동이 머리전방자세와 목 관절가동범위에 미치는 영향
원동용,김소연,김요셉,박지혜,안유경,이윤경,장은영,정수지,최승화,형인혁,Won, Dong-Yong,Kim, So-Yeon,Kim, Yo-Sep,Park, Ji-Hye,Ahn, Yoo-Kyung,Lee, Yoon-Kyeng,Jang, Eun-Young,Jeong, Su-Ji,Choi, Seung-Hwa,Hyeong, In-Hyeok 대한물리치료과학회 2011 대한물리치료과학회지 Vol.18 No.2
Purpose: The purpose of this study is to acknowledge the effects that have the strength exercise done only on the neck extensor, only on the thoracic extensor, and both the neck and the thoracic extensor on forward head posture(FHP) and cervical range of motion. Also is to discover which of the exercise is the most effective. Method: This experiment will be done by selecting 40 people who have 16cm or more FHP and they will be divided into four groups: three experimental groups and a control group. The first experimental group will do only the neck extensor strength exercise(NESE). The second experimental group will do only the thoracic extensorstrength exercise(TESE) and the third experimental group will do both the NESE and the TESE. The experimental groups will make a day three times each ten sets of extensor isometric strength exercise but the time will be increased from 4 to 6 and8 seconds until it will be done the ten sets. Then after four weeks, they will be compared which had the best results for the FHP and the cervical range of motion. Result: After the experiment, it was compared the experimental groups with the control group. Every experimental group had an improvement on their FHP and cervical range of motion. However, the only NESE and the only TESE did not have a significantly difference(p>.05). Only the group who did both the NESE and the TESE had a sign ificantly improvement compared to the control group. Conclusion: 1. The only NESE and the only TESE seem that had a positive effect on FHP and cervical range of motion. However, it cannot be conclude that it is effective. 2. When both the NESE and the TESE are done, it is showed statistically a significant difference(p<.05) on FHP and cervical range of motion. The refore, it would be note worthy if this exercise is used to improve the FHP and the cervical range of motion.
각종 간질환에서 혈청 Antithrombin 3 활성도 측정의 임상적 의의
신요식(Yo Sig Shin),백운희(Won Hee Baek),임수진(Su Jin Im),전규락(Gyu Rak Chon),김영욱(Young Wook Kim),김준형(Jun Hyoung Kim),박상준(Sang Joon Park),김윤권(Yun Kwon Kim),김소연(So Yon Kim),김영중(Young Jung Kim),조민구(Min Koo Cho),이 대한내과학회 2002 대한내과학회지 Vol.63 No.4
Background : Antithrombin III (AT-III) produced from hepatocytes and endothelial cells is a coagulation inhibitor. The authors investigated the activity levels of AT-III in patients with liver disease and attempt to elucidate the clinical significance of activity levels of AT-III in relation to various liver disease. Methods : This study includes 158 patients with liver disease, who visited the National Police Hospital between October 1997 and March 2002. We performed laboratory tests such as LFT, AFP and either abdominal sonography or abdominal CT. At the same time, AT-III activity levels was measured by chromogenic method using ACL 3000 (IL, Lexington, USA). AT-III activity level of 70∼120% was regarded as normal. Results : AT-III activity level of liver cirrhosis patients was decreased along with severity of the disease evaluated by Child-Pugh Classification. AT-III activity level of liver cirrhosis patients and hepatocellular carcinoma patients with liver cirrhosis, whose serum AFP were within normal limits, were 50.11±2.86% and 75.58±6.61%, respectively. The difference between the two groups was statistically significant (p<0.001). Conclusion : Considering the results of the decrease of AT-III activity level in liver cirrhosis patients and the increase in hepatocellular carcinoma patients with liver cirrhosis, further evaluation for the possibility of hepatocellular carcinoma in liver cirrhosis patients without decrease of AT-III level or increase of AFP, may be in need.(Korean J Med 63:379-385, 2002)
정상범위의 간기능검사치를 갖는 만성 B 형간염 보유자에서 간조직검사와 혈청 4 형 콜라겐치의 비교
송명준(Myung Jun Song),김경곤(Kyoung Gon Kim),신요식(Yo Sig Shin),황남철(Nam Cheol Hwang),박상준(Sang Joon Park),김윤권(Yun Kwon Kim),김소연(So Yon Kim),김영중(Young Jung Kim),조민구(Min Koo Cho),이권전(Gwon Jun Lee) 대한내과학회 2002 대한내과학회지 Vol.63 No.1
Background: We compared the results of liver biopsy and the levels of serum type Ⅳ collagen of the hepatitis B carriers with normal liver function test (LFT) to evaluate the clinical usefulness of serum type Ⅳ collagen in predicting the progression of histopathological findings. Methods: Thirty one chronic hepatitis B carriers with normal LFT and no significant clinical symptoms, who were Korean combat police, were classified into three groups according to their histologic results of the liver biopsies. The classification followed the standard proposed by Korean Society of Pathology. Blood samplings for serum type Ⅳcollagen (reference : less than 5 ng/mL) were done in the morning of the same day of the liver biopsy. Results: Of thirty one patients, thirteen patients showed normal histologic findings (41.9%, Group A), eleven patients revealed histologic abnormalities without fibrosis (35.5%, Group B) and seven patients were with fibrosis on liver biopsy (22.6%, Group C). Serum type Ⅳ collagen levels of Group A, B and C were 3.53±0.57 ng/mL, 3.56±1.17 ng/mL and 3.97±0.88 ng/mL, respectively. The average of serum type Ⅳ collagen levels of Group C was higher than of Group B and the average of Group B higher than that of Group A without any statistical significance (p>0.05). The averages of serum type Ⅳ collagen of eighteen patients with histologic abnormalities (Group B and C) and twenty four patients without fibrosis (Group A and B) were 3.73±1.06 ng/mL and 3.55±0.88 ng/mL respectively. Upon comparison of these averages with the those of Group A and C, no statistical significance was established (p>0.05). Conclusion: In chronic hepatitis B carriers with normal LFT findings, levels of serum type Ⅳ collagen were elevated along with histologic severities without statistical significance, therefore can not represent the changing degree of the histologic findings. Liver biopsy is considered to be one of the most accurate tool to assess the histologic status of the liver.(Korean J Med 63:29-35, 2002)
삼배체 염색체 이상을 보인 급성 림프구성 백혈병 1 예
전종구(Chong Ku Jun),차주영(Ju Young Cha),오형모(Hyung Mo Oh),신요식(Yo Shik Shin),김윤권(Yun Kwon Kim),김소연(So Yon Kim),김영중(Young Jung Kim),박병익(Byung Yik Park),조민구(Min Koo Cho),이권전(Gwon JUn Lee),이경인(Kyung In Lee),이은 대한내과학회 2001 대한내과학회지 Vol.61 No.2
In addition to age, white cell count and immunophenotype, karyotype has been reported to be one of the important prognostic factors in acute lymphocytic leukemias. Furthermore 70 percent of patients with acute B lymphocytic leukemia presented chromosomal abnormalities, which is known to have a close relationship with the prognosis. Among the abnormalities, triploid is rare and known to have the worse prognosis. Structural chromosomal abnormality of the 11q23 band is more common in childhood acute lymphocytic leukemia and has been rarely reported in adult lymphocytic leukemia. We present a case of a 29 year - old male patient with acute lymphocytic leukemia, who had triploid and chromosomal translocation including 11q23 band along with the review of related literature.(Korean J Med 61:190-194, 2001)
내과 전공의가 시행한 초음파 이용 흉수천자를 포함한 흉수의 진단적 접근
이윤영 ( Yun Young Lee ),최원제 ( Won Je Choi ),유창민 ( Chang Min Yu ),서승오 ( Seong O Suh ),김은실 ( Eun Sil Kim ),안석진 ( Seok Jin Ahn ),정준오 ( Jun Oh Chung ),박상준 ( Sang Joon Park ),김윤권 ( Yun Kwon Kim ),김소연 ( So Yo 대한결핵 및 호흡기학회 2008 Tuberculosis and Respiratory Diseases Vol.64 No.6
연구배경: 일반적으로 고식적 흉수천자가 어렵다고 판단되는 경우 초음파를 이용한 흉수천자를 영상의학과에 의뢰해 왔다. 영상의학과에 의뢰할 경우 검사를 위해 환자가 직접 이동해야 된다는 불편함과 영상의학과 스케줄에 따라 검사가 지연되거나 비용이 많이 드는 단점이 있다. 이에 저자들은 병실에서 내과 전공의들이 직접 초음파를 이용해서 흉수천자를 시행하는 단계를 포함해서 흉수가 있는 환자에게 접근해보았다. 방 법: 2003년 3월부터 2005년 6월까지 입원한 환자중 흉수가 확인된 환자들을 대상으로 하였고, 흉수의 양이 중등도 이상일 경우에는 고식적 천자를, 흉수의 양이 소량 이거나 소방이 형성된 경우 또는 고식적 천자를 실패 하였을 때에는 초음파를 이용한 천자를 시행하였다. 결 과: 총 89예의 연구대상 가운데 소방의 형성이 없으며 흉수의 양이 대량과 중등도의 양인 79예에서 고식적 흉수천자를 시행하여 74예에서 성공하였다. 고식적 흉수 천자가 실패한 5예와 흉수의 양이 소량인 7예 그리고 소방형성이 있는 3예를 합한 15예에서 초음파를 이용해서 흉수천자를 시행하였고 10예에서 성공하였다(66.7%). 소방이 형성된 3예는 모두 실패하였다. 이 3예를 제외하면 12예 중 10예에서 성공하여 83%의 성공률을 보였다. 2예 (기흉 1예, 혈기흉 1예)에서 합병증이 발생하였다(13.3%). 결 론: 고식적 흉수천자가 실패하였거나 흉수의 양이 소량인 경우, 병실에서 내과 전공의가 초음파를 이용하여 흉수천자를 시행하는 것이 비교적 효과적이고 안전할 것으로 사료된다. 그러나 소방이 형성된 경우에는 영상의학과에 먼저 의뢰하는 것이 좋을 것으로 판단된다. Background: A patient with a pleural effusion that is difficult to safely drain by a blind thoracentesis procedure is generally referred to a radiologist for ultrasound-guided thoracentesis. But such a referral increases the cost and the patient``s inconvenience, and it causes delay in the diagnostic procedures. If ultrasound-guided thoracentesis is performed as a bedside procedure by a medical resident, then this will reduce the previously mentioned problems. So these patients with pleural effusions were treated by medical residents at our medical center, and the procedures included bedside ultrasound-guided thoracenteses. Methods: We studied 89 cases of pleural effusions from March 2003 to June 2005. A blind thoracentesis was performed if the amount of pleural effusion was moderate or large. Bedside ultrasound-guided thoracentesis was performed for small or loculated effusions or for the cases that failed with performing a blind thoracentesis. Results: Blind thoracenteses were performed in 79 cases that had a moderate or large amount of uncomplicated pleural effusions and the success rate was 93.7% (74/79 cases). Ultrasound-guided thoracentesis by the medical residents was performed in 15 cases and the success rate was 66.7% (10/15 cases). The 5 failedcases included all 3 cases with loculated effusions and 2 cases with a small amount of pleural effusion. All the failed cases were referred to one radiologist and they were then successfully treated. If we exclude the 3 cases with loculated pleural effusions, the success rate of ultrasound-guided thoracentesis by the medical residents increased up to 83% (10/12cases). Two cases of complications (1 pneumothorax, 1 hydrohemothorax) occurred during ultrasound-guided thoracentesis. Conclusion: Ultrasound-guided thoracentesis performed as a bedside procedure by a medical resident may be relatively effective and safe. If a patient has a loculated effusion, then it would be better to first refer the patient to a radiologist.