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박태진,최길순,박한정,조대열,정재욱,박해심,정재연,김영배,심철,서창희 대한류마티스학회 2006 대한류마티스학회지 Vol.13 No.4
The coexistence of polymyositis and primary biliary cirrhosis is rare. Both are characterized by chronic inflammation and immunological abnormalities. We report a case of 54-year-old female patient presenting with these two autoimmune diseases. She exhibited symmetrical proximal muscle weakness and elevated serum levels of muscle enzymes. Polymyositis was confirmed by electromyography and muscle biopsy. The diagnosis of primary biliary cirrhosis was based on increased serum levels of alkaline phosphatase, IgM immunoglobulin, presence of antimitochodrial antibody and characteristic liver biopy findings. This is the first case who manifest polymyositis and primary biliary cirrhosis simultaneously in Korea.
정성웅,이영기,나동길,신윤호,이승민,김좌경,최명진,송영림,김수진,박태진,윤종우,노정우 대한내과학회 2011 대한내과학회지 Vol.81 No.5
Background/Aims:Acute pyelonephritis is relatively common in women. It has been well studied in young adults, but rarely in geriatric patients. Given that the population of Korea is aging rapidly, this study examined the clinical characteristics of acute pyelonephritis in Korean geriatric patients. Methods:We retrospectively studied 499 patients diagnosed with acute community-acquired pyelonephritis from March 2002 to February 2005. All patients admitted to Hallym University Kangnam Sacred Heart Hospital from the emergency room or out-patient department were recruited. Pregnant women and hospital-acquired cases were excluded. Results:Ninety-nine subjects (19.8%) were aged 65 years or over (mean age 73.1 ± 6.3 years, range 65-93). Elderly patients had a greater male predominance, longer hospital stay, and higher rate of positive urine cultures than patients younger than 65 years. The presence of diabetes mellitus, complicated acute pyelonephritis, and a higher serum creatinine level were associated with geriatric patients. The distribution of infectious microorganisms was similar between the two groups. Old age (> 65 years) was an important risk factor for a long hospital stay, along with male gender, renal dysfunction, white blood count (WBC) and high serum alkaline phosphatase levels. Conclusions:Geriatric patients with acute pyelonephritis tended to be male, and have diabetes mellitus, renal dysfunction, complicated infections, and a longer duration of hospitalization. (Korean J Med 2011;81:623-629) 목적:급성 신우신염은 주로 여성에서 발생하는 질환으로, 젊은 성인에 비해 노인 환자의 급성 신우신염에 대해서는 잘 알려져 있지 않다. 통계청이 발표한 고령자 통계에 따르면 우리나라는 급속히 초고령사회에 도달할 것으로 예측되고 있다. 저자들은 우리나라 노인에서 발생한 급성 신우신염의 특성을 알아보고자 하였다. 방법: 2002년 3월부터 2005년 2월까지 급성 신우신염으로 한림대학교 강남성심병원에 입원한 환자 499명을 후향적으로 조사하였다. 대상 환자들은 외래 또는 응급실을 방문하여 급성 신우신염으로 진단받고 입원한 지역사회 획득성 급성 신우신염 환자들이었고, 임산부와 다른 질환으로 입원해 있는 동안 발생한 병원 감염 환자는 제외하였다. 결과: 급성 신우신염 환자 중 65세 이상은 99명(19.8%)이었고, 이들 환자의 연령은 73.1 ± 6.3세(범위: 65-93세)였다. 65세 이상의 환자군은 65세 미만에 비해 남성과 당뇨병의 동반 비율이 더 높았고, 입원 기간이 길었으며 소변 배양검사 결과 균 양성률이 더 높았다. 또한 합병된 급성 신우신염이 더 많았으며 혈청 크레아티닌 수치가 더 높았다. 원인균의 분포는 65세 이상과 미만에서 차이가 없었다. 급성 신우신염 환자에서 65세 이상의 고령은 7일 이상 장기 입원의 위험인자로 나타났으며, 그 밖에 남성, 신기능 부전, 혈액 백혈구 수와 혈청 ALP 수치 증가도 장기 입원과 관련이 있었다. 결론: 노인에서 발생하는 급성 신우신염은 남성과 당뇨병 동반 비율이 높았고, 신기능 감소 및 합병 감염이 많았으며, 입원기간이 더 길었다.
정창수 ( Chang Su Chun ),이영기 ( Young Ki Lee ),최종수 ( Jong Soo Choi ),이승민 ( Seung Min Lee ),송영림 ( Young Rim Song ),김수진 ( Soo Jin Min ),박태진 ( Tae Jin Park ),오지은 ( Ji Eun Oh ),서장원 ( Jang Won Seo ),윤종우 ( Jong 대한신장학회 2011 Kidney Research and Clinical Practice Vol.30 No.1
Purpose: Pulmonary hypertension can occur from diverse etiologies. It was reported that pulmonary hypertension also complicated dialysis patents, but the exact mechanisms were not determined. The aim of this study was to evaluate the prevalence and risk factors of pulmonary hypertension in maintenance hemodialysis patients. In addition, we studied the relationship between pulmonary hypertension and arteriovenous access. Methods: Fifty-nine chronic hemodialysis patients underwent clinical evaluation. Pulmonary artery pressure (PAP) was estimated by Doppler echocardiography. Pulmonary hypertension was defined as PAP ≥35 mmHg. Results: Mean PAP value of subjects was 39.3±13.2 mmHg. Pulmonary hypertension was found in 31 (53%) of patients receiving hemodialysis (49.0±10.6 mmHg; range 37 to 84 mmHg). Clinical and biochemical parameters did not differ significantly between patients with pulmonary hypertension and without pulmonary hypertension. In 19 patients, PAP was elevated from 27.8±10.2 mmHg to 41.8±11.9 mmHg (p<0.001) after onset of hemodialysis via arteriovenous fistula. And pulmonary hypertension developed in 12 of 15 patients with normal PAP after onset of hemodialysis treatment. Conclusion: The prevalence of pulmonary hypertension was high, and hemodialysis via arteriovenous access may be involved in the development of pulmonary hypertension.
액과 목발 3점 보생 시 목발길이에 따른 지면 반력(GRF)과 압력중심(COP)변화에 관한 연구
박태진(Park, Tae-Jin),성윤정(Sung, Yun-Jung),정의태(Jung, Eui-Tay) 한국체육과학회 2013 한국체육과학회지 Vol.22 No.3
The present study aimed to investigate the effect of changes in crutch length on lower limb moment; in the study, 18 healthy young men (22.30± 3.85) were asked to walk with crutches. The statistical program SPSS 18.0 was used to analyze 3 motions appropriate for the purpose of the study. A one-way repeated ANOVA was employed to validate the average difference relative to variable factors of kinetics; a post-hoc Duncan test was also conducted. The level of statistical significance was set to a=05. A comparative analysis with five classes of crutch length conditions (124, 127, 130, 133, and 136 cm) yielded the following results. When subjects walked with a axillary crutch, the average GRF and maximum GRF of a supporting foot were irrelevant to the length of a crutch. By crutch gait, the movement distance of COP was similar in case of 127 cm and 130 cm of a crutch length, The 130 cm of a crutch length was suggested as the ideal length based-on the formular from the studies of Bauer et al(1991). When the crutch length was increased to 136 cm, the front and rear COP movement was not successfully accomplished and contemporaneously the right and left COP also had large offset, so finally it caused gait difficulty by reason of instability on supporting food.
안정한 지지면과 불안정한 지지면에서 시각 정보가 다운증후군의 정적 밸런스에 미치는 영향
박태진(Park, Tae-Jin),성윤정(Sung, Yun-Jung),정의태(Jung, Eui-Tay) 한국체육과학회 2014 한국체육과학회지 Vol.23 No.1
This study is aim to compare and analyze the postural steadiness of Down’s syndrome patients from the effect of visual information by being created from supporting surface. To do this, 10 juveniles with Down’s syndrome posed quiet double-leg stance on stable surface or unstable surface with opened and closed eyes. On stable surface, the subjects stood similarly balanced in case of moving distance of the CoP(Center of Pressure), moving range, RMS(Root Mean Square) and 95% of confidence ellipse area, whether they have opened or closed eyes. But on unstable surface the subjects had comparatively big agitation when they closed their eyes. Also the subjects on unstable surface had more shaking than on stable surface whether they opened or closed eyes in all the case of moving distance of the CoP, moving range, RMS and 95% of confidence ellipse area. Thus, the shape of the supporting surface effects the Down’s syndrome patients’ static balance and especially unstable surface with invisible situation make greater physical agitation.