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배대경,한정수,선승덕,백창희,이재훈,Bae, Dae-Kyung,Han, Chung-Soo,Sun, Seung-Deok,Baek, Chang-Hee,Rhee, Jae-Hoon 대한근골격종양학회 1995 대한골관절종양학회지 Vol.1 No.2
Giant cell tumor is most frequently found in juxtaarticular region, and difficult to treat because of local recurrence. Although primary resections reduce recurrence, the joint function will be markedly impaired. Techniques involving physical adjuncts(high speed burr and electric cauterization), acrylic cement or en bloc resection with VFG(vascularized fibular graft) have been employed to reduce local recurrence. From October 1984 to April 1994, twenty-nine patients diagnosed as giant cell tumor were treated at department of Orthopaedic Surgery, School of Medicine, Kyung Hee University. There were eleven men and 18 women, ranging in age from 17 to 52 years(mean: 34 years). The average follow-up period was four years and five months. The location of the lesion was around the knee in 15, distal radius in three, femoral head in three, and others in eight patients. Fifteen patients around the knee joint were treated with several modalities; curettage with bone graft in five, curettage with cement filling in three, curettage with bone graft and physical adjuncts in five, en bloc resection with VFG in one and en bloc resection with arthroplasty in one patient. The functional results, according to the Marshall's knee score, were excellent in one, good in two, and fair in two after the curettage with bone graft, good in three after the curettage with bone cement filling, excellent in one, good in four after the curettage with bone graft and physical adjuncts, and good in two after the en bloc resection with VFG or arthroplasty. Three patients had local recurrence among 15 patients with giant cell tumor around knee. Vascularized fibular graft around wrist joint provided good functional restoration without local recurrence in all three patients who had giant cell tumor in distal radius. Although there is no statistical significance, it seems that curettage with bone graft using physical adjuncts or acrylic cement reveals better results than simple curettage with bone graft. Excellent functional result were obtained without local recurrence by using vascularized fibular graft after en bloc resection.
곽광일(Kwak, Kwang-Il),백창희(Baek, Chang-Hee),류소연(Ryu, So Yeon) 한국산학기술학회 2015 한국산학기술학회논문지 Vol.16 No.1
본 연구는 제 5기 전체(2010~2012)국민건강영양조사 자료를 이용하여 우리나라 노인의 신체활동 정도와 의료이용과의 관련성을 파악하기 위하여 실시하였다. 연구결과에서 비활동적인 신체활동군과 비교하여 활동적 신체활동군의 경우에 입원이용 가능성이 0.54배(OR;95% CI, p<0.001), 외래이용은 0.73배(OR;95% CI, p=0.040), 약국이용은 0.75배(OR;95% CI, p<0.007) 더 낮으것으로 나타났으며, 의료이용 횟수도 감소하는 것으로 나타났다. 또한, 최소 신체활동군의 경우에 비활동적 신체활동군과 비교하여 입원 의료이용 가능성이 0.64배(OR;95% CI, p<0.001) 낮고, 이용횟수도 감소하는 것을 확인하였다. 결론적으로 노인의 신체활동 정도에 따라서 의료이용과의 관련성을 확인하였다는 데 의의가 있으며, 신체활동을 활발하게 실천하는 것이 노인의 건강증진과 삶의 질을 향상시킬 뿐만 아니라 의료비 지출의 감소에도 도움이 될 것으로 사료된다. This study examined the relationship between the physical activity levels and health care utilization in Korean elderly based on the data from The fifth Korean National Health and Nutrition Examination Survey (K-NHANES Ⅴ). As a result, physically active participants were 0.54 times (OR;95% CI, p<0.001) less likely to use inpatient health care and 0.73 times (OR;95% CI, p=0.040) less likely to use outpatient health care and 0.75 times (OR;95% CI, p<0.007) less likely to use drugstores than physically inactive participants, and the frequency of health care use was lower. In addition, physically minimal active participants were 0.64 times (OR;95% CI, p<0.001) less likely to use inpatient health care than physically inactive participants; the frequency of other health care facilities was lower. In conclusion, the relationship between being physically active and lower health care utilization among Korean elderly identified in this study. This suggests that being physically active is helpful to the elderly, not only in health promotion and improving quality of life, but also in reduced medical expenditure.
배중호 ( Joong Ho Bae ),한동수 ( Dong Soo Han ),김종표 ( Jong Pyo Kim ),백창희 ( Chang Hee Baek ),정용우 ( Yong Woo Chung ),전용철 ( Yong Cheol Jeon ),손주현 ( Joo Hyun Sohn ) 대한장연구학회 2005 Intestinal Research Vol.3 No.1
목적: 성인 남성과 폐경기 여성에서 철결핍 빈혈의 가장 흔한 원인은 위장관 출혈이며, 출혈 관련 위장관 병변을 발견하기 위해 상, 하부 위장관내시경을 사용한다. 이번 연구는 철결핍빈혈이 있는 환자에서 위장관 내시경 검사를 통해 진단된 위장관 질환의 임상적 특징과 출혈 연관 병변에 대한 예측인자를 알아보고자 하였다. 대상 및 방법: 2001년부터 2004년까지 철결핍빈혈로 진단 받은 189명의 의무기록을 후향적으로 조사하였다. 이들 가운데 상, 하부 위장관 내시경을 시행한 78명의 환자들을 대상으로 하였다. 현성 출혈이 있거나 소화기계 이외의 다른 원인에 의한 빈혈을 가진 경우는 제외하였다. 결과: 총 78명 환자의 평균연령은 49.3세였고 남녀 비는 1:2.7이었으며, 27.7%에서 출혈 연관 병변을 가지고 있었다. 상부위장관 내시경검사에서 확인된 출혈 연관 병변은 소화성 궤양(13.6%), 미란 위십이지장염(12.6%), 위암(5.1%)의 순이었고, 하부위장관내시경검사에서는 대장 용종(11.5%), 염증성 장질환(6.4%), 대장암(3.8%)의 순이었다. 출혈 연관 병변이 있는 환자들의 경우 평균 연령은 54.8세로 병변이 없는 환자들의 평균 연령 43.7세에 비해 의미 있게 높았고(p=0.026), 출혈연관 병변이 있는 환자들의 세망세포비(reticulocyte count)는 2.8%로 없는 환자군의 2.0%에 비해 의미 있게 높았다(p=0.002). 하지만 혈색소, 평균적혈구용적(mean corpuscular volume, MCV), 혈청 철, 페리틴(ferritin), 총철결합능(total iron binding capacity, TIBC)과 상, 하부 위장관 증상의 동반 여부 등은 두 군 간에 차이가 없었다. 결론: 이번 연구에서 상, 하부 위장관 내시경을 통해 발견된 철결핍빈혈 관련 위장관 병변들 중 상부위장관 질환의 유병률이 높았으며 위암이 대장암보다 많이 발견되었다. 고령이거나 세망세포비가 높을수록 출혈 연관 병변을 가지고 있는 경향이 있었다. 향후 국내 실정에 맞는 철결핍 빈혈 관련 위장관 질환의 예측인자를 찾기 위한 대규모 전향적 연구가 필요하다. Background/Aim: Gastrointestinal blood loss is the most common cause of Iron Deficiency Anemia (IDA) in men and postmenopausal women. Thus, esophagogastroduodenoscopy and colonoscopy are widely used to examine the gastrointestinal tract, in search for the cause of IDA. The purpose of this study was to identify clinical and biochemical variables that predicted the outcome of endoscopic findings in patients with IDA. Methods: Patients diagnosed as IDA from 2001 to 2004 were referred and retrogradely analyzed using their clinical, biological, endoscopic, and histological data. Results: 78 patients (21 men, 67 women: mean age 49.3 years) with IDA were enrolled, and 28.9% of patients had bleeding-related lesions. The mean age of patients with evidence of bleeding was 54.8 years, which was significantly higher compared with 43.7 years of the non-bleeding group (p=0.026). The reticulocyte count for the bleeding-related group was 2.8%, which was also significantly higher compared with 2.0% of the non-bleeding group (p=0.002). Conclusions: The prevalence of upper GI lesions were higher than lower GI lesions. Endoscopy revealed a source of IDA in 28.9% of cases. For hospitalized patients with IDA, endoscopy should be recommended to those older than 60 years of age, and those with increased reticulocyte count. (Intest Res 2005;3:68-73)