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전선애(Sun-Ae Jeon),정진영(Jin-Young Jeong),박석원(Seok-Won Park),최영호(Young-Ho Choi),최문기(Moon-Gi Choi),홍경순(Kyung-Soon Hong),이상곤(Sang-Kon Lee),김현아(Hyun-Ah Kim),김동현(Dong-Hyun Kim) 한국역학회 2008 Epidemiology and Health Vol.30 No.2
This study was conducted to elucidate the related factors with the decreased physical function in the communitydwelling elderly in Chuncheon. We used data obtained from Hallym Aging Study(HAS) from January to May in 2007. The participants were 505 elderly aged 65 years or over after excluding those who didn't complete physical function test and aged < 65. The measurement of physical function was based on the “Health Aging and Body Composition Study Physical Performance Battery(H-ABC PPB)” that included semi-tandem stance, tandem stance, single leg stance, 6m general walk, 6m narrow walk, and chair stand test. And we also included grip strength test. Overall physical function based on H-ABC PPB decreased with age in both men and women. Smoking appeared to increase the risk of decreased function of chair stand in women (adjusted OR=3.8, 95% CI=1.2-12.6). Regular exercise was found to reduce the risk of decreased physical function in both men(Balance OR=0.5, 95% CI=0.2-1.0; Usual walk OR=0.4, 95% CI=0.2- 0.9) and women(Balance OR=0.4, 95% CI=0.2-1.0; Usual walk OR=0.3, 95% CI=0.1- 0.9); Narrow walk OR=0.2, 95% CI=0.1-0.8). Higher level of education seemed to be associated with higher functional performance. It needs further researches on the effect of education on the physical function of the elderly in this population.
정-정맥 체외막형산소화요법을 이용한 급성호흡부전의 치료
김형수 ( Hyoung Soo Kim ),한상진 ( Sang Jin Han ),홍경순 ( Kyung Soon Hong ),윤덕형 ( Duck Hyoung Yoon ),이창률 ( Chang Youl Lee ),이명구 ( Myung Goo Lee ),홍원기 ( Won Ki Hong ),이순희 ( Sun Hee Lee ),김건일 ( Kun Il Kim ),이희성 대한결핵 및 호흡기학회 2010 Tuberculosis and Respiratory Diseases Vol.68 No.2
Background: Extracorporeal membrane oxygenation (ECMO) during severe acute respiratory failure helps to recover the pulmonary function. This study evaluated our experience with veno-venous ECMO in adult patients with acute respiratory failure. Methods: From January 2007 to July 2009, ECMO was used on 54 patients. Of these 54 patients, 7 were placed on veno-venous ECMO for acute respiratory failure. The indications of ECMO were based on the lung dysfunction measured as a PaO2/FiO2 ratio <100 mm Hg on FiO2 of 1.0, or an arterial blood gas pH <7.25 due to hypercapnia despite the optimal treatment. EBS(R), Bio-pump(R), and Centrifugal Rotaflow pump(R) were used and all cannulations were performed percutaneously via both femoral veins. When the lung function was improved, an attempt was made to wean on ECMO at moderate ventilator settings followed by decannulation. Results: Five of the 7 patients were male and the mean age was 46.3±18.3. The causes of acute respiratory failure were 3 cases of pneumonia, 2 near-drownings, 1 pulmonary hemorrhage due to acute hepatic failure and 1 mercury vapor poisoning. The mean support time of ECMO was 17.3±13.7 days. Of the 7 patients implanted with ECMO, 5 patients (71%) were weaned off ECMO and 3 patients (43%) survived to hospital discharge after a mean 89.6 hospital days. Conclusion: The early use of ECMO for acute respiratory failure in adults due to any cause is a good therapeutic option for those unresponsive to the optimal conventional treatments.
송헌호 ( Hun Ho Song ),오순옥 ( Soon Ok O ),김수호 ( Su Ho Kim ),문상호 ( Sang Ho Moon ),김진봉 ( Jin Bong Kim ),윤종우 ( Jong Woo Yoon ),구자룡 ( Ja Ryong Koo ),홍경순 ( Kyung Sun Hong ),이명구 ( Myung Goo Lee ),김동준 ( Dong Joo 대한내과학회 2002 대한내과학회지 Vol.63 No.5
Background : Since Plasmodium vivax malaria reemerged in Korea in 1993, a number of patients with malaria have been reported. We analyzed the cases with malaria who lived in Chuncheon and neighboring communities to find out clinical manifestations, laboratory findings and the differences in clinical findings compared to previous studies. Methods : We reviewed the clinical records of the cases who were confirmed as malaria by peripheral blood smear in Chuncheon Sacred Heart Hospital from July, 1998 to Octorber, 2001. Results : Forty-four cases were included. All cases were Plasmodium vivax with high fever, but tertian fever developed only in 15 patients (35.7%). A number of cases showed various symptoms including headache, abdominal pain, nausea, vomiting. Of the all cases, 41 cases (93.2%) developed malaria between June and September. Thrombocytopenia was prominent finding which was noted in 75% of the cases at diagnosis, and recovered during or after treatment. Other laboratory abnormalities such as anemia, elevated transaminases, coagulopathies, and elevated LDH level were also noted. Five patients were performed CSF studies, one patient showed pleocytosis in CSF. Conclusion : We observed that only 15 patients (35.7%) had tertian fever, the others had variable fever patterns. Thrombocytopenia was the prominent findings. Therefore we suggest that malaria should be included in the differential diagnosis of febrile diseases which developed from June to September regardless of the fever patterns. (Korean J Med 63:546-551, 2002) Key Words : Malaria, Fever, Thrombocytopenia