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Sung-Hoon Moon,Woo-Dong Nam,Chang-Hyun Rheu,Jae-Woo Lee 대한견주관절의학회 2015 대한견주관절학회지 Vol.18 No.3
Background: To evaluate the effect of preoperative fatty degeneration of deltoid and teres minor muscles on the clinical outcome in patient with reverse total shoulder arthroplasty (RTSA). Methods: Nineteen patients with RTSA were enrolled. The mean follow-up period was 16.1 months. The fatty degeneration of three distinct parts in each deltoid and the teres minor muscle was measured using a preoperative magnetic resonance imaging. Postoperatively, the muscle strengths for forward elevation (FE), abduction (Abd), and external rotation (ER) were measured using a myometer at the last follow-up. The parameters for clinical outcome were Constant Score (CS) and Korean Shoulder Score (KSS). Results: The number of cases was 10 in group 1 and 9 in group 2. The strength of FE and Abd were significantly higher in group 1 (p<0.001 and p<0.001, respectively), and the strength of ER was not different significantly between two groups (p=0.065). For the clinical outcome, both CS and KSS were higher in group 1 (p=0.002 and p=0.002, respectively). The number of patients in group A was 11, and group B was 8. Although there was not a significant difference in terms of FE and Abd between group A and B (p=0.091, p=0.238), ER was significantly higher in group A (p=0.012). We did not find a significant difference in the clinical scores (CS, p=0.177 and KSS, p=0.238). Conclusions: These findings suggest the importance of a preoperative evaluation of the fatty degeneration of deltoid and teres minor muscles for predicting postoperative strength and clinical outcome.
배은주,김동현,유경환,박성욱,윤성우,고창남,Bae, Eun-Joo,Kim, Dong-Hyun,Rheu, Kyung-Hwan,Park, Seong-Uk,Yoon, Seong-Woo,Ko, Chang-Nam 대한한방내과학회 2005 大韓韓方內科學會誌 Vol.26 No.4
Objectives : Through spectral analysis of heart rate variability(HRV) to study autonomic nervous system dysfunction of Hwabyung, culture related disease in Korea. Methods : HRV of 18 patients diagnosed as Hwabyung was measured against 13 healthy controls. HRV was measured by SA-2000p(Mediocre, Korea) for five minutes after 5 minutes resting. Results : 1. In time domain analysis, mean pulse rate(PRT) of in Hwabyung group was significantly higher than healthy controls. Standard deviation of all normal P-P intervals(SDNN), the square root of the mean of the sum of the squares of differences between adjacent normal P-P intervals(RMS-SD) in Hwabyung group was lower than healthy controls, but not significant. 2. As for frequency domain analysis, In TP(logarithmic total power), In VLF(logarithmic very low frequency), and In LF(logarithmic low frequency )in Hwabyung group was significantly lower than healthy controls. Ln HF(logarithmic high frequency), LF/HF ratio in Hwabyung group was also lower but not significant. Conclusions : This study suggests tile activity and imbalance of cardiac autonomous nervous system in Hwabyung patient is significantly lower than healthy individuals.
냉부하검사상 레이노드증후군으로 의심되는 환자에 대한 칠제향부환 투여 2례
배은주,유경환,박성욱,윤성우,고창남,이형철,Bae, Eun-Joo,Rheu, Kyoung-Hwan,Park, Seong-Uk,Yoon, Seong-Woo,Ko, Chang-Nam,Lee, Hyung-Chul 대한한방내과학회 2004 大韓韓方內科學會誌 Vol.25 No.3
Diagnosis of Raynaud's phenomenon is primarily based on clinical symptoms. Cold stress test(CST) done by DITI(Digital Infrared Thermographic Image) can be helpful for objective diagnosis. The cold stress test was performed three times by DITI; the first after 15 minutes of rest, the second right after one minute of soaking in $20^{\circ}C$ water, the third ten minutes after immersion. For a clear diagnosis, the temperature of the finger tips must be low, or the thermal difference between the metacarpophalangeal joints and the fingertips must be large. Also the evaluation of treatment depends on decrease of thermal gradient between the metacarpophalangeal joints and the finger tips after CST. In oriental medicine Raynaud's phenomenon can be categorized by coldness of the limbs or numbness. Numbness was diagnosed as depression of Ki and Chiljehyangbuhwan(Qizhixiangfuwan) was prescribed. Positive results were observed, not only in follow up CST, but also Visual Analogue Scale after treatment.
증례(症例) : 후천성 면역 결핍증 (AIDS) 연관형 Kaposi 육종 1예
이선화 ( Sun Hwa Lee ),이민희 ( Min Hee Lee ),김상균 ( Sang Kyoon Kim ),유창우 ( Chang Woo Rheu ),백경현 ( Kyung Hyun Paeck ),정치량 ( Chi Ryang Chung ),이석 ( Seok Lee ),이흥범 ( Heung Bum Lee ) 전북대학교 의과학연구소 2004 全北醫大論文集 Vol.28 No.2
Kaposi 육종은 후천성 면역 결핍증 환자에서 가장 흔하게 발생하는 신생물이지만그 치료에 대해서는 최근까지도 명확한 기준이 정립되어 었지 않았다. 근래에는 AIDS 연관형 Kaposi 육종의 병인에 있어서 HHV-8의 감염이나 숙주의 면역 상태가 중요한 역할을 한다는 것이 밝혀지면서 nucleoside analogues reverse transcriptase inhibitor와 protease inhibitor를 병합 사용하는 적극적인 항 retrovirus 치료 (HAART)를 시도하는 경향이며, 그 외에도 다양한 방법들을 사용한 성공적인 치료 예들이 보고 되고 있다. 본 저자들은 국내에 흔하게 보고되지 않은 AIDS 연관형 Kaposi 육종의 증례를 진단하고 HAART와 foscarnet 그리고 고식적 방사선 치료를 병행하여 적극 적인 내과적 치료를 시도한 증례를 경험하였기에 문헌 고찰과 함께 보고하는 바이다. AIDS-related Kaposi`s sarcoma is one of the most common neoplasms in patients with acquired immunodeficiency syndrome. Recently, human herpesvirus-8 (HHV-8) and the immune status of the host have known to be closely related to the pathogenesis of AIDS-related Kaposi`s sarcoma. Therefore, highly active antiretroviral therapy (HAART) which includes nucleoside analogues reverse transcriptase inhibitor and protease inhibitor has been widely attempted in AIDS-related Kaposi`s sarcoma. Other successful treatment regimens including cytotoxic agents, interferon-α, thalidomide and so on have been reported. However, standard treatment option. has not been established yet. Hereby, we report a case of patient with AIDS-related Kaposi`s sarcoma who was treated by zidovudine, lamivudine and indinavir for underlying HIV infection, and intravenous foscarnet and palliative radiotherapy for local control of oropharyngeal Kaposi`s sarcoma with literature review.
만성신부전 환자에게 한약투여 후 사구체여과율 및 빈혈 호전 1례
김동현,배은주,박성욱,윤성우,고창남,유경환,Kim, Dong-Hyun,Bae, Eun-Joo,Park, Seong-Uk,Yoon, Seong-Woo,Ko, Chang-Nam,Rheu, Kyoung-Hwan 대한한방내과학회 2005 大韓韓方內科學會誌 Vol.26 No.2
Renal failure means irreversible damage and depression of renal function, represented by glomerular filtration rate(GFR). A renal failure patient with uremia and anemia is presented. Anemia, in this patient, appeared before uremia did. A 55 year-old male patient was treated for renal failure with Weilingtang. Improvement was observed in, not only GFR, blood urea nitrogen(BUN), and creatinine, but also in such symptoms as difficulty in urine excretion, dyspepsia and abdominal swelling. But anemia appeared during treatment, so a mixture of Dangguibuxuetang(當歸補血湯) and Xiongguitang(芎歸湯) was prescribed. After this treatment, improvement in hemoglobin, and hematocrit was observed.
症例(증례) : 간헐적으로 육안적 혈뇨를 동반한 Nutcracker Syndrome 1예
김성식 ( Sung Sik Kim ),임호영 ( Ho Young Yhim ),정수진 ( Su Jin Jeong ),이상연 ( Sang Youn Lee ),김성국 ( Sung Kuk Kim ),이가영 ( Ka Yeoung Yi ),이선화 ( Sun Hwa Lee ),유창우 ( Chang Woo Rheu ),강경표 ( Gyung Pyo Kang ),이식 ( S 전북대학교 의과학연구소 2004 全北醫大論文集 Vol.28 No.1
Nutcracker syndrome (renal vein entrapment syndrome) refers to compression of left renal vein between aorta and superior mesenteric artery that results in elevation of pressure in left renal vein and development of collateral veins. This syndrome occurs in relatively young and previously healthy patients and is characterized by intermittent gross hematuria due to left renal vein hypertension, at times associated with flank pain, abdominal pain or varicocele. We report a 22 year ole male patient with this syndrome presented with intermittent gross hematuria, proteinuria for 2 months. Urinalysis revealed protein (3+), blood (++), and RBC (many/HPF). Excretory urography in resting state and cystoscopy showed no remarkable finding. Renal venography showed the pressure gradient between left renal vein and inferior vena cava was 6 mmHg. The nutcracker syndrome should be considered as one of the causes of nonglomerular hematuria. All patients with unexplained severe left flank or abdominal pain, or unilateral hematuria from the left on cytoscopy, should be studied by selective renal venography and pressure measurement in inferior vena cava and renal veins. The paitent with this nutcracker syndrome could be treated with conservative treatment.
증예(症例) : Linezolid로 치료한 Vacomycin-Resistant Enterococcus faecium 뇌막염 1예
이민희 ( Min Hee Lee ),김소영 ( So Young Kim ),최영훈 ( Young Hun Choi ),이상연 ( Sang Youn Lee ),이선화 ( Sun Hwa Lee ),이기훈 ( Ki Hoon Lee ),유창우 ( Chang Woo Rheu ),이홍범 ( Heung Bum Lee ) 전북대학교 의과학연구소 2005 全北醫大論文集 Vol.29 No.1
장내구균 (Enterococcus)이 세균성 뇌막염을 유발하는 경우는 흔하지 않다. 그러나 Bayer등은 장내구균에 의한 세균성 뇌막염은 높은 사망률을 보이며 약 33%에 이른다고 보고하고 있다. 지난 수 년간 장내구균에 의한 윈내 감염은 증가 추세에 있으며 특히 vancomycin 내성 장내구균 (VRE)은 vancomycin 뿐만 아니라 다른 여러 항생제에도 내성을 보여 심각한 문제로 대두되고 있다. Vancomycin 내성 Enterococus faecium (VREF)에 의한 뇌막염의 치료의 지침이 아직 마련되지는 않았다. Quinupristin/dalfoprtstin은 심각한 VREF 감염의 치료제로 인정을 받았다. 그러나 이 약제는 뇌척수액으로의 침투가 매우 제한적이다. Linezolid는 임상적으로 oxazolidinones 계열 약제 중 처음 사용되는 약제로 methicillin 내성 Staphylococcus aureus (MRSA)와 VRE 감염에 효과가 있는 것으로 보고되고 있다. 저자들은 뇌실 복막강 단락을 시행한 환자에서 발생된 VREF 뇌막염을 뇌실 복만강 단락도관 제거와 linezolid 사용으로 치료한 예를 보고하는 바이다.