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선 자세에서 짐볼 운동이 뇌졸중 환자의 근력, 균형, 보행 및 낙상 효능감에 미치는 효과
임윤정 ( Yun-Jeong Lim ),강순희 ( Soon-hee Kang ) 대한통합의학회 2022 대한통합의학회지 Vol.10 No.1
Purpose : The purpose of this study was to identify whether gym-ball exercise in standing position was an effective intervention for improving muscle strength, balance, gait, and fall efficacy in stroke patients. Methods : Twenty-four stroke patients were randomized into three groups: experimental group 1 (n=8), experimental group 2 (n=8), and control group (n=8). Experimental groups 1, 2 and the control group performed the gym-ball exercise in standing position, same exercise without a gym-ball, and general physical therapy for 4 weeks, five times a week in 30-minute sessions. Muscle strength, balance, gait, and fall efficacy were assessed using a handheld dynamometer, the Berg Balance Scale (BBS), the wearable BTS G-WALK® sensor, and the Korean version of the Falls Efficacy Scale (K-FES), before and after training, respectively. Comparisons within and between groups were analyzed using the Wilcoxon signed rank test, Kruskal Wallis H test, and Mann-Whitney U test. Bonferroni correction was performed when significant differences between groups were identified (p<.017, .05/3). Results : Regarding muscle strength, BBS score, cadence and FES-K were significantly improved after intervention in all three groups. The weight bearing rate, gait speed and step length in experimental group 1 and 2 were significantly improved after the intervention. The stride length in experimental group 1 were significantly improved after the intervention. Experimental group 1 had significantly improved BBS score and stride length after intervention than experimental group 2 and control group. Experimental group 1 and 2 improved muscle strength, weight bearing rate, and FES-K score more than the control group. Experimental group 1 showed significant improvement in cadence, gait speed, and step length after the intervention than control group. Conclusion : This study showed that exercise with gym-ball in standing position can be an effective intervention to improve balance and gait in stroke patients than the same exercise without gym-ball.
비스테로이드성 소염제 사용자에서의 헬리코박터 파일로리 감염
임윤정 ( Yun Jeong Lim ),홍수진 ( Su Jin Hong ) 대한소화기학회 2014 대한소화기학회지 Vol.64 No.2
NSAID-induced upper gastrointestinal (GI) damage occurs easily in people with a prior history of complicated or uncomplicated ulcers. Many recent clinical studies have proved the benefit of Helicobacter pylori eradication in NSAID users, however, the exact pathophysiologic relationship between concomitant H. pylori infection and NSAID use has not yet been fully elucidated. Testing and eradication of H. pylori are generally recommended in patients who are at a high risk for NSAID induced GI damage. However, in high-risk patients, ulcer prophylaxis with proton pump inhibitor or misoprostol is needed even if H. pylori has been successfully eradicated. In low-risk patients, it is still questionable whether or not eradication of H. pylori can reduce upper GI damage. However, in western countries, due to its cost effectiveness, testing and eradication of H. pylori is recommended before starting aspirin or NSAID irrespective of the risk level. In regions with a high prevalence of H. pylori infection >20%), the usefulness of testing and eradication of H. pylori has not yet been determined. (Korean J Gastroenterol 2014,64:70-75)
AJCC 2 병기 대장암에서 Cyclin E, p27, 변이 p53 단백질의 발현은 예후를 예측하지 못한다
임윤정 ( Yun Jeong Lim ),김영호 ( Young Ho Kim ),안긍환 ( Geung Hwan Ahn ),전호경 ( Ho Kwung Chun ),장우영 ( Woo Young Jang ),이준행 ( Jun Haeng Lee ),손희정 ( Hee Jung Son ),이풍렬 ( Poong Lyul Rhee ),김재준 ( Jae J. Kim ),백승운 대한소화기학회 2004 대한소화기학회지 Vol.44 No.6
Background/Aims: Carcinogenesis is characterized by the abnormal regulation of cell cycle. The abnormal expression of the regulators of cell cycle may be related to the prognosis. Since the clinical significance of the expression of the three proteins in
원발성 부갑상선 기능저하증 및 당뇨병에 동반된 미만성 특발성 골격성 과골증
임윤정 ( Yun Jeong Lim ),최은광 ( Eun Kwang Choi ),이재천 ( Jae Chun Lee ),조유숙 ( Yoo Sook Cho ),임미경 ( Mi Kyoung Lim ),김성문 ( Sung Moon Kim ),홍성관 ( Sung Kwan Hong ),유빈 ( Bin Yoo ),문희범 ( Hee Bom Moon ) 대한류마티스학회 1999 대한류마티스학회지 Vol.6 No.2
Diffuse Idiopathic Skeletal Hyperostosis(DISH) is a skeletal disease characterized by ligamentous ossification of the anterolateral side of the spine. Paravertebral and ligamentous ossification appears to be an usual complication of hypoparathy-roidism. Diabetes Mellitus has often been mentioned in associated with DISH. The patient was presented with back pain, stiffness and intermittent numbness of hands and feet. Spine X-ray showed extensive ligamentous ossification of the anterolateral side of the spine with normal disc space height. Sacroiliac joints are normal. Increased bone mineral density of the L-spine and femur neck was observed, as well. Hypocalcemia, hyperphophatemia and low intact parathyroid hormone level were detected. Postprandial sugar were elevated. HLA B27 was negative.
정재규,임윤정,Jae Gu Jung,Yun Jeong Lim 대한소화기암연구학회 2013 Journal of digestive cancer reports Vol.1 No.1
Peritoneal carcinomatosis (PC) is defined as the dissemination of cancer cells in the peritoneal cavity resulting in deposition of malignant cells onto parietal or visceral peritoneal surfaces, and is associated with malignant ascites. In general, PC has been treated similarly to metastatic cancers of the primary tumor, but associated with unfavorable outcomes as compared to other sites of metastatic disease from the same primary tumor origin. It has been known to have the median survival of only 3-6 months with supportive care alone. PC is an intractable problem to physicians because of its poor prognosis and limited treatment options. Recent studies have reported that a combination of cytoreductive surgery and hyperthermic intraperitoneal chemotherapy improved survival in PC of colorectal cancer. This paper gives overviews of the characteristics, symptoms, prognosis, and diagnosis of PC and current treatment options on PC of stomach, colorectal, and unknown primary origin.
폐 유전분증(Amyloidosis)과 다발성 수 (Bullae), 폐 간질내 임파구 침윤이 동반된 Sj$\ddot{o}$gren's 증후군 1예
김동일,임윤정,오영하,김형수,이진성,김동순,Kim, Dong-Il,Lim, Yun-Jeong,Oh, Yung-Ha,Kim, Hyung-Soo,Lee, Jin-Sung,Kim, Dong-Soon 대한결핵및호흡기학회 1997 Tuberculosis and Respiratory Diseases Vol.44 No.6
Sj$\ddot{o}$gren's syndrome(SS) is a chronic inflammatory disorder characterized by lymphocytic infiltration of lacrimal and sailvary glands, which results in dry eyes and dry mouth. SS may exist as a primary condition or as a secondary condition in association with connective tissue disease such as rheumatoid arthritis, systemic lupus erythematosus, or progressive systemic sclerosis. We experienced a patient with primary SS who developed multiple bullae, nodular type of pulmonary amyloidosis and lymphocytic interstitial peumonitis. We believe this to be the first reported case of SS acompanied by these three types pulmonary manifestations at the same time.
이창근 ( Chang Geun Lee ),임윤정 ( Yun Jeong Lim ),강현우 ( Hyoun Woo Kang ),김재학 ( Jae Hak Kim ),이준규 ( Jun Kyu Lee ),고문수 ( Moon Soo Koh ),이진호 ( Jin Ho Lee ),허희진 ( Hee Jin Huh ),이승호 ( Seung Ho Lee ) 대한소화기학회 2014 대한소화기학회지 Vol.64 No.1
Familial Mediterranean fever (FMF) is an autosomal recessive disease characterized by recurrent episodes of fever and serosal, synovial, or cutaneous inflammation, caused by a dysfunction of pyrin as a result of mutation within the MEFV gene. It occurs mainly among Mediterranean and Middle Eastern populations, including Jews, Arabs, and Turks. However, FMF cases have been reported outside the Mediterranean and Middle Eastern countries in recent years. Although FMF has been relatively rare in Korea until now, proper recognition of FMF might lead to more frequent diagnoses of FMF. We experienced an interesting case, a 31-year-old Korean man who presented with recurrent abdominal pain with fever and urticarial eruption for 10 years. DNA analysis showed complex mutations (p.Leu110Pro, p.Glu148Gln) in the MEFV gene. To date, three cases have been reported, and this case of FMF with skin conditions is the first case in Korea. (Korean J Gastroenterol 2014;64:4 -44)