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동측 대퇴골 경부 및 간부 골절의 치료 : 15례 분석
정필현,강석,채동주,홍정룡,김종필 동국대학교 경주대학 1997 東國論集 Vol.16 No.1
동측 대퇴골 경부 및 간부골절은 드문 골절로서 초진시 경부골절을 간과하는 경우도 있고 치료에 있어서도 여러 가지 방법이 제시되어져 왔다. 저자들은 1989년 6월부터 1996년 5월까지 경험한 동측 대퇴골 경부 및 간부골절 환자 15례를 대상으로 다양한 방법으로 치험한 예를 분석하였다. 15례중 8례에서 경부골절과 간부골절을 동시에 고정하는 재건금속정으로 치료하였고 전례에서 골유합을 얻었으며 평균 골유합기간은 경부골절 14주, 간부골절 20.5주였다. Ipsilateral femoral neck and shaft fractures present diagnostic difficulties and complex choices as to treatment. We report the result of treating 15 such fractures. High-energy accidents accounted for most of these injuries. There were numerous associated injuries, many requiring operative procedures. Eight of Fifteen patients were treated with Reconstruction interlocking nails. All fractures united. There was no delay in diagnosis of femoral neck fractures, and all healed without avascular necrosis. The use of the reconstruction nail is technically demanding. We conclude that this device gives good results for these fractures.
Hepatoprotective Effect of Aged Black Garlic Extract in Rodents
Jung Hyu Shin,Chang Woo Lee,Soo Jin Oh,Jieun Yun,Moo Rim Kang,Sang-Bae Han,Heungsik Park,Jae Chul Jung,Yoon Hoo Chung,Jong Soon Kang 한국독성학회 2014 Toxicological Research Vol.30 No.1
In this study, we investigated the hepatoprotective effects of aged black garlic (ABG) in rodent models of liver injury. ABG inhibited carbon tetrachloride-induced elevation of aspartate transaminase (AST) and alanine transaminase (ALT), which are markers of hepatocellular damage, in SD rats. D-galactosamineinduced hepatocellular damage was also suppressed by ABG treatment. However, ABG does not affect the elevation of alkaline phosphatase (ALP), a marker of hepatobilliary damage, in rats treated with carbon tetrachloride or D-galactosamine. We also examined the effect of ABG on high-fat diet (HFD)-induced fatty liver and subsequent liver damage. ABG had no significant effect on body weight increase and plasma lipid profile in HFD-fed mice. However, HFD-induced increase in AST and ALT, but not ALP, was significantly suppressed by ABG treatment. These results demonstrate that ABG has hepatoprotective effects and suggest that ABG supplementation might be a good adjuvant therapy for the management of liver injury.
김정일,김병권,김정원,채창호,이철호,강동묵,김지홍,김진하,김영욱,이영하,이지호,김정호,윤형렬,유철인,정백근,장태원,김운규,윤동영,강진욱,김종은,안진홍,이동준,장준호,이광영,송혜란,최영희,이용환,조병만,최홍렬,고상백,김은아,이유진,홍영습,정갑열,김정만,김준연 大韓産業醫學會 2004 대한직업환경의학회지 Vol.16 No.1
Objective: Occupational medicine specialists in the Busan, Ulsan and Kyung-Nam areas established an area-based occupational disease surveillance system and used this system to collected case information for the purpose of preventing occupational diseases Methods: l l hospital participated in this system. The authors selected five main diseases, which were hand-arm vibration syndrome (HAVS), work-related musculoskeletal disorder (WRMSD), occupational asthma, occupational skin disease and occupational and occupational lung cancer and established their case definitions. All cases were reported on the web, and real time analysis was conducted. Results: Between April 2001 and April 2003, 192 cases of HAVS, 118 cases of WRMSD, 33 cases of occupational asthma, 17 cases of occupational skin disease and 17 cases of occupational lung cancer (for a total of 377 cases of these five main diseases) were reported. most of the HAVS cases came from shipbuilding, and 172 of them (92.7%) were associated with grinding. Of the four main types of WRMSD, carpal tunnel syndrome (CTS) was the most prevalent with 46 cases and shipbuilding was also the main industry involved (83.9%). The ergonomic risk factors involved mainly associated with the hand. In 19 (57.6%) and 4 (12.1%) cases of occupational asthma, the agents involved. The causative agents of occupational lung cancer included Cr, welding fume, PAH, Ni, etc. 10(58.8%) of the cases were diagnosed as squamous cell carcinoma and 5(29.4%) as adenoma. Conclusion: This result showed that an area-based occupational disease surveillance system might provide an effective method of evaluating the prevalence of such diseases, however the Busan, Ulsan and Kyung-Nam provinces are too large to be treated as individual areas. Therefore, the authors suggest that each province should establish its own surveillance system.
Hepatoprotective Effect of Aged Black Garlic Extract in Rodents
Shin, Jung Hyu,Lee, Chang Woo,Oh, Soo Jin,Yun, Jieun,Kang, Moo Rim,Han, Sang-Bae,Park, Heungsik,Jung, Jae Chul,Chung, Yoon Hoo,Kang, Jong Soon Korean Society of ToxicologyKorea Environmental Mu 2014 Toxicological Research Vol.30 No.1
In this study, we investigated the hepatoprotective effects of aged black garlic (ABG) in rodent models of liver injury. ABG inhibited carbon tetrachloride-induced elevation of aspartate transaminase (AST) and alanine transaminase (ALT), which are markers of hepatocellular damage, in SD rats. D-galactosamine-induced hepatocellular damage was also suppressed by ABG treatment. However, ABG does not affect the elevation of alkaline phosphatase (ALP), a marker of hepatobilliary damage, in rats treated with carbon tetrachloride or D-galactosamine. We also examined the effect of ABG on high-fat diet (HFD)-induced fatty liver and subsequent liver damage. ABG had no significant effect on body weight increase and plasma lipid profile in HFD-fed mice. However, HFD-induced increase in AST and ALT, but not ALP, was significantly suppressed by ABG treatment. These results demonstrate that ABG has hepatoprotective effects and suggest that ABG supplementation might be a good adjuvant therapy for the management of liver injury.
증예(症例) : 장기간 Furosemide 사용후 발생한 신석회화증 1예
강경표 ( Kyung Pyo Kang ),이강휴 ( Kang Hyu Lee ),라방주 ( Bang Joo La ),문치영 ( Chi Young Moon ),고정곤 ( Jung Ghon Ko ),김원 ( Won Kim ),박성광 ( Sung Kwang Park ),강성귀 ( Sung Kyew Kang ) 전북대학교 의과학연구소 2001 全北醫大論文集 Vol.25 No.2
본 저지들은 성인에서 체중 조절을 목적으로 이뇨제를 장기간 오용하여 발생한 신석회화증을 경험하고 이에 대한 문헌고찰과 함께 보고하는 바이다. Nephrocalcinosis in the adult has many causes, some of which reflect serious renal disease. The major abnormal imaging pattern is the large, diffusely hyperechoic kidney with abnormal architecture. Its differential diagnosis includes hypercalcemia, hypercalciuria, hyperparathyroidism, sarcoidosis, uremia, increased Ca×P, metastatic calcification. The ultrasonic screening of the patients is essential in the evaluation. Other causes of the enlarged hyperechoic kidneys with abnormal architecture include chronic diuretics abuse, medullary sponge kidney and gouty nephropathy. Furosemide and acetazolamide are often used concurrently to control weight in young woman. We experience a case of nephrocalcinosis associated with chronic furosemide abuse. We report that long-term furosemide abuse can cause medullary nephrocalcinosis in adults.
Effect of Communication and Education within the Rehabilitation Team: Therapists’ and Nurses’ Views
Jae Hyu Jung,Ji-Young Kang,Chang-Hee Ko,Jin Young Ko,Jae Young Lim 대한노인병학회 2021 Annals of geriatric medicine and research Vol.25 No.4
Background: To improve the rehabilitation team’s awareness of patient mobility and participation by enhancing communication between therapists and nurses and conducting patient education. Methods: This study used a non-equivalent control group with a non-synchronized design. To facilitate communication between therapists and nurses, we used a manual for mobility management to improve the sharing of information on the functional status of patients. We also implemented patient education to improve their awareness of mobility and participation. Finally, we conducted newly devised surveys related to patient functional status and awareness that were applied by therapists and nurses. Results: The nurses reported significantly lower functional levels of patients compared to those assessed by therapists. After the intervention, the kappa values representing the concordance between therapists and nurses improved to almost perfect agreement for transfer ability (κ=0.836), mobility (κ=0.664), and toileting (κ=1.000). We also observed a statistically significant increase in questionnaire scores with respect to nurses’ awareness (p<0.05). Conclusion: Improving communication among the rehabilitation team, including nurses through the use of a continuous education program, was effective in promoting the mobility and functional level of patients in the inpatient ward.
COVID-19 가 생활치료센터 입소자들의 라이프스타일, 건강, 삶의 질에 미치는 영향: 혼합연구방법을 활용한 연구
정재휴(Jung, Jae-Hyu),박강현(Park, Kang-Hyun),박지혁(Park, Ji-Hyuk) 대한신경계작업치료학회 2021 재활치료과학 Vol.10 No.1
목적 : 본 연구에서는 COVID-19 양성 판정자의 라이프스타일 변화와 이로 인해 건강과 삶의 질에 미치는 영향에 대해서 알아보고자 하였다. 연구방법 : 2020년 9월 생활치료센터에 입소한 양성 판정자 15명을 대상으로 혼합연구방법을 사용하였다. 입소자들의 COVID-19 전·후의 라이프스타일 패턴과 양을 이해하기 위해 The Yonsei Lifestyle Profile을 사용하였으며 건강 및 삶의 질을 분석하기 위해 Korean version of WHOQOL-BREF, MSBS-8, ISI-K를 사용하였다. 이후 심층 인터뷰를 시행하였으며 이를 통해 얻은 결과는 Colaizzi의 주제 분석법에 따라 분석하였다. 결과 : COVID-19 전·후 비교 결과, The Yonsei Lifestyle Profile(p<.01), WHOQOL-BREF(p<.01), MSBS-8(p<.01), ISI-K(p=.05) 모두 통계적으로 유의한 변화를 보였다. 질적 연구 결과 총 179개의 의미있는 진술, 14개의 부주제, 11개의 주제, 3개의 범주로 분류되었다. 최종 분류된 범주는 양성 판정자들의 감정, 생활치료센터에서의 경험, 입소자 관점에서의 니즈(Needs)이다. 결론 : COVID-19로 인해 양성 판정자들은 라이프스타일, 건강, 삶의 질에 부정적인 영향을 받았다. 이에 대하여 입소자들은 다양한 활동, 상담 및 면담과 같은 의사소통을 필요로 하였다. 따라서 경한 증상을 가진 COVID-19 양성 판정자에게 라이프스타일, 삶의 질, 건강에 도움이 될 수 있는 프로그램 개발이 필요할 것으로 사료된다. Objective : The purpose of this study was to investigate the lifestyle changes in patients with COVID-19 and their effects on health and the quality of life. Methods : A mixed study method was used for 15 confirmed cases admitted to residential treatment centers in September 2020. The YLP was used to evaluate the lifestyle patterns, and the Korean version of WHOQOL-BREF, MSBS-8, ISI-K, and PHQ-9 were used to analyze health and quality of life before and after COVID-19. The results obtained through in-depth interviews were analyzed using Colaizzi’s thematic analysis. Results : YLP (p<.01), WHOQOL-BREF (p<.01), MSBS-8 (p<.01), and ISI-K (p=.05) showed statistically significant differences between the assessment outcomes before and after COVID-19. In addition, 179 meaningful statements, 14 sub-themes, 11 themes, and 3 categories were elicited. The final 3 categories are the emotions of the confirmed cases, the experiences in residential treatment centers and the needs from the perspective of the confirmed cases. Conclusion : There are negative effects on lifestyle, health, and quality of life on confirmed cases. In response, the confirmed cases requested several activities and counseling. Therefore, it is necessary to develop a program to improve the lifestyle, quality of life, and health of asymptomatic cases and cases with mild symptoms.