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노인 요추 퇴행성 디스크 질환과 혈중 지질 농도와의 관계
어현선,정은진,이수형,박기현,김정아 대한가정의학회 2019 Korean Journal of Family Practice Vol.9 No.2
연구배경: 요추 퇴행성 디스크 질환은 비만과 관련이 있는 것으로알려져 있지만, 이상지질혈증과 같은 비만의 특정 위험과의 관계에대한 연구는 부족하다. 따라서 우리는 노인에서 요추 퇴행성 디스크질환과 혈중 지질 측정치의 관련성을 알아보고자 한다. 방법: 척추관 협착 및 요추판 탈출과 같은 요추 퇴행성 디스크 질환군과 정상군에 대해서 환자 대조군 연구를 수행하였다. 65세 이상,85세미만의요추퇴행성디스크 질환을가진 68명의환자와요추퇴행성 디스크 질환이 없는 37명의 정상군을 연구 대상으로 하였다. 결과: TC 및 TG 수치는 환자군에서 통계적으로 유의하게 높았다. 연령, 성별, BMI를 보정한 로지스틱 회기분석 결과, 요추 퇴행성 디스크 질환 환자에서 비정상적 TG 농도가 (150 mg/dL 이상) 정상군에비해 유의하게 높았다. 결론: 본 연구는 TC가 요추 퇴행성 디스크 질환과 관련되어 있음을시사한다. 혈청 TG 수치와 요추 퇴행성 디스크 질환 위험에 대한 연구가 더 필요하다고 생각된다 Background: Lumbar degenerative disc disease (LDDD) is associated with obesity; however, there are only a few studies on the relationship between LDDD and the specific risk of obesity, such as dyslipidemia. We aimed to identify the independent association between LDDD and serum lipid profiles in older adults. Methods: A retrospective case-control study was performed with the patients with LDDD, such as spinal stenosis and lumbosacral disc prolapse, and control patients. Sixty-eight patients with LDDD aged 65–85 years were recruited in the LDDD group. Thirty-seven age- and sex-matched controls without LDDD were also enrolled. Logistic regression analysis was performed after adjusting for age, sex and body mass index to assess the association between LDDD and serum lipid profiles. Results: Total cholesterol and triglyceride levels were significantly higher in the LDDD group. The subjects with abnormal triglyceride level (>150 mg/ dL) showed a significant odds ratio (7.274, 95% confidence interval [1.552–34.095], P-value=0.012) for LDDD. Conclusion: The study findings suggest that higher total cholesterol level may be associated with the patients with LDDD. Therefore, the association between serum triglyceride level and risk of LDDD must be studied further.
최대하 운동시 온도변화에 따른 운동복 형태가 인체에 미치는 영향
김광희,어현선 仁荷大學校 스포츠科學硏究所 1999 論文集 Vol.11 No.-
This study is aimed at finding out the effect of environmental temperature and uniform style on physiological responses by analysing variations of human temperatures(rectal temperature, mean skin temperature), perspiration(total perspiration, partial perspiration), heart-rate, oxygen intake depending on variations of environmental temperatures(each 50% RH per 25℃, 30℃, 35℃) and uniform styles(long sleeve, half-sleeve) during the long time(40min) sub-maximal exercise(50% V02max) This experiment was performed on the subjects of 6 male university students by using the bicycle ergometer. The change of human temperature and heart rata were measured by the interval of 10 minutes during exercise. The total perspiration was measured by the difference of weight before/ after exercise, and the local perspiration by the difference of its filter's weight before / after exercise after a filter of 2.5cm diameter was attached on the back and the femoral. The oxygen intake was measured by collecting aerobic gas for final one minute by the interval of 10 minutes during exercise, and then analysing gas. The experimental results are as follows. 1. The skin temperature increased in proportion to the environmental temperature, and the rectal temperature continuously increased from at the beginning of exercise, and no meaningful difference was by uniform styles. 2. Perspiration increased in proportion to the environmental temperature, no meaningful difference was by uniform style, and there was more perspiration in the back than in the femoral. 3. Heart rate fast increased after exercise, and then gradually increased from after 10 minutes, increased in proportion to the environmental temperature, and no meaningful difference was by uniform styles. 4. The volume of oxygen intake fast increased early exercise, and then gradually increased up to 30 minutes, and was prone to keep in the constant level or decrease, and no meaningful difference was by environmental temperatures or uniform styles. There generally was the meaningful difference by environmental temperatures under most conditions by the results above, but no meaningful difference was by uniform styles. Considering this results, under the intensity of exercise (50% V02max), the variation of environmental temperatures(25℃,30℃,35℃) influenced on physiological responses, whereas the variation of uniform styles did not influence on physiological responses.
심포지움,특별강연 및 일반연제 발표 : 한국인 상염색체 우성 다낭신 환자의 PKD1과 PKD2 유전자 돌연변이 분석
어현선 ( Eo Hyeon Seon ),안규리 ( An Gyu Li ),채희진 ( Chae Hui Jin ),이은주 ( Lee Eun Ju ),황영환 ( Hwang Yeong Hwan ),황대연 ( Hwang Dae Yeon ),이중건 ( Lee Jung Geon ),김연수 ( Kim Yeon Su ),한진석 ( Han Jin Seog ),김성권 ( Kim 대한신장학회 2000 춘계학술대회 초록집 Vol.19 No.2
호스피스 완화 병동에서 불응성 증상 조절을 위한 할로페리돌과로라제팜의 사용
남궁욱,김정민,어현선,정은진,김정아,이수형,박기현 대한가정의학회 2019 Korean Journal of Family Practice Vol.9 No.1
Background: Terminally ill cancer patients suffer from refractory symptoms, and the last option of treatment is to consider sedatives. However, due to concerns that sedation may shorten survival time, some people prefer not to take sedatives. The purpose of this study was to investigate the effects of sedative administration on survival time among terminally ill cancer patients. Methods: Two hundreds and thirty-seven patients who were hospitalized to the hospice care unit of public hospitals in Seoul from January, 2015 to March, 2016 were analyzed retrospectively. The univariate and multivariate Cox’s proportional hazard regression model was used to determine independent factors related to survival time. Results: The usage of sedation was necessary because the incidence of insomnia was 61.4% in the lorazepam only group, and the incidence of delirium was highest in the haloperidol group and the haloperidol with lorazepam group. Interestingly, multivariate analysis showed that male (HR, 1.766; P <0.001), decreased consciousness (HR, 1.803; P=0.003), anorexia (HR, 1.506; P=0.012), resting dyspnea (HR, 1.757; P<0.001), elevated serum bilirubin (HR, 1.657; P=0.001), and the haloperidol with lorazepam group (HR, 0.535, P<0.001) were each significantly associated with survival time. Furthermore, patients in the haloperidol with lorazepam group survived longer than patients with no such medications. Conclusion: There is no evidence that treatment with sedative medication shortens the survival time of patients with terminally ill cancer with refractory symptoms. 연구배경: 말기 암 환자들은 증상 조절이 되지 않는 신체적, 심리적불응성증상으로고통을받게되는데이때마지막치료로진정제투약을 고려하게 된다. 그러나 진정제 투약이 남은 생존기간을 단축시킨다는 우려 때문에 일각에서는 진정제 사용에 부정적이거나 소극적이기도 하다. 본 연구에서는 진정제 투약이 생존기간에 미치는 영향에 대해 알아보고자 하였다. 방법: 2015년 1월 1일부터 2016년 3월 31일까지 서울시 거점 공공병원 호스피스 완화병동에 입원 또는 전과되어 사망한 237명의 말기암 환자를 대상으로 후향적 의무기록 조사를 시행하였다. 진정제 투약이 필요하였던 불응성 증상을 분석하였으며, Cox’s proportionalhazard regression model을 이용한 단변량, 다변량 분석을 통하여 생존기간과 관련된 독립인자를 구하고 생존에 미치는 영향을 평가하였다. 결과: 진정제 사용이 필요한 사유를 살펴보면, lorazepam 사용군은불면이 61.4%, haloperidol 사용군과 haloperidol 및 lorazepam 모두 사용한 군에서는 섬망이 각각 82.4%, 76.2%로 가장 많았다. 생존기간에영향을 주는 요인에 대한 다변량 분석을 시행한 결과 남성(hazardratio [HR], 1.766; P<0.001), 의식 저하(HR, 1.803; P=0.003), 식욕 부진(HR, 1.506; P=0.012), 안정시 호흡곤란(HR, 1.757; P<0.001), 혈청 총 빌리루빈 상승(HR, 1.657; P=0.001), haloperidol 및 lorazepam 모두 사용(HR, 0.535; P<0.001) 모두 생존 기간에 대한 의미가 있는 독립적인 예후인자로 확인되었다. 결론: 불응성 증상이 동반된 말기 암 환자에게 진정제 투약이 생존기간을 단축시킨다는 근거는 없다고 할 수 있다. 진정제 투약이 필요한 상황이라고 판단된다면 환자의 증상 완화를 위해 지체 없이 시행하여 존엄한 삶의 마무리가 될 수 있도록 해야 한다.