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Comparison of Underwater and Overground Treadmill Walking Exercise
Si Eun Park,Mi Joung Lee,Bum Chul Yoon,Byung Hee Lee,Hee Joon Shin,Wan Suk Choi,Sung Kyu Park,Hye Mi Jeon,Ok Kon Moon,Suk Hee Lee,Kyoung Ok Min 국제물리치료학회 2010 Journal of International Academy of Physical Ther Vol.1 No.2
The purpose of this study was to compare the effects of treadmill walking in underwater and overground which affects gait and physical function of people who have had a stroke. Twenty people after a stroke who have become hemiplegic over 6 months were participated. Participants were divided into two groups: underwater treadmill group(UTG) and overground treadmill group(OTG). The intervention was done 4 times per weeks for 6 weeks and 1 session lasted for 30 minutes. Gait and physical function elements were measured at baseline, at the middle(3 weeks) and at the end of the intervention(6 weeks). For the elements of gait, walking velocity, affected stance phase, affected weight bearing were assessed. For the elements of physical function, Short Form 8(SF-8) health survey was used. The result of this study showed that both groups improved similarly in walking velocity. However participants in UTG improved more than those in OTG in affected stance phase(p<.05), affected weight bearing( p<.05) and emotional aspect(p<.001). Based on the results of this study, it can be suggested that treadmill walking both in underwater and on the ground can be effective in improving hemiplegic gait and physical function of people who have had a stroke. The result also suggest that the underwater treadmill exercise can be more effective than overground treadmill in restoration of gait in people after stroke.
Jeon, Byong-Tae,Cheong, Sun-Hee,Kim, Dong-Hyun,Park, Jae-Hyun,Park, Pyo-Jam,Sung, Si-Heung,Thomas, David G.,Kim, Kyoung-Hoon,Moon, Sang-Ho Asian Australasian Association of Animal Productio 2011 Animal Bioscience Vol.24 No.9
This study was conducted to provide the basic information to allow improved scientific assessment of velvet antler's quality by investigating the change of chemical composition during different antler growth stages in elk (Cervus elaphus canadensis). Twenty four antlers were harvested from elk stags (aged 4-5 years) on 65 days (VA65), 80 days (VA80) and 95 days (VA95) after button casting, and the chemical composition of each antler was determined in five sections (top, upper, middle, base, and bottom). Crude protein and ether extract content was the highest in the top section, whereas ash content was the highest in the bottom section in all groups (p<0.05). Glycosaminoglycan (GAG) content was higher in the VA65 group than in the VA95 group in the upper section of antler (p<0.05). The collagen content was higher in the VA65 group compared to the VA95 group in the middle and bottom sections (p<0.05), and increased downward from the top to the bottom section. The proportions of certain amino acids, including aspartic acid, glutamic acid and isoleucine were higher (p<0.05), whereas proline and glycine were lower in the top section of antler compared to all other sections (p<0.05). The proportion of linoleic acid, 11,14,17-eicosatrienoic acid, total ${\omega}$-3 and ${\omega}$-6 fatty acids and polyunsaturated fatty acids (PUFAs) for all sections in the VA65 group was higher than in the VA95 group (p<0.05). These results suggested that the quality of velvet antler is strongly influenced by antler development stage.
( Moon Hyuk Kwon ),( Seong Woo Jeon ),( Jin Tae Jung ),( Dong Wook Lee ),( Chang Yoon Ha ),( Kyung Sik Park ),( Si Hyung Lee ),( Chang Heon Yang ),( Youn Sun Park ) 대한내과학회 2014 대한내과학회 추계학술대회 Vol.2014 No.1
Background: Acute upper gastrointestinal bleeding is a common medical emergency associated with substantial morbidity and mortality. Also it is a frequent indication for redcell transfusion. Transfusion practices for patients with Upper gastrointestinal bleeding have fl uctuated over the past years. We analyzed associations between transfusions and adverse patient`s outcomes. Methods: This observational, retrospective cohort study was conducted in Daegu and Kyungpook of Korea. We enrolled 1984 patients with acute upper gastrointestinal bleeding from 2011 to 2013 year. Multivariable logistic regression models were used to examine and quantify independent associations between RBC transfusion and clinical outcomes. Results: Overall, 1984 patients were included (62.9 ± 16.4 years, 73.4 % male, 1.09 ± 1.12 comorbid conditions); 92.6 % received RBC transfusions. Overall rebleeding and mortality rates were 7.4 % and 3.4 %. Rebleeding occurred in 9 % of the patients in transfusion of RBC group as compared with 5% of the patients in the non-transfusion group (P=0.03). Mortality occurred in 5 % of the patients in transfusion group as compared with 1.1 % of the patients in the non-transfusion group (P<0.01). After adjusting for potential confounders, transfusion of RBC was signifi cantly and independently associated with an increased risk of rebleeding (OR: 1.864, 95% CI: 1.2 - 2.8) and mortality (OR: 4.758, 95% CI: 2.1 - 10.5). Conclusions: This study suggests an association between RBC transfusion following upper gastrointestinal bleeding and subsequent rebleeding and mortality. Transfusion of RBC was signifi cantly and independently associated with an increased risk of rebleeding and mortality.
( Si-eun Jeon ),( Jina Lee ),( Tae-hun Kim ),( Beob-jong Kim ),( Moon-hong Kim ),( Sang-young Ryu ) 대한산부인과학회 2018 대한산부인과학회 학술대회 Vol.104 No.-
Objective: The purpose of this study is to compare laparoscopic radical hysterectomy (LRH) and abdominal radical hysterectomy (ARH) in the view of the oncologic outcome stratified by risk factors and adjuvant radiotherapy (RT). Methods: Cancer registry database identified 233 patients with FIGO stage IB and IIA invasive cervical cancer with common histology treated with LRH or ARH between January 2008 and December 2016. Exclusion criteria were neoadjuvant chemotherapy, not receiving adjuvant RT for any high-risk factor, and no viable tumor on hysterectomy specimen. Clinicopathologic factors were obtained from the medical chart review. Survival analyses were performed using the Kaplan-Meier method. The log-rank test was used for univariate analyses and the Cox regression model was used for multivariate analyses. Results: Among 233 patients, ARH and LRH were performed in 133 and 100 patients, respectively. One hundred fifty-six patients received adjuvant RT according to risk factors. In total patients, ARH group had a more advanced stage, larger tumor size, and more frequent node metastasis. Among 77 patients of surgery only cohort, 32 patients received ARH and 45 underwent LRH. Age, stage, all intermediate- risk factors, the number of removed lymph nodes were not different between LRH and ARH groups in surgery only cohort. Progression-free survival (PFS) was not statistically different between the two groups (p=0.065). In multivariate analysis, LRH (hazard ratio [HR], 6.2; 95% confidence interval [CI], 1.2-33.3), tumor size (HR, 17.4, CI, 1.4-220.2), lympho-vascular space invasion (HR, 9.0, CI, 1.4-58.9), and stage (HR, 8.2, CI, 1.2-54.7) were independent poor prognostic factor for recurrence in surgery only cohort. PFS and overall survival were not different between ARH and LRH in adjuvant RT cohort. Conclusion: Adjuvant RT may have been masking the inferior oncologic outcome of LRH compared to ARH in several retrospective studies. LRH should be reserved until an ongoing trial result Is published.
( Si Eun Jeon ),( Jina Lee ),( Hee Jung Jung ),( Beob-jong Kim ),( Sang-young Ryu ),( Sang-il Park ),( Hye-sil Seol ),( Won-il Jang ),( Moon-hong Kim ) 대한산부인과학회 2020 Obstetrics & Gynecology Science Vol.63 No.5
We experienced an extremely rare case of proximal epithelioid sarcoma (PES) of the vulva in a 77-year-old woman. After history taking and physical examination, the patient was tentatively diagnosed as having Bartholin’s cyst in the right labium. Based on histopathological and immunohistochemical (IHC) findings, however, a final diagnosis of PES of the vulva was made. After receiving CyberKnife treatment, the patient survived but with recurrent episodes and poor prognosis. In conclusion, our case indicates that patients with PES of the vulva should be appropriately managed with radiotherapy after a differential diagnosis based on histopathological and IHC findings.
Park, Si-Eun,Lee, Mi-Joung,Yoon, Bum-Chul,Lee, Byung-Hee,Shin, Hee-Joon,Choi, Wan-Suk,Park, Sung-Kyu,Jeon, Hye-Mi,Moon, Ok-Kon,Lee, Suk-Hee,Min, Kyoung-Ok International Academy of Physical Therapy Research 2010 Journal of International Academy of Physical Ther Vol.1 No.2
The purpose of this study was to compare the effects of treadmill walking in underwater and overground which affects gait and physical function of people who have had a stroke. Twenty people after a stroke who have become hemiplegic over 6 months were participated. Participants were divided into two groups: underwater treadmill group(UTG) and overground treadmill group(OTG). The intervention was done 4 times per weeks for 6 weeks and 1 session lasted for 30 minutes. Gait and physical function elements were measured at baseline, at the middle(3 weeks) and at the end of the intervention(6 weeks). For the elements of gait, walking velocity, affected stance phase, affected weight bearing were assessed. For the elements of physical function, Short Form 8(SF-8) health survey was used. The result of this study showed that both groups improved similarly in walking velocity. However participants in UTG improved more than those in OTG in affected stance phase(p<.05), affected weight bearing(p<.05) and emotional aspect(p<.001). Based on the results of this study, it can be suggested that treadmill walking both in underwater and on the ground can be effective in improving hemiplegic gait and physical function of people who have had a stroke. The result also suggest that the underwater treadmill exercise can be more effective than overground treadmill in restoration of gait in people after stroke.
자궁내막증에서 혈청 CA 125, CA 19-9 및 호산구의 임상적 의의
전시원 ( Si Won Jeon ),이사라 ( Sa Ra Lee ),문혜성 ( Hye Sung Moon ),정혜원 ( Hye Won Chung ) 대한산부인과학회 2009 Obstetrics & Gynecology Science Vol.52 No.9
목적: 본 연구는 자궁내막증의 진단 및 재발에 대한 예측인자로써의 혈청 CA 125, CA 19-9 및 호산구 분율 값의 유용성을 알아보고자 하였다. 연구 방법: 2000년 1월부터 2006년 12월까지 본원 산부인과에 내원환자 중 자궁내막증이 확진된 환자 117명과 종합검진센터에 내원한 가임기 여성 중 특이소견이 없는 50명을 대상으로 하였다. 환자군에서 혈청 CA 125, CA 19-9, 호산구 수치 등의 치료 전후 혈청검사를 포함한 증상, 골반초음파 소견, 치료, 조직병리학적 병기, 재발 여부 등을 조사하였다. 말초 정맥혈의 채취는 수술 시행 전 한달 이내와 술후 1~6개월에 시행하였고 이를 자궁내막증 병기별, 증상별로 수술 전후 수치의 변화를 분석하였다. 결과: 호산구 분율은 자궁내막증 환자군에서 대조군에 비해 통계적으로 유의하게 낮았다. 치료 전후의 혈청값 비교에서 CA 125 및 CA 19-9은 치료 후에 유의하게 감소한 반면, 호산구 분율은 치료 전, 후에 유의한 변화가 없었다. CA 125와 CA 19-9 검사의 양성률은 각각 68.9%, 60.0%, 병합 시 양성률은 82.2%였다. 결론: 자궁내막증의 진단 및 추적관찰에서 혈청 CA 125와 CA 19-9은 병합검사로써 활용하는 것이 좋을 것으로 사료되고, 혈청호산구 분율은 자궁내막증의 비침습적 선별검사로써 유용하지 않은 것으로 사료된다. Objective: To evaluate the usefulness of serum CA 125, CA 19-9, and eosinophil as biological markers for the diagnosis and recurrence of endometriosis. Methods: One hundred seventeen patients who underwent operations for endometriosis between January 2000 and December 2006 at our department were included. A total of 50 reproductive aged women who visited our health care center were the control group. Data on serum level of CA 125, CA 19-9, and eosinophil was collected. Patients symptoms, sonographic findings, stage, treatment, recurrence were also collected. Venous blood sampling was performed 1 month before operation and 1 to 6 months after operation. We analyzed the serum level of CA 125, CA 19-9, and eosinophil according to the endometriosis stage and symptoms. We also analyzed the differences between preoperative and postoperative serum marker levels. Results: The serum level of CA 125 and CA 19-9 was available in 88 patients and 45 patients, respectively. The mean eosinophil count was significantly lower in endometriosis group than in control group. In comparison between preoperative values and postoperative values, the CA 125 and CA 19-9 level showed significant reduction (P<0.05), however the eosinophil level showed no difference. The positive rate of serum CA 125 and CA 19-9 were 68.9% and 60.0% as a single test, whereas the combined positive rate of CA 125 and CA 19-9 was 82.2%. Conclusion: For the diagnosis and follow-up of endometriosis, serum CA 125 and CA 19-9 combination test will be valuable. Serum eosinophil count seems to be unsuitable for the screening and follow up test of endometriosis.