• Hip & pelvis
• /
• 제34권3호
• /
• pp.161-171
• /
• 2022

Purpose: The number of obese patients seeking total hip arthroplasty (THA) continues to expand despite body mass index (BMI) cutoffs. We sought to determine the outcomes of THA in the morbidly obese patient, and hypothesized they would have comparable outcomes to two cohorts of obese, and normal weight patients. Materials and Methods: THA performed on morbidly obese patients (BMI >40 kg/m²) at a single academic center from 2010 until 2020 were retrospectively reviewed. Eighty morbidly obese patients were identified, and matched in a 1:3:3 ratio to control cohorts with BMI 30-40 kg/m² and BMI <30 kg/m². Acute postoperative outcomes and BMI change after surgery were evaluated for clinical significance with univariate and regression analyses. Cox proportional hazard ratio was calculated to evaluate prosthetic joint infection (PJI) and revision surgery through follow-up. Mean follow-up was 3.9 years. Results: In the acute postoperative period, morbidly obese patients trended towards increased hospital length of stay, facility discharge and 90-day hospital returns. At final follow-up, a higher percentage of morbidly obese patients had clinically significant (>5%) BMI loss; however, this was not significant. Cox hazard ratio with BMI <30 kg/m² as a reference demonstrated no significant difference in survival to PJI and all-cause revision in the morbidly obese cohort. Conclusion: Morbidly obese patients (BMI >40 kg/m²) require increased resource expenditure in the acute postoperative period. However, they are not inferior to the control cohorts (BMI <30 kg/m², BMI 30-40 kg/m²) in terms of PJI or all-cause revisions at mid-term follow-up.

• Parasites, Hosts and Diseases
• /
• 제49권4호
• /
• pp.385-398
• /
• 2011

A large-scale survey was conducted to investigate the infection status of fresh water fishes with Clonorchis sinensis metacercariae (CsMc) in 3 wide regions, which were tentatively divided by latitudinal levels of the Korean peninsula. A total of 4,071 freshwater fishes were collected from 3 regions, i.e., northern (Gangwon-do: 1,543 fish), middle (Chungcheongbuk-do and Gyeongsangbuk-do: 1,167 fish), and southern areas (Jeollanam-do, Ulsan-si, and Gyeongsangnamdo: 1,361 fish). Each fish was examined by the artificial digestion method from 2003 to 2010. In northern areas, only 11 (0.7%) fish of 2 species, Pungtungia herzi and Squalidus japonicus coreanus from Hantan-gang, Cheolwon-gun, Gangwon-do were infected with av. 2.6 CsMc. In middle areas, 149 (12.8%) fish were infected with av. 164 CsMc. In southern areas, 538 (39.5%) fish were infected with av. 159 CsMc. In the analysis of endemicity in 3 regions with an index fish, P. herzi, 9 (6.2%) of 146 P. herzi from northern areas were infected with av. 2.8 CsMc. In middle areas, 34 (31.8%) of 107 P. herzi were infected with av. 215 CsMc, and in southern areas, 158 (92.9%) of 170 P. herzi were infected with av. 409 CsMc. From these results, it has been confirmed that the infection status of fish with CsMc is obviously different among the 3 latitudinal regions of the Korean peninsula with higher prevalence and burden in southern regions.

• Journal of Yeungnam Medical Science
• /
• 제34권2호
• /
• pp.231-237
• /
• 2017

Background: Deep vein thrombosis (DVT) and pulmonary embolism (PE) are conditions with significant morbidity and mortality. Proximal DVT has a significant association with PE and possible fatal outcomes. Traditionally, PE is subdivided into symptomatic PE and asymptomatic PE, which have different treatments, preventions and prognoses. The growing utilization of computed tomography pulmonary angiography has led to increased detection of PE in DVT patients. This study examined the clinical characteristics and compared symptomatic PE and asymptomatic PE following proximal DVT. Methods: The medical records of 258 DVT inpatients from July, 2012 to June, 2015 were reviewed retrospectively. After excluding the patients who did not performed PE evaluation and were not diagnosed with PE, 95 patients diagnosed with PE following proximal DVT were enrolled in this study. They were divided into the symptomatic PE group and asymptomatic PE group. Results: The body weight, body mass index, thrombus size, thrombus length and location were similar in the two groups. The symptomatic PE following proximal DVT group showed an older age, higher incidence of emergency department access (85.0% vs. 38.7%, p<0.001) and preceding infection (25.0% vs. 1.3%, p<0.001) as well as a higher incidence of immobilization (45.0% vs 13.3%, p=0.016). In the multivariate logistic regression study, preceding infection and emergency department access showed significant association with symptomatic PE. Conclusion: In proximal DVT inpatients, symptomatic PE was associated with emergency department access and preceding infection. The possibility of a symptomatic PE event should be considered in proximal DVT patients, especially those who were admitted through the emergency department and had preceding infection.

• 한국융합학회논문지
• /
• 제13권2호
• /
• pp.67-75
• /
• 2022

이 연구의 목적은 현재 운영되고 있는 코로나19 예방을 위한 거리두기 체계의 과학적 근거 보완으로 적절한 관리방안을 제시하고자 함이다. 현재의 수리 모델들은 연립 상미분방정식으로 표현되어 소상공인이나 영세업자들의 출입자 관리에 사용하기는 어려운 문제가 있다. 본 고에서는 이러한 점을 보완하기 위하여 집합 공간에 주어지는 허용위험도와 기초감염재생산지수, 백신접종에 의한 위험도 감소율을 고려하여 집합하는 사람들에 의한 감염위험도를 정량적으로 표현하는 방법을 제시하였다. 백신접종 상황(미접종, 1차 접종, 완전 접종)에 따른 감염 위험성 정도와 바이러스의 유행상황을 함께 고려하여 방문자의 집합에 따른 감염자 발생 가능성을 확률론적인 차원에서 관리하는 간단한 정량적 모델을 개발하였다. 모델을 사용하여 주어진 예에서 20%의 미접종자가 완전 접종으로 전환될 경우 위험도는 55% 수준으로 감소되는 것을 보였고, 기초 감염재생산지수와 백신접종에 의한 감염위험도 감소 개선 효과를 비교하여 의학적인 관리보다 방역 측면에서의 관리가 더 큰 효과를 얻을 수 있다는 점을 제시하였다. 이를 바탕으로 백신의 종류와 확진자 발생 정도를 고려한 다양한 상황에서 적용할 수 있는 일반화 모델도 제시하였다. 이 모델을 적용하면 백신의 종류, 접종 정도, 접종 후 시간 경과에 따른 실시간 개인별 위험도를 산출할 수 있고, 이를 통해 주어진 공간의 집합 인원에 따른 위험도 관리에 이용할 수 있다.

• 한국어병학회지
• /
• 제24권2호
• /
• pp.53-64
• /
• 2011

Megalocytivirus 감염 시 나타나는 임상적 증상의 정량적인 분석을 위하여, 돌돔에서 분리된 megalocytivirus IVS-1을 돌돔성어와 치어에 인위 감염시켰다. 그 결과 spleen index가 각각 $4.49{\pm}1.13$와 $4.85{\pm}1.06$로 나타 났으며, 이것은 정상배에 비해 3배 이상 증가한 값이었다. 폐사율은 돌돔성어와 치어에서 모두 100% 폐사한 반면 참돔치어는 30일이 지나도 60%의 폐사만 나타나 돌돔폐사율에 비해 낮은 폐사율을 나타냈다. 또한 IVS-1을 감염시킨 빈사상태의 참돔치어는 spleen index가 동일 크기의 돌돔치어 보다 낮은 $1.47{\pm}0.87$을 보였다. Real-time PCR을 이용하여 감염의 진행에 따른 바이러스 농도를 측정한 결과, 돌돔 치어와 성어의 감염 조직 내 바이러스 최고 농도는 각각 $2.03{\times}10^7$ copies/mg과 $2.40{\times}10^7$ copies/mg으로 비슷하였으나 돌돔성어에서 먼저 최고치에 도달하였다. 더구나 비장의 비정형비대세포의 수 역시 돌돔치어의 경우 지속적으로 증가한 반면 돌돔성어의 경우 최고치에 도달 후 오히려 감소히는 경향을 보였다. 본 연구에서는 megalocytivirus 감염 시 조직의 형태적 변화와 조직 내의 바이러스 농도와 같은 임상적인 증상을 정량적인 분석을 통해 나타내었고 이러한 정량적인 수치와 megalocytivirus 감염의 진행 정도와의 상관관계에 대해 조사하였다.

• 대한족부족관절학회지
• /
• 제15권4호
• /
• pp.232-239
• /
• 2011

Purpose: Diabetic foot ulcer is one of the most important diabetic complications because it increases the risk of amputations. Moreover, it lowers the quality of patients' life and increases the social medical expenses. Authors analyzed risk factors of intractable diabetic foot ulcer using retrospective study. Materials and Methods: From January 2007 to December 2010, 40 patients who could not achieve complete healing despite more than 12 weeks of proper management among who had been diagnosed and treated as diabetic foot ulcer at our hospital were included and evaluated retrospectively. We compared the risk factors between two groups who were finally treated by amputation and non-amputation. Results: The sample was composed of 31 male patients (77.5%) and 9 female patients (22.5%). Comorbidity including hypertension and hyperlipidemia were 77.5% and 80% each. By Wagner classification, 30 patients (80%) had ulcerative lesion over the grade 3. From bacteriology results, 29 patients (72.5%) had polybacteria infection. 35 patients (87.5%) had neuropathy and 26 patients (65%) had vascular stenosis at least one level. The mean initial ankle-brachial index and toe-brachial index were 0.982 and 0.439. In comparison between amputation group and non-amputation group, ulcer severity, number of stenotic vessel and initial ankle-brachial index/toe-brachial index had statistical significance. Conclusion: The most commonly risk factor of intractable diabetic foot ulcer was peripheral neuropathy reaching 87.5% of cases. In comparison with non-amputation group, ulcer severity according to Wagner classification, number of stenotic vessel and initial ankle-brachial index/toe-brachial index were demonstrated as a risk factor of amputation in intractable diabetic foot ulcer.

• Asian-Australasian Journal of Animal Sciences
• /
• 제3권4호
• /
• pp.293-298
• /
• 1990

Pathogen infections or mastitis inflammations usually develop differently on each udder of lactating cow. Although healthy udders will be attacked by the mastitis pathogens or the pathogens from blood in a long term, they would not be always inflamed. Somatic cell counts (SCC) in milk, which is utilized as an index of mastitis diagnosis, and the relation among SCC and milk constituents will have to be examined on each udder individually. Twelve cows of a Holstein cow herd in Nasu Research Station, which were suffering clinical or non-clinical mastitis, were selected, and SCC and milk constituents on each udder milk were measured. The effects of mastitis infection on udder milk components were relatively small except lactose content on udder milks of non-clinical mastitis (SCC< $10.0{\times}10^5$ per ml milk). On udder milks of clinical mastitis, however, high negative correlations were recognized between SCC and milk components. On different sampling days, high contents of fat and protein corresponded to that of total solids.

• Tuberculosis and Respiratory Diseases
• /
• 제79권4호
• /
• pp.307-311
• /
• 2016

Pulmonary strongyloidiasis is an uncommon presentation of Strongyloides infection, usually seen in immunocompromised hosts. The manifestations are similar to that of acute exacerbation of chronic obstructive pulmonary disease (COPD). Therefore, the diagnosis of pulmonary strongyloidiasis could be challenging in a COPD patient, unless a high index of suspicion is maintained. Here, we present a case of Strongyloides hyperinfection in a COPD patient mimicking acute exacerbation, who was on chronic steroid therapy.

• 한국식물병리학회지
• /
• 제14권5호
• /
• pp.496-501
• /
• 1998

Incidence of rice blast on new rice cultivars and elite lines was observed from 1995 to 1997 in Icheon, Chuncheon, Jecheon and Naju areas. The observation was made in the nurseries and fields. In the nurseries, three cultivars Grubyeo, Sangjuchalbyeo and Suwon 414 showed moderate levels of resistance to leaf blast, with the disease index 0 to 5. From the field observation, it was found that cultivars Heugjinjubyeo and Unbong 18 were highly resistant to leaf blast, but susceptible to neck blast. In general, there was a great variation yearly and regionally in the incidence of neck blast within the same cultivar, ranging from 0 to 100%. However, the range of neck blast infection was relatively narrower in the cultivars Yunghaebyeo (0∼2.4%) and Suwon 414 (0∼2.2%) during observation period. Races of rice blast fungus were variable at different areas. Among them dominant races were KI-409, KJ-201 and KJ-301.

• Pediatric Infection and Vaccine
• /
• 제24권1호
• /
• pp.1-6
• /
• 2017

목적: 본 연구에서는 delta neutrophil index (DNI)가 신생아 균혈증을 예측하는 지표로서의 효용성을 다른 지표들과의 비교를 통해 알아보고자 하였다. 방법: 원주세브란스 기독병원 신생아 중환자실에 발열을 주소로 입원한 환아들과 입원 중 발열이 있었던 생후 31일 미만 환아 146명을 대상으로 혈액배양검사와 동시에 시행한 총 백혈구 수, 절대호중구수, DNI, 혈소판 수, C-반응단백(C-reactive protein, CRP)에 대하여 분석하였다. 결과: 균혈증이 있었던 환아 77명의 평균 재태주수는 38.74주, 출생 체중은 3.20 kg였다. 대조군의 평균 재태주수는 33.34주, 출생 체중은 2.20 kg였다. 균혈증의 원인은 Staphylococcus aureus (22명), Staphylococcus epidermidis (18명), Streptococcus agalactiae (8명) 등이었다. DNI와 CRP만이 재태주수와 출생 체중 보정 후 균혈증과 연관성을 보여 area under the ROC curve를 조사하였고 DNI 0.70, CRP 0.68이었다. 결론: DNI는 신생아 균혈증을 예측하는 데 효과적인 지표이다. 다른 인자들과 함께 고려한다면 균혈증을 예측하는 데 더 도움이 될 것이다.