- Usefulness of Psoas Muscle Cross-Sectional Area in Evaluating Physical Performance in Patients with Liver Cirrhosis
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Bo Seong Jang, Han Eum Choi, Jae Hyun Lee, Young Joo Sim, Ghi Chan Kim, Ho Joong Jeong
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Kosin Med J. 2020;35(2):133-142. Published online December 31, 2020
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DOI: https://doi.org/10.7180/kmj.2020.35.2.133
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Abstract
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Objectives
To investigate the relationship between the psoas muscle cross-sectional area and physical performance in patients with liver cirrhosis.
Methods
This study analyzed ambulatory patients with liver cirrhosis aged < 65 years, who underwent abdominal computed tomography (CT) and Short Physical Performance Battery (SPPB) tests from December 2018 to December 2019. A total of 46 patients (36 men, 10 women) were included. In abdominal CT scans, the psoas muscle cross-sectional area (mm2) was measured at the distal end-plate level of the L4 vertebral body and normalized by dividing by height (m). Physical performance was evaluated using SPPB. A correlation analysis between the psoas muscle cross-sectional area and SPPB was performed. Kruskal-Wallis test was used to determine differences in the psoas muscle cross-sectional area and SPPB according to the Child-Pugh classification. Multiple regression analysis was performed to determine factors affecting SPPB.
Results
The correlation coefficient between the psoas muscle cross-sectional area and SPPB was 0.459 at the P < 0.01 level. No difference was observed in the psoas muscle cross-sectional area and SPPB according to the Child-Pugh classification. The psoas muscle cross-sectional area was a factor affecting SPPB in multiple regression analysis.
Conclusions
Abdominal CT is an essential diagnostic tool in patients with liver cirrhosis. Ambulatory patients with liver cirrhosis aged < 65 years could have reduced physical performance. In this study, the psoas muscle cross-sectional area was correlated with physical performance and was a factor affecting physical performance. The psoas muscle cross-sectional area and physical performance should be evaluated in patients with liver cirrhosis.
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Citations
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- Development and validation of a reliable method for automated measurements of psoas muscle volume in CT scans using deep learning-based segmentation: a cross-sectional study
Woorim Choi, Chul-Ho Kim, Hyein Yoo, Hee Rim Yun, Da-Wit Kim, Ji Wan Kim BMJ Open.2024; 14(5): e079417. CrossRef
- Factors Associated with Post Stroke Shoulder Subluxation
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Jae Hyun Lee, Woo Hyun Jeon, Ho Joong Jeong, Ghi Chan Kim, Young Joo Sim
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Kosin Med J. 2015;30(1):59-67. Published online January 20, 2015
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DOI: https://doi.org/10.7180/kmj.2015.30.1.59
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Abstract
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Objectives
Shoulder subluxation is common complication after stroke. And it can result in delayed neurological recovery in hemiplegic stroke patients. The aim of this study is identifying the incidence and associating factors of shoulder subluxation in stroke patients.
Methods
Stroke patients from 1 rehabilitation center from January 2008 to January 2012 were enrolled in the present study. The basic demographic data were registered at the time of admission or transfer to rehabilitation center. To assess the shoulder subluxation, we have used fingers'breadth method and plain radiography. We diagnosed shoulder subluxation with vertical distance (VD) were more than 12.4cm on plain anteroposteior view. And then shoulder subluxation was analyzed with associated factors.
Results
Of 154 stroke patients, this retrospective study included 109 patients who met the inclusion criteria, 28 patients had shoulder subluxation. After univariated analysis, shoulder subluxation was significantly associated with motor power of shoulder and elbow, loss of proprioception, stroke duration and functional ability. Especially elbow extensor less than poor grade is mostly related to shoulder subluxation among the motor powers. Then multivariated analysis was carried out including all significant subjects, elbow extensor less than poor grade, loss of proprioception and stroke duration more than 6 months were related to shoulder subluxation.
Conclusions
Post stroke shoulder subluxation was commonly observed, and the incidence was 25.6% in this study. Shoulder subluxation was correlated with muscle power of elbow(less than F grade), loss of proprioception and stroke duration more than 6 months
- The Study of Animal Model of Lymphedema Using the Mouse Tail
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Ho Joong Jeong, Ki Hun Hwang, Young-Joo Sim, Ghi Chan Kim, Young-Ok Kim, Seong-Min Baek
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Kosin Med J. 2012;27(2):141-149. Published online December 27, 2012
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DOI: https://doi.org/10.7180/kmj.2012.27.2.141
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1,771
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Abstract
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Objectives
To investigate the time course of the development of acquired and experimental lymphedema.
Methods
We studied an experimental model of acute post - surgical lymphedema in the tails of female hairless mice. The procedures that remove the skin and subcutaneous tissue in tails of the mice (5-10 mm from tail base) were performed, and then the murine has acquired lymphatic insufficiency. We measured volume of the tails in 2 times per week for 5 weeks, histological biopsy, and lymphoscintigraphy to assess lymphatic flow.
Results
There was gradually increased volume of the tails and observed twice volume at post - surgical 18 days. In lymphoscintigraphy, we identified decreased lymphatic flow and dermal back flow in the tails. Histological biopsy showed inflammatory response that was edema and increased neutrophils in epidermis and subdermis, and lymphatic microvascular dilatation.
Conclusions
We have a mouse model of acute acquired lymphedema. This post - surgical murine tail model of lymphedema can be used to simulate an attribute of human lymphedema and provides knowledge about functional and structural alterations of lymphedema.
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Citations
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- Development and Evaluation of a New In Vivo Volume Measuring System in Mouse Tail Lymphedema Model
Joonmyeong Choi, Kun Yung Kim, Jae Yong Jeon, Sung Hwan Yoon, Jung-Hoon Park, Ho-Young Song, Kyu-Jin Cho Lymphatic Research and Biology.2019; 17(4): 402. CrossRef
- The Relationship between Swallowing Disorder and Physical Function in Stroke
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Do Sung Kim, Young Joo Sim, Ghi Chan Kim, Ho Joong Jeong
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Kosin Med J. 2010;25(2):110-116. Published online December 31, 2010
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- Incidence Change of Traumatic Spinal Cord Injury in Busan
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Kyung Moon Kang, Ghi Chan Kim, Ho Joong Jeong
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Kosin Med J. 2007;22(2):83-88. Published online December 31, 2007
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- Incomplete Tetraplegia after Cervical Epidural Steroid Injections
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Ghi Chan Kim
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Kosin Med J. 2007;22(1):68-71. Published online June 30, 2007
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- The Histologic Changes after Transient Overdistension in the Rabbit Bladder
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Ho Sung Ha, Ho Joon Jeong, Ghi Chan Kim, Kyung Moon Kang
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Kosin Med J. 2006;21(2):98-103.
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- Experimental Bias in Median Sensory Nerve Conduction Study
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Ho Joon Jeong, Ghi Chan Kim
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Kosin Med J. 2006;21(2):104-107.
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- Primary Lymphedema Tarda in a 38-Year-Old Male
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Ho Joong Jeong, Ghi Chan Kim, Moon Sub Eom
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Kosin Med J. 2006;21(2):187-190.
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- Musculoskeletal pain related to Kumdo
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Ho Sung Ha, Ghi Chan Kim, Ho Joong Jeong
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Kosin Med J. 2006;21(1):184-187.
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- Combination Therapy of Fluoride and Low Dose Estrogen in Postmenopausal Osteopenia
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Ghi Chan Kim, Ho Joong Jeong, Jung Bum Shin, Suk Mo Jung
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Kosin Med J. 2004;19(1):226-231.
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- Three Cases of Monomelic Amyotrophy -Case Report-
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Ghi Chan Kim, Ho Joong Jeong, Sang Wook Jeong, Heung Chae Chung, Geun Yeol Jo
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Kosin Med J. 1999;14(1-2):123-132.
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- Early Diagnosis of Diabetic Neuropathy by Median Nerve Sensory Conduction Study
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Ho Joong Jeong, Ghi Chan Kim, Po Sung Jun, Sang Wook Jeong, Kang Ryune Kim
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Kosin Med J. 1999;14(1-2):35-42.
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- Neuralgic Amyotrophy with Paraspinal Muscles Involvement
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Po Sung Jun, Sang Wook Jeong, Ghi Chan Kim, Ho Joong Jeong
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The Journal of Kosin Medical College. 1998;13(1-2):151-157.
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