Min Seong Kim, Chan Park, K. Sohn, C. Song, Shinhye Cheon, Y. Kim
{"title":"Vertebral Osteomyelitis due to Mycobacterium intracellulare in an Immunocompetent Elderly Patient After Vertebroplasty","authors":"Min Seong Kim, Chan Park, K. Sohn, C. Song, Shinhye Cheon, Y. Kim","doi":"10.4235/JKGS.2016.20.1.56","DOIUrl":"https://doi.org/10.4235/JKGS.2016.20.1.56","url":null,"abstract":"Mycobacterium avium complex (MAC) comprises M. intracellulare and M. avium. MAC usually causes pulmonary diseases in individuals with intact immunity, disseminated disease in patients with acquired immunodeficiency syndrome, and cer- vical lymphadenitis. It can also cause cutaneous disease, but musculoskeletal infection is rare. Herein, we present a case of vertebral osteomyelitis due to M. intracellulare in an elderly immunocompetent patient who underwent vertebroplasty. The patient was successfully treated with antimycobacterial drugs without surgical intervention. MAC should be considered as a causative pathogen of vertebral osteomyelitis when the patient has a history of vertebroplasty.","PeriodicalId":191447,"journal":{"name":"Journal of The Korean Geriatrics Society","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131395431","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jong Won Park, H. S. Choi, J. S. Lee, H. Hong, Y. Ko
{"title":"Clinical Characteristics of Geriatric Patients with Digestive System Foreign Body in Emergency Center","authors":"Jong Won Park, H. S. Choi, J. S. Lee, H. Hong, Y. Ko","doi":"10.4235/JKGS.2015.19.4.226","DOIUrl":"https://doi.org/10.4235/JKGS.2015.19.4.226","url":null,"abstract":"Background: In patients with foreign bodies in their digestive systems, old age is associated with higher rates of incidence and complications. Therefore, we compared the characteristics of geriatric patients with nongeriatric patients who were found to have with foreign bodies in their digestive systems. Methods: We retrospectively analyzed 497 cases of foreign bodies in the digestive system over the period from 2010 through 2014. Patients were divided into two groups: nongeriatric (20-64 years, n=404) and geriatric (≥65 years, n=93). Results: The geriatric patients had more underlying diseases (12.0% vs. 3.0%), took longer to arrive at the hospital (8.92± 21.31 hours vs. 4.50±14.76 hours, p<0.001), and had higher complication rates (4.3% vs. 0.2%, p<0.001), and longer hospital stays (4.88±4.26 days vs. 3.08±2.97 days, p<0.001). The following factors were significantly different between the geriatric and nongeriatric patients: type (p<0.001) and the locations (p=0.001) of the foreign bodies and their management (p=0.001). In the geriatric patients, the detected foreign bodies were more frequently located in the esophagus (46.0% vs. 17.4%), especially in the upper esophagus (30.0% vs. 14.5%). Smooth-shaped foreign bodies (18.0% vs. 5.0%) and food lumps (16.0% vs. 3.3%) were also frequently detected in the geriatric patients. Conclusion: In comparison with nongeriatric patients, the geriatric patients had more smooth-shaped shaped foreign bodies such as food lumps in their esophagi, and this patient group also showed higher rates of admission and complications. Thus, differences between geriatric and nongeriatric patients should be considered carefully in evaluating foreign bodies in the digestive system to prevent late diagnosis and further complications.","PeriodicalId":191447,"journal":{"name":"Journal of The Korean Geriatrics Society","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134451617","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jun Hyung Park, N. Kim, Jung Ae Lee, C. Rim, Y. Song, Younghun Kim, Sori Kim, Jong Woo Kim, Sang-ho Shin, S. Gong
{"title":"Regression of a Mucosa-Associated Lymphoid Tissue Lymphoma of the Urinary Bladder After Helicobacter pylori Eradication Therapy in an Elderly Patient","authors":"Jun Hyung Park, N. Kim, Jung Ae Lee, C. Rim, Y. Song, Younghun Kim, Sori Kim, Jong Woo Kim, Sang-ho Shin, S. Gong","doi":"10.4235/JKGS.2015.19.4.244","DOIUrl":"https://doi.org/10.4235/JKGS.2015.19.4.244","url":null,"abstract":"Primary low-grade lymphoma of the mucosa-associated lymphoid tissue (MALT) type lymphoma of the bladder is rare. A relationship between MALT lymphoma of the urinary bladder and chronic cystitis has been proposed by some reports. Addi- tionally a relationship between MALT lymphoma of the urinary bladder and Helicobacter pylori has been reported. Here we present a case of regression of urinary bladder MALT lymphoma after antibiotic therapy, using H. pylori eradication protocol in an elderly patient, who had a high risk of treatment related mortality in curative systemic chemotherapy. The patient is a 74-year-old woman who had a history of chronic cystitis. She was diagnosed with stage IIA primary MALT lym- phoma of the urinary bladder and was treated with H. pylori eradication triple therapy for 2 weeks. After 2 months, there was a marked regression of the bladder MALT lymphoma lesion in a computed tomography scan of the abdomen.","PeriodicalId":191447,"journal":{"name":"Journal of The Korean Geriatrics Society","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116219254","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hee‐jae Kim, D. Yoon, Byunghun So, J. Son, H. Song, D. Kim, Su Seung Hwang, Min Ji Kang, Dong Won Lee, Ga-young Han, Wook Song
{"title":"Practical Application of Resistance Exercise for Prevention of Sarcopenia","authors":"Hee‐jae Kim, D. Yoon, Byunghun So, J. Son, H. Song, D. Kim, Su Seung Hwang, Min Ji Kang, Dong Won Lee, Ga-young Han, Wook Song","doi":"10.4235/JKGS.2015.19.4.205","DOIUrl":"https://doi.org/10.4235/JKGS.2015.19.4.205","url":null,"abstract":"Sarcopenia is a major component of age-related frailty and also a strong predictor of disability, morbidity, and mortality in the aging population. Resistance exercise could be the most effective intervention that improves muscle mass, muscle strength, and physical performance, thus preventing sarcopenia in older adults. The benefits of these exercise programs correlate with the intensity and the frequency of the exercise regimes used in the trials. Clinical trials vary in terms of population, setting, and exercise regimes; hence, more standardized clinical trials are required. In this review, we focus on the effects of resistance exercise on muscle mass, strength, cognitive and physical function, and the principle and applications of resistance exercise considering recent trends that include high-intensity interval training, high speed power training, eccentric exercise, and whole-body vibration exercise.","PeriodicalId":191447,"journal":{"name":"Journal of The Korean Geriatrics Society","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126550908","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Won Seok Heo, H. Baik, J. Kang, Ju Sang Park, Sang Jong Park, E. Jang, S. Park, Sang Jung Kim, Byung Sung Koh, Gi Tark Noh, Kyung Han Lee, J. Choi
{"title":"The Prevalence of Sarcopenia in Korean Hospitalized Elderly","authors":"Won Seok Heo, H. Baik, J. Kang, Ju Sang Park, Sang Jong Park, E. Jang, S. Park, Sang Jung Kim, Byung Sung Koh, Gi Tark Noh, Kyung Han Lee, J. Choi","doi":"10.4235/JKGS.2015.19.4.235","DOIUrl":"https://doi.org/10.4235/JKGS.2015.19.4.235","url":null,"abstract":"Background: Sarcopenia is a syndrome characterized by the progressive loss of skeletal muscle mass and muscle strength. Although data exist on the prevalence of sarcopenia of the community-dwelling elderly, there has been no systematic research about hospitalized elderly patients in South Korea, in accordance with the newly developed criteria. Methods: A cross-sectional study was conducted at theDaejin Medical Center, BundangJesaeng Hospital, South Korea, from May 2013 to March 2015. In this study, the following were checked: the level of hemoglobin, total cholesterol, serum albumin, serum prealbumin, and serum zinc. Furthermore,there was a measurement of theskeletal muscle mass by bioelectrical impedance analysis (BIA). Sarcopenia is defined as the presence of low muscle mass, as assessed by Bioelectrical Impedance Analysis (BIA), according to the European Working Group on Sarcopenia in Older People (EWGSOP). Results: The hospitalized elderly subjects with a definite diagnosis of sarcopenia were 32(37%), whereas 54(63%) had no sarcopenia. The prevalence of sarcopenia of those who were investigated was higher in males than females (males, 68.7% vs. females, 18.5%). In an additional correlation analysis, the score of skeletal muscle index (SMI) is negatively correlated with age and the length of hospital stay; however, it is positively correlated with the BMI, body weight, and serum level of prealbumin. Conclusions: The prevalence of sarcopenia in hospitalized elderly patients is high. This study showed that sarcopenic subjects were associated with several factors, including age, BMI, serum prealbumin level, and hospital stay. Sarcopenia can be used as a sensitive predictive marker for prognosis of the hospitalized elderly.","PeriodicalId":191447,"journal":{"name":"Journal of The Korean Geriatrics Society","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128466271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Effects of Zolpidem on Akinesia in a Parkinson Disease Patient: A Case Report","authors":"Min jeong Kim","doi":"10.4235/JKGS.2015.19.4.241","DOIUrl":"https://doi.org/10.4235/JKGS.2015.19.4.241","url":null,"abstract":"Zolpidem, an imidazopyridine drug that affects the gamma-aminobutyric acid receptor, is typically used as a hypnotic sedative. It has been reported that this drug improves motor symptoms in patients with various movement disorders, including Parkinson disease. We presented a patient with advanced Parkinson disease who demonstrated improved akinesia after taking zolpidem without sleep induction or consciousness changes.","PeriodicalId":191447,"journal":{"name":"Journal of The Korean Geriatrics Society","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121731957","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Young Jae Lee, Wonhee Kim, G. Kang, Y. Jang, H. Choi, Young Yong Kim, Jae Guk Kim, Hyeongtae Kim
{"title":"Analysis of Prognostic Factors for Return of Spontaneous Circulation and Survival in Elderly Patients with Cardiac Arrest","authors":"Young Jae Lee, Wonhee Kim, G. Kang, Y. Jang, H. Choi, Young Yong Kim, Jae Guk Kim, Hyeongtae Kim","doi":"10.4235/JKGS.2015.19.4.218","DOIUrl":"https://doi.org/10.4235/JKGS.2015.19.4.218","url":null,"abstract":"This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/). ▸Received: June 4, 2015, ▸Revised: September 24, 2015, ▸Accepted: September 25, 2015 Address for correspondence: Wonhee Kim, MD Department of Emergency Medicine, Hallym University Kangnam Sacred Heart Hospital, Hallym University College of Medicine, 1 Singil-ro, Yeongdeungpo-gu, Seoul 07441, Korea Tel: +82-2-829-5275, Fax: +82-2-842-4217, E-mail: wonsee02@gmail.com 노인 심정지 환자의 자발순환 회복 및 생존에","PeriodicalId":191447,"journal":{"name":"Journal of The Korean Geriatrics Society","volume":"53 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114418669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}