Journal of The Korean Geriatrics Society最新文献_第8页

Thrombotic Thrombocytopenic Purpura and Rhabdomyolysis Associated With Acute Renal Failure in Hypothyroidism 血小板减少性紫癜和横纹肌溶解与甲状腺功能减退的急性肾功能衰竭有关

Journal of The Korean Geriatrics Society Pub Date : 2014-03-01 DOI: 10.4235/JKGS.2014.18.1.39

Jeonghun Lee, K. Lee, Sung Min Yun, Hyunchoon Shin, S. Nam, N. Cho

引用次数: 2

One-Year Follow-up Pilot Study for Dementia Diagnosis in Elderly with Recall Score of 0 in Korean-version of Mini-Mental State Examination 韩文精神状态测验回忆分数为0分的老年痴呆诊断的1年随访试点研究

Journal of The Korean Geriatrics Society Pub Date : 2014-03-01 DOI: 10.4235/JKGS.2014.18.1.16

Y. Hong, D. Yang, B. Yoon, Y. Shim, A. Cho, I. Han, Myoung Sung Moon

{"title":"One-Year Follow-up Pilot Study for Dementia Diagnosis in Elderly with Recall Score of 0 in Korean-version of Mini-Mental State Examination","authors":"Y. Hong, D. Yang, B. Yoon, Y. Shim, A. Cho, I. Han, Myoung Sung Moon","doi":"10.4235/JKGS.2014.18.1.16","DOIUrl":"https://doi.org/10.4235/JKGS.2014.18.1.16","url":null,"abstract":"Background: The early stage of Alzheimer disease might show early memory impairment with normal general cognitive function. Our study aimed to investigate elderly with normal Korean version of mini-mental state examination (KMMSE) score and recall score of 0 for 1 year. We predicted that the patients would show different characteristics and would progress more rapidly compared with normal controls. Methods: This study was based on the data from complete enumeration survey of Mapo-gu Regional Center for Dementia in 2009. We divided all subjects into three groups: subjects with normal K-MMSE scores and recall score of 0 were group 1-1 (n=152), subjects with abnormal K-MMSE scores were group 1-2 (n=64) and subjects with normal K-MMSE scores and recall score of 1 to 3 were group 1-3 (n=941). We compared basic demographics and social characteristics among the three groups. After 1 year (2010), the subjects in group 1-1 (90 out of 152) underwent follow-up examinations for dementia diagnosis. They were also divided into three groups (2-1, 2-2, 2-3) according to K-MMSE and recall scores. Results: Group 1-1 showed different baseline characteristics compared with normal controls. After 1 year, 25.5% (23 out of 90) of the group 2-1 were diagnosed as mild cognitive impairment (n=16) or dementia (n=7). Conclusion: Our study suggested that subjects with normal K-MMSE scores but recall score of 0 are not entirely “normal”. Further detailed evaluation might be needed if memory impairment is suspicious although the K-MMSE scores are within normal range.","PeriodicalId":191447,"journal":{"name":"Journal of The Korean Geriatrics Society","volume":"53 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132172967","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}

引用次数: 3

Tuberculous Peritonitis Mimicking Primary Peritoneal Carcinoma 结核性腹膜炎模拟原发性腹膜癌

Journal of The Korean Geriatrics Society Pub Date : 2014-03-01 DOI: 10.4235/JKGS.2014.18.1.35

H. Kwon, D. Lim, J. Choi, S. Jang, K. Park, Jae Seuk Park, S. Lee

引用次数: 0

Ectopic Adrenocorticotropic Hormone Syndrome Associated With Thymic Carcinoma in Old Age 异位促肾上腺皮质激素综合征与老年胸腺癌相关

Journal of The Korean Geriatrics Society Pub Date : 2013-12-30 DOI: 10.4235/JKGS.2013.17.4.228

Min Gyu Kim, Il Hwan Ryu, Joo Seok Kim, Su-Ah Yoon, Jae Min Lee, H. Yu, K. Park

{"title":"Ectopic Adrenocorticotropic Hormone Syndrome Associated With Thymic Carcinoma in Old Age","authors":"Min Gyu Kim, Il Hwan Ryu, Joo Seok Kim, Su-Ah Yoon, Jae Min Lee, H. Yu, K. Park","doi":"10.4235/JKGS.2013.17.4.228","DOIUrl":"https://doi.org/10.4235/JKGS.2013.17.4.228","url":null,"abstract":"Department of Internal Medicine, Eulji University Hospital, Eulji University School of Medicine, Daejeon, Korea A 70-year-old woman who developed a moon face was hospitalized. At admission, adrenocorticotropic hormone (ACTH) and serum cortisol levels were elevated. A high-dose dexamethasone suppression test demonstrated that cortisol secretion was uninhibited. Furthermore, chest computed tomography revealed an anterior mediastinal mass. On the basis of these results, ectopic ACTH syndrome was diagnosed and complete resection of the thymic tumor was performed. Histological examination revealed large cell neuroendocrine carcinoma of the thymus and positive immunoreactivity for ACTH. However, despite complete excision of the thymic tumor, ACTH and serum cortisol levels were high. Therefore, we investigated whether the lesion had recurred or metastasized; however, the results were inconclusive. Finally, laparoscopic bilateral adrenalectomy was performed to control the hypercortisolemia. After the surgery, the serum cortisol level was well-controlled and the general condition of the patient was good.","PeriodicalId":191447,"journal":{"name":"Journal of The Korean Geriatrics Society","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123937331","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}

引用次数: 0

White Matter Lesions in a Patient With Creutzfeldt-Jakob Disease 克雅氏病患者的白质病变

Journal of The Korean Geriatrics Society Pub Date : 2013-12-01 DOI: 10.4235/JKGS.2013.17.4.259

H. Lee, H. Park, Hyuk Chang

引用次数: 1

Atypical Stress Induced Cardiomyopathy During Endoscopic Sinus Surgery With Septoplasty in an Elderly Male Patient 非典型应激性心肌病在内窥镜鼻窦手术与中隔成形术中的老年男性患者

Journal of The Korean Geriatrics Society Pub Date : 2013-12-01 DOI: 10.4235/JKGS.2013.17.4.219

Hee Sook Lee, J. R. Yi, Y. N. Jung, G. Jo, J. Sir, Seung Min Choi

引用次数: 2

The Value of Neutrophil-Lymphocyte Count Ratio for Disease Severity in Nursing Home Acquired Pneumonia Patients 中性粒细胞-淋巴细胞计数比对疗养院获得性肺炎患者病情严重程度的价值

Journal of The Korean Geriatrics Society Pub Date : 2013-12-01 DOI: 10.4235/JKGS.2013.17.4.213

D. Rhee, Sang Hyun Park, H. J. Choi, M. Kwon, D. Cho

{"title":"The Value of Neutrophil-Lymphocyte Count Ratio for Disease Severity in Nursing Home Acquired Pneumonia Patients","authors":"D. Rhee, Sang Hyun Park, H. J. Choi, M. Kwon, D. Cho","doi":"10.4235/JKGS.2013.17.4.213","DOIUrl":"https://doi.org/10.4235/JKGS.2013.17.4.213","url":null,"abstract":",Background: We evaluated the value of neutrophil-lymphocyte count ratio (NLCR) in patients admitted to the Emergency Department (ED) with suspected nursing home acquired pneumonia (NHAP) Methods: From May 2011 to January 2013, 116 patients admitted to the ED with suspected NHAP were retrospectively studied. The clinical characteristics, C-reactive protein (CRP), white blood cell count, neutrophil count, lymphocyte count, and NLCR were assessed. CURB-65 score was used to calculate disease severity. General ward or intensive care unit (ICU) admissions, and 72-hour and 30-day mortality for each infection marker was assessed. Results: The 116 patients had a median age of 77 years. As the CURB-65 score increased from 0-1 (low risk), to 2-3 (moderate risk), and to 4-5 (high risk), the NLCR consistently increased (mean, 6.9, 8.89, and 16.22, respectively). The difference between the moderate and high risk groups was significant (p=0.008). The NLCR (mean±standard deviation) was high in patients with NHAP (10.28±8.81) and increased even more for patients admitted to the ICU (15.69 ±14.81) or who died within 72-hour (15.63±9.57). NLCR showed the trend of higher value in ICU admission (p=0.072), and CRP was significantly different between ICU and general ward admission (p=0.007). Conclusion: NLCR at ED admission correlated with NHAP severity and was comparable to the traditional infection marker. NLCR can be assessed simply and added to the assessment tools to determine the severity of pneumonia during ED admission.","PeriodicalId":191447,"journal":{"name":"Journal of The Korean Geriatrics Society","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123186334","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}

引用次数: 2

Klebsiella pneumoniae Liver Abscess Complicated With Septic Pulmonary Embolism 肺炎克雷伯菌肝脓肿合并脓毒性肺栓塞

Journal of The Korean Geriatrics Society Pub Date : 2013-12-01 DOI: 10.4235/JKGS.2013.17.4.239

J. R. Yi, Yeop Yoon, Y. N. Jung, Hee Sook Lee, G. Jo, Ina Jeong

{"title":"Klebsiella pneumoniae Liver Abscess Complicated With Septic Pulmonary Embolism","authors":"J. R. Yi, Yeop Yoon, Y. N. Jung, Hee Sook Lee, G. Jo, Ina Jeong","doi":"10.4235/JKGS.2013.17.4.239","DOIUrl":"https://doi.org/10.4235/JKGS.2013.17.4.239","url":null,"abstract":"Klebsiella pneumoniae has been reported to be the most common pathogen causing pyogenic liver abscess. K. pneumoniae liver abscess occurs fairly often in patients with diabetes mellitus, and is commonly associated with metastatic infections such as brain abscess, endophthalmitis, lung abscess, osteomyelitis, prostatitis, necrotizing fasciitis and infection in other sites. Although septic pulmonary embolism (SPE) is uncommon, it is a serious metastatic complication of K. pneumoniae liver abscess. Chest computed tomography (CT) scans are crucial in making the early diagnosis of SPE; however, it does not provide the basis for a definitive diagnosis. A 70-year-old man was referred to the Department of Pulmonology due to cough and an abnormal chest radiography. The chest CT scans revealed relatively well-demarcated, round multiple nodules with peripheral preponderance, cavitary mass in the right upper lobe of the lung and low-density hepatic cystic masses. Bronchoscopic examination and percutaneous needle aspiration of the lung were performed, but there was no evidence of malignancy. Finally, K. pneumoniae was grown from a bronchial washing specimen and blood culture. Intravenous carbapenem was administered over a 3-week period and follow-up CT scans showed improvement in both the lung and the liver. We report a case of K. pneumoniae liver abscess complicated with SPE requiring differential diagnosis of hematogenous metastatic malignancy on CT scans in an elderly patient.","PeriodicalId":191447,"journal":{"name":"Journal of The Korean Geriatrics Society","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131027068","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}

引用次数: 1

The Features and Prognoses in Organophosphate Intoxication according to Age 不同年龄有机磷中毒的特点及预后

Journal of The Korean Geriatrics Society Pub Date : 2013-12-01 DOI: 10.4235/JKGS.2013.17.4.198

Seung Wook Lim, Seung Min Park, Young-Hwan Lee, W. Lee, J. Ahn, Y. Sohn, H. Ahn, Hyun Kim

{"title":"The Features and Prognoses in Organophosphate Intoxication according to Age","authors":"Seung Wook Lim, Seung Min Park, Young-Hwan Lee, W. Lee, J. Ahn, Y. Sohn, H. Ahn, Hyun Kim","doi":"10.4235/JKGS.2013.17.4.198","DOIUrl":"https://doi.org/10.4235/JKGS.2013.17.4.198","url":null,"abstract":"Background: The purpose of this study was to identify the factors that influence mortality in organophosphate intoxication and the differences between the elderly (≥65 years) and younger adults (18-64 years) looking at vital sign, length of admission, cholinesterase activity, complications, and prognosis. Methods: All patients visiting one Emergency Department (ED) with organophophate intoxication between January 2000 and December 2011 were reviewed retrospectively. We divided the patients into two groups, geriatric adults (≥ 65 years) and nongeriatric adults (18-64 years). Results: During the study period, 155 patients (45 patients, ≥65 years; 110 patients, 18-64 years) presented to the ED with organophosphate intoxication. Thirty-six elderly patients (80.0%) vs. 63 younger adult patients (57.3%) were intubated endotracheally, with the analysis showing a clear distinction between the two groups (p=0.026). Twenty-two elderly patients (48.9%) vs. 23 younger adult patients (20.9%) went into shock, displaying a significant gap (p=0.008). Thirtyfive elderly patients (81.4%) vs. 62 younger adult patients (59.0%) developed respiratory complications and 20 elderly patients (46.5%) vs. 19 younger adult patients (18.1%) developed central nervous system complications, with obvious differences seen in each of the comparison at (p=0.031) and (p=0.005), respectively. Comparing plasma cholinesterase levels at 1st, 3rd, 5th, 10th, 15th, and 20th days, the rate of increase was faster in the younger adults (p=0.022). Conclusion: With organophosphate intoxication, elderly patients tended to be intubated endotracheally, went into shock, developed central nervous system complications, were more severe, and showed a slower increase in cholinesterase level.","PeriodicalId":191447,"journal":{"name":"Journal of The Korean Geriatrics Society","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129609551","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}

引用次数: 1

Does the Incidence of Rhabdomyolysis Induced by Doxylamine Overdose Increase in the Elderly 老年多西胺过量引起横纹肌溶解的发生率增加吗

Journal of The Korean Geriatrics Society Pub Date : 2013-12-01 DOI: 10.4235/JKGS.2013.17.4.185

Yong Lim, H. S. Choi, O. Kwon, J. S. Lee, H. Hong, Y. Ko, S. G. Lim, S. Kim, Dong Pil Kim

{"title":"Does the Incidence of Rhabdomyolysis Induced by Doxylamine Overdose Increase in the Elderly","authors":"Yong Lim, H. S. Choi, O. Kwon, J. S. Lee, H. Hong, Y. Ko, S. G. Lim, S. Kim, Dong Pil Kim","doi":"10.4235/JKGS.2013.17.4.185","DOIUrl":"https://doi.org/10.4235/JKGS.2013.17.4.185","url":null,"abstract":"Background: Doxylamine is an over-the-counter drug that is popular in the treatment of insomnia. Doxylamine is relatively safe but can cause rhabdomyolysis. The aim of this study was to evaluate whether the incidence of rhabomyolysis increased in elderly patients (age≥65 years) with doxylamine overdose. Methods: This study included 108 patients admitted to an Emergency Department after doxylamine overdose between January 1, 2000, and March 31, 2013. Age, sex, time ingested before admission, amount of drug ingested, gastric lavage, tachycardia, vomiting, hematuria, blood urea nitrogen, blood creatinine, urine pH, and alcohol ingestion were investigated for the risk factors of rhabdomyolysis. Results: Forty-three patients (47.6%) developed rhabdomyolysis. Of 16 elderly patients, 11 developed rhabdomyolysis. Of the 92 patients <65 years-of-age, 34 developed rhabdomyolysis. Advanced age, alcohol ingestion, and increased blood creatinine level were significantly associated with the development of rhabdomyolysis. Conclusion: In elderly patients with doxylamine overdose, the incidence rate of rhabdomyolysis may be increased. A high index of suspicion and evaluation of rhabdomyolysis is warranted in elderly patients with doxylamine overdose.","PeriodicalId":191447,"journal":{"name":"Journal of The Korean Geriatrics Society","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129651875","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}

引用次数: 0