1.Alcoholic Liver Cirrhosis with Multiple Pulmonary Consolidations.
Young Soo AHN ; Sang Moo LEE ; Jong Eun JOO
Tuberculosis and Respiratory Diseases 2002;53(1):79-84
Pulmonary nocardiosis is an infrequent but severe infection due to the microorganism, Nocardia spp, which may behave as both an opportunists and as a primary pathogens. Usually nocardiosis is found in patients under immunosuppressive regimens for organ transplans, chemotherapy for a malignancy and corticosteroids. The experience of pulmonary nocardiosis in the medical literature is limited to just case reports, with a few series including extrapulmonary nocardiosis. It is believed that the incidence of this infection has been increasing since 1960. The diagnosis is difficult because of the nonspecific clinical manifestations, the lack of laboratory evidence, and the non-specific radiographic findings. Here, we report a case of pulmonary nocardiasis in a 66 year-old patient with alcoholic liver cirrhosis who has suffered from acutely developed dyspnea and general edema. The nocardia species. was cultured from a specimen obtained by a percutaneous transthoracic needle biopsy.
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2.Low-grade Immature Teratoma of the Ovary with Gliomatosis Peritonei: A case report.
Korean Journal of Pathology 1994;28(3):322-324
Immature teratoma accounts for less than I percent of all ovarian teratomas and occurs commonly in young individuals, the peak incidence being in the second decade. It contains a variable mixture of mature and immature tissues in which neuroectodermal elements almost always predominate. Gliomatosis peritonei, miliary implants of mature glial tissues on the peritoneum or omentum, is an infrequently reported complication of mature or immature ovarian teratomas. We describe the first case in Korea of a 12-year-old girl with an immature teratoma and numerous glial peritoneal implants.
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3.Two Cases of Congenital Renal Hypoplasia.
Jun Ho CHANG ; Oh Tac WHANG ; Tae Eun CHOUNG ; Kwang Soo JUN ; Eung Jib KWAN
Korean Journal of Urology 1971;12(4):409-412
The incidence of congenital unilateral renal hypoplasia is extremely rare.Two cases of congenital unilateral renal hypoplasia were presented with review of literature.
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4.MR Findings of the Intraventricular Tumors.
Ji Hoon SIN ; Ho Kyu LEE ; Hyun Jin KIM ; Chang Jin KIM ; Soo Mee LIM ; Myung Joon LEE ; Choong Gon CHOI ; Dae Chul SUH
Journal of the Korean Radiological Society 1998;38(6):993-999
With regard to various pathologic conditions, it is important to understand not only MR findings, which dependon the anatomic location of intraventricular lesions, but also the anatomic location most appropriate for surgicalintervention. In this paper we will analyze and demonstrate the incidence and characteristic MR findings ofvarious intraventricular tumors according to the location of ventricles.
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5.Incidence of Acute Placental Inflammation through Histopathological Analysis: One year experience in 1995 at Seoul National University Hospital.
Hyun Ju YOO ; Yun Kyung KANG ; Chong Jai KIM ; Jung Sun KIM ; Tae Sook KIM ; Kyung Cheun JUNG ; Kyo Hoon PARK ; Jong Kwan JUN ; Bo Hyun YOON
Korean Journal of Pathology 1996;30(12):1123-1128
The diagnosis of acute inflammation of the placenta, represented as acute chorioamnionitis, is important in that it is associated with a poor clinical outcome for both the mother and the fetus, including major perinatal morbidities such as sepsis, respiratory distress syndrome, and CNS damage. However, current medical trends in Korea seem to overlook the significance of a histopathological diagnosis of acute placental inflammation, mainly due to the indifferences of clinicians and pathologists. Since late 1993, histopathological examinations have been performed on preterm placentas at Seoul National University. These examinations have demonstrated acute placental inflammation in a significant number of cases. In the present study the incidence of acute placental inflammation was analyzed in 521 placentas which were submitted for pathological examinations in 1995. Examinations were performed to provide basic information on the incidence and profile of acute placental inflammation in this hospital and, thereby, to emphasize the significance of histopathological examinations of the placenta in the routine surgical pathology service. Among the 521 placentas, acute inflammation was found in 194 cases (37.2%). In preterm placentas acute inflammation was found in 39.6% of the cases (67/169), while 36.1% (127/352) of term placentas showed acute inflammation. Taking the delivery mode into account, 26.3% (49/186) of the placentas delivered by cesarean section showed acute inflammation, while 43.3% (145/335) of the transvaginally delivered placentas showed inflammation. The present analysis demonstrates the existence of acute inflammation in a significant proportion of placentas with different clinical settings. The importance of a histopathological examination in routine hospital practice should be emphasized.
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6.Cardiac Lipoma Combined with Paroxysmal Atrial Tachycardia.
Chan Beom PARK ; Min Seop JO ; Ung JIN ; Deog Gon CHO ; Kyu Do CHO ; Chi Kyung KIM ; Young Pil WANG
The Korean Journal of Thoracic and Cardiovascular Surgery 2005;38(6):438-440
The incidence of primary cardiac tumor is rare, furthermore the cardiac tumor which cause arrhythmia is very rare. We presesent a case of cardiac lipoma combined with paroxysmal atrial tachycardia.
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7.Transient Cortical Blindness: A Rare Complication of Bronchial Artery Embolization.
In Jae OH ; Kyu Sik KIM ; Soo Ok KIM ; Yeon Kyung LEE ; Jin Young JU ; Gye Jung CHO ; Kyung Hwa PARK ; Young Choon KO ; Sung Chul LIM ; Young Chul KIM ; Kyung Ok PARK ; Woong YOON ; Jae Kyu KIM
Tuberculosis and Respiratory Diseases 2002;53(2):209-215
Bronchial artery embolization (BAE) is a well accepted and effective treatment for massive and recurrent hemoptysis. However, several complications of BAE have been reported. Cortical blindness is defined as a loss of vision caused by bilateral occipital lobe lesions with normal pupillary light reflexes and a normal fundus. The reported incidence of transient cortical blindness (TCB) after cerebrovertebral angiography is approximately 1%. Two cases of TCB after BAE were found from a Medline search. Here, we report another case of TCB who was treated with BAE for a massive hemoptysis.
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8.Transient Cortical Blindness: A Rare Complication of Bronchial Artery Embolization.
In Jae OH ; Kyu Sik KIM ; Soo Ok KIM ; Yeon Kyung LEE ; Jin Young JU ; Gye Jung CHO ; Kyung Hwa PARK ; Young Choon KO ; Sung Chul LIM ; Young Chul KIM ; Kyung Ok PARK ; Woong YOON ; Jae Kyu KIM
Tuberculosis and Respiratory Diseases 2002;53(2):209-215
Bronchial artery embolization (BAE) is a well accepted and effective treatment for massive and recurrent hemoptysis. However, several complications of BAE have been reported. Cortical blindness is defined as a loss of vision caused by bilateral occipital lobe lesions with normal pupillary light reflexes and a normal fundus. The reported incidence of transient cortical blindness (TCB) after cerebrovertebral angiography is approximately 1%. Two cases of TCB after BAE were found from a Medline search. Here, we report another case of TCB who was treated with BAE for a massive hemoptysis.
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9.Incidence of Parasites in Seoul Area Based on An Examination of the Severance Hospital Out-Patients.
Chin Thack SOH ; Keun Tae LEE ; Eui Woong SHIN ; Tae Chul KANG
Yonsei Medical Journal 1961;2(1):31-41
Of 14,682 samples of feces examined, 81.7% were positive for intestinal helminths. Trichocephalus trichiurus was observed most frequently, in 73.2%. Eight other species of helminths found were Ascaris lumbricoides, Hookworm, Trichostrongylus orientalis, Clonorchis sinensis, Tapeworm, Hymenolepis nana, Paragoniumus westermani and Enterobius vermicularis, listed in decreasing order. Double infections were found more frequently than single infections, and mixed infection of five or more species of helminths occurred in 0.2% Of 10,320 samples of feces examined, 22.3% were positive for intestinal protozoa, Entamoeba coli was observed most frequently, in 11.1%. Six other species, Endolimax nana, Giardia lamblia, Entamoeba histolytica, Iodamoeba butschlii, Chilomastix mesnill and lsospora hominis were found, in the order. It was noticed that E. histolytica was found more frequently in trichurial infection than with other helminths. Of 1,050 samples of sputum from the T. B. Clinic, 7.0% were positive for paragonimus eggs. Trichomonas vaginalis were found in 35.8%of 1,146 vaginal swabs examined. Seven cases of Plasmodium vivax infection were found among 140 suspected blood smears.
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10.Study on Establishment of Disease Database and Query System Through Internet Using Uniform Hospital Discharge Data Sets.
Yoo Kyung PU ; Kwang Hwan KIM ; Sun Won SEO ; Jin Sook SUH ; Mi Jeong KIM ; Jung Don SEO ; Seok Jun YOON ; Young Sung LEE ; Moo Sik LEE
Journal of Korean Society of Medical Informatics 2002;8(3):19-26
It is necessary to have accurate statistical data of disease for planning and evaluating public health policy as well as assessing population health index. The national health insurance data is the only data to assess incidence of diseases nation-wide. However, inaccuracy of the data pose serious limitations of use of the data. The Medical Record Departments of individual health facilities have used discharge summary information for hospital management and clinical research, but a nation-wide integrated database of diseases has not been setup and utilized. We applied previously developed Korean Uniform Hospital Discharge Data Sets to collect discha rge summary data from health care facilities and establish integrated database. We also made the question and answer column about disease of the database in the internet. We collected patient discharge data from a tertiary-care hospital for one year using the electronic discharge summary data collection system, except for health care costs. The internet querying system provided optional selection of columns or rows, individual and/or disease groups and surgical procedures. To make query easy, the system provided various functions like querying codes of diseases and/or surgical operations, reviewing questions, downloading results via excel files, help functions of query. The establishment of disease database and the interactive system through internet is in its inception, further studies may be necessary to make it a user friendly and accurate system. There is a need of an accurate assessment of current population-based health status and future trends in Korea. It is hoped that this study may trigger to establish national accurate database for enhancing studies of health policy making, clinical research and vital health statistics by expanding data collections to the se condary- care and primary- care institutions.
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