1.Successful management of pheochromocytoma in early pregnancy.
Bo In JUNG ; Jae Woong CHOI ; Yeon Sun KIM ; Jin Iee CHUNG ; Moon Ho KANG
Journal of Korean Society of Endocrinology 1991;6(2):179-186
No abstract available.
Pheochromocytoma*
;
Pregnancy*
2.A Case of Heat Stroke after a Marathon.
Bo Seung KANG ; Jeong Hoon LEE ; Hyung Kon SONG ; Keun Jung SONG ; Yeon Kwon JEONG
Journal of the Korean Society of Emergency Medicine 2000;11(3):390-396
Heat stroke, a medical emergency, occurs when the body's thermal regulation is upset and unable to dissipate adequate amounts of heat with a rise in body temperature. It is characterized by hyperyrexia, with a core temperature of 40degrees C or more, hot dry skin, and central nervous system disturbance and usually results in rhabdomyolysis and multiorgan failure. Our case, a 43-year-old healthy male, was caused by a marathon, half course, on a sunny day in late summer. He suddenly fell down on the road and was delivered to a nearby hospital, where a seizure developed. He was transfered to our hospital and then displayed Central Nervous System disturbance, hot dry skin, acute liver failure, rhabdomyolysis, anuric acute renal failure, and disseminated intravasculular coagulopathy. He was treated with general supportive care and hemofiltration. Despite the aggressive management, he died of shock on the fifth day after admission.
Acute Kidney Injury
;
Adult
;
Body Temperature
;
Central Nervous System
;
Emergencies
;
Heat Stroke*
;
Hemofiltration
;
Hot Temperature*
;
Humans
;
Liver Failure, Acute
;
Male
;
Rhabdomyolysis
;
Seizures
;
Shock
;
Skin
3.Significance of thymidine kinase activity in the gastrointestinal cancers.
Sung Kyun ROH ; Yeon Woong CHUNG ; Jae Hwang KIM ; Soo Jung LEE ; Koing Bo KWUN
Journal of the Korean Cancer Association 1991;23(2):230-236
No abstract available.
Gastrointestinal Neoplasms*
;
Thymidine Kinase*
;
Thymidine*
4.Association between Sleep Quality and Painless Diabetic Peripheral Neuropathy Assessed by Current Perception Threshold in Type 2 Diabetes Mellitus
Dughyun CHOI ; Bo-Yeon KIM ; Chan-Hee JUNG ; Chul-Hee KIM ; Ji-Oh MOK
Diabetes & Metabolism Journal 2021;45(3):358-367
It is known that the painful sensation of diabetic peripheral neuropathy (DPN) results in sleep problems in type 2 diabetes mellitus (T2DM). However, it is not known that the painless DPN also is associated with poor sleep quality in T2DM. The purpose of the current study was to investigate the association between painless DPN and poor sleep quality in T2DM. A total of 146 patients of T2DM who do not have any painful symptoms of DPN were recruited into the study. Among the patients, painless DPN was diagnosed by using the current perception threshold test. Sleep quality was assessed using the Pittsburgh Sleep Quality Index questionnaire. The percentage of painless DPN was significantly higher in the poor sleep quality group than the good sleep quality group (70.0% vs. 35.5%, The current study showed that painless DPN was associated with poor sleep quality. Future studies are required to clarify the pathophysiologic causal relationship between painless DPN and sleep quality.
5.Hand and Wrist Tuberculosis
Duke Whan CHUNG ; Jung Soo HAN ; Bo Yeon PARK ; Geon Hee LEE ; Oh Soo KWON
The Journal of the Korean Orthopaedic Association 1995;30(3):635-643
Hand and wrist tuberculosis in adults are relatively rare disease. The purpose of treatment is to minimize the limitation of motion and to relieve the pain and swelling of involved joints. The treatments consist of curettage of bone, synovectomy and arthrodesis, which were combined with chemotherapeutic agents for tuberculosis. In the period from June 1989 to Oct. 1993, we performed operative treatment in twelve cases of hand and wrist tuberculosis(hand in 3, wrist in 9). We performed curettage and synovectomy in eight cases and arthrodesis in four. The length of follow up was over one year in all cases. Patients were evaluated by clinical examination, radiography and the Robins criteria for clinical results. The results were analysed, as follows, l. Eight patients who had tenosynovitis with moderate joint destruction were treated by curettage and synovectomy, and seven patients(87.5%) of them were evaluated "good" by Robins criteria. 2. Arthrodesis was performed in four patients who had severe joint destruction, and demonstrates "good" results in 75% of cases. 3. One patient who was treated by synovectomy, complaint intermittent pain after three years postoperatively, but no active lesion was visible on the bone scanning. 4. One patient who was performed wrist arthrodesis feels discomfort during lift up heavy products due to insufficient grip power. In conclusion, the synovectomy and curettage in early diagnosed and not so much advanced hand wrist tuberculsis is more preferable, but arthrodesis is inevitable in advanced cases with profound degree of bony destruction and nonviable cartilage in operative findings, for painless and powerful joint.
Adult
;
Arthrodesis
;
Cartilage
;
Curettage
;
Follow-Up Studies
;
Hand Strength
;
Hand
;
Humans
;
Joints
;
Radiography
;
Rare Diseases
;
Songbirds
;
Tenosynovitis
;
Tuberculosis
;
Wrist
6.Association between Sleep Quality and Painless Diabetic Peripheral Neuropathy Assessed by Current Perception Threshold in Type 2 Diabetes Mellitus
Dughyun CHOI ; Bo-Yeon KIM ; Chan-Hee JUNG ; Chul-Hee KIM ; Ji-Oh MOK
Diabetes & Metabolism Journal 2021;45(3):358-367
It is known that the painful sensation of diabetic peripheral neuropathy (DPN) results in sleep problems in type 2 diabetes mellitus (T2DM). However, it is not known that the painless DPN also is associated with poor sleep quality in T2DM. The purpose of the current study was to investigate the association between painless DPN and poor sleep quality in T2DM. A total of 146 patients of T2DM who do not have any painful symptoms of DPN were recruited into the study. Among the patients, painless DPN was diagnosed by using the current perception threshold test. Sleep quality was assessed using the Pittsburgh Sleep Quality Index questionnaire. The percentage of painless DPN was significantly higher in the poor sleep quality group than the good sleep quality group (70.0% vs. 35.5%, The current study showed that painless DPN was associated with poor sleep quality. Future studies are required to clarify the pathophysiologic causal relationship between painless DPN and sleep quality.
7.Influence of Early Age at Menopause on Bone Mineral Density and Biochemical Bone Marker.
Young Joo PARK ; Chan Soo SHIN ; Do Joon PARK ; Jung Koo KIM ; Sung Yeon KIM ; Bo Yeon CHO ; Hong Gyu LEE ; Jae Hyun KIM ; In Kyung CHUNG
Journal of Korean Society of Endocrinology 1999;14(2):346-354
BACKGROUND: Among the various factors affecting bone mass and bone metabolism, aging and menopause play a major role. After the disappearance of the menstrual cycle, estrogen deficiency is the most important factor in bone loss. It is still unclear whether women with early menopause have a rate of bone loss different from women whose menopause has occurred later. Various biochemical bone markers are increased after menopause but it is still unclear whether women with early menopause have biochemical bone markers different from women whose menopause has occurred later. The aim of this study was to establish whether healthy women with early or normal menopause have different bone mass, biochemical bone markers and rates of bone loss. METHODS: Postmenopausal healthy women were divided into two groups according to their age at menopause(AAM): one group with AAM > 43 years, and the other group with AAM 50 years. Bone mass was measured using a dual energy X-ray absorptiometry(DEXA) in the lumbar, femur neck, femur trochanter, and Wards triangle. Serum levels of bone alkaline phosphatase and osteocalcin, and urine levels of calcium, deoxypyridinoline and type I collagen N-telopeptide were measured using a commercial kit. RESULTS: Age and body mass index in the early menopause group were different from those in the normal menopause group. All the bone mass and the biochemical bone markers in the early menopause group were not different from those in the normal menopause group. We selected 15 subjects from the two groups matched by age and BML Bone mass of femur neck in the early menopause group was lower than in the normal menopause group matched by age and BMI. Bone mass in lumbar, femur trochanter, and Wards triangle was lower in the early menopause group than in the normal menopause group, but the difference between the two groups was not significant. After adjusting years since menopause, we didnt find the difference of bone mass between the two groups. All the bone biochemical markers were not different in the two groups matched by age and BMI. CONCLUSION: Our data suggest that women with early menopause dont lose bone faster than women with normal menopause.
Aging
;
Alkaline Phosphatase
;
Biomarkers
;
Body Mass Index
;
Bone Density*
;
Calcium
;
Collagen Type I
;
Estrogens
;
Female
;
Femur
;
Femur Neck
;
Humans
;
Menopause*
;
Menstrual Cycle
;
Metabolism
;
Osteocalcin
8.Bicanalicular Intubation to Repair Canalicular Laceration Guided by 6-0 Prolene with Pigtail Probe
Sung Yeon JUN ; Bo Ram LEE ; Yeon Jung CHOI ; Sang Un LEE ; Sung Chul KIM
Korean Journal of Ophthalmology 2019;33(6):569-570
No abstract available.
Intubation
;
Lacerations
;
Polypropylenes
9.Effectiveness of group cognitive behavioral therapy with mindfulness in end-stage renal disease hemodialysis patients.
Bo Kyung SOHN ; Yun Kyu OH ; Jung Seok CHOI ; Jiyoun SONG ; Ahyoung LIM ; Jung Pyo LEE ; Jung Nam AN ; Hee Jeong CHOI ; Jae Yeon HWANG ; Hee Yeon JUNG ; Jun Young LEE ; Chun Soo LIM
Kidney Research and Clinical Practice 2018;37(1):77-84
BACKGROUND: Many patients with end-stage renal disease (ESRD) undergoing hemodialysis (HD) experience depression. Depression influences patient quality of life (QOL), dialysis compliance, and medical comorbidity. We developed and applied a group cognitive behavioral therapy (CBT) program including mindfulness meditation for ESRD patients undergoing HD, and measured changes in QOL, mood, anxiety, perceived stress, and biochemical markers. METHODS: We conducted group CBT over a 12-week period with seven ESRD patients undergoing HD and suffering from depression. QOL, mood, anxiety, and perceived stress were measured at baseline and at weeks 8 and 12 using the World Health Organization Quality of Life scale, abbreviated version (WHOQOL-BREF), the Beck Depression Inventory II (BDI-II), the Hamilton Rating Scale for Depression (HAM-D), the Beck Anxiety Inventory (BAI), and the Perceived Stress Scale (PSS). Biochemical markers were measured at baseline and after 12 weeks. The Temperament and Character Inventory was performed to assess patient characteristics before starting group CBT. RESULTS: The seven patients showed significant improvement in QOL, mood, anxiety, and perceived stress after 12 weeks of group CBT. WHOQOL-BREF and the self-rating scales, BDI-II and BAI, showed continuous improvement across the 12-week period. HAM-D scores showed significant improvement by week 8; PSS showed significant improvement after week 8. Serum creatinine levels also improved significantly following the 12 week period. CONCLUSION: In this pilot study, a CBT program which included mindfulness meditation enhanced overall mental health and biochemical marker levels in ESRD patients undergoing HD.
Anxiety
;
Biomarkers
;
Cognitive Therapy*
;
Comorbidity
;
Compliance
;
Creatinine
;
Depression
;
Dialysis
;
Humans
;
Kidney Failure, Chronic*
;
Meditation
;
Mental Health
;
Mindfulness*
;
Pilot Projects
;
Quality of Life
;
Renal Dialysis*
;
Temperament
;
Weights and Measures
;
World Health Organization
10.Analysis of Clinical Types and Retinal Nerve Fiber Layer According to Optic Disc Appearances.
Bo Kun ROH ; Yong Yeon KIM ; Hai Ryun JUNG
Journal of the Korean Ophthalmological Society 2005;46(11):1823-1830
PURPOSE: To evaluate the clinical characteristic of retinal nerve fiber layer (RNFL) and The clinical types of glaucoma according to optic disc appearances. METHODS: Sixty eyes in 60 patients with glaucoma were evaluated retrospectively. Complete ophthalmologic examination, optical coherent tomography (OCT), automated perimetry, stereoscopic optic disc photography and RNFL photography were performed. We classified optic disc pattern into focal, myopic, generalized enlargement, senile sclerotic, and normal appearance types. RESULTS: In 60 eyes with glaucoma, 15 eyes were adult-onset primary open-angle glaucoma (Adult-onset POAG), 22 eyes were normal-tension glaucoma (NTG), 10 eyes were juvenile-onset open-angle glaucoma (JPOAG), and 13 eyes were secondary glaucoma. JPOAG patients were significantly more detected in association with myopic optic disc type (P<0.05). OCT- measured temporal RNFL thickness in focal optic disc pattern were significantly lower than that in myopic optic disc pattern (P<0.05). Age was significantly correlated with temporal RNFL thickness in our study subjects (P<0.036, r=-0.272). CONCLUSIONS: Our study revealed that JPOAG patients may have a relationship with myopic optic disc type. OCT-measured RNFL thickness of glaucoma patients particularly in the temporal quadrant may be related to age.
Glaucoma
;
Glaucoma, Open-Angle
;
Humans
;
Nerve Fibers*
;
Photography
;
Retinaldehyde*
;
Retrospective Studies
;
Visual Field Tests