1.Comparison of Bone Mineral Density and Lipid Profiles in Pre and Postmenopausal Women.
Soo Young KIM ; Han Jin OH ; Soon Yeong CHANG
Journal of the Korean Academy of Family Medicine 1997;18(9):910-917
BACKGROUND: Estrogen deficiency accelerates loss of bone mass and changes lipid profile in the postmenopausal women, so that the osteoporosis and astherosclerosis were developed. But it has not enough studies including the premenopausal women. So we have investigated about the differences of body mass index(BMI), lipid profile and bone mineral density (BMD) with pre- and postmenopausal women. METHODS: We have evaluated 201 premenopausal women and 322 postmenopausal women out of total 651 who had visited Health Screening Center in the hospital of Eul-Ji Medical College from November, 1995 to July, 1996. RESULTS: The mean age of total subjects, premenopausal women, postmenopausal women were 51.9, 43.9, 56.8 years, respectively. The mean period after menopause was 8.1 years. Significant difference was seen in BMI, lipid profile and BMD according to age and menopause(P<0.01). BMI was related to lipid profile(P<0.01), but not to BMD(P>0.1). In postmenopausal women BMI, BMD and lipid profile were related to postmenopausal period (P<0.05). In viewing their correlations BMD had strong adverse correlations with factors such as age, menopause, and postmenopausal period. Lipid profile had weak positive correlations with factors such as age, menopause, BMI(P<0.001). CONCLUSIONS: The lipid profile are related to factors such as age, BMI, menopause, and postmenopausal period. The BMD is related to above factors except BMI. Prospective study is needed to evaluate the influence of estrogen on BMD and lipid metabolism. Thus, it helps to the prevention and treatment of the osteoporosis and hyperlipidemia in the postmenopausal women.
Bone Density*
;
Estrogens
;
Female
;
Humans
;
Hyperlipidemias
;
Lipid Metabolism
;
Mass Screening
;
Menopause
;
Osteoporosis
;
Postmenopause
2.Computed tomography in lumbar herniated disc
Chul Soon CHOI ; Kee Hyun CHANG ; Man Chung HAN
Journal of the Korean Radiological Society 1984;20(3):407-413
197 spine CTs were performed from 29th, March 1982 to 7th March, 1984. Among them, 39 patients preoperatively diagnosed as herniated nucleus pulposus ar bulging disc with CT and myelography were operated. 43 disc spaces ofdisc disease were analysed in true positive and false negative cases. Finally the accuracy, sensitivity and specifictiy of spine CT and myelography ar calculated. The resuslts are as follows; 1. The CT findings of disc diseases are in order of frequency, asymmetrical obliteration of epidural fat (82%), ventral indentation orcompression on dural sac(72%), focal protrusion of disc(64%), root changs
Constriction, Pathologic
;
Humans
;
Hypertrophy
;
Intervertebral Disc Displacement
;
Methods
;
Myelography
;
Spine
;
Vacuum
;
Zygapophyseal Joint
3.The Comparison Study of teh Effect of Ambroxol on Prevention of Infantile Respiratory Distress Syndrome in Preterm Delivery.
Kyung Hwan HAN ; Jung Don PARK ; Chi Dong HAN ; Chang Gyu HUH ; Soon Gu HWONG
Korean Journal of Perinatology 1997;8(1):21-26
This study was conducted to evaluate the effect of ambroxol on preventing the infantile respiratory distress syndrome (IRDS) in preterm birth at the Dept. of Obstetrics and Gynecology of Taegu Catholic Medical Center during the period from Jan. 1996 to Dec. 1996. Total of 68 cases were evaluated including 16 ambroxol group and 52 control group. The result were as follows : 1. In the comparison of preventing IRDS, there was 0 case of IRDS in ambroxol group and 7 cases of IRDS in control group (13.46 %). There was a significant difference between two groups (p<0.05). 2. The side effects of ambroxol after administration were nausea in 5 cases, headache in 3 cases, and chest discomfort in 4 cases, but these were not serious and self controlled. 3. There was no significant difference in neonatal morbidity between two groups (p > 0.05).
Ambroxol*
;
Daegu
;
Gynecology
;
Headache
;
Nausea
;
Obstetrics
;
Premature Birth
;
Respiratory Distress Syndrome, Newborn*
;
Thorax
4.Unexpected Multiple Organ Infarctions in a Poisoned Patient.
Sung Wook PARK ; Sang Kyoon HAN ; Seok Ran YEOM ; Soon Chang PARK ; Sung Hwa LEE
Korean Journal of Critical Care Medicine 2015;30(3):227-230
Predisposing factors for venous thrombosis can be identified in the majority of patients with established venous thromboembolism (VTE). However, an obvious precipitant may not be identified during the initial evaluation of such patients. In the present case, a 47-year-old female presented to the emergency department of our hospital after ingesting multiple drugs. She had no VTE-related risk factors or previous episodes, nor any family history of VTE. After admission to the intensive care unit sudden hypoxemia developed, and during the evaluation cerebral, renal, and splenic infarctions with pulmonary embolisms were diagnosed. However, the sources of the emboli could not be identified by transthoracic echocardiography or computed tomography angiography. Protein C deficiency was identified several days later. We recommend that hypercoagulable states be taken into consideration, especially when unexplained thromboembolic events develop in multiple or unusual venous sites.
Angiography
;
Anoxia
;
Causality
;
Echocardiography
;
Emergency Service, Hospital
;
Female
;
Humans
;
Infarction*
;
Intensive Care Units
;
Middle Aged
;
Protein C Deficiency
;
Pulmonary Embolism
;
Risk Factors
;
Splenic Infarction
;
Thrombophilia
;
Venous Thromboembolism
;
Venous Thrombosis
5.Acute Colchicine Poisoning Treated with Granulocyte Colony Stimulating Factor and Transfusion.
Sung Hwa LEE ; Sung Wook PARK ; Sang Kyoon HAN ; Soon Chang PARK
Korean Journal of Critical Care Medicine 2015;30(3):207-211
Colchicine poisoning is rare but can cause potentially life-threatening toxic complications such as hypovolemic shock, cardiovascular collapse and multiple organ failure. In this case report, we describe a case of a 20-year-old female who presented to the emergency department after suicidal ingestion of a toxic dose of colchicine. She developed thrombocytopenia, neutropenia and acute respiratory distress syndrome that required blood transfusion and administration of granulocyte colony stimulating factor for the prevention of infectious complications. With regard to the clinical manifestations of colchicine toxicity, we discussed suggested mechanisms.
Blood Transfusion
;
Colchicine*
;
Colony-Stimulating Factors*
;
Eating
;
Emergency Service, Hospital
;
Female
;
Granulocytes*
;
Humans
;
Multiple Organ Failure
;
Neutropenia
;
Poisoning*
;
Respiratory Distress Syndrome, Adult
;
Shock
;
Thrombocytopenia
;
Young Adult
6.The Epidermal Proliferation and the Number of Langerhans Cells in 7, 12-dimethylbenzanthracene Induced Epidermal Changes.
Chang Soon HAN ; Young Nyun PARK ; Kwang Gil LEE ; In Joon CHOI
Korean Journal of Pathology 1993;27(6):590-604
Chemically induced epiderml carcinogenesis is usually divided into two stages, the initiation and promotion. The initiation involves conversion of some epidermal cells into latent neoplastic cells and the promotion is proliferation of the transformed cells. As immunosurveillence is thought to be a host defense against tumors, Langerhans cells, being essential in initiation of local cutaneous immunologic reaction, is suggested to be important in the carcingenesis of the epidermis. This study is attempted to investigate the epidermal proliferative changes in mice induced by application of 12-0-tetradecanoy1-phorbol-13-acetate(TPA) on the skin initiated with 7, 12-dimethylbenzanthracene(DMBA) and its relationship with Langerhans cell. Ninty five male inbred BALB/c mice weighing 20~25 g were divided into five groups; the 33 week-group, the 21 week-group, the 12 week-group and the 4 week-group according to the duration of carcinogen application, and the control group. The carcingen was applied with a brush on the dorsal skin of mice after depilation. Ten days after application of 800 nmole DMBA in 0.4 cc acetone, 20 nmole TPA in 0.4 cc acetone was applied twice per week and the control group was applied with the same amount of acetone for 4 weeks. Animals were sacrificed 3 days after the last application of TPA. One hour before sacrifice, bromodeoxyuridine(BrdU) (1 mg/g) was injected via the tail artert for BrdU stain of S phase cells. A strip of dorsal skin was used for hematoxylineosin stain, immunohistochemical stain for BrdU and la antigen of Langerhans cell, and flow cytometry. The results are as follows: 1. Cellular proliferation, hyperkeratosis and dysplasia of the epidermis were increased in relation to duration of carcingen application. Papillomas were developed 12 weeks after application of the carcingen. 2. BrdU labelling and proliferative indices of the 20 weeks' application group were significantly higher than those of the 12 weeks' application group. The number of Langerhans cell was decreased markedly ater 4 week' application of the carcinogen. 3. All epiedrmal lesions including a case of squamous cell carcinoma were diploidy in flow cytometry. It is thought that disturbance of immunosurveillence, caused by depletion of Langerhans cell, may permit proliferation of epidermal cells. Although abnormal quantitative change of nuclear DNA has not occurred even when the epidermal proliferative activity and dysplastic change were increased markedly, it is thought that the occurrence of structural change of chromosome is remained to be clarified.
Male
;
Humans
;
Mice
;
Animals
;
Carcinogens
7.Recombinant Activated Factor VII as a Second Line Treatment for Postpartum Hemorrhage.
Soon Chang PARK ; Seok Ran YEOM ; Sang Kyoon HAN ; Young Mo JO ; Hyung Bin KIM
Korean Journal of Critical Care Medicine 2017;32(4):333-339
BACKGROUND: Severe or massive postpartum hemorrhage (PPH) has remained a leading cause of maternal mortality for decades across the world and it results in critical obstetric complications. Recombinant activated factor VII (rFVIIa) has emerged as a gold standard adjunctive hemostatic agent for the treatment of life-threatening PPH refractory to conventional therapies although it remains off-licensed for use in PPH. We studied the effects of rFVIIa on coagulopathy, transfusion volume, prognosis, severity change in Korean PPH patients. METHODS: A retrospective review of medical records between December 2008 and March 2011 indicating use of rFVIIa in severe PPH was performed. We compared age, rFVIIa treatment, transfusion volume, and Sequential Organ Failure Assessment (SOFA) score at the time of arrival in the emergency department and after 24 hours for patients whose SOFA score was 8 points or higher. RESULTS: Fifteen women with SOFA score of 8 and above participated in this study and eight received rFVIIa administration whereas seven did not. Patients' mean age was 31.7 ± 7.5 years. There was no statistically significant difference in initial and post-24 hours SOFA scores between patients administered rFVIIa or not. The change in SOFA score between initial presentation and after 24 hours was significantly reduced after rFVIIa administration (P = 0.016). CONCLUSIONS: This analysis aimed to support that the administration of rFVIIa can reduce the severity of life-threatening PPH in patients. A rapid decision regarding the administration of rFVIIa is needed for a more favorable outcome in severe PPH patients for whom there is no effective standard treatment.
Emergency Service, Hospital
;
Factor VIIa*
;
Female
;
Humans
;
Maternal Death
;
Maternal Mortality
;
Medical Records
;
Organ Dysfunction Scores
;
Postpartum Hemorrhage*
;
Postpartum Period*
;
Prognosis
;
Recombinant Proteins
;
Retrospective Studies
8.Multipe CD-ROM Title Sharing System Using By Multiple Users.
Journal of Korean Society of Medical Informatics 1997;3(1):27-35
A method is well known to backup the necessary and useful data into CD-ROM. It is, however, difficult for multiple users to simultaneously access these CD-ROMs which are scattered. In this paper, we have developed the system of which many user can concurrently access some CD-ROMs which are scattered in several locations. The system developed in this paper can be operated under a client/sever network and in window 95 for an easily usage. The system has, now, evaluated very good in some library of university, official department, and hospital in korea. The developing of the system is, further, to extend CD-Recorder, Juke-Box, and so on.
CD-ROM*
;
Korea
9.Measurement of Malonate Concentration using Malonyl-CoA Synthetase and Its Relationship with Disease.
Seung Kyoo HAN ; Jeung Kyu KIM ; Seung Ryeoul PARK ; Chung Soon CHANG ; Yu Sam KIM
Journal of the Korean Pediatric Society 1995;38(9):1167-1175
No abstract available.
Ligases*
10.Differance in Serum K+ Concentration after Injection of Succinylcholine in Non-burned Area in Electric Barn Patients.
Soon Ok SEONG ; Youn Sil KIM ; Chang Jae KWON
Korean Journal of Anesthesiology 1984;17(4):278-280
Transient hyperkalemia has been reported to occur in eletric burn patients following intravenous administration of succinylcholine. We have studied the origin of the elevated serum K+ concentration after injection of succinylcholine from both the non-burned area and from the burned area in electirc burn patients. Blood samples for serum K+ measurement were drawn 1,2,3,4,5 and 10 minutes after administration of succinylcholine from both the burned are and the non-burned area in 6 electric burn patients. The following results were obtained: 1) Serum K+ levels increased in the burned group in 3 minutes after injection of succinylcholine. 2) The serum K+ concentration of venous samples from the electric burn area were more increased than from the non-burned area injection of succinylcholine.
Administration, Intravenous
;
Burns
;
Burns, Electric
;
Humans
;
Hyperkalemia
;
Succinylcholine*