1.Radiological evaluation of double-outlet right ventricle: an analysis of cinecardioangiography in 44 cases
Cheong Hee PARK ; Kyung Mo YEON ; Man Chung HAN
Journal of the Korean Radiological Society 1984;20(1):104-119
Double-outlet right ventricle is defined as follows: both great arteries arise completely or nearly completelyfrom the right ventricle; neither semilunar valve is in fibrous continuity with either atrioventricular valve; andusually a ventricular septal defect is present and the only outlet from the left ventricle. A total of 44 cases ofdouble-outlet right ventricle is analyzed, in which cineangiocardiographies were done at the Department ofRadiology, Seoul National University Hospital in recent 4 year and 6 months, with specific reference to thesegmental combinations, the height of conus the relationship of great arteries, the location of ventricular septaldefects, and associated anomalies. The resuslts were as follows; 1. Among 44 cases, 36 cases had normal cardiacposition, 4 cases had dextrocardia with situs inversus, 2 cases had dextrocardia with situs solitus, 1 case hadlevocardia with situs inversus, and another 1 case had mesocardia with situs ambiguus. 2. Segmental sets were[S.D.D] in 36 cases, [I.L.L] in 3 cases, [I.D.D] in 2 cases, [S.D.L], [S.L.L] and [A,D,D] in 1 case respectively.3. All cases had bilateral conus. Aortic valve rings were same level as pulmonary valve rings in 25 cases, lowerthan pulmonary valve rings in 17 cases in which 15 cases were type A., and higher than pulmonary valve rings in 2cases. 4. The relation of the great arteries were normal in 15 cases, side-by side in 13 cases, dextromalpositionin 13 cases, and levomal position in 3 cases. 5, The position of the ventricular septal defects with respect tothe origins of the great arteries is subaortic (type A & type B) in 23 cases, subpulmonary (type C) in 13 cases,double committed (type D) in 3 cases, and uncommitted (type E) in 5 cases. 6. Associated cardiac malformations arepulmonary stenosis in 24 which had all cases of type A and type E, aortic stenosis in 6 which were only in type C,left SVC in 6, abnormality of atrioventricular valve in 5, single coronary artery in 4, interrupted IVC in 1,obstructive VSD in 2, ASD in 4, PDA in 4, right aortic arch with levocardia in 5, and ectopic spleen withmesocardia in 1 case. 7. Biplane cinecardioangiogram must be performed in both ventricles to define the VSD andits relationship to the great arteries, and, if necessary, should also be performed in the aorta to rule outcoarctation and coronary artery abnormalities, and in the pulmonary artery to visiualize pulmonary venous returnand mitral valve. Angiography is of crucial importance in differentiating double-outlet right ventricle fromtetralogy of Fallot and complete transposition of the great arteries.
Angiography
;
Aorta
;
Aorta, Thoracic
;
Aortic Valve
;
Aortic Valve Stenosis
;
Arteries
;
Constriction, Pathologic
;
Conus Snail
;
Coronary Vessels
;
Dextrocardia
;
Double Outlet Right Ventricle
;
Heart Septal Defects, Ventricular
;
Heart Ventricles
;
Heterotaxy Syndrome
;
Levocardia
;
Mitral Valve
;
Pulmonary Artery
;
Pulmonary Valve
;
Seoul
;
Situs Inversus
;
Spleen
2.Sympathetic skin response in spinal cord injury patients.
Hee CHEONG ; Sei Il CHUN ; Chang Il PARK
Journal of the Korean Academy of Rehabilitation Medicine 1993;17(4):515-524
No abstract available.
Skin*
;
Spinal Cord Injuries*
;
Spinal Cord*
3.A Case of Acute Renal Failure Associated with Rhabdomyolysis in Carbon Monoxide Intoxication.
Kyung Hee PARK ; Sei Hee HWANG ; Hae Il CHEONG ; Yong CHOI ; Kwang Wook KO
Journal of the Korean Pediatric Society 1990;33(5):690-694
No abstract available.
Acute Kidney Injury*
;
Carbon Monoxide*
;
Carbon*
;
Rhabdomyolysis*
4.Cutaneous Larva Migrans after Trip to the Philippines.
Cheong Ha WOO ; Hee Jae PARK ; Seungpil HAM ; Mira CHOI ; Hai Jin PARK
Korean Journal of Dermatology 2018;56(9):564-565
No abstract available.
Larva Migrans*
;
Philippines*
5.Clinical and Genetic Characteristics of Infection by Penicillin-resistant Streptococcus pneumoniae from Community and Hospital.
Hee Jin CHEONG ; Byung Yoen HWANG ; Cheong Won PARK ; Woo Joo KIM ; Min Ja KIM ; Seung Chull PARK ; Young Hee LEE
Korean Journal of Infectious Diseases 2001;33(2):112-122
BACKGROUND: During the last three decades, the resistance of S. pneumoniae to penicillin has been rapidly increasing in many parts of the world, especially in Korea. To characterize the clinical features and epidemiology of penicillin-resistant S. pneumoniae (PRSP) infections in the community and hospital, as well as to investigate the possible spread of resistant clone, we performed the antimicrobial susceptibility tests, pulsed filed gel electrophoresis (PFGE) and penicillin-binding protein (PBP) profile analysis of PRSP isolates. METHODS: A total 48 PRSP isolates from patients who visited or were admitted to Korea University Guro hospital during the period form July 1998 to June 1999 were studied. Anitimicrobial susceptibility tests for 48 isolates were performed with microbroth dilution method to determine the minimal inhibitory concentration of 11 antibiotics. 39 isolates and 35 isolates were subjected to PFGE and PBP profile analysis, respectively to investigate the genetic relatedness between PRSP isolates. RESULTS: Pneumonia was most common site of infection in the community and the hospital as 50%. There were no significant differences of clinical features and prognosis between community and hospital isolates. But, patients with serious underlying diseases had poor prognosis despite of acquisition site. High level penicillin resistance were observed in 69%, multi-drug resistance were 64.6% of isolates. PFGE showed that 13 of 29 community acquired infection were identical PFGE pattern but not that of 23F Spanish clone. There were various PFGE patterns were observed from community and hospital acquired infection isolates. Some of them were existed in both. PBP profiles showed more diverse, even if in isoaltes of the same PFGE pattern. CONCLUSOIN: In our study, high level penicillin resistance and multi-drug resistance were observed in PRSP clinical isolates. No clinical and prognostic differeces were observed between community and hospital acquired infections. Molecular epidemiology study were suggest the there were various genotypes of PRSP within our society. Some of them were observed in the hospital and community. Therefore, there was an evidence of communication of PRSP clones between the community and hospital.
Anti-Bacterial Agents
;
Clone Cells
;
Drug Resistance, Multiple
;
Electrophoresis
;
Epidemiology
;
Genotype
;
Humans
;
Korea
;
Molecular Epidemiology
;
Penicillin Resistance
;
Penicillin-Binding Proteins
;
Penicillins
;
Pneumonia
;
Prognosis
;
Streptococcus pneumoniae*
;
Streptococcus*
6.Study on the Demonstration of Enteroviruses from Cerebrospinal Fluid of Adult Patients with Aseptic Meningitis.
Hee Jin CHEONG ; Woo Joo KIM ; Min Ja KIM ; Seung Chull PARK
Korean Journal of Medicine 1997;53(4):495-505
BACKGROUND: The enteroviruses are the most common etiologic agent of aseptic meningitis in adults and children. The incidence of enteroviral meningitis in childhood meningitis is up to 80%, but in adults is not known, worldwidely. In Korea, where tuberculosis is endemic, the rapid and accurate diagnostic method for enteroviral meningitis is required especially because early differential diagnosis of viral meningitis from tuberculous meningitis is very important. The aims of this study were the demonstration of enteroviruses from cerebrospinal fluid (CSF) of adult patients with aseptic meningitis by PCR/Southern hybridization and the verification of the usefulness of PCR/southern hybridization as a rapid diagnostic tool. METHODS: From July 1992 to June 1995, total 34 CSF samples (10 from children, 24 from adults) of patients with aseptic meningitis were studied. As a control group, 15 patients with tuberculous meningitis and 15 patients with bacterial meningitis were studied. Viral RNA was extracted from CSF, reverse transcriptied into cDNA and amplified. The PCR products were Southern hybridizied with enteroviruses-specific digoxigenin-labelled probe. RESULTS: 16/24(66.7%) samples of adult patients with aseptic meningitis were positive for enteroviruses, while in child patients with aseptic meningitis, 9/10(90%) samples were positive. And in one patient, PCR was positive from asymptomatic, onset-7th day CSF sample. CONCLUSION: Enteroviruses were the most common causative organisms of adult aseptic meningitis in Korea. And, this study showed the usefulness of PCR/Southern hybridization of enteroviruses from CSF for etiologic diagnosis of adult aseptic meningitis in subclinical, asymptomatic period.
Adult*
;
Cerebrospinal Fluid*
;
Child
;
Diagnosis
;
Diagnosis, Differential
;
DNA, Complementary
;
Enterovirus*
;
Humans
;
Incidence
;
Korea
;
Meningitis
;
Meningitis, Aseptic*
;
Meningitis, Bacterial
;
Meningitis, Viral
;
Polymerase Chain Reaction
;
RNA, Viral
;
Tuberculosis
;
Tuberculosis, Meningeal
7.Binding of Lectins to the Zona Pellucida on Sperm-oocytes Interaction in the Pig.
In Sun HWANG ; Choung Ik KIM ; Hee Tae CHEONG ; Boo Keun YANG ; Choon Keun PARK
Korean Journal of Fertility and Sterility 2002;29(3):179-186
OBJECTIVE: Lectins are cell-agglutinating and sugar specific proteins or glycoproteins of non-immune origin that precipitate glycoconjugates having saccharides of appropriate complementarity. Because of these properties, plant lectins have been used to help characterize the carbohydrate moieties of glycoproteins in the zona pellucida (ZP) of several mammalian species including pigs. Treatment of oocytes with various lectins blocks sperm binding to the ZP in various mammalian species. This study was undertaken to examine the distribution of sugar residues in the ZP of pig oocytes matured in vitro and the ability of spermatozoa to bind to ZP and in vitro penetration in oocytes treated with fluorescein isothiocyanate (FITC)-labelled lectins. MATERIALS AND METHODS: The lectins of Banderiaea simplicifolia (BS-II, bind to beta-D-Nacetylglucosamine), Canavalin ensiformis (Con A, bind to alpha-D-Mannose), Lens culinaris (LCA, bind to alpha-D-Mannose), Ricinus communis (RCA-I, bind to beta-D-Galactose) and Ulex europaeus (UEA-I, bind to alpha-L-Fucose) were examined for spermatozoa penetration, binding capacity to ZP and distribution of lectins. RESULTS: The penetration rates were significantry (p<0.05) higher in control oocytes (63%) than those treated with all lectins, but penetration rates (40~49%) were simililar in group treated with lectins. The incidence of monospermy was similar in oocytes untreated and UEA-I, but it was higher in oocytes treated with BS-II, Con A, RCA-I and LCA. The porcine oocytes cultured for 48 h in TC-199 medium were freed from cumulus cells and treated for 30 min with fluorescein isothiocyanate-labelled lectins. When examined under fluorescein illumination, higher (p<0.001) proportions of oocytes showed fluorescein of zona pellucida after treatment with Con A (93%), LCA (93%) and RCA-I (100%) than BS-II (37%) and UEA-I (50%). All of the oocytes treated with RCA-I exhibited strong fluorescein in the outer region of the zona pellucida while those treated with LCA exhibited strong fluorescein throughout the zona pellucida. BS-II bounded mainly to the outer region and UEA-I bounded mainly to the inner region of the zona pellucida, with either strong or weak fluorescein. At 120 min after insemination in vitro, fewer spermatozoa were bound to the zona pellucida of the oocytes treated with BS-II, Con-A and RCA-I. Of the lectins, Con A most inhibited sperm binding. CONCLUSIONS: These results suggest that beta-D-Galactose residues in the porcine zona pellucida may act as primary sperm receptors and inducers of the sperm acrosome reaction and these sugar residues may be involved in the block to polyspermy.
Acrosome Reaction
;
Cumulus Cells
;
Fluorescein
;
Glycoconjugates
;
Glycoproteins
;
Herpes Zoster*
;
Incidence
;
Insemination
;
Lectins*
;
Lens Plant
;
Lighting
;
Oocytes
;
Plant Lectins
;
Ricinus
;
Sperm-Ovum Interactions
;
Spermatozoa
;
Swine
;
Ulex
;
Zona Pellucida*
8.A Case of Diseeminated Cryptococcosis.
Jong Cheol RYU ; Hyun Mo CHEONG ; Jun Taek PARK ; Jung Sik MIN ; Chang Hee CHOI
Journal of the Korean Pediatric Society 1986;29(9):86-92
No abstract available.
Cryptococcosis*
9.Three Cases of Neonatal Group B Streptococcal Meningitis.
Jae Kwang HONG ; Hyun Mo CHEONG ; Jung Sik MIN ; June Tae PARK ; Chang Hee CHOI
Journal of the Korean Pediatric Society 1987;30(7):777-783
No abstract available.
Meningitis*
10.The Significance of Amniotic Fluid Index at Admission as a Predictor of Latency Period in the Patients with Preterm Premature Rupture of the Membranes.
Soon Ha YANG ; Seon Hye PARK ; Sung Hee OH ; Jong Dae WHANG ; Cheong Rae ROH
Korean Journal of Obstetrics and Gynecology 1999;42(12):2705-2711
OBJECTIVES: The purpose of this study was to determine the clinical significance of residual amniotic fluid volume, as measured by the amniotic fluid index(AFI), on the prediction of latency period and perinatal outcomes in patients with preterm premature rupture of the membranes(PPROM). METHODS: Study population consisted of 103 singleton pregnancies with PPROM between 24 and 34 weeks' gestation. Amniotic fluid index was determined using transabdominal ultrasound at admission. Latency period was defined as time interval in hours between admission and delivery. All medical records of mothers and neonates were reviewed. Spearman's rho rank correlation, receiver-operator characteristic(ROC) curve analysis, survival analysis and Cox's proportional hazard model were used for statistical analysis. RESULTS: There was a statistically significant correlation between latency period and AFI at admission. ROC curve analysis showed that AFI at admission had a significant predictive value in the prediction of latency period < 48 hours. Survival analysis demonstrated that AFI < 5.0 was strongly associated with the likelihood of shorter latency period, Cox's proportional hazard model indicated that AFI < 5.0 was a significant independent predictor for the occurrence of latency period < 48 hours even after adjustment of other independent variables. The patients with AFI <5.0 had a higher rate of cesarean section due to fetal distress than those with AFI > 5.0 but the incidence of chorioamnionitis was not significantly different between two groups. Comparing the perinatal mortality and neonatal morbidity including infectious morbidity between the neonates born to mothers with AFI <5.0 and those with AFI > 5.0, there was no significance after adjustment of gestational age at birth. CONCLUSION: AFI at admission has a significant correlation with latency period and predictive value in prediction of latency period in the patients with PPROM. AFI <5.0 is a independent predictor for the shorter latency period.
Amniotic Fluid*
;
Cesarean Section
;
Chorioamnionitis
;
Female
;
Fetal Distress
;
Gestational Age
;
Humans
;
Incidence
;
Infant, Newborn
;
Latency Period (Psychology)*
;
Medical Records
;
Membranes*
;
Mothers
;
Parturition
;
Perinatal Mortality
;
Pregnancy
;
Proportional Hazards Models
;
ROC Curve
;
Rupture*
;
Ultrasonography