1.Effect of Enoxacin(Flumark) in Urinary Tract Infection - Clinical and Antimicrobial Susceptibility Evaluation-.
Young Kyoon KIM ; Eun Sik LEE ; Sung Won LEE ; Ky Hyun CHUNG ; Ahn Ki LEE
Korean Journal of Urology 1987;28(4):541-548
Effect of Enoxacin (Flumark), an oral pyridone carboxylic acid, in the urinary tract infection was evaluated clinically and susceptibility of 292 strains of microorganism isolated from urine to the various antimicrobial agents was tested and compared. Thirty six patients with urinary tract infection were given with 300 to 600mg of Enoxacin daily for 7 to 14 days according to severity of urinary tract infection. The clinical symptoms and urinary findings improved in 30 patients (83.3%) and no clinical response was achieved in 6 patients (16.7%), but revealing 100% response in 9 patients of acute uncomplicated cystitis. In the antimicrobial susceptibility test, Enoxacin was much superior to aminoglycoside, especially against Pseudomonas aeruginosa. Serratia spp., Enterobacter spp. and other Pseudomonas spp.. Enoxacin is a very effective and safe antimicrobial agent in treatment of the urinary tract infection.
Anti-Infective Agents
;
Cystitis
;
Enoxacin
;
Enterobacter
;
Humans
;
Pseudomonas
;
Pseudomonas aeruginosa
;
Serratia
;
Urinary Tract Infections*
;
Urinary Tract*
2.A Study on Iron Nutritional Status of Girls at Puberty in Kangnung Area.
Eun Kyung KIM ; Ok Nam RYU ; Ky Wol PARK
Korean Journal of Community Nutrition 1999;4(2):139-148
This study was designed to assess the iron nutritional status of girls at puberty in Kangnung area. The subjects consisted of 161 adolescents in sixth-grade in primary school and first-grade in middle school girls. Anthropometric measurements were taken for body weight, height, percentage of body fat, and circumferences of waist and hip. Nutrient intakes were assessed by modified 24-hour recall method. Food models and other measuring tools were also used. Fasting blood samples were obtained and analyzed for hemoglobin(Hb) concentration, hematocrit(Hct), serum iron(FE) and total iron binding capacity(TIBC). Mean values for Hb, Hct, Fe, TIBC, TS and serum ferritin were 13.6+/-0.9g/dl, 39.6+/-3.9%, 91.3+/-36.3 microgram/dl, 327.9+/-45.2 microgram/dl, 28.3+/-11.8% and 37.4+/-24.2ng/ml, respectively. Prevalence of iron deficiency greatly varied by indices from 4.8% when judged by Hb to 18.4% by serum Fe concentration. The Hb concentration was positively correlated with Hct(r=0.641), serum iron(r=0.266) and transferrin saturation(r=0.237)(p<0.05). On the other hand, serum ferritin concentration showed significantly negative correlation with TIBC(r=-0.572). Mean daily intake of iron was 14.94mg and heme iron intake was 1.13mg and which was 7.6% of total iron intake. Total absorbable iron calculated by the method of Mosen was 1.38mg and bioavailability of diectary iron was 9.3%. These results suggest that the prevalence of iron deficiency of pubertal girls is very high, therefore the guidelines for diet and social supports, such as, school food service system should be provided to improve their iron status in middle school students.
Adipose Tissue
;
Adolescent
;
Biological Availability
;
Body Weight
;
Diet
;
Fasting
;
Female*
;
Ferritins
;
Food Services
;
Hand
;
Hematocrit
;
Heme
;
Hip
;
Humans
;
Iron*
;
Nutritional Status*
;
Prevalence
;
Puberty*
;
Transferrin
3.Vesicoureteral Reflux in Children with Neuropathic Bladder.
Ky Hyun CHUNG ; Keon Seok KIM ; Hyeon Hoe KIM ; Kwang Myung KIM ; Sang Eun LEE ; Hwang CHOI
Korean Journal of Urology 1989;30(4):536-540
During the lest 7 years 21 children with vesicoureteral reflux and neurogenic bladder dysfunction and 46 children with primary vesicoureteral reflux were followed. At the time of initial presentation, the mean age of the former group was 5.5 years and the letter group, 2.8 years. The grade of reflux and the nephropathy were more severe in the children with neuropathic bladder than in the children with primary vesicoureteral reflux But in the same reflux grade, there was no statistical difference in the nephropathy between the two groups. The children with vesicoureteral reflux and neuropathic bladder were managed with drug therapy, intermittent catheterization, urinary diversion and ureteral reimplantation. Radiological followup revealed that resolution or improvement of reflux occurred in 36 per cent of renal units managed by intermittent catheterization and 100 per cent in which the ureters were reimplanted. As in the non-neurogenic bladder successful management of reflux and prevention of upper tract deterioration can be achieved by conservative management as well as by ureteroneocystostomy.
Catheterization
;
Catheters
;
Child*
;
Drug Therapy
;
Follow-Up Studies
;
Humans
;
Replantation
;
Ureter
;
Urinary Bladder
;
Urinary Bladder, Neurogenic*
;
Urinary Catheterization
;
Vesico-Ureteral Reflux*
4.Improving Effect of the Acute Administration of Dietary Fiber-Enriched Cereals on Blood Glucose Levels and Gut Hormone Secretion.
Eun Ky KIM ; Tae Jung OH ; Lee Kyung KIM ; Young Min CHO
Journal of Korean Medical Science 2016;31(2):222-230
Dietary fiber improves hyperglycemia in patients with type 2 diabetes through its physicochemical properties and possible modulation of gut hormone secretion, such as glucagon-like peptide 1 (GLP-1). We assessed the effect of dietary fiber-enriched cereal flakes (DC) on postprandial hyperglycemia and gut hormone secretion in patients with type 2 diabetes. Thirteen participants ate isocaloric meals based on either DC or conventional cereal flakes (CC) in a crossover design. DC or CC was provided for dinner, night snack on day 1 and breakfast on day 2, followed by a high-fat lunch. On day 2, the levels of plasma glucose, GLP-1, glucose-dependent insulinotropic polypeptide (GIP), and insulin were measured. Compared to CC, DC intake exhibited a lower post-breakfast 2-hours glucose level (198.5±12.8 vs. 245.9±15.2 mg/dL, P<0.05) and a lower incremental peak of glucose from baseline (101.8±9.1 vs. 140.3±14.3 mg/dL, P<0.001). The incremental area under the curve (iAUC) of glucose after breakfast was lower with DC than with CC (P<0.001). However, there were no differences in the plasma insulin, glucagon, GLP-1, and GIP levels. In conclusion, acute administration of DC attenuates postprandial hyperglycemia without any significant change in the representative glucose-regulating hormones in patients with type 2 diabetes (ClinicalTrials.gov. NCT 01997281).
Adult
;
Aged
;
Area Under Curve
;
Blood Glucose/*analysis
;
Cross-Over Studies
;
Diabetes Mellitus, Type 2/complications/diagnosis/*diet therapy
;
Dietary Fiber/*therapeutic use
;
Female
;
Gastric Inhibitory Polypeptide/blood
;
Glucagon/blood
;
Glucagon-Like Peptide 1/*blood
;
Hemoglobin A, Glycosylated/analysis
;
Humans
;
Hyperglycemia/complications/diagnosis
;
Insulin/blood
;
Intestines/metabolism
;
Male
;
Middle Aged
;
ROC Curve
5.Clinical Usefulness of Esophagopraphy in Term Infant with Oxygen Desaturation during and after Feeding.
Hyo Jung YU ; Ky Young CHO ; Ji Young KIM ; Eun Ae PARK
Journal of the Korean Society of Neonatology 2006;13(2):209-215
PURPOSE:Transient desaturation in fullterms related to feeding may be ignored. But those who are presenting significant cyanosis during feeding without any underlying disease, esophagogastric or laryngopharyngeal reflux must be regarded. The goal of this study was to investigate the incidence of reflux diseases in those newborns using esophagography. METHODS:157 newborn infants showing cyanosis during feeding were collected among 705 neonates born after 37 weeks of festation from July 2003 to June 2005. Excluding infants with other underlying diseases, 40 newborns were studied for reflux diseases by esophagography. RESULTS:117 (74.5%) infants had underlying diseases among 157 presenting cyanosis. The other 40 (25.5%) cases had decrease in oxygen saturation during and after feeding, which were spontaneously restored after ceasation of feeding. The mean gestational age and weight of the 40 newborns (composed of 21 boys and 19 girls) were 38.9+/-1.42 wks and 3.3+/-0.59 kg. Imaging study was done at 9.5th day of life in average. The level of desaturation was 79.4+/-9.1%. From 31 (77.5%) patient who showed reflux in esophagograhy, 21 patients had laryngopharyngeal reflux, 16 cases showed major degree GERD, 8 of which had GERD minor degree. Omeprazole was prescribed to the patients with major degree of GERD and the others were educated only (feeding position & feeding skills) which lead to improvement of symptom. CONCLUSION:We concluded that the esophagography is a valuable tool in evaluation of full tern infants with desaturation during feeding.
Animals
;
Charadriiformes
;
Cyanosis
;
Gastroesophageal Reflux
;
Gestational Age
;
Humans
;
Incidence
;
Infant*
;
Infant, Newborn
;
Laryngopharyngeal Reflux
;
Omeprazole
;
Oxygen*
6.Proteomic analysis of novel targets associated with the enhancement of TrkA-induced SK-N-MC cancer cell death caused by NGF.
Eun Joo JUNG ; Ky Hyun CHUNG ; Dong Won BAE ; Choong Won KIM
Experimental & Molecular Medicine 2016;48(5):e235-
Nerve growth factor (NGF) is known to regulate both cancer cell survival and death signaling, depending on the cellular circumstances, in various cell types. In this study, we showed that NGF strongly upregulated the protein level of tropomyosin-related kinase A (TrkA) in TrkA-inducible SK-N-MC cancer cells, resulting in increases in various TrkA-dependent cellular processes, including the phosphorylation of c-Jun N-terminal kinase (JNK) and caspase-8 cleavage. In addition, NGF enhanced TrkA-induced morphological changes and cell death, and this effect was significantly suppressed by the JNK inhibitor SP600125, but not by the phosphatidylinositol 3-kinase (PI3K) inhibitor wortmannin. To investigate novel targets associated with the enhancement of TrkA-induced SK-N-MC cell death caused by NGF, we performed Coomassie Brilliant Blue staining and two-dimensional (2D) proteomic analysis in TrkA-inducible SK-N-MC cells. We identified 31 protein spots that were either greatly upregulated or downregulated by TrkA during NGF treatment using matrix-associated laser desorption/ionization time of flight/time of flight mass spectrometry, and we analyzed the effects of SP600125 and wortmannin on the spots. Interestingly, 11 protein spots, including heterogeneous nuclear ribonucleoprotein K (hnRNP K), lamin B1 and TAR DNA-binding protein (TDP43), were significantly influenced by SP600125, but not by wortmannin. Moreover, the NGF/TrkA-dependent inhibition of cell viability was significantly enhanced by knockdown of hnRNP K using small interfering RNA, demonstrating that hnRNP K is a novel target associated with the regulation of TrkA-dependent SK-N-MC cancer cell death enhanced by NGF.
Caspase 8
;
Cell Death*
;
Cell Survival
;
Heterogeneous-Nuclear Ribonucleoprotein K
;
JNK Mitogen-Activated Protein Kinases
;
Mass Spectrometry
;
Nerve Growth Factor*
;
Phosphatidylinositol 3-Kinase
;
Phosphorylation
;
Phosphotransferases
;
RNA, Small Interfering
7.Radiographic Characteristics of Adrenal Masses in Oncologic Patients.
Ji Hyun LEE ; Eun Ky KIM ; A Ram HONG ; Eun ROH ; Jae Hyun BAE ; Jung Hee KIM ; Chan Soo SHIN ; Seong Yeon KIM ; Sang Wan KIM
Endocrinology and Metabolism 2016;31(1):147-152
BACKGROUND: We aimed to assess the usefulness of pre-contrast Hounsfield unit (HU) and mass size on computed tomography to differentiate adrenal mass found incidentally in oncologic patients. METHODS: From 2000 to 2012, 131 oncologic patients with adrenal incidentaloma were reviewed retrospectively. Receiver operating characteristic (ROC) curves were applied to determine the optimal cut-off value of the mean HU and size for detecting adrenal metastasis. RESULTS: The median age was 18 years, and 80 patients were male. The initial mass size was 18 mm, and 71 (54.2%) of these were on the left side. A bilateral adrenal mass was found in 11 patients (8.4%). Biochemically functional masses were observed in 9.2% of patients. Thirty-six out of 119 patients with nonfunctional masses underwent adrenalectomy, which revealed metastasis in 13. The primary cancers were lung cancer (n=4), renal cell carcinoma (n=2), lymphoma (n=2), hepatocellular carcinoma (n=2), breast cancer (n=1), and others (n=2). The area under the curve for the size and HU for clinically suspicious metastasis were 0.839 (95% confidence interval [CI], 0.761 to 0.900; P<0.001) and 0.959 (95% CI, 0.898 to 0.988; P<0.001), respectively. The cut-off value to distinguish between metastasis and benign masses were 22 mm for size and 20 for HU. CONCLUSION: ROC curve results suggest that pre-contrast HU >20 can be used as a diagnostic reference to suggest metastasis in oncologic patients with adrenal masses.
Adrenalectomy
;
Breast Neoplasms
;
Carcinoma, Hepatocellular
;
Carcinoma, Renal Cell
;
Humans
;
Lung Neoplasms
;
Lymphoma
;
Male
;
Neoplasm Metastasis
;
Retrospective Studies
;
ROC Curve
8.Neurological Complications during Treatment of Middle East Respiratory Syndrome.
Jee Eun KIM ; Jae Hyeok HEO ; Hye ok KIM ; Sook hee SONG ; Sang Soon PARK ; Tai Hwan PARK ; Jin Young AHN ; Min Ky KIM ; Jae Phil CHOI
Journal of Clinical Neurology 2017;13(3):227-233
BACKGROUND AND PURPOSE: Middle East respiratory syndrome (MERS) has a high mortality rate and pandemic potential. However, the neurological manifestations of MERS have rarely been reported since it first emerged in 2012. METHODS: We evaluated four patients with laboratory-confirmed MERS coronavirus (CoV) infections who showed neurological complications during MERS treatment. These 4 patients were from a cohort of 23 patients who were treated at a single designated hospital during the 2015 outbreak in the Republic of Korea. The clinical presentations, laboratory findings, and prognoses are described. RESULTS: Four of the 23 admitted MERS patients reported neurological symptoms during or after MERS-CoV treatment. The potential diagnoses in these four cases included Bickerstaff's encephalitis overlapping with Guillain-Barré syndrome, intensive-care-unit-acquired weakness, or other toxic or infectious neuropathies. Neurological complications did not appear concomitantly with respiratory symptoms, instead being delayed by 2–3 weeks. CONCLUSIONS: Neuromuscular complications are not rare during MERS treatment, and they may have previously been underdiagnosed. Understanding the neurological manifestations is important in an infectious disease such as MERS, because these symptoms are rarely evaluated thoroughly during treatment, and they may interfere with the prognosis or require treatment modification.
Cohort Studies
;
Communicable Diseases
;
Coronavirus
;
Coronavirus Infections*
;
Diagnosis
;
Encephalitis
;
Guillain-Barre Syndrome
;
Humans
;
Middle East Respiratory Syndrome Coronavirus
;
Middle East*
;
Mortality
;
Neurologic Manifestations
;
Pandemics
;
Peripheral Nervous System Diseases
;
Prognosis
;
Republic of Korea
9.Euthyroid Graves' Ophthalmopathy with Negative Autoantibodies.
Jung Hun LEE ; Min Ho PARK ; Hae Yeon WON ; Sang Soon PARK ; Jae Hyeok HEO ; Tai Hwan PARK ; Jin Young AHN ; Min Ky KIM ; Jee Eun KIM
Journal of the Korean Neurological Association 2015;33(4):318-320
Graves' ophthalmopathy occurs in 25-50% of patients with Graves' disease. Although patients with Graves' ophthalmopathy mostly present with hyperthyroidism, a minority of patients have euthyroid or hypothyroid characteristics, which may delay a correct diagnosis. Here, we report a case of euthyroid Graves' ophthalmopathy that was initially negative for thyroid autoantibodies, but later changed to positivity.
Autoantibodies*
;
Diagnosis
;
Graves Disease
;
Humans
;
Hyperthyroidism
;
Thyroid Gland
10.An insulinoma with an aberrant feeder from the splenic artery detected by super-selective arterial calcium stimulation with venous sampling.
Joon Ho MOON ; Eun Ky KIM ; Ah Reum KHANG ; Hyo Cheol KIM ; Jin Young JANG ; Young Min CHO
The Korean Journal of Internal Medicine 2015;30(1):118-121
No abstract available.
Biopsy
;
Blood Glucose/metabolism
;
C-Peptide/blood
;
Calcium Gluconate/administration & dosage/*diagnostic use
;
Female
;
Humans
;
Immunohistochemistry
;
Injections, Intra-Arterial
;
Insulin/blood
;
Insulinoma/blood/*blood supply/pathology/surgery
;
Middle Aged
;
Pancreatic Neoplasms/blood/*blood supply/pathology/surgery
;
Pancreaticoduodenectomy
;
Splenic Artery/*radiography
;
*Tomography, X-Ray Computed
;
Treatment Outcome
;
Tumor Markers, Biological/blood