1.The Effect of Massage on Premature Infants.
Hee Sook SON ; Jae Woo LIM ; Kyu Chul CHOEH ; Chang Soo RA ; Hark Hee KIM
Journal of the Korean Pediatric Society 2000;43(8):1046-1051
PURPOSE: To determine the effects of massage therapy on growth, development, hormones, immune function, hepatic function, hematopoietic function and sleep pattern of preterm infants. METHODS: Thirty-one preterm infants of less than 35 weeks gestational age, who were admitted to Eulji Medical College Hospital Neonatal Intensive Care Unit between August 1998 and May 1999, and were in the state without mechanical ventilation or oxygen therapy, and hemodynamically stable with no acute disease state non congenital anomaly, and who were also fed by oral route or gastric tube, were enrolled in this study. The randomly selected massage group(15 neonates) received three 15-minute periods of tactile and kinesthetic stimulation daily for 7 days, and the control group(16 neonates) received general nursing care. We measured gastrin, thyroid function test, serum cortisol, CH50, IgG, IgM, CBC and liver function test in both groups before and after the study. During observation for 7 days, neonate behaviors were recorded every hour for 10sec using the analysis of 6 sleep-wake states. RESULTS: Although the massage group showed slight differences in blood level of Thyroid stimulating hormone, CH50, hemoglobin, hematocrit and body weight and alertness as compared with control group, there was no statistically significant difference between the two groups. CONCLUSION: Several positive effects of massage on the preterm infants that have been reported previously must be reevaluated.
Acute Disease
;
Body Weight
;
Gastrins
;
Gestational Age
;
Hematocrit
;
Humans
;
Hydrocortisone
;
Immunoglobulin G
;
Immunoglobulin M
;
Infant, Newborn
;
Infant, Premature*
;
Intensive Care, Neonatal
;
Liver Function Tests
;
Massage*
;
Nursing Care
;
Oxygen
;
Respiration, Artificial
;
Thyroid Function Tests
;
Thyrotropin
2.A comparative study of immunity, histocompatibility antigens and graft kidney survival rates in responders and nonresponders to hepatitis B vaccine among chronic renal failure patients.
Tae Joon CHA ; Hark LIM ; Young Gon KIM ; Min Chul KIM ; Mi Sun KIM ; Sang Ho YANG ; Sang Eun PARK ; Si Rhae LEE
Korean Journal of Nephrology 1991;10(4):584-592
No abstract available.
Hepatitis B Vaccines*
;
Hepatitis B*
;
Hepatitis*
;
Histocompatibility Antigens*
;
Histocompatibility*
;
Humans
;
Kidney Failure, Chronic*
;
Kidney*
;
Survival Rate*
;
Transplants*
3.A Case of Adult onset Bartter Syndrome with Nephrocalcinosis.
Min Gyu PARK ; Tae Won LIM ; Hee Taek OH ; Seung Un SONG ; Dong HEO ; Hark RIM
Kosin Medical Journal 2014;29(1):75-79
Bartter syndrome is a renal tubular defect in electrolyte transport characterized by hypokalemia, metabolic alkalosis, hyperreninemia, hyperaldosteronism, normal blood pressure, and other clinical symptoms. As a clinical and genetical heterogeneous disorder, this syndrome can be classified into two clinical variants, antenatal Bartter syndrome and classic Bartter syndrome according to the onset age. Nephrocalcinosis is common in antenatal Bartter syndrome, but is rare in classic Bartter syndrome. It can also be classified into five genetic subtypes by the underlying mutant gene, all of which are expressed in the tubular epithelial cells of the thick ascending limb of the loop of Henle. Patients with Bartter syndrome type 1, 2 and 4 present at a younger age than classic Bartter syndrome type 3. We have experienced a case of Bartter syndrome with nephrocalcinosis in a 42-year-old woman diagnosed by biochemical and radiologic studies. We had successful response with potassium chloride and spironolactone.
Adult*
;
Age of Onset
;
Alkalosis
;
Bartter Syndrome*
;
Blood Pressure
;
Epithelial Cells
;
Extremities
;
Female
;
Humans
;
Hyperaldosteronism
;
Hypokalemia
;
Loop of Henle
;
Nephrocalcinosis*
;
Potassium Chloride
;
Spironolactone
4.Functional MRI of Motor Speech Area Combined with Motor Stimulation during Resting Period.
Yeong Su LIM ; Hark Hoon PARK ; Gyung Ho CHUNG ; Sang Yong LEE ; Su Bin CHON ; Shin Hwa KANG
Journal of the Korean Radiological Society 1999;40(6):1019-1025
PURPOSE: To evaluate functional MR imaging of the motor speech area with and without motor stimulation duringthe rest period. MATERIALS AND METHODS: Nine healthy, right-handed volunteers(M:F=7:2, age:21-40years) wereincluded in this study. Brain activity was mapped using a multislice, gradient echo single shot EPI on a 1.5T MRscanner. The paradigm consisted on a series of alternating rest and activation tasks, performed six times. Each volunteer in the first study(group A) was given examples of motor stimulation during the rest period, while eachin the second study(group B) was not given examples of a rest period. Motor stimulation in group A was achieved bycontinuously flexing five fingers of the right hand. In both groups, maximum internal word generation was achievedduring the activation period. Using fMRI analysis software(Stimulate 5.0) and a cross-correlationmethod(background threshold, 200; correlation threshold, 0.3; ceiling, 1.0; floor, 0.3; minimal count, 3),functional images were analysed. After correlating the activated foci and a time-signal intensity curve, theactivated brain cortex and number of pixels were analysed and compared between the two tasks. The t-test was usedfor statistical analysis. RESULT: In all nine subjects in group A and B, activation was observed in and adjacentto the left Broca's area. The mean number of activated pixels was 31.6 in group A and 27.8 in group B, adifference which was not statistically significant(P>0.1). Activities in and adjacent to the right Broca 's areawere seen in seven of group A and four of group B. The mean number of activated pixels was 14.9 in group A and 18in group B. Eight of nine volunteers in group A showed activity in the left primary motor area with negativecorrelation to the time-signal intensity curve. The mean number of activated pixels for this group was 17.5. Inthree volonteers, activation in the right primary motor area was also observed, the mean number of activatedpixels in these cases was 10.0. CONCLUSION: During the rest period, functional MR imaging of the motor speechcenter combined with motor stimulation was more effective than that without stimulation, and simultaneouslyprovided mapping of the primary motor area.
Brain
;
Fingers
;
Hand
;
Magnetic Resonance Imaging*
;
Volunteers
5.Stress-induced cardiomyopathy after general anesthesia for total gastrectomy: A case report.
Jong Taek PARK ; Jang Young KIM ; Ye Won KIM ; Kwan Hoon CHOI ; Byoung Hark PARK ; Hyun Kyo LIM
Korean Journal of Anesthesiology 2010;58(3):299-303
Stress-induced cardiomyopathy, which is also known as takotsubo cardiomyopathy, is a cardiac syndrome of a transient, reversible left ventricular dysfunction that is caused by emotional and/or physical stress and surgery. Its clinical manifestations are similar to those of myocardial ischemia without a coronary artery lesion. Stress-induced cardiomyopathy is more common in middle-aged women, and the prognosis is favorable. We report the case of a 50-year-old female patient who underwent a total gastrectomy and developed stress-induced cardiomyopathy after surgery.
Anesthesia
;
Anesthesia, General
;
Cardiomyopathies
;
Coronary Vessels
;
Female
;
Gastrectomy
;
Humans
;
Middle Aged
;
Myocardial Ischemia
;
Prognosis
;
Takotsubo Cardiomyopathy
;
Ventricular Dysfunction, Left
6.Two Cases of Acute Respiratory Distress Syndrome with Pulmonary Hemorrhage Induced by Injection of Silicone at Perineum.
So Eun KANG ; Suk Joong YONG ; Won Yeon LEE ; Pyo Jin SHIN ; Mi Hae KIM ; Hark Cheon PARK ; Myung Sook SHIM ; Hyun Min CHOI ; Kye Chul SHIN ; Mi Ae LIM ; Kyung Moo YANG
Tuberculosis and Respiratory Diseases 2001;51(2):166-172
Silicone fluid is a biomaterial widely used in modern cosmetic procedures because there are few side effects, considerable chemical stability and predictable physical properties. However, many local and systemic adverse reactions have reported. In particular some serious pulmonary complications have been reported such as pulmonary thromboembolism, acute respiratory distress syndrome with some cases leading to mortality. Most of the serious complicated cases were induced by an illegal silicone fluid injection. We experienced two cases of acute respiratory distress syndrome with pulmonary hemorrhage induced by an illegal silicone fluid injection. The patients were 41 & 51 year old women, who complained of dyspnea. The chest X-ray and HRCT scan findings showed a bilateral ground glass attenuation on the bilateral dependent portion of the upper and middle lung zone. The patients clinical symptoms and the radiologic and other laboratory findings were compatible with acute respiratory distress syndrome induced by the silicon fluid injection. Here we report two cases of acute respiratory distress syndrome with pulmonary hemorrhage induced by an illegal silicone injection with a review of the relevant literature.
Dyspnea
;
Female
;
Glass
;
Hemorrhage*
;
Humans
;
Lung
;
Mortality
;
Perineum*
;
Pulmonary Embolism
;
Respiratory Distress Syndrome, Adult*
;
Silicon*
;
Silicones*
;
Thorax
7.The Long-term Effect of Induction Chemotherapy with All-trans-retinoic Acid(ATRA) Follwed by Consolidation Chemotherapy for Newly Diagnosed Acute Promyelocytic Leukemia.
Joo Young JEONG ; Hark Kyun KIM ; Soo Mi BANG ; Young Jin YOO ; Muhn Hee LEE ; Jin Seok AHN ; Jong Tae LEE ; Seok Ah LIM ; Seon Yang PARK ; Byoung Kook KIM ; Noe Kyeong KIM
Korean Journal of Hematology 1999;34(1):80-89
No abstract available.
Consolidation Chemotherapy*
;
Induction Chemotherapy*
;
Leukemia, Promyelocytic, Acute*
8.Late Onset Nephrogenic Systemic Fibrosis in a Patient with Stage 3 Chronic Kidney Disease: a Case Report
Yu Jeong LIM ; Jisun BANG ; Youngsun KO ; Hyun-Min SEO ; Woon Yong JUNG ; Joo Hark YI ; Sang-Woong HAN ; Mi-yeon YU
Journal of Korean Medical Science 2020;35(35):e293-
Nephrogenic systemic fibrosis (NSF) is a progressive systemic fibrosing disease that may occur after gadolinium contrast exposure. It can lead to severe complications and even death.NSF is highly prevalent among patients with advanced chronic kidney disease (CKD). In this report, however, we describe the case of a patient with NSF that occurred during early CKD. A 65-year-old man with stage 3a CKD was transferred to our hospital because of lower extremity edema. The medical history revealed that he was exposed to gadolinium 185 days earlier, and the result of his tibial skin biopsy was consistent with NSF. The patient underwent a combined therapy with ultraviolet-A1 phototherapy and methotrexate and steroid therapy for 6 months. The combined therapy stopped the systemic progression of NSF.