2.The study of the predictors in arthrocentesis and lavage of temporomandibular joint disorder : retrospective evaluation of anterior disc displacement without reduction.
Cheol Hun KIM ; Hie Seong HWANG ; Sang Hun SIN
Journal of the Korean Association of Oral and Maxillofacial Surgeons 2003;29(6):392-396
PURPOSE: The purpose of this study was to find the predictors for successful arthrocentesis for anterior disc displacement without reduction(ADD without Reduction) of the temporomandibular joint (TMJ). PATIENTS AND METHODS: Arthrocentesis and lavage was carried out in 25TMJs of 22patients whose MRI findings were all anterior disc displacement without reduction. The effectiveness of the treatment was evaluated in terms of the postoperative range of maximal mouth opening (MMO) and the degree of postoperative pain score. Predectors which was analyzed were age, duration of painful locking, MMO, the degree of pain, perioperative clicking and the amounts of irrigation fluid. RESULTS: 18cases (72%) was included to criteria for success. There were no significant differences in age, duration of locking, MMO and the degree of pain statistically. But In 15cases(83%) of successful cases, amouts of irrigated solution recovered to normal MMO were less than 150ml. And In 8cases (44%) of successful cases, perioperative clicking was appeared. CONCULSION: Amounts of irrigated solution recovered to normal MMO and the appeareance of perioperative clkicking may be predictors of the successful results of arthrocenetesis of ADD without reduction of TMJ.
Humans
;
Magnetic Resonance Imaging
;
Mouth
;
Pain, Postoperative
;
Temporomandibular Joint Disorders*
;
Temporomandibular Joint*
;
Therapeutic Irrigation*
3.Relationship of Sleep Parameters with Neurocognitive Function in the Elderly with Excessive Daytime Sleepiness (EDS).
Jung Hyun LEE ; Seong Jae KIM ; Hyun Kuk HWANG ; Jeong Hee YANG ; Jung Hie LEE
Journal of Korean Neuropsychiatric Association 2007;46(6):552-559
OBJECTIVES: Excessive daytime sleepiness (EDS) in the elderly is related to cognitive dysfunction. We aimed to analyze the difference in the neurocognitive function between the elderly groups with and without EDS and examine the correlation between sleep parameters and the neurocognitive function in the elderly with EDS. METHODS: Thirty seven subjects who visited Kangwon National University Hospital were recruited. We excluded those who had abnormalities in laboratory examination or chronic systemic diseases. For each subject, a neuropsychological battery in the Korean version of the Consortium to Establish a Registry for Alzheimer's Disease (CERAD-K) Assessment Packet was applied. Nocturnal polysomnographies were conducted in 16 subjects with EDS. RESULTS: There were no significant differences in the neurocognitive function between EDS positive and EDS negative groups. In the EDS positive group, the amount of stage 1 sleep negatively correlated with scores on Boston naming test, word list memory and Stroop interference, respectively (r=-0.611, -0.583, -0.611). Also, REM sleep amount positively cor-related with scores of word list recognition (r=0.568), and limb movement index negatively correlated with scores of word list memory (r=-0.523). CONCLUSION: The poor sleep quality was associated with impaired language, memory and executive functions. Also, increased limb movements were associated with the memory decline.
Aged*
;
Alzheimer Disease
;
Executive Function
;
Extremities
;
Gangwon-do
;
Humans
;
Memory
;
Polysomnography
;
Sleep, REM
4.Chromosome 22 LD Map Comparison between Korean and Other Populations.
Jong Eun LEE ; Hye Yoon JANG ; Sook KIM ; Yeon Kyeong YOO ; Jung Joo HWANG ; Hyojung JUN ; Kyusang LEE ; Okkyung SON ; Jun Mo YANG ; Kwang Sung AHN ; Eugene KIM ; Hye Won LEE ; Kyuyoung SONG ; Hie Lim KIM ; Seong Gene LEE ; Yongsook YOON ; Kuchan KIMM ; Bok Ghee HAN ; Bermseok OH ; Chang Bae KIM ; Hoon JIN ; Kyoung O CHOI ; Hyojin KANG ; Young J KIM
Genomics & Informatics 2008;6(1):18-28
Single nucleotide polymorphisms (SNPs) are the most abundant forms of human genetic variations and resources for mapping complex genetic traits and disease association studies. We have constructed a linkage disequilibrium(LD) map of chromosome 22 in Korean samples and compared it with those of other populations, including Yorubans in Ibadan, Nigeria (YRI), Centred'Etude du Polymorphisme Humain (CEPH) reference families (CEU), Japanese in Tokyo (JPT) and Han Chinese in Beijing (CHB) in the HapMap database. We genotyped 4681 of 111,448 publicly available SNPs in 90 unrelated Koreans. Among genotyped SNPs, 4167 were polymorphic. Three hundred and five LD blocks were constructed to make up 18.6% (6.4 of 34.5 Mb) of chromosome 22 with 757 tagSNPs and 815 haplotypes(frequency > or = 5.0%). Of 3430 common SNPs genotyped in all five populations, 514 were monomorphic in Koreans. The CHB + JPT samples have more than a 72% overlap with the monomorphic SNPs in Koreans, while the CEU + YRI samples have less than a 38% overlap. The patterns of hot spots and LD blocks were dispersed throughout chromosome 22, with some common blocks among populations, highly concordant between the three Asian samples. Analysis of the distribution of chimpanzee-derived allele frequency (DAF), a measure of genetic differentiation, Fst levels, and allele frequency difference (AFD) among Koreans and the HapMap samples showed a strong correlation between the Asians, while the CEU and YRI samples showed a very weak correlation with Korean samples. Relative distance as a quantitative measurement based upon DAF, Fst, and AFD indicated that all three Asian samples are very proximate, while CEU and YRI are significantly remote from the Asian samples. Comparative genome-wide LD studies provide useful information on the association studies of complex diseases.
Asian Continental Ancestry Group
;
Chromosomes, Human, Pair 22
;
Gene Frequency
;
Genetic Variation
;
Haplotypes
;
HapMap Project
;
Humans
;
Nigeria
;
Polymorphism, Single Nucleotide
;
Tokyo
5.Chromosome 22 LD Map Comparison between Korean and Other Populations.
Jong Eun LEE ; Hye Yoon JANG ; Sook KIM ; Yeon Kyeong YOO ; Jung Joo HWANG ; Hyojung JUN ; Kyusang LEE ; Okkyung SON ; Jun Mo YANG ; Kwang Sung AHN ; Eugene KIM ; Hye Won LEE ; Kyuyoung SONG ; Hie Lim KIM ; Seong Gene LEE ; Yongsook YOON ; Kuchan KIMM ; Bok Ghee HAN ; Bermseok OH ; Chang Bae KIM ; Hoon JIN ; Kyoung O CHOI ; Hyojin KANG ; Young J KIM
Genomics & Informatics 2008;6(1):18-28
Single nucleotide polymorphisms (SNPs) are the most abundant forms of human genetic variations and resources for mapping complex genetic traits and disease association studies. We have constructed a linkage disequilibrium(LD) map of chromosome 22 in Korean samples and compared it with those of other populations, including Yorubans in Ibadan, Nigeria (YRI), Centred'Etude du Polymorphisme Humain (CEPH) reference families (CEU), Japanese in Tokyo (JPT) and Han Chinese in Beijing (CHB) in the HapMap database. We genotyped 4681 of 111,448 publicly available SNPs in 90 unrelated Koreans. Among genotyped SNPs, 4167 were polymorphic. Three hundred and five LD blocks were constructed to make up 18.6% (6.4 of 34.5 Mb) of chromosome 22 with 757 tagSNPs and 815 haplotypes(frequency > or = 5.0%). Of 3430 common SNPs genotyped in all five populations, 514 were monomorphic in Koreans. The CHB + JPT samples have more than a 72% overlap with the monomorphic SNPs in Koreans, while the CEU + YRI samples have less than a 38% overlap. The patterns of hot spots and LD blocks were dispersed throughout chromosome 22, with some common blocks among populations, highly concordant between the three Asian samples. Analysis of the distribution of chimpanzee-derived allele frequency (DAF), a measure of genetic differentiation, Fst levels, and allele frequency difference (AFD) among Koreans and the HapMap samples showed a strong correlation between the Asians, while the CEU and YRI samples showed a very weak correlation with Korean samples. Relative distance as a quantitative measurement based upon DAF, Fst, and AFD indicated that all three Asian samples are very proximate, while CEU and YRI are significantly remote from the Asian samples. Comparative genome-wide LD studies provide useful information on the association studies of complex diseases.
Asian Continental Ancestry Group
;
Chromosomes, Human, Pair 22
;
Gene Frequency
;
Genetic Variation
;
Haplotypes
;
HapMap Project
;
Humans
;
Nigeria
;
Polymorphism, Single Nucleotide
;
Tokyo
6.Analysis of 10,811 Cases with Acute Ischemic Stroke from Korean Stroke Registry: Hospital-Based Multicenter Prospective Registration Study.
Kyung Ho YU ; Hee Jun BAE ; Sun Uck KWON ; Dong Wha KANG ; Keun Sik HONG ; Yong Seok LEE ; Joung Ho RHA ; Ja Seong KOO ; Jong Sung KIM ; Jin Hyuck KIM ; Ju Hun LEE ; Soo Jin CHO ; Sung Hee HWANG ; San JUNG ; Moon Ku HAN ; Ki Hyun CHO ; Byeong Chae KIM ; Dong Jin SHIN ; Dae Il CHANG ; Jae Hyeon PARK ; Eung Gyu KIM ; Dae Soo JUNG ; Moo Young AHN ; Dae Hie LEE ; Kun Woo PARK ; Yong Jae KIM ; Kyung Yul LEE ; Ji Hoe HEO ; Seung Hyun KIM ; Kwang Ho LEE ; Chin Sang CHUNG ; Jae Kwan CHA ; Jun Hong LEE ; Keun Yong UHM ; Byung Chul LEE ; Jae Kyu ROH
Journal of the Korean Neurological Association 2006;24(6):535-543
BACKGROUND: Although several hospital-based stroke studies were published, there has not been any reliable data representing the clinical characteristics of stroke in Korea. We analyzed the clinical characteristics of patients with ischemic stroke registered in the Korean Stroke Registry (KSR), which is the largest prospective hospital-based nation-wide stroke registry in Korea. METHODS: The KSR provided standardized protocols for collecting data, which includes the data of demographics, subtypes of stroke, risk factors, and neurological outcome at discharge. The brain imaging studies, including CT or MRI, were performed in all cases. RESULTS: KSR registered 10,811 patients of acute ischemic stroke between Nov. 2002 and Jun. 2004. The large-artery atherosclerosis was the most common subtype (37.3%), followed by small vessel occlusion (30.8%). Hypertension (65.4%) was the most common risk factor, followed by smoking (34.5%) and diabetes (28.3%). Although most of the hypertensive and diabetic patients had been diagnosed before the stroke, less than 45.4% and 32.5% of them were under regular control. The steno-occlusive lesion of extracranial carotid artery was only 29.3% and the ratio of intra- to extracranial artery disease was more than 2 in KSR. Only 20.5% of patients were admitted within 3 hours after stroke onset and 2.1% were treated with intravenous thrombolysis. In-hospital case-fatality was 5.2%, which is relatively comparable to those of previous studies. CONCLUSIONS: The KSR provided informative data in understanding the clinical characteristics of ischemic stroke in Korea. Further analysis of KSR will facilitate clinical trials and development of guidelines for the management of stroke patients.
Arteries
;
Atherosclerosis
;
Carotid Arteries
;
Cerebrovascular Disorders
;
Demography
;
Epidemiology
;
Humans
;
Hypertension
;
Korea
;
Magnetic Resonance Imaging
;
Neuroimaging
;
Prospective Studies*
;
Registries
;
Risk Factors
;
Smoke
;
Smoking
;
Stroke*