1.Primary Angiosarcoma of the Mesentery: A Case Report
Hyeon Wook KANG ; Ji Yeol SHIN ; Ju Wan CHOI
Journal of the Korean Radiological Society 2020;81(2):423-427
Angiosarcoma is a malignant endothelial cell tumor of lymphatic or vascular origin and is most commonly found in the skin and soft tissue. Primary mesenteric angiosarcoma has rarely been reported. Here, we present a case of primary mesenteric angiosarcoma manifesting as a gradually enhancing mass along with necrosis and hemorrhage.
2.Primary Angiosarcoma of the Mesentery: A Case Report
Hyeon Wook KANG ; Ji Yeol SHIN ; Ju Wan CHOI
Journal of the Korean Radiological Society 2020;81(2):423-427
Angiosarcoma is a malignant endothelial cell tumor of lymphatic or vascular origin and is most commonly found in the skin and soft tissue. Primary mesenteric angiosarcoma has rarely been reported. Here, we present a case of primary mesenteric angiosarcoma manifesting as a gradually enhancing mass along with necrosis and hemorrhage.
3.Therapeutic Trial of Low Dose Amiodarone in Ventricular Arrhythmia.
In Ju KIM ; Won Tae CHUNG ; Jeong Wan KIM ; Deog Hyeon SON ; Young Woo SHIN ; Yeong Kee SHIN
Korean Circulation Journal 1988;18(3):455-461
The antiarrhythmic efficacy if low dose amiodarone treatment was studied in 30 cases of ventricular premature beats(VPBs). Amiodarone was administered 600mg daily in three divided doses for for initial 7-10 days as loadihg dosage,then 100-200mg once daily as maintenance. The results obtained were as follow : 1) The complete control of VPBs was achieved by amiodarone treatment in 90%, 27cases of 30 cases(all 11 cases with simple VPBs and 16 cases of the remainders with complex VPBs). 2) The QT interval and QTc were significantly prolonged, whereas heart rate was reduced significantly after amiodarone treatment. 3) In 27 cases of responder, the frequency of VPBs began to decrease overtly 2-3 days after amiodarone administration, then relatively stablized in 6 days, and complete cnotrol of VPBs was achieved in all cases about 10 days after treatment. 4) No significant side-reaction was observed except the decrease of serm T3 level after treatment.
Amiodarone*
;
Arrhythmias, Cardiac*
;
Heart Rate
;
Selective Estrogen Receptor Modulators
4.The Development of Educational CD-Program for Obesity Prevention and Management for Primary School Students.
Yi Soon KIM ; Hyeon Ok JU ; Mi Gyoung SONG ; Yoo Sun SHIN
Journal of Korean Academy of Nursing 2003;33(1):60-70
PURPOSE: The study is designed to develop an educational CD-Program for prevention and control of obesity among primary school students. METHOD: The study is conducted from June 15, 2000 to April 15, 2002. Based on the course of program development suggested by Dick and Cray (1990), the study followed the planning, development, education and evaluation of a program. RESULT: The developed CD-Program consists 2 parts each for lower and higher grades of primary school students. The introduction part of the first trial for lower grade students uses quiz to encourage their motivations, the body proceeds with motion pictures and animations to trigger their interests. The introduction part of the second trial for the lower grades consists of remembering the exhibition lecture. The first trial for higher grades of primary school students builds on the contents of the low grades. Its body part, how to determine obesity and calculate ones own obesity, puts ones own weight and height in by the mouse. For the second trial of the higher grades, the body consists of life-style, diet, and regiments. CONCLUSION: The merits of this CD-Program are that to be possible an interaction between teachers and students.
5.A Clinical Analysis of Surgically Managed Tuberculous Spondylitis.
Yeong Hyeon KIM ; Jin Kyu SONG ; Ho SHIN
Journal of Korean Neurosurgical Society 1997;26(2):223-234
Fourty three patients with tuberculous spondylitis were surgically treated through the anterior approach at our hospital from January, 1989 to December, 1994. Among them, 32 cases were followed up more than 18 months postoperatively, and were included in this study. The most prevalent location was lumbar region(50%). Paraparesis was frequently seen in patients with middle and lower thoracic spinal lesions and all patients with neurologic deficits improved after decompression of spinal cord. Autogenous rib and/or iliac strut bone grafting was performed, followed by spinal instrumentation. Solid bone fusion was obtained in all patients. There was no need for prolongation of duration of antituberculous drug therapy and no increased incidence of secondary infection due to spinal instrumentation.
Bone Transplantation
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Coinfection
;
Decompression
;
Drug Therapy
;
Humans
;
Incidence
;
Neurologic Manifestations
;
Paraparesis
;
Ribs
;
Spinal Cord
;
Spondylitis*
6.The Effect of Laryngeal Mask Airway on Postoperative Sore Throat in Prone Position.
Hyeon Ju SHIN ; Young Seok CHOI ; Myoung Hoon KONG ; Mi Kyoung LEE ; Nan Sook KIM ; Sang Ho LIM
Korean Journal of Anesthesiology 1998;35(5):903-907
Background: Postoperative sore throat is a complaint after general anesthesia of multifactorial etiology. The laryngeal mask airway (LMA) reduces sore throat and discomfort during maintenance of the airway and make patients more comfortable. The purpose of this study was to compare effect of patient's position during operation on postoperative sore throat after the use of LMA. Methods: The fifty three patients were randomly divided into two groups. Group 1 (n=30) was underwent general anesthesia with supine position and group 2 (n=23) with prone position. After the LMA was positioned in the hypopharynx and the cuff inflated, fiberoptic laryngoscope was immediately passed down through the LMA. Number of attempts, degree of postoperative sore throat and other complications were also noted. Results: The incidence of postoperative sore throat after the use of LMA was 10% in supine position and 4% in prone position. But the difference between the groups was not statistically significant. All of the reported sore throats were rated as mild. Conclusions: Postoperative sore throat after the use of LMA is mild and the incidence is not affected by the prone position during the operation.
Anesthesia, General
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Humans
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Hypopharynx
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Incidence
;
Laryngeal Masks*
;
Laryngoscopes
;
Pharyngitis*
;
Prone Position*
;
Supine Position
7.A Pediatric Fall-Risk Assessment Tool for Hospitalized Children.
Hyeon Ju SHIN ; Young Nam KIM ; Ju Hee KIM ; In Sook SON ; Kyung Sook BANG
Child Health Nursing Research 2014;20(3):215-224
PURPOSE: This study was conducted to identify risk factors in hospitalized children, and to develop and validate a fall-risk assessment tool for hospitalized children. METHODS: A retrospective chart review was performed at one university children's hospital, and an analysis was done of the characteristics of all patients who fell during a 44-month period (n=48). These patients were compared with another 149 hospitalized children who did not fall. RESULTS: Significant predictors of falls as identified in a multivariate logistic regression analyses were age of less than 3 years old, neurological diagnosis including epilepsy, children's dependency of ADL, physical developmental delay, multiple usage of fall-risk-increasing drugs. The respective odds ratios ranged from 2.4 to 7.1 with 95% confidence interval (p<0.05). Accordingly, defining patients with either 5 risk factors as fall-prone hospitalized children provided a sensitivity of 93.6% and specificity of 16.2%. CONCLUSION: The results show that this tool has an acceptable level of sensitivity to assess the risk factors of fall in hospitalized children even though the specificity was low, suggesting that this tool may enable nurses to predict the risk level of childhood falls, and develop preventive strategies against pediatric falls in children's units.
Accidental Falls
;
Activities of Daily Living
;
Child
;
Child, Hospitalized*
;
Diagnosis
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Epilepsy
;
Humans
;
Logistic Models
;
Odds Ratio
;
Retrospective Studies
;
Risk Factors
;
Sensitivity and Specificity
8.Radiotherapy of Locally Recurrent Rectal Carcinoma.
Hyeon Ju JEONG ; Young Ju SHIN ; Kwang Mo YANG ; Hyun Suk SUH ; Hachung CHUN ; Myung Za LEE
The Journal of the Korean Society for Therapeutic Radiology and Oncology 1999;17(1):36-41
PURPOSE: We reviewed the treatment results for the patients with locally recurrent rectal carcinoma. The object was to evaluate the treatment outcome and to identify the prognostic factors influencing the survival. METHODS AND MATERIALS: Twenty-eight patients with locally recurrent rectal carcinoma treated principally with external-beam radiation therapy between 1982 to 1996 in the Department of Radiation Oncology at Paik and Hanyang Hospital were reviewed retrospectively. Of these, 17 patients had initially abdominoperineal resection, 9 had low anterior resection, and 2 had local excision. No patients had received adjuvant radiation therapy for the primary disease. There were 14 men and 14 women whose ages ranged from 31 to 72 years (median age:54.5). Median time from initial surgery to the start of radiation therapy for local recurrence was 11 months (4~47 months). Radiation therapy was given with total doses ranging from 27 to 64.8 Gy (median=51.2 Gy). RESULTS: The median survival was 16.7 months. The 2-year and 5-year survival rates were 20.1%, 4.1% respectively. Upon multivariate analysis, overall survival was positively correlated with duration of intervals from initial surgery to local recurrence (P=0.039). Relief of pelvic symptoms was achieved in 17 of 28 patients (60.7%). Pain and bleeding responded in 40% and 100% of patients, respectively. CONCLUSION: Patients with locally recurrent rectal carcinoma treated with radiotherapy have benefited symptomatically, and might have increased survivals with a small chance of cure. But, patient were rarely cured (median survival:10 months, 5-year survival:less than 5%). Overall survival was positively correlated with long intervals from initial surgery to local recurrence. Future efforts should be directed to the use of effective therapy for patients with locally recurrent rectal carcinoma and adjuvant therapy for patients with rectal cancer to reduce the incidence of pelvic recurrence.
Female
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Hemorrhage
;
Humans
;
Incidence
;
Male
;
Multivariate Analysis
;
Radiation Oncology
;
Radiotherapy*
;
Rectal Neoplasms
;
Recurrence
;
Retrospective Studies
;
Survival Rate
;
Treatment Outcome
9.Ultrasound-guided central cluster approach for the supraclavicular brachial plexus block: a case series.
Mi Geum LEE ; Kyung Cheon LEE ; Hong Soon KIM ; Seol Ju PARK ; Young Je SUH ; Hyeon Ju SHIN
Korean Journal of Anesthesiology 2015;68(6):603-607
There are many different approaches to ultrasound-guided supraclavicular brachial plexus block (US-SCBPB), and each has a different success rate and complications. The most commonly performed US-SCBPB is the corner pocket approach in which the needle is advanced very close to the subclavian artery and pleura. Therefore, it may be associated with a risk of subclavian artery puncture or pneumothorax. We advanced the needle into the central part of the neural cluster after penetrating the sheath of the brachial plexus in US-SCBPB. We refer to this new method as the "central cluster approach." In this approach, the needle does not have to advance close to the subclavian artery or pleura. The aim of this study was to evaluate the clinical outcomes of the central cluster approach in US-SCBPB.
Brachial Plexus*
;
Needles
;
Pleura
;
Pneumothorax
;
Punctures
;
Subclavian Artery
;
Ultrasonography
10.On-Line Assessment of Left Ventricular Cavity Area and Function by Automatic Border Detection Echocardiography.
Bong Ryeol LEE ; Eui Ryong CHEONG ; Jae Kean RYU ; Jong Hyeon HWANG ; Hyeon Ju LIM ; Heon Sik PARK ; Shin Woo KIM ; Shung Chull CHAE ; Jae Eun JUN ; Wee Hyeon PARK
Korean Circulation Journal 1994;24(3):380-388
BACKGROUND: Assessment of left ventricular function with conventional 2-dimensional echocardiography (2D echo) remains largely qualitative and subjective because the manual tracing of endocardial borders is laborious and tedious. An automatic border detection (ABD) echo has been recently developed that permits real-time measurements of chamber areas and cardiac function. METHODS: To determine usefulness of ABD echo, left ventricular cross-sectional areas were automatically measured from the parasternal short-axis image in 25 cases including 9 cardiac patients, and compared with those by off-line analysis of the conventional 2D echo image. RESULTS: In on-line ABD analysis, short axis end-diastolic area averaged 13.1+/-2.2cm2, end-systolic area 5.3+/-1.3cm2 and fractional area change 59.4+/-9.0% and off-line manual analysis yielded corresponding values of 14.7+/-2.5cm2, 6.2+/-1.3cm2, and 57.1+/-7.1%. The end-diastolic and end-systolic areas by both methods were significantly different, respectively. Left ventricular end-diastolic and end-systolic area and fractional area change obtained from ABD echo correlated significantly with those of off-line measurements(r=0.897, p<0.001 ; r=0.505, p<0.01 ; r=0.427, p<0.05). CONCLUSION: Thus, these facts suggest that ABD echo is useful for on-line continuous measurement of chamber areas and cardiac function.
Axis, Cervical Vertebra
;
Echocardiography*
;
Humans
;
Ventricular Function, Left