1.Epidemiological characteristics of patients with drug-resistant tuberculosis.
Tuberculosis and Respiratory Diseases 2000;49(4):412-420
BACKGROUND: There is increasing concern in many countries about the problem of drug-resistant tuberculosis. Prevalence of primary drug-resistant tuberculosis is the optimal epidemiological indicator for long term monitoring of national tuberculosis control program. Our purpose was The purpose of our study is to assess clinical characteristics and socioeconomic status of patients with drug-resistant tuberculosis. METHODS: We studied 68 cases with durg-resistant Mycobacterium tuberculosis infection diagnosed at the Ewha Womans University Mokdong Hospital from March, 1995 to February, 2000. RESULTS: Patients with primary drug-resistant tuberculosis(PDR) were younger(39.6±16.3 years vs. 48.2±16.5 years; p<0.05), had more population of less than more were under the age of 40 years aged-group(62.9% vs. 36.4%; p<0.05) and were more highly educated than those with acquired drug-resistant tuberculosis(ADR)(38.9% vs. 11.1%; p<0.05). In patients with ADR, the rates of familial history of tuberculosis and living in a rented house residence in a rented house were increased higher than compared with to those of patients with PDR. Patients with ADR had more involved lobes(2.0±0.8 vs. 1.4±0.7; p<0.01) and longer treatment duration than those with PDR(18.3±7.2 months vs. 10.6±6.3 months; p<0.05). Patients with ADR showed larger numbers of resistant were resistant to more number of drugs, lower hospitalization rate and higher rate of self-interruption of medication than those with PDR. In patients with PDR, mono-drug resistance was increased, whereas poly-and multi-drug resistances were decreased compared with those with ADR. Resistance to isoniazid was the highest among antituberculosis drugs, and resistance to isoniazid in patients with ADR was higher than that in patients with PDR(90.9% vs. 71.4%; p<0.05). CONCLUSIONS: Patients with ADR were more likely to include more population be of lower socioeconomic class, and patients with PDR seem seemed to be young and socially active population. For control of drug-resistant Mycobacterium tuberculosis infection, proper isolation and prevention of patient with drug-resistant tuberculosis are needed.
Female
;
Hospitalization
;
Humans
;
Isoniazid
;
Mycobacterium tuberculosis
;
Prevalence
;
Social Class
;
Tuberculosis
;
Tuberculosis, Multidrug-Resistant*
2.Risk Factors in Early Life for Preschool Children in Korea that are Associated with Being Overweight or Obese
Osong Public Health and Research Perspectives 2020;11(1):15-26
The present study addressed the risk factors in early life for Korean preschool children that are associated with being overweight or obese. A descriptive cross-sectional design was used to conduct this study, which included 507 mothers with preschool children aged 3–5 years, who attended daycare centers. Data were acquired via a self-administered questionnaire completed by the mothers. Of the 650 questionnaires that were distributed, 507 (78%) were completed and sent back. Multivariate logistic regression analyses were used to identify risk factors in early life, which may contribute to being overweight or obese in preschool children. Fifty-eight (11.4%) preschool children were overweight and 41 (8.1%) were obese. Multivariate logistic regression analysis with adjustment for covariates, revealed a significant association with the introduction of solid foods before 4 months of age [adjusted odds ratio (aOR) = 9.49, The findings of this study highlighted the need for parenting education programs on feeding practices to increase their understanding of hunger and satiety cues in infants, and appropriate timing for the introduction of solid foods.
3.A clinical review of snake bite.
Sang Jin SONG ; Hyun Jin CHO ; Yang Soo JUNG
Journal of the Korean Surgical Society 1991;41(3):358-364
No abstract available.
Snake Bites*
;
Snakes*
4.Significance of the CT in rectal cancer.
Sang Jin SONG ; Jung Yong KIM ; Hyun Jin CHO ; Yang Su JUNG
Journal of the Korean Society of Coloproctology 1991;7(1):39-43
No abstract available.
Rectal Neoplasms*
5.Chronological changes of cholelithiasis in the southwestern part of Korea.
Sun Pil KIM ; Jung Yong KIM ; Hyun Jin CHO
Journal of the Korean Surgical Society 1991;41(2):195-202
No abstract available.
Cholelithiasis*
;
Korea*
6.A Case of Acardiac - Acephalus Twin Diagnosed by Antenatal Ultrasonography.
Jong In KIM ; Hyun Jin KIM ; Jung Sik KIM
Korean Journal of Obstetrics and Gynecology 1999;42(1):163-166
The acardius occurs with an incidence of one in 35,000 births and is presumed to result hom vascular anastomosis between the arterial circulation of the hemodynamically larger ""pump"" twin and that of the recipient ""perfused"" twin. The perfused twin displays severe anomalies, typically referred to as acardia, that are incompatible with life. The pump twin, because of its expanded cardiac demand, may also deveolp cardiac failure, with a mortality risk of 50-70%. We experienced one case of acardiac-acephalus twin gestation diagnosed by antenatal ultrasonography, and presented this.
Heart Failure
;
Humans
;
Incidence
;
Mortality
;
Parturition
;
Pregnancy
;
Twins*
;
Ultrasonography*
7.A Case of Placenta Percreta Involving the Urinary Bladder.
Jong In KIM ; Hyun Jin KIM ; Mee Jung KIM
Korean Journal of Obstetrics and Gynecology 1999;42(2):426-428
Placenta previa percreta is an uncommon and lifetbreatening complication of pregnancy. tbe incidence of both placenta previa and placenta acaeta are increased in patients with scaned uteri, and patienth with uterine scars and placenta previa are at inaeased risk for also baving placenta accreta. A case of placents previa percreta involving the urinary bladder was experienced and treated with surgical management. We reported a case with concerned literatures
Cicatrix
;
Humans
;
Incidence
;
Placenta Accreta*
;
Placenta Previa
;
Placenta*
;
Pregnancy
;
Urinary Bladder*
;
Uterus
8.Giant Follicular Ovarian Cyst with Torsion in Juvenile Primary Hypothyroidism.
Jung Won LEE ; Hyun Jin KIM ; Hae Soon KIM
Journal of Korean Society of Pediatric Endocrinology 2003;8(1):87-90
Multicystic ovary was first described by Silver in 1958 as a rare case feature of acquired primary hypothyroidism. In 1980, Lindsay reported four girls with hypothyroidism associated with multicystic ovary diagnosed by pelvic ultrasonography. The mechanism of ovarian cyst formation and pseudoprecocious puberty in severe hypothyroidism in childhood are unknown. Increased ovarian sensitivity to GnRH and increased TSH level which acts on FSH receptor is one of the mechanism explained. We report a case of a girl with primary hypothyroidism presented with pseudoprecocious puberty and giant follicular ovarian cyst with torsion.
Adolescent
;
Female
;
Gonadotropin-Releasing Hormone
;
Humans
;
Hypothyroidism*
;
Ovarian Cysts*
;
Ovary
;
Puberty
;
Receptors, FSH
;
Silver
;
Ultrasonography
9.Effect of Sequential Embryo Transfer in vitro Fertilization.
Byeong Jun JUNG ; Jong Sik KIM ; Hyun Jin SONG
Korean Journal of Fertility and Sterility 2000;27(1):75-82
OBJECTIVE: The objective of this study is to nfluence of sequential embryo transfers in an invitro fertilization was examined. METHOD: After in vitro fertilization, a maximum of 6 fertilized oocytes was enrolled in this study. At day 3 after an oocytes retrieval, embryos with good quality were transferred (mean 4.9), remaining embryos (mean 2.0/cycle) were cryopreserved at blastocyst stage (Group 1). At day 5 after oocytes collection, second a embryos had reached the blastocyst stage (Group 2) using P1 supplemented with 10 SSS and 30% Follicular fluid. No statistical difference in the pregnancy rate could be seen between the group without a second embryo transfer (n=21; 28.6%) and the group with a second transfer (n=52; 28.8%). RESULTS: The incidence of multiple pregnancy rate per embryo transfer was not statistically different between both group and no high-rank multiple pregnancy (greater than triplete) were observed (o.9%, 15.4%, respectively, p=0.74, chi2). Out of 114 cycles (506 embryos) cultured embryos in group 2, 52 cycles (159 embryos, 29.8%) reached the blastocyst stage. CONCLUSION: The second transfer did not have a significant effect on the pregnancy rate. The most important factor for the pregnancy seems to be the quality of the embryos transferred on day 3 following oocyte retrieval. We recommend embryo transfer is performed only one, day 2~3 or D5.
Blastocyst
;
Embryo Transfer*
;
Embryonic Structures*
;
Female
;
Fertilization
;
Fertilization in Vitro*
;
Follicular Fluid
;
Incidence
;
Oocyte Retrieval
;
Oocytes
;
Pregnancy
;
Pregnancy Rate
;
Pregnancy, Multiple
10.A Case of Acute Lung Injury Caused by Inhalation of Industrial Acetic Acid.
Jin Hyun YOO ; Chan Yung KIM ; Koo Young JUNG
Journal of the Korean Society of Emergency Medicine 1999;10(3):493-498
Industrial exposure to toxic agent may produce a wide variety of respiratory damage. Acetic acid is a colorless liquid with a pungent vingar-like odor. It is a rare case that acute lung injury is caused by inhalation of acetic acid. Acetic acid is miscible with water, and may directly produce damage to mucosa of respiratory tract due to its irritant quality. The outcome of the reaction is dependent on the intensity and duration of exposure and varies from death or pulmonary edema in acute phase to resolution or bronchiolitis obliterans or bronchiectasis. We experienced a rose of acute lung injury due to accidental inhalation of acetic acid. The patient was a 31-year-old male who had developed progressive chest discomfort, chilling sense, and mild dyspnea after accidental inhalation of acetic acid. He had severe hypoxemia and chest radiograph showed diane bilateral alveolar edema. He responded to conservative treatment with oxygen inhalation and was discharged with improved condition on the 7th hospital day.
Acetic Acid*
;
Acute Lung Injury*
;
Adult
;
Anoxia
;
Bronchiectasis
;
Bronchiolitis Obliterans
;
Dyspnea
;
Edema
;
Humans
;
Inhalation*
;
Male
;
Mucous Membrane
;
Odors
;
Oxygen
;
Pulmonary Edema
;
Radiography, Thoracic
;
Respiratory System
;
Thorax
;
Water