1.Comparison of the Finding of Transrectal Ultrasonography and the Result of Transurethral Resection of Prostate according to the Histologic Types in Benign Prostatic Hyperplasia.
Korean Journal of Urology 2000;41(9):1079-1085
No abstract available.
Prostatic Hyperplasia*
;
Transurethral Resection of Prostate*
;
Ultrasonography*
2.Staphylococcal peritonitis associated with appendiceal perforation in a patient with CAPD.
Joon Sik KIM ; Jae Hyung AHN ; Tae Won LEE ; Chun Kyu IHM ; Myung Jae KIM
Korean Journal of Nephrology 1991;10(1):92-95
No abstract available.
Humans
;
Peritoneal Dialysis, Continuous Ambulatory*
;
Peritonitis*
3.Impairment of Right Ventricular Diastolic Function in Early Type 2 Diabetes.
Sang Hyun IHM ; In Soo PARK ; Ho Joong YOUN ; Jae Hyung KIM ; Soon Jo HONG ; Kyu Bo CHOI
Korean Circulation Journal 2003;33(6):499-506
BACKGROUND AND OBJECTIVES: Diabetes is associated with a unique form of cardiomyopathy in the absence of atherosclerosis. The mechanisms of diabetic cardiomyopathy have not been defined, but is associated with early left ventricular (LV) diastolic dysfunction following an altered LV contractile performance. However, less attention has been paid to the right ventricular (RV) diastolic function in diabetes. Therefore, the changes in the RV ans LV filling dynamics, in patients with early type 2 diabetes, were investigated. SUBJECTS AND METHODS: The transtricuspid and trans-mitral flows were assessed by transthoracic Doppler echocardiography, at maximal inspiration and expiration, in 48 subjects (mean age: 62+/-9 years, M:F=16:32) with type 2 diabetes (Type 2 DM group) and 34 normal subjects (control group ; mean age:59+/-9 years, M:F=15:19, ranging from 45-75 years of age) with normal LV systolic function and ECG at rest. Subjects with diabetic complication, nephropathy (Cr >1.5 mg/dL), LVH and COPD were excluded. RESULTS: The mitral E/A ratio and DT (deceleration time) showed no significant difference between the type 2 DM and control groups. The LV and RV systolic functions also showed no significant difference between the two groups. However, the type 2 DM group had a lower tricuspid E/A ratio (0.98+/-0.25 vs. 1.17+/-0.21, p<0.001) and a longer tricuspid DT (241+/-65 msec vs. 208+/-51 msec, p=0.016) than the control group. CONCLUSION: The right ventricular diastolic function is frequently abnormal in early type 2 diabetes. This suggests that right ventricular diastolic dysfunction may be an important predictor for the early detection of diabetic cardiomyopathy.
Atherosclerosis
;
Cardiomyopathies
;
Diabetes Complications
;
Diabetes Mellitus
;
Diabetic Cardiomyopathies
;
Diastole
;
Echocardiography
;
Echocardiography, Doppler
;
Electrocardiography
;
Heart Ventricles
;
Humans
;
Pulmonary Disease, Chronic Obstructive
4.A Case of Renal Leiomyosarcoma.
Chang Hyun PARK ; Jun Tak AN ; Jae Kyu IHM ; Young Goo LEE ; Jung Won SHIM ; Heung Won PARK
Korean Journal of Urology 2000;41(2):333-336
No abstract available.
Leiomyosarcoma*
5.The Effect of Low Dose and High Dose ACTH in the Evaluation of Adrenal Function.
Hyung Joon YOO ; Sung Hee IHM ; Sung Woo PARK ; Jae Hwan JEE ; Hyun Kyu KIM ; Doo Man KIM ; Jae Myoung YOO ; Moon Ki CHOI
Journal of Korean Society of Endocrinology 1998;13(4):580-589
BACKGROUND: Pharmacological ACTH test provide information only about the ability of the adrenal gland to respond to unusual stimuli and may not reflect the daily cortisol secretion. There were some controversies in the diagnosis of mild adrenal insufficiency by using a pharmacological dose of ACTH. The purpose of the present study was to assess and compare the effect of low dose 1 pg ACTH and high dose 249 pg ACTH in the evaluation of adrenal function. The intravenous injection of a pharmacological dose(250 pg) of ACTH has been used as a standard test in the initial assessment of adrenal function. So we low dose ACTH to evaluate the adrenal function and compare the result of high dose ACTH. METHOD: Basal serum cortisol sampling was done at 2:00 p.m.. And after 1 pg ACTH iv bolus injection, cortisol sampling was done at 20, 30, 45 and 60 min respectively. On the next day same procedure was repeated at same time, but 249 mg ACTH was given instead of the low dose. Normal adrenal function was diagnosed with the criteria of stimulated serum cortisol concentration over 20 mg/dL. Total 65 patients took part in this study. Three hypopituitarism patients and one Addisons disease were included. Sixty-one patients had the history of glucocorticoid ingestion or had physical findings of cushingoid features with symptoms suggest the adrenal insufficiency. RESULTS: Sixteen patients showed normal response to both low dose and high dose ACTH. Thirty-six patients were not stimulated to both low dose and high dose ACTH. The remaining thirteen patients revealed normal response to high dose ACTH, but not to low dose ACTH. CONCLUSION: It appears that low dose ACTH stimulation test is more sensitive and specific than high dose ACTH and is capable of revealing mild adrenal insufficiency.
Addison Disease
;
Adrenal Glands
;
Adrenal Insufficiency
;
Adrenocorticotropic Hormone*
;
Diagnosis
;
Eating
;
Humans
;
Hydrocortisone
;
Hypopituitarism
;
Injections, Intravenous
6.A Case of Intradural Spinal Lipoma.
Byeong Kyu KIM ; Jae Young BAN ; Jowa Hyuk IHM ; Tae Hee RYU ; Bang Hyun NAM ; Suk Hoon YOON
Journal of Korean Neurosurgical Society 1996;25(9):1901-1904
Intradural spinal lipomas are rare, primary genign tumor of the spinal canal. A case of intradural spinal lipoma with intramedullary extension is presented. Clinical feature was slowly progressing paraparesis. A subtotal excision was performed, and pathological studies confirmed the diagnosis.
Diagnosis
;
Lipoma*
;
Paraparesis
;
Spinal Canal
;
Spinal Cord Compression
;
Spinal Cord Neoplasms
7.Clinical Analysis of Chronic Subdural Hematomas: Review of 69 Operated Cases.
Byeong Kyu KIM ; Jae Yung BAN ; Jowa Hyuk IHM ; Tae Hee RYU ; Bang Hyun NAM ; Suk Hoon YOON
Journal of Korean Neurosurgical Society 1996;25(9):1820-1827
The authors analysed retrospectively, 69 cases of chronic subdural hematoma admitted to the Department of Neurological Surgery, from January 1992 to February 1995. All hematomas were operated on by one burr hole trephination and continuous closed-system cather drainage system. The results were as follows: 1) Male was more frequently involved than female with ratio of 5.3:1 and the incidence was prredominent in the patients whose ages were over 50. 2) History of head trauma was found in 52 cases(75.4%), among which habitual alcoholism was found in 6 cases(8.7%). 3) The major symptoms and signs at admission were headache(55.1%), hemiparesis(44.9%), and mental changes(30.4%). 4) On the brain CT scan, hematoma showed low, iso, mixed, and high in density, and the shapes of hematoma were crescenteric, biconvex, planoconvex, and concave in order of frequency. 5) We have found a significant relationship between the neurological grade at admission and the prognosis, and noted full recovery in 45 cases(65.2%) and no d eath as a result of 1-burr hole trephination.
Alcoholism
;
Brain
;
Craniocerebral Trauma
;
Drainage
;
Female
;
Hematoma
;
Hematoma, Subdural, Chronic*
;
Humans
;
Incidence
;
Male
;
Prognosis
;
Retrospective Studies
;
Tomography, X-Ray Computed
;
Trephining
8.The Relationship between Depression and Malnutrition in the Elderly Diabetics.
Sae Young PARK ; Hyung Joon YOO ; Kwon Soo KIM ; Hyun Kyu KIM ; Doo Man KIM ; Jae Myung YOO ; Sung Hee IHM ; Moon Gi CHOI
Journal of the Korean Geriatrics Society 1999;3(1):50-55
BACKGROUND : There are various factors affecting the nutritional status of the elderly. Depression has been known as an important factor of malnutrition in them. We had already reported the poor nutritional status of elderly diabetics [J Kor Diabetes Association 22(1):71, 1998]. We investigated to document the prevalence of malnutrition and its relationship to depression in elderly diabetic patients. METHODS : We studied 52 patients aged 65 and over (65-00 y, mean 76.7 y; 22 men, 30 women) with diabetes mellitus admitted during from 1996 through 1997. Malnutrition was diagnosed on presence of 1 or more criteria; 10% weight loss in last 3 months, serum albumin <3.3 g/dL, serum transferrin <200 mg/dL, and blood total lymphocyte<1,800/mm3. There was no significant differences between depressed Group and non-depressed Group in duration of diabetes, body mass index, fasting plasma glucose, HbA1c, and number of complication including hypoglycemic episodes. Depression was assessed on Hamilton Depression Scale score of 16 or more. Data were analyzed by Chi square test. RESULTS : 28/52 (53.9%) were malnourished, 12/52 (23.1%) having depression. Of the 12 patients with depression, only 5 had malnutrition. No significant relation between depression and malnutrition was found (Chi squre=2.689, p=0.992). CONCLUSION : Depression might have no significant relationship to malnutrition in the elderly diabetic in-patients.
Aged*
;
Blood Glucose
;
Body Mass Index
;
Depression*
;
Diabetes Mellitus
;
Fasting
;
Humans
;
Male
;
Malnutrition*
;
Nutritional Status
;
Prevalence
;
Serum Albumin
;
Transferrin
;
Weight Loss
9.Relation between Serum Carboxy-Terminal Propeptide of Type 1 Procollagen(PIP), a Marker of Myocardial Fibrosis, and Left Ventricular Diastolic Function in Patients with Early Type 2 Diabetes Mellitus.
Sang Hyun IHM ; Ho Joong YOUN ; Sung Rae KIM ; Chul Soo PARK ; Ki Yuk CHANG ; Ki Bae SEUNG ; Jae Hyung KIM ; Soon Jo HONG ; Kyu Bo CHOI
Korean Circulation Journal 2005;35(7):500-506
BACKGROUND AND OBJECTIVES: This study was designed to investigate whether the serum concentration of the carboxy-terminal propeptide of procollagen type I PIP, a marker of myocardial fibrosis, was related to the change of the ventricular filling dynamics in patients with early type 2 diabetes mellitus (DM). SUBJECTS AND METHODS: Echocardiography was performed in 28 patients with type 2 DM and 32 age-matched healthy controls, ranging from 31-69 years of age, with normal left ventricular (LV) systolic function and ECG at rest. Subjects with diabetic complications, including microalbuminuria, nephropathy (Cr>1.3 mg/dL), severe obesity (BMI> or =30 kg/m2), LV hypertrophy (LV septal thickness and/or posterior wall thickness 12 mm on M-mode) and hypertension, were excluded. The serum concentrations of PIP and Transforming growth factor TGF-beta1 were measured by enzyme immunoassay methods. RESULTS: The type 2 DM group had lower mitral (Type 2 DM vs. Control: 0.88+/-0.28 vs. 1.17+/-0.34, p<0.01) and tricuspid E/A ratios (1.15+/-0.25 vs. 1.30+/-0.25, p=0.01) than the control group. The level of serum PIP was higher (p<0.05) in patients with type 2 DM than in the control group (131.1+/-45.6 vs. 109.3+/-32.5). The difference in the duration between transmitral forward (A) and pulmonary venous retrograde (Ar) waves (A-Ar) was considered an estimate of a passive diastolic function. A-Ar was inversely related with the serum PIP level in type 2 diabetes (r=-0.43, p=0.03). CONCLUSION: These results show a relationship between the LV diastolic function and the serum concentration of PIP in early type 2 DM. These findings suggest that the determination of the serum level of PIP is a useful method for the screening and early diagnosis of myocardial fibrosis associated with DM.
Collagen Type I
;
Diabetes Complications
;
Diabetes Mellitus
;
Diabetes Mellitus, Type 2*
;
Diastole
;
Early Diagnosis
;
Echocardiography
;
Electrocardiography
;
Fibrosis*
;
Humans
;
Hypertension
;
Hypertrophy
;
Immunoenzyme Techniques
;
Mass Screening
;
Obesity, Morbid
;
Procollagen
;
Transforming Growth Factor beta1
;
Transforming Growth Factors
10.Penoplasty with a Sensate Radial Forearm Free Flap after Removal of Paraffinoma.
Jun Tak AN ; Sung Tae CHO ; Chang Hyun PARK ; Jae Kyu IHM ; Hyung Yun KIM ; Ki Kyung KIM ; In Suck SUH ; Young Goo LEE ; Heung Won PARK
Korean Journal of Urology 2002;43(2):183-185
A 33-year-old man who self injected paraffin into his penis to facilitate an erection and increase his potency suffered from diffuse ulceration and a wide defect on the penile skin involving the proximal glans to the penopubic junction with a high fever. The compromised skin and subcutaneous tissue had to be completely removed and a sensate radial forearm free flap was performed around the penile shaft. This method gave the patient excellent satisfaction in both cosmetic and sexual function. Therefore, this method might be a good therapeutic alternative, especially for young adults indulging in active sexual activity and suffer from wide skin defects even though this operation is expensive and not easy.
Adult
;
Fever
;
Forearm*
;
Free Tissue Flaps*
;
Humans
;
Male
;
Paraffin
;
Penis
;
Sexual Behavior
;
Skin
;
Subcutaneous Tissue
;
Ulcer
;
Young Adult