1.Clinical application of copper vapor laser.
Jae Sung HA ; Jong Ryang LEE ; Jung Oh SUH ; Jun Yong PARK ; Sung Kyun JUNG ; Kun Soo CHUN ; Dong Hoon KANG
Journal of the Korean Society of Plastic and Reconstructive Surgeons 1993;20(2):356-365
No abstract available.
Copper*
;
Lasers, Gas*
2.Treatment of life-threatening acute osteomyelitis of the jaw during chemotherapy: a case report
Junhong JUNG ; Sumin KIM ; Jun-Sang PARK ; Choi-Ryang LEE ; Jae-ho JEON ; Ik-Jae KWON ; Hoon MYOUNG
Journal of Dental Anesthesia and Pain Medicine 2020;20(4):251-259
Oral and maxillofacial infection is a common complication in patients undergoing chemotherapy. The treatment of oral diseases in such patients differs from that administered to healthy patients. This paper reports a case of acute osteomyelitis of odontogenic origin following a recent chemotherapy session. The patient’s condition was life-threatening because of neutropenic fever and sepsis that developed during the inpatient supportive care. However, the patient showed prompt recovery within 40 days following the use of appropriate antibiotics and routine dressing, without the requirement for surgical treatment, except tooth extraction. As seen in this case, patients undergoing chemotherapy are more susceptible to rapid progression of infections in the oral and maxillofacial areas. Therefore, accurate diagnosis through prompt clinical and radiological examination, identification of the extent of infection, and assessment of the patient’s immune system are crucial for favorable outcomes.It is also necessary to eliminate the source of infection through appropriate administration of antibiotics. In particular, a broad-spectrum antibiotic with anti-pneumococcal activity is essential. Proper antibiotic administration and wound dressing are essential for infection control. Furthermore, close consultation with a hemato-oncologist is necessary for effective infection management based on the professional evaluation of patients’ immune mechanisms.
3.Clinical efficacy of urgent cerclage in cervical incompetence predicted by transvaginal ultrasonography in second trimester.
Jong Yun HWANG ; Sook Hee KIM ; Jun Sik CHO ; Dong Heon LEE ; Sun Jung PARK ; Sun Kwon KIM ; Jae Yoon SHIM ; Hye Sung WON ; Pil Ryang LEE ; Ahm KIM
Korean Journal of Obstetrics and Gynecology 2004;47(10):1852-1859
OBJECTIVE: To investigate the clinical efficacy of urgent cerclage on perinatal outcome in cervical incompetence predicted by transvaginal ultrasonography in second trimester. METHODS: We reviewed the medical records of 27 pregnant women who received urgent cerclage at Asan Medical Center between January, 1998 and August, 2002. When the cervical length was less than 25 mm and abnormal cervical shape by transvaginal ultrasonography in second trimester, we performed urgent cerclage. Abnormal cervical shapes were categorized as U-shape, Y-shape and V-shape. These data were compared with those of 102 patients who received prophylactic cerclage and 25 patients who received emergent cerclage during the same period. Analysis of variance and chi-square test were used for statistical analysis. P<0.05 was considered statistically significant. RESULTS: In urgent cerclage, the mean gestational age at delivery was 35.1 +/- 4.4 weeks. The mean birth weight was 2524.2 +/- 860.8 gm and perinatal survival rate was 92.6% (25/27). We compared these data with the other two cerclages. In prophylactic cerclage, the mean gestational age at delivery was 36.2 +/- 4.6 weeks. The mean birth weight was 2711.5 +/- 860.8 gm and perinatal survival rate was 94.1% (96/102). There was no statistically significant difference between urgent cerclage and prophylactic cerclage. In emergent cerclage, the mean gestational age at delivery was 27.5 +/- 6.9 weeks. The mean birth weight was 1373.8 +/- 1196.7 gm and perinatal survival rate was 48.0% (12/25). There was statistically significant difference between urgent cerclage and emergent cerclage based on our finding, The gestational age, birth weight and perinatal survival rate in urgent cerclage were not different from prophylactic cerclage. However, in emergent cerclage, these data were different from the other two cerclages. CONCLUSION: These data suggest that perinatal outcomes after urgent cerclage were comparable to those of prophylactic cerclage. Urgent cerclage could be a valuable alternative to a policy of uniform prophylactic cerclage.
Birth Weight
;
Chungcheongnam-do
;
Female
;
Gestational Age
;
Humans
;
Medical Records
;
Pregnancy
;
Pregnancy Trimester, Second*
;
Pregnant Women
;
Survival Rate
;
Ultrasonography*
4.Time Resolution Improvement of MRI Temperature Monitoring Using Keyhole Method.
Yong Hee HAN ; Tae Hyung KIM ; Song I CHUN ; Dong Hyeuk KIM ; Kwang Sig LEE ; Choong Ki EUN ; Jae Ryang JUN ; Chi Woong MUN
Journal of the Korean Society of Magnetic Resonance in Medicine 2009;13(1):31-39
PURPOSE: This study proposes the keyhole method in order to improve the time resolution of the proton resonance frequency(PRF) MR temperature monitoring technique. The values of Root Mean Square (RMS) error of measured temperature value and Signal-to-Noise Ratio(SNR) obtained from the keyhole and full phase encoded temperature images were compared. MATERIALS AND METHODS: The PRF method combined with GRE sequence was used to get MR temperature images using a clinical 1.5T MR scanner. It was conducted on the tissue-mimic 2% agarose gel phantom and swine's hock tissue. A MR compatible coaxial slot antenna driven by microwave power generator at 2.45GHz was used to heat the object in the magnetic bore for 5 minutes followed by a sequential acquisition of MR raw data during 10 minutes of cooling period. The acquired raw data were transferred to PC after then the keyhole images were reconstructed by taking the central part of K-space data with 128, 64, 32 and 16 phase encoding lines while the remaining peripheral parts were taken from the 1st reference raw data. The RMS errors were compared with the 256 full encoded self-reference temperature image while the SNR values were compared with the zero filling images. RESULTS: As phase encoding number at the center part on the keyhole temperature images decreased to 128, 64, 32 and 16, the RMS errors of the measured temperature increased to 0.538, 0.712, 0.768 and 0.845degrees C, meanwhile SNR values were maintained as the phase encoding number of keyhole part is reduced. CONCLUSION: This study shows that the keyhole technique is successfully applied to temperature monitoring procedure to increases the temporal resolution by standardizing the matrix size, thus maintained the SNR values. In future, it is expected to implement the MR real time thermal imaging using keyhole method which is able to reduce the scan time with minimal thermal variations.
Hot Temperature
;
Magnetics
;
Magnets
;
Microwaves
;
Protons
;
Sepharose
;
Tarsus, Animal
;
Thermography
5.Placental Mesenchymal Dysplasia Associated with a Fetal Unilateral Multicystic Dysplastic Kidney: A Case Report.
Jun Woo AHN ; Pil Ryang LEE ; Min Gyun KIM ; Kyu Rae KIM ; Jae Yoon SHIM ; Hye Sung WON ; Ahm KIM
Korean Journal of Perinatology 2010;21(2):174-179
Placental mesenchymal dysplasia (PMD) is a rare placental disorder that may coexist with a normal fetus but is frequently associated with fetal growth restriction, fetal demise, prematurity, and Beckwith-Wiedemann syndrome, as well as with various fetal anatomical and vascular anomalies. In this case, ultrasonography performed at 14 weeks of gestation revealed multiple, variable sized cysts in the placenta along with a morphologically normal fetus. Serial sonographic examinations found that the fetus became small for gestational age and had a dysplastic right kidney. After delivery at 33 weeks of gestation, histopathologic examination of the placenta showed enlarged, hydropic stem villi with cavity formation and absence of trophoblastic proliferation and pseudoinclusions, all of which were consistent with PMD. Neonatal abdominal ultrasonography showed multiple cysts in the right kidney consistent with a multicystic dysplastic condition. This appears to be the first case of PMD associated with fetal multicystic dysplastic kidney.
Beckwith-Wiedemann Syndrome
;
Fetal Development
;
Fetus
;
Gestational Age
;
Kidney
;
Multicystic Dysplastic Kidney
;
Placenta
;
Pregnancy
;
Trophoblasts
6.Preliminary Study on the MR Temperature Mapping using Center Array-Sequencing Phase Unwrapping Algorithm.
Kee Chin TAN ; Tae Hyung KIM ; Song I CHUN ; Yong Hee HAN ; Ki Seung CHOI ; Kwang Sig LEE ; Jae Ryang JUN ; Choong Ki EUN ; Chi Woong MUN
Journal of the Korean Society of Magnetic Resonance in Medicine 2008;12(2):131-141
PURPOSE: To investigate the feasibility and accuracy of Proton Resonance Frequency (PRF) shift based magnetic resonance (MR) temperature mapping utilizing the selfdeveloped center array-sequencing phase unwrapping (PU) method for non-invasive temperature monitoring. MATERIALS AND METHODS: The computer simulation was done on the PU algorithm for performance evaluation before further application to MR thermometry. The MR experiments were conducted in two approaches namely PU experiment, and temperature mapping experiment based on the PU technique with all the image postprocessing implemented in MATLAB. A 1.5T MR scanner employing a knee coil with T2* GRE (Gradient Recalled Echo) pulse sequence were used throughout the experiments. Various subjects such as water phantom, orange, and agarose gel phantom were used for the assessment of the self-developed PU algorithm. The MR temperature mapping experiment was initially attempted on the agarose gel phantom only with the application of a custom-made thermoregulating water pump as the heating source. Heat was generated to the phantom via hot water circulation whilst temperature variation was observed with T-type thermocouple. The PU program was implemented on the reconstructed wrapped phase images prior to map the temperature distribution of subjects. As the temperature change is directly proportional to the phase difference map, the absolute temperature could be estimated from the summation of the computed temperature difference with the measured ambient temperature of subjects. RESULTS: The PU technique successfully recovered and removed the phase wrapping artifacts on MR phase images with various subjects by producing a smooth and continuous phase map thus producing a more reliable temperature map. CONCLUSION: This work presented a rapid, and robust self-developed center arraysequencing PU algorithm feasible for the application of MR temperature mapping according to the PRF phase shift property.
Artifacts
;
Citrus sinensis
;
Computer Simulation
;
Heating
;
Hot Temperature
;
Knee
;
Magnetic Resonance Spectroscopy
;
Protons
;
Sepharose
;
Thermography
;
Thermometry
;
Water
7.Rhabdomyolysis in a patient taking nebivolol.
Ye Jin KIM ; Hae Ri KIM ; Hong Jae JEON ; Hyun Jun JU ; Sarah CHUNG ; Dae Eun CHOI ; Kang Wook LEE ; Ki Ryang NA
Kidney Research and Clinical Practice 2016;35(3):182-186
β Blockers such as propranolol and labetalol are known to induce toxic myopathy because of their partial β₂ adrenoceptor agonistic effect. Nebivolol has the highest β1 receptor affinity among β blockers, and it has never been reported to induce rhabdomyolysis until now. We report a patient who developed rhabdomyolysis after changing medication to nebivolol. A 75-year-old woman was admitted to our hospital because of generalized weakness originating 2 weeks before visiting. Approximately 1 month before her admission, her medication was changed from carvedilol 12.5 mg to nebivolol 5 mg. Over this time span, she had no other lifestyle changes causing rhabdomyolysis. Her blood chemistry and whole body bone scan indicated rhabdomyolysis. We considered newly prescribed nebivolol as a causal agent. She was prescribed carvedilol 12.5 mg, which she was previously taking, instead of nebivolol. She was treated by hydration and urine alkalization. She had fully recovered and was discharged.
Aged
;
Chemistry
;
Female
;
Humans
;
Labetalol
;
Life Style
;
Muscular Diseases
;
Nebivolol*
;
Propranolol
;
Rhabdomyolysis*
8.Maternal and Neonatal Outcome of Twin Pregnancies after in vitro Fertilization and Embryo Transfer.
Kyung Ah KIM ; Uoo Gyung MIN ; Jae Woo LIM ; Nu Lee JUN ; Hye Sung WON ; Chung Hoon KIM ; Ellen Ai Rhan KIM ; Pil Ryang LEE ; In Sik LEE ; Ki Soo KIM ; Ahm KIM ; Soo Young PI
Journal of the Korean Pediatric Society 2003;46(3):224-229
PURPOSE: To examine various neonatal outcomes and perinatal factors resulting from assisted reproduction compared to that of spontaneous conception. METHODS: This is a retrospective study. The control cases were all twins of spontaneous conception born between periods from January 1995 to June 2000. The study cases were identified from twins conceived by assisted reproduction in the same time peried. A total of 460 sets of twins consisted of 250 twins of spontaneous conception and 156 twins of assisted reproduction were studied. The primary outcomes were neonatal morbidity and mortality and the secondary outcomes were perinatal factors including number, length and cost of hospitalization for the delivery. RESULTS: No differences were seen in various neontal factors including gestational age, birth weight and incidences of respiratory distress syndrome, patent ductus arteriosus, necrotizing enterocolitis, hyperbilirubinemia, sepsis, intraventricular hemorrhage and the length of hospitalizations. Lower one minute and five minute Apgar scores and frequently encountered electrolyte abnormalities were observed in neonates of assisted reproduction. In general, the second twin of assisted reproduction had increased incidences of respiratory distress syndrome, sepsis and necrotizing enterocolitis than the first twin. Increased frequencies of preterm labor, hospitalization and elective cesarean section were seen among mothers who underwent artifical conception. However, overall hospital costs in terms of mothers hospitalization for the delivery and neonates hospitalization did not show differences. CONCLUSION: Assisted reproduction twins had similar neonatal morbidities, mortalities and perinatal morbidities compared to those born by spontaneous conception.
Birth Weight
;
Cesarean Section
;
Ductus Arteriosus, Patent
;
Embryo Transfer*
;
Embryonic Structures*
;
Enterocolitis, Necrotizing
;
Female
;
Fertilization
;
Fertilization in Vitro*
;
Gestational Age
;
Hemorrhage
;
Hospital Costs
;
Hospitalization
;
Humans
;
Hyperbilirubinemia
;
Incidence
;
Infant, Newborn
;
Mortality
;
Mothers
;
Obstetric Labor, Premature
;
Pregnancy
;
Pregnancy, Twin*
;
Reproduction
;
Retrospective Studies
;
Sepsis
;
Systemic Inflammatory Response Syndrome
9.Decision Factors on Mycophenolic Acid Dose after Renal Transplantation.
Soo Jin KIM ; Myoung Soo KIM ; Duck Jong HAN ; Chul Woo YANG ; Samuel LEE ; Ik Jin YUN ; Byoung Soo CHO ; Tae Won LEE ; Hark RIM ; Myung Jae KIM ; Dong Cheol HAN ; Gyu Tae SHIN ; Chang Kwon OH ; Jun Young DO ; Sang Youb HAN ; Soo Jin CHOI ; Ki Ryang NA
The Journal of the Korean Society for Transplantation 2009;23(2):135-140
BACKGROUND: Triple immunosuppressant therapy including anti-metabolites is the representative immunosuppressive therapy after renal transplantation. This study is to evaluate the factors that influence Mycophenolate sodium (MPS, Myfortic, Novartis, Basel, Switzerland) dosage patterns in renal transplantation patients who take MPS as an inosine monophosphate dehydrogenase (IMPDH) among antimetabolites. METHODS: From May 2007 to April 2008, 16 clinical departments of 14 transplantation centers in Korea retrospectively performed a survey on 650 renal transplantation recipients taking MPS. This survey collected personal information, clinical factors related to transplantation and immunosuppressive therapy. RESULTS: The mean age of the patients was 43.0+/-12.0 (7~75) and the study included 364 males (56.0%) and 286 females (44.0%). The average follow up period after renal transplantation was 49.5+/-53.4 (1~307) months. There were 366 (56.3%) living related cases, 145 (22.3%) living non-related cases and 139 (21.4%) deceased donor cases. Cyclosporine was the most common calcineurin inhibitor (CNI) used in combination therapy with MPS (476 cases, 73.2%) followed by tacrolimus (169 cases, 26.0%). The mean daily dose of MPS was 909.7+/-336.3 (180~1,620)mg and the mean daily dose per kg was 15.3+/-5.9 (2.65~32.73)mg/kg. The daily dose showed significant positive correlation with patient body weight but the daily dose per kg showed negative correlation. The daily dose of MPS was significantly higher in the combination therapy with cyclosporine than that with tacrolimus. The daily dose and the dose per kg decreased with increment of recipient age and post-transplant period. CONCLUSIONS: Our study concluded that MPS dosages correlated with the combined type of CNI, post-transplant period and age.
Body Weight
;
Calcineurin
;
Cyclosporine
;
Female
;
Follow-Up Studies
;
Humans
;
Inosine Monophosphate
;
Kidney Transplantation
;
Korea
;
Male
;
Mycophenolic Acid
;
Oxidoreductases
;
Retrospective Studies
;
Sodium
;
Tacrolimus
;
Tissue Donors
;
Transplants
10.Prenatal diagnosis of atrial isomerism in the Korean population.
Mi Young LEE ; Hye Sung WON ; Jae Yoon SHIM ; Pil Ryang LEE ; Byong Sop LEE ; Ellen Ai Rhan KIM ; Young Hwue KIM ; Jeong Jun PARK ; Tae Jin YUN ; Ahm KIM
Obstetrics & Gynecology Science 2014;57(3):193-200
OBJECTIVE: To report our experiences in the prenatal diagnosis of atrial isomerism and postnatal outcomes. METHODS: A total of 80 fetuses prenatally diagnosed with atrial isomerism were retrospectively analyzed between 1999 and 2011 at a single institution. RESULTS: Of 43 fetuses with prenatally diagnosed right atrial isomerism (RAI), 40 cases were analyzed. The diagnostic accuracy was 93%. The main intracardiac anomalies in RAI were atrioventricular septal defect (AVSD), abnormal pulmonary venous connection, bilateral superior vena cava (BSVC), and pulmonary atresia. Among 28 live births, three infants were lost to follow up, and the overall survival rate was 60%. Of 37 fetuses with prenatally diagnosed left atrial isomerism (LAI), 35 were evaluated. The diagnostic accuracy was 97%. The main intracardiac anomalies in LAI were ventricular septal defect, BSVC, AVSD, double outlet right ventricle, and bradyarrhythmia. Among seven patients with bradyarrhythmia, only one showed a complete atrioventricular block. All fetuses had an interrupted inferior vena cava with azygous continuation. The overall survival rate was 90%. CONCLUSION: Our study confirms the previous findings of fetal atrial isomerism. We also demonstrates a much lower prevalence of AVSD and complete heart block in LAI and a better survival rate in RAI. Although the postnatal outcomes for RAI were worse than those for LAI, successful postnatal surgery with active management improved the survival rate.
Atrioventricular Block
;
Bradycardia
;
Double Outlet Right Ventricle
;
Echocardiography
;
Fetus
;
Heart Block
;
Heart Defects, Congenital
;
Heart Septal Defects, Ventricular
;
Heterotaxy Syndrome
;
Humans
;
Infant
;
Isomerism*
;
Live Birth
;
Lost to Follow-Up
;
Prenatal Diagnosis*
;
Prevalence
;
Pulmonary Atresia
;
Retrospective Studies
;
Survival Rate
;
Vena Cava, Inferior
;
Vena Cava, Superior