1.The Difference of Interpretations of Cardiopulmonary Exercise Testing According to Interpretative Algorithms and Exercise Methods.
Tuberculosis and Respiratory Diseases 2001;50(1):42-51
BACKGROUND: Recently, cardiopulmonary exercise testing (CPX) has become a popular diagnostic method for differentiating the main cause of exertional dyspnea or exercise limitation. We evaluated the difference in the CPX results according to interpretative algorithms and the methods of exercise in Korea. METHOD: Sixty-six patients with chronic lung disease and 48 adults with dyspneic symptoms, but with no abnormalities in a spirometry performed symptom limited CPX, were included in this study. The results were interpreted using both Wasserman's(WA) and Eschenbacher's algorithm (EA), and a comparison between both algorithms was made. Thirty-three healthy medical students performed the CPX with a cycle ergometer and treadmill. The results were interpreted with EA and the concurrenec in interpretations was evaluated according to the methods of exercise. RESULTS: 1. In patients with chronic lung disease, the overall concordance rate between the two algorithms was 63.6%. The concordance rates were 69.8% in patients with obstructive, 25.0% in those with restrictive, and 66.7% in those with mixed pulmonary insufficiency. In patients with dyspneic symptoms but normal findings in resting spirometry, the concordance rate was 60.4%. 2. In healthy medical students, in results interpreted with EA, the concordance rate between the cycle ergometer and treadmill exercise was 25.0%. CONCLUSION: Both interpretative algorithms and methods of exercise may affect the CPX results. In using CPX as a diagnostic test for the causes of dyspnea in the Korean population, the interpretative algorithms and method of exercise need to be standardized, and a predictive VO2max equation needs to be established.
Adult
;
Diagnostic Tests, Routine
;
Dyspnea
;
Exercise Test*
;
Humans
;
Korea
;
Lung Diseases
;
Methods*
;
Spirometry
;
Students, Medical
2.Elbow Arthroscopy for the Stiff Elbow
The Journal of the Korean Orthopaedic Association 1994;29(7):1706-1710
Twenty-five consecutive patients who had contracture of the elbow were treated by arthroscopy. The techniques were removal of loose bodies, removal of osteohyte, anterior capsular release, abrasional arthroplasty and excision of the radial head. The type of arthroscopic procedure was determined by the cause of limiting motion which was intra-articular(intrinsic). The mean preoperative arc of total motion was 92°(21°-113°). Re-examination of the elbows after anaverage follow-up of 19 months showed tbat the mean arc of total motion was 116°(14°-130°). Twenty-three out of twenty-five patients (92%) who were followed up were satisfied with the results of the procedure and exhibited improved ability in carrying out daily activities. In conclusion, arthroscopy of the elbow is an effective diagnostic procedure and is also effective in treating certain intra-articular problems with minimal morbidity and rapid recovery to function.
Arthroplasty
;
Arthroscopy
;
Contracture
;
Elbow
;
Follow-Up Studies
;
Head
;
Humans
;
Joint Capsule Release
3.Higher Cognitive Functions and Psychiatric Disorders.
Journal of the Korean Society of Biological Psychiatry 1997;4(1):36-42
Higher cognitive functions refer to the highest level of human intellectual functioning, including formation, reasoning, and executive functions. The executive functions can be conceptualized as having four components ; volition, planning, purposive action, and effective performance. Because higher cognitive functions represent the most advanced stages of intellectual development, they are often highly susceptible to the effects of brain injuries and mental disorders. The ability to perform effectively within the environment is determined in large part by an individual's adequacy in performing such higher-order function. Especially executive functions are necessary for appropriate, socially responsible, and effectively sell-serving adult conduct. Therefore, an assessment of the psychiatric patient's performance in these areas will provide useful diagnostic information, as well as information concerning social and vocational prognosis.
Adult
;
Brain Injuries
;
Executive Function
;
Humans
;
Mental Disorders
;
Prognosis
;
Volition
4.A Case of Tuberculosis Verrucosa Cutis with Ulcer in a Patient with Pulmonary Tuberculosis.
Injung KANG ; Min Kyung SHIN ; Min Jae GWAK ; Nack In KIM
Korean Journal of Dermatology 2014;52(12):914-915
No abstract available.
Humans
;
Mycobacterium tuberculosis
;
Tuberculosis*
;
Tuberculosis, Pulmonary*
;
Ulcer*
5.Two Cases of Leukemia Cutis.
Jae Wang KIM ; Kwang Joong KIM ; Chong Min KIM
Korean Journal of Dermatology 1998;36(1):133-138
We report herein two cases of leukemia cutis. One case is a 54-year-old woman who came to our department with complaints of a solitary ulcerating nodule on her left leg that had been present for 2 months since prior to her visit. Through histopathological studies, the diagnosis of myelocytic leukemia cutis was made before the final diagnosis of acute myelocytic leukemia was made by hematological studies. When combined chemotherapy was finished, she was in a partial remission state and the nodule disappeared after 1 month of chemotherapy. The other case is a 77-year-old man having multiple infiltrative nodules on the right forearm and right thigh for 1 month prior his visit. He was diagnosed as having leukemia cutis for his skin lesions histopathologically. This was redefined as chronic myelomonocytic leukemia of the myelodysplastic syndrome with blastic transfor- mation by hematological examination. He developed septicemia and died 3 weeks after the dermato- logical diagnosis.
Aged
;
Diagnosis
;
Drug Therapy
;
Female
;
Forearm
;
Humans
;
Leg
;
Leukemia*
;
Leukemia, Myeloid
;
Leukemia, Myeloid, Acute
;
Leukemia, Myelomonocytic, Chronic
;
Logic
;
Middle Aged
;
Myelodysplastic Syndromes
;
Sepsis
;
Skin
;
Thigh
;
Ulcer
6.A comparative study of DNA ploidy pattern by flow cytometry and AG-NORs in colon adenocarcinoma.
Jae Man KIM ; Han Sun KIM ; Sae Min KIM
Journal of the Korean Society of Coloproctology 1993;9(4):339-351
No abstract available.
Adenocarcinoma*
;
Colon*
;
DNA*
;
Flow Cytometry*
;
Ploidies*
7.Two Cases of Successful Treatment with Atropine Sulfate in Persistent Vomiting beyond Pyloromyotomy of Infantile Hypertrophic Pyrolic Stenosis .
Won Jung KIM ; Min Jung KIM ; Woo Jae JO ; Jae Young KIM ; Sung Won KIM
Journal of the Korean Pediatric Society 2000;43(5):704-709
Infantile hypertrophic pyloric stenosis (IHPS) is the most common condition requiring abdominal surgery in early infancy, and is caused by hypertrophied pyloric muscle. The development of successful surgical treatment in the early 1900s by Fredet and Ramstedt made it possible for infants worldwide to survive. Modern pediatric anesthetic techniques have virtually eliminated mortality from surgical management. Atropine sulfate is a cholinergic blocking agent with potent antimuscarinic activity that decreases peristaltic contractions by relaxing smooth muscles. We treated two cases of IHPS with incomplete pyloromyotomy in 3-month-old and 5-month-old male infants by administering atropine sulfate intravenously. They were free from vomiting after 5 days of intravenous atropine sulfate treatment. In these rare cases of persistent vomiting or refractory emesis following incomplete pyloromyotomy, there may be a role for atropine sulfate.
Atropine*
;
Constriction, Pathologic*
;
Humans
;
Infant
;
Male
;
Mortality
;
Muscle, Smooth
;
Pyloric Stenosis, Hypertrophic
;
Vomiting*
8.A Case of Retinal Periphlebitis Associated With Barre Syndrome.
Sook Kyung CHOI ; Jae Ho KIM ; Sang Min KIM
Journal of the Korean Ophthalmological Society 1969;10(4):33-35
Authors' presented an interesting case, 19 years old boy, who was been suffered from retinal periphlebitis of both eyes which thought to be induced by Barre Syndrome. This patient also has pulmonary tuberculosis and visual symptoms of Barre Syndrome in this case were ocular pain and visual disturbance that appeared and disappeared suddenly due probably to irritation of the ventral nerve roots (C5 to T1) with also irritation of sympathetic fibers contained in them.
Adrenergic Fibers
;
Humans
;
Male
;
Phlebitis*
;
Retinaldehyde*
;
Tuberculosis, Pulmonary
;
Young Adult
10.Steroid-Induced Glaucoma: Ten Cases Of Glaucoma Induced By Topical Corticosteroids.
Jae Ho KIM ; Sang Min KIM ; Yung Soon PARK
Journal of the Korean Ophthalmological Society 1969;10(3):33-39
No abstract available.
Adrenal Cortex Hormones*
;
Glaucoma*