1.A Biomechanical Study on the Pull-Out Strength of Pedicle Screw Augmented with Polymethylmethacrylate(PMMA)- Cadaveric Study -.
Jee Soo JANG ; Sang Ho LEE ; Kyung Tae KIM ; Byung Soo KIM ; Won Bok LEE
Journal of Korean Neurosurgical Society 2002;31(1):45-49
OBJECTIVE: The authors evaluate the differences in the pedicle screw pull-out strength between an unaugmented screw and a screw augmented by high pressurized PMMA in an embalmed human lumbar cadaveric spine. METHODS: Pedicle screws were inserted in the 50 pedicles of cadaver lumbar spine after measuring the bone mineral density(BMD) of the specimens. The pedicle screw was inserted without augmentation on the left pedicle and with augmentation by a vertebral reconstruction with high pressurized PMMA on the right side. The pedicle screw was inserted before the hardening of bone cement on the right side. A computed tomographic scan was done to evaluate the location of the PMMA and PMMA/ screw interface. After that, a screw pullout strength test was performed. RESULTS: There were positive correlations between the pull-out strength and BMD in the control group (r=0.7339). The average pull-out strength of the augmented group was 168% greater than that of the control group(p<0.05). The pull-out strength of the augmented group was correlated with in the volume of the PMMA. CONCLUSION: A pedicle screw that is augmented with PMMA will provide a more rigid fixation than that of an unaugmented screw, especially in the low BMD group of the specimens.
Cadaver*
;
Humans
;
Polymethyl Methacrylate
;
Spine
2.A Case of Prader-Willi Syndrome with Microdeletion of Chromosome 15 q11-q13 Confirmed by FISH.
Ji Heon JANG ; Jee Yeon SONG ; Byung Kyu SUH ; Won Bae LEE ; Byung Churl LEE
Journal of Korean Society of Pediatric Endocrinology 1997;2(1):145-152
Prader-Willi(PW)syndrome is characterized by obesity, hypotonia, mental retardation, hypogonadism, short stature, excessive eating and characteristic facial appearance. Diabetes mellitus has been considered a component of PW syndrome. Recently this syndrome is caused by the absence of paternally derived genes normally located on chromosome segment 15 q11-q13 or may be the result of maternal uniparental disomy with the absence of paternally derived 15 q11-q13 region. The developement of probes containing segments of DNA from chromosome region 15 q11-q13 provides the oppotunity to confirm the diagnosis of PW syndrome by fluorescence in situ hybridization(FISH). We experienced a 15-year-old boy of PW syndrome with diabetes mellitus, who revealed mental retardation, hypogonadism, obesity and microdeletion of chromosome 15 q11-q13 comfirmed by FISH.
Adolescent
;
Chromosomes, Human, Pair 15*
;
Diabetes Mellitus
;
Diagnosis
;
DNA
;
Eating
;
Fluorescence
;
Humans
;
Hypogonadism
;
Intellectual Disability
;
Male
;
Muscle Hypotonia
;
Obesity
;
Prader-Willi Syndrome*
;
Uniparental Disomy
3.Incarceration of the Gravid Uterus with Myoma: Report of One Patient Managed with Uterine Reduction.
Tae Gee JANG ; Min Hwan KO ; Tae Hyun LEE ; Eun Jee LEE ; Suk Yong WON
Korean Journal of Obstetrics and Gynecology 2000;43(11):2059-2061
Incarceration of the gravid uterus is a rare but serious complication of pregnancy. Reported is the case of a gravid 2, para 0, abortus 1 with known uterine subserosal myoma(5.3 x5.5cm sized) 26-year-old woman presented with acute dysuria and urinary retention. The patient was 14 weeks and 3 days pregnant and presented several week history of urinary frequency and sensation of incomplete bladder emptying. Examination revealed a retroflexed uterus with cervical opening pointing toward the anterior abdominal wall. An ultrasound revealed a thin, elongated maternal bladder and a uterus incarcerated between the sacral promontary and the pubis. The incarceration was successfully reduced by tenaculum traction of the cervical posterior lip without surgical intervention and had a normal infant of appropriate weight at term.
Abdominal Wall
;
Adult
;
Dysuria
;
Female
;
Humans
;
Infant
;
Leiomyoma
;
Lip
;
Myoma*
;
Pregnancy
;
Sensation
;
Traction
;
Ultrasonography
;
Urinary Bladder
;
Urinary Retention
;
Uterine Retroversion
;
Uterus*
4.Boerhaave Syndrome Presenting as Abrupt Onset of Massive Hydropneumothorax.
Taeyun KIM ; Heung Up KIM ; Jee Won JANG
The Korean Journal of Helicobacter and Upper Gastrointestinal Research 2012;12(1):38-41
Boerhaave syndrome is a rare and life-threatening disease that often presents a diagnostic challenge. It is usually confused with critical but more prevalent diseases such as acute myocardial infarction, perforated peptic ulcer, and acute pancreatitis. Boerhaave syndrome is caused by forceful vomiting resulting in a full-thickness tear of the middle or lower esophagus, typically an area of natural narrowing and at the esophagogastric junction and the left atrium. Because of these anatomic sites, hydropneumothorax, hemopneumothorax and pneumopericardium can occur. We report a case of a 48-year-old chronic alcoholic man presenting with abrupt onset of massive bilateral hydropneumothorax. In this case, it was hard to take a medical history from the patient due to sudden respiratory arrest when he arrived at the emergency room. Despite ongoing chest tube drainage, hydropneumothorax didn't improve. Pleural fluid amylase level was increased. Because of the possibility of esophageal rupture, esophagography was performed. As a result of the esophagography, he was diagnosed as Boerhaave syndrome with penumopericardium. If massive hydropneumothorax of unknown cause presents abruptly, boerhaave syndrome should be suspected as one of its causes. We recommend that pleural fluid amylase levels to be checked and if it is elevated, esophagography should be performed immediately.
Alcoholics
;
Alcoholism
;
Amylases
;
Chest Tubes
;
Drainage
;
Emergencies
;
Esophageal Perforation
;
Esophagogastric Junction
;
Esophagus
;
Heart Atria
;
Hemopneumothorax
;
Humans
;
Hydropneumothorax
;
Mediastinal Diseases
;
Middle Aged
;
Myocardial Infarction
;
Pancreatitis
;
Peptic Ulcer
;
Pneumopericardium
;
Rupture
;
Vomiting
5.Clinical evaluation of thoracoplasty.
Hyung Joon KIM ; Won Sang JUNG ; Young Hak KIM ; Jung Ho KANG ; Haeng Ok JEE ; Chi Ook JANG
The Korean Journal of Thoracic and Cardiovascular Surgery 1992;25(1):96-104
No abstract available.
Thoracoplasty*
6.Pigmented Mammary Paget's Disease Occurred on the Nipple.
Seok Hwan JANG ; Sook Jung YUN ; Jee Bum LEE ; Seong Jin KIM ; Seung Chul LEE ; Young Ho WON
Korean Journal of Dermatology 2015;53(8):664-665
No abstract available.
Nipples*
;
Paget's Disease, Mammary*
7.Successful Immunoglobulin Treatment in Severe Cryptogenic Organizing Pneumonia Caused by Dermatomyositis.
Dong Hoon LEE ; Jee Hyun YEO ; Young Il KIM ; Seung Jun GIM ; Jang Won SOHN ; Ji Young YHI
Korean Journal of Critical Care Medicine 2015;30(3):212-217
In connective tissue diseases, autoantibodies cause pulmonary interstitial inflammation and fibrosis, and patients require treatment with an immunosuppressive agent such as a steroid. Dermatomyositis is an incurable, uncommon form of connective tissue disease that occasionally causes diffuse pulmonary inflammation leading to acute severe respiratory failure. In such cases, the prognosis is very poor despite treatment with high-dose steroid. In the present case, a 46-year-old man was admitted to our hospital with dyspnea. He was diagnosed with dermatomyositis combined with cryptogenic organizing pneumonia (COP) with respiratory failure and underwent treatment with steroid and an immunosuppressive agent, but the COP was not improved. However, the respiratory failure did improve after treatment with intravenous immunoglobulin, which therefore can be considered a treatment option in cases where steroids and immunosuppressive agents are ineffective.
Autoantibodies
;
Connective Tissue Diseases
;
Cryptogenic Organizing Pneumonia*
;
Dermatomyositis*
;
Dyspnea
;
Fibrosis
;
Humans
;
Immunoglobulins*
;
Immunosuppressive Agents
;
Inflammation
;
Lung Diseases, Interstitial
;
Middle Aged
;
Pneumonia
;
Prognosis
;
Respiratory Insufficiency
;
Steroids
8.High-level Expression of Interleukin-17 and C-reactive Protein Predicts Tumor Progression in Unresectable Hepatocellular Carcinoma Treated by Transarterial Chemoembolization.
Myeong Jun SONG ; Sung Won LEE ; Eun Jee OH ; Bohyun JANG ; Jeong Won JANG ; Si Hyun BAE ; Jong Young CHOI ; Seung Kew YOON
Journal of Liver Cancer 2016;16(2):108-117
BACKGROUND/AIMS: Transarterial chemoembolization (TACE) is the standard locoregional treatment in patients with unresectable hepatocellular carcinoma (HCC). Angiogenesis and inflammation play important roles in tumor growth in HCC. In this study, we evaluated the associations between the levels of growth factors and inflammatory markers and clinical prognosis in patients with unresectable HCC treated with TACE. METHODS: The clinical outcomes of 58 HCC patients treated with TACE at the Catholic Medical Centers from January, 2012 to February 2015 were evaluated. Baseline levels of the growth factors vascular endothelial growth factor, fibroblast growth factor, platelet-derived growth factor, and hepatocyte growth factor and the inflammatory cytokines interleukin (IL)-17 and high sensitivity C-reactive protein (hs-CRP) were compared with the treatment outcomes. The primary endpoint was time to progression (TTP); the secondary endpoint was overall survival (OS). RESULTS: During the 20.8 months of follow-up, TTP was significantly delayed in patients with low levels of hs-CRP (≤0.15) and IL-17 (≤0.94) and a maximal tumor diameter ≤5 cm (P=0.010, P=0.015, and 0.048, respectively). Patients with HCC with low hs-CRP and IL-17 levels had a longer survival than that of those with high hs-CRP levels and IL-17 (35.1 vs. 22.5 months, P=0.000; 41 vs. 21.8 months, P=0.000, respectively). However, any baseline growth factors were not significantly correlated with TTP and OS. CONCLUSIONS: Elevated IL-17 and hs-CRP may be predictive of a poor outcome in patients with HCC treated with TACE. A better understanding of this relationship will require further investigation of the immune mechanisms underlying tumor progression.
C-Reactive Protein*
;
Carcinoma, Hepatocellular*
;
Cytokines
;
Fibroblast Growth Factors
;
Follow-Up Studies
;
Hepatocyte Growth Factor
;
Humans
;
Inflammation
;
Intercellular Signaling Peptides and Proteins
;
Interleukin-17*
;
Interleukins
;
Platelet-Derived Growth Factor
;
Prognosis
;
Vascular Endothelial Growth Factor A
9.A case of subserosal type of eosinophilic gastroenteritis with ascites.
Jae Won JEOUNG ; Yoon Suk JANG ; Byung Jae LEE ; Jee Wong SON ; Sang Heon CHO ; Kyung Up MIN ; You Young KIM
Journal of Asthma, Allergy and Clinical Immunology 1999;19(3):514-519
Eosinophilic gastroenteritis is an unusual disease characterized by eosinophilic infiltration of gastrointestinal tract, peripheral eosinophilia, and gastrointestinal symptoms. There are mucosal, muscular, and subserosal types, of which the subserosal type is the rarest. We experienced a 32-year old male patient with the subserosal type of eosinophilic gastroe-nteritis, who was presented with abdominal distension. The ascitic fluid revealed increased eosinophil count. With oral prednisolone, diarrhea and ascites rapidly disappeared and eosinophils in peripheral blood returned to normal. We report this case with a review of relevant literature.
Adult
;
Ascites*
;
Ascitic Fluid
;
Diarrhea
;
Eosinophilia
;
Eosinophils*
;
Gastroenteritis*
;
Gastrointestinal Tract
;
Humans
;
Male
;
Prednisolone
10.A Case of Phakomatosis Pigmentovascularis Type I a With Multiple Pyogenic Granulomas Developed in Pregnancy.
Yong Joo MOON ; Soo Jung JANG ; Yong Ho CHOI ; Jee Youn WON ; Gi Dong JUNG
Korean Journal of Dermatology 2003;41(9):1210-1214
Phakomatosis pigmentovascularis(PPV) was first described in 1947 as a distinctive association of vascular and pigmentary nevi by Ota et al. Hasegawa et al subclassified the disorder into eight types and type I a is characterized by the coexistence of nevus flammeus and nevus pigmentosus et verrucous, which is not associated with systemic organ involvement. PPV type I a is relatively rare and a case with multiple pyogenic granulomas developed in pregnancy, is not reported yet. We present a case of PPV type I a with multiple pyogenic granulomas developed in pregnancy within nevus flammeus in a 29-year-old female.
Adult
;
Female
;
Granuloma, Pyogenic*
;
Humans
;
Neurocutaneous Syndromes*
;
Nevus
;
Port-Wine Stain
;
Pregnancy*