1.A Case of Streptococcus Agalactiae Pneumonia In An Adult Diabetic Man.
Choon Sik PARK ; Jee Yun LEE ; Jun Hee WOO
Tuberculosis and Respiratory Diseases 1994;41(2):165-170
Despite significant advances in obstetric and pediatric health care, Streptococcus agalactiae(Lancefield group B β-hemolytic Streptococcus, GBS) remains one 91 the most prevalent and devastating pathogens in peripartum women and their newborn infants. It may cause urinary tract infection, chorioamnionitis and endometritis, bacteremia, and cesarean wound infection in the peripartum period. It was Pasteur who first identified microbes in the blood and lorchia of septic women. After that, in 1938 the isolation of S. agalactiae from three mortally ill women was reported, thereby implicating it as another cause of puerperal sepsis. S. agalactiae is now one of the most common causes of neonatal sepsis and meningitis in the United States. However, in Korea there have been only twenty-three cases of neonatal meningitis and/or sepsis due to group B β-hemolytic streptococcus reported. Recent studies have noted other serious infections in adults, including bacteremia, pneumonia, cellulitis, osteomyelitis, meningitis, and endocarditis. In Korean adults no case of pneumonia due to S. agalactiae has been reported till now. As minimal inhibitory concentration of penicillin was reported to be higher for S. agalactiae than for S. pyogenes, minimal inhibitory concentration of penicillin for S. agalactiae should be tested. Herein we describe the course of a case of S. agalactiae pneumonia and bacteremia in a 74-year-old diabetic man, and we review the literatures.
Adult*
;
Aged
;
Bacteremia
;
Cellulitis
;
Chorioamnionitis
;
Delivery of Health Care
;
Endocarditis
;
Endometritis
;
Female
;
Humans
;
Infant, Newborn
;
Korea
;
Meningitis
;
Osteomyelitis
;
Penicillins
;
Peripartum Period
;
Pneumonia*
;
Pregnancy
;
Sepsis
;
Streptococcus agalactiae*
;
Streptococcus*
;
United States
;
Urinary Tract Infections
;
Wound Infection
2.The Association Between Adiponectin and Diabetes in the Korean Population.
Sun Ha JEE ; Hee Yeon LEE ; Sun Ju LEE ; Ji Eun YUN ; Eun Jung JEE ; Hye Yun SONG ; Sang Yeun KIM ; Jungyong PARK ; Hyon Suk KIM
Korean Journal of Epidemiology 2007;29(2):176-186
BACKGROUND: As indicators of obesity, waist circumference (WC), body mass index (BMI), and adiponectin are well known risk factor for diabetes mellitus. The objectives of this study were to measure the independent association between these obesity indicators and diabetes and to examine the combined effect of these indicators on diabetes in a Korean population. METHODS: The WC, BMI, and serum adiponectin were measured in 6,505 healthy Koreans and were classified into tertile groups for men and women. The independent and combined associations of the obesity indicators with diabetes were measured using logistic regression analyses. Diabetes was defined as fasting serum glucose greater than 126 mg/dL or taking medication. RESULTS: Levels of adiponectin were inversely associated with BMI and WC and directly associated with age and high density lipoprotein cholesterol (HDL) cholesterol (P <0.001). After adjusting for age, WC, and other lifestyle factors, low levels of adiponectin were associated with an increased prevalence of diabetes. Further adjustment for HDL cholesterol and triglyceride attenuated this association in both men and women. The best cut-off value of adiponectin in terms of identifying the presence of diabetes was 5.5 /ml with a sensitivity and specificity of 46.7% and 63.9% for men and 9.5 /ml with a sensitivity and specificity of 68.2% and 55.2 for women. CONCLUSIONS: These results suggest that adiponectin was associated with diabetes. The association was independent of WC and was partly modified by HDL and triglyceride. There were no effect modifications of adiponectin with WC on diabetes.
Adiponectin*
;
Blood Glucose
;
Body Mass Index
;
Cholesterol
;
Cholesterol, HDL
;
Diabetes Mellitus
;
Fasting
;
Female
;
Humans
;
Life Style
;
Logistic Models
;
Male
;
Obesity
;
Prevalence
;
Risk Factors
;
Sensitivity and Specificity
;
Triglycerides
;
Waist Circumference
3.The Effects of Combined High-Frequency Jet Ventilation and Conventional Mechanical Ventilation on Cardiovascular and Respiartory System with Pulmonary Edema Induced by Oleic Acid in Dogs.
Jong Mu LEE ; Jee Seop JEONG ; Gill Hoi KOO ; Jin Yun KIM ; Sun Kyoo PARK
Korean Journal of Anesthesiology 1997;33(6):1012-1019
BACKGROUND: High-frequency jet ventilaion is considered a reliable technique for anesthesia and critical care including respiratory failure but there are adverse reactions such as carbon dioxide retension and dry of respiratory mucosa. The purpose of this study was to confirm the effects of combined high- frequency jet ventilation (HFJV) and converntional mechanical ventilation (CMV) on the cardiovascular system, arterial blood gases tension and mean airway pressure in 9 Korea mongrel dogs with pulmonary edema induced by oleic acid. METHODS: During CMV with 20 breaths/minute, 10 ml/kg of tidal volume and F1O2 1.0, parameers were evaluated (base line value). When pulmonary edema was developed, HFJV was applied initially with 120 breaths/minute, inspiratory time 30% and driving pressure 40 psi F1O2 1.0 for 60 minutes (control value) and thereafter simultaneous use of CMV was applied with the tidal volume of 10 ml/kg and each respiratory rate 8, 4, 2, 1, 0.5 per minute for 30 minutes. RESULTS: Combined application of HFJV and CMV (above repiratory rate 1 per minute) achieved the improvement of oxygenation and carbon dioxide elimination, and Paw was decreased without undesirable effects on cardiovascular system in case of the induced pulmonary edema. CONCUSIONS: From above results we recommanded that HFJV combined with CMV may be a useful method of treatment for respiratory failure.
Anesthesia
;
Animals
;
Carbon Dioxide
;
Cardiovascular System
;
Critical Care
;
Dogs*
;
Gases
;
High-Frequency Jet Ventilation*
;
Korea
;
Oleic Acid*
;
Oxygen
;
Pulmonary Edema*
;
Respiration, Artificial*
;
Respiratory Insufficiency
;
Respiratory Mucosa
;
Respiratory Rate
;
Tidal Volume
;
Ventilation
4.The significance of fundus photographs during health mass screening.
Koang Park LEE ; Jee Yun KANG ; Jong Myung LEE ; Moon Kyu JEONG
Journal of the Korean Academy of Family Medicine 1999;20(7):933-939
BACKGROUND: Fundus photographs performed during health check-up were reviewed to determine the usefulness in mass screening. METHODS: Subjects consistine of 3017 people who had undergone physical health check up at the Health Clinic, Dong-Eui Medical Center in 1997 and whose fundus photographs of both eyes were taken showing clearly visible posterior pole and optic disc were chosen as subjects. Medical records which included cases of reported close exam and causes, actual cases of close exam and final diagnoses. RESULTS: Of the 3017 people, reported close exam was performed in 665 (22.0%). Among them glaucoma was suspected in 460 retinal hemorrhagic lesion in 63, retinal degenerative lesion in 67 and others in 75. There were 187 actual cases(28.1%) of close exam including glaucoma suspect in 79, retinal hemorrhagic lesion 47, retinal degenerative lesion 34 and others 27. Among 187 actual cases of close exam, 140 people (1.3%) were eventually diagnosed as glaucoma suspect (60), retinal hemorrhagic lesion (38), retinal degenerative lesion (21) and others (21). CONCLUSIONS: Fundus photographs are useful in mass screening, but performing close exam to enhance the usefulness of the fundus photographs is necessary.
Diagnosis
;
Glaucoma
;
Mass Screening*
;
Medical Records
;
Retinaldehyde
5.Clinical study on cold agglutinin disease.
Jee Sook HAHN ; Chong Hoon PARK ; Yoo Hong MIN ; Sun Ju LEE ; Yun Woong KO
Korean Journal of Hematology 1991;26(1):119-128
No abstract available.
Anemia, Hemolytic, Autoimmune*
6.Acute myelogenous leukemia presenting with pericardial tamponade.
Jee Yun LEE ; Dong Won BYUN ; Jong Ho WON ; Dae Sik HONG ; Hee Sook PARK
Korean Journal of Hematology 1992;27(2):339-343
No abstract available.
Cardiac Tamponade*
;
Leukemia, Myeloid, Acute*
7.Acute myelogenous leukemia following etoposide and cisplatin combination chemotherapy for small cell carcinoma of the lung.
Jin Ki PAEK ; Chan Wook PARK ; Jee Yun LEE ; Jong Ho WON ; Dae Sik HONG ; Hee Sook PARK
Korean Journal of Hematology 1992;27(1):123-127
No abstract available.
Carcinoma, Small Cell*
;
Cisplatin*
;
Drug Therapy, Combination*
;
Etoposide*
;
Leukemia, Myeloid, Acute*
;
Lung*
8.Basal Cell Carcinoma of the Perineum Manifestating as Subcutaneous Nodule.
Hwa Sung PARK ; Sook Jung YUN ; Jee Bum LEE ; Seung Chul LEE ; Young Ho WON ; Seong Jin KIM
Korean Journal of Dermatology 2012;50(8):754-755
No abstract available.
Carcinoma, Basal Cell
;
Perineum
9.Therapeutic plasma exchange in thrombotic thrombocytopenic purpura.
Oh Hun KWON ; Que hn PARK ; Hyun Ok KIM ; Sun Ju LEE ; Jee Sook HAN ; Yun Woong KO
Korean Journal of Blood Transfusion 1993;4(1):43-48
No abstract available.
Plasma Exchange*
;
Plasma*
;
Purpura, Thrombotic Thrombocytopenic*
10.Emotional Dysregulation, Attributional Bias, Neurocognitive Impairment in Individuals at Ultra-High Risk for Psychosis and with Schizophrenia : Its Association with Paranoia.
Nam Wook KIM ; Yun Young SONG ; Jin Young PARK ; Seo Yeon BAEK ; Jee In KANG ; Eun LEE ; Suk Kyoon AN
Korean Journal of Schizophrenia Research 2014;17(2):63-71
OBJECTIVES: Paranoia is a complex phenomenon, affected by a number of factors such as depression, trait anxiety, and attributional bias in schizophrenia. The aim of this study was to explore whether paranoia within continuum of clinical and subclinical states is associated with emotional dysregulation, attributional bias and neurocognitive impairment in whole individuals of normal controls, ultra-high risk (UHR) for psychosis and schizophrenia. METHODS: 101 normal controls, 50 participants at UHR for psychosis, and 49 schizophrenia patients were recruited. All subjects were asked to complete self-reported paranoia scale and emotional dysregulation scales including Rosenberg's self-esteem, Spielberg's state-trait anxiety inventory and Beck depression inventory. The attributional style was assessed by Ambiguous Intentions Hostility Questionnaire (AIHQ). Participants were also requested to complete the comprehensive neurocognitive battery. RESULTS: Multiple linear regression analysis showed that paranoia were found to be associated with emotional dysregulation (state anxiety, trait anxiety and depression), composite blaming bias in ambiguous situation, impairment of attention and working memory in whole participants [F (9, 190)=34.85, p<0.001, adjusted R2=0.61]. CONCLUSION: The main findings suggest that paranoia is a complex affective and cognitive structure that may be associated with emotional dysregulation, blaming bias and attention and working memory impairment in clinical and non-clinical paranoia.
Anxiety
;
Bias (Epidemiology)*
;
Depression
;
Hostility
;
Humans
;
Intention
;
Linear Models
;
Memory, Short-Term
;
Paranoid Disorders*
;
Psychotic Disorders*
;
Surveys and Questionnaires
;
Schizophrenia*
;
Weights and Measures