1.The Study on Car Sickness in Pediatric Migraineurs.
Journal of the Korean Child Neurology Society 2012;20(4):221-227
PURPOSE: The purpose of this study was to evaluate whether the symptoms of migraine and car sickness coexist or not. In addition, we tried to elucidate whether the car sickness can be a clinical indicator of diagnosing migraine in children. METHODS: A total of 166 children and adolescents who had newly diagnosed migraine and followed up for more than 2 years after the termination of treatment were involved in the study. The co-morbidity or co-existence of symptoms between two conditions in the clinical course was investigated. RESULTS: Sixty three of 124 who had car sickness as well as migraine recovered from migraine. Among these 63 patients, the car sickness disappeared in 44 (69.8%), decreased in 7 (11.1%) and persisted in 12 (19.0%). On the other hand, 23 of those 124 migraineurs continued to have migraine. In these patients, car sickness disappeared in 4 (17.4%), decreased in 5 (21.7%) and persisted in 14 (60.9%). The freedom or alleviation of car sickness is more common in children free from migraine than in children with persistent migraine (P<0.001). CONCLUSION: The results suggest that migraine is closely related to car sickness in children and the clinical course of migraine generally overlaps those of car sickness. We therefore believe that car sickness can be a clinical indicator in the diagnosis of migraine.
Adolescent
;
Child
;
Freedom
;
Hand
;
Humans
;
Migraine Disorders
;
Motion Sickness
2.Poor Prognosis in Elderly Patients Who Refused Surgery Because of Economic Burden and Medical Problem After Hip Fracture.
Byung Ho YOON ; Ji Hoon BAEK ; Min Kyu KIM ; Young Kyun LEE ; Yong Chan HA ; Kyung Hoi KOO
Journal of Korean Medical Science 2013;28(9):1378-1381
Although many studies have assessed mortality and morbidity of conservative treatment after hip fracture in elderly patients, the mortality of conservative treatment done because of economic burden is unclear. Among 451 patients diagnosed with displaced hip fracture during 3 yr, 28 patients (Group I) were enrolled as conservative treatment. Fifty-six patients matched in age, gender, ASA score, and diagnosis (Group II) who had undergone surgical treatment were used as the control group. The causal factors of non-operative treatment and mortality rate and functional recovery were evaluated according to the causal factors of patients with surgical procedure. Ten patients (36%) in Group I involved medical problems and 18 (64%) by economic burdens. The cumulative mortality rate over 3, 6, 12, and 24 months was 54%, 61%, 64%, and 82% in Group I and 9%, 11%, 14%, and 21% in Group II, respectively. At the latest follow-up, all five patients in Group I displayed a nonfunctional ambulatory state, whereas only seven of 44 patients in Group II were in a nonfunctional ambulatory state. Non-surgical treatment following hip fracture that is done because of the economic burden is associated with substantially high mortality and serious functional loss.
Age Factors
;
Aged
;
Aged, 80 and over
;
Female
;
Follow-Up Studies
;
Hip Fractures/diagnosis/mortality/*surgery
;
Humans
;
Kaplan-Meier Estimate
;
Male
;
Prognosis
;
Recovery of Function
;
Severity of Illness Index
;
Sex Factors
;
Socioeconomic Factors
3.Knowledge on Osteoporosis of Prescriber According to Level of Medical Institute.
Byung Ho YOON ; Ji Hoon BAEK ; Young Kyun LEE ; Yong Chan HA ; Kyung Hoi KOO
Yonsei Medical Journal 2014;55(4):1058-1062
PURPOSE: There are gaps between the treatment guideline and clinical practice of osteoporosis showing low compliance. Although attitude and knowledge of prescriber have been known to be associated with the low compliance in real clinical practice, no study has assessed the knowledge of prescriber regarding osteoporosis in accordance to the level of medical institution. We compared the knowledge on osteoporosis of general practitioners with that of practitioners in a tertiary referral hospital. MATERIALS AND METHODS: In May 2012, 40 general practitioners and 40 practitioners in a tertiary referral hospital were evaluated using a modified Facts on Osteoporosis Quiz. RESULTS: The level of knowledge of general practitioners was similar with that of practitioners in a tertiary referral hospital (p=0.386). And, both groups were lack of knowledge of effect of physical exercise. CONCLUSION: The level of knowledge on osteoporosis was not associated with the level of medical institute, and the effect of physical exercise should be stressed in an educational program on osteoporosis for practitioners.
Adult
;
Attitude of Health Personnel
;
Exercise
;
Female
;
Health Knowledge, Attitudes, Practice
;
Humans
;
Male
;
Middle Aged
;
*Osteoporosis
;
Questionnaires
4.Breast Gigantism Induced by D-Penicillamine: Case Report.
Ji Hyeon CHA ; Hak Hee KIM ; Sun Mi KIM ; Myung Hee SEO ; Hoi Soo YOON
Journal of the Korean Radiological Society 2004;50(3):213-215
D-penicillamine, a chelating agent of copper, is the drug of choice for the treatment of Wilson's disease. Breast enlargement is a rare complication arising from its use, and we report a case of breast gigantism which developed after it had been used for ten months to treat this condition. Mammography demonstrated bilaterally enlarged dense breasts; ultrasonography, similarly, demonstrated enlargement, revealing the presence of a mass, shown at biopsy to be benign, in the left one.
Biopsy
;
Breast*
;
Copper
;
Gigantism*
;
Hepatolenticular Degeneration
;
Mammography
;
Penicillamine*
;
Ultrasonography
5.Clinical Course and Prognosis of Migraine Headache in Childhood and Adolescence.
A Lum HEO ; Ji Hoi YOON ; Jun Hwa LEE ; Kyung Lae CHO
Journal of the Korean Child Neurology Society 2011;19(2):76-83
PURPOSE: The purpose of this study was to evaluate the clinical course and prognosis of migraines in childhood and adolescence, and the influence of preventive therapy on them. METHODS: We recruited 110 children and adolescents with migraines who had been newly diagnosed and treated. Treatment was composed of observation after consultation, acute symptomatic treatment, and preventive therapy. We prescribed topiramate for preventive therapy. The recipients of preventive therapy were those patients who complained of disturbance in daily life due to severe headache. The clinical course was evaluated on the basis of changes in the frequency of migraine attack and was divided into three groups: complete recovery, partial recovery, and non-recovery. The prognosis of migraine was classified into those free from migraine attack, decreased, and persistant. RESULTS: Forty-six (41.8%) of 110 patients completely recovered, and 70 (63.6%) were free from migraine attack. In those suffering from migraines without aura, 38.3% of the patients completely recovered and 59.6% were free from migraine attack. Regarding migraines with aura, 58.5% of the patients completely recovered and 70.7% were free from migraine attack. With respect to cases of probable migraine, 18.2% completely recovered and 59.6% were free from migraine attack. In those receiving preventive treatment, 80.0% of all patients completely recovered and 85.0% were free from migraine. According to migraine type, 66.7% of patients with migraine without aura completely recovered and 80% were free from migraine. In those with migraine and aura, 88.8% of patients completely recovered and 88.8% were free from migraine attack. CONCLUSION: It was estimated that the clinical course and prognosis of migraine patients who were treated by pediatric neurologists were generally good. The clinical course was better in the preventive therapy group. In particular, the effect of preventive treatment and prognosis were optimal in patients with migraine with aura.
Adolescent
;
Child
;
Epilepsy
;
Fructose
;
Headache
;
Humans
;
Migraine Disorders
;
Migraine with Aura
;
Migraine without Aura
;
Prognosis
;
Stress, Psychological
6.A case of idiopathic isolated hypoglossal nerve palsy in a Korean child.
Ji Hoi YOON ; Kyung Lae CHO ; Hae Jung LEE ; Seo Hui CHOI ; Kyung Yul LEE ; Sung Koo KIM ; Jun Hwa LEE
Korean Journal of Pediatrics 2011;54(12):515-517
Hypoglossal nerve palsy (HNP) is an uncommon neurological abnormality that can provoke characteristic clinical signs, including unilateral atrophy of the tongue musculature. We present the case of a healthy 11-year-old Korean male who was admitted to the outpatient department of our institution with acute onset dysarthria, tongue fasciculations, and right-sided tongue weakness upon awakening. His evaluation included a virology work-up, neck magnetic resonance imaging (MRI), brain MRI, and otorhinolaryngological physical examination; all tests were normal and showed no evidence of inflammation. Fifteen days after the onset of symptoms, the patient recovered completely. Herein, we report a case of idiopathic isolated HNP in a Korean male.
Atrophy
;
Brain
;
Child
;
Dysarthria
;
Fasciculation
;
Humans
;
Hypoglossal Nerve
;
Hypoglossal Nerve Diseases
;
Inflammation
;
Magnetic Resonance Imaging
;
Male
;
Neck
;
Outpatients
;
Paralysis
;
Tongue
7.Bilateral Traumatic Anterior Dislocation of the Hip with an Unstable Lumbar Burst Fracture.
Kook Jin CHUNG ; Sang Wha EOM ; Kyu Cheol NOH ; Hong Kyun KIM ; Ji Hyo HWANG ; Hoi Soo YOON ; Jung Han YOO
Clinics in Orthopedic Surgery 2009;1(2):114-117
Traumatic anterior dislocation of the hip is rare. Bilateral traumatic anterior dislocation is an even rarer injury; indeed, only 5 cases have been reported in the English literature. We describe a case of a bilateral traumatic anterior dislocation of the hip and a concomitant unstable lumbar burst fracture following a mechanism of injury distinctly different from other reports.
*Accidents, Occupational
;
Acetabulum/injuries
;
Buttocks/*injuries
;
Fractures, Bone/complications/etiology/radiography
;
Hip Dislocation/etiology/*radiography
;
Humans
;
Lumbar Vertebrae/*injuries
;
Lumbosacral Region/*injuries
;
Male
;
Middle Aged
;
Spinal Fractures/etiology/*radiography
8.Comparison of the ambulatory blood pressure with the clinical blood pressure and electrocardiographic left ventricular hypertrophy.
Seung Hoon PARK ; Duk Won BANG ; John SEO ; Sung Wook HONG ; Do Hoi KIM ; Yeo Joon YOON ; Ji Hoon AHN ; Min Su HYON ; Sung Koo KIM ; Young Joo KWON
Korean Journal of Medicine 2007;72(2):181-190
BACKGROUND: This study compared the results of 24 hour ambulatory blood pressure monitoring with the clinical blood pressure measurements, and we investigated the relationship of the blood pressure measurement and left ventricular hypertrophy, as determined by routine 12 lead electrocardiography. METHODS: We studied 204 healthy adults with no prior history of heart disease or antihypertensive medication. The clinic blood pressure was measured 3 times and the average was taken. We compared the clinic blood pressure with the daytime blood pressure of the 24 hour ambulatory blood pressure monitoring, and we compared the blood pressure with the sum of the voltage of the S wave on V1 and the R wave on V5. RESULTS: The average of the daytime ambulatory blood pressure of all the patients was 135.33+/-13.73 mmHg for the systolic pressure and 86.55+/-10.14 mmHg for the diastolic pressure. The average of the clinic blood pressure measurement was 140.10+/-17.41 mmHg for the systolic pressure and 88.84+/-10.14 mmHg for the diastolic pressure. The clinic blood pressure averaged higher than the daytime ambulatory blood pressure by 5 mmHg on the systolic pressure and 2 mmHg on the diastolic pressure (p<0.001). The normal ambulatory blood pressure limits were estimated as those that best correlated with 140/90 mmHg at the clinic. The estimated value was 135/87 mmHg for the daytime ambulatory blood pressure (p+/-0.001). The incidence of white coat hypertension was 10.8%. The sum of the voltage on electrocardiography showed a positive linear relationship with all the blood pressure measurements. The daytime systolic blood pressure showed the strongest correlation with the 24 hour ambulatory blood pressure monitoring (r=0.283, p+/-0.001). CONCLUSIONS: We found a linear relation and we analyzed the differences between the clinical and 24 hour ambulatory blood pressure. A daytime ambulatory blood pressure value of 135/87 mmHg was a suitable upper normal limit for the corresponding cutoff value of the clinic blood pressure. Left ventricular hypertrophy showed the strongest relationship with the daytime systolic blood pressure among the results of the 24 hour ambulatory blood pressure monitoring.
Adult
;
Blood Pressure Monitoring, Ambulatory
;
Blood Pressure*
;
Electrocardiography*
;
Heart Diseases
;
Humans
;
Hypertension
;
Hypertrophy, Left Ventricular*
;
Incidence
;
White Coat Hypertension
9.Three Cases of Stress Induced Transient LV Dysfunction: Stress Induced Cardiomyopathy.
Do Hoi KIM ; Duk Won BANG ; Ji Hoon AHN ; Seung Hoon PARK ; Hyun Suk OH ; Yeo Jun YOON ; Min Soo HYON ; Sung Koo KIM ; Young Joo KWON
Journal of the Korean Society of Echocardiography 2005;13(2):83-86
A recently reported cardiac syndrome of transient left ventricular dysfunction, clinically resembles acute myocardial infarction and presents with chest pain, ECG changes and minimal elevation of cardiac enzymes in absence of myocardial ischemia or injury. The clinical presentation includes a wide range of symptoms and left ventricular function is normalized completely within days to weeks. This syndrome is likely a non-ischemic, metabolic-dependent syndrome caused by stress-induced activation of the cardiac adrenoreceptors. We report three cases of stress-induced transient LV dysfuction.
Cardiomyopathies*
;
Chest Pain
;
Electrocardiography
;
Myocardial Infarction
;
Myocardial Ischemia
;
Ventricular Dysfunction, Left
;
Ventricular Function, Left
10.Multiple Cutaneous Squamous Cell Carcinomas Arising in Several Body Areas Except for the Face.
Jun Sik KIM ; Young Ji PARK ; Nam Gyun KIM ; Yoon Jung LEE ; Bong Hoi CHOI ; Kyung Suk LEE
Archives of Plastic Surgery 2017;44(6):567-568
No abstract available.
Carcinoma, Squamous Cell*
;
Epithelial Cells*