1.Correction: Prerequisites for Effective Implementation of Telemedicine: Focusing on Current Situation in Korea.
Hyeoi Yun LEE ; Ji San LEE ; Jeongeun KIM
Healthcare Informatics Research 2016;22(1):61-61
The authors and their affiliation are incorrectly listed in the article. Also, the Acknowledgments section of the above article incorrectly omitted.
2.Prolonged Apnea after Cesarean Section in Patient with Low Level of Plasma Cholinesterase Activity: A case report.
Il San TAE ; Ji Han RHYU ; Kyu Ho SIM ; Byung Don CHUN ; Sin Woo LEE
Korean Journal of Anesthesiology 1997;33(4):784-787
Succinylcholine-induced prolonged neuromuscular blockade may occur in patients with either a low level of plasma cholinesterase activity or genotypically abnormal form of that enzyme. We experienced a case of succinylcholine-induced prolonged apnea due to a low level of plasma cholinesterase activity. A 31-year-old woman, full term primigravida, underwent cesarean section for breech presentation under general anesthesia. Familial and past medical history were nonspecific and preoperative physical and laboratory findings were within normal range. After operation, delayed apnea was detected and lasted for about one hour. We performed controlled and assisted ventilation for two and half hours. Plasma cholinesterase activity measured 30.00 IU/L (colorimetric method, normal value: 1130~1960 IU/L) at the first postoperative day. She was discharged on 7th postoperative day without any sequelae. From follow-up study after six months, it measured 1.02 U/ml (EIA, normal value: 7~9 U/ml).
Adult
;
Anesthesia, General
;
Apnea*
;
Breech Presentation
;
Cesarean Section*
;
Cholinesterases*
;
Female
;
Follow-Up Studies
;
Humans
;
Neuromuscular Blockade
;
Plasma*
;
Pregnancy
;
Reference Values
;
Ventilation
3.Prerequisites for Effective Implementation of Telemedicine: Focusing on Current Situations in Korea.
Hyeoi Yun LEE ; Ji San LEE ; Jeongeun KIM
Healthcare Informatics Research 2015;21(4):251-254
OBJECTIVES: The practice of telemedicine requires social interventions and systems for efficient implementation. Further, it requires sufficient discussions among related parties because the purpose of telemedicine is diagnosis and treatment, and the participation of medical specialists is essential. Based on the characteristics of the healthcare structure of Korea, which has a low proportion of public healthcare and most patients are taken care of by a few large tertiary care hospitals, the fundamental issues need to be discussed. METHODS: A comparison was conducted with overseas cases to discuss the prerequisites for the effective implementation of telemedicine in South Korea under the current situation. We also examined the structural characteristics of the Korean medical community. RESULTS: The current paper recommends that an in-depth analysis and studies are conducted on the following aspects: a search for telemedicine services focused on public healthcare, a search of services for illnesses that impose high levels of burden on households, and the development and implementation of a telemedicine system for follow-up management at primary and secondary care hospitals after the patient undergoes surgery or treatment at tertiary care hospitals. CONCLUSIONS: As the technology develops, the focus should also be on factors such as safety, usefulness, availability, and how the functions will be realized in order to enable user communication. A clear system should be established to regulate and manage the lack of sufficient discussions. In addition, seeking projects and systems that reflect the characteristics of each country will facilitate the efficient implementation of telemedicine.
Delivery of Health Care
;
Diagnosis
;
Family Characteristics
;
Follow-Up Studies
;
Health Policy
;
Humans
;
Korea*
;
Secondary Care
;
Specialization
;
Telemedicine*
;
Tertiary Healthcare
4.Greater occipital nerve blockade using ultrasound guidance for the headache of spontaneous intracranial hypotension - A case report -
Ji Hee HONG ; Ho Woo LEE ; Yong Ho LEE
Anesthesia and Pain Medicine 2022;17(1):62-66
Background:
Spontaneous intracranial hypotension occurs due to cerebrospinal fluid leakage from the spinal column, and orthostatic headache is the most common clinical presentation. Recent studies showed that bilateral greater occipital nerve blockade demonstrated clinical efficacy in relieving post-dural puncture headache after caesarean section. CaseA 40-year-old male who presented severe orthostatic headache was consulted to our pain clinic from neurology department. He initially felt a dull nature pain over the whole occipital area which then spread over the frontal and parietal areas. His headache was combined with nausea and vomiting. An epidural blood patch was delayed until final cisternography, and bilateral greater occipital nerve blockade using ultrasound guidance was performed instead. After the blockade, the previously existing headache around the occipital and parietal areas disappeared completely, but mild headache persisted around the frontal area.
Conclusions
Greater occipital nerve blockade could be a good therapeutic alternative to improve headache resulting from spontaneous intracranial hypotension.
5.Public Health Challenges of Electronic Cigarettes in South Korea.
Sungkyu LEE ; Heejin KIMM ; Ji Eun YUN ; Sun Ha JEE
Journal of Preventive Medicine and Public Health 2011;44(6):235-241
Electronic cigarettes (e-cigarrettes) were recently introduced and advertised as a smoking cession device in South Korea. As the social norm to quit smoking has gained hold in the country, the number of e-cigarette users is growing rapidly. This phenomenon should be urgently considered, because of the lack of research that has been conducted to examine the safety of e-cigarettes and its efficacy as a smoking cessation aid. This paper raises several public health concerns on e-cigarettes in South Korea. Uncertain regulations of the government on e-cigarettes are contributing to an increase of e-cigarette users and allowing the e-cigarette industry to circumvent existing regulations. The aggressive marketing activity of this industry is also a core factor that is responsible for the rapid increase of e-cigarette use, in particular among the youth. Following the enforcement of tobacco control, some cigarette smokers may be encouraged to purchase e-cigarettes in order to circumvent the regulations, even though the dual use of e-cigarette and cigarette may be more harmful. Until there is clear evidence of the e-cigarette's safety, it is recommended that the industry's marketing and promotional activities be banned and closely monitored, and public campaigns be initiated to educate the public regarding e-cigarettes.
Adult
;
*Electronics
;
Female
;
*Government Regulation
;
Health Promotion
;
Humans
;
Male
;
Middle Aged
;
*Nicotine
;
Prevalence
;
*Public Health Practice
;
Republic of Korea/epidemiology
;
Safety
;
Smoking/epidemiology/legislation & jurisprudence/*prevention & control
;
Smoking Cessation/*legislation & jurisprudence
;
Young Adult
6.A Case of Bilateral Tuberous Sclerosis.
Jun Young JI ; Jong Hoon LEE ; Woong San CHOI
Journal of the Korean Ophthalmological Society 1996;37(1):203-209
Tuberous sclerosis is a rare multisystem syndrome characterized by hamartomatous tumors of the brain, skin, viscera, and eye. The diagnostic triad for this disease, proposed by Vogt, included epilepsy, mental retardation, and adenoma sebaceum. In eyes, retinal hamartomas and optic nerve phacoma are observed over 50% and hypopigmented areas of peripheral retina and iris are often found. We introduce an 18-year old girl with adenoma sebaceum of the face, history of epilepsy and insignificant mental retardation status. She also had a retinal hamartoma in her right eye, optic nerve phacoma in her left eye, shagreen patch on lumbosacral area, angiomyolipoma of both kidneys, periventricular subependymal nodules and calcified cortical nodule of occipital lobe of brain.
Adolescent
;
Angiomyolipoma
;
Brain
;
Epilepsy
;
Female
;
Hamartoma
;
Humans
;
Intellectual Disability
;
Iris
;
Kidney
;
Occipital Lobe
;
Optic Nerve
;
Retina
;
Retinaldehyde
;
Skin
;
Tuberous Sclerosis*
;
Viscera
7.Dry eye in patients with fibromyalgia.
Hye Jung JANG ; Jung Myung AN ; Jong Ryul PARK ; Jin Ho LEE ; San KIM ; Seol Jung AK ; Ji Hyun LEE
Korean Journal of Medicine 2007;73(5):519-524
BACKGROUND: Dry eye is a disorder of the tear film caused by reduced tear production or excessive tear evaporation. A high incidence of sicca symptoms has been noted in fibromyalgia (FM) patients resulting in serious complications. This study was conducted to evaluate the incidence of dry eye by pathogenic mechanisms and to investigate the relationship between dry eye and symptom severity in FM patients. METHODS: Fifty patients that visited Maryknoll Hospital between March 2006 and December 2006 were included in the study. Enrolled patients underwent a Korean fibromyalgia impact questionnaire (KFIQ), ocular surface disease index (OSDI), Schirmer test and tear break up test (TBUT). The KFIQ and OSDI are used to assess the severity of fibromyalgia symptoms and dry eye symptoms, respectively. The Schirmer test and TBUT are used to assess reduced tear production and excessive tear evaporation, respectively. We assessed the OSDI, Schirmer test, TBUT, age and disease duration in terms of the KFIQ. RESULTS: The incidence of dry eye was high in FM patients (12.0% by the Schirmer test and 92.0% by the TBUT test). The OSDI positively correlated with the KFIQ (p=0.006). A positive correlation was observed between the Schirmer test and the KFIQ (p=0.024), but not between the TBUT and the KFIQ. CONCLUSIONS: In this study, dry eye was found to be common in FM patients. Excessive tear evaporation was a more common cause of dry eye than reduced tear production. The patients with more severe dry eye symptoms tend to have more severe FM symptoms.
Fibromyalgia*
;
Humans
;
Incidence
;
Tears
;
Surveys and Questionnaires
8.An Analysis of the Outcome of Transforaminal Epidural Steroid Injections in Patients with Spinal Stenosis or Herniated Intervertebral Discs.
Ji Hee HONG ; Yong Chul LEE ; Han Min LEE ; Chul Hyung KANG
The Korean Journal of Pain 2008;21(1):38-43
BACKGROUND: Spinal stenosis and herniated intervertebral discs are the principal causes of lumbosacral radiculopathy. This study was conducted to compare the therapeutic value and duration of pain relief of fluoroscopic guided transforaminal epidural steroid injections (TFESIs) in patients with refractory radicular leg pain. METHODS: Between August 2006 and March 2007, 87 patients (H group: patients with herniated intervertebral disc, S group: patients with spinal stenosis) who met the inclusion criteria were treated with fluoroscopic guided TFESIs. Prior to treatment, the VAS and ODI scores were determine to evaluate the degree of pain and level of disability. The degree of pain relief was then assessed 1 month after treatment with the TFESIs and graded as excellent (no residual pain), good (improvement of pain symptoms by more than 50%), fair (improvement of pain symptoms by less than 50%) and Poor (no improvement of pain). In addition, the duration of pain relief was evaluated by regular outpatient visits for 6 months, and by telephone interviews after 6 months. RESULTS: The H and S group both had excellet results at 1 month after treatment with TFESIs showing improvements of 44.1% and 20.8% respectively. However this difference was not significant between groups. In addition, a duration of pain relief greater than 6 months was achieved in 32.4% of the patients in the H group and 37.7% of those in the S group. CONCLUSIONS: TFESIs had a similar degree of therapeutic effectiveness and duration of pain relief in patients with spinal stenosis and herniated intervertebral discs.
Humans
;
Intervertebral Disc
;
Interviews as Topic
;
Leg
;
Outpatients
;
Radiculopathy
;
Spinal Stenosis
9.A case of implant-supported removable partial denture in a patient with mandibular unilateral residual tooth
Ji San BACK ; Keun-Woo LEE ; Yong-Sang LEE ; Joo-Hyuk BANG ; Hee-Won JANG ; Seong-A KIM
The Journal of Korean Academy of Prosthodontics 2022;60(1):19-28
In removable partial dentures, abutment teeth are essential for support, maintenance, and stability of partial dentures, and are an important factor in the fabrication of functional dentures. If the number of periodontally sound abutments is sufficient and they are located on both sides, it will be easy to manufacture functional dentures with good support, maintenance, and stability. But on the contrary, if the number of teeth is insufficient or if they are located on one side, it is biomechanically disadvantageous and relatively difficult to make functional denture. On the other hand, recently, implant-supported removable dentures, which reinforce the three elements of maintenance, support, and stability by using implant surveyed crown, have been frequently selected as treatment plans.In particular, by adding an implant surveyed crown when only a small number of residual teeth remain, mastication efficiency, esthetics, patient comfort, and pronunciation can be improved. In this case, bilateral posterior extension partial denture was fabricated using implant surveyed crown as abutments by placing implants in the premolars area opposite to the residual tooth unilaterally in the mandible. As a result, the asymmetry of the abutment was resolved, and the maintenance and stability of the denture was achieved.
10.A Case of Restless Legs Syndrome in Patient with Neurogenic Sciatic Nerve Tumor
Ji Hoon LEE ; Kyoung Jin HWANG ; Sung Sang YOON ; Key Chung PARK ; Jin San LEE
Journal of Sleep Medicine 2017;14(2):74-76
Restless legs syndrome (RLS) is chronic neurological disorder, in which the primary symptoms is unpleasant and disturbing sensation accompanied by urge to move in multiple body parts especially in legs. RLS may present in distinct phenotypes often described as “primary” vs. “secondary.” Secondary RLS can arise from etiologies such as iron deficiency, pregnancy, peripheral neuropathy, and end-stage renal disease. We report a rare case of RLS associated with neurogenic tumor of the sciatic nerve. A 72-year-old man complained of recurrent and worsening RLS symptoms in his right lower extremity, despite medical treatment. Interestingly, we found a neurogenic tumor at the right greater sciatic notch region on magnetic resonance imaging of the hip.
Aged
;
Hip
;
Human Body
;
Humans
;
Iron
;
Kidney Failure, Chronic
;
Leg
;
Lower Extremity
;
Magnetic Resonance Imaging
;
Nervous System Diseases
;
Peripheral Nervous System Diseases
;
Phenotype
;
Pregnancy
;
Restless Legs Syndrome
;
Sciatic Nerve
;
Sensation