1.Metastic Renal Cell Carcinoma to the Prostate : a Case Report.
Jeong Hyun YOON ; Ki Hak SONG ; Hyun Cheol CHEONG ; Ji Sun SONG ; Mee Yon CHO ; Jae Mann SONG
Korean Journal of Urology 2000;41(1):187-189
No abstract available.
Carcinoma, Renal Cell*
;
Prostate*
2.Metastic Renal Cell Carcinoma to the Prostate : a Case Report.
Jeong Hyun YOON ; Ki Hak SONG ; Hyun Cheol CHEONG ; Ji Sun SONG ; Mee Yon CHO ; Jae Mann SONG
Korean Journal of Urology 2000;41(1):187-189
No abstract available.
Carcinoma, Renal Cell*
;
Prostate*
3.A Case of Biliary Atresia Managed with the Modified Kasai Operation.
Hwa Jung YOON ; Kyo Sun KIM ; Ki Young LEE ; Cheong Soo PARK
Journal of the Korean Pediatric Society 1980;23(10):859-864
Biliary atresia is a surgical disease of infancy with a very poor prognosis usually attributed to the rarity of surgically correctable case. This paper presents a case of incorrectable type of biliary atresia 50 days old Direan female infant who were subjected to the Modified Kasai Operation She had shown good bile excretion after surgery but developed recurrent fever, severe hypocalcemia and roentgenographically prover rickets during the follow up periods. She died 7 months after the operation.
Bile
;
Biliary Atresia*
;
Female
;
Fever
;
Follow-Up Studies
;
Humans
;
Hypocalcemia
;
Infant
;
Prognosis
;
Rickets
4.Clinical characteristics and prevalence of vitamin D insufficiency in children less than two years of age.
Ji Hyun YOON ; Cheong Soo PARK ; Ji Young SEO ; Yun Sun CHOI ; Young Min AHN
Korean Journal of Pediatrics 2011;54(7):298-303
PURPOSE: To evaluate the clinical characteristics of vitamin D deficiency and its association with iron deficiency anemia (IDA). METHODS: A total of 171 children aged less than two years underwent 25-hydroxyvitamin D3 tests between January 2007 and July 2009. The study was classified into two groups: normal and vitamin D insufficiency, by their vitamin 25-hydroxyvitamin D3 levels. RESULTS: In total, 120 children were in the normal group (mean age, body weight and heights 12.5+/-7.0, 9.3+/-0.9 kg and 76.8+/-1.1 cm), and 51 children in the vitamin D insufficiency group (9.9+/-5.4 months, 9.0+/-0.9 kg and 75.1+/-0.9 cm). Vitamin D insufficiency was most commonly diagnosed in the spring (44%). The proportion of complete breast-feeding was higher in the insufficiency (92%), and 25.5% of the children in the deficient group also experienced IDA compared that 12% of normal group. Ten children in the insufficiency group experienced bony changes. Six children received calcitriol medication in the normal group, in whom the mean vitamin 25-hydroxyvitamin D3 level increased from 39.6+/-14.6 ng/mL (pre-medication) to 41.8+/-17.2 ng/mL (post-medication), and 13 in the insufficiency group, in whom the mean vitamin 25-hydroxyvitamin D3 increased from 20.7+/-7.0 ng/mL to a mean post-treatment level of 43.7+/-23.8 ng/mL. CONCLUSION: This study demonstrated that approximately 30% of children aged < or =2 years experienced vitamin D insufficiency associated with subclinical rickets. Many children also experienced concurrent IDA. Guidelines for vitamin D supplement in such children must therefore be established.
Aged
;
Anemia
;
Anemia, Iron-Deficiency
;
Body Weight
;
Calcifediol
;
Calcitriol
;
Child
;
Humans
;
Iron
;
Prevalence
;
Rickets
;
Vitamin D
;
Vitamin D Deficiency
;
Vitamins
5.Characteristics of Non-typhoidal Salmonella Isolates from Human and Broiler-chickens in Southwestern Seoul, Korea.
Hee Jin CHEONG ; Yeon Joo LEE ; In Sook HWANG ; Sae Yoon KEE ; Hye Won CHEONG ; Joon Young SONG ; Jun Man KIM ; Yong Ho PARK ; Ji Hun JUNG ; Woo Joo KIM
Journal of Korean Medical Science 2007;22(5):773-778
Non-typhoidal Salmonella (NTS) is an important commensal microorganism. The purpose of this study was to determine the epidemiological relation between NTS isolates from livestock and NTS isolates from human by analyzing antimicrobial susceptibilities and performing molecular typing. We determined the serotypes of 36 human clinical isolates and 64 livestock isolates, performed antimicrobial susceptibility testing against 8 antibiotics, and determined the molecular types of isolated NTS spp. by pulsed field gel electrophoresis (PFGE). In human isolates, S. enteritidis was the most common serotype (17 isolates; 47.2%) and S. typhimurium the second most (8 isolates; 22.2%). In livestock isolates, S. typhimurium was the most common serotype (15 isolates; 23.44%), and S. enteritidis was the second most (14 isolates; 21.88%). Ampicillin and tetracycline resistance were 50% (32/64 isolates) each among broiler-chicken NTS isolates. No human or livestock NTS isolates showed resistance to ciprofloxacin, TMP-SMX, or ceftriaxone. However, 19.4% (7/36) and 46.8% (30/64) of the human and livestock NTS isolates were resistant to nalidixic acid (MIC > or =16 mg/mL), respectively. The presence of the three identical PFGE molecular types from human and broiler-chicken NTS isolates suggests the possibility of transmission from livestock to humans.
Adult
;
Animals
;
Chickens
;
Cluster Analysis
;
Drug Resistance, Bacterial
;
Female
;
Humans
;
Korea
;
Male
;
Nalidixic Acid/pharmacology
;
Salmonella Infections/epidemiology/metabolism/*microbiology
;
Salmonella Infections, Animal/epidemiology/metabolism/*microbiology
;
Salmonella enteritidis/metabolism
;
Salmonella typhimurium/*metabolism
;
Serotyping
6.Diagnostic Accuracy of Cerebrospinal Fluid (CSF) Cytology in Metastatic Tumors: An Analysis of Consecutive CSF Samples.
Yoon Sung BAE ; June Won CHEONG ; Won Seok CHANG ; Sewha KIM ; Eun Ji OH ; Se Hoon KIM
Korean Journal of Pathology 2013;47(6):563-568
BACKGROUND: Cerebrospinal fluid (CSF) examination can be used to verify the presence of primary malignancies as well as cases of central nervous system (CNS) metastasis. Because of its importance, there have been several studies concerning the sensitivity of CSF cytology. To determine the practical use and reproducibility of diagnoses based on CSF cytology, we evaluated this test by analyzing cytology results from consecutive CSF samples. METHODS: Between July 2010 and June 2013, 385 CSF cytology samples from 42 patients were collected. The samples were gathered using a ventricular catheter and reservoir. CSF cytology of all patients was examined more than two times with immunocytochemistry for cytokeratin. RESULTS: Primary neoplastic sites and histologic types of patients' metastatic cancer were diverse. The overall sensitivity for detecting malignancy was 41.3%. Even within short-term intervals, diagnoses frequently changed. CONCLUSIONS: Our results were inconsistent, with low sensitivity, when compared to the results of previous studies. However, CSF evaluation can still provide valuable diagnostic and prognostic information because adjuvant treatments are now routinely performed in patients with CNS metastasis. Negative CSF cytology results should not be ignored, and continuous CSF follow-up is essential for following the clinical course of patients with metastatic cancer involving the CNS.
Catheters
;
Central Nervous System
;
Cerebrospinal Fluid*
;
Diagnosis
;
Follow-Up Studies
;
Humans
;
Immunohistochemistry
;
Keratins
;
Neoplasm Metastasis
7.Gender Difference of Insulin Resistance in Obese Children and Adolescents.
Duk Hee KIM ; Ji Hyun YOON ; Ho Seong KIM ; Dong Kee KIM ; My Young CHEONG
Journal of Korean Society of Pediatric Endocrinology 2005;10(1):84-89
PURPOSE: It is known that insulin resistance is important because it may precede the development of Diabetes Mellitus. We evaluated the gender difference of insulin resistance in obese children & adolescents. METHODS: 92 obese children and 187 adolescents (age:5-16 y, >95th percentile of the body mass index [BMI] for age and sex) were included in this study. The abdominal fat, abdominal circumference, and intraabdominal fat depth (IAFD), plasma fasting insulin, leptin, adiponectin, lipid profiles and high sensitive-C reactive protein (hs-CRP) were measured, and a two-hour oral glucose tolerance test with insulin measurement were performed. RESULTS: The plasma total cholesterol, leptin, fasting insulin & HOMA-IR levels of obese females were higher than those of obese males. The sex, waist circumference, IAFD & adiponectin levels were strongly correlated with HOMA-IR by multiple linear regression analysis (P<0.05). CONCLUSION: Adolescent females may have specific fat distribution and were expressed to have higher leptin and relatively lower adiponectin concentration compared to adolescent males, developing higher insulin resistance, even though having lesser abdominal fat and waist size. Further investigation is required to verify the gender difference of insulin resistance in obese children and adolescents.
Abdominal Fat
;
Adiponectin
;
Adolescent*
;
Body Mass Index
;
Child*
;
Cholesterol
;
Diabetes Mellitus
;
Fasting
;
Female
;
Glucose Tolerance Test
;
Humans
;
Insulin Resistance*
;
Insulin*
;
Leptin
;
Linear Models
;
Male
;
Obesity
;
Plasma
;
Waist Circumference
8.Effects of BATHE Interview Protocol on Patient Satisfaction.
Ji Hyun KIM ; Yoon Na PARK ; Eal Whan PARK ; Yoo Seock CHEONG ; Eun Young CHOI
Korean Journal of Family Medicine 2012;33(6):366-371
BACKGROUND: BATHE, the acronym for background, affect, trouble, handling, and empathy, is an interview approach that can be applied in the out-patient setting whereby questions belonging to each of the 5 categories are asked in the above order. As we have been taught to believe that BATHE raises the level of patient satisfaction and the quality of medical treatment overall, this study was designed to test the validity of the claim that applying BATHE heightens patient satisfaction. METHODS: Each of the 5 doctors was assigned 10 patients (5 in the BATHE group and the other 5 in the control group) with each patient being randomly assigned to either of the groups. The control group was interviewed as usual and the BATHE group was interviewed using BATHE. Immediately after the interview, each patient anonymously filled out a patient satisfaction questionnaire. Whether the questions asked were appropriate for each category of the protocol was evaluated by the researcher through video clips taped during the interviews. RESULTS: On 7 out of 10 items on the patient satisfaction questionnaire, the BATHE group was found to experience higher level of satisfaction than the control group in a statistically significant manner. The questions asked the BATHE group were confirmed to be more appropriate for each category of the protocol except empathy than those asked the control group. CONCLUSION: As applying the BATHE approach was found to achieve higher level of patient satisfaction, we recommend using it in the out-patient setting.
Anonyms and Pseudonyms
;
Baths
;
Empathy
;
Handling (Psychology)
;
Humans
;
Outpatients
;
Patient Satisfaction
;
Surveys and Questionnaires
9.Outcome of pelvic arterial embolization for postpartum hemorrhage: A retrospective review of 117 cases.
Ji Yoon CHEONG ; Tae Wook KONG ; Joo Hyuk SON ; Je Hwan WON ; Jeong In YANG ; Haeng Soo KIM
Obstetrics & Gynecology Science 2014;57(1):17-27
OBJECTIVE: The aim of this study was to evaluate indications, efficacy, and complications associated with pelvic arterial embolization (PAE) for postpartum hemorrhage (PPH). METHODS: We retrospectively reviewed the medical records of 117 consecutive patients who underwent PAE for PPH between January 2006 and June 2013. RESULTS: In our single-center study, 117 women underwent PAE to control PPH refractory to conservative management including uterine massage, use of uterotonic agents, surgical repair of genital tract lacerations, and removal of retained placental tissues. Among 117 patients, 69 had a vaginal delivery and 48 had a Cesarean section. The major indication for embolization was uterine atony (54.7%). Other causes were low genital tract lacerations (21.4%) and abnormal placentation (14.5%). The procedure showed a clinical success rate of 88.0% with 14 cases of PAE failure; there were 4 hemostatic hysterectomies and 10 re-embolizations. On univariate analysis, PAE failure was associated with overt disseminated intravascular coagulation (P=0.009), transfusion of more than 10 red blood cell units (RBCUs, P=0.002) and embolization of both uterine and ovarian arteries (P=0.003). Multivariate analysis showed that PAE failure was only associated with transfusions of more than 10 RBCUs (odds ratio, 8.011; 95% confidence interval, 1.531-41.912; P=0.014) and embolization of both uterine and ovarian arteries (odds ratio, 20.472; 95% confidence interval, 2.715-154.365; P=0.003), which were not predictive factors, but rather, were the results of longer time for PAE. Three patients showed uterine necrosis and underwent hysterectomy. CONCLUSION: PAE showed high success rates, mostly without procedure-related complications. Thus, it is a safe and effective adjunct or alternative to hemostatic hysterectomy, when primary management fails to control PPH.
Arteries
;
Cesarean Section
;
Disseminated Intravascular Coagulation
;
Erythrocytes
;
Female
;
Humans
;
Hysterectomy
;
Lacerations
;
Massage
;
Medical Records
;
Multivariate Analysis
;
Necrosis
;
Placentation
;
Postpartum Hemorrhage*
;
Postpartum Period*
;
Pregnancy
;
Retrospective Studies*
;
Uterine Inertia
10.Early Rehabilitation after Total Mastectomy and Immediate Reconstruction with Tissue Expander Insertion in Breast Cancer Patients: A Retrospective Case-control Study
Kyou Hyun KIM ; Seung Mi YEO ; In Yae CHEONG ; Yoon KIM ; Byung Joon JEON ; Ji Hye HWANG
Journal of Breast Cancer 2019;22(3):472-483
PURPOSE: To prevent surgical site complications, many plastic surgeons use the so-called “conventional protocol,” which immobilizes the shoulder and upper arm for 1 month after reconstruction. In an effort to improve the shoulder mobility of patients who received immediate breast reconstruction with tissue expander insertion (TEI), we introduced an early rehabilitation protocol with a short-term immobilization period of 2 weeks. This study aims to compare this early rehabilitation exercise program with the conventional protocol and to determine factors affecting shoulder mobility and quality of life of patients after immediate breast reconstruction. METHODS: A total of 115 patients with breast cancer who underwent reconstructive surgery were retrospectively reviewed. For patients who underwent reconstruction before January 2017, the conventional protocol was followed with immobilization of their shoulder for over 4 weeks. Patients who underwent reconstruction after January 2017 were educated to undergo a self-exercise program after a short-term immobilization period of 2 weeks. We compared shoulder mobility, pain, quality of life, and complications at postoperative 1 and 2 months between the groups. RESULTS: Patients who received early rehabilitation showed greater shoulder flexion and abduction range at postoperative 1 month than those who received the conventional protocol. This increased shoulder abduction range continued until postoperative 2 months. There were no significant surgical site problems in both groups during the 2 months of follow-up. CONCLUSION: To enhance the recovery of shoulder mobility, early rehabilitation with a shorter immobilization period should be recommended to patients with breast cancer undergoing reconstruction surgery with TEI. TRIAL REGISTRATION: ClinicalTrials.gov Identifier: NCT03541161
Arm
;
Breast Neoplasms
;
Breast
;
Case-Control Studies
;
Female
;
Follow-Up Studies
;
Humans
;
Immobilization
;
Mammaplasty
;
Mastectomy, Simple
;
Plastics
;
Quality of Life
;
Range of Motion, Articular
;
Reconstructive Surgical Procedures
;
Rehabilitation
;
Retrospective Studies
;
Shoulder
;
Surgeons
;
Tissue Expansion Devices