1.Chondrosarcoma of the sternum: one case report.
Jin Yong JEONG ; Hae Young LEE ; Chi Kyung KIM ; Moon Sub KWACK ; Se Wha KIM ; Hong Kyun LEE
The Korean Journal of Thoracic and Cardiovascular Surgery 1991;24(8):802-806
No abstract available.
Chondrosarcoma*
;
Sternum*
2.The graft survival rates and stability of renal allograft function associate with cyclosporine immunosuppressive therapy.
Keon Hyung SUNG ; Kgoungwon KAHNG ; Sung Hoon CHUNG ; Chan Hyun PARK ; Chong Myung KANG ; Hac Chul PARK ; Jin Young KWACK
The Journal of the Korean Society for Transplantation 1991;5(1):1-15
No abstract available.
Allografts*
;
Cyclosporine*
;
Graft Survival*
;
Transplants*
3.The graft survival rates and stability of renal allograft function associate with cyclosporine immunosuppressive therapy.
Keon Hyung SUNG ; Kgoungwon KAHNG ; Sung Hoon CHUNG ; Chan Hyun PARK ; Chong Myung KANG ; Hac Chul PARK ; Jin Young KWACK
The Journal of the Korean Society for Transplantation 1991;5(1):1-15
No abstract available.
Allografts*
;
Cyclosporine*
;
Graft Survival*
;
Transplants*
4.Psychiatric Problems in the Student Victims of School Violence and Their Parents.
Hyuk Jin JANG ; Young Sook KWACK
Journal of the Korean Academy of Child and Adolescent Psychiatry 2014;25(4):224-229
OBJECTIVES: This study was conducted in order to investigate the influences of school violence on the mental health of student victims and their parents. METHODS: A total of 56 (aged 7-18) student victims and their parents were selected to participate in a survey. The students had experienced school violence from June 2012 to October 2013. They completed a set of self-report questionnaires, including socio-demographic characteristics, family relationship, Impact of Event Scale-Revised, Child Depression Inventory (CDI), Beck Depression Inventory, Revised Children's Manifest Anxiety Scale, and Parental Bonding Instrument to evaluate psychiatric complications and to understand the emotional bonding between them. RESULTS: The student's level of impact of event was significantly related to the parent's level of impact of event (p<.001). The student's high CDI score showed positive correlation with high level of impact of event (p<.001). In addition, higher level of the student's perceived emotional support and understandability of family showed association with lower level of impact of event (p<.01, p<.05). CONCLUSION: The results of this study suggest that the psychiatric sequelae of school violence is seriously affected by family support and parent's level of impact of event. Therefore, more active intervention is needed for both students and their parents.
Child
;
Depression
;
Family Characteristics
;
Humans
;
Manifest Anxiety Scale
;
Mental Health
;
Object Attachment
;
Parents*
;
Violence*
5.The Efficacy and Benefits of Transcatheter Arterial Embolization (TAE) in Patients with Blunt Splenic Injury.
Kyu Sung KWACK ; Young Ju KIM ; Myung Sub LEE ; Dong Jin KIM ; In Soo HONG
Journal of the Korean Radiological Society 2000;43(1):39-45
PURPOSE: To evaluate the efficacy and benefits of transcatheter arterial embolization(TAE) in patients with blunt splenic injury after blunt abdominal trauma. MATERIALS AND METHODS: We retrospectively analyzed the results of transcatheter arterial embolization in 23 patients who suffered splenic injury after blunt abdominal trauma. Fourteen of the patients were male, and 9 were female; 13 were adults, and 10 were children. Transcatheter arterial embolization was performed in patients with hypotension, tachycardia, evidence of hemodynamic instability due, for example, to low levels of Hgb and Hct, or those who needed fluid therapy or blood transfusion. After embolization the patients 'progress was monitored by CT scanning, abdominal sonography, or 99mTc-sulfur colloid scintigraphy. RESULTS: The degree of splenic injury was classified according to the system devised by Mirvis et al.; nine cases were CT grade III, and 14 were grade IV. After demonstrating angiographically the site of contrast leakage, embolization was performed; for this, a coil only was used in 16 cases, gelfoam only in four, and both coil and gelfoam in three. There were three sites of vascular embolization: 16 procedures were performed in the proxi-mal part of the main trunk of the splenic artery, four in a superselected branch of this same artery, and three in both the splenic artery and one of its superselected branches. Of the 23 cases, 18 recovered without splenectomy after embolization, three adult patients died from coexisting conditions (spinal or cerebral injuries, liver cir-rhosis, or pelvic bone fracture) or complications(acute renal failure or disseminated intravascular coagulation). Due to co-existing pancreatic and mesenteric vessel injury, two of the adult patients who underwent TAE also underwent delayed surgery; intraoperatively, there was no evidence of splenic rebleeding. In all patients who did not undergo surgery, follow-up observation revealed a decreased volume of hemoperitoneum, increased uptake of radionuclide in the spleen, and no evidence of rebleeding. CONCLUSION: Transcatheter angiography and arterial embolization in patients with splenic injuries who showed hemodynamic instability and a high CT grade is a non-surgical approach that can achieve early hemostasis and hemodynamic stability. Another benefit of this procedure is the preservation of splenic function.
Adult
;
Angiography
;
Arteries
;
Blood Transfusion
;
Child
;
Colloids
;
Female
;
Fluid Therapy
;
Follow-Up Studies
;
Gelatin Sponge, Absorbable
;
Hemodynamics
;
Hemoperitoneum
;
Hemostasis
;
Humans
;
Hypotension
;
Liver
;
Male
;
Pelvic Bones
;
Radionuclide Imaging
;
Renal Insufficiency
;
Retrospective Studies
;
Spleen
;
Splenectomy
;
Splenic Artery
;
Tachycardia
;
Tomography, X-Ray Computed
6.Surgical management of metastatic lung cancer from gestational choriocarcinoma.
Jin Yong JEONG ; Woong CHIN ; Kuhn PARK ; Keon Hyon JO ; Young Pil WANG ; Moon Sub KWACK ; Se Wha KIM ; Hong Kyun LEE ; Jae Keun JUNG
The Korean Journal of Thoracic and Cardiovascular Surgery 1991;24(10):1005-1010
No abstract available.
Choriocarcinoma*
;
Female
;
Lung Neoplasms*
;
Lung*
;
Pregnancy
7.Postoperative transesophageal echocardiographic evaluation in patients with cardiac valve replacement.
Keon Hyon JO ; Jin Yong JEONG ; Jae Kul KANG ; Sun Hee LEE ; Young Pil WANG ; Moon Sub KWACK ; Se Wha KIM ; Hong Kyun LEE
The Korean Journal of Thoracic and Cardiovascular Surgery 1991;24(3):265-270
No abstract available.
Echocardiography*
;
Heart Valves*
;
Humans
9.Outcomes and clinical relevance of stool multiplex bacterial polymerase chain reaction in patients with acute diarrhea: single center experience
Won Gun KWACK ; Yun Jeong LIM ; Ki Hwan KWON ; Jae Woo CHUNG ; Jin Young OH
The Korean Journal of Internal Medicine 2020;35(2):300-309
Diagnostic stool multiplex polymerase chain reaction (PCR) testing has attracted considerable interest, because of its high sensitivity, short turnaround time, and ability to detect multiple organisms simultaneously. This study investigates the clinical usefulness of a stool multiplex bacterial PCR in patients with acute diarrhea. Methods: We retrospectively evaluated the stool multiplex bacterial PCR results, clinical parameters, and clinical courses of patients hospitalized because of acute diarrhea between August 2014 and November 2016. Results: A total of 725 patients (male, 372; mean age, 30.9 ± 29.3 years) underwent stool multiplex bacterial PCR. A total of 243 pathogens were detected in 226 patients. The detection rate of multiplex PCR testing was higher than that of stool culture (32.7% vs. 3.3%, p < 0.01). Severe symptoms of acute diarrhea (bloody diarrhea, frequent diarrhea) and prescribed empirical antibiotics were significantly more common in the positive multiplex PCR group (p = 0.02, p < 0.01, p < 0.01, respectively). However, mean durations of hospital stay were similar in the 2 groups according to the multiplex PCR results (p = 0.32). In addition, Campylobacter spp., which was the most commonly detected pathogen (97/243, 39.9%), was significantly associated with frequent diarrhea and prescribed empirical antibiotics (p < 0.01), but not with duration of hospital stay (p = 0.09). Conclusions: We concluded that stool multiplex bacterial PCR might be a useful tool for identifying bacterial etiology in patients with acute diarrhea, especially in those with Campylobacter spp. infection.
10.A case of chemoresistant placental site trophoblastic tumor in a patient who wants to remain fertile.
Hyun Jung CHO ; Hyun Sung KWACK ; Sun Young NAM ; Young Hwa KANG ; Min Jung KIM ; Hyun Wook LIM ; Hee Jeong LEE ; Sa Jin KIM ; Soo Young HUR
Korean Journal of Gynecologic Oncology 2007;18(4):373-378
Placental site trophoblastic tumor (PSTT) is a rare form of gestational trophoblastic tumor (GTT) that has different behavior in disease process. The hysterectomy is general for PSTT, but hysterectomy is undesirable for patients who wish to remain fertile. We planned to preserve fertility of a young patient by first administering EMA/CO (Etoposide, methotrexate, actinomycin D/cyclophosphamide, vincristine) chemotherapy and then performing an open uterine surgery to remove residual tumor. The patient who attempted primary chemotherapy for PSTT must be undergone a hysterectomy because this conservative regimen showed sign of chemoresistance. We report a case of chemoresistant PSTT with trial to preserve fertility with a brief review of literatures.
Dactinomycin
;
Drug Therapy
;
Fertility
;
Humans
;
Hysterectomy
;
Methotrexate
;
Neoplasm, Residual
;
Trophoblastic Neoplasms
;
Trophoblastic Tumor, Placental Site*