1.Surgical Complications and Its Management in Intracranial Aneurysm.
Journal of Korean Neurosurgical Society 2000;29(8):1113-1120
No abstract available.
Intracranial Aneurysm*
2.Secondary Adrenal Insufficiency Initially Misdiagnosed as Depression: A Case Report.
Duk Soo MOON ; Won Sub KANG ; Jong Woo PAIK ; Ji Young SONG ; Jong Woo KIM
Korean Journal of Psychosomatic Medicine 2011;19(2):109-114
The abnormalities in Hypothalamic-pituitary-adrenal(HPA) axis are associated with many psychiatric symptoms including depression. We present a report of a 71 year old man who was admitted to the psychiatric department presenting symptoms of headache, avolition, loss of energy, psychomotor retardation, poor appetite, insomnia, anxiety resulting from adrenal insufficiency and hypopituitarism. Hypothyroidism and electrolyte disturbance were managed and headache, insomnia, anxiety, GI symptoms were improved. But he remained in anergic state. After discharge, he was readmitted to infection department with high fever and drowsy mentality. Adrenal insufficiency was recognized and he was treated with corticosteroid replacement therapy. Finally his diagnosis was made as panhypopituitarism and overall symptoms were resolved. In this case, we showed how the atypical symptoms resulting from hypopituitarism develop and progress. Hypothyroidism, adrenal insufficiency, and growth hormone deficiency resulting secondarily from panhypopituitarism were associated with various nonspecific symptoms such as loss of energy, fatigue, insomnia, weight loss, decreased appetite etc. In clinical situation, differential diagnosis with depression is needed when clinicians were met a patient with these nonspecific symptoms. It is important that laboratory tests and differential diagnosis with endocrine diseases should be conducted, especially in geriatric patients with nonspecific symptoms like anergia, fatigue, poor appetite and so on.
Adrenal Insufficiency
;
Anxiety
;
Appetite
;
Axis
;
Depression
;
Diagnosis, Differential
;
Endocrine System Diseases
;
Fatigue
;
Fever
;
Growth Hormone
;
Headache
;
Humans
;
Hypopituitarism
;
Hypothyroidism
;
Sleep Initiation and Maintenance Disorders
;
Weight Loss
3.The effect of electroconvulsive therapy on the cerebrospinal fluid 5-HT and 5-HIAA concentrations in the chronic treatment-resistant schizophrenia.
Jun Soo KWON ; Ki Woong KIM ; Jong Inn WOO
Journal of Korean Neuropsychiatric Association 1992;31(5):846-855
No abstract available.
Cerebrospinal Fluid*
;
Electroconvulsive Therapy*
;
Hydroxyindoleacetic Acid*
;
Schizophrenia*
;
Serotonin*
4.Clinical observation of the arteriovenous fistula for hemodialysis.
Tae Soo KIM ; Jong Heung KIM ; Ze Hong WOO
Journal of the Korean Surgical Society 1993;44(6):881-889
No abstract available.
Arteriovenous Fistula*
;
Renal Dialysis*
5.Plasma haloperidol, reduced haloperidol and homovanillic acid levels :therir relationship to therapeutic response of haloperidol in schizophtrenic patients.
Jong Inn WOO ; Jun Soo KWON ; Sang Ick LEE
Journal of Korean Neuropsychiatric Association 1992;31(3):443-456
No abstract available.
Haloperidol*
;
Homovanillic Acid*
;
Humans
;
Plasma*
6.A Study on the DNA Ploidy and Expression of c-erbB-2 Oncogen in the Ovarian Carcinomas.
Jong Jae JUNG ; Chang Soo PARK ; Sang Woo JUHNG
Korean Journal of Pathology 1997;31(1):15-22
To evaluate the relationships among the c-erbB-2 oncogene expression, DNA ploidy and other prognostic factors, an immunohistochemical study of the c-erbB-2 oncogene product and flow cytometric analysis of DNA ploidy were performed in paraffin sections of 42 cases of ovarian carcinomas. The results were as follows: 1) The positive reaction for c-erbB-2 oncogene product was observed mainly along the cytoplasmic membrane, and occasionally within the cytoplasm of the tumor cells. 2) Overall the positivity of c-erbB-2 oncogene expression was 45.2% of the ovarian carcinomas. By the histological types, the positivity was 35.7% in serous carcinoma, 80.0% in mucinous carcinoma, and 45.2% in endometrioid carcinoma; by the degree of differentiation, 57.1% in well differentiated carcinoma, 40.0% in moderately differentiated, and 27.3% in poorly differentiated; by the nuclear grading, 58.3% in grade I, 52.6% in grade II, and 18.2 % in grade III; and by the clinical staging, 57.1% in stage I, 42.8% in stage II, and 35.0% in stage III. The expression of the c-erbB-2 oncogene in the ovarian carcinomas was higher in the tumors of good differentiation, of the lower nuclear grade and of the lower clinical stage. 3) The incidence of DNA aneuploidy in the cases positive for the c-erbB-2 oncogene expression(47.3%) was higher than that in the negative cases(31.4%). From the above results, therefore, it is suggested that the c-erbB-2 oncogene may be involved in the early stage of ovarian carcinogenesis. Also suggested is that ovarian carcinomas positive for the c-erbB-2 oncogene in the early stages may have higher probability of having a DNA aneuploid cell line during the progress of the tumors.
Adenocarcinoma, Mucinous
;
Aneuploidy
;
Carcinogenesis
;
Carcinoma, Endometrioid
;
Cell Membrane
;
Cytoplasm
;
DNA*
;
Incidence
;
Oncogene Proteins
;
Oncogenes
;
Paraffin
;
Ploidies*
7.Operative treatment of Weber type C ankle fracture -an evaluation of need for trans-syndesmotic screw fixation.
Eun Woo LEE ; Soo Yong KANG ; Jong Heon CHA
The Journal of the Korean Orthopaedic Association 1991;26(1):152-157
No abstract available.
Ankle Fractures*
;
Ankle*
8.The Sedative Dose of Midazolam in Pregnant Women during Epidural Anesthesia for Cesarean Section.
Jong Hoon YEOM ; Woo Jong SHIN ; Hee Soo KIM ; Yong Chul KIM ; Dong Ho LEE
Korean Journal of Anesthesiology 1997;33(3):432-435
BACKGROUNDS: This study was investigated for assessing of the sedative dose of midazolam and its influence on neonatal Apgar score that intravenously injected immediately before operation during epidural anesthesia for cesarean section. METHODS: Midazolam, 1 mg, was given into a freely running IV line every 30s 2 min after 2 mg of midazolam was initiately injected. Ten seconds prior to each injection patients were asked to open the eye. No response, as determined by the anesthesiologists, to three promptly repeated and increasingly louder commands was considered the end-point for the study and no further midazolam was given. RESULTS: The sedative dose of midazolam in our study was 3.3 1.1 mg and interindividual variation (range: 2~7 mg) were wide. Respiratory depression was occurred in one of pregnant women with midazolam. All of the Apgar scores of the newborn infants at 1 and 5 min in both groups were higher than seven. CONCLUSIONS: When the intravenous injection of midazolam for sedation immediately before operation is required in pregnant women during epidural anesthesia for cesarean section, we would like to suggest that one should initiately administer the small dose and then inject the incremental dose with careful observation of the respiratory status.
Anesthesia, Epidural*
;
Apgar Score
;
Cesarean Section*
;
Female
;
Humans
;
Infant, Newborn
;
Injections, Intravenous
;
Midazolam*
;
Pregnancy
;
Pregnant Women*
;
Respiratory Insufficiency
;
Running
9.Clinical Study on the Postoperative Adhesive Smal Bowel Obstruction.
Journal of the Korean Surgical Society 1997;52(1):37-46
This clinical report is a review of the medical records of the 161 cases of postoperative adhesive intestinal obstruction treated at the Department of Surgery, Chung-Goo Sungsim General Hospital during 5 years from January 1991 to December 1995. The results of the study are as follows; 1) The most frequent age group was the 4th decade and the most prevalent age groups in the strangulated intestinal obstruction were below 10 years and above 60 years. 2) There was no difference among the types of previous abdominal operations in terms of the possibility of the strangulation. 3) The incidence of postoperative complication in the strangulated intestinal obstruction(58.3%) was higher than that in the non-strangulated intestinal obstruction(7.7%). 4) The overall mortality rate was 2.5%. The mortality rate in the strangulated intestinal obstruction was 8.3%, and was higher than that in the non-strangulated intestinal obstruction. 5) It is ideal to operate just before progression to strangulation, but it is not easy to decide when it happens. An operation should be considered in the following cases. (1) The presence of two or more symptoms; abdominal pain, obstipation, vomiting and abdominal distension. (2) The presence of two or more signs; leukocytosis, fever, tachycardia, localized abdominal tenderness, rebound tenderness and continuous abdominal pain. (3) Clinical signs of deterioration after 72 hours of conservative treatment.
Abdominal Pain
;
Adhesives*
;
Fever
;
Hospitals, General
;
Humans
;
Incidence
;
Intestinal Obstruction
;
Leukocytosis
;
Medical Records
;
Mortality
;
Postoperative Complications
;
Tachycardia
;
Vomiting
10.Management of Anesthesia for Xipho-omphalopagus Twins: A case report.
Yong Chul KIM ; Woo Jong SHIN ; Hee Soo KIM ; Jong Hoon YEOM ; Dong Ho LEE
Korean Journal of Anesthesiology 1997;33(3):548-552
The birth of conjoined twins remains an extremely rare event. Most of such twins are stillborn and one third of the live births die within first day of life. In Korea, there are only three reports on the anesthesia for separation of different kinds of conjoined twins. In view of anesthesia for separation of such twins prematurity, low birth weight, and anomalous shared organ play the major role on the perioperative morbidity and mortality. Such anesthesia therefore is one of the exceedingly complex fields among the pediatric anesthesia and require mobilization of all possible methods and monitoring devices used for pediatric anesthesia. We performed careful preoperative evaluation of extent of joining, discussion and rehearsal of separation procedure between separation team, and anesthetic care such as all possible monitoring, preservation of body temperature, appropriate fluid therapy, awake intubation, avoid neuromuscular blockers, and thorough separation of duty. The separated twins showed normal weight gain postoperatively and discharged postoperative 31th day without any complications.
Anesthesia*
;
Body Temperature
;
Fluid Therapy
;
Humans
;
Infant, Low Birth Weight
;
Infant, Newborn
;
Intubation
;
Korea
;
Live Birth
;
Mortality
;
Neuromuscular Blockade
;
Neuromuscular Blocking Agents
;
Parturition
;
Twins, Conjoined
;
Weight Gain