2.Effects of Nitric Oxide Synthesis Inhibition on the Blood Pressure Response to Bradykinin in Rats.
Cheol Ho YEUM ; Min Joon YANG ; Jae Yeoul JUN ; Pyung Jin YOON ; Sung Ho MOON ; Jai Hun KIM ; Jong Un LEE
Korean Journal of Nephrology 1998;17(5):667-672
Bradykinin has been known to elicit a pressor effect when administered centrally, and a depressor effect when administered peripherally. The present study was aimed at investigating whether the blood pressure response to bradykinin is dependent on the endogenous generation of nitric oxide (NO). Effects of NG-nitro-L-arginine methyl ester (L-NAME) on the pressor and depressor responses to intracerebroventricularly and intravenously injected bradykinin (5nmol/rat), respectively, were examined in anesthetized rats. Neither the pressor response nor the depressor response was affected by acute parenteral treatment with L-NAME. The pressor and depressor effects of bradykinin were also noted in rats chronically supplemented with L-NAME in drinking water for 4 weeks. Bradykinin caused a relaxation of the isolated thoracic aorta in vitro, which was not affected in the presence of L-NAME. However, bradykinin failed to cause a relaxation of the aorta isolated from rats chronically treated with L-NAME. These findings suggest that endogenous generation of NO may not completely account for the blood pressure responses to bradykinin in rats.
Animals
;
Aorta
;
Aorta, Thoracic
;
Blood Pressure*
;
Bradykinin*
;
Drinking Water
;
NG-Nitroarginine Methyl Ester
;
Nitric Oxide*
;
Rats*
;
Relaxation
3.Relationship between policy dispute on Sejong City planning and local residents' health status.
Kwan Jun PARK ; Go Un LIM ; Jong Youn MOON ; Young HWANGBO ; Yoon Hyung PARK
Journal of the Korean Medical Association 2012;55(5):491-498
Recently, Sejong City had been in the center of a policy dispute about city planning in Korea. Although Sejong City was chosen to be a new Multifunctional Administrative City in 2006, politicians continued to challenge the decision at the city level from 2009 upto 2010.This study aims to investigate what influences, such as the policy dispute, impacted the health behaviors and the mental health of local people. We used the survey data from the Community Health Survey in 2008, 2009, 2010, and 2011 and compared the results through logistic regression analysis and direct standardization. Data were gathered from residents in Chungcheongnam-do, the province where Sejong City is located. Data from residents of four other provinces were used as a control: Gangwon-do, Gyeongsangbuk-do, Jeonlanam-do, and Gyeonggi-do. We found a significant increase in smoking and drinking rates in the residents of Chungcheongnam-do, which are indicators of health behaviors, in the year of 2009 when the Sejong City dispute erupted. It appears that controversial changes in government policy could have negative influences on local people. Therefore, we need proper measures to prevent them.
City Planning
;
Dissent and Disputes
;
Drinking
;
Health Behavior
;
Health Surveys
;
Korea
;
Logistic Models
;
Mental Health
;
Smoke
;
Smoking
4.Complications of Endoscopic Sphincterotomy: CT Grading and Its Clinical Significance.
Young Mook KIM ; Byung Ran PARK ; Se Jong KIM ; Kang Seok KO ; Weon Gyoo PARK ; Un Hyun MOON ; Jeong Seok LEE
Journal of the Korean Radiological Society 1997;37(4):659-664
PURPOSE: To evaluate the CT grading of complications developing after endoscopic sphincterotomy (EST), and their clinical course. MATERIALS AND METHODS: We retrospectively evaluated CT in 19 patients in whom pancreatitis or duodenal perforation developed after EST in 594 patients. The CT grading of pancreatitis was classified as mild, moderate or severe, according to the extent of peripancreatic infiltration; duodenal perforation was classified as mild, moderate or severe grade, according to the extent of fluid collection. We attempted to correlate CT grade with the average duration of hospitalization after EST, treatment method and mortality. RESULTS: Post-EST complications detected on CT were pancreatitis (ten patients, 1.7%) and duodenal perforation (nine patients, 1.5%). In those with pancreatitis, hospitalization after EST lasted an average of nine days in mild cases (n=2), 21 days in moderate (n=1) and 41 days in severe (n=7). Nine of ten patients with pancreatitis were treated conservatively, while the other, whose grade was severe, underwent percutaneous drainage. Eight of these ten recovered; the two who died were severe grade patients, one having been treated conservatively and the other by percutaneous drainage. In patients with duodenal perforation, hospitalization after EST lasted an average of 13 days in mild cases (n=2), 16 days in moderate (n=2) and 37 days in severe (n=5). Four of nine patients with duodenal perforation were treated conservatively, while the other five (severe, four; moderate, one) underwent percutaneous drainage. One patient, graded as severe, expired, but the remaining eight rocovered. Percutaneous drainage was performed mostly in severe grade cases, and among patients thus graded, only three (3/594; 0.5%) died. CONCLUSION: CT is considered useful for predicting the clinical course and prognosis of complications occurring after EST.
Drainage
;
Hospitalization
;
Humans
;
Mortality
;
Pancreatitis
;
Prognosis
;
Retrospective Studies
;
Sphincterotomy, Endoscopic*
5.Urinary Metabolites and Neurobehavioral Test on Styrene Exposure Workers.
Chang Hee LEE ; Deog Hwan MOON ; Hun LEE ; Jun Han PARK ; Dae Hwan KIM ; Jong Tae LEE ; Jin Ho CHUN ; Hwi Dong KIM ; Chae Un LEE
Korean Journal of Preventive Medicine 1996;29(4):863-876
In order to prepare the fundamental data for the health promotion by assessing the exposure level of styrene, the author determined the concentration of mandelic acid and phenylglyoxylic acid in urine of 42 workers who were exposed to styrene by high performance liquid chromatography and surveyed 16 symptoms, by questionnaire and also tested neurobehavioral test(digit symbol, benton visual retention) in 2 FRP plants of Kyung Nam area from July to September, 1995. Control was sampled by age sex matching method. The concentration of styrene in air was determined by gas chromatography. The results were as follows; 1. Geometric mean concentration of styrene in air was 17.4ppm, geometric mean concentration of mandelic acid(MA) in urine were 404.3mg/g creatinine for exposure group, 46.4mg/g creatinine for control group, geometric mean concentration of phenylglyoxylic acid(PGA) in urine were 57.5mg/g creatinine for exposure group, 9.5mg/g creatinine for control group. Mean concentration of MA and PGA showed statistically significant difference between exposure group and control group(p<0.01). 2. Number of symptom were 2.9 for exposure group, 3.3 for control group, number of digit symbol were 24.1 for exposure group, 32.5 for control group, number of Benton visual retention test were 6.1 for exposure group, 6.0 for control group, respectively. As result of adjusting the education year, number of Benton visual retention test showed statistically significant difference between exposure group and control group(p<0.05). 3. Excellent correlation were observed between environmental styrene exposure and urinary MA(r=0.80), PGA(r=0.73), and MA+PGA(r=0.81).
Chromatography, Gas
;
Chromatography, Liquid
;
Creatinine
;
Education
;
Health Promotion
;
Surveys and Questionnaires
;
Styrene*
6.Case report of traumatic orbital apex syndrome and superior orbital fissure syndrome
Young Ihl KIM ; Un Bong PAIK ; Jong Ha KIM ; Jae Man HYUN ; Moon Young LEE ; Sung Won PARK ; Myung Hwan KIM
Journal of the Korean Association of Maxillofacial Plastic and Reconstructive Surgeons 1994;15(4):275-280
No abstract available.
Orbit
7.An Epidemiologic Study on Death Caused by Cancer in Pusan.
Hwi Dong KIM ; Hye Won KOO ; Moon Suk KWAK ; Jong Ryul KIM ; Byung Chul SON ; Deog Hwan MOON ; Jong Tae LEE ; Kyu Il LEE ; Sang Hwa OHM ; Kui Oak JUNG ; Jin Ho CHUN ; Chae Un LEE
Korean Journal of Preventive Medicine 1996;29(4):765-784
This study surveyed and measured the level and structure of cancer deaths and their trends over time for offering the fundamental data of the cancer prevention and control in Pusan city in the future. Authors conducted the study of descriptive epidemiology using materials derived from the computerized data of total 3,722 certified cancer deaths in Pusan city from January 1 to December 31, 1993 registered on the National Statistical Office, the Republic of Korea. The obtained results were as follows: 1. According to the total registered cases of deaths(16,331 cases) in Pusan city during 1993, cancer(3,722 cases) and cerebrovascular disease(2,718 cases) were the first and second cause of deaths as 23.1% and 16.9%, respectively. These pattern showed the change between cancer(14.7%) and cerebrovascular disease(18.5%) in order of frequency in comparison to 1982. Also, the total number of cancer deaths was increased in comparison to 1982. The rate of death certification by physicians was 87.1% of all registered deaths, which was increased to 6.8% in comparison to 1982(80.3%). 2. Crude death rate and cancer specific death rate was 4.06 per 1,000 populations and 93.8 per 100,000 populations(male:117.8, female:70.0), respectively. The former was similar to that of 1982, but the latter was increased to 1.6 times as that of 1982. 3. Age-adjusted cancer specific death rate by standardization with whole country population was 111.9(male:141.5, female:106.7) per 100,000 populations, higher than not age-adjusted cancer specific death rate(93.8), and the sex difference was statistically significant with male predominance(p<0.05). 4. Cancer specific death rate by age was generally increased with age and most of cancer deaths(male:91.8%, female:88.5%) occurred since 40 years old. 5. The major cancer(cancer specific death rate per 100,000 populations) in male was liver(30.6) followed by stomach(25.6), lung(21.9), and GB and EHBD(5.7), in female stomach(15.7), liver(9.9), lung(7.3), and uterus(6.9). The relative frequency of the leading three cancer among total cancer deaths marked 66.3% in male and 47.1% in female, and decreased in comparison to 1982(male:72.2%, female:54.5%). 6. The total ratio of male to female cancer specific death rate showed 1.68 to 1 with male predominance. And the ratio was above 2.0 in larynx, oral cavity & pharynx, esophagus, liver, lung, bladder cancer and the ratio was 1.0~1.9 in stomach, pancreas, gall bladder and EHBD, brain, rectum and anus cancer, leukemia, but the ratio was reversed in thyroid and colon cancer. In conclusion, cancer was the first cause of deaths. The proportion of lung cancer was increased, that of stomach & uterine cancer was decreased relatively, and liver cancer was constantly higher proportion. In the future, it is necessary to conduct the further investigations on the cancer risk factors considering areal specificity.
Adult
;
Anus Neoplasms
;
Brain
;
Busan*
;
Cause of Death
;
Certification
;
Colonic Neoplasms
;
Epidemiologic Studies*
;
Epidemiology
;
Esophagus
;
Female
;
Humans
;
Larynx
;
Leukemia
;
Liver
;
Liver Neoplasms
;
Lung
;
Lung Neoplasms
;
Male
;
Mortality
;
Mouth
;
Pancreas
;
Pharynx
;
Rectum
;
Republic of Korea
;
Risk Factors
;
Sensitivity and Specificity
;
Sex Characteristics
;
Stomach
;
Thyroid Gland
;
Urinary Bladder
;
Urinary Bladder Neoplasms
;
Uterine Neoplasms
8.CT Findings of Change of the Maxillary Sinus after Caldwell-Luc Operation.
Ju Hyeon IM ; Sun Su KIM ; Jong An KIM ; Un Hyeon MOON ; In Young KANG ; Kang Seok KO ; Se Jong KIM ; Byung Ran PARK ; Byung Geun KIM
Journal of the Korean Radiological Society 2000;42(3):431-437
PURPOSE: This study describes the CT findings of changes in the maxillary sinus after the Caldwell-Luc procedure. MATERIALS AND METHODS: The maxillary sinus-related findings in 35 cases among 20 patients(17 cases in 10 males and 18 cases in 10 females)who had undrgone the Caldwell-Luc procedure mean 14.6 years earlier were reviewed. CT scans were obtained in the axial and coronal planes, with 5mm thickness. By means of the t test, changes in the size of the bony wall of the maxillary sinus, as well as antral volume change, were compared with the normal maxillary sinus group(41 male and 23 female cases). Males and females were compared separately, and surgical bony defect of nasolabial antrotomy and nasoantral window, fibroosseous proliferation, compartmentation and mucosal thickening of the postoperative maxillary sinus were evaluated, as were findings of chronic or recurrent maxillary sinusitis and postoperative complications. RESULTS: Naso-labial antrotomy was clearly identified in 27 of 35 cases, and irregular bony surface in the remaining eight, as were 27 bony defects and one irregular bony margin among a total of 28 cases of nasoantral window. Due to shortening of the height of the orbit, reductions in maxillary width, nasoantral communication width and anteroposterior diameter of the maxilla, and widening of the width of the inferior meatus, the maxillary sinus tended to become hypoplastic and centripetally contracted. Reduced cavitary volume of the maxillary sinus was noted(p<0.05), and fibro-osseous proliferation(n=29), compartmentation(n=11), and mu-cosal thickening(n=22) of the postoperative maxillary sinus were also seen. There were findings of chronic si-nusitis(n=22), as well as complications of postoperative mucocele(n=3) and oroantral fistula(n=2) of the maxillary sinus. CONCLUSION: The characteristic maxillary sinus-related findings seen after the Caldwell-Luc procedure are helpful in distinguishing postoperative change from recurrent paranasal diseases and resulting complications.
Female
;
Humans
;
Male
;
Maxilla
;
Maxillary Sinus*
;
Maxillary Sinusitis
;
Orbit
;
Paranasal Sinuses
;
Postoperative Complications
;
Tomography, X-Ray Computed
9.3-Dimensional Analyses of Eye Motion in Oculopalatal Tremor.
So Young MOON ; Ji Soo KIM ; Kwang Dong CHOI ; Jong Un CHUN ; Seong Ho PARK ; Jeong Min HWANG ; Keunyoung KIM ; Hee Chan KIM
Journal of the Korean Neurological Association 2005;23(1):62-70
BACKGROUND: Oculopalatal tremor (OPT) is a delayed complication of damage to the dentato-rubro-olivary pathway (Guillain-Mollaret triangle) and subsequent hypertrophic olivary degeneration. Mixed torsional-vertical pendular nystagmus in OPT has been considered to signify unilateral brainstem damage while symmetrical vertical nystagmus has been regarded to indicate bilateral disease. However, 3-dimensional oculographic analysis of OPT has been sparse. METHODS: In 8 patients with OPT; binocular 3-dimensional analyses of ocular oscillations were performed by using a magnetic search coil technique. Lateralization of the lesions was determined by the imaged olivary hypertrophy in the MRI. RESULTS: One patient had conjugate vertical pendular nystagmus and four showed mixed torsional-vertical pendular nystagmus. Two patients showed mixed horizontal-torsional-vertical nystagmus. One patient had predominantly horizontal pendular nystagmus. MRI demonstrated increased signal or hypertrophy of the inferior olivary nucleus, unilateral in six and bilateral in two. Unilateral olivary changes were associated with mixed torsional-vertical nystagmus in three patients, mixed horizontal-torsional-vertical nystagmus in another two patients, and predominantly horizontal pendular nystagmus in the remaining one patient. Bilateral olivary changes were visible in one patient with conjugate vertical pendular nystagmus and in the other patient with mixed torsional-vertical nystagmus. Palatal tremor appeared to be symmetrical in all patients. CONCLUSIONS: Three-dimensional analyses of OPT indicate that conjugate vertical and mixed torsional-vertical pendular nystagmus do not correspond to the laterality of signal changes in the inferior olivary nucleus. Ocular oscillations often have all the vertical, horizontal and torsional components.
Brain Stem
;
Humans
;
Hypertrophy
;
Magnetic Resonance Imaging
;
Nystagmus, Pathologic
;
Olivary Nucleus
;
Telescopes
;
Tremor*
10.The Usefulness of the Frontolateral Approach as a Minimally Invasive Corridor for Clipping of Anterior Circulation Aneurysm.
Jeyul YANG ; Chang Wan OH ; O Ki KWON ; Gyojun HWANG ; Tackeun KIM ; Jong Un MOON ; Seong Yeol AHN ; Jun Hak KIM ; Jinseong KIM ; Jae Seung BANG
Journal of Cerebrovascular and Endovascular Neurosurgery 2014;16(3):235-240
OBJECTIVE: Several studies have reported on the effectiveness of fronto-lateral craniotomy in reducing the operating time and post-operative complications. However, no study has practically evaluated this method from the cosmetic point of view. MATERIALS AND METHODS: We designed this study for comparison of the clinical differences and cosmetic outcomes between the frontolateral craniotomy and the conventional pterional craniotomy for clipping of unruptured intracranial aneurysms. We performed a retrospective analysis of the two groups based on their medical records and radiologic findings juxtaposed with their length of hospital stay, intensive care unit day and operation time, and the emergence of postoperative complication, mean size of aneurysm, and temporal depression. RESULTS: After careful comparison of the thickness of temporalis muscle between the craniotomy side and the contralateral side, the results clearly showed that the conventional pterional craniotomy group was asymmetric by a p value of 0.152 and the frontolateral craniotomy group was symmetric by a p value of 0.002. CONCLUSION: Frontolateral craniotomy could be a practical alternative for patients with an unruptured intracranial aneurysm in the anterior circulation including the posterior communicating artery, particularly those who are in a medically poor state or who highly demand minimal aesthetic mutilation.
Aneurysm*
;
Arteries
;
Craniotomy
;
Depression
;
Humans
;
Intensive Care Units
;
Intracranial Aneurysm
;
Length of Stay
;
Medical Records
;
Postoperative Complications
;
Retrospective Studies