1.The Effects of Sexual Excitement Induced by Visual Erotic Stimulation on Serum Dopamine and Testosterone.
Sang Hoon BACK ; Jin Su PARK ; Jin Kyu LIM ; Jae Hoon CHOI ; Jong Yun BAHK ; Jae Seog HYUN
Korean Journal of Andrology 2000;18(2):125-130
PURPOSE: Male sexual desire and erection are directly or indirectly affected by hormone and neuroendocrine response. We investigate the changes of the serum dopamine and testosterone level by visual erotic stimulation-induced sexual excitement. MATERIALS AND METHODS: The age of volunteers was ranged from 25 to 65 years, with an average of 45.5years. Serum were collected at rest and after visual erotic stimulation. Sexual excitement induced by erotic film for 30 minutes and erectile status was monitored by Rigiscan. The response of visual erotic stimulation were divided into three groups according to degree of sexual excitement. i.e. no response (Group I), mild excitement(Group II), excitement (Group III). RESULTS: Although some changes were observed in serum dopamine and testosterone level of all 32 patients after visual erotic stimulation, it did not showed statistically signigicant change (p=0.450, p=0.058). According to excitement response, group I and II were not showed statistically significant change in both dopamine and testosterone. Only dopamine of the group III was showed statistically change (dopamine: p=0.041, testosteron: p=0.257) CONCLUSIONS: In this study, serum testosterone level is not showed significant change irrespective of the degree of sexual excitement induced by visual erotic stimulation. However, serum dopamine was changed with statistically significance only in sexual excitement group.
Dopamine*
;
Humans
;
Male
;
Testosterone*
;
Volunteers
2.Survey on Intestinal Helminthic Infection Status of Students in Two Counties, Hadong-gun and Goseong-gun, Korea
Young Yil BAHK ; Yun Kyu PARK ; Byoung Kuk NA ; Woon Mok SOHN ; Sung Jong HONG ; Jong Yil CHAI ; Tong Soo KIM
The Korean Journal of Parasitology 2018;56(4):335-339
This study was conducted to investigate the prevalence of intestinal parasites among students from Goseong-gun, Gangwon-do and Hadong-gun, Gyeongsangnam-do as typical low and high endemic counties. From May to July 2017, a total of 2,033 fecal samples were collected at 27 elementary, 10 junior high, and 8 high schools from 2 counties and examined by the Kato-Katz technique for egg-positive surveys (Collection rate: 37.02% [2,033/5,492]). Of the participants examined, 13 (0.64%) were found to harbor eggs of 3 parasitic species, Trichuris trichiura, Clonorchis sinensis and Metagonimus yokogawai. Based on the regional distribution, the egg-positive rate in Goseong-gun was 0% (0/550) and that in Hadong-gun was 0.88% (13/1,483). The positive rates for C. sinensis, M. yokogawai, and T. trichiura in Hadong-gun were 0.20% (3/1,483), 0.61% (9/1,483), and 0.07% (1/1,483), respectively. The present survey showed that the prevalence of parasitic infection among students is currently very low even in remote, previously endemic areas, and the present status of parasitic diseases can be summarized as some transmission of fish/food-borne trematodes. Thus, it is necessary to carefully, continuously monitor the trematode infection status, particularly of C. sinensis and M. yokogawai.
Clonorchis sinensis
;
Eggs
;
Gangwon-do
;
Gyeongsangnam-do
;
Helminths
;
Heterophyidae
;
Humans
;
Korea
;
Ovum
;
Parasites
;
Parasitic Diseases
;
Prevalence
;
Trematode Infections
;
Trichuris
3.Four Cases of Pericardial Tamponade Following Percutaneous Transluminal Coronary Angioplasty.
Jong Hyung CHOI ; Chong Yun RHIM ; Kyung Sun HONG ; Dae Gyun PARK ; Young Cheoul DOO ; Kyoo Rok HAN ; Dong Jin OH ; Kyu Hyung RYU ; Young Bahk KOH ; Kwang Hack LEE ; Young LEE
Korean Circulation Journal 1999;29(5):523-527
Percutaneous transluminal coronary angioplasty (PTCA) is a relatively safe and effective procedure in the treatment of coronary artery disease, but complications related to dilating catheters and guide wires such as coronary artery dissection, spasm, rupture, and perforation can be. Pericardial tamponade is a rare complication of cardiac catheterization, and prompt diagnosis and proper management are important in lifesaving. We report 4 patients who developed pericardial tamponade following PTCA, presumably from coronary artery or right ventricular perforation. All 4 patients received heparin during PTCA and temporary pacemaker was placed in the right ventricle. Pericardial tamponade was recognized in the catheterization laboratory in 1 patient, within 3 hours after leaving the laboratory in 3 patients. Emergent pericardiocentesis was performed in all patients. Three patients recovered and one patient died.
Angioplasty, Balloon, Coronary*
;
Cardiac Catheterization
;
Cardiac Catheters
;
Cardiac Tamponade*
;
Catheterization
;
Catheters
;
Coronary Artery Disease
;
Coronary Vessels
;
Diagnosis
;
Heart Ventricles
;
Heparin
;
Humans
;
Pericardiocentesis
;
Rupture
;
Spasm
4.Perioperative Hypotension due to Systolic Anterior Motion of the Mitral Valve with Left Ventricular Outflow Track Obstruction during Off-Pump Coronary Artery Bypass Surgery: A case report.
Tai Kyung SEOL ; Jong Hwan LEE ; Seung Zhoo YOON ; Yun Seok JEON ; Jae Hyon BAHK ; Ki Bong KIM ; Chong Sung KIM
Korean Journal of Anesthesiology 2007;53(2):242-245
Systolic anterior motion of the mitral valve (SAM) is well known in the concentric left ventricular hypertrophy or post mitral valvuloplasty. However, SAM has not been reported in Off-pump coronary artery bypass surgery (OPCAB). Preoperatively, SAM in combination with a left ventricular outflow tract obstruction leads to severe cardiovascular destabilization. Moreover, a diagnosis of SAM is very important because the administration of conventional therapy to hypotension can aggravate SAM. We report a patient with un-identified left ventricular wall hypertrophy or mitral valve regurgitation, who was diagnosed with SAM by TEE during OPCAB. This report describes the diagnostic and therapeutic strategies for the perioperative management of SAM.
Coronary Artery Bypass, Off-Pump*
;
Diagnosis
;
Humans
;
Hypertrophy
;
Hypertrophy, Left Ventricular
;
Hypotension*
;
Mitral Valve Insufficiency
;
Mitral Valve*
5.Edge Dissection after Intracoronary Stenting: Predictor, Angiographic and Clinical Follow-up after Additional Procedures.
Young Cheoul DOO ; Soo Jong PARK ; Jae Sam KIM ; Jun Ho LEE ; Kyung Soon HONG ; Dae Gyun PARK ; Kyoo Rok HAN ; Dong Jin OH ; Kyu Hyung RYU ; Chong Yun RIM ; Young Bahk KOH ; Kwang Hwahk LEE ; Yung LEE
Korean Circulation Journal 1998;28(11):1828-1835
BACKGROUND AND OBJECTIVES: This study was performed to determine the predictive factors for edge dissection (ED) and clinical significance of ED after coronary stenting. MATERIALS AND METHODS: The study group comprised 215 patients (243 lesions, mean age 59 years, 157 male) in whom coronary stents were implanted between June, 1994 and June, 1998. By angiography, EDs were categorized into minor (a very focal segment <5mm from the stent margin), major (>5mm with prominent adventitial staining and >50% of lumen compromize), and acute closure. RESULTS: 1.ED occurred in 30 (12.3%, minor 15, major 12) out of 243 lesions. Twelve of 30 EDs were located at the distal margin of the stent and occurred during high pressure. 2.Development of ED after stenting significantly correlated with severity of stenosis at the stent margin (> or =30%, 19/30 vs. 33/213, p=0.0001), degree of angulation (>45 0 , 16/30 vs. 48/213, p=0.0001), and calcification in the lesion (2/30 vs. 4/213, p=0.02). 3.There was no significant difference in clinical success rate between two groups (27/30 vs. 175/185, NS). 4.CRR in major and acute closure EDs (n=12) were significantly higher in patients treated with repeated angioplasty than in patients treated with additional stents (5/6 vs. 1/8, p=0.02). CONCLUSIONS: EDs after coronary stenting are relatively common and lesion's characteristics such as severity of stenosis (> or =30%) at the stent margin, angulation (>45 0 ), and calcification of the lesion are predictive factors for EDs. EDs are not associated with early adverse clinical events. However, CRR was significantly higher in patients treated by repeated angioplasty in major and acute closure EDs.
Angiography
;
Angioplasty
;
Constriction, Pathologic
;
Follow-Up Studies*
;
Humans
;
Stents*
6.Use of an extracorporeal membrane oxygenation device during bilateral sequential lung transplantation: A case report.
Jong Hwan LEE ; Jae Hun KIM ; Eun Su CHOI ; Yun Seok JEON ; Young Tae KIM ; Jae Hyon BAHK
Korean Journal of Anesthesiology 2008;55(2):237-240
A 51-year-old man with dermatomyositis and severe interstitial pulmonary disease was planed for bilateral sequential lung transplantation under general anesthesia. He was supported by extracorporeal membrane oxygenation (ECMO) because of respiratory failure in the preoperative period. ECMO was used during induction and maintenance of anesthesia. After the reperfusion, ECMO was successfully weaned. Postoperatively, the patient was transferred to intensive care unit and discharged without serious complications.
Anesthesia
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Anesthesia, General
;
Dermatomyositis
;
Extracorporeal Membrane Oxygenation
;
Humans
;
Intensive Care Units
;
Lung
;
Lung Diseases
;
Lung Transplantation
;
Middle Aged
;
Preoperative Period
;
Reperfusion
;
Respiratory Insufficiency
7.Left Ventricular Rupture Immediately after Mitral Valve Replacement: A case report.
Seong Hyop KIM ; Chong Sung KIM ; Nan Ju LEE ; Nam Su GIL ; Jong Hwan LEE ; Seung Zhoo YOON ; Yun Seok JEON ; Jae Hyon BAHK
Korean Journal of Anesthesiology 2008;54(3):363-365
Rupture of the left ventricle is a dreadful complication after mitral valve replacement.It is infrequent but potentially lethal. We have experienced a case of sudden hemorrhagic shock immediately after arriving at intensive care unit postoperatively and revealed left ventricle rupture on resternotomy.The possible mechanism and surgical maneuver are reviewed and the preventive measures in aspect of anesthetic management are discussed.
Heart Ventricles
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Intensive Care Units
;
Mitral Valve
;
Rupture
;
Shock, Hemorrhagic
8.Perioperative cerebral infarct during cardiac surgery and changes in jugular venous O2 saturation and cerebral oximetry using near-infrared spectroscopy: A case report.
Eun Su CHOI ; Jae Hun KIM ; Nam Su GIL ; Jong Hwan LEE ; Yun Seok JEON ; Kyung Hwan KIM ; Jae Hyon BAHK
Korean Journal of Anesthesiology 2009;56(1):102-105
Despite reductions in surgical mortality, neurologic sequelae remain a devastating complication after cardiac surgery with cardiopulmonary bypass. Neurologic complications may be induced by a massive air embolism during cardiopulmonary bypass, even with extensive monitoring. This report describes a patient who had a fatal cerebral infarct during aortic valve and ascending aorta replacement surgery. We monitored jugular venous O2 saturation (SjvO2) and cerebral oximetry using near-infrared spectroscopy in the perioperative period. The operation and anesthesia were uneventful until the deep hypothermic total arrest for the replacement of the ascending aorta. However, restarting the cardiopulmonary bypass after deep hypothermic total arrest produced a brief (less than 10 seconds) but large amount of air in the root cannula. At this time, although cerebral oximetry did not show any changes, the SjvO2 decreased to 21% for about 3 minutes and then normalized. At 8 hours after surgery, the patient showed seizures and severe edema in both cerebral hemispheres on the MRI. The patient died 21 days after surgery.
Anesthesia
;
Aorta
;
Aortic Valve
;
Cardiopulmonary Bypass
;
Catheters
;
Cerebrum
;
Edema
;
Embolism, Air
;
Humans
;
Oximetry
;
Perioperative Period
;
Seizures
;
Spectroscopy, Near-Infrared
;
Thoracic Surgery
9.Risk Factors and the Clinical Course of Acute Kidney Injury in Patients with a Femoral Fracture.
Yu Seon YUN ; Jihan YU ; Ji Hee KIM ; Ki Wook KWON ; Hong Seok LEE ; Yeong Bok LEE ; Won Jong BAHK ; Young Ok KIM
Korean Journal of Medicine 2013;84(6):818-826
BACKGROUND/AIMS: Femoral fracture occurs most often in elderly patients and is highly associated with medical problems such as acute kidney injury (AKI); however no reports of AKI in femoral fracture patients have been published. This study was performed to identify risk factors and the clinical course of AKI in patients with femoral fracture. METHODS: We retrospectively evaluated the medical records of 110 patients with femoral fracture between November 2006 and December 2011 at Uijeongbu St. Mary's Hospital. We investigated the incidence and clinical course of AKI in femoral fracture patients and compared the clinical findings between AKI and normal kidney function (NKF) groups. RESULTS: Of the 110 femoral fracture patients, AKI was observed in 19 (17.3%). The peak serum creatinine level in patients with AKI was 2.59 +/- 1.57 mg/dL. Two of 19 patients with AKI died and two progressed to chronic kidney disease. When compared to the NKF group, the AKI group had a higher incidence of elevated lactate dehydrogenase (LDH) (63.2% vs. 34.1%, p = 0.020), erythrocyte sedimentation rate (ESR) (31.6% vs. 6.6%, p = 0.008), and C-reactive protein (57.9% vs. 46.2%, p = 0.042). The AKI group also had a longer hospitalization duration, and more patients were prescribed an angiotensin-converting-enzyme (ACE) inhibitor than in the NKF group. Multivariate analysis demonstrated elevated LDH, ESR and ACE inhibitor prescriptions as independent risk factors for AKI in patients with a femoral fracture. CONCLUSIONS: The incidence of AKI in patients with a femoral fracture was 17.3%, and AKI was associated with a longer clinical course. We recommend monitoring of laboratory findings and medications and early management to reduce the morbidity of patients with AKI.
Acute Kidney Injury
;
Aged
;
Blood Sedimentation
;
C-Reactive Protein
;
Creatinine
;
Femoral Fractures
;
Hospitalization
;
Humans
;
Incidence
;
Kidney
;
L-Lactate Dehydrogenase
;
Medical Records
;
Multivariate Analysis
;
Prescriptions
;
Renal Insufficiency, Chronic
;
Retrospective Studies
;
Risk Factors
10.Coronary Artery Bypass Grafting under Thoracic Epidural Anesthesia in the Awake Patient: Initial Experiences of 12 Cases.
Jin Tae KIM ; Jong Hwan LEE ; Seung Zhoo YOON ; Ju Yeon CHOI ; Yun Seok JEON ; Jae Hyon BAHK ; Ki Bong KIM
Korean Journal of Anesthesiology 2006;51(4):421-425
.7 days, respectively. CONCLUSIONS: Our initial experience confirms the feasibility of performing ACAB under TEA. However, high rate of conversion to general anesthesia and development of pneumotorax should be considered. Therefore, the actual and potential risks of ACAB under TEA should not be underestimated.
Anesthesia*
;
Anesthesia, Epidural
;
Anesthesia, General
;
Coronary Artery Bypass*
;
Coronary Vessels*
;
Humans
;
Pneumothorax
;
Tea