1.Recurrent Aspiration Pneumonia due to Anterior Cervical Osteophyte.
Jae Jun LEE ; Ji Young HONG ; Jun Han JUNG ; Jun Hyeok YANG ; Jun Young SOHN
Korean Journal of Critical Care Medicine 2017;32(1):74-78
A 74-year-old man presented with recurrent vomiting and aspiration pneumonia in the left lower lobe. He entered the intensive care unit to manage the pneumonia and septic shock. Although a percutaneous endoscopic gastrostomy tube was implanted for recurrent vomiting, vomiting and aspiration recurred frequently during admission. Subsequently, he complained of neck pain when in an upright position. A videofluoroscopic swallowing study showed compression of the esophagus by cervical osteophytes and tracheal aspiration caused by an abnormality at the laryngeal inlet. Cervical spine X-rays and computed tomography showed anterior cervical osteophytes at the C3-6 levels. Surgical decompression was scheduled, but was cancelled due to his frailty. Unfortunately, further recurrent vomiting and aspiration resulted in respiratory arrest leading to hypoxic brain damage and death. Physicians should consider cervical spine disease, such as diffuse skeletal hyperostosis as an uncommon cause of recurrent aspiration pneumonia.
Aged
;
Bays
;
Decompression, Surgical
;
Deglutition
;
Esophagus
;
Gastrostomy
;
Humans
;
Hyperostosis
;
Hypoxia, Brain
;
Intensive Care Units
;
Neck Pain
;
Osteophyte*
;
Pneumonia
;
Pneumonia, Aspiration*
;
Shock, Septic
;
Spine
;
Vomiting
2.Langerhans Cell Histiocytosis Associated with Myelodysplastic Syndrome.
Jun Young LEE ; Young Min PARK ; Hyung Ok KIM ; Jun Young LEE
Korean Journal of Dermatology 2013;51(10):841-843
No abstract available.
Histiocytosis, Langerhans-Cell*
;
Myelodysplastic Syndromes*
;
Skin
4.Expression of type IV collagen and laminin genes by skin fibroblasts in culture.
Korean Journal of Dermatology 1992;30(3):317-324
Basement membrane zone gene expression by fibroblast cultures was examined by molecular hybridizations with human sequence specific cDNAs corresponding to type 1V procollagen and laminin subunit polypeptides. Northern transfer analysis with total RNA revealed the presence of specific mRNA transcripts for al (IV) and a2 (1V) chains of type 1V procollagen as well as Bl and B2 chains of laminin. Laminin A chain mRNAs were not detected using the same RNA preparations. The molecular size of al (1V) and a2 (1V) procollagen mRNA revealed 6.8kb and 6.7kb, respectively. The molecular size of Bl chain of laminin revealed 5.6kb, and B2 chain revealed 8.2 and 5.5kb polymorphic transcripts. In slotblot analysis using densitometer, steady-state levels of type IV procollagen and laminin mRNAs indicated that they were in relatively low abunclance, as compaired with type I procollagen mRNA. Quantitative levels of al (IV) and laminin Bl chaii mRNAs were more abundant than those of a2 (IV) and laminin B2 mRNAs. The mRNA ratio of al (IV)/a2 (lV) and laminin Bl/B2 were 1.9 and 1.5, respectively. These results demonstrate evidence for differential regulation of the expression of different basement membrane zone molecules during the formation of basement membrane.
Basement Membrane
;
Collagen Type I
;
Collagen Type IV*
;
DNA, Complementary
;
Fibroblasts*
;
Gene Expression
;
Humans
;
Laminin*
;
Peptides
;
Procollagen
;
RNA
;
RNA, Messenger
;
Skin*
5.Clinical Study of Therapeutic Effect in Status Epilepticus.
Young Hyuk LEE ; Chang Jun COE
Journal of the Korean Pediatric Society 1986;29(1):72-78
No abstract available.
Status Epilepticus*
6.The Comparison of Ureteroscopic Lithotripsy Between Laser and Electrohydraulic Lithoriptor.
Korean Journal of Urology 2000;41(11):1342-1349
No abstract available.
Lithotripsy*
7.Complications after Excimer Laser Photorefractive Keratectomy in Myopia.
Journal of the Korean Ophthalmological Society 2000;41(12):2527-2541
No Abstract Available.
Lasers, Excimer*
;
Myopia*
;
Photorefractive Keratectomy*
8.The measurement of aflatoxin B in urine of some Korean.
Journal of the Korean Surgical Society 1992;42(3):376-390
No abstract available.
Aflatoxin B1*
;
Aflatoxins*
9.A Case of Narcolepsy.
Journal of the Korean Pediatric Society 1989;32(9):1309-1314
No abstract available.
Narcolepsy*
10.Mortality arter Treatment of Hip Fracture over 80 years old.
Jun Young CHOI ; Hwa Yeop NA ; Young Sang LEE ; Woo Yong LEE ; Jun Weon CHOI
Journal of the Korean Hip Society 2006;18(3):116-120
Purpose: The purpose of this study was to evaluate the mortality of patients over eighty years old with femoral neck fractures that have been treated with bipolar endoprostheses. Materials and Methods: We retrospectively studied 37 patients out of a total of 83, who suffered from hip fractures and were treated with surgery from 2000 through December 2004. We attempted to distinguish the differences between the 8 patients who died (Group A) and the 29 patients who lived (Group B). The variables that we analyzed, were: age, sex, operative time, the time period from admission to surgery, the time period from admission to discharge, the ASA score, and any medical comorbidities. Results: In Group A, 2 patients died within 1 month, 2 died between 1 and 6 months, 1 died between 6 and 12 months, and 3 died after 1 year. There were statistical differences between Group A and Group B with respect to two variables: the time period from admission to, and medical comorbidities. Conclusion: There were significant correlations with an increase in the mortality rate among patients with lung disease, female patients in general, and delays in surgery. Therefore, particular care should be paid to patients with these variables.
Comorbidity
;
Female
;
Femoral Neck Fractures
;
Hip Fractures
;
Hip*
;
Humans
;
Lung Diseases
;
Mortality*
;
Operative Time
;
Retrospective Studies