1.Effect of Acupuncture on Regional Cerebral Blood Flow at Acupoints GV 20 , GV. 26 , LI. 4 , ST. 36 , SP. 6 Evaluated by Tc-99m ECD Brain SPECT.
Ho Chun SONG ; Hee Seung BUM ; Hwa Jung KANG ; Soo Gee AN ; Sung Min KIM ; Hwan Jung JUNG ; Jee Yeol KIM
Korean Journal of Nuclear Medicine 2000;34(6):456-464
PURPOSE: To evaluate the effect of acupuncture on regional cerebral blood flow (rCBF) at acupoints suggested by oriental medicine to be related to the treatment of cerebrovascular diseases. MATERIALS AND METHODS: Rest/acupuncture-stimulation Tc-99m ECD brain SPECT using a same-dose subtraction method was performed on 54 normal volunteers (34 males, 20 females, age range from 18 to 62 years) using six paradigms: acupuncture at acupoints GV. 20, GV. 26, LI. 4, ST. 36 and SP. 6. In the control study, needle location was chosen on a non-meridian focus 1 cm posterior to the right fibular head. All images were spatially normalized, and the differences between rest and acupuncture stimulation were statistically analyzed using SPM for Windows . RESULTS: Acupuncture applied at acupoint GV. 20 increased rCBF in both the anterior frontal lobes, the right frontotemporal lobes, and the left anterior temporal lobe and the left cerebellar hemisphere. Acupuncture at GV. 26 increased rCBF in the left prefrontal cortex. Acupuncture at LI. 4 increased rCBF in the left prefrontal and both the inferior frontal lobes, and the left anterior temporal lobe and the left cerebellar hemisphere. Acupuncture at ST. 36 increased rCBF in the left anterior temporal lobe, the right inferior frontal lobes, and the left cerebellum. Acupuncture at SP. 6 increased rCBF in the left inferior frontal and anterior temporal lobes. In the control stimulation, no significant rCBF increase was observed. CONCLUSION: The results demonstrated a correlation between stimulation at each acupoint with increase in rCBF to the corresponding brain areas.
Acupuncture Points*
;
Acupuncture*
;
Brain*
;
Cerebellum
;
Female
;
Frontal Lobe
;
Head
;
Healthy Volunteers
;
Humans
;
Male
;
Medicine, East Asian Traditional
;
Needles
;
Prefrontal Cortex
;
Temporal Lobe
;
Tomography, Emission-Computed, Single-Photon*
2.A Case of Transient Acrodermatitis Enteropathica in a Full-Term Breast-Fed Infant.
Jee Youn WON ; Gi Bong JUNG ; Young Min JEON ; Jee Bum LEE ; Eun Sup SONG
Korean Journal of Dermatology 1999;37(6):790-793
We herein report a case of transient acrodermatitis enteropathica in a 3-month-old, breast-fed, full-term infant. The patient was presented with a 2-month history of diarrhea and crusted erythema- tous patches on the periorificial area. Similar lesions were seen in his siblings. His serum zinc level and the zinc level in his mother's breast milk were markedly reduced. Diarrhea and skin lesions disappeared promptly with oral zinc supplementation and did not recur when zinc was discontinued after three weeks. Our case indicates that even full-term infants, who feed excl-usively on mothers milk, run a risk of developing zinc deficiency, if the concentration of zinc in the breast milk is very low.
Acrodermatitis*
;
Diarrhea
;
Humans
;
Infant*
;
Milk
;
Milk, Human
;
Mothers
;
Siblings
;
Skin
;
Zinc
3.A Study on Physiological Index, Anxiety and Depression by the Severity of Lower Urinary Tract Symptoms in Patients with Benign Prostatic Hyperplasia.
Jung Kyoun KIM ; Jin Bum KIM ; Min Sun SONG
Journal of Korean Biological Nursing Science 2016;18(3):127-134
PURPOSE: The purpose of this study was to investigate the physiological index, anxiety and depression by the severity of lower urinary tract symptoms in patients with benign prostatic hyperplasia. METHODS: This research was conducted from the 4th to the 27th of May in 2016 on112 patients with benign prostatic hyperplasia. The data were analyzed using a chi-square test, ANOVA, and Pearson Correlation Coefficients. RESULTS: The results demonstrated a difference depending on the dysuria period of each lower urinary tract symptom, marital status, occupation and perceived health state of the patient. The physiological index by lower urinary tract symptoms showed a difference in the maximum flow rate, amount of post-void residual urine and Prostate-Specific Antigen (PSA), and anxiety and depression factors also revealed a difference. Lower urinary tract symptoms showed a positive correlation to the amount of post voided residual urine and PSA, a negative correlation to the maximum flow rate and also indicated a positive correlation to depression. CONCLUSION: The results of the study belonging to the moderate and severe categories were high when the result was based on the categorization of subjects with benign prostatic hyperplasia with lower urinary tract symptoms. Considering that depression levels increase as the symptom intensifies and the anxiety score is also high with mild symptoms, psychological support intervention is needed when a pattern of benign prostatic hyperplasia appears.
Anxiety*
;
Depression*
;
Dysuria
;
Humans
;
Lower Urinary Tract Symptoms*
;
Marital Status
;
Occupations
;
Prostate-Specific Antigen
;
Prostatic Hyperplasia*
;
Urinary Tract
4.Implant-assisted overdenture using milled bar and ADDTOC in edentulous maxilla: A case report
Yong-Bum JO ; Chang-Mo JEONG ; Jung-Bo HUH ; Mi-Jung YUN ; So-Hyoun LEE ; Min-Jung KIM
The Journal of Korean Academy of Prosthodontics 2022;60(2):160-167
One of the treatment options for edentulous state patients with residual ridge resorption is implant overdenture using milled bar and attachment. It not only provides improved retention and stability but can also reduce the coverage of palatal surface. In addition, when a small number of implants are used, milled bar has the effect of being splinted between implant fixtures, which makes it mechanically advantageous under functions such as mastication. The patient in this case was a maxillary edentulous state patient with a considerable amount of residual alveolar bone resorption after removing the existing failed implants. Three implants were planted on both sides and an implant overdenture was fabricated using milled bar and ADD-TOC attachment.
5.Implant overdenture using milled bar and attachment in partially edentulous mandible: a case report
Min-Jung KIM ; Jung-Bo HUH ; Chang-Mo JEONG ; Mi-Jung YUN ; So-Hyoun LEE ; Yong-Bum JO
The Journal of Korean Academy of Prosthodontics 2022;60(1):71-79
Excessive crown height space increases can cause crestal bone loss and screw loosening after prosthesis is placed. Milled bar and implant overdenture can be used as a treatment method for partially edentulous patients who have severe alveolar bone loss and excessive crown height space. Milled bar can provide primary splinting effect and stability between implants. Also, milled bar with additional retention device such as Advanced Dental Device-Treatment Of Choice (ADD-TOC) and magnet can provide additional retention force for implant overdenture. In this case, the patient has a partially edentulous mandible that has severe alveolar bone loss and multiple number of teeth loss after excision due to leiomyosarcoma. Because of the long-term loss of mandibular molars, the opposing teeth were extruded. Maxillary left molars were corrected to the occlusal plane through molar intrusion, and mandibular left molar region were treated with implant overdenture, using milled bar with ADD-TOC and magnet after implant placement. The clinical result was satisfactory on the aspect of esthetic and masticatory function.
6.Comparative bond strength of single step adhesives to different dentinal depths.
Young Gon CHO ; Cheol Hee JIN ; Jung Bum MIN
Journal of Korean Academy of Conservative Dentistry 2005;30(4):319-326
This study compared the microtensile bond strength (microTBS) of single step adhesives to different dentin depths. Superficial or deep dentin was exposed in 30 molar teeth by sectioning immediately under the DEJ or 1.5 mm area from central pit, respectively. After polishing with 600-grit SiC paper, the dentin surfaces were assigned to three groups: AQ group-AQ Bond, L-Pop group-Adper Prompt L-Pop, Xeno group-Xeno III. The bonded specimens were sectioned into sticks and subjected to microTBS testing with a crosshead speed of 1 mm/minute. The results of this study were as follows; The microTBS to superficial dentin was higher than that to deep dentin in all group. The microTBS of Xeno group was significantly higher than that of L-Pop group and AQ group in both superficial and deep dentin (p < 0.05).
Adhesives*
;
Dentin*
;
Molar
;
Tooth
7.Clinical Features of Cataract Extraction with Negative-Power Intraocular Lens Implantation in High Myopia.
Min Kyo KIM ; Woo Beom SHIN ; Hyun Kyo JEONG ; Jung Bum CHOI
Journal of the Korean Ophthalmological Society 2016;57(6):898-904
PURPOSE: To evaluate the clinical features of high myopic eyes with cataracts implanted with negative power intraocular lenses (IOLs) at the time of cataract surgery. METHODS: A retrospective chart review was conducted of 18 eyes of 14 patients who underwent cataract surgery with negative power IOLs and 10 eyes in 9 patients with low power IOLs. We investigated axial length, IOL power, preoperative and postoperative best-corrected visual acuity (BCVA) and preoperative and postoperative spherical equivalent (SE) refractive errors. RESULTS: Mean BCVA showed significant improvement in both groups. We measured postoperative SE refraction and the difference between the mean intended and the mean achieved SE refractive errors in the negative power group (17 eyes) was +1.59 ± 1.34 D and +0.31 ± 0.50 D in the low power group. CONCLUSIONS: BCVA was significantly improved in the majority of eyes, although they had myopic macular degeneration or posterior staphyloma. However, the mean achieved postoperative SE refraction was more hyperopic than the predicted postoperative SE error. Additionally, hyperopic refractive error was greater in the negative power group than the low power group. Therefore, we recommend that postoperative hyperopic refractive error should be considered when performing cataract surgery in high myopic patients.
Cataract Extraction*
;
Cataract*
;
Humans
;
Lens Implantation, Intraocular*
;
Lenses, Intraocular*
;
Macular Degeneration
;
Myopia*
;
Refractive Errors
;
Retrospective Studies
;
Visual Acuity
8.Clinical Characteristics of the Respiratory Subtype in Panic Disorder Patients.
Hye Min SONG ; Ji Hae KIM ; Jung Yoon HEO ; Bum Hee YU
Psychiatry Investigation 2014;11(4):412-418
OBJECTIVE: Panic disorder has been suggested to be divided into the respiratory and non-respiratory subtypes in terms of its clinical presentations. The present study aimed to investigate whether there are any differences in treatment response and clinical characteristics between the respiratory and non-respiratory subtypes of panic disorder patients. METHODS: Among the 48 patients those who completed the study, 25 panic disorder patients were classified as the respiratory subtype, whereas 23 panic disorder patients were classified as the non-respiratory subtype. All patients were treated with escitalopram or paroxetine for 12 weeks. We measured clinical and psychological characteristics before and after pharmacotherapy using the Panic Disorder Severity Scale (PDSS), Albany Panic and Phobic Questionnaire (APPQ), Anxiety Sensitivity Index-Revised (ASI-R), State-Trait Anxiety Inventory (STAI-T, STAI-S), Hamilton Anxiety Rating Scale (HAM-A), and Hamilton Depression Rating Scale (HAM-D). RESULTS: The prevalence of the agoraphobia was significantly higher in the respiratory group than the non-respiratory group although there were no differences in gender and medication between the two groups. The respiratory group showed higher scores on the fear of respiratory symptoms of the ASI-R. In addition, after pharmacotherapy, the respiratory group showed more improvement in panic symptoms than the non-respiratory group. CONCLUSION: Panic disorder patients with the respiratory subtype showed more severe clinical presentations, but a greater treatment response to SSRIs than those with non-respiratory subtype. Thus, classification of panic disorder patients as respiratory and non-respiratory subtypes may be useful to predict clinical course and treatment response to SSRIs.
Agoraphobia
;
Anxiety
;
Citalopram
;
Classification
;
Depression
;
Drug Therapy
;
Humans
;
Panic
;
Panic Disorder*
;
Paroxetine
;
Prevalence
;
Surveys and Questionnaires
;
Serotonin Uptake Inhibitors
;
Treatment Outcome
9.Two Cases of Tubular Apocrine Adenomas.
Min Jung KANG ; Yoo Won CHOI ; Hae Young CHOI ; Ki Bum MYUNG
Korean Journal of Dermatology 1999;37(12):1782-1788
Tubular apocrine adenoma(TAA) is a rare tumor characterized by papillary projection and apocrine differentiation. We report two cases of tubular apocrine adenomas. One patient was a 13-year-old male who had had a finger-tip sized asymptomatic cystic mass on his scalp since birth. Microscopically, the mass was composed of various sized cystic spaces and tubular structures lined by two layers of epithelia with nonvillous intraluminal papillary projections, decapitation secretions and connection with the epidermis. The other patient was a 55-year-old female who had had a 1.3x0.3cm sized dark red hard nodule on the left forearm since birth. Histopathologic finding showed a well circumscribed dermal neoplasm that predominantly consisted of multiple tubular structures lined by double layers of epithelial cells with decapitation secretions and intraductal papillary projections, and accompanied by underlying apocrine nevus. In both cases, immunohistochemical and enzyme studies showed positive findings in EMA, CEA, pancytokeratin, lysozyme, alkaline phosphatase, GCDFP-15.
Adenoma*
;
Adolescent
;
Alkaline Phosphatase
;
Decapitation
;
Epidermis
;
Epithelial Cells
;
Female
;
Forearm
;
Humans
;
Male
;
Middle Aged
;
Muramidase
;
Nevus
;
Parturition
;
Scalp
10.Usefulness of carotid ultrasonography and treatment of carotid disease
Seung Min KIM ; Yeon Jung KIM ; Keonwoo KIM ; Bum Joon KIM
Journal of the Korean Medical Association 2020;63(6):342-353
Carotid stenosis is an important etiology of ischemic stroke. Most of the strokes associated with carotid stenosis are caused by artery-to-artery embolism. The risk of embolism highly depends on the stenosis degree and the vulnerability of the carotid plaque. Carotid ultrasonography is useful for evaluating the characteristics of carotid plaque. This review aims to provide information on performing and interpreting the result of carotid ultrasonography and the treatment of carotid artery disease based on the current guidelines. The degree of stenosis can be measured by the diameter reduction and flow velocity criteria. The risk of embolism is highest when the stenosis degree is around 70% to 80%. A heterogeneous echolucent plaque with an irregular surface or an ulcer shows a high risk of embolism. Appropriate treatment is important for the patients with carotid stenosis. In symptomatic patients, a potent antiplatelet treatment, especially during the acute stage, is beneficial. Patients with asymptomatic stenosis over 50% can also be considered for antiplatelet treatments. The associated risk factors should be managed according to the targets. Medically intractable cases or patients with high risk of embolism may receive carotid endarterectomy or carotid artery stenting depending on the concomitant disease and the degree of carotid stenosis. Considering the safety of ultrasound imaging, treatment may be followed-up by carotid ultrasonography.