1.Nephrotic Syndrome in Childhood.
Yong CHOI ; Hee Gyung KANG ; Jee Min PARK
Korean Journal of Nephrology 2002;21(3):356-361
No abstract available.
Nephrotic Syndrome*
2.A Systematic Review and Meta-analysis on the Effect of Delirium Prevention Intervention in Korean Intensive Care Units
Journal of Korean Critical Care Nursing 2021;14(3):141-156
Purpose:
: This study aimed to systematically review the preventive interventions for delirium in Korean intensive care unit (ICU) patients and evaluate their efficacy.
Methods:
: For this systematic review and meta-analysis, we searched the literature and selected studies from data sources that included the RISS, KISS, National Central Library, National Assembly Library, DBpia, Science on, MEDLINE, and Cochrane Library. We used Cochrane’s revised tool for risk of bias in randomized trials and non-randomized studies of intervention tools to assess the quality of the selected studies. The effect size of the intervention was calculated as odds ratio (OR) and standardized mean difference (SMD).
Results:
: Preventive interventions reported in 23 studies with a total of 4,799 ICU patients were effective in reducing the occurrence of delirium (OR=0.64, 95% CI : 0.49~0.91, p=.011), but not the duration (SMD=–0.22, 95% CI : -0.51∼0.08, p=.148). As a result of a subgroup analysis, non-pharmacological interventions were effective in reducing the occurrence of delirium (OR=0.66, 95% CI : 0.47~0.94, p=.020), while pharmacological interventions had no effect (OR=0.68, 95% CI : 0.33∼1.40, p=.295). Among the non-pharmacological interventions, multi-component intervention had the largest effect size (OR=0.38, 95% CI : 0.26~0.55, p<.001).
Conclusion
: Non-pharmacological interventions were effective in reducing the occurrence of delirium. We recommend the development and application of multi-component interventions to prevent delirium in the Korean ICU patients.
3.Erratum: Author Correction.
So Mi CHOI ; Min Youp CHOI ; Woo Dae KANG ; Ho Sun CHOI ; Seok Mo KIM
Obstetrics & Gynecology Science 2014;57(5):424-424
The author list should be corrected.
4.Porokeratosis Ptychotropica: A Lesser-known Variant of Porokeratosis
Hoo Min CHOI ; Sung Min KIM ; Jae Won KANG ; Byung In RO ; Han Kyoung CHO
Korean Journal of Dermatology 2019;57(9):562-563
No abstract available.
Porokeratosis
5.Total Hip Replacement Arthroplasty in Ankylosing Spondylitis
Young Min KIM ; Hee Joong KIM ; Seung Baik KANG ; Eui Seong CHOI ; Sang Min LEE
The Journal of the Korean Orthopaedic Association 1996;31(3):469-476
Total hip replacement arthroplasties(THRA) have been done in 19 patients(31 hips), who were diagnosed ad ankylosing spondylitis from January, 1984 till July, 1993 at Seoul National University Hospital. All patients were male; 12 patients were affected bilaterally. Modified New York criteria was used as diagnostic criteria. HLA B27 antigen was positive in 18 cases(95%). The thoracolumbar spine and sacroiliac joint were affected in all cases and cervical spine was affected in five patients, among them, fiberoptic laryngoscopic intubation was needed in four cases. The trastrochanteric approach was used in 19 cases, which have severe limitation of motion and deformity of the acetabulum. For the prevention of postoperative heterotopic ossification, low dose radiation therapies were done in 10 cases of the risk group. The average follow-up period was three year and eleven months(two year-seven year and 10 months). Harris hip score and radiographs were obtained at each follow-up. The mean preoperative Harris hip score was 50(19–90), and finally, the mean Harris hip score was 87(68–96). Loosening of endoprothesis was noted in 3 cases and heterotopic ossification in 5 hips. Ischial enthesopathy was observed in 13 cases. Among the hips which had heterotopic ossification, four were class Ι by Brooker's classification and only one was class Ⅲ. No nonunion was observed in the cases which had trochanteric osteotomy expect breakage of wire in 4 cases. In THRA of ankylosing spendylitis, we obtained good result clinically and radiologically. In severely affected cases, we had used transtrochanteric approach and obtained good result due to better operative field. The incidence of heterotopic ossification was not significant and the prophylactic low dose radiation therapy seems to be effective in risk group.
Acetabulum
;
Arthroplasty
;
Arthroplasty, Replacement, Hip
;
Classification
;
Congenital Abnormalities
;
Femur
;
Follow-Up Studies
;
Hip
;
HLA-B27 Antigen
;
Humans
;
Incidence
;
Intubation
;
Male
;
Ossification, Heterotopic
;
Osteotomy
;
Rheumatic Diseases
;
Sacroiliac Joint
;
Seoul
;
Spine
;
Spondylitis, Ankylosing
6.The Role of Initial Relative Renal Function in Unilateral Hydronephrosis.
Sang Won HAN ; Min Joong KWON ; Tack LEE ; Seon Jung KANG ; Dae Joong KIM ; Seung Kang CHOI
Journal of the Korean Society of Pediatric Nephrology 1999;3(2):203-208
Glassy cell carcinoma is an unusual neoplasm of the uterine cervix with highly aggressive clinical behavior. On cervico-vaginal smear examination, the tumor has well confused of atypical repair cell of the endocervix. Recently, we have experienced two cases of glassy cell carcinoma of the uterine cervix, diagnosed on cervico-vaginal smears and confirmed on following histologic sections. The cervico-vaginal smears revealed abundant clusters with well defined boarders. The cell clusters were composed of large tumor cells. The tumor cells had distinct granular cytoplasm and eosinophilic macronucleoli. Characteristic cytologic features of this tumor were discussed in view of differential diagnosis.
Adenocarcinoma
;
Breast
;
Cervix Uteri
;
Cytoplasm
;
Diagnosis, Differential
;
Eosinophils
;
Female
;
Hydronephrosis*
7.Traumatic False Aneurysm of Peripheral Arteries: Report of Two Cases
Chang Soo KANG ; Byung Woo MIN ; Young Sik PYUN ; Kwang Soon SONG ; Chearl Hyoung KANG ; Yo Han CHOI
The Journal of the Korean Orthopaedic Association 1994;29(3):1080-1085
False aneurysm has been recognized for many years. Incomplete severance of an artery as the result of trauma is thought to be the precipitating factors in the formation of false aneurysm. False aneurysm of the peripheral artery is presented with pulsating mass and may show extrinsic indentations of the adjacent bone with or without neurovascular symptoms, mimicking a malignant tumor. But careful history taking can reveal a proceeding deep penetrating injury variable period prior to development of symptoms. We are reporting two cases of false aneurysm of the superior gluteal artery and superficial femoral artery in each after trauma.
Aneurysm, False
;
Arteries
;
Femoral Artery
;
Precipitating Factors
8.Decreased Retinal Nerve Fiber Thickness in Asymptomatic Carotid Stenosis
Tae Gu KANG ; Heewon BAE ; Min Ju KANG ; Sangkyung CHOI
Journal of the Korean Ophthalmological Society 2021;62(2):237-242
Purpose:
To investigate the relationship between retinal nerve fiber layer (RNFL) thickness and carotid artery stenosis (CAS).
Methods:
We retrospectively reviewed the medical records of 106 patients who underwent both optical coherence tomography to determine RNFL and carotid artery sonography within 1 year. The RNFL was divided into four quadrants, and each quadrant’s RNFL thickness and average thickness were compared with the artery endothelial thickness, the presence of plaque, and the degree of CAS. A multiple regression analysis was performed to assess the relationship between RNFL and CAS.
Results:
The presence of carotid artery plaque had a significant association with a decrease in the average RNFL thickness (p = 0.039). There was no statistically significant difference in age or risk factors associated with vascular disease, with the exception of carotid endothelial thickness and the total cholesterol level in the two groups, depending on the presence of total carotid plaque. RNFL thickness was confirmed to be related to age and total cholesterol levels using linear univariate regression analysis. In a multivariable linear regression analysis, with age and total cholesterol levels controlled, the presence of carotid artery plaque was significantly associated with a decrease in average RNFL thickness (p = 0.026).
Conclusions
Asymptomatic CAS may be associated with a decrease in average RNFL thickness. In patients with decreased RNFL thickness without any ophthalmic diseases, carotid artery examination should be considered.
9.A Case of Vascular Leak Syndrome During Induction Chemotherapy of Acute Lymphoblastic Leukemia (T Cell Type) .
Kye Wool KANG ; Hwang Min KIM ; Won Kyu CHOI ; Baek Keun LIM ; Chang Hun LEE
Journal of the Korean Pediatric Society 2001;44(9):1041-1046
Vascular leak syndrome(VLS) is characterized by endothelial damage, which causes extravasation of plasma proteins and fluid from capillaries into the extravascular space. It has been suggested that the increased vascular permeability is the result of an IL-2-induced suppression of endothelin-1 secretion by endothelial cells, an IL-2-induced activation of the complement cascade or TNF-alpha release from IL-2-activated T-cells. A 13-year-old male patient visited our hospital with abdominal pain. He was diagnosed with acute lymphoblastic leukemia(T cell type) by bone marrow study on his 2 nd day in hospital. On the 3 rd day of induction chemotherapy(prednisone, L-asparaginase, vincristine, intrathecal methotrexate), pulmonary edema and pleural effusion, ascites and generalized edema developed and lasted for 53 days without responding to supportive care. The laboratoy finding was that TNF-alpha was increased without evidence of infection and hypoalbuminemia was noted. It was suggested that the patient's clinical feature was induced by VLS.
Abdominal Pain
;
Adolescent
;
Ascites
;
Blood Proteins
;
Bone Marrow
;
Capillaries
;
Capillary Permeability
;
Complement System Proteins
;
Edema
;
Endothelial Cells
;
Endothelin-1
;
Humans
;
Hypoalbuminemia
;
Induction Chemotherapy*
;
Male
;
Pleural Effusion
;
Precursor Cell Lymphoblastic Leukemia-Lymphoma*
;
Pulmonary Edema
;
T-Lymphocytes
;
Tumor Necrosis Factor-alpha
;
Vincristine
10.Effects of Lovastatin(Mevacor(R)) on Lowering Plasma Lipids in Patients with Hyperlipidemia.
Hyang Joo LEE ; Chul Hong MIN ; Kang Sik CHOI ; Wang Seong RYU ; Un Ho RYOO
Korean Circulation Journal 1991;21(4):781-785
Lovastatin, a competitive inhibitor of the rate limiting enzyme in cholesterol biosynthesis was administered to 34 patients with primary hypertlipidemia, 20 mg once daily with the evening meal. Patients experienced mean total and LDL cholesterol reductions of 30.9% and 34.0% respectively. HDL cholesterol level was significantly increased by 15.4% and plasma triglyceride level was decreased by 11.2%. maximal hypocholesterolemic effects were evident at 8 weeks, after which the effects were stable. Adverse effects were noted in 2 patients who had mild gastrointestinal symptoms, that subsided after discontinuing the drug. We concluded that lovastatin is a well tolerated and effective agent for the treatment of primary hyperlipidemia.
Cholesterol
;
Cholesterol, HDL
;
Cholesterol, LDL
;
Humans
;
Hyperlipidemias*
;
Lovastatin
;
Meals
;
Plasma*
;
Triglycerides