2.Ovarian Mucinous Cystadenocarcinoma in 17-year-old Girl: A Case Report.
Jong Koo LEE ; Jae Kook KO ; Hee Jung MOON ; Mi Young KIM ; Hyun YU ; Hyun Ja SHIN ; Kung Yong SEO ; Jeong Rye KIM
Journal of the Korean Radiological Society 1997;37(2):347-349
Malignant epithelial neoplasm usually occurs in postmenopausal women, with less than 10% of cases occurring in women under the age of 20. In patients below this age, the majority of ovarian tumors are of germ cell origin and malignant ovarian epithelial tumors are uncommon. We report US & CT imaging in a case of mucinous cystadenocarcinoma in a 17-year-old nullipara who complained of amenorrhea for 45 days and a palpable mass.
Adolescent*
;
Amenorrhea
;
Carcinoma
;
Cystadenocarcinoma, Mucinous*
;
Female*
;
Germ Cells
;
Humans
;
Mucins*
3.Short-Term Effects of the Internet-Based Korea Diabetes Prevention Study: 6-Month Results of a Community-Based Randomized Controlled Trial
Jin-Hee LEE ; Sun-Young LIM ; Seon-Ah CHA ; Chan-Jung HAN ; Ah Reum JUNG ; Kook-Rye KIM ; Kun-Ho YOON ; Seung-Hyun KO
Diabetes & Metabolism Journal 2021;45(6):960-965
The aims of this study were to determine the short-term effectiveness of an internet-based lifestyle modification (LSM) program in preventing the onset of type 2 diabetes mellitus (T2DM) in prediabetes patients in community settings. A total of 415 subjects who were diagnosed with prediabetes were randomly assigned to the LSM and standard management (SM) groups. After the 6-month intervention, the LSM group had a statistically significant reduction in body weight, body mass index compared to the SM group participants. In the LSM group, blood glucose levels were significantly decreased after intervention and the clinical improvement effect was evident in the group that achieved the target weight loss of 5% or more of the initial weight for 6 months. Internet-based 6-month-intensive LSM programs conducted by public health center personnel are an effective way to provide lifestyle intervention programs and encourage maintenance of healthy behaviors in subjects with a high risk of T2DM in community settings.
4.A Case Report of Left Ventricular Remodeling Surgery on End-Stage Dilated Cardiomyopathy.
Chang Young LIM ; Ju Ee KIM ; Kook Yang PARK ; Hyeon Jae LEE ; Chul Hyun PARK ; Sung Youl HYUN ; Tae Hoon AHN ; Seung Yeon HA ; Hyun I CHO ; Heum Rye PARK
The Korean Journal of Thoracic and Cardiovascular Surgery 1997;30(6):613-616
We present a case of 58-year-old female with dilated cardiomyopathy(DCMP) in whom we performed left ventricular(LV) remodeling surgery(Batista operation) to reduce the left ventricle diameter and improve left ventricular function. The patient was admitted September 1996 with heart failure NYHA class IV. There was severe orthopnea and peripheral edema. 2-D echocardiography(Echo) showed DCMP with the ejection fraction(EF) 15%, LV end diastolic dimension(LVEDD) 80mm, mitral regurgitation(MR) grade IV, tricuspid regurgitation (TR) grade II. Preoperative cardiac output(CO) was 1.5L/min and cardiac index(CI) was 1.0 L/min/m2. We proceeded with LV remodeling surgery by resection a part of LV lateral wall between both papillary muscle, from the mitral annulus to the LV apex. Size of resected LV wall was 90 x 100 x 15 mm. At the mean time, mitral valve and tricuspid valve were repaired. Postoperative 2-D Echo showed the EF 37%, LVEDD 50 mm, trivial MR, no TR. CO was 3.5L/min and CI was 2.3 L/min/m2. Her fuctional NYHA class was I.
Cardiomyopathy, Dilated*
;
Deoxycytidine Monophosphate
;
Edema
;
Female
;
Heart Failure
;
Heart Ventricles
;
Humans
;
Middle Aged
;
Mitral Valve
;
Papillary Muscles
;
Tricuspid Valve
;
Tricuspid Valve Insufficiency
;
Ventricular Function, Left
;
Ventricular Remodeling*
5.Impaired fasting glucose levels in overweight or obese subjects for screening of type 2 diabetes in Korea
Jin-Hee LEE ; Suk CHON ; Seon-Ah CHA ; Sun-Young LIM ; Kook-Rye KIM ; Jae-Seung YUN ; Sang Youl RHEE ; Kun-Ho YOON ; Yu-Bae AHN ; Jeong-Taek WOO ; Seung-Hyun KO ;
The Korean Journal of Internal Medicine 2021;36(2):382-391
Background/Aims:
We examined the concordance rate among fasting plasma glucose (FPG), 2-hour post-challenge glucose (2hr PG), and hemoglobin A1c (HbA1c) in the diagnosis of diabetes in a population with a high-risk for type 2 diabetes mellitus (T2DM) in Korea.
Methods:
Among the participants from the Korean Diabetes Prevention Study, individuals with FPG ≥ 100 mg/dL, body mass index (BMI) ≥ 23.0 kg/m2, and no previous history of T2DM were consecutively enrolled after a 75 g glucose tolerance test. We analyzed the differences in the clinical characteristics in subjects with stage 1 (FPG, 100 to 109 mg/dL) and stage 2 (FPG, 110 to 125 mg/dL) impaired fasting glucose (IFG).
Results:
Of 1,637 participants, 27.2% had T2DM and 59.3% had IFG and/or impaired glucose tolerance (IGT). The mean age was 55.0 ± 8.1 years and the mean BMI was 26.3 ± 2.7 kg/m2. Based on FPG criteria, 515 (31.4%) and 352 (21.5%) subjects were classified as having stage 1 and stage 2 IFG, respectively. The 19.0% of stage 1 and 43.5% of stage 2 subjects showed 2hr PG levels in the diabetic range. Even for those in the normal FPG range, 63 (9.5%) participants showed a 2hr PG level of ≥ 200 mg/dL. Of 446 subjects with newly-diagnosed diabetes, 340 (76.2%) showed FPG levels < 126 mg/dL.
Conclusions
The oral glucose tolerance test should be actively considered for Korean adults who are overweight or obese with the IFG range (FPG, 100 to 125 mg/ dL) to allow for early detection of diabetes and prompt intervention.