1.Systemic adjuvant therapy in breast cancer.
Jin Hee AHN ; Sung Bae KIM ; Woo Kun KIM
Korean Journal of Medicine 2005;69(3):243-254
No abstract available.
Breast Neoplasms*
;
Breast*
;
Drug Therapy
;
Neoadjuvant Therapy
2.The Usefulness of Ictal SPECT in Preoperative Localization of Neocortical Epileptic Foci.
Hee Joon BAE ; Hyun Woo NAM ; Sang Kun LEE
Journal of the Korean Neurological Association 1997;15(4):762-774
RATIONALE: Studies on ictal SPECT as a method of presurgical evaluation in neocortical epilepsy have been rare and inadequate. We evaluated the accuracy in the localization of epileptic foci with ictal SPECT in neocortical epilepsy and tried to find out the determining factors of its accuracy. METHODS: We performed ictal SPECT 66 times with 99m-Tc-HMPAO in 56 patients, who received video-EEG monitoring and had electroclinical features of neocortical epilepsy. Invasive monitoring was performed in 28 patients & epileptic surgery was done in 31. Their results were also used to help determine the location of epileptic foci. In 54 of 66 scans data about injection time and temporal relationship of HMPAO injection to the onset and secondary generalization of seizures were available. RESULTS: Frontal lobe epilepsy(FLE) was most common(35%) followed by lateral temporal lobe epilepsy(28%), occipital lobe epilepsy(11%), parietal lobe epilepsy(9%), and etc. Ictal SPECT demonstrated unilateral hyperperfusion in 53 of 66 scans (80.3 %) which were concordant with electroclinical lateralization in 48 of 53 (90.6 %). Localized hyperperfusion was evident in 42 of 66 scans (63.6 %) which were concordant with electroclinical localization in 33 of 42(78.6 %). Correctly localized hyperperfusion or correctly-lateralized but diffuse hyperperfusion were detected in 37 of 54 scans in which data about injection time were available. The mean injection time was 32.1 seconds. In 16 scans ictal SPECT showed no hyperperfusion or falsely localized/lateralized hyperperfusion. Their mean injection time was 41.6 seconds. The difference of injection time between two groups was not significant(p-value=0.07), but there was a tendency that the mean injection time of the former group was earlier than that of the latter group. We had chances to perform ictal SPECT repeatedly in 8 patients under the similar conditions. The fact that earlier injection improved the accuracy of ictal SPECT in 6 patients supports the importance of early injection. In 48 studies with ictal injection, only 11 scans gave no or incorrect information of the localization or lateralization of epileptic foci. But, in 6 studies with postictal injection, 5 scans was not helpful. The difference between two groups was statistically significant(p<0.05). The presence of focal lesion, the location of epileptic foci, or secondary generalization did not influence the accuracy of ictal SPECT. CONCLUSIONS: Our data suggest that ictal SPECT in neocortical epilepsy is useful in localization of epileptic foci. Whether injected ictally or postictally and the injection time from seizure onset seems to influence the accuracy of ictal SPECT in neocortical epilepsy.
Epilepsy
;
Frontal Lobe
;
Generalization (Psychology)
;
Humans
;
Occipital Lobe
;
Parietal Lobe
;
Seizures
;
Technetium Tc 99m Exametazime
;
Temporal Lobe
;
Tomography, Emission-Computed, Single-Photon*
3.R-plasmid profile of escherichia coli isolated from human and animal.
Kun Woo BAE ; In Seon LEE ; Young Ja KIM ; Yun Tai LEE
Journal of the Korean Society for Microbiology 1992;27(3):197-206
No abstract available.
Animals*
;
Escherichia coli*
;
Escherichia*
;
Humans*
4.Coronary Arteriography in Acute Transmural Myocardial Infarction.
Eui Hyun KIM ; Se Kil KEE ; Young Bae SON ; Hyung Kun PARK ; Young Ku OH ; Jin Woo IM
Korean Circulation Journal 1989;19(3):447-455
To delineate the coronary anatomy and left ventricular function during early myocardial infarction, coronary arteriography and left ventriculogrphy were performed, prospectively in 23(22%) of 105 patients who were admitted to the coronary care unit at Masan Koryo Hospital from June 1986 to June 1988 within 4 weeks after the onset of symptoms(medium:21 days, range:18 days to 25 days). 1) Among 23 patients, male is 20 patients and female is 3 patients. The ratio of male to female was 6.6:1. The mean age was 55.4+/-10.3 years(range:34-77 years). 2) Coronary artery narrowing state which related to myocardial infarction was as follows; 2 patients(7%) had normal, 1 patients(4%) had insignificant narrowing(below 50%) 5 patients(22%) had moderate narrowing(50-75%), 10 patients(43%) had severe narrowing(75-99%), 5 patients(22%) had complete occlusion(100%). 3) The range of coronary artery disease was as follows; 9 patients had one vessel disease, 10 patients had two vessel disease, 1 patients had three vessel disease, and ejection fraction had no significant difference among 3 groups but lowest in three vessel disease. Among 23 patients, 13 patients had anterior infarction, 10 patients had inferior infarction. 4) Left ventricular ejection fraction and multiple vessel disease had no significant difference between i) the young(under 45 years old) and the old(over 45 years old) age groups, ii) presence or non presence of previous angina, iii) Killip classification I, II and III, IV) anterior infarction and inferior infarction. 5) In left ventriculography, akinesis and dyskinesis were shown at similar ratio in anterior infarction and inferior infaraction. Dyskinesis was shown in 27% of patients who have 0-1 vessel disease, 50% of patients who have 2-3 vessel disease, 62% of patients who have collateral circulation, 26% of patients who dose not have collateral circulation. 6) Collateral circulation was found in 8 patients(35%). Age and left ventricular ejection fraction were high in patients without collateral circulation than with collateral circulation, but there is no significant difference and collateral circulation exists regardless of infarction site and range of coronary artery disease. 7) As for the complication of angiocardiography in this study, there was ventricular tachycardia in 3 patients(13%) without mortality. It is concluded that coronary arteriography can be safely performed in early stage after acute myocardial infarction. Also good prognosis is anticipated since three vessel disease and complete occlusion were low in acute myocardiaol infarction of Korean People. Since these are not much case performed study, however more study on this area is required.
Angiocardiography
;
Angiography*
;
Classification
;
Collateral Circulation
;
Coronary Angiography
;
Coronary Artery Disease
;
Coronary Care Units
;
Coronary Vessels
;
Female
;
Humans
;
Infarction
;
Male
;
Mortality
;
Myocardial Infarction*
;
Prognosis
;
Prospective Studies
;
Stroke Volume
;
Tachycardia, Ventricular
;
Ventricular Function, Left
5.A Case of Pseudohyperphosphatemia in a Patient with Multiple Myeloma.
Sun Ah LEE ; Jung Lim LEE ; Kun Woo PARK ; Hyeong Seok KIM ; Soo Hyun BAE ; Soon Hee CHANG
Korean Journal of Medicine 2013;84(1):130-134
Hyperphosphatemia develops when there is impaired renal phosphate excretion or massive extracellular fluid phosphate load. For example, renal insufficiency, hypoparathyroidism, exogenous phosphate administration, and extensive cellular injury induce a hyperphosphatemic state. In patients with multiple myeloma, renal insufficiency occurs as a result of hypercalcemia, light chain tubulopathy, urate nephropathy or infection, and hyperphosphatemia usually results from renal failure. We report here a case of a patient with multiple myeloma who had an elevated serum phosphate level measured by the phosphomolybdate UV method without significant renal insufficiency and was finally diagnosed with pseudohyperphosphatemia.
Extracellular Fluid
;
Humans
;
Hypercalcemia
;
Hyperphosphatemia
;
Hypoparathyroidism
;
Light
;
Molybdenum
;
Multiple Myeloma
;
Phosphoric Acids
;
Renal Insufficiency
;
Uric Acid
6.A case of "scleroderma renal crisis" developed from diffuse scleroderma.
Jeong Bae JEON ; Wha Sook KIM ; Kun Ho KWON ; Seoung Woo LEE ; Moong Jae KIM ; Won PARK
Korean Journal of Medicine 1999;56(5):646-651
Polymyositis is an inflammatory, autoimmune disease of the skeletal muscle characterized by symmetrical, proximal muscle weakness, elevated muscle enzymes, and characteristic features on electromyogram and muscle biopsy. The kidneys are generally spared and myoglobinuric renal failure is very rare in polymyositis. There have been infrequent reports of polymyositis developing myoglobinuric renal failure secondary to rhabdomyolysis. The flare-up may occur in polymyositis, usually manifest within several weeks to months of achieving a remission. But, rhabdomyolysis and myoglobinuric renal failure was a very rare feature of the relapse of polymyositis. We present a case report of patient with polymyositis who initially presented and relapsed as rhabodomyolysis that lead to myoglobinuric, oliguric renal failure and required transient dialytic support.
Autoimmune Diseases
;
Biopsy
;
Humans
;
Kidney
;
Muscle Weakness
;
Muscle, Skeletal
;
Polymyositis
;
Recurrence
;
Renal Dialysis
;
Renal Insufficiency
;
Rhabdomyolysis
;
Scleroderma, Diffuse*
7.Survey of the public's knowledge and opinions: the therapeutic effects of current orally administered drugs for periodontal diseases.
Kang Bae SOHN ; Byung Kun YANG ; Chul Woo LEE ; Tae Il KIM ; Young KU ; Soo Boo HAN
The Journal of the Korean Academy of Periodontology 2006;36(1):179-194
No abstract available.
Periodontal Diseases*
8.Assessment of Patients' Satisfaction and it's related Factors in the Emergency Department.
Kang Suk SEO ; Sin KAM ; Jeong Bae PARK ; Jeong Heon LEE ; Jong Kun KIM ; Young Kook YUN ; Kyung Suk KWAK ; Won Kee LEE ; Seok Jeung WOO
Journal of the Korean Society of Emergency Medicine 1998;9(4):523-532
BACKGROUND: To examine the influencing factors on patients' satisfaction in the emergency department(ED) far quality assurance. METHODS: Patients who visited to the ED were prospectively investigated from November 1 to December 31,1997. Authors developed questionnaire to investigate influencing factors on patients' satisfaction.4 Chi-square test and 115-REL 7.0 were applied far statistical analysis. RESULTS: Patients' satisfaction was significantly related to physical environment variables, accessibility variables, kindness of hospital personnel variables, and patient's trust for doctors variables. In path analysis, willingness for revisit was influenced by patients' satisfaction, accessibility, physical environment, patients' trust for doctors in order, and willingness for recommendation was influenced by accessibility, patients' satisfaction, and kindness of hospital personnel in order. CONCLUSIONS : The influencing factors on patients' satisfaction are physical environment, accessibility, kindness of hospital personnel, and patient's trust far doctors. Willingness far revisit and willingness far recommendation are influenced by patients' satisfaction. In spite of some limitations, the results of this study can be used as a baseline information for exploring the influencing factors on patients' satisfaction. Further comprehensive research efforts should be made on the study of patients' satisfaction in the ED.
Emergencies*
;
Emergency Service, Hospital*
;
Humans
;
Personnel, Hospital
;
Prospective Studies
;
Surveys and Questionnaires
9.Scintigraphic features of choledochal cyst using technetium-99m-DISIDA hepatobiliary scan.
Chung Il CHOI ; Jeong Gyun KIM ; Sun Kun BAE ; Dong Suk KWAK ; Byung Cheon CHUNG ; Jae Tae LEE ; Kyu Bo LEE ; Seok Kil ZEON ; Hyung Woo LEE
Korean Journal of Nuclear Medicine 1993;27(1):71-80
No abstract available.
Choledochal Cyst*
10.Atypical Angiofibroma Originating from the Inferior Turbinate.
Dong Kun LEE ; Woo Yong BAE ; Kyoo Sang JO ; Seo Hee RHA
Korean Journal of Otolaryngology - Head and Neck Surgery 2012;55(6):382-385
Angiofibromas arise from soft tissue, but occur rarely in the nasal cavity. Of these, only six cases have risen from inferior turbinate. Six such cases have been reported previously in English literature and only 1 case in Korea. We present an atypical case of an angiofibroma arising from the inferior turbinate in a 57-year-old woman. The mass was removed with endoscopic approach without massive bleeding.
Angiofibroma
;
Female
;
Hemorrhage
;
Humans
;
Korea
;
Middle Aged
;
Nasal Cavity
;
Turbinates