1.A Case of Congenital Long OT Syndrome with Pseudo - Atrioventricular Block.
Kyoung Hi JEON ; Yong Woon BACK ; Hyun Kee CHUNG ; Tae Jun CHA ; Sung Rae CHO
Journal of the Korean Society of Neonatology 1999;6(2):263-267
The congenital long-QT syndrome (LQTS) is characterized by recurrent syncope, prolonged QT intervals, QT interval lability, polymorphic ventricular tachycardia, and sudden death. We report a case of congenital long QT syndrome in a 28-day-old male infant who presented with syncope, bradycardia with 2: 1 pseudo-atrioventricular block and a markedly prolonged QT inteval. One episode occured after crying and degenerated into ventricular fibrillation and terminated after cardioversion. A VVI type cardiac pacemaker was implanted. Subsequently, the infant's heart rate was over 110/min and 2: 1 AV block and any other arrhythmia were absent. The infant recovered from the accompanied pneumonia and sepsis and was discharged 47 days after adrnission. However, 13 days after discharge, the infant returned to our hospital ER with syncope. Ventricular fibrillation ceased after cardioversion. Despite medication with propranolol, ventricular tachycardia persisted. The infant expired the day after he was discharged against medical advice.
Arrhythmias, Cardiac
;
Atrioventricular Block*
;
Bradycardia
;
Crying
;
Death, Sudden
;
Electric Countershock
;
Heart Rate
;
Hospitals
;
Humans
;
Infant
;
Long QT Syndrome
;
Male
;
Pneumonia
;
Propranolol
;
Sepsis
;
Syncope
;
Tachycardia, Ventricular
;
Ventricular Fibrillation
2.The study of incidence and distribution of pityrospoum on clinically normal skin.
Hyoung Gi CHA ; Doo Chan MOON ; Kyoung Sool KWON ; Tae Ahn CHUNG
Korean Journal of Dermatology 1993;31(4):548-558
BACKGROUND: Previous studies have suggested that pityrosporurr yeasts, normal resident flora of skin, may be important in the pathogenesis of dandruff seborrheic dermatitis and confluent and reticulated papillomatosis. OBJECTIVE: We investigated the incidence and distribution of pityiosorum yeasts on clinically normal skin as a more reasonable method for providing the basic data or proving the relationship of pityrosporum and pathogenesi, of the diseases. MEHTODS: A total of 350 subjects were studied. Skin scrapings were stained with 20% Parker ink-KOH(P-KOH) solution. The numbers of pityrosporum spores and hyphe per high power field( x 400) were counted and designated according to a new grading method using bacterial index(BI) of lepra bacilli. RESULTS: The incidence rates of pityrosporum orbiculare(p. orbiculare) and pityrosporum ovale(p. ovale) were 60-70% and 20-50% of subjects respectively on seborrheic area., The incidence of p. orbicilare was highter than that of p. ovale on all examined sites except for the iterior scalp. And pityrosporal hyphae was present on anteriand posterior scalp and earwax in 24-25% of subjects respectively. The incidence of pityrosporum was higher in summer than other seasons The incidence rate of p. orbiculare and hyphae in the group aged below 9 (except neonates) and above 60, were lower than that of other age groups. The inciderice rates and distribution of grades of pityrosporum of neonates were lower than those of older subjects. CONCLUSION: The results of this study showed that the incidence and distribution of pityrosporum spores were similar to previoureports and hyphal forms were found 25% approximately on clinically normal skin of the scalp and carwax. The significance of the presenet of pityosporal hyphae and the relationship between normal skin and pityrosporal hyphae are to be firther elucidated.
Dandruff
;
Dermatitis, Seborrheic
;
Humans
;
Hyphae
;
Incidence*
;
Infant, Newborn
;
Malassezia
;
Papilloma
;
Scalp
;
Seasons
;
Skin*
;
Spores
;
Yeasts
3.Clinical analysis of fractures around the knee.
Seung Kyun CHA ; Won suck LEE ; Kyoung Hoon KIM ; Gi Tae CHEONG
The Journal of the Korean Orthopaedic Association 1993;28(6):2092-2102
No abstract available.
Knee*
4.Spontaneous ovarian hyperstimulation syndrome following a thawed embryo transfer cycle.
Mi Kyoung KIM ; Hyung Jae WON ; Sung Han SHIM ; Dong Hyun CHA ; Tae Ki YOON
Clinical and Experimental Reproductive Medicine 2014;41(3):140-145
This article reports a case of spontaneous ovarian hyperstimulation syndrome (OHSS) following a thawed embryo transfer cycle. OHSS, a potentially life-threatening condition, is an iatrogenic complication of controlled ovarian stimulation; therefore, it is very important to prevent and treat OHSS during treatment with ovulation-inducing agents. Despite our efforts to prevent OHSS, in this case, severe spontaneous OHSS occurred, which resulted in uncontrolled preterm labor and a preterm delivery and also persisted for 6 weeks after delivery. Freezing all embryos cannot entirely prevent the development of OHSS because OHSS can occur spontaneously. Although spontaneous OHSS remains a rare event, females with a history of OHSS may have an elevated risk for spontaneous OHSS. We suggest closely monitoring cases of pregnancy following thawed embryo transfer for early diagnosis of spontaneous OHSS and the use of conservative management.
Cryopreservation
;
Early Diagnosis
;
Embryo Transfer*
;
Embryonic Structures
;
Female
;
Fertilization in Vitro
;
Freezing
;
Humans
;
Obstetric Labor, Premature
;
Ovarian Hyperstimulation Syndrome*
;
Ovulation Induction
;
Pregnancy
5.Clinical evaluation of lung cancer in patients younger than 40 years.
Jun Ho MOON ; Kyoung Tae CHA ; Yong HUR ; Wook Su AHN ; Byung Yul KIM ; Jung Ho LEE
The Korean Journal of Thoracic and Cardiovascular Surgery 1993;26(11):861-865
No abstract available.
Humans
;
Lung Neoplasms*
;
Lung*
6.Considerations in relationship of open heart surgery and thyroid hormone changes.
Kyoung Tae CHA ; Min Su HONG ; Yong HUR ; Wook Su AHN ; Byung Yul KIM ; Jung Ho LEE ; Jin Hee HYUN
The Korean Journal of Thoracic and Cardiovascular Surgery 1993;26(10):743-748
No abstract available.
Heart*
;
Thoracic Surgery*
;
Thyroid Gland*
7.Clinical analysis of fractures and dislocations of the shoulder.
Seung Kyun CHA ; Won Suck LEE ; Kyoung Hoon KIM ; Gi Tae CEONG ; Eung Ju KIM ; Chul Ho KIM
The Journal of the Korean Orthopaedic Association 1993;28(6):2153-2161
No abstract available.
Dislocations*
;
Shoulder*
8.A clinical anaysis of supracondylar fracture of the femur.
Seung Kyun CHA ; Won Suck LEE ; Kyoung Hoon KIM ; Sang In HAN ; Gi Tae CHEONG ; Yeoung Ho CHAE
The Journal of the Korean Orthopaedic Association 1993;28(6):2083-2091
No abstract available.
Femur*
9.Guide-Wire Assisted Endobiliary Forceps Biopsy Sampling.
Chang Il KWON ; Tae Hoen KIM ; Kyoung Ah KIM
Clinical Endoscopy 2017;50(4):404-405
No abstract available.
Biopsy*
;
Surgical Instruments*
10.The Usefulness of Additional Bilateral Whole Breast US with Negative Mammographic Results in Asymptomatic Women.
Jin Young KWAK ; Eun Kyung KIM ; Hae Kyoung JUNG ; Hai Lin PARK ; Tae Hee KWON
Journal of the Korean Radiological Society 2005;53(6):451-456
PURPOSE: We wanted to evaluate the clinical utility of performing bilateral whole breast US as a subsequent diagnostic method along with mammography in asymptomatic women. MATERIALS AND METHODS: From May 2002 to Dec 2004, we conducted 3998 examinations on 3638 patients with negative findings on the clinical examination and negative mammographic results, and those breast tissues having a BI-RADS category 2, 3, or 4 density were further evaluated by performing bilateral whole breast US. The patients' age distribution ranged from 24 to 66 years (mean age: 43.6 yrs). The abnormalities were compared with core or vacuum assisted core biopsy, operations, and follow up US. For the normal cases, we used the clinical notes and the statistical data from the Korean Central Cancer Registry. RESULTS: For 3998 examinations of 3638 women who were examined with bilateral whole breast US, pathologic confirmations were available for 433 patients and follow-up data were available for 35 patients. The sensitivity, specificity, the positive predictive value and the cancer detection rate of using additional whole breast US were 50, 92.6, 0.6 and 0.5, respectively. The two cancers that were detected only on US were minimal breast cancer. CONCLUSION: Although all the breast cancers that were detected only on US were minimal breast cancers, performing bilateral whole breast US revealed a low cancer detection rate and a high false positive. Therefore, further studies will be needed to investigate the role of US as a screening tool.
Age Distribution
;
Biopsy
;
Breast Neoplasms
;
Breast*
;
Female
;
Follow-Up Studies
;
Humans
;
Mammography
;
Mass Screening
;
Sensitivity and Specificity
;
Vacuum