1.Effect of Pantethine in the Treatment of Hyperlipidemia.
Kyung Pyo HONG ; Chung Hoo KANG ; Myoung Mook LEE ; Young Bae PARK ; Jungdon SEO ; Young Woo LEE
Korean Circulation Journal 1982;12(2):225-229
After pantethine in doses of 540 mg per day was administered for 8 weeks in 20 patients with hyperlipidemia, the serum levels of total cholesterol, triglyceride and HDL-cholesterol were compared with the pretreatment level. The serum level of total cholesterol decreased to 240+/-52 mg%[mean+/-standard deviation] after 4 weeks and 223+/-41 mg% after 8 weeks from the pretreatment level of 293+/-38 mg%(p<0.01). The serum triglyceride level also decreased to 254+/-109 mg% after 4 weeks and 239+/-114 mg% after 8 weeks from the pretreatment level of 375+/-126 mg%(p<0.01). But, there was no significant change in the serum levels of HDL-cholesterol before and after treatment (56+/-27 mg% beforAfter pantethine in doses of 540 mg per day was administered for 8 weeks in 20 patients with hyperlipidemia, the serum levels of total cholesterol, triglyceride and HDL-cholesterol were compared with the pretreatment level. The serum level of total cholesterol decreased to 240+/-52 mg%[mean+/-standard deviation] after 4 weeks and 223+/-41 mg% after 8 weeks from the pretreatment level of 293+/-38 mg%(p<0.01). The serum triglyceride level also decreased to 254+/-109 mg% after 4 weeks and 239+/-114 mg% after 8 weeks from the pretreatment level of 375+/-126 mg%(p<0.01). But, there was no significant change in the serum levels of HDL-cholesterol before and after treatment (56+/-27 mg% before treatment, 56+/-18 mg% after 4 weeks and 59+/-22 mg% after 8 weeks). Pantethine was well tolerated in most patients.
Cholesterol
;
Humans
;
Hyperlipidemias*
;
Triglycerides
2.Two Pediatric Cases of Divided Nevus of the Penis
In Hye CHOI ; Hyun Jin KANG ; Dong Soo YU ; Chul Jong PARK ; Kyung Hoo LEE
Korean Journal of Dermatology 2020;58(2):138-154
3.A Case of Atypical Ulcerative Colitis Initially Presented as the Appendiceal Lesion.
Kyung Eui KANG ; Hyo Jong KIM ; Young Woom CHANG ; Yoon Wha KIM ; Hyun Hoo PARK ; Seok Ho DONG ; Byung Ho KIM ; Jung Il LEE ; Rin CHANG
Korean Journal of Gastrointestinal Endoscopy 1999;19(6):971-974
Ulcerative colitis (UC) is an inflammatory disease primarily involving the colonic mucosa. The extension of classic UC is uniform and continuous with no intervening areas of normal mucosa. The rectum is usually involved and the inflammation extends proximally in a continuous fashion for a variable distance. However, as more patients get colonoscoped, it had been reported that there is a wide spectrum to what is called UC. There appear to be a few patients with otherwise typical UC but with rectal sparing. And also there are patients with classic distal UC who have an isolated area of cecal disease and segmental UC with skipped area. We have experienced a case of atypical UC initially presented as a isolated lesion around the appendiceal orifice with the segmental distribution of inflammatory change without an active inflammatory lesion in the rectum. It was considered that understanding of the significance of an isolated lesion in the appendix would contribute to the elucidation of the pathogenesis of UC.
Appendix
;
Cecal Diseases
;
Colitis, Ulcerative*
;
Colon
;
Humans
;
Inflammation
;
Mucous Membrane
;
Rectum
;
Ulcer*
4.A Case of Squamous Cell Carcinoma in Nasal Cavity Treated with Conversion to Sirolimus in a Patient with Kidney Transplantation.
Tae Hyun RYU ; Sung Hoo CHOI ; Peel JUNG ; Kang Hun LEE ; Han Se KIM ; Joon Seok OH ; Seung Min KIM ; Young Hun SIN ; Joong Kyung KIM
The Journal of the Korean Society for Transplantation 2014;28(2):83-86
Conversion of immunosuppressants to sirolimus, an inhibitor of mammalian target of rapamycin, is a useful treatment option for prevention of the adverse events of immunosuppressants such as calcineurin inhibitor in renal transplantation recipients. In addition, sirolimus has been improving the quality of life and increasing the survival of patients with renal transplantation by decreasing immunosuppression-related malignancies, particularly skin cancer. However, complete remission of skin squamous cell carcinoma after renal transplantation only by conversion to sirolimus has not been well reported, although its preventive effect on skin cancer is well known. We report on a 72-year-old male with squamous cell carcinoma in his nasal cavity consequent to renal transplantation, which was treated completely with the conversion of cyclosporine to sirolimus without surgical removal or chemotherapy.
Aged
;
Calcineurin
;
Carcinoma, Squamous Cell*
;
Cyclosporine
;
Drug Therapy
;
Humans
;
Immunosuppressive Agents
;
Kidney Transplantation*
;
Male
;
Nasal Cavity*
;
Quality of Life
;
Sirolimus*
;
Skin
;
Skin Neoplasms
5.Study of Prostatic Disease and Symptom between Special Occupation Groups(Taxi Driver, Barber).
Young Sig KIM ; Young Deuk CHOI ; Kyung Hoo KANG ; Rak Ho RYU ; Hyung Ki CHOI ; Hee Sung PARK ; Yong Sang PARK
Korean Journal of Urology 1998;39(11):1093-1097
PURPOSE: To compare symptoms of prostatism and their causes between two occupation groups with different working environment and position: one group of tarsi drivers working mainly in sitting position under constant stress and another group of barbers working mainly in standing position. MATERIALS AND METHOD: 405 taxi drivers and 110 barber participated in prostatic disease screening program. 93 patients with prostatic symptom were also enrolled in this study. All participants underwent IPSS self-assessment, digital rectal examination, urinary flow rate, transrectal ultrasound and prostatic cancer screening test (PSA, and if necessary, prostatic biopsy). RESULTS: IPSS were similar in taxi drivers group and patient group, whereas it was significantly lower in barbers group. Mean maximal flow rate was similar in both taxi drivers and patient groups, but significantly higher in barbers group. Incidence of abnormal voiding pattern was significantly higher in taxi drivers group compared to other groups. TRUS showed higher incidence of calcification and ejaculatory duct abnormality in taxi drivers group compared to other groups. Prostatitis and prostatodynia combined were more prevalent in taxi drivers group than in barbers groups. CONCLUSIONS: Taxi drivers working in a constrained environment of prolonged sitting exposed to a lot of stress, pelvic floor tension and abstinence of urine had more diverse voiding symptoms and greater prevalence of prostatitis and prostatodynia than barbers group.
Digital Rectal Examination
;
Ejaculatory Ducts
;
Humans
;
Incidence
;
Male
;
Mass Screening
;
Occupations*
;
Pelvic Floor
;
Prevalence
;
Prostatic Diseases*
;
Prostatic Neoplasms
;
Prostatism
;
Prostatitis
;
Self-Assessment
;
Ultrasonography
6.Two Cases of Bronchiolitis Obliterans Organizing Pneumonia treated with Steroid and Cyclosporine therapy.
Jong Hoo LEE ; Myung Jae PARK ; Yi Hyung KIM ; Byung Jo PARK ; Won Taek OH ; Myung Yeol LEE ; Hong Mo KANG ; Jee Hong YOO
Tuberculosis and Respiratory Diseases 2005;59(3):315-320
A rapid response to corticosteroid treatment and a generally favourable outcome are characteristic features of BOOP (Bronchiolitis obliterans organizing pneumonia). However, with increasing experience of the clinical spectrum of this disease, it is now recognized that some patients are refractory to steroid, which is associated with a poor prognosis. Here, two cases of BOOP initially treated with predinisone and antibiotics without effects, but subsequently responded to secondary cyclosporine treatment, are reported.
Anti-Bacterial Agents
;
Bronchiolitis Obliterans*
;
Bronchiolitis*
;
Cryptogenic Organizing Pneumonia*
;
Cyclosporine*
;
Humans
;
Prognosis
7.Oncologic and Functional Outcomes after Partial Nephrectomy Versus Radical Nephrectomy in T1b Renal Cell Carcinoma: A Multicenter, Matched Case-Control Study in Korean Patients.
Hoon Ah JANG ; Jin Wook KIM ; Seok Soo BYUN ; Sung Hoo HONG ; Young Jun KIM ; Young Hyun PARK ; Kyung Suk YANG ; Seok CHO ; Jun CHEON ; Seok Ho KANG
Cancer Research and Treatment 2016;48(2):612-620
PURPOSE: The study was to compare the oncologic and functional outcomes of partial nephrectomy (PN) and radical nephrectomy (RN) for pathologically proven T1b renal cell carcinoma using pair-matched groups. MATERIALS AND METHODS: We reviewed our prospectively maintained database for RN and PN in T1b renal tumors surgically treated between 1999 and 2011 at five institutions in Korea. Of 611 patients treated with PN or RN for a solitary and NX/N0 M0 renal mass (4-7 cm), 577 (PN, 100; RN, 477) patients with pathologically confirmed pT1b remained for analysis. Study subjects were grouped by PN or RN, then matched by age, sex, comorbidities, body mass index, tumor size and depth, histologic type, and preoperative estimated glomerular filtration rate (eGFR) using propensities score. To evaluate oncologic outcomes, overall survival (OS), cancer-specific survival (CSS), and progression-free survival (PFS) rates were analyzed. The functional outcomes were evaluated by postoperative eGFR. RESULTS: The median follow-up in the RN group was 48.1 and 42.6 months in the PN group. The estimated 10-year CSS rate (PN 85.7% vs. RN 84.4%, p=0.52) and 5- and estimated 10-year PFS rates (PN: 86.4% and 79.2% vs. RN: 86.0% and 66.1%, p=0.66) did not differ significantly between groups. The estimated 10-year OS rate was significantly higher in the PN group (85.7%) compared to the RN group (73.3%) (p=0.003). PN was less likely to induce new-onset chronic kidney disease (CKD) and end-stage CKD compared with RN. CONCLUSION: Our study suggests that patients treated with PN demonstrate a superior OS rate and postoperative renal function with analogous CSS and PFS rates compared with pair-matched patients treated with RN.
Body Mass Index
;
Carcinoma, Renal Cell*
;
Case-Control Studies*
;
Comorbidity
;
Disease-Free Survival
;
Follow-Up Studies
;
Glomerular Filtration Rate
;
Humans
;
Korea
;
Nephrectomy*
;
Prospective Studies
;
Renal Insufficiency, Chronic
8.Does the Colorectal Cancer Among Koreans Share the Same Pathological Features by Geographical Distribution: A Nationwide Survey of Surgically Resected 1,676 Cancers from 1,602 Patients.
Mee Soo CHANG ; Jin Hee SOHN ; Dae Young KANG ; Gyeong Hoon KANG ; Myung Sook KIM ; Woo Ho KIM ; Jong Hee NAM ; Woo Sung MOON ; Sun Hoo PARK ; Cheol Jeun PARK ; Ro hyun SUNG ; Young Lyun OH ; Eun Sook CHANG ; Hee Kyung CHANG ; Mee Yon CHO ; Kyung Ja CHO ; Yong Il KIM
Korean Journal of Pathology 2001;35(1):14-19
BACKGROUND: This nationwide survey was undertaken to characterize the general pathological features of colorectal cancer in Korea, and especially to elucidate the geographical characteristics by means of their anatomical distribution. METHODS: We analysed 1,676 colorectal cancers (from 1,602 patients) surgically resected in 1998 at 15 institutions from nine geographical sites in Korea. RESULTS: The topographic incidence of colorectal cancer in seven out of the total nine geographical sites, was the highest in the rectum (32-54%); and those from Wonju and Cheongju were in the sigmoid colon (28% for both). The right colon cancer incidence was 42% in Wonju and 36% in Cheongju, while it was 17-22% in the other areas. The cecal cancer incidences in Wonju and in Taegu were 7% and 8%, respectively, but 0-4% in the other areas. As for histology, moderately differentiated adenocarcinoma was the most frequent (46-84%), except for in Wonju and Chonju, where the most predominant type was well differentiated (63% and 52%, respectively). CONCLUSION: The incidence of right colon cancer was higher in Wonju and Cheongju, than in the other geographical sites. The cecal predilection was prominent in Taegu and Wonju. The Elucidation of geographical differences in degree of differentiation for tubular adenocarcinoma seems to require further cumulative study with strict guidelines.
Adenocarcinoma
;
Cecal Neoplasms
;
Chungcheongbuk-do
;
Colon, Sigmoid
;
Colonic Neoplasms
;
Colorectal Neoplasms*
;
Daegu
;
Gangwon-do
;
Humans
;
Incidence
;
Jeollabuk-do
;
Korea
;
Pathology
;
Rectum
9.Pandemic Influenza A/H1N1 Viral Pneumonia without Co-Infection in Korea: Chest CT Findings.
Jun Seong SON ; Yee Hyung KIM ; Young Kyung LEE ; So Young PARK ; Cheon Woong CHOI ; Myung Jae PARK ; Jee Hong YOO ; Hong Mo KANG ; Jong Hoo LEE ; Boram PARK
Tuberculosis and Respiratory Diseases 2011;70(5):397-404
BACKGROUND: To evaluate chest CT findings of pandemic influenza A/H1N1 pneumonia without co-infection. METHODS: Among 56 patients diagnosed with pandemic influenza A/H1N1 pneumonia, chest CT was obtained in 22 between October 2009 and Februrary 2010. Since two patients were co-infected with bacteria, the other twenty were evaluated. Predominant parenchymal patterns were categorized into consolidation, ground glass opacity (GGO), and mixed patterns. Distribution of parenchymal abnormalities was assessed. RESULTS: Median age was 46.5 years. The CURB-65 score, which is the scoring system for severity of community acquired pneumonia, had a median of 1. Median duration of symptoms was 3 days. All had abnormal chest x-ray findings. The median number of days after the hospital visit that Chest CT was performed was 1. The reasons for chest CT performance were radiographic findings unusual for pneumonia (n=13) and unexplained dyspnea (n=7). GGO was the most predominant pattern on CT (n=13, 65.0%). Parenchymal abnormalities were observed in both lungs in 13 cases and were more extensive in the lower lung zone than the upper. Central and peripheral distributions were identified in ten and nine cases, respectively. One showed diffuse distribution. Peribronchial wall thickening was found in 16 cases. Centrilobular branching nodules (n=7), interlobular septal thickening (n=4), atelectasis (n=1), pleural effusion (n=5), enlarged hilar and mediastinal lymph nodes (n=6 and n=7) were also noted. CONCLUSION: Patchy and bilateral GGO along bronchi with predominant involvement of lower lungs are the most common chest CT findings of pandemic influenza A/H1N1 pneumonia.
Bacteria
;
Bronchi
;
Coinfection
;
Dyspnea
;
Glass
;
Humans
;
Influenza A Virus, H1N1 Subtype
;
Influenza, Human
;
Lung
;
Lymph Nodes
;
Pandemics
;
Pleural Effusion
;
Pneumonia
;
Pneumonia, Viral
;
Pulmonary Atelectasis
;
Thorax
;
Tomography, X-Ray Computed
10.Effect of Transport Time on the Use of Reperfusion Therapy for Patients with Acute Ischemic Stroke in Korea
Jay Chol CHOI ; Joong-Goo KIM ; Chul-Hoo KANG ; Hee-Joon BAE ; Jihoon KANG ; Soo-Joo LEE ; Jong-Moo PARK ; Tai Hwan PARK ; Yong-Jin CHO ; Kyung Bok LEE ; Jun LEE ; Dong-Eog KIM ; Jae-Kwan CHA ; Joon-Tae KIM ; Byung-Chul LEE ; Ji-Sung LEE ; Anthony S. KIM
Journal of Korean Medical Science 2021;36(11):e77-
Background:
We investigated the association between geographic proximity to hospitals and the administration rate of reperfusion therapy for acute ischemic stroke.
Methods:
We identified patients with acute ischemic stroke who visited the hospital within 12 hours of symptom onset from a prospective nationwide multicenter stroke registry. Reperfusion therapy was classified as intravenous thrombolysis (IVT), endovascular therapy (EVT), or combined therapy. The association between the proportion of patients who were treated with reperfusion therapy and the ground transport time was evaluated using a spline regression analysis adjusted for patient-level characteristics. We also estimated the proportion of Korean population that lived within each 30-minute incremental service area from 67 stroke centers accredited by the Korean Stroke Society.
Results:
Of 12,172 patients (mean age, 68 ± 13 years; men, 59.7%) who met the eligibility criteria, 96.5% lived within 90 minutes of ground transport time from the admitting hospital. The proportion of patients treated with IVT decreased significantly when stroke patients lived beyond 90 minutes of the transport time (P = 0.006). The proportion treated with EVT also showed a similar trend with the transport time. Based on the residential area, 98.4% of Korean population was accessible to 67 stroke centers within 90 minutes.
Conclusion
The use of reperfusion therapy for acute stroke decreased when patients lived beyond 90 minutes of the ground transport time from the hospital. More than 95% of the South Korean population was accessible to 67 stroke centers within 90 minutes of the ground transport time.