1.A Study on the Status of Seeking Intervention among the Workers with Health Problems Identified by the Workers' Periodic Health Examination.
Hee Kwan CHEONG ; Joung Soon KIM ; Ok Ryun MOON ; Hyun Sul LIM
Korean Journal of Preventive Medicine 1992;25(4):343-356
Authors studied the workers' knowledge about the health problems detected through the previous workers' periodic health examination, content of follow-up management and actions taken for their health problem detected on previous health examination. From June to September 1992, workers' periodic health examination was performed on workers employed in 10 companies located in 2 middle-sized Korean cities. A questionnaire survey was done for 150 workers who reported to have D2 result of either hypertension or liver disorder at the previous workers' periodic health examination done in 1991. The results are as follows; 1. Of 160 workers who had D2 result of either hypertension or liver disorder in previous examination one year before, only 85 workers(51.3%, 43 workers with hypertension, 38 workers with live disorder) responded that they have such disorders. The other 65 workers responded to questionnaire were all those with C results. Respondents' knowledge about their diagnoses was relatively precise (95.2% in hypertension group, 94.6% in liver disorder group) but knowledge about classification of diseases was poor. 2. The main efforts to solve the health problem was self management (26 spells, 55.3%), visiting clinic or hospital (6 spells, 12.8%), use of herb medicine (2 spells, 4.3%) and use of drug store (2 spells, 4.3%) in hypertension group. In liver disorder group, 30 spells (71.4%) relied on self management, 6 spells (14.3%) on hospital or clinic and 9 spells (21.4%) had no effort to improve the health problem. Content of self management was low salt diet, quit smoking, regular exercise and quit alcohol drinking in order. Avoidance of salt in diet was high in hypertension group and quitting alcohol drinking was high in liver disorder group. In those with self management, 80.7% of hypertension group and 83.3% of liver disorder group continued previous effort. Those, however, who utilized clinic or hospital, only 16.7% and 50.0% were still visiting hospital or clinic. 3. Fifty seven percent of hypertension group and 64.3% of liver disorder group was presently smoking, 8.5% and 11.9% reduced smoking and 21.3% and 14.3% stopped smoking. Forty nine percent of hypertension group and 28.6% of liver disorder group was presently drinking. Reduced alcohol intake was reported in 29.8% and 40.5%, 12.8% and 23.8% stopped alcohol drinking. Sixty six percent of hypertension group and 73.8% of liver disorder group did no regular exercise, but 12.8% and 11.9% of each group increased their physical exercise for last one year. Forty three percent of hypertension group and 38.1% of liver disorder group was overweight (defined by bodymass index greater or equal than 25). Reduced body weight was reported in 17.2% and 16.7% of each group. Reduced dietary salt intake was high in hypertension group (51.5%). The study results suggest that follow-up management after workers' periodic health examination is not satisfactory. In order to improve this situation, adequate information on the result of the workers' periodic health examination should be distributed to each worker group with health education and counselling.
Alcohol Drinking
;
Body Weight
;
Classification
;
Diagnosis
;
Diet
;
Drinking
;
Exercise
;
Follow-Up Studies
;
Health Behavior
;
Health Education
;
Hypertension
;
Liver
;
Liver Diseases
;
Overweight
;
Surveys and Questionnaires
;
Self Care
;
Smoke
;
Smoking
2.A Case of Wernicke - Korsakoff Syndrome Associated with Hyperemesis Gravidarum.
Soon Ha YANG ; Cheong Rae ROH ; Jae Sung LEE ; Heui Soo MOON ; Jae Hyun CHEUNG
Korean Journal of Obstetrics and Gynecology 1999;42(2):429-431
A 24-year-old pregnant woman started to have severe hyperemesis gravidarum at 6 weeks' gestation. Six weeks later, dizziness, ataxia, visual disturbance, diplopia and confusion were developed. On admission, she presented ophthalmoplegia, nystagmus, deaeased tendon reflex, intention tremor, ataxia, confusion and memory disturbance. She was diagnosed to Wernicke-Korsakoff syndrome and 100mg of thiamine was administered intravenously daily till 28 weeks gestation and then intramuscularly. Her ocular symptns, together with neurological signs, were gradually improved. Memory disturbance slightly improved but remained at the time of delivery. The case will be presented in more details with a brief revie of literatures.
Ataxia
;
Diplopia
;
Dizziness
;
Female
;
Humans
;
Hyperemesis Gravidarum*
;
Korsakoff Syndrome*
;
Memory
;
Ophthalmoplegia
;
Pregnancy
;
Pregnant Women
;
Reflex, Stretch
;
Thiamine
;
Tremor
;
Young Adult
3.Myotonic Dystrophy in Pregnancy complicated with Preterm Labor and Congestive Heart Failure.
Soon Ha YANG ; Cheong Rae ROH ; Jae Hyun CHUNG ; Zong Soo MOON ; Jong Taek MOON ; B Joon KIM
Korean Journal of Obstetrics and Gynecology 1999;42(2):408-411
Myotonic dystrophy is an autosomal-dominantly inherited neuromuscular disorder characterized by slowly progressive muscular dystrophy, muscle weakness and myotonia. The clinical features may vary from just cataracts to involvement of multiple organ systems such as various muscles, heart, lung and intestine. During pregnancy and delivery, serious maternal and obstetrical complications may occur. The myotonia is often aggravated during pregnancy and it leads to obstetrical complications such as fetal loss, preterm premature delivery, hydrops, in-utero fetal death, difficulties in fetal expulsion, postpartum hemorrhage and/or anesthetic accidents. The affected neonate may display severe hypotonia, facial displegia and respiratory distress. This report presents a woman with myotonic dystrophy complicated with congestive heart failure and preterm delivery during pregnancy.
Cataract
;
Edema
;
Estrogens, Conjugated (USP)*
;
Female
;
Fetal Death
;
Heart Failure*
;
Humans
;
Infant, Newborn
;
Intestines
;
Lung
;
Muscle Hypotonia
;
Muscle Weakness
;
Muscular Dystrophies
;
Myocardium
;
Myotonia
;
Myotonic Dystrophy*
;
Obstetric Labor, Premature*
;
Postpartum Hemorrhage
;
Pregnancy*
4.A case of endocervical stromal sarcoma.
Moon Hwan IM ; Young Cheol YU ; Young Ran HAN ; So Hyun PARK ; Cheong Rae ROH ; Soon Beom KANG
Korean Journal of Obstetrics and Gynecology 1991;34(3):444-449
No abstract available.
Sarcoma*
5.Role of F-18 FDG PET/CT in the Management of Infected Abdominal Aortic Aneurysm due to Salmonella.
Seung Jin CHOI ; Jin Soo LEE ; Moon Hyun CHEONG ; Sung Su BYUN ; In Young HYUN
Nuclear Medicine and Molecular Imaging 2007;41(6):570-573
We present a case of infected abdominal aortic aneurysm due to salmonella enteritidis. F-18 FDG PET/CT was performed to diagnosis and during follow-up after antibiotic treatment. Computed tomography (CT) is considered to be the best diagnostic imaging modality in infected aortic lesions. In this case, a combination of CT and FDG PET/CT provided accurate information for the diagnosis of infected abdominal aortic aneurysm. Moreover, FDG PET/CT made an important contribution to monitoring disease activity during antibiotic treatment.
Aneurysm
;
Aorta
;
Aortic Aneurysm, Abdominal*
;
Diagnosis
;
Diagnostic Imaging
;
Follow-Up Studies
;
Positron-Emission Tomography and Computed Tomography*
;
Salmonella enteritidis
;
Salmonella*
6.A Pediatric Case of Inflammatory Bowel Disease with Renal Amyloidosis
Hyesun HYUN ; Eujin PARK ; Ji Hyun KIM ; Myung Hyun CHO ; Hee Gyung KANG ; Jin Soo MOON ; Kyung Chul MOON ; Il Soo HA ; Hae Il CHEONG
Childhood Kidney Diseases 2018;22(2):81-85
Amyloidosis is a rare disease that results from the deposition of extracellular protein in various body tissues, causing progressive organ dysfunction. Secondary renal amyloidosis is a rare but serious complication of chronic inflammatory bowel disease, particularly in patients with Crohn's disease or ulcerative colitis. We report a case of secondary renal amyloidosis in a pediatric patient who reported a 16-year history of “very early onset inflammatory bowel disease”. Intensive treatment including repeated infliximab infusions improved clinical parameters of inflammatory bowel disease, although renal dysfunction showed progression. Amyloidosis should be considered in patients with IBD, particularly if they suffered disease progression.
Amyloidosis
;
Colitis, Ulcerative
;
Crohn Disease
;
Disease Progression
;
Humans
;
Inflammatory Bowel Diseases
;
Infliximab
;
Rare Diseases
7.Resolution of Isolated Unilateral Hypoglossal Nerve Palsy Following Microvascular Decompression of the Intracranial Vertebral Artery.
Jin Hwan CHEONG ; Jae Min KIM ; Moon Sul YANG ; Choong Hyun KIM
Journal of Korean Neurosurgical Society 2011;49(3):167-170
Isolated hypoglossal nerve paresis due to mechanical compression from a vascular lesion is very rare. We present a case of a 32-year-old man who presented with spontaneous abrupt-onset dysarthria, swallowing difficulty and left-sided tongue atrophy. Brain computed tomographic angiography and magnetic resonance imaging of the brainstem demonstrated an abnormal course of the left vertebral artery compressing the medulla oblongata at the exit zone of the hypoglossal rootlets that was relieved by microvascular decompression of the offending intracranial vertebral artery. This case supports the hypothesis that hypoglossal nerve palsy can be due to nerve stretching and compression by a pulsating normal vertebral artery. Microvascular decompression of the intracranial nerve and careful evaluation of the imaging studies can resolve unexpected isolated hypoglossal nerve palsy.
Adult
;
Angiography
;
Atrophy
;
Brain
;
Brain Stem
;
Deglutition
;
Dysarthria
;
Humans
;
Hypoglossal Nerve
;
Hypoglossal Nerve Diseases
;
Magnetic Resonance Imaging
;
Medulla Oblongata
;
Microvascular Decompression Surgery
;
Nerve Expansion
;
Paresis
;
Tongue
;
Vertebral Artery
8.Severe Paradoxical Reaction Requiring Tracheostomy in a Human Immunodeficiency Virus (HIV)-negative Patient with Cervical Lymph Node Tuberculosis.
In Suh PARK ; Dongwook SON ; Chanwoo LEE ; Jae Eun PARK ; Jin Soo LEE ; Moon Hyun CHEONG ; Young Mo KIM
Yonsei Medical Journal 2008;49(5):853-856
During drug treatment of tuberculous lymphadenitis, paradoxical response (PR) may occasionally occur. Continued treatment or lymph node aspiration improves PR without severe sequelae. However, we report a case of severe PR in a patient with cervical lymph node tuberculosis causing airway obstruction due to retropharyngeal lymph node swelling during antituberculous treatment. Tracheostomy and drainage of the node were performed to secure the airway. Possible airway obstruction due to PR must be suspected when cervical lymph node tuberculosis involves the retropharyngeal lymph node.
Adult
;
Female
;
*HIV Seronegativity
;
Humans
;
Tomography, X-Ray Computed
;
*Tracheostomy
;
Tuberculosis, Lymph Node/*complications/radiography/surgery
9.A study on diagnostic criteria of noise-induced hearing loss among workers in an iron foundry.
Ji Yong KIM ; Hyun Sul LIM ; Hae Kwan CHEONG ; Ok Ryun MOON
Korean Journal of Preventive Medicine 1993;26(3):371-386
This study was carried out to evaluate diagnostic criteria of noise-induced hearing loss (NIHL) among workers in an iron foundry. Of 1,093 workers under the observation of noise-specific health examination, 184 workers were selected by way of first and second screening audiometric examination. A questionnaire survey, otological examinations, Rinne test and audiometric test were performed and the results were as follows; The degree of hearing impairment in the left ear was more severe than in the right ear(p<0.05). The difference between hearing threshold of the first and the second hearing test at 1,000 Hz was about 5 dB with a narrow range of deviations while the difference at 4,000 Hz was about -7dB with a wide range. Of the total study workers, 84.8% were tested within 15 hours away from noise exposure, and the rest after 16 hours. This study has identified that mean hearing loss at 4,000 Hz showed a significant statistical difference among the two study groups while mean hearing loss by 4-divided classification did not. The same phenomena were observed between the group with and without tinnitus and between the group with and without difficulty in hearing(p<0.05). Among 184 workers, 10 workers(5.4%) diagnosed as NIHL by old diagnostic criteria in contrast to 150 workers diagnosed as NIHL by the new diagnostic criteria. There was a significant difference between the two groups in the average hearing loss at 4,000 Hz and 4-divided classification(p<0.01), but there were no significant difference in age, the duration of employment, blood pressure and the duration wearing the personal hearing protector(p>0.05). If we apply Early Loss Index(ELI) method, some workers in younger age group diagnosed as NIHL by the new diagnostic criteria were fallen into within the normal range. In the mean time older age group show reverse results in contrast to the above finding. It is too early to confirm the value of the usage of the new diagnostic criteria in hearing examination. Further study is called for to verify the value of this criteria.
Blood Pressure
;
Classification
;
Ear
;
Employment
;
Hearing
;
Hearing Loss
;
Hearing Loss, Noise-Induced*
;
Hearing Tests
;
Humans
;
Iron*
;
Mass Screening
;
Noise
;
Surveys and Questionnaires
;
Reference Values
;
Tinnitus
10.DNA - based Prenatal Diagnosis of Epidermolytic Palmoplantar Keratoderma.
Soon Ha YANG ; Cheong Rae ROH ; Je Ho LEE ; Jae Hyun CHUNG ; Zong Soo MOON ; Jun Mo YANG ; Syng Wook KIM
Korean Journal of Obstetrics and Gynecology 1999;42(1):19-24
OBJECTIVE: The purpose of this investigation was to establish the prenatal diagnosis for identifying the risk for epidermolytic palmoplantar keratoderma(EPPK) of a fetus by sequence analysis of fetal genomic DNA from chorionic villi. METHODS: Chorionic villus sampling under transvaginal sonography at 12 weeks of gestation from a woman at risk for a child in a EPPK-affected family was perfomed. Polymerase chain reaction amplification of specific allele (PASA) assay was carried out for the detection of mutation(R162W in keratin 9 [K9] gene) previously identified in this family. Direct DNA sequencing analysis of K9 gene was accomplished to confirm the mutation. RESULTS: We had found the point mutation, R162W of K9 gene, in affected family members and confirmed by PASA assay. Affected family members were shown to have PCR products reactive with both the mutant and wildtype specific primers. Because we could not find any expected products after PASA assay with the primers la(+)/KSmt(-) of the fetal DNA, we predicted that the fetus did not inherited the mutant allele and that the fetus could be unaffected. After PASA assay, we analyzed DNA sequences of two family members to confirm the mutation. A C-to-T substitution at bp 545 was detected in the father, instead the fetus did not have any mutant band at that base pair. CONCLUSION: The PASA assay and direct DNA sequencing analysis of K9 gene through chorionic villi sampling and extraction of genomic DNA had validity to early prenatal diagnosis whether fetus was affected in EPPK or not.
Alleles
;
Base Pairing
;
Base Sequence
;
Child
;
Chorionic Villi
;
Chorionic Villi Sampling
;
DNA*
;
Fathers
;
Female
;
Fetus
;
Humans
;
Keratin-9
;
Keratoderma, Palmoplantar, Epidermolytic*
;
Point Mutation
;
Polymerase Chain Reaction
;
Pregnancy
;
Prenatal Diagnosis*
;
Sequence Analysis
;
Sequence Analysis, DNA