1.Analysis of Risk Factors of Readmission to Hospital for Pediatric Asthma .
Kyung Lim YOON ; Young Ho RAH ; Chong Woo BAE ; Sa Jun CHUNG
Journal of the Korean Pediatric Society 2000;43(4):556-560
PURPOSE: The admission rates for pediatric asthma are increasing annually and are partially responsible for the increased rates of readmission. Selections of children with a high-risk of readmission and aggressive treatments of them may improve treatment outcome and cost- effectiveness. The purpose of this study is to evaluate the risk factors affecting readmission in cases of bronchial asthma in children. METHODS: We reviewed the medical records of 95 cases under 14 years of age who were admitted to the Department of Pediatrics, Kyung-Hee University, from March 1996 to February 1997 and divided them into readmission and first admission group. RESULTS: Readmission cases were 52 (55%). Age, sex, duration of admission, duration of oxygen therapy, serum IgE concentration, duration of symptoms prior to admission and severity of asthma were not statistically significant compared with those of the control group (t-test) (P>0.05). Use of prophylactic agents, family history of allergic diseases and past history of bronchiolitis were significant (P<0.05), but age under 4 years and sex were not significant (X2-test). Age under 4 years, history of bronchiolitis, and history of previous hospital admission for asthma were significant (P<0.05), but sex, severity of asthma, history of frequent upper respiratory tract infection, family history, and the use of prophylactic agents were not statistically significant (P>0.05) as independent risk factors. CONCLUSION: Age under 4 years, past history of bronchiolitis, and history of previous hospital admission for asthma were significant risk factors for hospital readmission. Further study needs to be done to decrease the readmission rates.
Asthma*
;
Bronchiolitis
;
Child
;
Humans
;
Immunoglobulin E
;
Medical Records
;
Oxygen
;
Patient Readmission
;
Pediatrics
;
Respiratory Tract Infections
;
Risk Factors*
;
Treatment Outcome
2.Relationship between Genetic Polymorphisms of the Gltathione S-transferase and Endometriosis Susceptibility in Korean Populations.
Moo Hee KIM ; Yoon Soo KIM ; Sa Rah LEE ; Sung Shin SHIM ; Sung Eun HUR ; Woon Jeong LEE ; Hye Sung MOON ; Jung Ja AHN ; Hye Won CHUNG
Korean Journal of Obstetrics and Gynecology 2003;46(12):2403-2409
OBJECTIVE: The aim of this study was to examine whether polymorphic variation in GSTs confers susceptibility to Endometriosis in Korean populations. METHODS: The GSTM1, GSTT1, and GSTP1 genotypes were determined in 124 patients with Endometriosis (stage 3, 4) and 155 healthy control subjects at Ewha woman's university Mok-dong hospital from 1996 to 2003. RESULTS: The homozygous wild allele in GSTP1 gene was most common genotypes both Endometriosis and healthy control groups (69.4% vs. 64.5%). Neither the heterozygous nor homozygous mutant allele in GSTP1 gene differed in frequency between the two groups (30.6% vs 35.5%). When null mutations in GSTM1, GSTT1 were combined with GSTP1 polymorphism, there was no evidence of increase in the risk of endometriosis, as the number of high risk alleles of the GST family increased. CONCLUSION: Our findings suggest that GSTP1 genetic polymorphism may not be associated with development of Endometriosis in Korean populations. There is no evidence of a trend in increasing risk with the number of putative high risk alleles of the GST family carried.
Alleles
;
Endometriosis*
;
Female
;
Genotype
;
Humans
;
Polymorphism, Genetic*
3.Ultrasonographic and Mammographic Findings of Polyacrylamide Gel Injection Mammoplasty: A Case Report.
Jae Won KIM ; Seon Hyeong CHOI ; Soo Young CHUNG ; Ik YANG ; Sa Rah YOON
Journal of the Korean Society of Medical Ultrasound 2009;28(3):163-166
Polyacrylamide gel has been widely used for soft tissue contouring for more than 30 years and has been used for breast mammoplasty augmentation in China since 1997. As Korea is close to China, Korean clinicians often encounter the patients who have undergone polyacrylamide gel augmentation mammoplasty. Therefore, radiologists should know the ultrasonographic and mammographic findings and the complications of polyacrylamide gel augmented mammoplasty; this can be helpful in the diagnosis and management of those patients. We report the characteristic radiological findings of a patient who had undergone mammoplasty augmentation with polyacrylamide gel.
Acrylic Resins
;
Breast
;
China
;
Female
;
Humans
;
Korea
;
Mammaplasty
4.A Case of Squamous Cell Carcinomatous Lung Abscess with Multiple Metastatic Abscesses.
Ju Eun LIM ; Eun Young KIM ; Ji Eun JANG ; Ji Young SON ; Ji Ye JUNG ; Byung Hoon PARK ; Kyung Jong LEE ; Yoe Wun YOON ; Min Kwang BYUN ; Sa Rah LEE ; Young Ae KANG ; Jin Wook MOON ; Moo Suk PARK ; Young Sam KIM ; Joon JANG ; Young Nyun PARK ; Se Kyu KIM
Tuberculosis and Respiratory Diseases 2009;66(5):390-395
Among the bronchogenic carcinomas, especially squamous cell carcinoma and large cell carcinoma frequently present with cavitation, which may result from tumor necrosis. Cavitary lesions of the tumor are occasionally associated with infection and misdiagnosed as benign lung abscess owing to the partial responsiveness to antibiotics. It is very difficult to distinguish the carcinomatous abscess from the benign lung abscess, because of their similar clinical and radiologic features. Delay in diagnosis of underlying lung cancer may result in poor outcome. Therefore, clinicians should remember that the patients with highly suspicious carcinoma of the lung should undergo further precise examinations to find out malignant cells.
Abscess
;
Anti-Bacterial Agents
;
Carcinoma, Bronchogenic
;
Carcinoma, Large Cell
;
Carcinoma, Squamous Cell
;
Humans
;
Liver Abscess
;
Lung
;
Lung Abscess
;
Lung Neoplasms
;
Necrosis