1.A Study on the Effects of Supported Independent Housing for the Persons with Mental Disabilities
Hee Jung KIM ; Hee Young OH ; Seo Ha BAEK
Korean Journal of Health Promotion 2022;22(4):211-221
Background:
This study is a 1-year follow-up study for mentally disabled people who started living independently. The purpose of this study is to confirm the performance of the supported independent housing (SIH) program for severe mental illness and to compare the effectiveness with the collective living family, a group home (GH).
Methods:
This study included mentally disabled people living in publicly supported SIH (n=24) and living in GH (n=31). The outcome measures were brief psychiatric rating scale, Global Assessment Function (GAF), internalized stigma, hope, self-esteem, life satisfaction, and working alliance. Analyzes were performed using descriptive methods and chi-square analysis, Independent t-test, Mann-Whitney U-test, and Friedman test.
Results:
In the case of the SIH group, GAF and internalized stigma showed a significant effect after 1 year, and the working alliance showed a tendency to decrease at 6 months and then increase again after 1 year. In comparison between the two groups, only GAF showed a significant difference after 1 year. Hope, self-esteem, and life satisfaction showed a significant effect in the GH group after 1 year, but not in the SIH group.
Conclusions
Results show that the SIH and GH housing types achieve different results over the 1-year period. GAF and internalized stigma were significant in SIH, and psychological variables were significant in GH. In GAF, SIH showed a more significant effect than GH. Housing support should take into account the various individual circumstances and preferences of the client, and above all, securing housing stability and expanding accessibility is important.
2.Vitamin D Levels in Children and Adolescents with Antiepileptic Drug Treatment.
Jung Hyun BAEK ; Young Ho SEO ; Gun Ha KIM ; Mi Kyung KIM ; Baik Lin EUN
Yonsei Medical Journal 2014;55(2):417-421
PURPOSE: This study was to evaluate the relationship of 25(OH)D3 levels with anticonvulsant use and other possible factors in epileptic children and adolescents. MATERIALS AND METHODS: We studied 143 patients with epilepsy (90 boys, 53 girls; 11.21+/-4.49 years), who had been treated with anticonvulsants for more than 1 year. Patients who had taken multiple vitamins before the blood test and those who have the limitation of physical activity (wheelchair-bound) were excluded from the study. We evaluated the difference in vitamin D status according to the type and number of anticonvulsants taken and other factors such as gender, age, intelligence and seizure variables. RESULTS: For patients with mental retardation or developmental delay, 25(OH)D3 levels were lower than the levels in patients with normal intelligence quotient levels (p=0.03). 25(OH)D3 levels were lower in patients who had taken anticonvulsants for more than 2 years as compared to those who had taken them for less than 2 years (p=0.03). Those taking oxcarbazepine had significantly lower vitamin D levels than patients taking valproic acid (p=0.01). However, no effects of number of anticonvulsants taken were detectable. More than two-thirds of the patients were diagnosed with osteopenia or osteoporosis in patients showing either vitamin D insufficiency or deficiency. CONCLUSION: The possibility of vitamin D deficiency can be considered in pediatric patients taking anticonvulsants if they have mental retardation or developmental delay or if they have been taking anticonvulsants for more than 2 years or taking hepatic enzyme inducing drugs.
Adolescent*
;
Anticonvulsants
;
Bone Diseases, Metabolic
;
Child*
;
Developmental Disabilities
;
Epilepsy
;
Female
;
Hematologic Tests
;
Humans
;
Intellectual Disability
;
Intelligence
;
Methods
;
Motor Activity
;
Osteoporosis
;
Seizures
;
Valproic Acid
;
Vitamin D Deficiency
;
Vitamin D*
;
Vitamins*
3.Cancer of the extrahepatic bile ducts.
Dal Cheon KIM ; Sung Uhn BAEK ; Kyung Hyun CHOI ; Sung Do LEE ; Jae Kwan SEO ; Jee Kyoung CHANG ; Man Ha HUH
Journal of the Korean Cancer Association 1992;24(6):885-898
No abstract available.
Bile Ducts, Extrahepatic*
4.Antimicrobial Susceptibilites of Glycopeptides, Arbekacin and Quinupristin/Dalfopristin against Staphylococcal aureus isolates.
Seung Hee HA ; Seok Hoon JEONG ; Tae Sik JEONG ; Dae Young SEO ; Chulhun CHANG ; Hee Jun NAM ; Young Woon BAEK ; Jong Heaon JI
Korean Journal of Infectious Diseases 2001;33(4):261-265
No abstract available.
Glycopeptides*
5.Lacrimal Gland Adenoid Cystic Carcinoma: Case Report.
Dae Hee SEO ; Chung Hwan BAEK ; Yoon Duck KIM ; Bom Joon HA ; Ik Seong PARK ; Do Hyun NAM ; Kwan PARK ; Jong Hyun KIM
Journal of Korean Neurosurgical Society 2000;29(8):1089-1093
No abstract available.
Adenoids*
;
Carcinoma, Adenoid Cystic*
;
Lacrimal Apparatus*
6.Comparison of the prevalence and histology between primary benign bladder tumors and recurrent benign lesions after transurethral resection of malignant bladder tumors
Jae Jin BAEK ; Yong Deuk SEO ; Dong Ha KIM ; Won Tae SEO ; Su Hwan KANG ; Taek Sang KIM ; Bong Kwon CHUN
Kosin Medical Journal 2023;38(1):43-49
Background:
Benign bladder tumors are rare disease entities, and insufficient studies have assessed their epidemiological characteristics. The authors investigated the prevalence of benign bladder tumors by retrospectively investigating pathology reports of transurethral resection of bladder tumor (TURBT) procedures over the past 20 years.
Methods:
We analyzed 1,674 pathology reports of TURBT conducted in 1,160 patients from January 1, 2000, to April 30, 2022. The prevalence of benign tumors and histological classification according to the presence of primary (group 1) and recurrent (group 2) bladder lesions were retrospectively investigated.
Results:
The mean age of patients was 65.2±11.5 years, and 1,284 cases (79.1%) were in men. Benign bladder tumors comprised 278 cases (248 patients) accounting for about 17.1% of the total TURBT cases (278/1,624). Furthermore, 184 patients (16.0%, 184/1,147) belonged to group 1 and 78 patients (27.4%, 78/285) belonged to group 2. Among all benign lesions that underwent TURBT, cystitis was the most common (41.0%, 114/278), and this rate was higher in group 2 (64/184 [34.8%] vs. 50/94 [53.2%], p<0.001). The prevalence of non-neoplastic lesions was higher in group 1 (44/184 [23.9] vs. 11/94 [11.7%], p<0.001). There was no difference in the prevalence of noninvasive urothelial neoplasms between the two groups (22/184 [12.0%] vs. 8/94 [8.5%], p=0.86).
Conclusions
The probability of benign lesions in TURBT was 17.1%, among which cystitis was the most common. When TURBT was performed for recurrent lesions, the frequency of benign tumors was higher than that of primary benign bladder tumors.
7.A Case of Atypical Giant Cell Arteritis Presenting as Raynaud's Phenomenon and Diagnosed by Random Temporal Artery Biopsy.
Jong Woo SEO ; Jian HUR ; Hyun Ok KIM ; Dae Hong JEON ; Jong Ha BAEK ; Jae Hee KIM ; Sang Il LEE
The Journal of the Korean Rheumatism Association 2010;17(3):278-282
Giant cell arteritis (GCA) is a chronic vasculitis that mainly involves the cranial branches of arteries, and typically it presents with a cephalic sign such as a new headache, jaw claudication and/or visual symptoms. Although the tender, swollen or beaded arteries are adequate sites for biopsy, random temporal artery biopsy should be performed in all the patients suspected of suffering with GCA and even if cephalic signs are not present. Several cases of typical GCA have been reported in Korea, but so far there have been no reports of an atypical case presenting with Raynaud's phenomenon, and the patient was diagnosed by random temporal artery biopsy. Here we describe a case that showed the typical pathological findings of GCA in an asymptomatic temporal artery. The patient complained of only Raynaud's phnomenon and the patient was without any cephalic symptoms.
Arteries
;
Biopsy
;
Giant Cell Arteritis
;
Giant Cells
;
Headache
;
Humans
;
Jaw
;
Korea
;
Stress, Psychological
;
Temporal Arteries
;
Vasculitis
8.Syndrome of Inappropriate Antidiuretic Hormone Secretion (SIADH) Associated with Mediastinal Schwannoma.
Shin Han SONG ; Gyeong Ah SIM ; Seon Ha BAEK ; Jang Won SEO ; Jung Weon SHIM ; Ja Ryong KOO
Electrolytes & Blood Pressure 2017;15(2):42-46
Syndrome of inappropriate antidiuretic hormone secretion (SIADH) is the most common cause of euvolemic hypo-osmotic hyponatremia. There are several etiologies of SIADH including neuroendocrine tumor, pulmonary disease, infection, trauma, and medications. Here, we report a case of SIADH associated with a schwannoma involving the mediastinum in a 75-year-old woman who presented with nausea, vomiting, and general weakness. Laboratory testing showed hypo-osmolar hyponatremia, with a serum sodium level of 102mmol/L, serum osmolality of 221mOsm/kg, urine osmolality of 382mOsm/kg, urine sodium of 55 mmol/L, and plasma antidiuretic hormone (ADH) of 4.40 pg/mL. Chest computed tomography identified a 1.5-cm-sized solid enhancing nodule in the right lower paratracheal area. A biopsy specimen was obtained by video-assisted thoracoscopic surgery, which was diagnosed on pathology as a schwannoma. The hyponatremia was completely resolved after schwannoma resection and plasma ADH level decreased from 4.40 pg/mL to 0.86 pg/mL. This case highlights the importance of suspecting and identifying the underlying cause of SIADH when faced with refractory or recurrent hyponatremia, and that on possibility is mediastinal schwannoma
Aged
;
Biopsy
;
Female
;
Humans
;
Hyponatremia
;
Inappropriate ADH Syndrome
;
Lung Diseases
;
Mediastinum
;
Nausea
;
Neurilemmoma*
;
Neuroendocrine Tumors
;
Osmolar Concentration
;
Pathology
;
Plasma
;
Sodium
;
Thoracic Surgery, Video-Assisted
;
Thorax
;
Vomiting
9.Effectiveness of Ondansetron and Midazolam in the Prevention of PONV after Thyroidectomy.
Jae Hyun HA ; Kyung Hwa KWAK ; Jeong Won SEO ; Su Hyun LEE ; Sung Sik PARK ; Woon Ei BAEK
Korean Journal of Anesthesiology 2007;53(3):344-349
BACKGROUND: The purpose of this study was to investigate the effectiveness of ondansetron and midazolam in the prevention of PONV after thyroidectomy. METHODS: One hundred nineteen women undergoing thyroidectomy under general anesthesia were randomized to receive midazolam 0.075 mg/kg (Group M, n = 41), ondansetron 4 mg (Group O, n = 39), or normal saline 10 ml (Group C, n = 39) intravenously. The incidence and severity of nausea, vomiting, and pain were assessed as 6 and 24 h after the end of surgery. RESULTS: The incidence of PONV was 34% in Group M, 46% in Group O, and 64% in Group C, which showed a significant difference between Group C and Group M, but not Group O. However, there were no significant differences between groups in pain scores and the incidence of sedation. CONCLUSIONS: We recommend the use of midazolam as an effective antiemetic after thyroidectomy.
Anesthesia, General
;
Female
;
Humans
;
Incidence
;
Midazolam*
;
Nausea
;
Ondansetron*
;
Postoperative Nausea and Vomiting*
;
Thyroidectomy*
;
Vomiting
10.A Clinical Analysis of the Patients with Thoracolumbar Vertebral Junction Fracture.
Joon Soo KIM ; Eun Sang KIM ; Jong Seo LEE ; Young Gyu PARK ; Sun Ha BAEK ; In Sung PARK ; Jin Myung JUNG ; Jong Woo HAN
Journal of Korean Neurosurgical Society 1996;25(10):2038-2043
To clarify the prognostic factors influencing clinical outcome, the authors retrospectively analyzed 50 cases of thoracolumbar vertebral junction fracture treated at our hospital between September 1989 and October 1992. The age of the patients ranged from 23 to 75 years(median 49 years) and the male-to-female ratio was 33:17. Falling was the major mode of injury(m=27). The kyphotic angle between fractured vertebrae and the ratio of neural canal encroachment was measured in a simple X-ray and a computed tomography(CT) of the thoracic spine. An ANOVA test was performed to evaluate the predicting factors to determine the final outcome. The kyphotic angle and loss of height of vertebral body were not significantly correlated with the neurological status of the patients. However, the ratio of the compromised area of the neural canal was closely correlated with the neurological outcome(p value<0.05). The worst prognosis was found in patients with fracture-dislocation. In conclusion, it is suggested that early surgical intervention must be considered in the neurologically compromised patients whose CT demonstrates neural canal encroachment by bony fragments.
Humans
;
Neural Tube
;
Prognosis
;
Retrospective Studies
;
Spine