1.A Clinical Study of Antihypertensive Effects of Doxazocin(Cardura(R)) in Essential Hypertension.
Yeon Chae GEONG ; Dae Hoe KU ; Bag Su KIM ; Yong Seok CHOI ; In Hwan SEOUNG ; Eun Seok JEON ; Chong Hun PARK
Korean Circulation Journal 1990;20(4):808-814
The antihypertensive effect of Doxazocin were evaluated in 20 patients with essential hypertension. Two to eight mg of Doxazocin per day were administered continuously for two or eight weeks. The results were as follows : 1) Doxazocin were effective in 18 out of 20 patients(90%) at the end of 8 weeks treatment. 2) The systolic blood pressure was signigicantly decreased(173+/-20mmHg VS 144+/-33mmHg, P+/-0.001), and the diastolic blood pressure was also decreased(110+/-10mmHg VS 93+/-19mmHg, P<0.01) after treatment. 3) Triglyceride showed a decreasing tendency but statistically significance was not observed. Total cholesteral, HDL-cholesterol, BUN, creatinine, and uric acid did not change significantly before and after treatment with Doxazocin. 4) The side effects were headache in one case and dizziness in to cases. These results suggest that Doxazocin is an effective antihypertensive agent and concerning lipid profile, further long term observation is needed.
Blood Pressure
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Creatinine
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Dizziness
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Headache
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Humans
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Hypertension*
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Triglycerides
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Uric Acid
2.3 Cases of Congenital Adrenal Hyperplasia.
Kyo Sun KIM ; Dong Soo KIM ; Seoung Ku KIM ; Kwang Ho KIM ; Duk Hi KIM ; Duk Jin YUN
Journal of the Korean Pediatric Society 1980;23(8):662-669
We present 3 cases of congenital hyperplasia. Case lis a 5 year and 9 month old who is suffered from excessive salt craving and symptoms of precocious puberty. Case llis a 2 month old boy who has failure to thrive and frequent episode of dehydration. Case lll is a 5 year and 3 month old girl who has enlarged clitoris without salt craving since birth. All 3 cases have higher level of 17KS than normal but normal blood pressure. Serum 17 OH progesterone or urinary pregnanetriol were not checked. All patients were well responding with corticosteroid and 17 KS in 24 hour urine were decreased to normal. These patients are considered to have 21 hydroxylation defect type in congenital adrenal hyperplasia. Review of literature and references on congenital adrenal hyperplasia was attempted priefly.
Adrenal Hyperplasia, Congenital*
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Blood Pressure
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Clitoris
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Dehydration
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Failure to Thrive
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Female
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Humans
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Hydroxylation
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Hyperplasia
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Infant
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Male
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Parturition
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Pregnanetriol
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Progesterone
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Puberty, Precocious
3.A Mycobacterium Chelonae Subsp. abscessus Wound Infection After Percutaneous Endoscopic Gastrostomy.
Sang Ho LEE ; Ku Yeoup KIM ; Seoung Pyo HONG ; Myung Jae KIM ; Mun Ho YANG ; Jin Tae SEOU
Korean Journal of Medicine 1997;53(6):842-846
Mycobacterium chelonae is a rapidly growing organism that has been found in water, soil, and dust. Although it can colonize healthy persons without sequelae, it can also cause skin and soft tissue infections, pulmonary infections and other sequelaes and rarely, disseminated disease in immunocompromised patients. But, infections due to rapidly growing mycobacteria are probably markedly underdiagnosed and these organisms are capable of causing a wide spectrum of clinical disease. We experienced a case of wound infection with M. chelonae after percutaneous endoscopic gastrostomy and report with review of literatures.
Colon
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Dust
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Gastrostomy*
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Humans
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Immunocompromised Host
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Mycobacterium chelonae*
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Mycobacterium*
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Skin
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Soft Tissue Infections
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Soil
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Wound Infection*
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Wounds and Injuries*
4.Clinical Studies of Typhoid Fever in Childhood.
Seoung Ku KIM ; Han Soo CHOI ; Hee Sun AUH ; Jong Soo KIM
Journal of the Korean Pediatric Society 1981;24(11):1066-1074
During the last 7 years from Jan. 1973 to Dec. 1979, 106 cases of typhoid fever has been admitted to the department of Pediatrics of Won Ju Christian Hospital and evaluated clinicaIly. The results were summarized as follows 1. Tota1 number of the patients was 106, of which 62 were male and 44 were female. The peak age group was over 11 years of age and the youngest case was 6 month old male patient. The seasonal incidence was high in July to September. 2. The clinical symptoms on admission were as follows: fever(93.4%), abdominal pain(56.6%), headache(26.4%), nausea and vomiting(25.5%), diarrhea(20.3%) and cough(16.0%) The physical findings were as follows: fever(68.9~), injected throat(56. 690), hepatomegaly(50.0%), coated tongue(45.3%), abdominal tenderness(33.0%), splenomegaly(20.8%) and bradyeardie(16.0%). 3. Anemia was 41.590 and leukopenia was 27.4%. Widal test was positive in 73.6% of all 129 tests. The positive bacteriologic cultures were 56.9% in blood and 10.4% in stool, respectively. 4. The average days of defevervescence was 3. 66 days in CM, 3. 88 days in ampicillin, 2.80days in CM combined with ampicillin and 2.71 days in ampicillin with prednisolone, of each. The doplication was noted in 24 cases(22.6%), which included pneumonia(7 cases), intestinal perforation(7 cases) and intestinal hemorrhage(3 cases).
Ampicillin
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Anemia
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Female
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Gangwon-do
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Humans
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Incidence
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Infant
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Leukopenia
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Male
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Nausea
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Pediatrics
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Prednisolone
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Seasons
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Typhoid Fever*
5.A Case of Sparganosis by Ingestion of Undercooked Snakes That Mimicked Peritoneal Carcinomatosis.
Yun Ku KIM ; Myung Hwan KIM ; Han Seoung PARK ; Ji Woong JANG ; Yil Sik HYUN ; Ji Hun KIM
Korean Journal of Medicine 2012;82(3):331-336
Sparganosis is a zoonosis caused by sparganum. Humans can be exposed to sparganum by ingesting undercooked snakes or drinking infected copepods harboring sparganum. Sparganosis commonly manifests as migrating subcutaneous masses and may involve multiple organ systems such as the musculoskeletal system, central nervous system, the eyes, and the genitourinary system. We report here a case of laparoscopically confirmed sparganosis caused by ingestion of undercooked snakes. The sparganosis involved the liver and peritoneum and was initially difficult to differentiate from peritoneal carcinomatosis.
Carcinoma
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Central Nervous System
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Copepoda
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Drinking
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Eating
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Eye
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Humans
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Laparoscopy
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Liver
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Musculoskeletal System
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Peritoneum
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Snakes
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Sparganosis
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Sparganum
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Urogenital System