1.Postoperative hemodynamic changes of VSD with pulmonary hypertension.
Seung Ho MOON ; Young Il MIN ; Bong Suk OH
The Korean Journal of Thoracic and Cardiovascular Surgery 1993;26(2):122-128
No abstract available.
Hemodynamics*
;
Hypertension, Pulmonary*
2.Cholecystectomy during intra-abdominal operations.
Seung Kwon OH ; Jeoung Won BAE ; Sea Min KIM
Journal of the Korean Surgical Society 1991;40(1):44-49
No abstract available.
Cholecystectomy*
3.Clinical Evaluation of Unilateral Mandibular Condyle Fracture Combined with Midface Fracture
Seung Ki MIN ; Dong Keun LEE ; Seung Hwan OH ; Eun Taek LEE ; I Su JO ; Jong Goo KIM
Journal of the Korean Association of Maxillofacial Plastic and Reconstructive Surgeons 2001;23(6):516-522
No abstract available.
Mandibular Condyle
5.Prognostic Value of Somatosensory Evoked Potentials in Comatose Patients after Cardiopulmonary Resuscitation.
Se Min CHOI ; Dong Rul OH ; Seung Pil CHOI ; Kyu Nam PARK ; Se Kyung KIM
Journal of the Korean Society of Emergency Medicine 2000;11(4):450-456
BACKGROUND: The improved technique for cardiopulmonary resuscitation(CPR) has resulted in the survival of many patient who experienced cardiac arrest. However, mortality in resuscitated patients is high, and the survival rate without brain damage is very low. Various neurological examination models, neuro-imaging techniques, electrophysiological procedures, and biochemical tests have been studied with respect to the detection of cerebral damage and outcome, but an early, reliable prediction of individual outcomes is still uncertain. METHODS: We studied twenty patient who had been in a coma for more than 24 hours after CPR, Somatosensory evoked potentials(SEP) were measured within the first three days after CPR. RESULTS: Of the twenty patients, seven patients(35%) had a good outcome, and thirteen patients(65%) had a bad outcome. Of the eleven patients with loss of the cortical evoked potential's N20 peak, all had a bad outcome. CONCLUSION: SEPs are of great benefit in prognostic evaluation after CPR.
Brain
;
Cardiopulmonary Resuscitation*
;
Coma*
;
Evoked Potentials, Somatosensory*
;
Heart Arrest
;
Humans
;
Mortality
;
Neurologic Examination
;
Survival Rate
6.A Case of Acute Polyneuropathy with Nephrotic Syndrome Showing Transient Proximal Sensory Conduction Defects.
Jeeyoung OH ; Seung Min KIM ; Il Nam SUNWOO
Yonsei Medical Journal 2012;53(2):446-449
Acute sensorimotor polyneuropathy that resembles Guillain-Barre syndrome (GBS) is rarely accompanied with nephrotic syndrome, and its underlying immunological mechanisms are unclear. A 56-year-old man presented with simultaneous acute progressive symmetric sensorimotor polyneuropathy and proteinuria. A kidney biopsy revealed focal segmental glomerulosclerosis. Serial electrophysiologic studies showed only a transient proximal conduction block in the median nerve, stimulated somatosensory evoked potential and prolonged terminal latencies of the median and peroneal nerves. The patient's neurologic deficits and kidney dysfunction recovered with corticosteroid treatment. Our case showed that somatosensory evoked potential study can be an important objective tool in the diagnosis of acute polyneuropathy with normal distal nerve conduction and that corticosteroids should be considered in the initial treatment of GBS-resembling polyneuropathy associated with nephrotic syndrome.
Evoked Potentials, Somatosensory/physiology
;
Humans
;
Male
;
Middle Aged
;
Nephrotic Syndrome/*diagnosis/*physiopathology
;
Polyneuropathies/*diagnosis/*physiopathology
7.A Case of Occult Adenocarcinoma of Cystic Duct Associated with GB Empyema.
Won Ju OH ; Seung Min LEE ; Byeng Uin CHOI ; Hyang Soon YEO ; Hong Bae PARK
Korean Journal of Gastrointestinal Endoscopy 1989;9(1):57-59
A case of adenocarcinoma of cystic duct associated with GB empyema is presented. A 72 year old male was admitted to Kwangju Christian hospital because of abdominal pain in right upper quadrant for 4 days. He underwent explolaparotomy under the impression of GB empyema or GB cancer. For seeking causative factor of GB empyema, serial sections of cystic duct and mapping were performed. We can find adenocarcinoma of cystic duct in the specimen removed at cholecystectomy. The criteria for disgnosis of cystie duct carcinoma which was outlined by Farrar. These criteria are; 1) The growth must be restricted to the cystic duct, 2) There is no neoplastic process in the gall bladder, hepatic and common bile duct. 3) Histopathological examination must be comfirm carcinoma. Here we report a case of adenocarcinoma of cystic duct associated with GB empyema with brief review of Literature.
Abdominal Pain
;
Adenocarcinoma*
;
Aged
;
Cholecystectomy
;
Common Bile Duct
;
Cystic Duct*
;
Empyema*
;
Gwangju
;
Humans
;
Male
;
Urinary Bladder
8.Sepsis in Patients Receiving Immunosuppressive Drugs in Korea: Analysis of the National Insurance Database from 2009 to 2013.
Seung Young OH ; Songhee CHO ; Hannah LEE ; Eun Jin CHANG ; Se Hee MIN ; Ho Geol RYU
Korean Journal of Critical Care Medicine 2015;30(4):249-257
BACKGROUND: The aim of this study is to evaluate the influence of immunosuppressants on in-hospital mortality from sepsis. METHODS: Using data of the Health Insurance Review & Assessment Service, we collected data from patients who were admitted to the hospital due to sepsis from 2009 to 2013. Based on drugs commonly used for immunosuppression caused by various diseases, patients were divided into three groups; immunosuppressant group, steroid-only group, and control group. Patients with no history of immunosuppressants or steroids were assigned to the control group. To identify risk factors of in-hospital mortality in sepsis, we compared differences in patient characteristics, comorbidities, intensive care unit (ICU) care requirements, and immunodeficiency profiles. Subgroup analysis according to age was also performed. RESULTS: Of the 185,671 included patients, 13,935 (7.5%) were in the steroid-only group and 2,771 patients (1.5%) were in the immunosuppressant group. The overall in-hospital mortality was 38.9% and showed an increasing trend with age. The steroid-only group showed the lowest in-hospital mortality among the three groups except the patients younger than 30 years. The steroid-only group and immunosuppressant group received ICU treatment more frequently (p < 0.001), stayed longer in the hospital (p < 0.001), and showed higher medical expenditure (p < 0.001) compared to the normal group. Univariate and multivariate analyses revealed that age, male gender, comorbidities (especially malignancy), and ICU treatment had a significant effect on in-hospital mortality. CONCLUSIONS: Despite longer hospital length of stay and more frequent need for ICU care, the in-hospital mortality was lower in patients taking immunosuppressive drugs than in patients not taking immunosuppressive drugs.
Comorbidity
;
Health Expenditures
;
Hospital Mortality
;
Humans
;
Immunosuppression
;
Immunosuppressive Agents
;
Insurance*
;
Insurance, Health
;
Intensive Care Units
;
Korea*
;
Length of Stay
;
Male
;
Mortality
;
Multivariate Analysis
;
Risk Factors
;
Sepsis*
;
Steroids
9.Study on the Development of a Rapid Detection Method for Pathogenic Yersinia enterocolitica and Yersinia pseudotuberculosis by Nested Polymerase Chain Reaction.
Ho Jung OH ; Hong Ki MIN ; Yeo Won SOHN ; Seung Hwa HONG
Journal of the Korean Society for Microbiology 1999;34(2):175-187
A nested polymerase chain reaction (PCR) was applied to detect and identify pathogenic Yersinia enterocolitica and Y. pseudotuberculosis. We used photochemical postamplification procedure with 8-methoxypsoralen to control carryover contamination. Using the ail and inv gene, the sensitivity and specificity of DNA amplification by nested PCR was considerably improved. The amplified fragment sizes were 298 bp for the ail gene and 295 bp for the inv gene. Amplification was successful when the template was derived from three sources: purified DNA, aliquots of boiled bacterial suspension and aliquots of lysed bacterial suspension. The detection limits were 10 fg of DNA and 2 * 10 colony forming units (CFU) for Y. enterocolitica and 10 fg DNA and 2 CFU for Y. pseudotuberculosis.
DNA
;
Limit of Detection
;
Methoxsalen
;
Polymerase Chain Reaction*
;
Sensitivity and Specificity
;
Stem Cells
;
Yersinia enterocolitica*
;
Yersinia pseudotuberculosis*
;
Yersinia*
10.A Case of Targetoid Hemosiderotic Nevus.
Min Won LEE ; Jun Oh PAEK ; Myung Seung KANG ; Hee Joon YU ; Joung Soo KIM
Korean Journal of Dermatology 2013;51(3):224-226