1.The Association Between Lung Function and Type 2 Diabetes in Koreans
Osong Public Health and Research Perspectives 2020;11(1):27-33
This study was performed to test the association between lung function and type 2 diabetes mellitus (T2DM) in Korean patients. Data from the 6th Korea National Health and Nutrition Examination Survey (2013 to 2015) was used in this study. There were 3,466 individuals aged between 40 and 80 years, with T2DM, who had a smoking and alcohol status listed, and blood analysis (including blood pressure), were included in this study. Lung function, measured by spirometer ventilatory dysfunction was categorized into 3 patterns: normal, restrictive ventilatory dysfunction, and obstructive ventilatory dysfunction (OVD). Based on multivariate logistic regression analysis, individuals with restrictive ventilatory dysfunction had an increased odds ratio (OR 1.615, 95% CI 1.137–2.294) for T2DM compared with individuals with normal ventilatory function, whereas OVD had no increase in the odds ratio (OR 1.169, 95 % CI 0.857–1.594). Model 1, which adjusted for age and gender, showed that the probability of having restrictive disorder was 1.559 times (95% CI 1.617–2.082) higher for prediabetes patients, and 2.320 times (95% CI 1.611–3.343) higher for T2DM patients, compared to normal individuals. For Model 4, which was fully adjusted for variables, the probability of having a restrictive disorder was 1.837 times higher for T2DM patients (95% CI 1.260–2.679). Restrictive ventilatory dysfunction, but not OVD, was associated independently with T2DM.
2.Efficacy of a 20% Aluminum Chloride in Alcohol Solution in the Treatment of Hyperhidrosis: A Study Using a Hydrometer.
Nam Joon CHO ; Seung Hun LEE ; Doo Yun LEE
Annals of Dermatology 1998;10(1):20-24
BACKGROUND: Excessive sweating, especially of the palms, soles and axillae, is a socially and an occupationally distressing, and sometimes disabling condition. A variety of treatment methods are used to reduce profuse sweating including topical agents, iontophoresis and symphatectomy. OBJECTIVE: We investigated whether a 20% aluminum chloride solution is efficient in the treatment of axillary and palmoplantar hyperhidrosis using a skin surface hydrometer. METHODS: We treated 31 patients (7; male, 24; female) by Drysol once a day at bedtime for four weeks. We had measured the conductances on the stratum corneum of the palms, soles and axillae using a skin surface hydrometer before and after treatment every week for four week RESULTS: There was a reduction of conductances after the treatment by Drysol (p<0.05). The reduction of conductances was continued for four weeks (p<0.05). CONCLUSION: Drysol is an efficient, safe, and simple method for initial treatment of the primary hyperhidrosis.
Aluminum*
;
Axilla
;
Humans
;
Hyperhidrosis*
;
Iontophoresis
;
Male
;
Methods
;
Occupations
;
Skin
;
Sweat
;
Sweating
3.Surgical Correction of Neglected Clubfeet in the elder Child and Adult
In KIM ; Seung Koo LEE ; Han CHANG ; Nam Gee LEE
The Journal of the Korean Orthopaedic Association 1989;24(1):161-174
Clubfoot or talipes equinovarus is the most common congenital anomaly of the foot observed in children as well as in adults. This deformity should be treated immediately after birth, and so the cases of old neglected clubfeet are quite rare now. Moreover, in the cases of old neglected clubfoot, it is very difficult to get satisfactory results because there will be secondary adaptive changes in the tarsal bones and surrounding soft tissues. Therefore, clubfeet are considered to be one of many things requiring on or more of the many different types of treatment. The authors have experienced to treat nine cases of old neglected clubfoot from May, 1978 to April, 1988 at the Department of Orthopedic Surgery, St. Mary's Hospital, and reported herewith. 1. Their average age was 14.8 years old (3 to 25 yesrs old). There were one bilateral clubfeet, left foot in 5 cases and right foot in 4 cases. 2. According to the age of the patients and severity of deformities, two patients from three to ten years old were treated with soft-tissue release and serial casting, and seven patients after ten years old were treated by soft-tissue release, various osteotomies and triple arthrodesis. Postoperative management consisted of long leg cast for first four weeks and short leg walking cast for another four to eight weeks. 3. The results were estimated by the talo-calcaneal index according to Beatson et al(3)radiologically and their external appearance of corrected foot subjectively. The talo-calcaneal index was improved from 17.8° to 37° after operation and all of patients satisfied with the results of their operation.
Adult
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Arthrodesis
;
Child
;
Clubfoot
;
Congenital Abnormalities
;
Foot
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Humans
;
Leg
;
Orthopedics
;
Osteotomy
;
Parturition
;
Tarsal Bones
;
Walking
4.A Case of Secondary Telangiectasia Associated with an Operation.
Nam Soo KIM ; Seung Hun LEE ; Sung Ku AHN
Korean Journal of Dermatology 1994;32(6):1103-1106
Telangiectasia is characterized by permanently dilated small vessels usually arising from the suprapapillary plexus of venule capillaries, or arterioles. It may be etvlogically divided into the primary and secondary types. Rosacea, varicose vein, prolonged sun xvsure, radiation, and physical trauma may be the causes of secondary telangiectasia. We report herein a case of secondary telangiectasia associated which operation for a femur fracture.
Arterioles
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Capillaries
;
Femur
;
Rosacea
;
Solar System
;
Telangiectasis*
;
Varicose Veins
;
Venules
5.Wernicke's Encephalopathy evoked by Hyperemesis Gravidarum and Hyperthyroidism.
Seung Jin LEE ; Kyung Jae NAM ; Kyung Ho LIM
Journal of Korean Society of Endocrinology 1998;13(3):489-494
Wernickes encephalopathy is an illness characterized by mental disturbance, paralysis of eye movements and ataxia of gait. The specific factor for most, if not all, of these symptoms is a deficiency of thiamine. Wemicke's encephalopathy mostly occurs in developing countries when the patient is in a state such as nutritionally deprived state, anorexia nervosa, stomach cancer, long duration of parenteral nutrition. Wernickes encephalopathy was recognized as a complication of hyperemesis of pregnancy in 1914. Unfortunately, cases continue to occur. We present here a case of Wernickes encephalopathy in a 36-year-old pregnant woman. We discuss the clinical picture, histopathology, radiology, therapeutic management and prognosis with review of the literature.
Adult
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Anorexia Nervosa
;
Developing Countries
;
Eye Movements
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Female
;
Gait Ataxia
;
Humans
;
Hyperemesis Gravidarum*
;
Hyperthyroidism*
;
Paralysis
;
Parenteral Nutrition
;
Pregnancy
;
Pregnant Women
;
Prognosis
;
Radiation Oncology
;
Stomach Neoplasms
;
Thiamine
;
Wernicke Encephalopathy*
6.Unilateral Keratosis Lichenoides Chronica.
Nam Joon CHO ; Sungbin IM ; Seung Hun LEE
Annals of Dermatology 1994;6(1):78-80
Keratosis lichenoides chronica is rare chronic dermatosis characterized by progressive development of licheniod papulonodules especially on the extremities and trunk. A 15-year-old male patient had erythematous to violaceous scaly patches and plaques on the left side of trunk and lower extremity along Blaschko's lines. Clinical and histologic findings were compatible with keratosis lichenoides chronica showing unilateral distribution.
Adolescent
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Extremities
;
Humans
;
Keratosis*
;
Lower Extremity
;
Male
;
Skin Diseases
7.Three Cases of Mirtazapine Induced Akathisia.
Seung Hwan LEE ; Min NAM ; Young Cho CHUNG
Journal of the Korean Society of Biological Psychiatry 2001;8(1):162-166
The mirtazapine is a relatively new antidepressant that has noradrenergic and specific serotonin antagonist action(NaSSAs). This has been known as one of the most safest drugs because of its few side effects. Until now, there have been only one case report that mirtazapine causes a EPS side effect(restless leg syndrome). But the peculiar mechanism of this drug makes it impossible to explain the exact reasons why the mirtazapine could induce EPS symptoms. Authors obseved three cases of mirtazapine indeced akathisia. We could not explain the phenomenon the other way except akathisia. So here we presents the three case of mirtazapine induced akathisia and a few possible hypothesis of this phenomenon.
Leg
;
Psychomotor Agitation*
;
Serotonin
8.Six Cases of Myocardial Infarction with Angiographically Normal or Near Normal Coronary Arteries.
Seung Jung PARK ; Nam Sik CHUNG ; Seung Yun CHO ; Won Heum SHIM ; Woong Ku LEE
Korean Circulation Journal 1987;17(1):175-182
Myocardial infarction is almost regularly associated with severe and widespread obstructive coronary artery disease. Recently, there have been some reports of myocardial infarction with normal of near normal coronary arteries on cineangiography. The following report concerns 6 cases (4% of a series of 142 consecutively studied patients with myocardial infarction) of myocardial infarction proved on clinical grounds with normal or near normal coronary arteries at coronary angiography obtained several months later. The clinical data was shown in Table 1 and Table 2. All 6 patients were male. Three were in the fifth, two in the sixth, and one in the seventh decade. Multiple risk factors were present in only one patient. Areas of localized dyskinesia or hypokinesia were demonstrated in five on the left ventricular cineangiography. The left ventricular end-diastolic pressure was greater than 12 mmHg in all 6 patients. One patient had hypertrophic cardiomyopathy and the remaining 5 patients had no underlying heart diseases. One patient had moderate congestive heart tailure. It is possible that prolonged, localized coronary artery spasm or platelet thrombi that subsequently resolved are a part of the pathogenic mechanism.
Blood Platelets
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Cardiomyopathy, Hypertrophic
;
Cineangiography
;
Coronary Angiography
;
Coronary Artery Disease
;
Coronary Vessels*
;
Dyskinesias
;
Estrogens, Conjugated (USP)
;
Heart
;
Heart Diseases
;
Humans
;
Hypokinesia
;
Male
;
Myocardial Infarction*
;
Risk Factors
;
Spasm
9.A Case of Bilateral Coronary Artery-Pulmonary Artery Fistula.
Seung Jung PARK ; Seung Yun CHO ; Woong Ku LEE ; Nam Sik CHUNG ; Won Heum SHIM
Korean Circulation Journal 1986;16(4):555-558
Coronary arterivenous fistula(CAVF) is an uncommon congenital coronary anomaly-Bilateral CAVFs that originate from both coronary arteries are very rare. Coronary arteriography performed in recent years has clarified the incidence and various features of this lesion. Baim et al.1) reported that only 5% of the coronary artery fistulas arose from bilateral coronary arteries. In this report, we present a case of bilateral coronary artery pulmonary artery fistulas associated with atypical chest pain.
Angiography
;
Arteries*
;
Chest Pain
;
Coronary Vessels
;
Fistula*
;
Incidence
;
Pulmonary Artery
10.Bilateral Segmental Neurofibromatosis Showing Different Dermatomal Distribution.
Sang Hyun CHO ; Eun Young BAE ; Chang Nam LEE ; Seung Hun LEE ; Jeong Deuk LEE
Annals of Dermatology 2003;15(2):71-74
A 43-year-old woman presented with numerous cutaneous neurofibromas, limited to the left anterior chest(T2-3) and the right lower back(L1-2). These had been present for 10 years. Neither cafe-au-lait spot, intertriginous freckle, nor Lisch nodule was found. The family history was negative for neurofibromatosis. Biopsy specimens showed circumscribed, nonencapsulated neurofibromas. The present case was a rare form of bilateral segmental neurofibromatosis in that while most of the reported cases involved the same dermatome bilaterally, she had bilaterally different dermatomal neurofibromas.
Adult
;
Biopsy
;
Cafe-au-Lait Spots
;
Female
;
Humans
;
Melanosis
;
Neurofibroma
;
Neurofibromatoses*