1.Symptomatic Sacroiliitis in Female Systemic Lupus Erythematosus.
Ki Do PARK ; Young Hun HONG ; Sung Dong KIM ; Dong Hwan RYU ; Coong Ki LEE
Yeungnam University Journal of Medicine 2000;17(2):161-164
We report a case of 17-year-old female with juvenile onset systemic lupus erythematosus Who developed symptomatic unilateral sacroiliitis. She had neither HLA-DR3 nir B27 antigens. Though sacroiliitis have been reported in mail SLE patient. it has been rarely reported in female patients. The rare coexistence of SLE and sacroiliitis. described in this case. may not be determined soley by genetic factors; sacroiliitis may be just an infrequent manifestation of SLE.
Adolescent
;
Female*
;
HLA-DR3 Antigen
;
Humans
;
Lupus Erythematosus, Systemic*
;
Postal Service
;
Sacroiliitis*
2.Successful coil embolization of ruptured hepatic artery pseudoaneurysm.
Hee Jung OH ; Ki Nam SHIM ; Jung Hwa RYU ; Tae Hun KIM ; Sung Ae JUNG ; Kwon YOO ; Il Hwan MOON
Korean Journal of Medicine 2005;69(1):117-118
No abstract available.
Aneurysm, False*
;
Embolization, Therapeutic*
;
Hepatic Artery*
3.In vivo and in vitro effect of hCG on the activites of mouse macrophage.
Kwang Eun CHOI ; Mi Ran KIM ; Yong Il KWON ; Ki Sung RYU ; Jae Keun JUNG ; Sung Eun NAMKOONG ; Hun Young LEE ; Seung Jo KIM
Korean Journal of Obstetrics and Gynecology 1993;36(2):235-240
No abstract available.
Animals
;
Macrophages*
;
Mice*
4.The effect of GnRH analogue in patients with advanced gynecologic malignancy.
Se Il KIM ; Ki Sung RYU ; Eun Jung KIM ; Ku Taek HAN ; Jae Kun JUNG ; Sung Eun NAMKOONG ; Hun Young LEE
Korean Journal of Obstetrics and Gynecology 1992;35(2):240-248
No abstract available.
Gonadotropin-Releasing Hormone*
;
Humans
5.Hormonal and growth effects of GnRH analogue and gonadal steroid hormones on gynecological tumor cell lines.
Jin Woo KIM ; Sa Jin KIM ; Ki Sung RYU ; Gu Taek HAN ; Jae Keun JUNG ; Sung Eun NAMKOONG ; Seung Jo KIM ; Hun Young LEE
Korean Journal of Obstetrics and Gynecology 1992;35(11):1649-1660
No abstract available.
Cell Line, Tumor*
;
Gonadal Steroid Hormones*
;
Gonadotropin-Releasing Hormone*
;
Gonads*
6.Simultaneous Three Color Detection of Surface Antigen (My 7), Intracellular Antigen (c-myc), and DNA Content using Single Laser Flow Cytometry.
Ku Taek HAN ; Ki Sung RYU ; Sung Eun NAMKOONG ; Soo Pyung KIM ; Jong Gu RHA ; Seung Kyu SONG ; Seong Jo KIM ; Hun Young LEE ; John PARKER
Korean Journal of Obstetrics and Gynecology 1997;40(1):181-190
Flow cytometry, a useful tool for measuring DNA content and cell differentiation as expressed by cell surface markers, is utilized to measure multiple antigens, especially surface antigen, intracellular oncoprotein, and DNA content, simultaneously. For this simultaneous detection, several methods off ixation and permeabilization have been used with limited values. In this study, 20 ng/ml of lysolecithin in 1% paraformaldehyde solution was utilized for fixation and permeabilization of cultured promyelocytic leukemic cells(HL 60). The cells were first stained with phycoerythrin (PE)-conjugated monoclonal antibody to the cell surface My 7 antigen and then were fixed and permeabilized with 20 ng/ml of lysolecithin in 1% partormaldehyde solution. After incubation, the fixed and permeabilized cells were stained with monoclonal antibody to intracellular c-myc antigen, which were followed by fluorescein isothiocyanate (FITC)-conjugated secondary antibody. The c-myc stained cells were finally stained for DNA content with 7-amino-actinomycin D(7-AAD). This procedure permits excellent staining for intracellular oncoproteins and preservation of surface antigens with relatively low cofficients of variation (CV) for the G0G1 peak of the DNA histograms and suggests that the sequential staining procedure of surface antigen, intracellular antigen, and DNA content will be extended for the study of correlations with cellular differentiation, expression of oncoproteins, and cell cycle analysis in the cells which are obtained from human malignant diseases using a 488 nm single laser flow cytometry.
Antigens, Surface*
;
Cell Cycle
;
Cell Differentiation
;
DNA*
;
Flow Cytometry*
;
Fluorescein
;
Humans
;
Oncogene Proteins
;
Phycoerythrin
7.Bile Duct Cancer afterSubtotal Gastrectomy for Early Gastric Cancer: Report of 2 Cases.
JSeon Mee PARK ; Dong Hee RYU ; Ok Jun LEE ; Rohyun SUNG ; Il Hun BAE ; Jae Woon CHOI
Korean Journal of Hepato-Biliary-Pancreatic Surgery 2008;12(1):86-90
Patients with early gastric cancer (EGC) may be associated with an increased risk of having a second primary cancer. Metachronous primary malignancies may have an influence on the long term prognosis of these patients. We report here on two cases of bile duct cancer after performing subtotal gastrectomy for EGC. A 59-year-old man underwent pylorus preserving pancreaticoduodenectomy (PPPD) under the diagnosis of bile duct cancer, and this was done 5 years after he had undergone gastrectomy. The pathological specimens were different between the EGC and bile duct cancer according to their morphology and immunohistochemical staining, and this case was determined to be metachronous double cancer. The second case was a 39-year-old man who received PPPD for bile duct cancer 4 years after undergoing gastrectomy. Double primary malignancies of bile duct cancer and gastric cancer are very rare.
Adult
;
Bile
;
Bile Duct Neoplasms
;
Bile Ducts
;
Gastrectomy
;
Humans
;
Middle Aged
;
Neoplasms, Second Primary
;
Pancreaticoduodenectomy
;
Prognosis
;
Pylorus
;
Stomach Neoplasms
8.Effect of neuromuscular blockade reversal by pyridostigmine on spectral entropy values during recovery from desflurane anesthesia: a prospective, randomized, double-blind, controlled trial.
Eugene KIM ; Jae Hun RYU ; Sung Hye BYUN
Korean Journal of Anesthesiology 2016;69(3):227-233
BACKGROUND: According to several studies investigating the relationship between muscle activity and electroencephalogram results, reversal of neuromuscular blockade (NMB) may affect depth of anesthesia indices. Therefore, we investigated the effect of pyridostigmine on these indices via spectral entropy. METHODS: Fifty-six patients scheduled for thyroidectomy or parotidectomy were included in this study and randomized into two groups. At the start of skin suturing, the desflurane concentration was adjusted to 4.2 vol% in both groups. Following this, the pyridostigmine group (group P, n = 28) was administered pyridostigmine 0.2 mg/kg mixed with glycopyrrolate 0.04 mg/kg, while the control group (group C, n = 28) received normal saline. Entropy values (response entropy [RE] and state entropy [SE]), train of four (TOF) ratio, and end-tidal desflurane concentration were recorded from point of drug administration to 15 minutes post-drug administration. RESULTS: Mean RE values at 15 minutes, when the maximum effect of pyridostigmine was anticipated, showed a statistically significant difference between groups (53.8 ± 10.5 in group P and 48.0 ± 8.8 in group C; P = 0.030). However, mean SE at 15 minutes showed no significant difference between the two groups (P = 0.066). At 15 minutes, there were significant differences in the TOF ratio between the two groups (P < 0.001). CONCLUSIONS: NMB reversal by pyridostigmine significantly increased RE values but not SE values. This finding suggests that spectral entropy may be a useful alternative tool for monitoring anesthetic depth during recovery from anesthesia in the presence of electromyogram activity.
Anesthesia*
;
Electroencephalography
;
Electromyography
;
Entropy*
;
Glycopyrrolate
;
Humans
;
Neuromuscular Blockade*
;
Prospective Studies*
;
Pyridostigmine Bromide*
;
Skin
;
Thyroidectomy
9.Coronary Arteriovenous Fistula Complicated with Dilated Pulmonary Sinus Confirmed by Multidetector-row CT.
Dong Hun KIM ; Sung Koo KIM ; Duk Won BANG ; Wook YUM ; Sang Wan RYU
Journal of the Korean Radiological Society 2005;52(3):183-186
Congenital coronary arteriovenous fistula (CAVF) is a rare condition which is characterized by abnormal communication of the coronary artery with the right ventricle, right atrium, left atrium, left ventricle or pulmonary artery. In this paper, we report a case of a 68-year-old woman complaining of resting chest pain for one week. Initially, after performing a coronary arteriogram, the case was diagnosed as a CAVF combined with a pulmonary artery aneurysm. However, a multidetector-row CT (MDCT) was also performed, and the structure initially diagnosed as a pulmonary artery aneurysm was identified as a dilated pulmonary sinus. Subsequently, the patient was treated successfully with a simple ligation.
Aged
;
Aneurysm
;
Arteriovenous Fistula*
;
Chest Pain
;
Coronary Vessels
;
Female
;
Heart Atria
;
Heart Ventricles
;
Humans
;
Ligation
;
Pulmonary Artery
10.Comparison of Epidural Anesthesia with 0.5% Levobupivacaine and 0.5% Ropivacaine for Cesarean Section.
Chun Woo YANG ; Sung Mee JUNG ; Hee Uk KWON ; Po Soon KANG ; Seung Hun RYU
Korean Journal of Anesthesiology 2007;52(3):284-290
BACKGROUND: Ropivacaine and levobupivacaine, both single S-enantiomers, show less toxicity on the central nervous and cardiovascular system than racemic bupivacaine. Earlier studies have shown that levobupivacaine and bupivacaine are almost equipotent while ropivaciane was 60% less potent than bupivacaine. The aim of this prospective, double blinded study was to compare the clinical efficacy and safety of epidural anesthesia produced by 0.5% levobupivacaine and 0.5% ropivacaine for a cesarean section. METHODS: Sixty-two parturients undergoing an elective cesarean section were randomized to receive either epidural levobupivacaine 0.5% 20 ml (n = 31) or epidural ropivacaine 0.5% 20 ml (n = 31). Surgery was commenced when the sensory block had reached the dermatome level, T6. The onset, duration, quality of the sensory and motor block and abdominal muscle relaxation were evaluated. The blood pressure and heart rate of the mother and neonatal outcome, as assessed by the Apgar score and umbilical pH, were also recorded. RESULTS: There was no difference in the onset time, the segmental spread of sensory block and analgesic supplement between the two groups. However, levobupivacaine produced a longer duration of sensory block than ropivacaine (levobupivacaine 224.1 +/- 66.6 min, ropivacaine 176.5 +/- 32.8 min, P < 0.05). The onset time (except Bromage scale 2), intensity and duration of the motor block and muscle relaxation were similar in both groups. There was no difference in the maternal and neonatal outcomes between the two groups. CONCLUSIONS: 0.5% levobupivacaine and 0.5% ropivacaine produced equivalent efficacy and safety in epidural anesthesia for a cesarean section, but levobupivacaine resulted in a longer duration of sensory block.
Abdominal Muscles
;
Anesthesia, Epidural*
;
Apgar Score
;
Blood Pressure
;
Bupivacaine
;
Cardiovascular System
;
Cesarean Section*
;
Female
;
Heart Rate
;
Humans
;
Hydrogen-Ion Concentration
;
Mothers
;
Muscle Relaxation
;
Pregnancy
;
Prospective Studies
;
Relaxation