1.Nonoperative management of traumatic liver injuries.
Kyung Sig KIM ; Sung Youn JEON ; Jung Wok SUH
Journal of the Korean Surgical Society 1992;42(5):617-624
No abstract available.
Liver*
2.The effect of audiovisual instruction that influences hormone replacement therapy uptake and changes of lifestyle behaviors related to osteoporosis in perimenopausal women.
Tae Heum JEONG ; Tae Hee JEON ; Mun Chan KIM ; Yeong Il KIM ; Dae Joon JEON ; Seoung Oh YANG ; Su Youn HAM ; Byung Kyun KO ; Sung Ryul KIM
Journal of the Korean Academy of Family Medicine 2000;21(11):1406-1414
No Abstract Available.
Female
;
Hormone Replacement Therapy*
;
Humans
;
Life Style*
;
Osteoporosis*
3.Neuronal Hyperexcitability Mediates Below-Level Central Neuropathic Pain after Spinal Cord Injury in Rats.
Eun Sung PARK ; Younghoon JEON ; Dae Chul CHO ; Dong Ho YOUN ; Young Seob GWAK
Laboratory Animal Research 2010;26(3):225-232
Spinal cord injury often leads to central neuropathic pain syndromes, such as allodynic and hyperalgesic behaviors. Electrophysiologically, spinal dorsal horn neurons show enhanced activity to non-noxious and noxious stimuli as well as increased spontaneous activity following spinal cord injury, which often called hyperexcitability or central sensitization. Under hyperexcitable states, spinal neurons lose their ability of discrimination and encoding somatosensory information followed by abnormal somatosensory recognition to non-noxious and noxious stimuli. In the present review, we summarize a variety of pathophysiological mechanisms of neuronal hyperexcitability for treating or preventing central neuropathic pain syndrome following spinal cord injury.
Animals
;
Central Nervous System Sensitization
;
Discrimination (Psychology)
;
Neuralgia
;
Neurons
;
Posterior Horn Cells
;
Rats
;
Spinal Cord
;
Spinal Cord Injuries
4.A Case of Traumatic Endophthalmitis Managed with Pars Plans Vitrectomy.
Young Tae CHUNG ; Youn Hee CHUNG ; Doo Sung KWON
Journal of the Korean Ophthalmological Society 1981;22(2):451-456
Although we managed a patient with traumatic endophthalmitis with potent antibiotics for 7 days topically and systemically, her clinical symtoms and signs did not improved and her visual activity decreased from hand motion to light perception. So, we performed pars plana vitrectomy and lensectomy using the Ocutome(R) and Frognatome(TM) and achieved a successful result with final visual acuity of 50 cm finger count or better without evidence of phthisis bulbi in this case.
Anti-Bacterial Agents
;
Endophthalmitis*
;
Fingers
;
Hand
;
Humans
;
Visual Acuity
;
Vitrectomy*
5.A case of congenital hypertrophic pyloric stenosis in two siblings.
Yung Min JANG ; Mi Ran PARK ; Sung Yoon BYUN ; Jae Youn KIM ; In Sang JEON ; Kwang Jun KIM
Journal of the Korean Pediatric Society 1993;36(7):1025-1029
Congenital hypertrophic pyloric stenosis is the most common intra-abdominal disease required surgery during the first few months of life. The expression of pyloric stenosis is dependent upon the genetic influence of ancestors affected with the disease, as well as unknown environmental influences in the postnatal period. Pyloric stenosis has been reported in multiple sibs in a family, which suggests the genetic influence on the expression of this disease. Until now, the genetic influence is thought a sex-modified polygenic or multifactorial background which facilitates the expression of a common dominant gene. We experienced a case of congenital hypertrophic pyloric stenosis in a two siblings. The siblings suffered projectile vomiting for 2~4 days at 16 days old of age and 15 days old of age. After we confirmed the diagnosis by upper gastrointestinal series and abdominal sonogram, the Fredet-Ramstedt pyloromyotomy was done successfully. This case suggests the genetic influence on the expression of this disease.
Diagnosis
;
Genes, Dominant
;
Humans
;
Pyloric Stenosis
;
Pyloric Stenosis, Hypertrophic*
;
Siblings*
;
Vomiting
6.A Case of Vaselinoma-Associated Wound Infection Caused by a Catalase-Negative Staphylococcus aureus.
Sung Ran CHO ; Youn Soo JEON ; Tae Youn CHOI ; Hwi Jun KIM
Korean Journal of Clinical Pathology 2001;21(2):119-121
Staphylococci are known to produce catalase, but there have been a few case reports of catalase-negative Staphylococcus aureus. The present report describes the first case of catalase-negative S. aureus associated with vaselinoma to our knowledge. We isolated a catalase-negative strain of S. aureus from a penile wound of a 35-year-old man who injected with vaseline into his penis 9 months ago. Colony morphology and biochemical reactions of the strain were typical of S. aureus except for catalase. The patient was diagnosed as having vaselinoma with wound infection and was successfully treated by the surgical removal of the vaseline granuloma and the administration of appropriate antibiotics. Catalase-negative S. aureus is considered to be a very rare variant of S. aureus. To date the number of reported cases of catalase-negative S. aureus is very few, so further studies need to be conducted to evaluate its clinical relation.
Adult
;
Anti-Bacterial Agents
;
Catalase
;
Granuloma
;
Humans
;
Male
;
Penis
;
Petrolatum
;
Staphylococcus aureus*
;
Staphylococcus*
;
Wound Infection*
;
Wounds and Injuries*
7.Cardiac arrest with pulseless electrical activity during a robot-assisted distal gastrectomy: A case report.
Younghoon JEON ; Young Hoon PARK ; Doo Youn HWANG ; Seong Wook HONG ; Taeha RYU ; Sung Sik PARK
Anesthesia and Pain Medicine 2012;7(4):329-332
A 59-year-old woman was scheduled to undergo a robot-assisted distal gastrectomy under general anesthesia. During the operation, the vital signs were maintained in normal range. After 7 hours of surgery, the pulse oxymeter graph became flat and the end tidal CO2 concentration suddenly decreased. Palpation of the carotid artery revealed no heart beat but the EKG continued to show sinus rhythm. Pulseless electrical activity (PEA) was diagnosed. An advanced cardiopulmonary life support protocol for PEA was immediately initiated, which included chest compressions and doses of IV cardiovascular drugs. However, in spite of continuous CPR, the heart wasn't recovered from the arrest. We experienced cardiac arrest for pulseless electrical activity during robot-assisted distal gastrectomy.
Anesthesia, General
;
Cardiopulmonary Resuscitation
;
Cardiovascular Agents
;
Carotid Arteries
;
Electrocardiography
;
Female
;
Gastrectomy
;
Heart
;
Heart Arrest
;
Humans
;
Hypovolemia
;
Middle Aged
;
Palpation
;
Peas
;
Reference Values
;
Thorax
;
Vital Signs
8.The Clinical Observation of Glomerulonephritis in the Elderly.
Jong Hyun LEE ; Kyung Youn SEON ; Sung Ho LEE ; Se Ho CHOI ; Yong Deok JEON
Journal of the Korean Geriatrics Society 2006;10(1):9-14
BACKGROUND: The glomerulonephritis appears in various clinical presentations. Renal biopsy is important diagnostic tool for treatment decision and prognosis prediction of glomerulonephritis. We tried to study on the clinical presentations of glomerulonephritis through histopathological findings and treatment responses in elderly patients. METHODS: We made an retrospective analysis in elderly patients aged over 60 years performed renal biopsy in our medical center from January 1991 to February 2005. RESULTS: Of all the 42 patients, the mean age of the patients was 64.6+/-3.5 years, 24 male and 18 female patients were included(1.3:1). Patients aged 60-64 years (n=26, 62%) were majority. On clinical indications of renal biopsies, 17 patients had nephrotic syndrome, 10 had asymptomatic urinary abnormality, 5 had gross hematuria, and 5 had acute azotemia. The results of renal biopsies presented that 30 patients (71%) had primary glomerulonephritis, 9 patients (22%) had secondary glomerulonephritis. Among primary glomerulonephritis, membranous nephropathy (n=10) was most common, followed by IgA nephropathy (n=7),focal segmental glomerulos-clerosis (n=3), membranoproliferative glomerulonephritis (n=2), and mesangioproliferative glomerulonephritis (n=2). In secondary glomer-ulonephritis, there were diabetic nephropathy (n=2), lupus nephritis (n=2), cancer-related nephritis (n=2), poststreptococcal glomer-ulonephritis (n=1), Henoch-Schonlein nephritis (n=1), amyloidosis (n=1). In the cases of nephrotic syndrome, primary nephrotic syndrome (n=12, 71%) is more prevalent than secondary nephrotic syndrome (n=3, 18%). The most common cause of primary nephrotic syndrome was membranous nephropathy (n=8). The causes of asymptomatic urinary abnormality were IgA nephropathy (n=4), lupus nephritis (n=2), membranous nephropathy (n=1), mesangioproliferative glomerulonephritis (n=1). By the complications of renal biopsy, only a few patients presented new-onset hematuria, hematoma, aggravation of hypertension, but, severe complication including an infection or a death was none. 8 of 12 patients with primary nephrotic syndrome were treated, 5 patients of those were shown complete response (n=3) or partial response (n=2). CONCLUSION: Various clinical presentations of glomerulonephritis were shown to elderly patients. Number of complications after renal biopsies were relatively small, and good responsiveness to treatment could be expected in the elderly patients. Therefore it is reasonable to perform a renal biopsy if indicated.
Aged*
;
Amyloidosis
;
Azotemia
;
Biopsy
;
Diabetic Nephropathies
;
Female
;
Glomerulonephritis*
;
Glomerulonephritis, IGA
;
Glomerulonephritis, Membranoproliferative
;
Glomerulonephritis, Membranous
;
Hematoma
;
Hematuria
;
Humans
;
Hypertension
;
Lupus Nephritis
;
Male
;
Nephritis
;
Nephrotic Syndrome
;
Prognosis
;
Retrospective Studies
9.Histopathologic Diagnosis and Outcome of Renal Biopsied Pediatric Nephrotic Syndrome.
Hye Jeon CHUNG ; Suk YOUN ; Sung Do KIM ; Byoung Soo CHO
Journal of the Korean Society of Pediatric Nephrology 2005;9(2):149-158
PURPOSE: To determine the histological findings and treatment outcome in cases of childhood nephrotic syndrome which required renal biopsy. METHODS: We retrospectively reviewed the clinical, laboratory, pathologic findings and therapeutic outcomes of 169 nephrotic children who received a renal biopsy at the Department of Pediatrics, Kyunghee Medical University Hospital, Seoul from 1984 to 2004 over a period of 21 years. The renal biopsy was performed in nephrotic children who showed atypical features at presentation, or needed cytotoxic therapy because of frequent-relapsing, steroid-dependent, or steroid-resistant nephrotic syndrome(SRNS). RESULTS: Minimal change disease(MCD) was found in 52.1% of the patients, followed by diffuse mesangial proliferation(33.1%), focal segmental gomerulosclerosis(5.3%), membranoproliferative glomerulonephritis(2.4%), membranous nephropathy(2.4%), and IgA nephropathy(1.8 %). In MCD children, 14.8% had hematuria, 22.7% had hypertension, 5.7% showed decreased renal function, and no patient was found to have an abnormal complement level. Among patients diagnosed with diseases other than MCD, 43.2% had hematuria, 21.0% was found to be hypertensive, 7.4% of children showed decreased renal function and only 3(3.7%) had decreased complement level; the rates of hematuria and SRNS were found to be significantly higher than MCD patients. Among 37 SRNS patients, 30(81.0%) showed a final remission state with long-term steroid therapy, including methylprednisolone pulse therapy, over 4 months, with or without cytotoxic therapy. CONCLUSION: Almost half of the cases of childhood nephrotic syndrome requiring renal biopsy were not diagnosed with MCD. Among atypical features, hematuria and steroid-resistance would be the most probable indicators for a diagnosis other than MCD. Even in patients with SRNS, long-term methylprednisolone pulse therapy may result in a good remission rate.
Biopsy
;
Child
;
Complement System Proteins
;
Diagnosis*
;
Hematuria
;
Humans
;
Hypertension
;
Immunoglobulin A
;
Methylprednisolone
;
Nephrotic Syndrome*
;
Pediatrics
;
Retrospective Studies
;
Seoul
;
Treatment Outcome
10.Non-traumatic Atlanto-axial Rotatory Subluxation: A Case Report.
Heui Jeon PARK ; Ki Youn KWON ; Wan Ki KIM ; Young Jun SHIM ; Sung Min KWON
Journal of Korean Society of Spine Surgery 2012;19(2):59-63
STUDY DESIGN: A case report. OBJECTIVES: To report a case of diagnostic, clinical and radiologic follow-up of a non-traumatic atlanto-axial rotatory subluxation. SUMMARY OF LITERATURE REVIEW: Atlanto-axial rotatory subluxation, caused by a non-traumatic inflammation or infectious diseases, has been branded as "Grisel's syndrome". However, the pathophysiology of the syndrome has not been clearly understood, and its diagnostic criteria and appropriate treatment plans are not established. MATERIALS AND METHODS: The patient suffering from antlanto-axial subluxation without any neurological symptoms was treated with halter traction and Miami J brace. RESULTS: The patient maintained a normal reduction state, and a normal cervical movement was observed after undergoing 4 weeks of non-surgical treatment. CONCLUSION: Early detection and treatment are essential and critical in avoiding catastrophic outcomes. It requires a combination of clinical assessment and appropriate radiographic imaging.
Communicable Diseases
;
Follow-Up Studies
;
Humans
;
Inflammation
;
Stress, Psychological
;
Traction