1.Characteristics of Pain Threshold and Pain Experience in Elderly Patients with Dementia.
Hyeon Cheol BANG ; Ki Chang PARK ; Min Hyuk KIM ; Yeong Bok LEE ; Hyun Jean ROH
Korean Journal of Psychosomatic Medicine 2013;21(2):140-146
OBJECTIVES: We compared the characteristics of the pain threshold and pain experience between demented group and non-demented group. METHODS: This study was part of Gangwon projects for early detection of dementia in 2010. We recruited 8302 local resident ages over 65 years old. Of theses, 1259 people who scored low MMSE were selected and 365 of them completed CERAD-K(Consortium to Establish a Registry for Alzheimer's disease). Finally, 90 in non-demented group and 57 in demented group(mild to moderate Alzheimer's disease) were analyzed. Pain threshold was experimentally measured by pressure algometer and we investigated the pain experience, by Brief pain inventory (BPI), a self-report test. RESULTS: In the demographic characteristics, there are more female, higher ages, lower education in the demented group. There was no significant difference between the two groups in the pain threshold. On the BPI results, 'shoulder pain', 'the number of pain' and 'interference of working' were significantly more prevalent in non-demented group. However, there are no significant differences between the groups in the 'pain severity', 'prevalence of pain' and 'pain treatment'. CONCLUSIONS: Demented group report less pain experience but, still perceived pain. It support previous studies that patient with dementia have increased pain tolerance but preserved pain threshold. Thus, active pain assessment and treatment for patients with dementia is needed.
Aged*
;
Dementia*
;
Education
;
Female
;
Gangwon-do
;
Humans
;
Pain Measurement
;
Pain Threshold*
2.Two Cases of Tubereuloeis of the Thyroid Gland with Euthyroidism
Jae Bok LEE ; Seok Man SON ; Kyoung Seog LEE ; Yeong Tae JEONG ; In Joo KIM ; Yong Ki KIM
Journal of Korean Society of Endocrinology 1994;9(4):380-384
Tuberculosis of the thyroid gland is extremely rare with few cases reported in recent years. Tuberculosis may involve the thyroid gland in two main forms. The more common of theses is miliary spread to the thyroid as part of generalized dissemination and less commonly focal or caseous tuberculosis of the thyroid may occur, presenting as a nodule, as a thyroiditis, as a abscess, or as carcinoma like.We experienced two cases of tuberculosis of the thyroid gland presenting with palpable thyroid nodule in 26 year-old female and 65 year-old female patients. They have been clinically and biochemically euthyroid and their thyroid scans demonstrated a cold nodule at right thyroid gland. We found no evidence of tuberculosis elsewhere. The goiter was removed surgically and confirmed to be tuberculosis. They were medicated antituberculous agents after operation and followed up regulary out patient department.We report the cases of two patients with tuberculosis involving thyroid with reviews of literature.
Abscess
;
Female
;
Goiter
;
Humans
;
Thyroid Gland
;
Thyroid Nodule
;
Thyroiditis
;
Tuberculosis
3.4 cases of radical vulvectomy with gracilis myocutaneous pedicle graft for female vulvar malignancies.
Yeong Yang PARK ; Hae Sook KIM ; Min Kyung KIM ; Sang Yoon PARK ; Je Ho LEE ; Eui Don LEE ; Kyung Hee LEE ; Kee Bok PARK
Korean Journal of Obstetrics and Gynecology 1993;36(2):279-283
No abstract available.
Female*
;
Humans
;
Transplants*
4.Non-invasive Positive Pressure Ventilation for Pulmonary Edema in Kidney Transplanted Patient.
Jae Woo LIM ; Kyoung Min LEE ; Hyun Kyo LIM ; Soon Yul KIM ; Yeong Bok LEE ; Jae Chan CHOI
Korean Journal of Anesthesiology 2000;39(4):606-610
Non-invasive positive pressure ventilation (NIPPV) was mainly applied to acute respiratory failure in chronic obstructive pulmonary disease (COPD) and to intrinsic lung disease such as neuromuscular disorders. It has been reported that this maneuver reduces morbidity, mortality and hospital stay in patients in the intensive care unit. We observed a 32-year-old female renal transplantation patient who developed pulmonary edema during the perioperative state. The mainteance of an endotracheal tube in intubated patients who were on immunosuppresive therapy might increase nosocomial pneumonia significantly. In this case, the mortality increase was expected, therefore we considered that early extubation and mask continuous positive airway pressure (mask CPAP) could help. By using mask CPAP, the patient showed a good response and the pulmonary edema was improved. We report a case about the benefits of NIPPV in the treatment of pulmonary edema in an immunosuppressed patient of which the result was very satisfactory.
Adult
;
Continuous Positive Airway Pressure
;
Female
;
Humans
;
Intensive Care Units
;
Kidney Transplantation
;
Kidney*
;
Length of Stay
;
Lung Diseases
;
Masks
;
Mortality
;
Pneumonia
;
Positive-Pressure Respiration*
;
Pulmonary Disease, Chronic Obstructive
;
Pulmonary Edema*
;
Respiratory Insufficiency
5.Comparison of the Clinical Outcomes after Total Knee Arthroplasty with the LCS Rotating Platform Mobile Bearing Knee System and the PFC Sigma RP-F Mobile Bearing Knee System.
Ju Yeong KWAK ; Jae Heon JEONG ; Sang Hak LEE ; Ho Joong JUNG ; Young Bok JUNG
Clinics in Orthopedic Surgery 2012;4(4):256-262
BACKGROUND: We compared clinical outcomes after total knee arthroplasty with the Low Contact Stress (LCS) rotating platform mobile bearing knee system and the Press Fit Condylar Sigma rotating platform high flexion (PFC Sigma RP-F) mobile bearing knee system. METHODS: Fifty cases of total knee arthroplasty were performed with the PFC Sigma RP-F mobile bearing knee system and sixty-one cases were performed with the LCS mobile bearing total knee arthroplasty. The average duration of follow-up was 2.9 years. RESULTS: The mean Hospital for Special Surgery (HSS) knee score was 62.1 (range, 52 to 75) in the LCS group and 61.9 (range, 50 to 74) in the Sigma RP-F group preoperatively, and 90.1 (range, 84 to 100) in the LCS group and 89.8 (range, 83 to 100) in the Sigma RP-F group at the final follow-up. The mean preoperative flexion contracture was 6.7degrees (range, 0degrees to 10degrees) in the LCS group and 9.3degrees (range, 0degrees to 15degrees) in the Sigma RP-F group preoperatively. The mean range of motion was 124.6degrees (range, 105degrees to 150degrees) in the LCS group and 126.1degrees (range, 104degrees to 145degrees) in the Sigma RP-F group at the final follow-up. CONCLUSIONS: After a minimum duration of follow-up of two years, we found no significant differences between the two groups with regard to the range of knee motion or the clinical or radiographic results.
Aged
;
Aged, 80 and over
;
Arthroplasty, Replacement, Knee/*methods
;
Chi-Square Distribution
;
Female
;
Follow-Up Studies
;
Humans
;
Knee Joint/*physiology/radiography/surgery
;
*Knee Prosthesis
;
Male
;
Middle Aged
;
Pain Measurement
;
Range of Motion, Articular/physiology
;
Treatment Outcome
6.Comparison of Clinical Effect and Compliance according to Administration Route of beta2-agonist in Childhood Asthma.
Jong Hyun LEE ; Yeong Seon KIM ; Do Youn KONG ; Bok Yang PYUN
Pediatric Allergy and Respiratory Disease 2004;14(4):384-391
PURPOSE: This study was performed to evaluate the efficacy and compliance of beta2- agonist according to the type of preparations in the children with asthma. METHODS: Randomly selected 30 patients, who visited to Soonchunhyang University Hospital with acute asthma attack from May to August, 2004 were enrolled. Patients were randomly divided into 3 groups. We evaluated asthma symptom score before and 1 week after treatment in each group. Also, we measured O2 saturation, peak expiratory flow rate (PEFR), heart rate, and evaluated adverse reactions during the treatment. Treatment compliance was evaluated by the face to face interview with the patients and their guardians after 1 week of treatment. RESULTS: The mean asthma symptom score before and after treatment in each group were 5.9 and 1.1 in transdermal group, 5.4 and 0.9 in inhalation group, and 5.5 and 1.3 in oral group, respectively. Mean improvement of PEFR was 23.7% predicted after treatment. There was no serious adverse reactionin each group except mild itching of patch site in one case of transdermal group. Compliance of each group was relatively good. CONCLUSION: For the treatment of acute asthma attack, there was no difference in efficacy and safety of beta-agonist among the type of preparations. Also, there was no difference in adverse reaction and compliance between the type of preparation. Therefore it will be useful to choose the preparation with better compliance in each patient for the effective treatment of childhood asthma.
Asthma*
;
Child
;
Compliance*
;
Heart Rate
;
Humans
;
Inhalation
;
Peak Expiratory Flow Rate
;
Pruritus
7.Toxic effect of azalea extract on cardiovascular system.
Jun Ha CHUN ; Sung Bok CHUNG ; Seung Ho KANG ; Yeong Jo KIM ; Bong Sub SHIM ; Hyun Woo LEE ; Dong Gu SHIN ; Jong Min PARK
Yeungnam University Journal of Medicine 1991;8(2):52-62
The toxic effect of azalea extract, especially on cardiovascular system, in relatively unclear. The purpose of this study is to study the possible underlying mechanism and effect of toxic ingredient of azalea on cardiovascular system. The 71 healthy rabbits were divided into 10 groups: In group as preliminary study; 4 cc of normal saline was administered intravenously (N); 0.7 gm/kg and 1.0 gm/kg of azalea extract was administered respectively in the same route, volume (A1, A2); atropine was administered intravenously (A); after pretreatment with atropine (0.04 mg/kg) to block parasympathetic system, azalea extract was injected like the above groups (AA1, AA2); normal saline, 0.7 gm/kg and 1.0 gm/kg of azalea extract were administered respectively with 0.2 cc (1:1000) epinephrine (E0, E1, E2). We measured the following indices at I minute interval during first 10 minutes and then 10 minute interval during next 30 minutes: RR interval, QTc interval, maximal systolic and diastolic pressure drop with occurring time and presence of significant arrhythmia. The results were as follows: 1. The changes of RR interval, QTc interval were significantly increased in groups by Azalea extract. The blood pressure change was significantly decreased in groups by Azalea extract. There were no significant differences according to dosage of Azalea extract. 2. The changes of RR interval, blood pressure were significant differences between administration of atropine and Azalea extract after pretreatment with atropine, but not in the change of QTc interval. 3. There were no significant differences in the change of RR interval, ATc interval, blood pressure drop according to pretreatment with atropine. 4. The interaction between epinephrine and Azalea extract was not noted by the effect of epinephrine itself. 5. The ST change by 0.7 gm/kg, 1.0 gm/kg of Azalea extract was revealed in 1 case (14.0%), 7 case (100%), respectively. 6. Most of all cases with arrhythmia, ventricular tachycardia, ventricular fibrillation, were noted in the group by epinephrine, except on case by Azalea extract (1.0 gm/kg). It was idioventricular rhythm. In conclusion, azalea extract has negative inotropic and chronotropic effect with arrhythmogenic potential possibly through direct myocardial ischemia or injury but we can't be absolutely exclusive of actions of autonomic nervous system, especially parasympathetic nervous system.
Arrhythmias, Cardiac
;
Atropine
;
Autonomic Nervous System
;
Blood Pressure
;
Cardiovascular System*
;
Epinephrine
;
Myocardial Ischemia
;
Parasympathetic Nervous System
;
Rabbits
;
Tachycardia, Ventricular
;
Ventricular Fibrillation
8.Effects of Biophysical Index, Knowledge, and Self Management Compliance of Patients with Primary Hypertension by a Self Management Compliance Promotion Program.
Bok Seon JEONG ; Hui Gyeong GANG ; Mi Yeol GWAK ; Eun Suk KIM ; Hyeon Yeong KIM ; Eun Suk BAK ; Gye Yong SONG ; Hyang Su SIN ; Bok Hui YUN ; Eun Gyeong LEE ; Jeong Sun IM ; Sun Ok PI ; Eun Yeong JEONG ; Sang Ju CHOE ; Mi Yang JEON
Journal of Korean Academy of Nursing 2006;36(3):551-560
PURPOSE: This study was to develop and prove the effects of aself management compliance promotion program for primary hypertension patients who reside in rural communities. METHOD: The content of the self management compliance promotion program developed by this study was as follows: A leader trains patients as a group or individually, in walking, education and green tea therapy from the first to twelfth week. From the thirteenth to twenty fourth week, the patients should perform walking and green tea therapy by themselves. One hundred twenty subjects volunteered to participate in the study, who were among those registered as hypertension patients in the 14 community health clinics located in Chungcheongbuk-do. RESULT: Systolic blood pressure, total cholesterol, low-density lipoprotein cholesterol, triglyceride, step width, and degree of obesity decreased significantly. High-density lipoprotein cholesterol, step length, knowledge of hypertension, and self management compliance significantly increased. CONCLUSION: A self management compliance promotion program for primary hypertensive patients enhances biophysical index and knowledge on hypertension, thus ultimately suggesting a nursing intervention for promoting self management compliance.
Adult
;
Aged
;
Aged, 80 and over
;
Female
;
Health Promotion
;
Humans
;
Hypertension/psychology/*therapy
;
Life Style
;
Male
;
Middle Aged
;
Patient Compliance
;
*Patient Education as Topic
;
Rural Population
;
*Self Care
9.Therapeutic comparison between low-dose sustained-release theophylline dry syrup and capsule in children with mild persistent asthma.
Hyun Seung LEE ; Hae Kyung LEE ; Hi Jeong KWON ; Jeong Hee KIM ; Yeong Ho RHA ; Jin Tack KIM ; Young Ho KIM ; Hae Rhan LEE ; Bok Yang PYUN
Korean Journal of Pediatrics 2007;50(3):284-291
PURPOSE: Theophylline has recently been reported to have concurrent anti-inflammatory effects at low therapeutic plasma concentrations which are below the doses at which significants, clinically useful bronchodilatation is evident. Sustained-release formulation in capsule and dry syrup forms were developed to reduce its adverse effects and improve its clinical effects. We compared the therapeutic effects of theophylline dry syrup and capsules in children with mild asthma. METHODS: Ninety children with mild asthma were randomized to receive either theophylline dry syrup (n=44) or theophylline capsules (n=46); 4 mg per kilogram of body weight, twice a day, for 12 weeks. Baseline and serial measurements of daytime and nighttime asthma symptom score were performed. Compliance scores, drug swallowing scores, and drug usability scores were measured every 4 weeks. Each scoring was rated on a scale of 0-4. Serum theophylline concentration were measured at 4 and at 12 weeks. To examine the anti-inflammatory effect of theophylline on asthma, Serum eosinophilic cationic protein as a marker of airway inflammation caused by eosinophil was measured 12 weeks pre- and post-administration. RESULTS: The daytime and nighttime asthma symptom scores of the two groups after 4 weeks significantly improved over the baseline score. Daytime and nighttime asthma symptom scores in the dry syrup group were statistically lower at all time points except for the nighttime symptom scores at 4 weeks. Compliance scores, drug swallowing scores, and drug usability scores in the dry syrup group were significantly higher at the end time point. Only in the dry syrup group was the serum ECP at the end time point statistically lower than baseline. CONCLUSION: Low-dose sustained-release theophylline may be safe and effective in bronchial asthma and this effect may be mediated by its anti-inflammatory action mechanisms. Especially, when used in children with asthma, dry syrup formulation is recommended because of its higher compliance than capsule formulation.
Asthma*
;
Body Weight
;
Capsules
;
Child*
;
Compliance
;
Deglutition
;
Eosinophils
;
Humans
;
Inflammation
;
Plasma
;
Staphylococcal Protein A
;
Theophylline*
10.A Case of Acute Infective Endocarditis Initially Presenting as Acute Pyelonephritis.
Youn Hee LEE ; Jin Hee LEE ; Bo Mi CHOI ; Young Jae KO ; Soo Kyoung CHOI ; Yeong Bok LEE ; Young Min KIM ; Young Ok KIM
Journal of the Korean Society of Emergency Medicine 2015;26(6):605-608
Infective endocarditis carries high risk of morbidity and mortality. Rapid diagnosis and effective treatment are essential to good patient outcome. However, nonspecific symptoms and various clinical manifestations make early diagnosis difficult. Here we report on an unusual case of infective endocarditis initially presenting as acute pyelonephritis (APN). A 44-year-old female with a history of heart surgery was admitted for fever and both flank pain. The patient had undergone dental extraction 3 weeks prior to admission. Her lab work and physical examination revealed pyuria, positive bacterial culture of both blood and urine, costovertebral knocking tenderness, and CT findings consistent with APN, leading to her initial diagnosis as APN. Despite treatment with antibiotics, her symptoms did not improve while further physical examination revealed newly developed Osler's nodes and Janeway lesions. Echocardiography showed vegetation of the aortic valve with severe aortic regurgitation. She was diagnosed as a case of infective endocarditis and was treated successfully.
Adult
;
Anti-Bacterial Agents
;
Aortic Valve
;
Aortic Valve Insufficiency
;
Diagnosis
;
Early Diagnosis
;
Echocardiography
;
Endocarditis*
;
Endocarditis, Bacterial
;
Female
;
Fever
;
Flank Pain
;
Humans
;
Mortality
;
Physical Examination
;
Pyelonephritis*
;
Pyuria
;
Staphylococcus aureus
;
Thoracic Surgery