1.CT Findings of Small Bowel Rupture after Abdominal Trauma.
Young Ju KIM ; Ki Joon SUNG ; Jin Hwan OH ; Joong Wha PARK ; Soo Yeun SHIM
Journal of the Korean Radiological Society 1995;32(5):757-761
PURPOSE: The accuracy of CT in the detection of injuries of the solid visceral organ is well established, but the value of CT in diagnosing small bowel rupture after abdominal trauma is controversal. This study was conducted to ascertain CT finding of small bowel rupture result from abdominal trauma. MATERIALS AND METHODS: A retrospective analysis of preoperative abdominal CT findings in 40 patients was performed. Small bowel rupture was confirmed by surgery. Precontrast and postcontrast enhanced CT images were obtained in all patients. RESULTS: Diagnostic findings of small bowel rupture including pneumoperitoneum or retroperitoneal air, discontinuity of the bowel wall and extravasation of oral contrast materials were observed in 33 cases(83%). Intraperitoneal or retroperitoneal free air was seen in 31 cases(78%) and intraperitoneal or retroperitoneal free fluid collection was seen in 38 patients(95%). Small bowel wall was thickened in 31 cases(78%), bowel wall was enhanced in 12 cases(30%) and bowel wall discontinuity and extravasation of oral contrast material was seen in 5 cases, respectively. CONCLUSION: The CT scan is sensitive and effective modality for evaluation of small bowel rupture after abdominal trauma, because of high detectability of diagnostic and suggestive CT findings.
Contrast Media
;
Humans
;
Pneumoperitoneum
;
Retrospective Studies
;
Rupture*
;
Tomography, X-Ray Computed
2.Experience of Violence and Hospital Violence Attitude according to Gender and Gender-Role Identity of Clinical Nurses
Korean Journal of Occupational Health Nursing 2022;31(2):57-65
Purpose:
This study aims to examine differences in experiences of violence and hospital violence attitude according to gender and gender-role identity of clinical nurses.
Methods:
The quota sampling method, was used to select the research subjects. They were divided into two groups male and female nurses who worked for three general hospitals or higher level-hospitals in Incheon and Gyeongbuk. The data of 219 subjects was used for final analysis. The IBM SPSS 22.0 was used to analyze the data t-test and ANOVA.
Results:
According to gender, the hospital violence experience of female nurses was oserved frequently when the verbal violence came from guardians, and when the physical threats came from others. For male nurses, the experiences of hospital violence was obserbed. According to gender, the hospital violence attitude revealed significant differences in female nurses that the negative attitude was higher (t=-4.69, p<.001). According to gender-role identity, the undifferentiated and femininity showed significant differences (F=4.86 p=.003).
Conclusion
The differentiated strategies of coping measures and violence preventive education considering the gender and gender-role identity of clinical nurses would help formulate measures for the effective management of hospital violence.
3.Immediate hypersensitivity reaction to steroids: a case report.
Eun Ji KIM ; Kyoung Hee SOHN ; Jin LEE ; Dong Yoon KANG ; Ju Yeun LEE ; Hye Ryun KANG
Allergy, Asthma & Respiratory Disease 2017;5(3):165-168
Steroids are widely used for the treatment of a variety of diseases, including autoimmune and allergic diseases. Immediate hypersensitivity reactions can occur within 1 hour after administration of steroids and are regarded as IgE-mediated hypersensitivity presenting as urticaria, angioedema, bronchospasm, and anaphylaxis. Steroid hypersensitivity is rare, but can be life-threatening. Therefore, it is important to find implicated drugs and to choose safe alternative agents. A 44-year-old female was diagnosed with steroid hypersensitivity after intralesional steroid injection. She underwent a skin prick test and an intradermal test for methylprednisolone, triamcinolone, hydrocortisone, and dexamethasone. The results were positive to triamcinolone and methylprednisolone. The patient was educated to avoid culprit agents in order to prevent recurrence. Herein, we report a rare case of steroid hypersensitivity that showed positive reactions to triamcinolone and methylprednisolone. A review of the literature for steroid hypersensitivity is also provided.
Adult
;
Anaphylaxis
;
Angioedema
;
Bronchial Spasm
;
Dexamethasone
;
Drug Hypersensitivity
;
Female
;
Humans
;
Hydrocortisone
;
Hypersensitivity
;
Hypersensitivity, Immediate*
;
Intradermal Tests
;
Methylprednisolone
;
Recurrence
;
Skin
;
Skin Tests
;
Steroids*
;
Triamcinolone
;
Urticaria
4.Management of Complex Regional Pain Syndrome Type 1 With Total Spinal Block.
Se Jin OK ; Jong Yeun YANG ; Ju Hyung SON ; Won Ju JEONG ; Yoon Sook LEE ; Woon Young KIM ; Young Cheol PARK
The Korean Journal of Pain 2010;23(1):70-73
Complex regional pain syndrome (CRPS) is a painful and disabling disorder that can affect one or more extremities. Unfortunately, the knowledge concerning its natural history and mechanism is very limited and many current rationales in treatment of CRPS are mainly dependent on efficacy originated in other common conditions of neuropathic pain. Therefore, in this study, we present a case using a total spinal block (TSB) for the refractory pain management of a 16-year-old male CRPS patient, who suffered from constant stabbing and squeezing pain, with severe touch allodynia in the left upper extremity following an operation of chondroblastoma. After the TSB, the patient's continuous and spontaneous pain became mild and the allodynia disappeared and maintained decreased for 1 month.
Adolescent
;
Chondroblastoma
;
Extremities
;
Humans
;
Hyperalgesia
;
Male
;
Natural History
;
Neuralgia
;
Pain, Intractable
;
Upper Extremity
5.Seroepidemiologic Analysis of Acute Febrile Illness During 1994-1995 in Korea.
Jin Won SONG ; Luck Ju BAEK ; Sang Hyun KIM ; Se Yeun KIM ; Yong Ju LEE ; Ki Joon SONG
Korean Journal of Infectious Diseases 1998;30(4):385-391
BACKGROUND: The principal acute febrile diseases reported in autumn, Korea, have been hemorrhagic fever with renal syndrome (HFRS), scrub typhus, murine METHODS: To evaluate the seroepidemiologic patterns of acute febrile illness in Korea, sera were collected from 5330 patients from 1994 to 1995, and examined for antibodies against Hantaan virus, Orientia tsutsuga-mushi, Rickettsia typhi, and Borrelia burgdorf eri by indirect immunofluorescent antibody technique(IFA) and by macroscopic agglutination test for Leptosp ira intero-gans. RESULTS: Of 640 seropositive cases against O. tsutsu-gamushi, 60% were female; age group of the seventh decade occupied 30%; 89% were reported during October and November. By IFA test, the seropositive rate of murine typhus was 3.5% (187/5330) with high incidence rate (44%) in the period from October to December, and males in their forties and fifties were mostly affected. Cases seropositive for leptospirosis consisted 1% of 5330 acute febrile illness cases. Of 55 seropositive cases, 71% were male; 71% were in their sixties; 78% occurred during the period from August to October. Hantavirus seropositive rate was 12.2% (649/5330) with a high incidence rate (70%) in the period from October to January and males in the thirties were mostly infected. No seropositive case of Lyme disease was present. CONCLUSION: The above results indicate that hantavirus, O. tsutsugamushi, R. typhi, and L. interogans were the main causative agents of acute febrile diseases during autumn season in Korea.
Agglutination Tests
;
Antibodies
;
Borrelia
;
Female
;
Hantaan virus
;
Hantavirus
;
Hemorrhagic Fever with Renal Syndrome
;
Humans
;
Incidence
;
Korea*
;
Leptospirosis
;
Lyme Disease
;
Male
;
Rickettsia typhi
;
Scrub Typhus
;
Seasons
;
Typhus, Endemic Flea-Borne
6.Failure of Conservative Treatment in Two Cases of Polyarteritis Nodosa with Superior Mesenteric Artery Involvement Presenting with Abdominal Pain.
Ho Chan SIM ; Ju Hyoung LEE ; Ji Woon LEE ; Seung Hyun PARK ; Ju Won LEE ; Heui Jeong JEONG ; Jin LEE ; Sung Yeun YANG
The Korean Journal of Helicobacter and Upper Gastrointestinal Research 2017;17(3):154-158
Polyarteritis nodosa (PAN) is a systemic necrotizing vasculitis affecting medium- or small-sized arteries. Its diagnosis may be delayed because it is a rare disease, and patients presenting with PAN demonstrate variable clinical manifestations and non-specific laboratory abnormalities. Gastrointestinal involvement occurs in 14~65% of patients with PAN and is a significant cause of morbidity and mortality. Thus, early diagnosis is very important in PAN with gastrointestinal involvement. We report two cases of rapidly progressive PAN presenting with abdominal pain, having failed conservative treatment.
Abdominal Pain*
;
Arteries
;
Diagnosis
;
Early Diagnosis
;
Humans
;
Mesenteric Artery, Superior*
;
Mortality
;
Polyarteritis Nodosa*
;
Rare Diseases
;
Vasculitis
7.Seroepidemiologic Analysis and Antigen Detection from Patients with Hemorrhagic Fever with Renal Syndrome.
Ki Joon SONG ; Se Yeun KIM ; Sang Hyun KIM ; Jae Kyung YUN ; Luck Ju BAEK ; Yong Ju LEE ; Jin Won SONG
Korean Journal of Infectious Diseases 1997;29(5):361-369
BACKGROUND: Hantaan (HTN) and Seoul (SEO) viruses, harbored by the striped-field mouse(Apodemus agrarius) and the Norway or common rat (Rattus rattus & Rattus norvegicus), respectively, were known to cause hemorrhagic fever with renal syndrome(HFRS) in Korea. We evaluated the seroepidemiologic patterns of hantaviral infections and detect the hantaviral antigens from patients' sera. METHODS: Total 8,102 HFRS patients' sera were collected from 1994 to 1996, and examined by indirect immunofluorescent antibody technique (IFA), hemagglutination inhibition test (HI), IgM emzyme-linked immunosorbent assay (IgM-ELISA) and nested reverse transcription-polymerase chain reaction(RT-PCR). RESULTS: The seropositive rate against hantaviral antigen was 12.0% (973/8102) with the high incidence rate (68.3%) in the period from October to January, and males in the thirties were mostly affected. HTN viral infections were detected 3.5 and 5.2 times higher than SEO viral infections by HI and RT-PCR, respectively, and patients in the fifties were the mostly affected age-group in SEO viral infections, IgM antibodies were detected in the 717 sera of the 905 IFA positive cases (79.2%), and the antigen detection rate of HTN and SEO viruses was 7.7% (56/724). Interestingly, 40 sera (4.4%), showed higher antibody titers against the Puumala (PUU) virus than those against HTN or SEO viruses. CONCLUSION: The results showed HTN and SEO viruses were the main causative agents of HFRS in Korea, and also suggested the possible presence of PUU-related hantaviral infections.
Animals
;
Antibodies
;
Fever
;
Hantaan virus
;
Hantavirus
;
Hemagglutination Inhibition Tests
;
Hemorrhagic Fever with Renal Syndrome*
;
Humans
;
Immunoglobulin M
;
Incidence
;
Korea
;
Male
;
Norway
;
Puumala virus
;
Rats
;
Seoul
;
Seoul virus
;
Seroepidemiologic Studies
8.Replication of the Association between Copy Number Variation on 8p23.1 and Autism by Using ASD-specific BAC Array.
Jung Hoon WOO ; Song Ju YANG ; Seon Hee YIM ; Hae Jin HU ; Myung Ju SHIN ; Eun Hee OH ; Hyun Woong KANG ; Seonyang PARK ; Yeun Jun CHUNG
Genomics & Informatics 2010;8(1):19-27
To discover genetic markers for autism spectrum disorder (ASD), we previously applied genome-wide BAC array comparative genomic hybridization (array-CGH) to 28 autistic patients and 62 normal controls in Korean population, and identified that chromosomal losses on 8p23.1 and on 17p11.2 are significantly associated with autism. In this study, we developed an 8.5K ASD-specific BAC array covering 27 previously reported ASD-associated CNV loci including ours and examined whether the associations would be replicated in 8 ASD patient cell lines of four different ethnic groups and 10 Korean normal controls. As a result, a CNV-loss on 8p23.1 was found to be significantly more frequent in patients regardless of ethnicity (p<0.0001). This CNV region contains two coding genes, DEFA1 and DEFA3, which are members of DEFENSIN gene family. Two other CNVs on 17p11.2 and Xp22.31 were also distributed differently between ASDs and controls, but not significant (p=0.069 and 0.092, respectively). All the other loci did not show significant association. When these evidences are considered, the association between ASD and CNV of DEFENSIN gene seems worthy of further exploration to elucidate the pathogenesis of ASD. Validation studies with a larger sample size will be required to verify its biological implication.
Autistic Disorder
;
Cell Line
;
Child
;
Clinical Coding
;
Coat Protein Complex I
;
Comparative Genomic Hybridization
;
Ethnic Groups
;
Genetic Markers
;
Humans
;
Sample Size
;
Autism Spectrum Disorder
9.A Case of Chronic Renal Failure Associated with Systemic Capillary Leak Syndrome.
Seon Ha BAEK ; Nara SHIN ; Hyo Jin KIM ; Mi Yeun HAN ; Dong Ju CHOI ; Soo Mee BANG ; Sejoong KIM ; Jin Ho PAIK
Yeungnam University Journal of Medicine 2012;29(2):145-149
Systemic capillary leak syndrome (SCLS) is an unusual entity characterized by hypovolemic shock, hemoconcentration, and hypo-albuminemia associated with paraproteinemia as a result of marked capillary hyperpermeability. Complications of this syndrome can include compartment syndromes, pulmonary edema, thrombosis, and acute kidney injury. This paper reports a case of severe SCLS accompanied by acute tubular necrosis caused by hypoperfusion and myoglobinuria secondary to rhabdomyolysis, which resulted in chronic kidney disease that necessitated hemodialysis. However, there have been rare data of residual end-organ damage after acute attacks in Korea. Therefore, this paper reports a case of complicated SCLS enough to hemodialysis and that developed into chronic kidney disease.
Acute Kidney Injury
;
Capillaries
;
Capillary Leak Syndrome
;
Compartment Syndromes
;
Kidney Failure, Chronic
;
Korea
;
Myoglobinuria
;
Necrosis
;
Paraproteinemias
;
Pulmonary Edema
;
Renal Dialysis
;
Renal Insufficiency, Chronic
;
Rhabdomyolysis
;
Shock
;
Thrombosis
10.Hemodynamic and Arterial Blood Gas Changes following Tourniquet Use under General Anesthesia with Sevoflurane or Propofol for Total Knee Replacement (TKR) in Geriatric Patients.
Soo Kyung LEE ; Hyo Seok KANG ; Jin Woo SHIN ; Yeun Hi JU ; Young Mi KIM ; Hyun Soo MOON
Anesthesia and Pain Medicine 2007;2(2):85-90
BACKGROUND: Tourniquets are widely used to provide a clean surgical field but can induce variable hemodynamic and metabolic changes. Sevoflurane is one of anesthetic agents used for unstable or elderly patients, and propofol can be used for smooth induction and early recovery with few side effects. This study evaluated the differences in the hemodynamic and metabolic changes after the application of a tourniquet under general anesthesia with sevoflurane or propofol for total knee replacement (TKR). METHODS: Thirty elderly female patients scheduled to undergo TKR were allocated into two groups, the general anesthesia with sevoflurane group (S group, n = 15) or the propofol group (P group, n = 15). The hemodynamic parameters such as the mean arterial pressure (MAP), heart rate (HR), central venous pressure (CVP), cardiac index (CI), stroke volume (SV), systemic vascular resistance (SVR), and arterial blood analysis were checked immediately before (control, T1), at 5 (T2), 30 (T3) and 60 minute (T4) after inflation, and at 5 (T5) and 30 minutes after (T6) deflation. RESULTS: Compared with T1, the MAP increased significantly at T2, T3, and T4 in both groups. The increase in the SVR after inflating the tourniquet and the decrease in the SVR after deflation were lower in the P group than in the S group. The metabolic changes after deflating the tourniquet were similar in both groups. CONCLUSIONS: Compared with sevoflurane, propofol did not significantly decrease the hemodynamic and metabolic changes after placing a tourniquet during TKR for elderly patients. therefore, both sevoflurane and propofol are acceptable anesthetics for TKR in geriatric patients.
Aged
;
Anesthesia, General*
;
Anesthetics
;
Arterial Pressure
;
Arthroplasty, Replacement, Knee*
;
Central Venous Pressure
;
Female
;
Heart Rate
;
Hemodynamics*
;
Humans
;
Hypertension
;
Inflation, Economic
;
Knee
;
Propofol*
;
Stroke Volume
;
Tourniquets*
;
Vascular Resistance