1.A Case of Congenital Long OT Syndrome with Pseudo - Atrioventricular Block.
Kyoung Hi JEON ; Yong Woon BACK ; Hyun Kee CHUNG ; Tae Jun CHA ; Sung Rae CHO
Journal of the Korean Society of Neonatology 1999;6(2):263-267
The congenital long-QT syndrome (LQTS) is characterized by recurrent syncope, prolonged QT intervals, QT interval lability, polymorphic ventricular tachycardia, and sudden death. We report a case of congenital long QT syndrome in a 28-day-old male infant who presented with syncope, bradycardia with 2: 1 pseudo-atrioventricular block and a markedly prolonged QT inteval. One episode occured after crying and degenerated into ventricular fibrillation and terminated after cardioversion. A VVI type cardiac pacemaker was implanted. Subsequently, the infant's heart rate was over 110/min and 2: 1 AV block and any other arrhythmia were absent. The infant recovered from the accompanied pneumonia and sepsis and was discharged 47 days after adrnission. However, 13 days after discharge, the infant returned to our hospital ER with syncope. Ventricular fibrillation ceased after cardioversion. Despite medication with propranolol, ventricular tachycardia persisted. The infant expired the day after he was discharged against medical advice.
Arrhythmias, Cardiac
;
Atrioventricular Block*
;
Bradycardia
;
Crying
;
Death, Sudden
;
Electric Countershock
;
Heart Rate
;
Hospitals
;
Humans
;
Infant
;
Long QT Syndrome
;
Male
;
Pneumonia
;
Propranolol
;
Sepsis
;
Syncope
;
Tachycardia, Ventricular
;
Ventricular Fibrillation
2.A Case of Short Umbilical Cord Sundrome.
Heun Ug JEON ; Yong Ho MOON ; Ki Sung CHUNG ; Beung Ju JEE ; O Jun KWON
Korean Journal of Obstetrics and Gynecology 1999;42(3):656-659
Short umbilical cord syndrome, also known as the limb-body wall malformation complex and the body stalk anomaly, is a poorly defined sporadic group of congenital anomaly charaterized by a complex set of disruptive abnormalities having in common the failured closure of the ventral body wall. This disorder is charaterized by a short or absent umbilical cord and disruption of the lateral body wall, spine, limbs, face, and cranium, isolated or in combination. Recently, we present a case of short umbilical cord syndrome which found in a term baby, so we report a case of short umbilical cord syndrome with brief review of literature.
Extremities
;
Skull
;
Spine
;
Umbilical Cord*
3.Laparoscopic duodenal segmental resection and duodenojejunostomy for symptomatic duodenal diverticula in three cases treated at a community hospital
Yong Jun JEON ; Eui Chul JEONG
Journal of Minimally Invasive Surgery 2021;24(1):51-55
The duodenum is the second most common site of diverticula following the colon, but is associated with fewer complications than colonic diverticula. Diverticulitis, cholangitis, pancreatitis, perforation, hemorrhage, and blind loop syndrome may occur as complications of duodenal diverticula. Although nonoperative treatment is an option for patients in good condition without signs of sepsis, surgery is generally required for definitive treatment of complications. There are several surgical procedures for symptomatic duodenal diverticula. We performed laparoscopic duodenal segmental resection and duodenojejunostomy without open conversion in three cases. We believe that this procedure is ideal for cases of symptomatic duodenal diverticula when performed by an experienced surgeon with the goal of definitive treatment.
4.Survival of Prosthetic Replacement in Primary Bone Tumor around Knee Joint.
Dae Geun JEON ; Jong Seok LEE ; Sug Jun KIM ; Bong Jun KWAG ; Wan Hyeong CHO ; Soo Yong LEE
The Journal of the Korean Orthopaedic Association 1998;33(5):1344-1350
Thirty-one distal femoral and nine proximal tibial primary bone tumor patients who had prosthetic replacements were reviewed retrospectively. Average follow-up was thirty-eight months(range: 12- 109 months). There were thirty-two(osteosarcoma: 29, chondrosarcoma: 3) stage IIB lesions and eight 1B lesions(giant cell tumor). Twenty-nine patients were surviving at final follow-up. Overall prosthetic survival was 81%, 27% at 2 and 5 year respectively. Eleven prostheses were revised. The causes of revisions were infection(7), metal failure(2), fracture of host bone(1), and loosening(1). Eight revisions were successful, one was fair, and two patients needed an amputation. Prognostic factors which were analyzed for survival of prostheses were age, sex, location of primary lesion, percent of bone resected, and stage. Only the location of primary lesion showed statistical significance and diabolic pattern of survival curve was noted between two groups in resection length(<40% versus >40%). Average functional score was 26. The tibial side had worse prosthetic survival and a major threat to this procedure was due to infection.
Amputation
;
Chondrosarcoma
;
Follow-Up Studies
;
Humans
;
Knee Joint*
;
Knee*
;
Prostheses and Implants
;
Prosthesis Failure
;
Retrospective Studies
;
Sarcoma
5.Erythropoietin Reduces Death and Neurodevelopmental Impairment in Neonatal Hypoxic-Ischemic Encephalopathy
Seung Jun BANG ; Juyoung LEE ; Ga Won JEON ; Yong Hoon JUN
Neonatal Medicine 2022;29(4):123-129
Purpose:
Erythropoietin (EPO) is a promising neuroprotective drug. We investigated whether EPO has beneficial effects on neurodevelopmental outcomes in infants with hypoxic-ischemic encephalopathy (HIE).
Methods:
We retrospectively reviewed the data of 56 infants with HIE born at or after 35 weeks of gestation who were admitted to Inha University Hospital between 2012 and 2021. Patients were divided into two groups based on EPO use and compared. In the EPO group, patients were administered 1,000 U/kg of EPO on days 1, 2, 3, 5, and 7, starting within 24 hours after birth. The primary outcome was death or neurodevelopmental impairment (NDI) at the age of 12 months.
Results:
EPO was administered to 38 infants, and 18 did not receive EPO. Only 37.5% of patients with HIE (21/56) and 60% of patients with moderate-to-severe HIE (21/35) received therapeutic hypothermia. Among all patients with HIE, death or NDI (21.1 % vs. 50.0%; odds ratio [OR], 0.09; 95% confidence interval [CI], 0.01 to 0.78; P=0.029) and brain injury on imaging (42.1% vs. 83.3%; OR, 0.16; 95% CI, 0.03 to 0.92; P=0.040) were significantly lower in the EPO group than in the control group. Among patients with moderate-to-severe HIE, brain injury on imaging (54.2% vs. 90.9%; OR, 0.04; 95% CI, 0.002 to 0.700; P=0.027) was significantly lower in the EPO group than in the control group.
Conclusion
EPO administration significantly reduced mortality and NDI in infants with HIE. EPO can be considered an adjunctive therapeutic agent for neonatal HIE.
6.Comparison of Dietary Intakes, Smoking Status, Plasma Lipids, Lipoprotein (a) and Antioxidant Nutrients in Patients With Coronary Heart Disease and Healthy Controls.
Seon Min JEON ; Wee Hyun PARK ; Jae Eun JUN ; Yeon Kyung LEE ; Yong Bok PARK ; Myung Sook CHOI
Korean Circulation Journal 1998;28(3):339-349
BACKGROUND: Hyperlipidemia has been known as an independent risk factor in the develop-ment of coronary artery disease. This study was carried out to compare nutrient intakes, smo-king status, antioxidant vitamins, and plasma lipids in patients with coronary heart disease (CHD) and in normal healthy subjects among Korean population in Taegu. Possible causes of this dis-ease in patients are discussed. METHODS: Anthropometric assessments included mean intakes of nutrients, and the levels of plasma lipids (apolipoprotein [Apo] A - I, Lipoprotein [Lp] [a]), and antioxidant vitamins (such as vitamins A and E) were measured in female and male subjects with CHD against healthy con-trols. RESULTS: Dietary cholesterol and fat intakes were significantly higher in CHD groups in men and women. Total plasma cholesterol, LDL-C, triglyceride, thiobarbituric acid reactive subst-ance (TBARS), atherogenic index and Lp (a) levels were significantly higher in CHD patients than in the normal group in both men and women. Apo A-I, HDL-C and vitamin E levels were lower in CHD patients than in the normal group. The number of smokers was higher in CHD patients than in the normal group in both sexes of subjects. CONCLUSION: High fat and high cholesterol intakes seemed to be a major factor for the hyperlipidemia in the CHD patients. Their abnormal lipoprotein profile, which appeared in pati-ent plasma, corresponded well to dietary intake patterns. However, long term studies are need-ed to investigate the effects of smoking on lipid metabolism in CHD patients among the Korean population.
Apolipoprotein A-I
;
Cholesterol
;
Cholesterol, Dietary
;
Coronary Artery Disease
;
Coronary Disease*
;
Daegu
;
Female
;
Humans
;
Hyperlipidemias
;
Lipid Metabolism
;
Lipid Peroxidation
;
Lipoprotein(a)*
;
Lipoproteins*
;
Male
;
Plasma*
;
Risk Factors
;
Smoke*
;
Smoking*
;
Triglycerides
;
Vitamin A
;
Vitamin E
;
Vitamins
7.DNA-mediated Immunization Methods with the HCMV gB for the Induction of Neutralizing Antibodies to HCMV in BALB/c Mice.
Sang Jun JEON ; Ye Jin KWON ; Eun Suk PARK ; Chung Gyu PARK ; Eung Soo HWANG ; Chang Yong CHA
Journal of Bacteriology and Virology 2001;31(4):353-360
No abstract available.
Animals
;
Antibodies, Neutralizing*
;
Immunization*
;
Mice*
8.A case of heterotopic pregnancy: 16 weeks of intrauterine pregnancy with fetal Edwards syndrome and tubal pregnancy, following IVF-ET.
Doo Yong CHUNG ; Hyun Su JEON ; Hyun Jun KIM
Korean Journal of Obstetrics and Gynecology 2008;51(1):89-94
Heterotopic pregnancy is defined as coexistence of intrauterine and ectopic pregnancy. The reported incidence of heterotopic pregnancy, which is normally rare, is particularly high (1%) after IVF treatment. It is important to have a high index of suspicion for the occurrence of heterotopic pregnancies because only 40% to 84% of cases can be diagnosed with transvaginal ultrasound at the initial presentation. Edwards syndrome occurs in 8,000 newborns and the incidence is much higher in elderly gravidas. We report a case of heterotopic pregnancy following IVF-ET resulting in 16 weeks of intrauterine pregnancy with fetal Edwards syndrome, and tubal pregnancy with a brief review of literature.
Aged
;
Female
;
Humans
;
Incidence
;
Infant, Newborn
;
Pregnancy
;
Pregnancy, Ectopic
;
Pregnancy, Heterotopic
;
Pregnancy, Tubal
9.Limb Salvage for Shoulder Girdle Neoplasm
Dae Geun JEON ; Jong Seok LEE ; Sug Jun KIM ; Ha Yong KIM ; Dong Hwan CHUNG ; Hyun Soo PARK ; Soo Yong LEE
The Journal of the Korean Orthopaedic Association 1995;30(5):1203-1209
Between 1987 and 1994, the authors analysed 29 patients who underwent limb sparing resection for shoulder girdle neoplasms. Follow up averaged 24 months. Primary bone and soft tissue malignancy were 23 cases, metastatic carcinoma 3, aggressive giant cell tumor 2, aneurysmal bone cyst 1. By Enneking's criteria, stage IIB 23 cases, stage III 3, stage I 2. The surgical margins were: wide(20), marginal(7), and intralesional(2). In 4 cases with S2345B resections(by Musculoskeletal Tumor Society classification), shoulder fusion were done with Ender nail and bone cement. Among twenty patients with S345A(3), S34A(6), S345B(11) resections, arthroplasty with Ender nail and bone cement were done in 11 cases, endoprothesis and its combination with bone cement in 4, vascu- larized fibula graft in I, shoulder fusion with fibula graft in 1, combination of autoclaved bone and endoprothesis were done in 3 cases. Four patients with S12B, no reconstruction were done. For one patient with S45A, segmental resection and reconstruction with autogenous pasteurized bone were done. Oncologic results are CDF 14, DOD 5, NED 3, AWD 7 cases. Complications were local recur- rence 3(10.3%), distal fragment loosening 1, subluxation of humeral head 1, graft site fracture 1, and infection in 1 case. MSTS functional scores for the whole 29 cases were 22.5(75% of normal). S2345B with fusion was 20(67%). For S345A(3) and S34A(6) score was 23.2(77%). For S345B(11), score was 21.7(72%). For S12B(4) and S45A(1), score was 25.8(86%). Although functional results are depend on the extent of bone and soft tissue resection, reconstruction of soft tissue seems to be important. The options for reconstruction of bony defect(endoprothesis complex, living fibula graft or IM nail and cement as a prothesis) did not affect functional outcome.
Aneurysm
;
Arthroplasty
;
Bone Cysts
;
Extremities
;
Fibula
;
Follow-Up Studies
;
Giant Cell Tumors
;
Humans
;
Humeral Head
;
Limb Salvage
;
Shoulder
;
Transplants
10.A Case of `Silent' Subdural Abscess Detected Incidentally during the Operation of Chronic Otitis Media with Cholesteatoma.
Kyu Sung KIM ; Yong Sun JEON ; Tae Yong YANG ; Jun Shun SHIN
Korean Journal of Otolaryngology - Head and Neck Surgery 2003;46(7):602-605
Antibiotic treatment for chronic middle ear infections has reduced the incidence of otogenic intracranial complication. Since CT scan became available for the diagnosis, the mortality rate was reduced to about 10%. Nevertheless, intracranial complications are among the most significant life-threatening complications of chronic middle ear infection. Early diagnosis by careful neurootologic, radiologic examination and aggressive medical and surgical treatment are required for successful management. There have been no reports in the Korean literature on otogenic intracranial complications without any preoperative symptoms or signs of intracranial spreading of infection. We experienced `silent' subdural abscess incidentally during a revision mastoidectomy for chronic otitis media with cholesteatoma. The patient was treated by removing abscess and dural repair following mastoidectomy. We report this case with a review of literatures.
Abscess*
;
Cholesteatoma*
;
Diagnosis
;
Ear, Middle
;
Early Diagnosis
;
Empyema, Subdural
;
Humans
;
Incidence
;
Mortality
;
Otitis Media*
;
Otitis Media, Suppurative
;
Otitis*
;
Tomography, X-Ray Computed