3.T-lymphocyte subsets in nephrotic syndrome.
Jong Kwang LEE ; Kee Hwan YOO ; Soon Kyum KIM
Korean Journal of Nephrology 1993;12(4):566-572
No abstract available.
Nephrotic Syndrome*
;
T-Lymphocyte Subsets*
;
T-Lymphocytes*
4.The Development of Molecular Detection Method and Differentiation of Genotypes of Enterovirus.
Eun Soon KIM ; Jung Hyun NAM ; Yoo Kyum KIM ; Ki Soon KIM ; Jae Deuk YOON
Journal of the Korean Society of Virology 1997;27(2):169-176
In this study, the feasibility of identification and genotypic differentiation of enteroviruses was investigated by using nested reverse transcription-polymerase chain reaction (nested RT-PCR), single-stranded conformation polymorphism (SSCP), and restriction fragment length polymorphism (RFLP) techniques. Two hundred seventy-four clinical samples were assayed by both nested RT-PCR and tube culture method using MRC-5 and MK cells; 58 (86.6%) out of 67 enterovirus culture-positive samples contained enteroviral RNA. In addition, 114 (55.1%) of 207 samples from patients with suspected enteroviral CNS disease with negative viral cultures were positive by the nested RT-PCR. The nested RT-PCR products were genotyped by the SSCP method and the results were compared with serotypes. We could differentiate 6 subtypes, 3 of which are similar to coxsackievirus B3, B5, echovirus 11, plus 3 other subtypes. RFLP cleaved with Sty I, Bgl I, and Xmn I yielded characteristic patterns for each laboratory strains. This study demonstrates the usefulness of the RT-PCR for the rapid diagnosis of enterovirus infection and the potentials of the SSCP method for differentiation of enterovirus strains.
Central Nervous System Diseases
;
Diagnosis
;
Enterovirus B, Human
;
Enterovirus Infections
;
Enterovirus*
;
Genotype*
;
Humans
;
Polymorphism, Restriction Fragment Length
;
Polymorphism, Single-Stranded Conformational
;
RNA
5.4 Cases of Pseudomonas Scleritis after Pterygium Excision.
Journal of the Korean Ophthalmological Society 1999;40(8):2304-2312
It is known that the treatment of pseudomonas aeruginosa infection associated with scleral necrosis after pterygium excision is difficult. Pseudomonas scleritis were treated with systemic and topical antibiotics, debridement, scleral homograft,and conjunctival autograft in 3 cases of 4 cases. Another 1 case was transfered to other hospital with patient`s request after short medical treatment. The interval from pterygium operation to onset of pseudomonas scleritis ranged from 2 to 17 years with an average of 10 years. In all cases with operation, the graft was stabilized after mean time of 42 days (ranged 35 to 48 days) from operation. The complications were visual disturbance, endophthalmitis, complicated cataract, exudative retinal detachment, exotropia, and posterior synechia of iris. In 1 case, a corticosteroid which was used in the early of treatment induced exacerbation of disease.Because the complications of disease were so severe,early prophylactic operation will be necessary in noninfected scleral necrosis, and when infection is suspected, it should be necessary to do culture and sensitivity test with an intensive anti-pseudomonal therapy.
Anti-Bacterial Agents
;
Autografts
;
Cataract
;
Debridement
;
Endophthalmitis
;
Exotropia
;
Iris
;
Necrosis
;
Pseudomonas aeruginosa
;
Pseudomonas*
;
Pterygium*
;
Retinal Detachment
;
Scleritis*
;
Transplants
6.Identification of the Source of Hematuria by the Ratio of the Urinary Erythrocyte MCV to That in Blood.
Young Guk KIM ; Gi Chan LEE ; Keun Haeng CHO ; Kee Hwan YOO ; Soon Kyum KIM
Journal of the Korean Pediatric Society 1994;37(8):1097-1103
The frequent occurrence of hematuria in children necessitates diagnostic evaluation. Hematuria may occur with either renal or lower urinary tract disease. Clarification of the etiology of hematuria, whether microscopic or gross, is facilited by localizing the site of bleeding to the kidney (glomerular) or the lower urinary tract (non-glomerular). The mean cellular volume (MCV) of urinary red blood cells (RBCs) of pediatric patients with glomerular (group I; n=77) and non-glomerular (group II; n=34) hematuria was determined using Coulter Counter Model S plus IV. We found that re blood cells of glomerular origin had a smaller volume than non-glomerular cells(73.79 9.75 m3 vs 83.55 3.77 m3, p<0.001). If an urinary MCV equal to 80.56 m3 was taken as the cut-off value between glomerular and non-glomerular hematuria, a correct assessment of the site of bleeding was made in 89 (80%) of the 111 patients studied (sensitivity 76%, specificity 88%). The ratio of the urinary erythrocyte MCV to that in blood(Umcv/Bmcv) was compared with the diagnosis. If an Umcv/Bmcv ratio equal to 0.95 was taken as the cut-off value between glomerular and non-glomerular hematuria, a correct assessment of the site of bleeding was made in 93 (83%) of the 111 patients studied (sensitivity 79.6%, specificity 94%). Coulter counter analysis of urine provides a simple noninvasive and objective aid to the diagnosis of hematurai. This test, when used early in the management of pediatric patients with hematuria, may help to avoid invasive investigations.
Blood Cells
;
Child
;
Diagnosis
;
Erythrocytes*
;
Hematuria*
;
Hemorrhage
;
Humans
;
Kidney
;
Sensitivity and Specificity
;
Urinary Tract
;
Urologic Diseases
7.Sequence Analysis of C2-V3 Region of Human Immunodeficiency Virus Type 1 gp120 and its Correlation with Clinical Significance : the Effect of Long-Term Intake of Korean Red Ginseng on env Gene Variation.
Young Keol CHO ; Young Bong KIM ; Yoo Kyum KIM ; Hee Jung LEE ; Won Il OH
Journal of the Korean Society for Microbiology 1997;32(5):611-623
Human immunodeficiency virus type 1 (HIV-1) phenotype plays an important role in the pathogenesis of AIDS. The presence of syncytium-inducing (SI) HIV-1 isolates in infected persons is associated with a rapid decline of CD4+T cells (CD4+), rapid disease progression, and reduced survival time after AIDS diagnosis. We have reported the effects of Korean red ginseng (KRG) on HIV-1 infected patients. To investigate whether KRG affects HIV-1 at gene level and there is a correlation between genotype and decline of CD4+, the C2-V3 region of env gene from 65 HIV-1 isolates were cloned and sequenced. Distributions of subtype were subtype B 57 (88%), subtype A 4 (6%), subtype C 2 (3%), subtype G 1 (2%), and subtype H 1 (2%). The prevalences of SI according to the number of CD4+ are as follows; 40% (6/15) in CD4+ <100/ ul, 14% (1/7) in 100-200/ul, and 2% (1/43) in >200/ul. Seventy-five percent (6/8) of SI were detected in rapid progressor with the decline of CD4+ over 60/ul per year. The correlation between SI genotype and the detection of immune complex dissociated (ICD) p24 antigen was significant (p<0.001). In the 40 patients followed-up over 60 months by CD4+, there was significant correlation between annual decrease of CD4+ and duration of KRG intake (R=-0.380, p<0.01), whereas no correlation between CD4+ and zidovudine (ZDV) was observed. The intrapatient variation of amino acid level showed significant inverse correlation with the months of KRG intake (R=-0.47, p<0.01). These results suggest that the determination of genotype by C2- V3 sequencing may be used for the evaluation of prognosis of AIDS patient, and long-term intake of KRG may prevent or delay the progression from NSI to SI.
Antigen-Antibody Complex
;
Clone Cells
;
Diagnosis
;
Disease Progression
;
Genes, env*
;
Genotype
;
HIV*
;
HIV-1*
;
Humans*
;
Panax*
;
Phenotype
;
Prevalence
;
Prognosis
;
Sequence Analysis*
;
Zidovudine
8.Estimation of creatinine clearance and urinary creatinine derived from plasma creatinine and body anthropometries.
Hyun Joo KWAK ; Young Guk KIM ; Keun Haeng CHO ; Kee Hwan YOO ; Soon Kyum KIM
Korean Journal of Nephrology 1993;12(3):286-294
No abstract available.
Creatinine*
;
Plasma*
9.Urine Specific Gravity as a Useful Tool for Sereening Proteinuria in Children.
Kee Hwan YOO ; Young Sook HONG ; Joo Won LEE ; Soon Kyum KIM ; Jong Hwa KIM
Journal of the Korean Society of Pediatric Nephrology 2000;4(1):1-5
We report a case of hepatoma with duodenal metastasis in a 53 year-old male patient. Hepatoma was confirmed by fine needle aspiration cytology technique, and duodenal metastasis by gastrofiberscopic biopsy. Duodenal metastasis of hepatoma is rare. We briefly review the role of fine needle aspiration cytology technique in diagnosis of hepatoma.
Biopsy
;
Biopsy, Fine-Needle
;
Carcinoma, Hepatocellular
;
Child*
;
Diagnosis
;
Endodermal Sinus Tumor
;
Humans
;
Male
;
Mediastinum
;
Middle Aged
;
Neoplasm Metastasis
;
Proteinuria*
;
Specific Gravity*
10.Change of serum ?-microglobulin, p24 antigen and CD4+ T lymphocyte in persons with human immunodeficiency virus infection after azidothymidine treatment.
Yung Kul CHO ; Yoo Kyum KIM ; Yung Oh SHIN ; Yang Ja CHO
Korean Journal of Infectious Diseases 1993;25(3):211-220
No abstract available.
HIV*
;
Humans
;
Humans*
;
Lymphocytes*
;
Zidovudine*