1.Clinical observation of delirium tremens.
Youhyun CHO ; Myungchai KWAK ; Joonsuck SONG ; Songhak HONG ; Joungtaik OH ; Honghyou CHO ; Dongchan JIN ; Duhyok CHOI
Journal of the Korean Academy of Family Medicine 1992;13(1):57-62
No abstract available.
Alcohol Withdrawal Delirium*
;
Delirium*
2.A Patient with Neutropenia and Splenomegaly: A Case Report from Department of Family Medicine in Tertiary Hospital Center
Jaehee CHO ; Youhyun SONG ; Jiyeon LEE ; Daeun LEE ; Yunsun GO ; Hee Cheol KANG
Korean Journal of Family Medicine 2021;42(3):250-254
Pancytopenia represents a unique challenge for primary care doctors and its etiological causes encompass various specialties, including hematology and rheumatology. Despite the existence of effective tests such as bone marrow biopsy and immunoassays to rule out the potential causes of pancytopenia, it is often difficult to pinpoint the exact diagnosis. In this case report, we have described such a ‘gray zone’ patient, who presented with pancytopenia, neutropenia, and splenomegaly, and was being treated for fungal pneumonia before being transferred to Severance Hospital (department of family medicine). As the patient had a 10-year history of multiple, long-term hospital admissions that were having a severely debilitating impact on the quality of life, we performed a partial splenic embolization as a potential cure for the symptoms. Although this induced acute blood count recovery, it failed to prevent eventual mortality from septic shock.
3.A Patient with Neutropenia and Splenomegaly: A Case Report from Department of Family Medicine in Tertiary Hospital Center
Jaehee CHO ; Youhyun SONG ; Jiyeon LEE ; Daeun LEE ; Yunsun GO ; Hee Cheol KANG
Korean Journal of Family Medicine 2021;42(3):250-254
Pancytopenia represents a unique challenge for primary care doctors and its etiological causes encompass various specialties, including hematology and rheumatology. Despite the existence of effective tests such as bone marrow biopsy and immunoassays to rule out the potential causes of pancytopenia, it is often difficult to pinpoint the exact diagnosis. In this case report, we have described such a ‘gray zone’ patient, who presented with pancytopenia, neutropenia, and splenomegaly, and was being treated for fungal pneumonia before being transferred to Severance Hospital (department of family medicine). As the patient had a 10-year history of multiple, long-term hospital admissions that were having a severely debilitating impact on the quality of life, we performed a partial splenic embolization as a potential cure for the symptoms. Although this induced acute blood count recovery, it failed to prevent eventual mortality from septic shock.
4.A Study on the Utilization of Diagnostic Equipments and Patient Dose for Diagnostic Radiological Procedures in Korea.
Youhyun KIM ; Jonghak CHOI ; Sungsoo KIM ; Chanhyeup LEE ; Pyongkon CHO ; Youngbae LEE ; Chelmin KIM
Korean Journal of Medical Physics 2005;16(1):10-15
IAEA's guidance levels have been provided for western people to the end. Guidance levels lower than the IAEA'S will be necessary in view of Korean people's proportions. Therefore, we need to develope the standard doses for Korean people. And we conducted a nationwide survey of patient dose from x-ray examinations in Korea. In this study, the 278 institutions were selected from Members Book of Korean Hospital Association. The valid response rate was approximately 57.9%. Doses were calculated from the questionnaires by NDD method. We obtained the results were as follows; 1) General radiographic equipments were distributed for 42.0%, fluoroscopic equipments 29.4%, dental equipments 13.2%, CT units 8.1% and mamographic units 7.2%. 2) According to classification by rectification, three-phase equipments were 29.9%, inverter-type generators 29.5%, single-phase equipments 25.5%, constant voltage units 9.0% and unknown units 6.0%. 3) According to classification by receptor system, film-screen types were 46.8%, CR types 26.8%, DR types 17.7% and unknown types 8.9%. 4) The number of examinations were chest 49.2%, spine 16.8% and abdomen 12.7%. 5) Patient doses were head AP 3.44 mGy, abdomen AP 4.25 mGy and chest PA 0.39 mGy.
Abdomen
;
Classification
;
Dental Equipment
;
Diagnostic Equipment*
;
Head
;
Humans
;
Korea*
;
Radiography
;
Spine
;
Thorax
;
Surveys and Questionnaires
5.Clinical Practice Guideline for Care in the Last Days of Life
Jinyoung SHIN ; Yoon Jung CHANG ; So-Jung PARK ; Jin Young CHOI ; Sun-Hyun KIM ; Youn Seon CHOI ; Nam Hee KIM ; Ho-Kee YUM ; Eun Mi NAM ; Myung Hee PARK ; Nayeon MOON ; Jee Youn MOON ; Hee-Taik KANG ; Jung Hun KANG ; Jae-Min PARK ; Chung-Woo LEE ; Seon-Young KIM ; Eun Jeong LEE ; Su-Jin KOH ; Yonghwan KIM ; Myongjin AGNES CHO ; Youhyun SONG ; Jae Yong SHIM
Korean Journal of Hospice and Palliative Care 2020;23(3):103-113
A clinical practice guideline for patients in the dying process in general wards and their families, developed through an evidence-based process, is presented herein. The purpose of this guideline is to enable a peaceful death based on an understanding of suitable management of patients’ physical and mental symptoms, psychological support, appropriate deci-sion-making, family care, and clearly-defined team roles. Although there are limits to the available evidence regarding medical issues in patients facing death, the final recommendations were determined from expert advice and feedback, considering values and preferences related to medical treatment, benefits and harms, and applicability in the real world. This guideline should be applied in a way that takes into account specific health care environments, including the resources of medical staff and differences in the available resources of each institution. This guideline can be used by all medical institutions in South Korea.