1.Paraquat Induced Lung Injury: Long-term Follow-up of HRCT .
Young Tong KIM ; Hyun Cheol KIM ; Won Kyung BAE ; Il Young KIM ; Han Hyek IM
Journal of the Korean Radiological Society 2004;50(3):179-183
PURPOSE: To determine the long-term follow-up CT findings of paraquat-induced lung injury. MATERIALS AND METHODS: Six patients who ingested paraquat underwent sequential follow-up CT scanning during a period of at least six months, and the results were analysed. Scans were obtained 1-6 (mean, 3.3) time during a 7-84 (mean, 25.7) months period, and the findings at 1-2 months, 3-12 months, 1-2 years, 2-3 years, and more than above 7 years after poisoning were analyzed. RESULTS: We observed irregular-shaped areas of consolidation with traction bronchiectasis at 1-2 months (5/5), irregular-shaped consolidation and ground-glass opacity (5/5) at 3-12 months, and irregular-shaped consolidations/ ground-glass opacity (4/5) and focal honeycombing (1/5) one year later. In the same patients, follow-up CT scans showed that some areas of focal consolidation could not be visualized and the radio-opacity of the lesions had decreased. CONCLUSION: The HRCT findings of paraquat-induced lung injury were irregular shaped areas of consolidation 1-2 months after ingestion, and irregular-shaped consolidation and ground-glass opacity or focal honeycombing 3-12 months later. At this thim slight improvement was observed.
Bronchiectasis
;
Eating
;
Follow-Up Studies*
;
Humans
;
Lung Injury*
;
Lung*
;
Paraquat*
;
Poisoning
;
Tomography, X-Ray Computed
;
Traction
2.A clinical effect of retreatment by prothionamide, cycloserine, para-aminosalicylic acid, streptomycin(kanamycin or tuberactinomyc-in) on pulmonary tuberculosis.
Cheol Shick SHIN ; Young Jae IM ; Young Jun KIM ; Seok Shin KOH ; Moon Shik KIM
Tuberculosis and Respiratory Diseases 1992;39(2):167-171
No abstract available.
Aminosalicylic Acid*
;
Cycloserine*
;
Prothionamide*
;
Retreatment*
;
Tuberculosis, Pulmonary*
3.The clinical study on the incompetent internal os of the cervix.
Hae Suek JUNG ; Young Cheol CHOI ; Hae Jong KIM ; Kwang Su KEE ; Hun Jung IM
Korean Journal of Obstetrics and Gynecology 1993;36(7):1426-1433
No abstract available.
Cervix Uteri*
;
Female
4.A case of endocervical stromal sarcoma.
Moon Hwan IM ; Young Cheol YU ; Young Ran HAN ; So Hyun PARK ; Cheong Rae ROH ; Soon Beom KANG
Korean Journal of Obstetrics and Gynecology 1991;34(3):444-449
No abstract available.
Sarcoma*
5.Left to right ratio of autopneumonectomy state in pulmonary tubercu-losis patients.
Cheol Shick SHIN ; Jae Man JEONG ; Young Jae IM ; Young Jun KIM ; Seok Shin KOH ; Moon Shik KIM
Tuberculosis and Respiratory Diseases 1992;39(4):343-347
No abstract available.
Humans
6.Clinical Outcomes of Treatment for Intracranial Aneurysm in Elderly Patients.
Jun Hee PARK ; Young Im KIM ; Yong Cheol LIM
Journal of Cerebrovascular and Endovascular Neurosurgery 2014;16(3):193-199
OBJECTIVE: The aim of this study is to evaluate the clinical course of intracranial aneurysm in patients aged 65 years and older and the immediate outcome after its aggressive management. MATERIALS AND METHODS: We performed a retrospective analysis using the medical records of 159 elderly patients managed at our institute from September 2008 to December 2013. Obtained clinical information included age, sex, Hunt and Hess grade (HHG), aneurysm location, Fisher grade (FG) and the treatment modality. Concomitant clinical data aside from cerebrovascular condition (hypertension, diabetes, previous medication) were evaluated to determine risk factors that might affect the functional outcomes. RESULTS: A total of 108 patients (67.9%) presented with subarachnoid hemorrhage (SAH), and 51 (32.1%) with unruptured intracranial aneurysms (UIAs). Coiling was performed in 101 patients and 58 patients underwent clipping. In the SAH population, 62 patients (57.4%) showed favorable outcomes, with a mortality rate of 11.3% (n = 18). In the UIAs population, 50 (98%) patients achieved 'excellent' and one (2%) achieved 'good' outcome. Factors including high-grade HHG (p < 0.001), advanced age (p = 0.014), and the presence of intraventricular hematoma (IVH) (p = 0.017) were significant predictors of poor outcome. CONCLUSION: SAH patients with high grade HHG and IVH are associated with poor outcome with statistical significance, all the more prominent the older the patient is. Therefore, the indication for aggressive therapy should be considered more carefully in these patients. However, as the outcomes for elderly patients with UIAs were excellent regardless of the treatment modality, aggressive treatment could always be considered in UIAs cases.
Aged*
;
Aneurysm
;
Hematoma
;
Humans
;
Intracranial Aneurysm*
;
Medical Records
;
Mortality
;
Retrospective Studies
;
Risk Factors
;
Subarachnoid Hemorrhage
7.Overactive Bladder and Urinary Incontinence in Adult Women: Prevalence and Effects on Daily Life and Sexual Activity.
Jeung Im KIM ; Young Ho KIM ; Hyun Cheol AHN
Korean Journal of Women Health Nursing 2002;8(4):529-537
The purpose of this study was to investigate the prevalence, relative factor and the effects that overactive bladder or urinary incontinence have on women's lives. Data was gathered through an internet survey. The subjects included 3,372 women ranging from 20 years old to 49 years of age. The questionnaire included general characteristics (age, parity, family history, and history of UTI), overactive bladder symptoms (urgency, frequency, nocturia, urgent incontinence), urinary incontinence, discomfort in ADL and sexual activity. The data was analyzed by the SPSS/PC+ program using frequency, X(2) test, and multi- variate logistic regression. The results were as follows; 1. The prevalence was 12.7 % in overactive bladder and 21.0% in urinary incontinence. 2. 19.2% of the subject have urge incontinence, 5% of them have coped with the use of a pad. 3. The significant factors to overactive bladder were age(X(2)= 6.6, p<0.05), history of urinary tract infection (X(2)= 50.8, p<0.01) and family history (X(2)= 26.1, p<0.01). The significant factors to urinary incontinence were age (X(2)= 6.2, p<0.05), occupation (X(2)=11.0, p<0.05), history of urinary tract infection(X(2)= 20.2, p<0.01), parity (X(2)= 8.6, p<0.01), and family history (X(2)= 4.9, p<0.05). 4. Overactive bladder impacts on individual daily life was 5.0 times, urinary incontinence was 2.9 times higher than in non-symptoms. Also, overactive bladder impacts on their sexual activity disturbance was 4.3 times, urinary incontinence has 3.9 times higher than in non-symptoms. In conclusion, overactive bladder symptoms and urinary incontinence were health problems that disturbed women's lives. Also the most problem among overactive bladder may be urgency in Korean. Intervention based on these results needs to be provided for these women.
Activities of Daily Living
;
Adult*
;
Female
;
Humans
;
Internet
;
Logistic Models
;
Nocturia
;
Occupations
;
Parity
;
Prevalence*
;
Surveys and Questionnaires
;
Sexual Behavior*
;
Urinary Bladder, Overactive*
;
Urinary Incontinence*
;
Urinary Incontinence, Urge
;
Urinary Tract
;
Urinary Tract Infections
;
Young Adult
8.A Case of Meconium Pseudocyst which was Prenatally Diagnosed.
Cheol Gyu KANG ; Sug Young KIM ; Gyoung Hoon LEE ; Byoung Cheol CHOI ; Young Su NOH ; Kyoung Cheol SONG ; Ki Nam EOM ; Seung Ug IM
Korean Journal of Obstetrics and Gynecology 2001;44(7):1345-1349
Prenatal Ultrasonographic findings of meconium peritonitis show calcificalion, and abdominal echogenic masses such as pseudocyst. Also, we can find availability of 3 dimensional ultrasonography above these descriptions. We present a case of meconium peritonitis in uterus which was diagnosed by means of prenatal 2D & 3D ultrasonography with brief review of literatures.
Meconium*
;
Peritonitis
;
Ultrasonography
;
Uterus
9.Angiolipoma of the Posterior Mediastinum with Extension into the Spinal Canal: A Case Report.
Ja Young CHOI ; Jin Mo GOO ; Myung Jin CHUNG ; Hyo Cheol KIM ; Jung Gi IM
Korean Journal of Radiology 2000;1(4):212-214
Angiolipoma is a rare benign soft tissue tumor, an unusual variant of lipoma,consisting of fatty and vascular components and located in the subcutis, usually in the trunk and extremities. We report a case of posterior mediastinal angiolipo-ma extending into the spinal canal and showing both fat and angiomatous fea-tures on CT scan.
Aged
;
Angiolipoma/pathology/*radiography
;
Case Report
;
Female
;
Human
;
Mediastinal Neoplasms/pathology/*radiography
;
Spinal Canal/*pathology
;
Tomography, X-Ray Computed
10.Ondansetron Reduces Postoperative Nausea and Vomiting after a Laparoscopic Cholecystectomy.
Soon Im KIM ; Soon Cheol LEE ; Si Young OK ; Sun Chong KIM
Korean Journal of Anesthesiology 2005;49(3):365-369
BACKGROUND: The aim of the study was to evaluate the prophylactic effect of ondansetron on the postoperative nausea and vomiting (PONV) after a laparoscopic cholecystectomy (LC). METHODS: In this prospective, randomized, double-blind, placebo-controlled study, 77 healthy female patients, who underwent a LC under general anesthesia using sevoflurane were investigated. Patients were randomly divided into two groups; the ondansetron group (n = 39) was administered 4 mg ondansetron, and the placebo group (n = 38) 2 ml of normal saline before the end of surgery. The incidence and severity of PONV, and the need for rescue antiemetics during the first 6 h and 24 h after surgery were evaluated. RESULTS: The incidence of nausea in the ondansetron was significantly lower than in the placebo group during the 0-6 h (early nausea, P<0.05), but not in the 6-24 h (late nausea) postoperative period. However, the total incidence of nausea over the whole 24 h postoperative period was significantly lower in the ondansetron (36%) than in the placebo group (61%)(P<0.05), due to the low incidence of early nausea in the former. The incidence of vomiting was significantly lower in the ondansetron than in the placebo group during the 0-6 h and 6-24 h postoperative period. Therefore the total incidence of vomiting was significantly lower in the ondansetron (5%) than in the placebo group (46%)(P<0.001) over the whole 24 h postoperative period. The severity of nausea was also significantly lower in the ondansetron than in the placebo group. CONCLUSIONS: Ondansetron significantly reduces the PONV in female patients undergoing a LC during the first 24 h after surgery, and has a greater anti-vomiting than anti-nausea effect.
Anesthesia, General
;
Antiemetics
;
Cholecystectomy, Laparoscopic*
;
Female
;
Humans
;
Incidence
;
Nausea
;
Ondansetron*
;
Postoperative Nausea and Vomiting*
;
Postoperative Period
;
Prospective Studies
;
Vomiting