3.Cardiac Effect of Pulse Dexamethasone Therapy in Infants with Bronchopulmonary Dysplasia.
Jeong Nyun KIM ; Chul Young JUNG ; Eun Soo PARK ; Dong Chul PARK
Korean Journal of Perinatology 1999;10(1):10-16
PURPOSE: To examine the cardiac function, incidence and natural history of cardiac hypertrophy (CH) and the association of side effects with CH after pulse dexamethasone therapy in infants with bronchopulmonary dysplasia. METHODS: Twelve infants, gestational age 28.6+/-1.6(26-31)weeks, birth weight 1243+/-186 (1010- 1620)g, received a pulse course of dexamethasone, starting at 0.5mg/kg/d for three days and readministered ten days thereafter at a median of 19 days of age. Serial echocardiographic measurement of septal thickness(ST), left ventricular(LV) posterior wall thickness(PWT), LV diameter(LVD), LV length(LVL), LV mass, ejection fraction(EF) and acceleration time to right ventricular ejection time ratio(AT/RVET) were taken before, and 4, 11 days after starting dexamethasone. For infants diagnosed as CH, echocardiography was performed weekly until the parameters were normalized. Side effects of dexamethasone such as leukocytosis, hypertension, hyperglycemia and insulin therapy were recorded and compared. RESULTS: CH occurred in 5 of 12 infants(47%). ST, PWD, and AT/RVET increased significantly at 4 days and 11 days after starting dexamethasone than baseline. LVD decreased significantly at 4 days and 11 days after the administration of dexamethasone than before. Other parameter such as LVL, LV mass and EF were not changed and the evidence of left ventricular outflow obstruction was not observed. The incidence of hyperglycemia and insulin therapy were higher in CH group than in no CH group(p<0.05). Five infants with CH recovered until five weeks after starting dexamethasone on serial echocardiography, CONCLUSION: Infants receiving a pulse course of dexamethasone developed evidence of septal hypertrophy, thickened left ventricular wall and impaired filling of left ventricle immediately after starting dexamethasone but always resolved within five weeks Serial echocardiography is not probably routinely required in preterm infants with bronchopulmonary dysplasia receiving pulse dexamethasone therapy.
Acceleration
;
Birth Weight
;
Bronchopulmonary Dysplasia*
;
Cardiomegaly
;
Dexamethasone*
;
Echocardiography
;
Gestational Age
;
Heart Ventricles
;
Humans
;
Hyperglycemia
;
Hypertension
;
Hypertrophy
;
Incidence
;
Infant*
;
Infant, Newborn
;
Infant, Premature
;
Insulin
;
Leukocytosis
;
Natural History
;
Ventricular Outflow Obstruction
4.The Influence of the Amount of Mandibular Advancement in the Application of Mandibular Advancement Device for Obstructive Sleep Apnea Patients.
Young Kyun KIM ; In Young YOON ; Jeong Whun KIM ; Chul Hee LEE ; Pil Young YUN
Sleep Medicine and Psychophysiology 2011;18(1):29-34
OBJECTIVES: The purposes of this study were to estimate the effect of mandibular advancement device (MAD) and to evaluate the influence of the advancement amount of mandible in the application of MAD for obstructive sleep apnea (OSA) patients. METHODS: From the patients who were diagnosed as OSA by polysomnographic study at Seoul National University Bundang Hospital from January 2007 to February 2009, the patients who chose MAD as treatment option were included in this study. All the patients' data including clinical records and polysomnographic studies (both pre- and post-treatment) were reviewed and analyzed. RESULTS: Successful results were obtained in 65 patients of 86 patients (75.6%). In the follow-up period, mild discomfort of anterior teeth or temporomandibular joint (TMJ) were described in 28 patients, especially in the cases the amount of mandibular advancement were more than 7.0 mm. There was no direct relationship between the amount of mandibular advancement and clinical outcome. CONCLUSION: MAD was effective treatment option for the OSA patients regardless of severity. For the prevention of potential dental complications, the amount of mandibular advancement should be considered at the time of MAD treatment.
Adenine Nucleotides
;
Follow-Up Studies
;
Humans
;
Mandible
;
Mandibular Advancement
;
Mycophenolic Acid
;
Sleep Apnea, Obstructive
;
Temporomandibular Joint
;
Tooth
5.Expression of Involucrin and Filaggrin in Various Skin Disorders: Immunohistochemical Study.
Seung Chul LEE ; Jee Bum LEE ; Jae Jeong SEO ; Jin Young PARK ; Young Ho WON
Korean Journal of Dermatology 1999;37(6):708-714
BACKGROUND: The cornified cell envelope (CE) is a unique structure found in the terminal differentiation of the skin. The precursor proteins of the CE are composed of many candidate structural proteins, among which invalucrin and filaggrin are important ones to participate in the complicated process of forming, the complex structure. OBJECTIVE: The purpose of this study was to evaluate the usefulness of expression of involucrin and filaggrin as markers of terminal differentiation in various skin disorders including tumors. METHODS: Immunohistochemical studies were performed in the formalin-fixed, paraffin-embedded skin samples of non-tumors (41 cases) and tumors (43 cases).
Skin*
6.The treatment of the lateral malleolar fracture of the ankle with a gripper plate.
Hak Young JEONG ; Seung Wook YANG ; Young Cheol SHIN ; Chul Hyun KIM
The Journal of the Korean Orthopaedic Association 1993;28(6):2169-2175
No abstract available.
Ankle*
7.Change of Inducible Nitric Oxide Synthase Expression by Ultraviolet B Irradiation on the Skin of a Rat.
Hyoung Chul YOO ; Hyong Woo LEE ; Jeong Eun LEE ; Jee Bum LEE ; Young Ho WON ; Seung Chul LEE
Annals of Dermatology 2001;13(1):16-21
BACKGROUND: Nitric oxide synthase (NOS) is known to mediate ultraviolet B (UVB)-induced skin inflammation However, there is still ambiguity as to which NOS isotype mediates the process in vivo. Furthermore, contradictory results have been reported on which cell types respond to UVB irradiation in vitro. OBJECTIVE: This study was performed to evaluate the change of inducible NOS (iNOS) expression in vivo as a result of UVB radiation on the skin of a rat. METHOD: To examine the time-course change in iNOS expression in the rat skin, the rats were exposed to 400 ml/cm2 of UVB radiation, and skin samples were taken at various time intervals up to 48 h. iNOS expression on the skin of a rat was evaluated by both Western blot analysis and immunohistochemical staining. RESULTS: From Western blot analysis, UVB irradiation induced inducible NOS (iNOS) expression in the epidermis at 12-48 h postirradiation with a peak expression at 24 h. Immunohistochemical staining revealed that UVB-induced iNOS expression was localized to the epidermis and infiltrating inflammatory cells in the upper dermis of the rat. CONCLUSION: iNOS was induced by UVB irradiation on the skin of a rat, mainly in the epidermis. Therefore, iNOS is supposed to be one of the major mediators with regard to inducing an inflammatory response in UVB-irradiated rat skin in vivo.
Animals
;
Blotting, Western
;
Dermis
;
Epidermis
;
Inflammation
;
Nitric Oxide Synthase
;
Nitric Oxide Synthase Type II*
;
Rats*
;
Skin*
8.Anatomical Study of Musculus Pyramidalis in Korean Adults.
Ho Suck KANG ; Young Chul YANG ; Byung Pil CHO ; Jeong Sik KO
Korean Journal of Physical Anthropology 1990;3(1):13-21
The report of the M. pyramidalis was studied in 51 cadavers of Korean adults (male 33, female 18). Origin, insertion and number of this muscle were observed, and the length and breadth were also measured. The results were as follows : 1. The right pyramidal muscle was absent in one male cadaver, and the left pyramidal muscle was absent in two male cadavers. 2. In one male cadaver, pyramidal muscles of both sides had bifurcated origin. 3. In Korean adults, the average length of this muscle was 6.72cm in right, 7.05cm in left, and the breadth was about 2.0cm in both sides. The morphological index was 31.10 in right, and 29.55 in left. 4. In Korean male, the average length of this muscle was 1.93cm in right, 7.42cm in left, and the breadth was 1.93cm in right and 1.92cm in left. The morphological index was 28.70 in right and 26.58 in left. 5. In Korean female, the average length was 6.26cm in right, 6.38cm in left. and the breadth was 2.13cm in right and 2.12cm in left. The morphological index was 35.57 in right and 34.63 in left. 6. Compared with other human races, the pyramidal muscle was less frequently wanting in Asians (3.9%), including the Korean adults, than wanting in European (19.9%), American Whites (20.4%) and Negroes (15.1%). 7. The morphological index of this muscle was little differences existing in male of the human races, but this index was higher in Korean female (35.0) than in Japanese female (24.4) and in American female Whites (25.8). The morphological index was 32.3 in American female Negroes.
Adult*
;
African Continental Ancestry Group
;
Asian Continental Ancestry Group
;
Cadaver
;
Continental Population Groups
;
Female
;
Humans
;
Male
;
Muscles
9.The Effects of TGF-beta2 and bFGF on the Proliferation of Retinal Pigment Epithelial Cells.
Hee Seong YOON ; Sae Heun ROH ; Sung Chul LEE ; Jin Hee JEONG ; Young Hyun YOO
Journal of the Korean Ophthalmological Society 1998;39(6):1192-1203
This study was undertaken to document the effect of transforming growth factor-beta2 (TGF-beta2(TGF-beta2) and basic fibroblast growth factor (bFGF) on the proliferation of pig retinal pigment epithelial cells (RPE). Whereas bFGF increased the proliferation, TGF-beta2 showed the inhibitory effect on the proliferation The inhibitory effect of TGF-beta2 disappeared in RPE subcultured with 10ng/ml of bFGF. Both TGF-beta2- and bFGF-specific antisense oligonucleotides blocked the autocrine effect of the growth factors. PLC-71 -specific antisense oligonucleotide inhibited the effect of TGF-beta2 and bFGF. Genistein inhibited the effect of TGF-beta2 and bFGF in dose-dependent man, ner. The data suggest the involvement. of in PLC-/1 and tyrosine kinase in signalling.
Epithelial Cells*
;
Fibroblast Growth Factor 2
;
Genistein
;
Intercellular Signaling Peptides and Proteins
;
Oligonucleotides, Antisense
;
Protein-Tyrosine Kinases
;
Retinaldehyde*
;
Transforming Growth Factor beta2*
10.Fibroadenoma Arising in the Accessory Breast Tissue of Axilla.
Hyunwoo KIM ; Hyun Chul PARK ; Jeong Eun KIM ; Joo Yeon KO ; Young Suck RO
Korean Journal of Dermatology 2014;52(2):140-142
No abstract available.
Axilla*
;
Breast*
;
Fibroadenoma*