1.Mitochondrial Disorders.
Journal of the Korean Pediatric Society 2003;46(Suppl 2):S340-S351
No abstract available.
Mitochondrial Diseases*
2.Post-thyroidectomy hypocalcemia.
Sang Woo CHOO ; Young Jong JEGAL
Journal of the Korean Surgical Society 1992;42(6):741-747
No abstract available.
Hypocalcemia*
4.Benefits of High Dose Intravenous Gammaglobulin in Children with Severe Guillain-Barr Syndrome.
Journal of the Korean Child Neurology Society 1997;5(1):86-94
To know the efficacy of intravenous gammaglobulin(IVGG) treatment and the resulting outcome at 18 months for acute Guillain-Barr syndrome (GBS) in children, clinical courses of 27 GBS patients who had been treated with IVGG in a dose of 1g/kg/day oyer 2 consecutive days were investigated. One died with respiratory failure and 8 patients received assisted ventilatory care with improvement. All consecutively treated patients responded well to IVGG. The mean plateau period in 26 recovered patients was 8.5 days. At the 6th month evaluation, only one failed to reach grade 2 on GBSSG scales. At the 18th month evaluation, minor motor symptoms such as easy fatigability or mild tremor on writing were remained in 9 patients. 9 patients showed mild to moderate febrile response to IVGG infusion, but no significant side effects were noted. IVGG can be chosen as an initial treatment for acute GBS in children because of its rapid effect, relative safety even in unstable patients and convenience of administration.
Child*
;
Humans
;
Respiratory Insufficiency
;
Tremor
;
Weights and Measures
;
Writing
5.The Association of Job Characteristics and Stress Indicators in TV Manufacturing Plant Workers.
Young Yeon JUNG ; Jong Young LEE ; Kuk Hyeun WOO
Korean Journal of Occupational and Environmental Medicine 1998;10(1):29-40
This study was conducted to evaluate the association of job characteristics and stress indicators, from May 1st to 10th, 1996. The study population was 210 workers (clerical workers, 67; engineers, 82; assembly line workers, 61) engaged in a television manufacturing company. A questionnaire method was used to collect the data regarding to job demand, job control, behavioral type, life style and psychiatric symptoms. Clinical examination was conducted to measure blood pressure, serum cholesterol, fasting blood sugar and HbA1c. Percentage of high subjective job strain group was significantly higher in clerical workers(9.0 %) than in engineers(4.9 %) and in assembly line workers(3.3 %) (p < 0.01). Mean values of fasting blood sugar and HbA1c were significantly different between types of occupation and were the highest in clerical workers (p < 0.05). Significant association was found between perceived job characteristics and psychiatric symptom score (p < 0.01). The more job demand and the less job control was, the higher psychiatric symptom score was reported. Diastolic blood pressure was significantly related to job control (p < 0.05). The more job control was, the higher blood pressure was reported. In multiple regression analysis, job demand, job control and age were significant variables explaining the psychiatric symptoms and R2 was 0.23. Perceived job characteristics and type of occupation were not significant in explaining diastolic blood pressure and cholesterol. Type of occupation, job demand, age and BMI were significant variables explaining lasting blood sugar and R2 was 0.25. Type of occupation was the only significant variable explaining HbA1c and R2 was 0.07. According to this result, occupational type and subjective job characteristics must be considered in study of job stress. As a result of multiple analysis, subjective job characterics are significantly related to psychiatric symptoms and type of occupation is significantly related to fasting blood sugar and HbA1c.
Blood Glucose
;
Blood Pressure
;
Cholesterol
;
Fasting
;
Life Style
;
Occupations
;
Plants*
;
Questionnaires
;
Television
6.Bilateral Cortical Dysplasias : MRI Findings and Clinical Aspects.
Eun Young KIM ; Geun Mo KIM ; Young Jong WOO
Journal of the Korean Child Neurology Society 1998;5(2):292-302
PURPOSE: Cerebral cortical dysplasias are one of the important causes for epileptic seizures and developmental disabilities in children, particularly in diffuse or bilateral cases. These developmental malformations are generally regarded as a group of neuronal migration disorders, however, the classification system and pathogenetic mechanisms of cortical dysplasias are not yet entirely clear. Even a novel entity, congenital bilateral perisylvian syndrome, characterized by speech delay, pseudobulbar Palsy, intractable seizures, and bilateral perisylvian abnormalities on imaging studies, have rather diverse figures on morphology and symptomatology than initially considered. We have studied the clinical features and correlations of clinical outcomes 3nd magnetic resonance imaging(MRI) findings of bilaterally involved cortical dysplasias. METHODS: 20 cases of bilateral cortical dyspalsias were grouped into three categories on the basis of MRI findings; centroparietal dysplasias(6 cases), diffuse dysplasias with (5) or without white matter lesions(4), and schizencephaly(5). EEGs, motor and language development, epilepsy, and outcomes were reviewed in each groups. RESULTS: Language delay(100%), motor developmental delay(94.7%), motor deficit(65%), epilepsy(40%) were the main reasons for their initial hospital visits. A meaningful word expression was possible at the mean age of 2 years and 2 months(1 to 4 years of age). Hypotonia and spastic motor paralysis were evident in all the cases of diffuse dysplasia with white matter lesions and the schizencephaly groups. All but one case of centroparietal dysplasia showed motor developmental delay. Epilepsies were developed in 8 cases at the mean age of 5 years and 5 months(2 months to 12 years of age) and the seizures were relatively well controlled with anticonvulsants. EEG findings were variable; normal, focal or diffuse abnormalities. High amplitude diffuse fast activities were only noted in the diffuse dysplasia group. CONCLUSION: The severity of neurological deficits and developmental delay had correlated to the size of cortical abnormalities. The epilepsies were relatively well controlled during childhood and the EEG finding of high amplitude diffuse fast activities was specific for the diffuse cortical dysplasias. Bilateral centroparietal dysplasias should be included on consideration of the causes for developmental aphasia.
Anticonvulsants
;
Aphasia
;
Child
;
Classification
;
Developmental Disabilities
;
Electroencephalography
;
Epilepsy
;
Humans
;
Language Development
;
Language Development Disorders
;
Magnetic Resonance Imaging*
;
Malformations of Cortical Development*
;
Muscle Hypotonia
;
Muscle Spasticity
;
Neuronal Migration Disorders
;
Paralysis
;
Pseudobulbar Palsy
;
Seizures
7.Secondary Adrenal Insufficiency Initially Misdiagnosed as Depression: A Case Report.
Duk Soo MOON ; Won Sub KANG ; Jong Woo PAIK ; Ji Young SONG ; Jong Woo KIM
Korean Journal of Psychosomatic Medicine 2011;19(2):109-114
The abnormalities in Hypothalamic-pituitary-adrenal(HPA) axis are associated with many psychiatric symptoms including depression. We present a report of a 71 year old man who was admitted to the psychiatric department presenting symptoms of headache, avolition, loss of energy, psychomotor retardation, poor appetite, insomnia, anxiety resulting from adrenal insufficiency and hypopituitarism. Hypothyroidism and electrolyte disturbance were managed and headache, insomnia, anxiety, GI symptoms were improved. But he remained in anergic state. After discharge, he was readmitted to infection department with high fever and drowsy mentality. Adrenal insufficiency was recognized and he was treated with corticosteroid replacement therapy. Finally his diagnosis was made as panhypopituitarism and overall symptoms were resolved. In this case, we showed how the atypical symptoms resulting from hypopituitarism develop and progress. Hypothyroidism, adrenal insufficiency, and growth hormone deficiency resulting secondarily from panhypopituitarism were associated with various nonspecific symptoms such as loss of energy, fatigue, insomnia, weight loss, decreased appetite etc. In clinical situation, differential diagnosis with depression is needed when clinicians were met a patient with these nonspecific symptoms. It is important that laboratory tests and differential diagnosis with endocrine diseases should be conducted, especially in geriatric patients with nonspecific symptoms like anergia, fatigue, poor appetite and so on.
Adrenal Insufficiency
;
Anxiety
;
Appetite
;
Axis
;
Depression
;
Diagnosis, Differential
;
Endocrine System Diseases
;
Fatigue
;
Fever
;
Growth Hormone
;
Headache
;
Humans
;
Hypopituitarism
;
Hypothyroidism
;
Sleep Initiation and Maintenance Disorders
;
Weight Loss
8.Retropsoas peritoneal recess in CT.
Je Ho WOO ; Jong Oag PARK ; Jong Hwa LEE ; Jin Woo CHUNG ; Don Young LEE
Journal of the Korean Radiological Society 1993;29(2):300-303
Retropsoas space below the level of kidney has been suggested as a portion of inferior extensions of perirenal and anterior and posterior pararenal spaces. With this being true, the space may play an important role in disease extension. A study was performed to verify the existence of retropsoas peritoneal recess by means of identifying the extension of bowel loops into this space. Abdominal CT scans of 146 cases evaluated retrospectively revealed extension of 5 small bowel and 7 large bowel loops (6 descending and 1 ascending colons)(n=12/8.2%) into the retropsoas space verifying its existence. Since pathologic collection within the retropsoas space might be falsely inter preted as a retroperitoneal pathology and percutaneous uroradiologic intervention could result in intraperitoneal injury or contamination without the knowledge on the existence of this space, observation of this space is essential in CT scans.
Kidney
;
Pathology
;
Retrospective Studies
;
Tomography, X-Ray Computed
9.Acute disseminated encephalomyelitis.
So Young KIM ; Jong Woo BAE ; Byung Churl LEE
Journal of the Korean Pediatric Society 1992;35(5):671-677
No abstract available.
Encephalomyelitis, Acute Disseminated*
10.Reversible brain MRI Finding in Hypertensive Encephalopathy with Poststreptococcal Acute Glomerulonephritis.
Ki Won PARK ; Geun Mo KIM ; Young Jong WOO
Journal of the Korean Child Neurology Society 1998;5(2):372-376
Hypertensive encephalopathy is characterized by an acute, severe rise in blood pressure associated with headache, nausea, vomiting, altered mental status, and focal neurologic deficits, and rapid improvement after control of blood pressure. An eight-year old boy had been admitted with symptoms of red urine, fever, headache, convulsion, and visual blurring of vision. Blood pressure was 140/90mmHg, and CSF exam revealed WBC 8/mm3, glucose 83mg/dL, protein 106mg/dL. Serum C3 was 8mg/dL, C4 17mg/dL, ASO 1,024 Todd units. Brain CT showed non specific findings, however, MRI revealed symmetric high signal intensity lesions on T2WI over the parieto-occipital areas bilaterally. These lesions had been completely resolved on the following MRI 4 weeks later.
Blood Pressure
;
Brain*
;
Fever
;
Glomerulonephritis*
;
Glucose
;
Headache
;
Humans
;
Hypertensive Encephalopathy*
;
Magnetic Resonance Imaging*
;
Male
;
Nausea
;
Neurologic Manifestations
;
Seizures
;
Vomiting