1.The Importance of Initial Mechanical Ventilation Mode in Acute Respiratory Failure: Risk Factors for the Development of Cardiac Arrhythmias.
Young Ju LEE ; Won KIM ; Young Deuk KIM ; Seok Cheon CHEON ; Kyoung Soo LIM
Journal of the Korean Society of Emergency Medicine 2000;11(4):539-545
BACKGROUND: The purpose of this article was to identify the risk factors related to development of hemodynamically significant cardiac arrythmias in patients with mechanical ventilation. METHODS AND RESULTS: Holter recording and echocardiogram were performed after 30 minutes of ventilator initiation in patients on mechanical ventilation(MV) owing to respiratory failure(RF) from various reasons. From 68 patients, hemodynamically significant cardiac arrythmias were detected in 18 patients(26.5%). Initial mean arterial pressure, maximal heart rate, and initial pH were identified as risk factors for hemodynamically significant cardiac arrythmias. Additionally, the patients with pressure-controlled ventilation as an initial ventilatory mode developed hemodynamically significant cardiac arrythmias less frequently than the patients with other modes(15.8% vs. 40%, p=0.03). In multivariate analysis, initial mean arterial pressure(<70mmHg, odds ratio[OR]:5.5;95% confidence interval[CI]:1.2 to 24.2, p=0.026), maximal heart rate(>120/min, OR:19.7;95% CI:2.0 to 190.0, p=0.01), and pressure-controlled ventilation(OR:0.13,95% CI:0.03 to 0.55, p=0.006) were associated with the development of hemodynamically significant cardiac arrhythmias. CONCLUSION: Theses findings suggest that during the early stages of mechanical ventilation with acute respiratory failure, hemodynamically significant cardiac arrhythmias are directly associated with tachycardia(>120/min), initial MAP(<70mmHg), and, inversely, the initial use of pressure-controlled ventilation.
Arrhythmias, Cardiac*
;
Arterial Pressure
;
Heart
;
Heart Rate
;
Humans
;
Hydrogen-Ion Concentration
;
Multivariate Analysis
;
Respiration, Artificial*
;
Respiratory Insufficiency*
;
Risk Factors*
;
Ventilation
;
Ventilators, Mechanical
2.Case of Craniofacial Dysostosis(Crouzon's disease).
Seung Hyun CHEON ; Ju Hwi KIM ; Young Wook KIM ; Ki Bok KIM
Journal of the Korean Pediatric Society 1989;32(4):576-581
No abstract available.
3.Clinical anaysis of suction coagulator tonsillectomy.
Byoung Jun BAEK ; Ki Hwan KIM ; Seung Ju LEE ; Yoon Young CHUNG ; Cheon Hwan OH
Korean Journal of Otolaryngology - Head and Neck Surgery 1993;36(2):193-198
No abstract available.
Suction*
;
Tonsillectomy*
4.A case of sphenoid sinus mucocele.
Yoon Young CHUNG ; Dong Wook KIM ; Seung Ju LEE ; Cheon Hwan OH
Korean Journal of Otolaryngology - Head and Neck Surgery 1993;36(3):548-551
No abstract available.
Mucocele*
;
Sphenoid Sinus*
5.A case of primary malignant melanoma of hard palate mucosa.
Yoon Young CHUNG ; Seung Ju LEE ; Cheon Hwan OH ; Chang Jin KIM
Korean Journal of Otolaryngology - Head and Neck Surgery 1992;35(4):600-604
No abstract available.
Melanoma*
;
Mucous Membrane*
;
Palate, Hard*
6.A study for the incidence of neck metastasis in head and neck cancer.
Tae Hyeon SONG ; Seung Ju LEE ; Yoon Young CHUNG ; Cheon Hwan OH
Korean Journal of Otolaryngology - Head and Neck Surgery 1993;36(3):413-420
No abstract available.
Head and Neck Neoplasms*
;
Head*
;
Incidence*
;
Neck*
;
Neoplasm Metastasis*
7.The first case of novel variants of the FSHR mutation causing primary amenorrhea in 2 siblings in Korea
Sukdong YOO ; Ju Young YOON ; Changwon KEUM ; Chong Kun CHEON
Annals of Pediatric Endocrinology & Metabolism 2023;28(1):54-60
Follicle-stimulating hormone receptor (FSHR) mutation is a rare cause of amenorrhea. We report the first case of FSHR mutations in Korea. Two female siblings, aged 16 (patient 1) and 19 (patient 2) years, were referred to the pediatric endocrinology clinic because of primary amenorrhea despite normal breast budding. Gonadotropin-releasing hormone stimulation test showed markedly elevated luteinizing hormone and follicle-stimulating hormone with a relatively low level of estrogen, suggesting hypergonadotropic hypogonadism. Pelvic magnetic resonance imaging revealed a bicornuate uterus in patient 1 and uterine hypoplasia with thinning of the endometrium in patient 2. The progesterone challenge test revealed no withdrawal of bleeding. After two months of administration of combined oral contraceptives, menarche was initiated at regular intervals. To determine the genetic cause of amenorrhea in these patients, whole exome sequencing (WES) was performed, which revealed a compound heterozygous FSHR mutation, c.1364T>G (p.Val455Gly) on exon 10, and c.374T>G (p.Leu125Arg) on exon 4; both of which were novel mutations and were confirmed by Sanger sequencing. The patients maintained regular menstruation and improved bone mineral density while taking combined oral contraceptives, calcium, and vitamin D. Therefore, FSHR mutations can be the cause of amenorrhea in Koreans, and WES facilitates diagnosing the rare cause of amenorrhea.
8.Evaluation and management of amenorrhea related to congenital sex hormonal disorders
Ju Young YOON ; Chong Kun CHEON
Annals of Pediatric Endocrinology & Metabolism 2019;24(3):149-157
Primary amenorrhea is a symptom with a substantial list of underlying etiologies which presents in adolescence, although some conditions are diagnosed in childhood. Primary amenorrhea is defined as not having menarche until 15 years of age (or 13 years with secondary sex characteristics). Various etiologies of primary amenorrhea include outflow tract obstructions, gonadal dysgenesis, abnormalities of the central nervous system, various endocrine diseases, chronic illnesses, psychologic problems, and constitutional delay of puberty. The management of primary amenorrhea may vary considerably depending on the patient and the specific diagnosis. In this article, the various causes, evaluation, and management of primary amenorrhea are reviewed with special emphasis on congenital sex hormonal disorders.
Adolescent
;
Amenorrhea
;
Central Nervous System
;
Chronic Disease
;
Diagnosis
;
Endocrine System Diseases
;
Female
;
Gonadal Dysgenesis
;
Humans
;
Menarche
;
Puberty
9.Healthcare coaching program for youth with type 1 diabetes in South Korea: a pilot study
Dae Eun LEE ; Haejung LEE ; Chong Kun CHEON ; Ju Young YOON
Child Health Nursing Research 2024;30(1):17-30
Purpose:
This pilot study aimed to assess the feasibility, preliminary efficacy, and effects of a mobile app healthcare coaching program developed based on self-regulation theory among youths with type 1 diabetes.
Methods:
A mixed-method design was utilized. Participants were randomly assigned into intervention (n=23, 12-week coaching program) or control groups (n=16, usual care). Pre- and post-intervention assessments included self-efficacy, diabetes management behavior, and health outcomes (quality of life, depression, and HbA1c). Quantitative data were analyzed with SPSS/WIN ver. 26.0. The narrative information from the participants in the healthcare coaching program underwent content analyzed.
Results:
The intervention group had significantly lower depression scores (t=2.57, p=.014) than the control group. No significant differences were observed in self-efficacy, diabetes management behavior, and health outcomes between the two groups. The average frequency of health behavior monitoring per week among the participants was 1.86±1.60. The qualitative findings indicated that participants perceived improved diabetes self-management with the intervention; however, challenges during vacations, dietary control difficulties, and a lack of disease awareness were identified.
Conclusion
The healthcare coaching program improved psychological aspects for youth with type 1 diabetes. Further research is needed to develop and implement mobile app interventions aimed at enhancing compliance with diabetes management in pediatric and adolescent populations.
10.Ultrasound-guided central cluster approach for the supraclavicular brachial plexus block: a case series.
Mi Geum LEE ; Kyung Cheon LEE ; Hong Soon KIM ; Seol Ju PARK ; Young Je SUH ; Hyeon Ju SHIN
Korean Journal of Anesthesiology 2015;68(6):603-607
There are many different approaches to ultrasound-guided supraclavicular brachial plexus block (US-SCBPB), and each has a different success rate and complications. The most commonly performed US-SCBPB is the corner pocket approach in which the needle is advanced very close to the subclavian artery and pleura. Therefore, it may be associated with a risk of subclavian artery puncture or pneumothorax. We advanced the needle into the central part of the neural cluster after penetrating the sheath of the brachial plexus in US-SCBPB. We refer to this new method as the "central cluster approach." In this approach, the needle does not have to advance close to the subclavian artery or pleura. The aim of this study was to evaluate the clinical outcomes of the central cluster approach in US-SCBPB.
Brachial Plexus*
;
Needles
;
Pleura
;
Pneumothorax
;
Punctures
;
Subclavian Artery
;
Ultrasonography