1.Surgical treatment of thoracolumbar spine fractures.
Ki Soo KIM ; Yeub KIM ; Seong Taek KIM ; Jae Woon KO ; Young Youl CHUNG
The Journal of the Korean Orthopaedic Association 1991;26(2):507-519
No abstract available.
Spine*
2.Cystic fibrosis: a case presented with recurrent bronchiolitis in infancy in a Korean male infant.
Hyung Ro MOON ; Tae Sung KO ; Young Youl KO ; Jung Hwan CHOI ; Young Chi KIM
Journal of Korean Medical Science 1988;3(4):157-162
The aim of this case report is to draw the attention to the occurrence of cystic fibrosis (C.F.) in a Korean infant and thus increase the awareness for the diagnosis. The male infant was presented with a history of recurrent bronchiolitis manifested by severe cough, wheeze and dyspnea from three weeks of age, in whom the diagnosis of C.F. was clinically suspected and was confirmed by demonstration of two elevated sweat chloride levels (97 mEq/L and 99 mEq/L) in the patient. The diagnosis was delayed because the main manifestations of C.F. were the same as the main symptoms of common diseases such as cough, diarrhea and failure to thrive. C.F. is probably underdiagnosed in Korean population both because the diagnosis is not considered since the disease is thought to be uncommon or even not to occur and because diagnostic facilities including the quantitative iontophoresis sweat test are lacking.
Bronchiolitis/diagnosis/*etiology
;
Cystic Fibrosis/complications/*diagnosis/ethnology
;
Humans
;
Infant
;
Male
3.Diagnostic value of ferritin in malignant pleural and peritoneal effusions.
Tejune CHUNG ; Jung Won BYUN ; Jung Soon JANG ; Il Young CHOI ; Ung Rin KO ; Bo Youl CHOI
Journal of the Korean Cancer Association 1992;24(4):531-540
No abstract available.
Ascitic Fluid*
;
Ferritins*
4.A Study on the p53 Mutations in Korean Breast Cancer Tissues.
Hong Kyu BAIK ; Pah Jong JUNG ; Youl Hee CHO ; Young Hyeh KO
Journal of the Korean Cancer Association 1998;30(5):921-934
PURPOSE: The role of mutation of p53 gene on the carcinigenesis was studied since 1991. There were some relationships of p53 mutation and clinicopathologic factors. This sutudy was designed for the clinicopathologic and genetic factor relation in Korean breast cancer. MATERIALS AND METHOD: A retrospective study on the clinicopathologic findings such as age, menopausal status, TNM stage, histologic grade, estrogen receptor, DNA ploidy and S-phase fraction was camed out on 47 breast cancer tissues which had been resected at the Department of Surgery, Hanyang University Hospital. Forty-seven tissues were grouped into 3 groups. Group 1 was ductal carcinoma in situ, Group 2 was invasive ductal carcinoma without axillary lymph node metastasis and Group 3 was invasive ductal carcinoma with axillary lymph node metastasis. The numbers of tissues in each groups were 14, 15 and 18, respectively. Mutation screening on the p53 tumor suppressor gene was also performed with PCR-SSCP-direct sequencing method from the genomic DNA extracted from formalin fixed and paraffin-embedded pathologic tissue blocks. The results were as followings; RESULT: p53 mutations were detected in 12 cases(25.5%) of 47. In Group 1, 4 cases(28.6%) had mutations, and in Group 2, 5 cases(33.3%), and in Group3, 3 cases(16.7%). There was no significant differences in mutation rate between three groups. In 12 mutations detected, 6 cases were transition, 5 of which were missense mutation in coding sequences, and one of which was splicing mutation at acceptor site. One case was transversion and five cases were deletions or insertions of various lengths resulting in frameshift mutations. There was no statistically significant difference between groups and clinicopathologic factors except the strong relationship between the negative estrogen receptor and p53 mutation(p< 0.001). CONCLUSIONS: From the above findings, p53 gene could be considered to be inactivated at the all stage of multistep carcinogenesis processes. The nature of mutations and genetic background of Korean breast cancers may be somewhat different from those of Caucasians. And the p53 mutation status may be used as one of the useful prognostic factors in addition to the estrogen receptor status.
Breast Neoplasms*
;
Breast*
;
Carcinogenesis
;
Carcinoma, Ductal
;
Carcinoma, Intraductal, Noninfiltrating
;
Clinical Coding
;
DNA
;
Estrogens
;
Formaldehyde
;
Frameshift Mutation
;
Genes, p53
;
Genes, Tumor Suppressor
;
Lymph Nodes
;
Mass Screening
;
Mutation Rate
;
Mutation, Missense
;
Neoplasm Metastasis
;
Ploidies
;
Retrospective Studies
5.Comparative study of total knee replacement in rheumatoid arthritis and osteoarthritis.
Young LIM ; Jin Goo KIM ; Jae Youl CHOI ; Jeong Kook SEO ; Han Suk KO ; Byung Jik KIM
The Journal of the Korean Orthopaedic Association 1993;28(6):1972-1979
No abstract available.
Arthritis, Rheumatoid*
;
Arthroplasty, Replacement, Knee*
;
Osteoarthritis*
6.Cervical tuberculous lymphadenitis : Clinicopathological reatures and AFB positivity.
Young Jun HWANG ; Mi Hye KO ; Se Young YUN ; Yong Ho KIM ; Doh Hyung KIM ; Kye Young LEE ; Keun Youl KIM ; Na Hye MYONG ; Jae Seuk PARK
Tuberculosis and Respiratory Diseases 2000;48(5):720-729
BACKGROUND: Histological analysis of tuberculosis shows a spectrum of findings, from well formed granulmatous inflammation with few bacilli in patient with normal immune response to M. tuberculosis to poorly formed granulomatous inflammation with many bacilli in patient with defective immune response. To evaluate the degree of immune response to M. tuberculosis, we studied the histologic features, including the presence of acid fast bacilli(AFB) in lymph node of patients with cervical tuberculous lymphadenitis, and compared them with clinical characteristics. METHODS: We reviewed the histologic features of 33 cases of cervical tuberculous lymphadenitis and processed the excised nodes for auramine-rhodamine staining to detect AFB. The AFB positivity in tissue was compared with the histologic features(degree of granuloma formation, presence of caseation necrosis, presence of neutrophilic infiltration) and clinical characteristics (lymph node size, duration of symptom, presence of local symptom or radiologic evidence of pulmonary tuberculosis). RESULTS: 1) The mean age at diagnosis was 42.4 years, and male to female ratio was 1 : 45. 2) Histologically, all cases showed well formed granuloma and variable degrees of caseation necrosis, and 39% of the cases showed neutrophilic infiltration in the granulomatous inflammation. 3) AFB were confirmed in 52% of the cases, and they were found extracellularly and at the periphery of caseation necrosis. 4) There was no association between AFB Positivity and histological features or clinical characteristics. CONCLUSION: Cervical tuberculous lymphadenitis showed well formed granulomatous inflammation with caseation necrosis, and there was no association between AFB positivity in the tissue and histological or clinical characteristics.
Diagnosis
;
Female
;
Granuloma
;
Humans
;
Inflammation
;
Lymph Nodes
;
Lymphadenitis
;
Male
;
Necrosis
;
Neutrophils
;
Tuberculosis
;
Tuberculosis, Lymph Node*
7.Inhibitory mechanism on NF-kB transactivation by dexamethasone in pulmonary epithelial cells.
Kye Young LEE ; Yoon Seop KIM ; Mi Hye KO ; Jae Seok PARK ; Young Koo JEE ; Keun Youl KIM ; Sahng June KWAK
Tuberculosis and Respiratory Diseases 2000;48(5):682-698
Glucocorticoid receptor (GR) functions as a suppressor of inflammation by inhibiting the expression of many cytokine gene activated by NF-κB. The goal of this study is to investigate the mechanism by which GR repress NF-κB activation in lung epithelial cells. We used A549 and BEAS-2B lung epithelial cell lines. Using IgGκ-NF-κB luciferase reporter gene construct, we found that dexamethasone significantly suppressed TNF-α-induced NF-κB activation and the overexpression of GR showed dose-dependent reduction of TNF-α-induced NF-κB activity in both cell lines. However, DNA binding of NF-κB induced by TNF-α in electromobility shift assay was not inhibited by dexamethasone. Super shift assay with anti-p65 antibody demonstrated the existence of p65 in NF-κB complex induced by TNF-α Western blot showed that IκBα degradation induced by TNF-α was not affected by dexamethasone and IκBκ was not induced by dexamethasone, neither. To evaluate p65 specific transactivation, we adopted co-transfection study of Ga14-p65TA1 or TA2 fusion protein expression system together with 5xGa14-luciferase vector. Co-transfection of GR with Ga14-p65TA1 or TA2 repressed luciferase activity profoundly to the level of 10-20% of p65TA1- or TA2-induced transcriptional activity. And this transrepressional effect was abolished by co-transfection of CBP or SRC-1 expression vectors. These results suggest that Gr-mediated transrepression of NF-κB in lung epithelial cells is through competing for binding to limiting amount of transcriptional coactivators, CBP or SRC-1.
Blotting, Western
;
Cell Line
;
Dexamethasone*
;
DNA
;
Epithelial Cells*
;
Genes, Reporter
;
Inflammation
;
Luciferases
;
Lung
;
NF-kappa B*
;
Receptors, Glucocorticoid
;
Transcriptional Activation*
8.The Ventilatory and Cardiovascular Changes during Laparoscopic Cholecystectomy.
Jae Cheol LEE ; Sang Rock LEE ; Hwall Young KO ; In Bae LEE ; Chang Woo CHUNG ; Hong Youl KIM
Korean Journal of Anesthesiology 1996;30(4):437-442
BACKGROUND: Laparoscopic cholecystectomy has emerged rapidly as a popular alternative to tradidonal laparotomy and cholecystectomy in the management of cholelithiasis. The advantages of shorter hospital stay, more rapid return to normal activities are combined with less pain associated with the small limited incisions. But it has some disadvantages related to insufflation of a large amount of carbon dioxide into peritoneal cavity. METHODS: To investigate ventilatory and hemodynamic changes during laparoscopic cholecystectomy, we observed the changes in blood pressure (systole, diastole, mean), heart rate, end-tidal carbon dioxide tension (PerCO2), arterial carbon dioxide tension(PaCO2), and arterial oxygen tension(PaO2) at intervals during general anesthesia with controlled ventilation (tidal volume: 10 mg/kg, ventilatory rate: 10 breaths/min). RESULTS: Mean arterial pressure was increased significantly until 30 minutes after carbon dioxide insufflation(p<0.05). Heart rate was not changed significantly throughout the operation. End-tidal carbon dioxide tension and arterial carbon dioxide tension were increased significantly during carbon dioxide insufflation(p<0.01), but arterial oxygen tension was not decreased significantly throughout the operation. CONCLUSIONS: This study described 19 patients who underwent laparoscopic cholecystectomy and analyzed the changes in hemodynamic and ventilatory parameters. It is important for anesthesiologist to monitor ventilation and hemodynamics carefully because the patients with cardiac or pulmonary diseases may be adversely affected by the hypercarbia associated with carbon dioxide insufflation.
Anesthesia, General
;
Arterial Pressure
;
Blood Pressure
;
Carbon Dioxide
;
Cholecystectomy
;
Cholecystectomy, Laparoscopic*
;
Cholelithiasis
;
Diastole
;
Heart Rate
;
Hemodynamics
;
Humans
;
Insufflation
;
Laparoscopy
;
Laparotomy
;
Length of Stay
;
Lung Diseases
;
Oxygen
;
Peritoneal Cavity
;
Ventilation
9.Effect of Pre-vs. Post-incisional Lidocaine Infiltration on Postoperative Pain after Inguinal Herniorrhaphy.
Sang Rock LEE ; Sung Jung CHO ; Hwall Young KO ; In Bae LEE ; Chang Woo CHUNG ; Hong Youl KIM
Korean Journal of Anesthesiology 1996;31(2):246-253
BACKGROUND: Recently many studies reported that the postoperative pain was prevented or decreased from preoperative regional anesthesia by preventing the establishment of central sensitization(pre-emptive analgesia). Therefore, we evaluated the efficacy of preincisional lidocaine infiltration on the postoperative pain. METHODS: We conducted a study to compare preinfiltrating group with 1% lidocaine (30 ml), postinfiltrating group with 1% lidocaine (30 ml) and non-infiltrating group in 45 patients scheduled for elective inguinal herniorrhaphy. During operation, all patients received a general anesthesia with thiopental, isoflurane and nitrous oxide in oxygen. Postoperatively, pain scores on visual analogue scale (VAS) and on verbal rating scale(VRS) at rest, coughing and movement from supine into sitting position were assessed. Also the time to first request for an on-demand postoperative analgesics and the total dose of postoperative analgesics were assessed. And the number of patients who didn't require any analgesics during postoperative period was assessed. RESULTS: The VAS and VRS at rest, coughing, movement were low in preinfiltrating group than in non-infiltrating group and postinfiltrating group postoperatively, but it was statistically significant only in early postoperative period. The time to first request for an on-demand postoperative analgesics occurred later in preinfiltrating group than in non-infiltrating group and in postinfiltrating group and the total dose of supplemental analgesics (ketorolac) was smaller in the preinfiltrating group than in non-infiltrating group and postinfiltrating group, and the patients without analgesic treatment was less in the preinfiltrating group than in non-infiltrating group and postinfiltrating group, but it was not statistically significant. CONCLUSIONS: In patients with inguinal herniorrhaphy, we can not support the pre-emptive analgesia clinically with preincisional lidocaine infiltration.
Analgesia
;
Analgesics
;
Anesthesia, Conduction
;
Anesthesia, General
;
Anesthetics
;
Cough
;
Herniorrhaphy*
;
Humans
;
Isoflurane
;
Lidocaine*
;
Nitrous Oxide
;
Oxygen
;
Pain, Postoperative*
;
Postoperative Period
;
Thiopental
10.The Immunohistochemical analysis for the expression of survivin, an inhibitor of apoptosis protein, in non-small cell lung cancer.
Mi Hye KO ; Na Hye MYOUNG ; Jae Whan LEE ; Eun Mi CHO ; Jae Seuk PARK ; Keun Youl KIM ; Kye Young LEE
Tuberculosis and Respiratory Diseases 2000;48(6):909-921
BACKGROUND: Defects in apoptotic signaling pathways play important role in tumor initiation, progression, metastasis and resistance to treatment. Several proteins which may promote tumorigenesis by inhibiting apoptosis were identified. The survivin protein is the member of inhibitor of apoptosis protein(IAPs) family which inhibits apoptosis. Unlike other IAPs, it is expressed in during the fetal period but not in adult differentiated tissues. Many reports have stated that survivin is selectively expressed in many cancer cell lines and cancer tissues. We performed immunohistochemical analysis for survivin expression in non-small cell lung cancer to get evaluate its clinical implication. METHODS: Twenty nine surgically resected lung cancers were examined. Immunohistochemical staining were performed by immuno-peroxidase technique using avidin-biotinylated horseradish peroxidase complex in the formalin-fixed, paraffin-embedded tissue 4 µm section. Anti-survivin polyclonal antibody was used for primary antibody and anti-p53 monoclonal antibody was also used to analyze the correlation between survivin and p53 expression. The survivin expression scores were determined by as the sum of the stained area and intensity. RESULTS: Immunohistochemical analysis showed cancer specific expression of survivin in 20 of 29 cases (69.0%). Western blot analysis also showed the selective survivin expression in turmor tissue. There was no correlation between survivin expression and clinicopathological parameters and prognosis. We analyzed the correlated between survivin expression and p53 expression, but found none. CONCLUSION: We confirmed the tumor specific expression of survivin in non-small cell lung cancer But this pression was not correlated with clinical parameters as well as histlogy, tumor stage recurrence, and sur rate. Also it ws not statistically correlated with the expression of p53.
Adult
;
Apoptosis
;
Blotting, Western
;
Carcinogenesis
;
Carcinoma, Non-Small-Cell Lung*
;
Cell Line
;
Horseradish Peroxidase
;
Humans
;
Immunohistochemistry
;
Inhibitor of Apoptosis Proteins*
;
Lung Neoplasms
;
Neoplasm Metastasis
;
Prognosis
;
Recurrence