1.Various Factors Affecting Short-Term Compliance Rates of CPAP in OSA Patients: in the Age of Insurance Coverage in Korea
Oh Eun KWON ; Youngmin HAH ; Il Hee HONG
Journal of Rhinology 2021;28(1):36-43
Background and Objectives:
Although many studies have explored the factors affecting compliance with continuous positive airway pressure (CPAP) in patients with obstructive sleep apnea (OSA), the findings remain controversial. This study aimed to analyze CPAP compliance after insurance coverage began in Korea and to investigate what factors influenced CPAP compliance.Materials and Method: The subjects were 1,037 patients who were prescribed a CPAP after polysomnography at the Seoul Sleep Clinic; data were reviewed retrospectively. We classified those that used a CPAP for more than 4 hours per day for 70% or more days per month as into the good compliance group. We compared the ratio of good compliance by gender, position dependence, rapid eye movement (REM) dependence, telemonitoring of CPAP, pressure modification, and OSA severity.
Results:
There were no statistically significant differences in ratio of good compliance group according to gender, position dependence, REM dependence, or disease severity. When using a fixed CPAP (92.2%) rather than an auto PAP (88.4%), the ratio of patients in the good compliance group was significantly higher. Non-positioner and fixed CPAP users showed significantly longer average usage time.
Conclusion
In a 3-month short-term follow-up study of CPAP compliance, the telemonitoring group and those using a fixed CPAP showed a higher ratio of good compliance. Average CPAP usage time was longer when using a fixed CPAP and in non-positioners. As age increased, CPAP usage time was longer, and the average compliance rate tended to increase.
2.Replantation of Nose Amputation by Use of Medical Leech.
Youngmin YIM ; Ho KWON ; Deuk Young OH ; Ji Yoen LEE ; Sung No JUNG
Journal of the Korean Society of Plastic and Reconstructive Surgeons 2005;32(1):124-130
In the microsurgical era, replantation with microvascular anastomosis is considered as the most superior method in aspects of texture, color, shape in case of nose amputation. There are some reported cases of replantation in nose amputation historically, but most of them are composite graft cases rather than microvascular anastomosis. Only a few cases of successful nasal replantation with microvascular anastomosis have been reported due to the reason that the size of vessels is usually very small and identifying suitable vessels for anastomosis is difficult. Microanastomosis of artery and microanastomosis of vein are ideal in replantation, but identifying suitable veins is often difficult. Without venous anastomosis, resolving the venous congestion remains to be a problem. We can carry out arteriovenous shunt if we can find two arteries in amputee. However, the smaller the size of amputee is, the more difficult it is to find two arteries. Instead of arteriovenous shunt, we can try external venous drainage(frequently swab, pin-prick, stab incision, IV or local heparin injection, dropping, apply of heparin-soaked gauze, use of medical leech). Here, we present three cases of replantation with microscopical arterial anastomosis (one angular artery, two dorsal nasal arteries) and external venous drainage (stab incision, application of medical leech and heparin-soaked gauze) even though the size of amputee may be as small as 1.5x1.0 cm. In all cases, surgical outcomes were excellent in cosmetic and functional aspects. This report describes successful replantation by microvasular anastomosis in case that suitable veins are not found.
Amputation*
;
Amputees
;
Arteries
;
Drainage
;
Heparin
;
Humans
;
Hyperemia
;
Nose*
;
Replantation*
;
Transplants
;
Veins
3.Repair of an Endoscopic Retrograde Cholangiopancreatography-Related Large Duodenal Perforation Using Double Endoscopic Band Ligation and Endoclipping.
Keunmo KIM ; Eun Bee KIM ; Yong Hyeok CHOI ; Youngmin OH ; Joung Ho HAN ; Seon Mee PARK
Clinical Endoscopy 2017;50(2):202-205
Endoscopic closure techniques have been introduced for the repair of duodenal wall perforations that occur during endoscopic retrograde cholangiopancreatography (ERCP). We report a case of successful repair of a large duodenal wall perforation by using double endoscopic band ligation (EBL) and an endoclip. Lateral duodenal wall perforation occurred during ERCP in a 93-year-old woman with acute calculous cholangitis. We switched to a forward endoscope that had a transparent band apparatus. A 2.0-cm oval-shaped perforation was found at the lateral duodenal wall. We repaired the perforation by sequentially performing double EBL and endoclipping. The first EBL was performed at the proximal edge of the perforation orifice, and two-thirds of the perforation were repaired. The second EBL, which also included the contents covered under the first EBL, repaired the defect almost completely. Finally, to account for the possible presence of a residual perforation, an endoclip was applied at the distal end of the perforation. The detection and closure of the perforation were completed within 10 minutes. We suggest that double EBL is an effective method for closure.
Cholangiopancreatography, Endoscopic Retrograde
;
Cholangitis
;
Endoscopes
;
Female
;
Humans
;
Ligation*
;
Methods
4.Esophageal Atresia with Bronchogenic Cyst.
Youngmin KIM ; Chaeyoun OH ; Joong Kee YOUN ; Ji Won HAN ; Hyun Young KIM ; Sung Eun JUNG
Journal of the Korean Association of Pediatric Surgeons 2017;23(1):5-8
A baby was diagnosed with esophageal atresia (EA) with tracheoesophageal fistula (TEF) on the next day after birth, and end-to-end anastomosis of esophagus with TEF ligation was performed. The distance between proximal and distal esophageal pouch was checked as 3 vertebral body lengths and a 1 cm-sized bronchogenic cyst (BC) was identified near carina on the right side, just below the proximal esophageal pouch. This case report described the baby who have a BC was located between the both esophageal pouch and a longer esophageal gap than usual EA with distal TEF.
Bronchogenic Cyst*
;
Esophageal Atresia*
;
Esophagus
;
Ligation
;
Parturition
;
Tracheoesophageal Fistula
5.Single Pleural Relapse of a Nasal-Type Extranodal Natural Killer/T-Cell Lymphoma: A Case Report.
Keunmo KIM ; Youngmin OH ; Sung Nam LIM ; Song Yi CHOI ; Ok Jun LEE ; Kang Hyeon CHOE ; Ki Man LEE ; Jin Young AN
Tuberculosis and Respiratory Diseases 2014;76(4):184-187
A nasal-type extranodal natural killer/T-cell lymphoma is considered an aggressive form of non-Hodgkin's lymphoma, with approximately half of all patients relapsing during the follow-up period, and most relapses occurring within the first 2 years of remission. Here we report an unusual case of a 42-year-old man who experienced recurrence in single pleura after 8 years of remission.
Adenosine Deaminase
;
Adult
;
Follow-Up Studies
;
Humans
;
Lymphoma*
;
Lymphoma, Extranodal NK-T-Cell
;
Lymphoma, Non-Hodgkin
;
Pleura
;
Pleural Effusion
;
Recurrence*
6.Eosinophilic Pleuritis due to Sparganum: A Case Report.
Youngmin OH ; Jeong Tae KIM ; Mi Kyeong KIM ; You Jin CHANG ; Keeseon EOM ; Jung Gi PARK ; Ki Man LEE ; Kang Hyeon CHOE ; Jin Young AN
The Korean Journal of Parasitology 2014;52(5):541-543
Sparganosis is a rare parasitic disease caused by migrating plerocercoid tapeworm larva of the genus Spirometra. Infection in humans is mainly caused by the ingestion of raw or inadequately cooked flesh of infected frogs, snakes, and chickens. Here, we report a rare case of a 45-year-old man who was admitted to our hospital with left lower chest pain. The chest radiograph and computed tomography (CT) scan revealed localized pleural effusion in the left lower lobe; further, peripheral blood eosinophilia and eosinophilic pleural effusion were present. Percutaneous catheter drainage was performed, which revealed long worm-shaped material that was identified as a sparganum by DNA sequencing. The patient showed clinical improvement after drainage of the sparganum. This study demonstrates the importance of considering parasitic diseases in the differential diagnosis of eosinophilic pleural effusion.
Animals
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Anthelmintics/therapeutic use
;
Eosinophilia/*etiology
;
Humans
;
Male
;
Middle Aged
;
Pleurisy/*etiology
;
Praziquantel/therapeutic use
;
Sparganosis/*complications/diagnosis
;
Sparganum/*isolation & purification
7.Characteristics of Drug Overdose in Young Suicide Attempters.
Yong Sil KWEON ; Sunyoung HWANG ; Bora YEON ; Kyoung Ho CHOI ; Youngmin OH ; Hae Kook LEE ; Chung Tai LEE ; Kyoung Uk LEE
Clinical Psychopharmacology and Neuroscience 2012;10(3):180-184
OBJECTIVE: Few studies have focused on the characteristic features of drug overdose in children and adolescents who have attempted suicide in Korea. The present study examined the characteristics of drug overdose in children and adolescents who visited the emergency room following drug ingestion for a suicide attempt. METHODS: The medical records of 28 patients who were treated in the emergency room following a drug overdose from January 2008 to March 2011 were analyzed. Demographic and clinical variables related to the suicide attempts were examined. RESULTS: The mean age of the patients was 16.6+/-1.7 years (range 11-19 years), and 20 of the patients (71.4%) were female. Most of the patients (n=23, 82.1%) overdosed on a single drug; acetaminophen-containing analgesics were the most common (n=12, 42.9%). Depression was the most common psychiatric disorder (n=22, 78.6%), and interpersonal conflict was the most common precipitating factor of the suicide attempts (n=11, 39.3%). This was the first suicide attempt for approximately 80% of the patients. About one fourth of the patients (n=7, 25%) had follow-up visits at the psychiatric outpatient clinic. CONCLUSION: Early screening and psychiatric intervention for depression may be an important factor in preventing childhood and adolescent suicide attempts. Developing coping strategies to manage interpersonal conflicts may also be helpful. Moreover, policies restricting the amount and kind of drugs purchased by teenagers may be necessary to prevent drug overdose in this age group.
Adolescent
;
Analgesics
;
Child
;
Depression
;
Drug Overdose
;
Eating
;
Emergencies
;
Female
;
Follow-Up Studies
;
Humans
;
Korea
;
Mass Screening
;
Medical Records
;
Outpatients
;
Precipitating Factors
;
Suicide
;
Suicide, Attempted
8.Clinical Characteristics of the Suicide Attempters Who Refused to Participate in a Suicide Prevention Case Management Program.
Soyoung PARK ; Kyoung Ho CHOI ; Youngmin OH ; Hae Kook LEE ; Yong Sil KWEON ; Chung Tai LEE ; Kyoung Uk LEE
Journal of Korean Medical Science 2015;30(10):1490-1495
Case management interventions for suicide attempters aimed at helping adjust their social life to prevent reattempts have high nonparticipation and dropout rates. We analyzed the clinical characteristics of the group who refused to participate in the suicide prevention program in Korea. A total of 489 patients with a suicide attempt who visited Uijeongbu St. Mary's Hospital, the Catholic University of Korea, from December 2009 to December 2013 were analyzed. All patients were divided into the participation group (n = 262) and the refusal group (n = 227) according to their participation in the case management program. Demographic and clinical characteristics of each group were examined. Results showed that the refusal group had low risks for suicide in terms of risk factors related with psychopathologies and presenting suicide behavior. That is, the refusal group had less patients with co-morbid medical illnesses and more patients with mild severity of depression compared to the participation group. However, the refusal group had more interpersonal conflict, more isolation of social integrity, and more impaired insight about suicide attempt. The results suggest that nonparticipation in the case management program may depend upon the patient's impaired insight about the riskiness of suicide and lack of social support.
Adult
;
Case Management
;
Female
;
Humans
;
Male
;
Mental Disorders/diagnosis/*psychology
;
Middle Aged
;
Republic of Korea
;
Suicide, Attempted/*prevention & control/*psychology
;
Treatment Refusal/*psychology
9.Retraction: Aortic Dissection and Rupture in a Child.
Yun Ju JO ; Eun Jeong LEE ; Jin Won OH ; Chang Min MOON ; Deok Kyu CHO ; Yun Hyeong CHO ; Ki Hyun BYUN ; Lucy Youngmin EUN
Korean Circulation Journal 2012;42(7):511-511
No abstract available.
10.Aspergillus Tracheobronchitis in a Mild Immunocompromised Host.
Byung Ha CHO ; Youngmin OH ; Eun Seok KANG ; Yong Joo HONG ; Hye Won JEONG ; Ok Jun LEE ; You Jin CHANG ; Kang Hyeon CHOE ; Ki Man LEE ; Jin Young AN
Tuberculosis and Respiratory Diseases 2014;77(5):223-226
Aspergillus tracheobronchitis is a form of invasive pulmonary aspergillosis in which the Aspergillus infection is limited predominantly to the tracheobronchial tree. It occurs primarily in severely immunocompromised patients such as lung transplant recipients. Here, we report a case of Aspergillus tracheobronchitis in a 42-year-old man with diabetes mellitus, who presented with intractable cough, lack of expectoration of sputum, and chest discomfort. The patient did not respond to conventional treatment with antibiotics and antitussive agents, and he underwent bronchoscopy that showed multiple, discrete, gelatinous whitish plaques mainly involving the trachea and the left bronchus. On the basis of the bronchoscopic and microbiologic findings, we made the diagnosis of Aspergillus tracheobronchitis and initiated antifungal therapy. He showed gradual improvement in his symptoms and continued taking oral itraconazole for 6 months. Physicians should consider Aspergillus tracheobronchitis as a probable diagnosis in immunocompromised patients presenting with atypical respiratory symptoms and should try to establish a prompt diagnosis.
Adult
;
Anti-Bacterial Agents
;
Antitussive Agents
;
Aspergillosis, Allergic Bronchopulmonary
;
Aspergillus*
;
Bronchi
;
Bronchoscopy
;
Cough
;
Diabetes Mellitus
;
Diagnosis
;
Gelatin
;
Humans
;
Immunocompromised Host*
;
Invasive Pulmonary Aspergillosis
;
Itraconazole
;
Lung
;
Sputum
;
Thorax
;
Trachea
;
Transplantation