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Lee, Mingee,Huh, Jin-Young,Lee, Ji-Hyang,Kang, Sun-myoung,Lee, Jae-Yong,Kwon, Oh-Chan,Kim, Eun Na,Kim, Jihun,Lee, Danbi Yeungnam University College of Medicine 2017 Yeungnam University Journal of Medicine Vol.34 No.2
Klinefelter's syndrome is the most common congenital abnormality that causes primary hypogonadism. It is associated with diseases that predominantly affect women, such as systemic lupus erythematosus (SLE), and it can sometimes cause veno-occlusive disease. We experienced a case of Budd-Chiari syndrome (BCS) in a 33-year-old man with Klinefelter's syndrome presented with hematemesis and edema in both lower extremities. The clinical and laboratory findings were compatible with SLE, antiphospholipid syndrome, and BCS. To the best of our knowledge, this is the first case report to describe a simultaneous presentation of these four clinical syndromes in a single patient.
( Mingee Lee ),( Jin-young Huh ),( Ji-hyang Lee ),( Sun-myoung Kang ),( Jae-yong Lee ),( Oh-chan Kwon ),( Eun Na Kim ),( Jihun Kim ),( Danbi Lee ) 영남대학교 의과대학 2017 Yeungnam University Journal of Medicine Vol.34 No.2
Klinefelter’s syndrome is the most common congenital abnormality that causes primary hypogonadism. It is associated with diseases that predominantly affect women, such as systemic lupus erythematosus (SLE), and it can sometimes cause veno-occlusive disease. We experienced a case of Budd-Chiari syndrome (BCS) in a 33-year-old man with Klinefelter’s syndrome presented with hematemesis and edema in both lower extremities. The clinical and laboratory findings were compatible with SLE, antiphospholipid syndrome, and BCS. To the best of our knowledge, this is the first case report to describe a simultaneous presentation of these four clinical syndromes in a single patient.
Moonki Hong,Mingee Choi,JiHyun Lee,Kyoo Hyun Kim,Hyunwook Kim,이충근,김효송,라선영,Gyu Young Pih,최윤진,정다현,박준철,신성관,이상길,이용찬,조민아,Yoo Min Kim,김형일,정재호,형우진,신재용,정민규 대한위암학회 2023 Journal of gastric cancer Vol.23 No.4
Purpose: Gastric cancer (GC) is among the most prevalent and fatal cancers worldwide. National cancer screening programs in countries with high incidences of this disease provide medical aid beneficiaries with free-of-charge screening involving upper endoscopy to detect early-stage GC. However, the coronavirus disease 2019 (COVID-19) pandemic has caused major disruptions to routine healthcare access. Thus, this study aimed to assess the impact of COVID-19 on the diagnosis, overall incidence, and stage distribution of GC. Materials and Methods: We identified patients in our hospital cancer registry who were diagnosed with GC between January 2018 and December 2021 and compared the cancer stage at diagnosis before and during the COVID-19 pandemic. Subgroup analyses were conducted according to age and sex. The years 2018 and 2019 were defined as the “before COVID” period, and the years 2020 and 2021 as the “during COVID” period. Results: Overall, 10,875 patients were evaluated; 6,535 and 4,340 patients were diagnosed before and during the COVID-19 period, respectively. The number of diagnoses was lower during the COVID-19 pandemic (189 patients/month vs. 264 patients/month) than before it. Notably, the proportion of patients with stages 3 or 4 GC in 2021 was higher among men and patients aged ≥40 years. Conclusions: During the COVID-19 pandemic, the overall number of GC diagnoses decreased significantly in a single institute. Moreover, GCs were in more advanced stages at the time of diagnosis. Further studies are required to elucidate the relationship between the COVID-19 pandemic and the delay in the detection of GC worldwide.
안전보행환경을 위한 서울거리모니터링 분석에 관한 연구- 강동구 사례를 중심으로 한 -
김성수(SungSoo Kim),조민지(MinGee Cho),이태식(TaeShik Lee) 한국방재안전학회 2013 한국방재안전학회 논문집 Vol.6 No.2
서울시는 2013.1월부터 6월까지 서울거리모니터링 활동에 대한 실태조사를 실시하였다. 조사결과에 따르면 거리모니터링 활동은 2013년 서울시 균형성과 지표의 달성목표인 5,000건을 이미 달성하였다. 서울시 전체 9,722건(6월말기준)을 신고하여 2012년 1,151건에 비해 대폭 증가하였지만 지역•연령•직업•성별 편차가 심하고 전체인력의 2.2%에 불과한 우수 활동자 14명이 6,546건을 신고하여 총 신고실적의 67.3%에 달하는 높은 의존도를 나타냈다. 거리모니터링활동은 윌리엄 하인리히의「1:29:300의 법칙」에 의거하여 사망자 28명, 중경상자 816명과 잠재적 부상자 8,443명을 감소시켜 총 9,287명에 달하는 서울시민의 생명을 존중하고 보호하였다고 할 수 있다. 또한 강동구사례를 중점 분석하여 모니터링활동의 명확한 목표 재설정과 달성여부를 추정하였으며, 목표달성을 위한 모니터링 전문가제도, 모니터 증원, 차등평가 포상제도, 종합평가방법을 제시하였다. Seoul city has been carried out the actual conditional investigation about street monitoring from January to June of 2013. As the result of this investigation, it has been performed aleady the Seoul city’s BSI goal of 2013. The 9,722 cases were reported through the street monitoring activities. Despite of increasing drastically for 1,151 cases’s record of 2012, Street monitoring activity appeared wide variations in the region, ages, vocation and gender. Also it depended on 14 outstanding persons of merely 2.2%. They reported 6,546 cases that run to 67.3%. On the basis of Herbert W. Heinrich’s law of 1:29:300, the dead of 28, seriously and the slightly injured of 816 and the latent injured of 8,442 were decreased. It respected and protected the 9,287 Seoul citizen’s life. This study reseted a definite goal of monitoring and estimated a performance possibility as well as suggested a monitoring expert system, monitor increase, grade evaluation incentive, general evaluation method throughout priority analysis of Gangdong-gu case.
공장 정맥류 출혈에 대한 색전술 후 이동된 코일의 수술적 제거 1예
김준환 ( Junhwan Kim ),이단비 ( Danbi Lee ),오경환 ( Kyunghwan Oh ),이민기 ( Mingee Lee ),소설 ( Seol So ),양동훈 ( Dong-hoon Yang ),김찬욱 ( Chan-wook Kim ),권동일 ( Dong Il Gwon ),정영화 ( Young-hwa Chung ) 대한소화기학회 2017 대한소화기학회지 Vol.69 No.1
Jejunal variceal bleeding is less common compared with esophagogastric varices in patients with portal hypertension. However, jejunal variceal bleeding can be fatal without treatment. Treatments include surgery, transjugular intrahepatic porto-systemic shunt (TIPS), endoscopic sclerotherapy, percutaneous coil embolization, and balloon-occluded retrograde transvenous obliteration (BRTO). Percutaneous coil embolization can be considered as an alternative treatment option for those where endoscopic sclerotherapy, surgery, TIPS or BRTO are not possible. Complications of percutaneous coil embolization have been reported, including coil migration. Herein, we report a case of migration of the coil into the jejunal lumen after percutaneous coil embolization for jejunal variceal bleeding. The migrated coil was successfully removed using surgery. (Korean J Gastroenterol 2017;69:74-78)
A Critical Case of Wernicke’s Encephalopathy Induced by Hyperemesis Gravidarum
Byung Ju Kang,Min Gu Kim,Jwa Hoon Kim,Mingee Lee,전상범,김하일,허진원 대한중환자의학회 2015 Acute and Critical Care Vol.30 No.2
Wernicke’s encephalopathy is a reversible but potentially critical disease caused by thiamine deficiency. Most patients complain of symptoms such as ophthalmoplegia, ataxia and confusion. Heavy alcohol drinking is commonly associated with the disease, but other clinical conditions also can provoke it. In pregnant women, hyperemesis gravidarum can lead to the depletion of body thiamine due to poor oral intake and a high metabolic demand. We report a case of Wernicke’s encephalopathy following hyperemesis gravidarum in a 36-year-old female at 20 weeks of pregnancy, who visited our hospital because of shock with vaginal bleeding. This case suggests that although the initial presentation may include atypical symptoms (e.g., shock or bleeding), Wernicke’s encephalopathy should be considered, and thiamine replacement should be performed in pregnant women with neurologic symptoms and poor oral intake.
오경환 ( Kyunghwan Oh ),권오찬 ( Oh Chan Kwon ),박형준 ( Hyung Jun Park ),이민기 ( Mingee Lee ),조상철 ( Sang-cheol Cho ),송준선 ( Joon Seon Song ),김성한 ( Sung-han Kim ) 대한내과학회 2017 대한내과학회지 Vol.92 No.1
Mucormycosis is a rare but fatal disease and usually affects the rhinocerebrum, lungs, traumatic wounds or surgical sites. Vertebral osteomyelitis due to mucormycosis is very rare, with only three cases caused by mucormycosis since 1970 being reported, and none in Korea. Here, we present a case of vertebral osteomyelitis caused by mucormycosis in a 67-year-old woman, having type 2 diabetes mellitus for 10 years, who was in complete remission from acute leukemia after chemotherapy 3 years previously. (Korean J Med 2017;92:84-88)
( Min Kwan Kwon ),( Kyung Hwa Jung ),( Sungim Choi ),( Hyeonjeong Kim ),( Chang-yun Woo ),( Mingee Lee ),( Jeong Geun Ji ),( Hyo-ju Son ) 대한내과학회 2023 The Korean Journal of Internal Medicine Vol.38 No.5
Background/Aims: While most cancer patients with end-of-life (EOL) care receive antibiotic treatments, antibiotic use should be decided appropriately considering the benefits, side effects, resistance, and cost effects. Antimicrobial stewardship programs (ASP) are important for patients with EOL care, but there is limited study analyzing actual antibiotic use in EOL care and the perceptions of Korean medical staff. Methods: Electronic medical records of 149 deceased cancer patients hospitalized in the medical hospitalist units at Asan Medical Center in Seoul from May 2019 to September 2021 were reviewed. Basic information, antibiotic use, duration, and changes were investigated. We surveyed medical staff’s perceptions of antibiotics in cancer patients with EOL. Results: Of the 149 cancer patients with EOL care, 146 (98.0%) agreed with physician orders for life-sustaining treatment (POLST). In total, 143 (95.9%) received antibiotics, 110 (76.9%) received combination antibiotic treatment, and 116 (81.1%) were given antibiotics until the day of death. In a survey of 60 medical staff, 42 (70.0%) did not know about ASP, and 24 (40.0%) thought ASP was important in EOL care. Nineteen doctors (31.7%) discussed the use or discontinuation of antibiotics with patients or caregivers when writing POLST, but only 8 patients (5.6%) stopped antibiotics after POLST. Conclusions: Most cancer patients with EOL care continue to receive antibiotics until just before their death. A careful approach is needed, considering the benefits and side effects of antibiotic use, and the patient’s right to self-decision. It is necessary to actively improve awareness of ASP and its importance for medical staff.