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Analysis of acne-related judicial precedents from 1997 to 2018 in South Korea
( Ji Hoon Yang ),( Soo Ick Cho ),( Su Hwan Shin ),( Won Lee ),( So Yoon Kim ),( Dae Hun Suh ) 대한피부과학회 2019 대한피부과학회 학술발표대회집 Vol.71 No.2
Background: Medicolegal disputes are increasing in practical medicine. Acne is a common problem but is usually related to cosmetic problems such as acne scars. Medications or procedures related to acne could lead to medical malpractice. Objectives: To analyze medical litigation associated with acne or acne scar in South Korea. Methods: Acne-related judgements were searched using the Supreme Court of Korea’s Written Judgment Management System based on the keywords “acne” or “acne scar.” Results: Eleven cases were selected as litigated cases of acne or acne scar. Eight cases (72.7%) were related to acne scar and three (27.3%) were related to acne. Treatment modalities such as peeling (n = 6), laser treatment (n = 3), photodynamic therapy (n = 1), and antibiotic (n = 1) resulted in lawsuit. Claimed sequelae of the treatment were hyperpigmentation (n = 5), scar worsening (n = 5), erythema (n = 3), skin bumps (n = 1), and liver transplant (n = 1). Eight cases (72.7%) were awarded to the plaintiff, and the others were dismissed. The average awarded amount was 16,801,324± 24,452,486 (mean±standard deviation) Korean Won. Conclusion: Various treatments for acne or acne scar can cause medical disputes. Unnecessary litigation could be prevented if simple measures such as history taking, choosing proper procedure, and adequate management after the procedure along with sufficient informed consent were performed.
Kim, Ji-Hyun,Sim, Youn,Shin, Seung-Won 덕성여자대학교 약학연구소 2005 藥學論文誌 Vol.16 No.1
The combination effects of essential oils from Thymus quinquecostatus and T. magnus with norfloxacin were evaluated against three strains of Streptococcus pneumoniae. The checkerboard titer test results demonstrated significant combined effects of norfloxacin and the two Thymus oils or thymol, the main component of this oil, against the susceptible and resistant strains of S. pneumoniae, with FICIs ranging from 0.14 to 1.00. Additionally, the anti-Streptococcus effects of the oils were dose-dependent on Tryptic soy agar plates containing 5% defibrinated sheep blood.
Cheol Won Hyeon,Won Lee,So Yoon Kim,Ji Yong Park,Su Hwan Shin 대한내과학회 2020 The Korean Journal of Internal Medicine Vol.35 No.3
Background/Aims: Possible fatal complications arising from coronary angiography (CAG), percutaneous coronary intervention (PCI), and coronary artery disease itself, are likely to cause medical disputes. Presenting the current status and reasons for judgments given in lawsuits related to CAG/PCI, this study aimed to identify ways to prevent unnecessary disputes and medical malpractice suits related to CAG/PCI through lawsuit analysis. Methods: A total of 13 cases (20 judgments) found in the Supreme Court of Korea’s Written Judgment Management System from 1998 to 2017 were analyzed. Results: Coronary artery injury was the most common causative complication that led to lawsuits (n = 6, 46%). Six cases (46%) were ruled in favor of the plaintiff for violation of duty of care (n = 4) and duty of explanation (n = 2), respectively. Cases that violated duty of care included two errors in intra-procedure device manipulation, one in pre-procedure diagnosis, and one in management of post-procedure complication. Lack of explanation regarding the risk of complications was pointed out in both cases that violated duty of explanation. The average awarded amount for the damages was 114,436,064 Korean won. Conclusions: Physicians need not fear unfair judgments so long as they follow standard of care because the Court consistently looked at the probability, the foreseeability, and the evidence. Therefore, maintaining standard of care is important. Besides, specific, detailed, and comprehensible explanations, including the risk of complications in addition to the necessity of procedures, are important to ensure the patient clearly understands the possible risk of adverse outcomes.
GG-38 : Minimal invasive surgery (LESS) for huge cystic adnexal tumors in whole abdomen
( In Young Choi ),( Ji Hye Lee ),( Mi Hyun Park ),( Ji Kwoun Park ),( Jeong Kyu Shin1 ),( Won Jun Choi1 ),( Soon Ae Lee ),( Jong Hak Lee ),( Won Young Paik ) 대한산부인과학회 2014 대한산부인과학회 학술대회 Vol.100 No.-
Laparoendoscopic single-site surgery (LESS) is helpful if not an evidence of suspicious malignancy in huge adnexa tumors. This approach might be reasonable alternative to conventional laparoscopic surgery. We report two cases with LESS for huge cystic adnexal tumors in whole abdomen. A 58 years old multigravida woman in menopause underwent removal of a huge cystic adnexal mass that occupied her entire abdomen by LESS.(ca.5200ml aspiration) A 15 years old single nulligravida woman had a huge cystic adnexal tumor in whole abdomen reaching to the level of the xyphoid process. A needle through the transumbilical single port was inserted directly under the mass. Subsequently, 8000 ml of cystic fluid was aspirated without spillage.
Un-unified airway; Distinct innate immunity in the upper and lower airways
Ji-Hwan Ryu(유지환),Jung-Yeon Yoo,Min-Ji Kim,Sang-Gyu Hwang,Kwang Chul Ahn,Jae-Chan Ryu,Mi-Kyung Choi,Jung Hee Joo,Chang-Hoon Kim,Sang-Nam Lee,Won-Jae Lee,Jaesang Kim,Dong Min Shin,Mi-Na Kweon,Yun Soo Ba 한국실험동물학회 2013 한국실험동물학회 학술발표대회 논문집 Vol.2013 No.8
Free Paper Presentation : OS-79 ; Associations of Obesity with Asthma and Atopy in Korean Adults
( Ji Yong Moon ),( Sang Heon Kim ),( Ji Young Yhi ),( Dong Won Park ),( Hyun Jung Kwak ),( Tae Hyung Kim ),( Jang Won Sohn ),( Dong Ho Shin ),( Sung Soo Park ),( Ho Joo Yoon ) 대한결핵 및 호흡기학회 2014 대한결핵 및 호흡기학회 추계학술대회 초록집 Vol.118 No.-
Background: While obesity is suggested to increase the risk of asthma and atopic diseases, the associations between obesity and asthma varies depending on the study populations. In Asian countries including Korea, the prevalence of obesity based on body mass index (BMI) is relatively low and the impacts of obesity on asthma is not so evident. Objective: To explore the relationship of obesity with asthma and atopy in Korean adult population Methods: We used the data from Korean National Health and Nutrition Examination Survey (KNHANES) in 2010. Based on the definition of obesity in Korea, the study population aged 19 or older were divided into 4 BMI groups: normal (BMI <23), overweight (23-25), obese (25-30) and very obese (=30). Multivariate logistic regression analysis was performed to examine the associations of obesity with asthma and atopy adjusting for age, sex and smoking status. Results: The prevalence of asthma, determined by current wheeze, in the BMI groups was 5.3%, 6.2%, 9.0% and 9.6%. BMI was significantly associated with asthma (P = 0.004), with significant association in obese (adjusted OR 1.63, 95% CI 1.19-2.24) and very obese group (aOR 1.96, 95% CI 1.11-3.46). In addition, there was significant relationship between BMI groups with atopy, determined by serum levels of the specific IgE to Dermatophagoides farinae, cockroach or dog. Conclusion: Obesity is significantly associated with asthma in Korean adult population. The effect of obesity on asthma may be mediated with atopic sensitization.
( Won Jun Choi ),( Ji Hye Lee ),( Mi Hyun Park ),( In Young Choi ),( Ji Kwon Park ),( Jeong Kyu Shin ),( Soon Ae Lee ),( Won Young Paik ),( Jong Hak Lee ) 대한산부인과학회 2013 Obstetrics & Gynecology Science Vol.56 No.6
Objective To investigate the effect of the dimethyl sulfoxide (DMSO) and EFS-40 during vitrification on the expression of angiogenic factors in vitrified mouse ovarian tissue. Methods The ovarian tissues were obtained from 5 or 6 weeks aged ICR mouse. Ovarian tissues were divided into four groups: ovarian tissue without cryopreservation (control, group I), ovarian tissue vitrified with 15% DMSO (group II), ovarian tissue vitrified with EFS-40 (group III), and ovarian tissue slowly frozen with 10% DMSO (group IV). Thawing was carried out at room temperature. Levels of messenger RNA (mRNA) and protein for vascular endothelial growth factor-A (VEGF-A) and angiopoietin-2 (Angpt-2) were checked in ovarian tissues of four groups recovered on day 7 after cryopreservation. Reverse transcription-polymerase chain reaction and Western blot analysis were used to identify the levels of angiogenic factors in mouse ovarian tissues. Results Levels of mRNA and protein for VEGF-A and Angpt-2 were significantly decreased in cryopreserved group (group II, III and IV) than control group (group I) (P < 0.05). The significant differences of levels of mRNA and protein for VEGF-A and Angpt-2 between cryopreservation methods were observed (P < 0.05). Group III showed highest expression of mRNA and protein for VEFG-A and Angpt-2 than other cryopreservation groups (P < 0.05). Conclusion These findings suggest that EFS-40 is more efficient vitrification solution for preservation of angiogenic factors than 15% DMSO during vitrification of mouse ovarian tissue. Future studies should investigate to improve the vitrification solution for ovarian tissue vitrification.
A Case of Neutrophilic Dermatosis of the Dorsal Hands with Concomitant Involvement of the Lips
Ji Won Byun,Won Kyu Hong,Hee Jin Song,Sung Hyub Han,Hyeon Sook Lee,Gwang Seong Choi,Jeong Hyun Shin 대한피부과학회 2010 Annals of Dermatology Vol.22 No.1
Neutrophilic dermatosis of the dorsal hands (NDDH) is a localized, pustular variant of acute febrile neutrophilic dermatosis (Sweet syndrome). The lesions of NDDH clinically resemble those of Sweet syndrome (SS), but they differ from classic SS according to their locations (NDDH is predominantly restricted to the dorsal hands) and the smaller number of accompanying systemic symptoms. The histology of the NDDH lesion shows a dense dermal neutrophilic infiltration. The lesions rapidly resolve after systemic corticosteroid and/or dapsone therapy. We herein report on a case of neutrophilic dermatosis of the dorsal hands in a 34-year-old woman. The patient also had skin changes with erythematous plaque on the right lips. (Ann Dermatol 22(1) 106∼109, 2010)