Does Neurosurgical Clipping or Endovascular Coiling Lead to More Cases of Delayed Hydrocephalus in Patients with Subarachnoid Hemorrhage?

Tae Oong Eom,Eun Suk Park,Jun Bum Park,Soon Chan Kwon,Hong Bo Sim,In Uk Lyo,Min Soo Kim 대한뇌혈관외과학회 2018 Journal of Cerebrovascular and Endovascular Neuros Vol.20 No.2

Objective : We investigated whether clipping or endovascular treatment (EVT) can reduce the incidence of delayed hydrocephalus. We also investigated whether additional procedures, namely lumbar drainage and extra- ventricular drainage (EVD), decrease the incidence of delayed hydrocephalus in patients with subarachnoid hemorrhage (SAH). Materials and Methods : One-hundred and fifty-two patients who had undergone an operation for SAH were enrolled in this study. Clinical data, radiological data, and procedural data were investigated. Procedural data included the operating technique (clipping vs. EVT) and the use of additional procedures (no procedure, lumbar drainage, or EVD). Delayed hydrocephalus was defined as a condition in which the Evan's index was 0.3 or higher, as assessed using brain computed tomography more than 2 weeks after surgery, requiring shunt placement due to neurological deterioration. Results : Of the 152 patients, 45 (29.6%) underwent surgical clipping and 107 (70.4%) underwent EVT. Twenty-five (16.4%) patients developed delayed hydrocephalus. Age (p = 0.019), procedure duration (p = 0.004), and acute hydrocephalus (p = 0.030) were significantly correlated with the incidence of delayed hydrocephalus. However, the operation technique (p = 0.593) and use of an additional procedure (p = 0.378) were not significantly correlated with delayed hydrocephalus incidence. Conclusion : No significant difference in the incidence of delayed hydrocephalus was associated with operation technique or use of an additional procedure in patients with SAH. However, delayed hydrocephalus was significantly correlated with old age, long procedural duration, and acute hydrocephalus. Therefore, we recommend that additional procedures should be discontinued as soon as possible.

Idiopathic Granulomatous Hypophysitis: A Case Report and Literature Review

Tae Oong Eom,Eun Suk Park,Park Sung Ho,Min Soo Kim,Soon Chan Kwon,Hong Bo Sim,In Uk Lyo,Jun Bum Park 대한말초신경학회 2018 The Nerve Vol.4 No.2

Idiopathic granulomatous hypophysitis (IGH) is a rare inflammatory disorder of the pituitary that causes transient or permanent gland dysfunction and various neurological symptoms. We present a case involving a 24-year-old woman who was admitted for headache and visual disturbance. The patient was preoperatively diagnosed with pituitary adenoma and underwent transsphenoidal surgery. Histopathology revealed a diagnosis of granulomatous hypophysitis. She was finally diagnosed with IGH given the absence of systemic granulomatous disease. Because IGH is a rare disease and is easily misdiagnosed as other pituitary disease, careful inspection of patient symptoms is required. Surgical intervention provides a histological diagnosis and immediate mass reduction in patients with IGH; however, hormone replacement is frequently required, and long-term follow up is very important.

만성 신부전증 환자에서 혈액 글루타치온의 변화

김태균(Tae Kyun Kim),임현성(Hyeon Seong Lim),배학연(Hak Yun Bae),정춘해(Choon Hae Chung),정종훈(Jong Hoon Chung),문철웅(Chul Oong Moon),이병래(Byoung Rae Lee) 대한내과학회 1994 대한내과학회지 Vol.46 No.1

N/A Background: The development of uremic symptoms in patients with chronic rena1 failure is related to the decreased blood glutathione levels and RBC antioxidant activities. So, we performed this study to observe the levels of blood glutathione and RBC antioxidant activities in patients with chronic renal failure. Method: The levels of blood glutathione, RBC antioxidants (e.g., superoxdie dismutase, catalase) were examined m twenty one patients with chronic renal failure undergoing maintenance hemodialysis on two to three days interval (CRF group) and fifteen normal person (control group). The CRF group was divided into two groups, high glutathione (HG) group (higher than mean value) and low glutathione (LG) group (lower than normal value). Result: Blood total glutathione levels were significantly lower in CRF group and the ratio of oxidized glutathione (GSSG) were significantly increased compared to control group. In CRF group, catalase activities were significantly increased in LG group compare to HG group. Conclusion: This result suggested that decreased glutathione level probably contribute to increased damage to cell in patient with chronic renal failure.

인구재분배(Population Redistribution) 정책에 대하여

권태환(Kwon Tae Whan),Yoon Jong Ju(토론자),Kim Sun Oong(토론자) 한국인구학회 1979 한국인구학 Vol.2 No.1

The population redistribution policy of Korea may be summarized as follows: 1. Decentralization of industries. 2. Construction of new towns including development of temporary administrative city. 3. Development of growth poles. 1. The decentralization of industries as a means of population dispersion has been widely debated and proven to be effective in many other countries. As pointed out before, the decentralization of industries has a widely varying degree of impacts on population dispersion according to the nature of industrial re-location programs. 2. The construction of new towns and the development of administrative cities have proven to be effective as a population redistribution policy in socialist countries and Japan. These example do not guarantee success if such policy is applied in Korea. The success depends on the amount of the concomitant investment to be made in educational and cultural facilities in the new towns. 3. The development of growth poles as a means of population dispersion has not proved to be successful in the Eastern Block Countries and Japan. However, this may be the optimal means of dispersion population for Korea when one considers her present level of economic development. (1) The development of farming sector and (2) the slow-down of farming population exodus into cities should be considered as a viable alternative program for population dispersion policy. We cannot cite many examples in other countries where the development and improvement of farming sector has been successful as a means of dispersing population. However, Japan's development of her northern areas has not only improved the standard of living in Hokkaido but also contributed to population dispersion. Discussant Yoon, Jong Ju: Population movements in Korea have resulted in the concentration of people in cities and the reduction of farming households. In the Sixties, the population of the nation converged into Seoul. As a result, the population dispersion policy emphasized the "slowing-down" of the population movements in to Seoul. This policy has shown some success in that the rate of population growth in Seoul has decreased since 1970 and the more so since 1975. This phenomenon, however, is confined to the city of Seoul. The surrounding areas have shown an increasing rate of population growth. The above indicates that population policy and population dispersion program should be conducted with long-range planning, if they were to be successful. However, such has not been the case. It should also be pointed out that population policy should be a comprepensive program encompassing population, economic and social aspects. Korean population policy has not been such comprehensive program. The population policy in the Eighties should not confine itself in decreasing the rate of population growth. Instead, it should focus on improving the quality of population and thereby, increasing the manpower of high quality. In order to carry out such policy, investment should be made to improve the data on population, in particular, on children. Discussant Kim, Sun Dong: Korean population policy does not possess foresight and is segmented without a clearly formulated long range goal. One inevitable and undeniable fact appears to be that three quarters of the nation's population will eventually settle in urban cities. There are many problems associated with the population concentration in the urban areas. First, there exist the well-known problems of environments and traffic congestions in urban centers. Second, there are the problems associated with the effective utilization of the nation's land and natural resources. Third, there are the geopolitical issues related to the national defense and security. Although we recognize these problems, it should be also pointed out that population concentration in cities is an inevitable result and cause of economic development.<

Suppression of Clubroot Formation in Chinese Cabbage by the Chitin Compost and Broth

Jin Rong De,Han Tae-o,Kim Yong-oong,Kim Kil-ong The Korean Society for Applied Biological Chemistr 2006 Journal of Applied Biological Chemistry (J. Appl. Vol.49 No.4

Chitin compost and broth were used to suppress club root. Individual cabbage seedlings were transplanted into pots(3500 ml) containing a mixture of 3% chitin compost and 50 ml of chitin broth (T1) or the same quantity control compost and control compost broth(T2). The media in each pot was then infected with Plasmodiophora brassicae. Samples were taken at 6, 7 and 8 weeks after transplanting. The population of chitinase producing bacteria in T1 was consistently larger than that observed in T2. Chitinase activity in the T1 rhizosphere was two-fold greater than that of T2 at each time point observed. Shoot dry weight, leaf number and leaf area in T1 were enhanced 20%, 10% and 12% relative to those seen in T2, respectively. The disease index and root mortality at 8 weeks after transplanting were reduced by 50% and 25% in T1 compared to T2, respectively. Results presented in this study are strongly indicative that chitin compost and broth suppress clubroot in Chinese cabbage.

의료관계 해부 감정예의 분석적 연구(I) : 1990년 국립과학수사연구소 감정예

姜信夢,李垣兌,李漢榮,尹順雄,全基悳,金相鉉,徐在冠,尹重鎭 大韓法醫學會 1991 대한법의학회지 Vol.15 No.2

A study of 118 autopsy cases associated with medical care in 1990 was present according to the medical department, the mode of treatment and the cause of death. The Pediatrics showed the highest rate (25.4%), followed by the Obstetrics & Gynecology (22.9%), and Internal medicine (20.2%). According to the mode of treatment, medical accidents during operation and anesthesia were 29 cases (24.6%) with highest rate in Obstetrics & Gynecology (13 cases), 38 cases (32.2%) were during medication and/or injection with highest rate in Internal Medicine (18 cases), and 51 cases (43.2%) were during general medical practice with highest rate in pediatrics (19 cases). The most prevalent cause of death was the disease of respiratory system (34.9%, 30 cases) and the diseases of cardiovascular and urogenital system accounted for 31.4% and 11.6% respectively. The main cause of death in Internal medicine was the disease of cardiovascular system (11/24 cases), the respiratory system in pediatrics (15/30 cases) and the disease of urogenital system in Obstetrics & Gynecology (9/27 cases. ) Asphyxial deaths were 7 cases and the death due to adverse drug reaction accounted for 10 cases.

비전형적 양상의 척수소뇌성 실조증 1형 1예

고성호,윤웅용,김주한,김희태 대한신경과학회 2001 대한신경과학회지 Vol.19 No.5

십이지장염의 임상적 고찰

박상희,김홍범,허윤,김정근,태명산,양웅석 대한소화기내시경학회 1981 Clinical Endoscopy Vol.1 No.1

A clinieal Observation was done on the 110 cases (male; 52 cases, female; 58 cases) of duodenitis under the gastroduodenoscopic examination among the patients who were performed endoscopic examination because of seeking for the cause of dyspepsia period from Aug. 1981 to Sep. 1981 at Department of lnteral Medicine of BNUH. The results were summerized as follow 1) Normal finding(Grade 0) was highest as 40% in the incidence according to grade of duodenits. Next was moderate (Grade II & II) as 24. 5%, the 3rd was mild(Grade I ) as 20% and lowest in severe(Grade IV) duadenitis as 15.5%. 2) Sex distribution of duodenitis showed 37 cases in male and 29 cases in female. And male was slightly higher in incidence than female. 3) Age distribution of duodenitis revealeii 3rd decade and 4th decade were highest in incidence, 30 cases and 28 cases respectively. The order of frequency was 5th decade, 6th decade, 1st decade and 7th decade. 4) Duodenitis was slightly higher in after 4th decade than before 4th decade. 5) The 56 cases of duodenitis except for 1 case were aasociated with gastroduodenal diseases such as gastritis, peptic ulcer or gastric carcinoma. Association of gastritis is highest as 79. 4%. 6) Acurracy of diagnosis in duodenitis on X-ray study was 3 cases in 20 cases. Generally X-ray study was little value in diagnosis of duodenitis.

위에서 식도로 역류한 위석 1예

이승현,범희승,김대식,이진웅,김지운,최요안,윤태용,김영용,박찬웅 대한소화기내시경학회 1999 Clinical Endoscopy Vol.19 No.6

Bezoars are persistent concretions of indigestible material, usually seen in the stomach. Esophageal bezoars are very rare and generally occur in elderly patients with anatomic defects such as diverticulum or stricture, or with esophageal motility disorders. However, it is quite unusual that a gastric bezoar would be regurgitated into a normal esophagus during forceful vomiting. Endoscopic removal of a bezoar is safe and successful in most cases. A case of a gastric bezoar regurgitated into the esophagus was recently experienced and removed by an endoscopic polypectomy snare and bezoar (lithotripsy) basket.

배낭으로 인한 상완 신경총 마비

윤웅용,이규용,이영주,김희태,김주한,김명호,Yoon, Oong-Yong,Lee, Kyu-Yong,Lee, Young Ju,Kim, Hee-Tae,Kim, Juhan,Kim, Myung-Ho 대한임상신경생리학회 2001 Annals of Clinical Neurophysiology Vol.3 No.2

Background : Backpack palsy was described in military personnel with shoulder girdle and proximal upper extremity symptoms, predominantly motor in nature related to the use of heavy backpack. Currently, backpack were used for sports, transporting school books and child carriers. We evaluated clinical and electrophysiological feature of backpack palsy. Methods : We included 11 patients with brachial plexopathy as a result of wearing a heavy backpack on long distance marches. All patients were done routine blood sampling, chest X-ray, C-spine X-ray and electrophysiological studies. Results : All patients were right handed person and were not as having a thoracic outlet syndrome. Sensory changes were main initial symptoms and major persistent symptoms were motor weakness. 9 patients(81.8%) were damaged the brachial plexus on non-dominant side, 1 patient was dominant and 1 patient was bilateral involvement. 10 patients(90.9%) were damaged to upper trunk of the brachial plexus by EMG findings. The prognosis was good, 10 patients(90.9%) were complete recovery during 8 weeks, 1 patient was developed reflex sympathetic dystrophy confirmed by 3-phase bone scan. Conclusions : Depression of the clavicle and costoclavicular space probably plays a certain role in pathogenic mechanism. The non-dominant side is more frequently affected, probably due to underdevelopment of the musculature in that side.