Long-term outcomes of single-port laparoscopic myomectomy using a modified suture technique

( Mina Kang ),( Jihye Kim ),( Tae-joong Kim ),( Jeong-won Lee ),( Byoung-gie Kim ),( Duk-soo Bae ),( Chel Hun Choi ) 대한산부인과학회 2020 Obstetrics & Gynecology Science Vol.63 No.2

Objective To evaluate the long-term outcomes, including the pregnancy outcome and recurrence rate after single-port laparoscopic myomectomy (LM) using a modified suture technique with a Hem-o-lok clip (Choi’s LM) and conventional 4-port LM. Methods A retrospective study of patients who underwent Choi’s LM (n=55) and 4-port LM (n=102) in a single institutional hospital was conducted. Patients with <3 symptomatic myomas sized <10 cm each and operated on by a single surgeon were included. Recurrence was confirmed when a myoma measuring ≥3 cm was detected. Results The patients in both groups had similar demographic characteristics. Single (76.4% vs. 62.7%) and intramural (52.7% vs. 56.9%) tumors were commonly detected in both groups in the mean diameter (6.8±1.5 cm vs. 7.0±1.6 cm; P=0.40). In Choi’s LM, 16 patients (29.1%) needed an additional port; those who were nulliparous and/or had a large leiomyoma more frequently required an additional port (P=0.023 and 0.04, respectively). During a median follow-up period of 69 months, 17 patients (7.1% vs. 14.6%) had recurrence. The size of dominant myomas at recurrence was significantly smaller in patients who underwent Choi’s LM (3.4±0.7 cm vs. 5.7±2.4 cm; P=0.004). All 13 patients in both groups who successfully conceived had a full-term delivery. No major complications occurred during pregnancy. Conclusion Although an additional port was frequently used, the long-term outcomes of patients who experienced recurrence and pregnancy after Choi’s LM were acceptable. Considering its usability, Choi’s LM is feasible for the treatment of uterine leiomyoma.

우리나라 노인여성의 골다공증성 척추골절로 인한 경제적 부담 추계

강혜영,강대룡,장영화,박성은,최원정,문성환,양규현,Kang, Hye-Young,Kang, Dae-Ryong,Jang, Young-Hwa,Park, Sung-Eun,Choi, Won-Jung,Moon, Seong-Hwan,Yang, Kyu-Hyun 대한예방의학회 2008 예방의학회지 Vol.41 No.5

Objectives : To estimate the economic burden of osteoporotic vertebral fracture (VF) from a societal perspective. Methods : From 2002 to 2004, we identified all National Health Insurance claims records for women ${\geq}50$ years old with a diagnosis of VF. The first 6-months was defined as a "clearance period," such that patients were considered as incident cases if their first claim of fracture was recorded after June 30, 2002. We only included patients with ${\geq}$ one claim of a diagnosis of, or prescription for, osteoporosis over 3 years. For each patient, we cumulated the claims amount for the first visit and for the follow-up treatments for 1 year. The hospital charge data from 4 hospitals were investigated to measure the proportion of the non-covered services. Face-to-face interviews were conducted with 106 patients from the 4 study sites to measure the out-of-pocket spending outside of hospitals. Results : During 2.5 years, 131,453 VF patients were identified. The patients had an average of 3.38 visits, 0.40 admissions and 6.36 inpatient days. The per capita cost was 1,909,690 Won: 71.5% for direct medical costs, 20.6% for direct non-medical costs and 7.9% for indirect costs. The per capita cost increased with increasing age: 1,848,078 Won for those aged 50-64, 2,084,846 Won for 65-74, 2,129,530 Won for 75-84and 2,121,492 Won for those above 84. Conclusions : Exploring the economic burden of osteoporotic VF is expected to motivate to adopt effective treatment options for osteoporosis in order to prevent the incidence of fracture and the consequent costs.

Productivity Loss of Rheumatoid Arthritis Patients according to the Their Stages of the Disease Activity Score

( Sang-Cheol Bae ),( Jin-Hye Cha ),( Jung-Yoon Choe ),( Sung Jae Choi ),( Soo-Kyung Cho ),( Won-Tae Chung ),( Chung-Il Joung ),( Young-Ok Jung ),( Young Mo Kang ),( Dong-Wook Kim ),( Jinseok Kim ),( Y 대한류마티스학회 2018 대한류마티스학회지 Vol.25 No.2

Objective. Productivity loss was compared by 3-stage of disease activity and associations between higher disease activity and high productivity loss were identified. Methods. Data were extracted from Rheumatoid Arthritis (RA) Patient-reported Outcomes Research, which enrolled 2,000 RA patients (>20-year) on disease-modifying-antirheumatic-drugs (DMARDs) (≥ 6-month) from December 2012 to June 2013. This included 1,457 RA patients with the disease activity score (DAS-28-ESR) in their medical charts. Productivity loss in time and indirect cost was estimated using The World Health Organization Health and Work Performance Questionnaire (HPQ). Baseline characteristics and productivity loss outcomes were compared according to DAS-28-ESR groups. Results. 84.4% were females, 54.2% had low DAS-28-ESR (<3.2), and 38.2% and 7.6% had moderate (3.2∼5.1) and high DAS-28-ESR (>5.1). Patients with moderate to high DAS-28-ESR had higher lost productivity time (LPT) and monthly costs of LPT than those with low DAS-28-ESR (time in hours: 110.0±58.4 vs. 132.4±57.2 vs. 71.5±52.0, p<0.0001; monthly costs of LPT in 1,000 Korean won: 1,097±607 vs. 1,302±554 vs. 741±531, p<0.0001). Multiple regression analyses revealed significant associations with high LPT in high (adjusted odds ratio [OR]=3.87, 95% confidence interval [CI]: 2.18∼6.87) and moderate DAS-28-ESR (adjusted OR=1.88, 95% CI: 1.41∼2.52) compared to low DAS-28-ESR. In addition, positive associations with high monthly costs of LPT were observed in high (adjusted OR=3.45, 95% CI: 1.98∼5.99) and moderate DAS-28-ESR (adjusted OR=1.93, 95% CI: 1.43∼2.54) compared to low DAS-28-ESR. Conclusion. Timely therapeutic strategies should be taken into consideration given that the RA patients with moderate to high DAS-28-ESR showed strong associations with high productivity loss for effective management of RA. (J Rheum Dis 2018;25:122-130)

오공약침의 안전성에 대한 임상적 연구

소기숙,최회강,박소영,고강훈,김성남,이옥자,윤민영,문형철,김성철,이정훈,나원경,So, Ki-suk,Choi, Hoi-kang,Park, So-young,Koh, Kang-hun,Kim, Sung-nam,Lee, Ok-ja,Yun, Min-young,Mun, Hyung-chul,Kim, Sung-chul,Lee, Jung-hun,Na, Won-kyung 대한침구의학회 2004 대한침구의학회지 Vol.21 No.1

Objective: Recently scolopendrid aquacupuncture has been a good effect on pain control but it has not been known about clinical safety. So, In order to prove the clinical safety of scolopendrid aquacupuncture, We have observed the physical reac-tion and clinical pathology test after scolopendrid aquacupuncture treatment. Methods: We analyzed physical reaction and clinical pathology test before and after Scolopendrid aquacupuncture treatment of 30 patients suffering from pain, who admitted department of Acupunture and Moxibustion, College of Oriental Medicine, Won-Kwang University Kwangju hospital. Results & Conclusions: The results were summarized as follows. 1) The distribution of sex was 14 males and 16 females, and the average of patients age was 46.2 years. 2) The distribution of symptom was lumbago, lumbago with radiating pain, nuchal pain and knee joint pain. 3) In the 30 patients treated with Scolopendrid aquacupuncture, hematologic test did not show remarkable change. 4) In the 30 patients treated with Scolopendrid aquacupuncture, Liver function test(AST, ALT, ALP) showed a slight decrease on the contrary, and abnormal rate showed a decrease of 1.0%(from 3.3% to 2.3%) compared with previous study. 5) In the 30 patients treated with Scolopendrid aquacupuncture, Renal function test(BUN, Cr) and abnormal rate(from 2.5% to 2.0%) showed a slight decrease on the contrary. 6) In the 30 patients treated with Scolopendrid aquacupuncture. Electrolyte were normal range before & after treatment. 7) In the results of the Urine analysis of 30 patients, Leukocyte, Protein. Glucose, Keton, Bilirubin, U-bilinogen were not detected before and after Scolopendrid aquacupuncture treatment, and the rest almost made no difference. 8) In the Physical reactions, all of the patients complained of pain of body partially, only one patient showed reddish and itch, but symptoms like those were entirely disappeared within 24 hours and whole body pain, swelling, headache, dizziness, fatigue and nausea was not observed.

Simplified Screening Method for Rice Cultivars with Adaptability to Flooded Paddy

Lee, Kang Soo,Choi, Sun Young,Choi, Won Yul 전북대학교 농업과학기술연구소 2000 農大論文集 Vol.31 No.1

Rice direct seeding on flooded paddy has a shortcoming of instability of seedling establishment due to hypoxia. This study was conducted to clarify the interrelationship between seeding rate and seedling growth in flooded condition and find out a optimum screening condition for anaerobic tolerant cultivars. The germinated seeds were sown in 250 ml flasks containing 150 ml (in water) and 5 ml distilled water(in air) at 25℃ respectively. The number of seeds sown (seeding rate) were 5, 15, 25, and 35 seeds per 250 ml flask. The characteristics measured, length of shoot and root, fresh weight of shoot and root and chlorophyll content, were not affected by seeding rate and cultivars in air while those in water were decreased as seeding rate increased. The dissolved oxygen in the soak water were affected by seeding rate and cultivars. The difference between the two cultivars in the characteristics were greatest when seeding rate was35 seeds in 250 ml flask containing 150 ml water. The characteristics at seeding rate of 35 seeds in 250 ml flask containing 150 ml water would be used in the screening of anaerobic tolerant cultivars for direct seeding.

Case Report : A Case of Spontaneous Subdural Hematoma in a Patient with Autosomal Dominant Polycystic Kidney Disease

( Won Ik Jang ),신영태 ( Young Tai Shin ),함영록 ( Young Rok Ham ),정지윤 ( Ji Yoon Jung ),장동석 ( Dong Suk Chang ),정사라 ( Sa Rah Chung ),최대은 ( Dae Eun Choi ),나기량 ( Ki Ryang Na ),이강욱 ( Kang Wook Lee ) 대한신장학회 2010 Kidney Research and Clinical Practice Vol.29 No.6

Purpose: Intracranial manifestations associated with autosomal dominant polycystic kidney disease (ADPKD) include arachnoid cysts, dolichoectasias, and subdural hematoma (SDH), although there are only a few reports of SDH in patients with ADPKD. We report a case of spontaneous SDH in a patient with ADPKD. A 33-year-old woman complained of severe nausea and vomiting for 10 days. She had suffered from a headache for several months. She was diagnosed with ADPKD and hypertension 6 years earlier, and the hypertension was well controlled. Her mental state was drowsy in the emergency room. Her blood pressure was 180/105 mmHg. There was no evidence of head trauma. Results of a peripheral blood CBC and blood chemistry analysis were within normal limits, as were the results of a blood coagulation test and urinalysis. She was pregnant and in the eighth week of gestation. Brain magnetic resonance imaging revealed SDH in the left lateral convexity and focally in the right lateral convexity, and brain herniation. Surgical drainage was performed through a burr hole, under general anesthesia. Intra-operatively, 62 mL of liquefied subdural hematoma were removed. She recovered completely without sequelae.

Association of IL-13 polymorphisms with leukotriene receptor antagonist drug responsiveness in Korean children with exercise-induced bronchoconstriction

Kang, Mi-Jin,Lee, So-Yeon,Kim, Hyo-Bin,Yu, Jinho,Kim, Byoung-Ju,Choi, Won-Ah,Jang, Seong-Ok,Hong, Soo-Jong Lippincott Williams Wilkins, Inc. 2008 PHARMACOGENETICS AND GENOMICS Vol.18 No.7

BACKGROUND: IL-13 is a pivotal cytokine in allergic inflammation and bronchial hyperresponsiveness, and is known to influence leukotriene levels. OBJECTIVE: We investigated whether IL-13 polymorphisms may be associated with clinical phenotypes and drug responsiveness to the leukotriene receptor antagonist (LTRA) in Korean asthmatic children with exercise-induced bronchoconstriction (EIB). METHODS: We enrolled 242 normal controls and 374 patients with asthma. Of the asthmatic patients, 100 performed exercise challenge tests before and after receiving montelukast (5 mg/day) for 8 weeks and included 80 subjects in drug responsiveness analysis. We assessed IL-13 polymorphisms (−1512A/C, −1112C/T, +2044G/A) through PCR–restriction fragment length polymorphism analysis. RESULTS: Significantly higher total IgE levels and maximum percent fall in forced expiratory volume in 1 s (FEV1) (%) after exercise challenge test were found in asthmatic patients carrying one or two copies of the IL-13 +2044A versus those homozygous for +2044G (P=0.011 and 0.040, respectively). We further noted a correlation of total IgE with maximum percent fall in FEV1 (%) in asthmatic patients, as well as a reverse correlation with improvement of maximum percent fall in FEV1 (%) after exercise challenge tests. Finally, we observed a significant association between responsiveness to montelukast and IL-13 −1112C/T polymorphism and the haplotype of IL-13 polymorphisms. CONCLUSION: The IL-13 +2044G/A polymorphism may be associated with atopy and EIB severity in Korean children with EIB, and thus could potentially be considered as a disease-modifying gene. Moreover, the IL-13 −1112C/T polymorphism and the haplotype of IL-13 polymorphisms seem to be associated with LTRA drug responsiveness, and thus might prove useful as a target for modulation of LTRA drug responsiveness.

Perovskite La_0.75Sr_0.25Cr_0.5Mn_0.5O_3−δ sensitized SnO₂ fiber-in-tube scaffold: highly selective and sensitive formaldehyde sensing

Kang, Joon-Young,Jang, Ji-Soo,Koo, Won-Tae,Seo, Jongsu,Choi, Yoonseok,Kim, Min-Hyeok,Kim, Dong-Ha,Cho, Hee-Jin,Jung, WooChul,Kim, Il-Doo The Royal Society of Chemistry 2018 Journal of Materials Chemistry A Vol.6 No.22

<P>In this work, highly porous SnO2 fiber-in-tubes (FITs), which are functionalized with perovskite La0.75Sr0.25Cr0.5Mn0.5O3−δ (LSCM) particles as a chemical sensitizer, are used as a superior formaldehyde (CH2O) sensing layer. LSCM-loaded as-spun Sn precursor/polymer composite fibers are rapidly calcined to create a porous FIT SnO2 structure with high surface area. Such unique morphological evolution originates from the Ostwald ripening effect and crystal growth inhibition caused by LSCM particles. Furthermore, LSCM particles with high oxygen vacancy concentration and a large work function significantly promote oxygen spillover and electron depletion on the surface of SnO2 (6.80 eV for LSCM <I>vs.</I> 4.55 eV for SnO2). As a result, LSCM-loaded SnO2 FITs (LSCM@SnO2 FITs) provide remarkably high response to formaldehyde (<I>R</I>air/<I>R</I>gas = 26.50 to 5 ppm) and excellent selectivity against interfering gases (H2S, C7H8, NH3, C2H6O, C8H10, CO, and C5H12) even without using noble metal catalysts. These observations demonstrate the potential use of LSCM@SnO2 FITs for real-time monitoring of indoor air quality, especially toward formaldehyde, which has not been accurately detected by using conventional metal oxide based sensors.</P>

Genetic Marker for the Silkworm Origin, Bombyx mori, Using Fibroin Light Chain Gene

Choi Kwang-Ho,Kang Seok-Woo,Kang Pil-Don,Goo Tae-Won,Hwang Jae-Sam,Yun Eun-Young,Lee Sang-Mong,Jin Byung-Rae,Sohn Hung-Dae 한국응용곤충학회 2002 한국응용곤충학회 학술대회논문집 Vol.2002 No.1

Work-function engineering of carbon nanotube transparent conductive films

Kang, Seong Jun,Song, Yoojin,Yi, Yeonjin,Choi, Won Mook,Yoon, Seon-Mi,Choi, Jae-Young Elsevier 2010 Carbon Vol.48 No.2

<P><B>Abstract</B></P><P>We developed a method that allows control of the work function of carbon nanotube (CNT) transparent conductive films on a flexible sheet of plastic. The approach involves the deposition of small amount of metals, such as aluminum, on CNT transparent conductive films followed by a measure of the work function of the films using <I>in situ</I> ultraviolet photoelectron spectroscopy. Core-level spectra of the films were collected in order to investigate the chemical reaction when a small amount of aluminum was deposited on their surface in a stepwise manner. The measurements revealed that deposition of less than 0.5nm of aluminum was enough to control the work function of CNT transparent conductive films.</P>