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항정신병약물을 처음으로 사용하는 초발 정신증 환자에서 나타나는 체중 및 대사성 지표의 변화 : 후향적 연구
김우진,심주철,공보금,강제욱,문정준,김정은,김민걸,박민경,김성진,김현정,정도운 대한생물치료정신의학회 2011 생물치료정신의학 Vol.17 No.2
Objectives:This study was to identify weight & metabolic changes in first-episode psychotic patients with antipsychotics use and investigate the differences of weight & metabolic changes between first-episode psychotic patients and controls with antipsychotics use. Method:In this retrospective study, twenty eight first-episode psychotic patients and twenty eight controls with schizophrenia, schizoaffective or bipolar disorder defined by DSM-IV criteria were included. Information about demographic and clinical characteristics of the subjects was gathered from the medical records. Also body weight, sBP, dBP, fasting glucose, lipid profile and WBC count were evaluated before and after antipsychotics use. Rogistic regression was conducted to assess factors associated with weight gain. Results:First-episode psychotic patients showed more weight and BMI changes than controls after antipsychotics use, and these changes continue over 12 months. On the other hand, there were no significant factors associated with weight gain. Conclusion:The results of present study suggest that antispychotics is one of the major causes inducing weight gain of psychotic patients and antipsychotics-induced weight gain is more vulnerable to drug-naive first-episode psychotic patients.
New Seed Detection by Shape Analysis for Construction of Vascular Structures
Shim, Hack-Joon,Lee, Hyun-Joon,Yun, Il-Dong,Lee, Sang-Uk The Korean Society of Medical and Biological Engin 2010 의공학회지 Vol.31 No.6
Although tracking methods are efficient and popular for vessel segmentation, they require a seed to initiate an instance of tracking. In this paper, a new method to detect new seeds for tracking of arterial segments from CT angiography (CTA) and to construct a vascular structure is proposed. The proposed algorithm is based on shape analysis of connected components in a volume of interest around a vessel segment which was already extracted by tracking. The eigenvalues of the covariance matrix are used as the shape features for detection. The experimental results on actual clinical data showed that the results totally revealed the arterial tree not hindered by bone or veins. In visual comparison to a method which combines registration and subtraction of both pre-contrast and post-contrast CT volumes, the proposed method produced comparable results to the reference method and were confirmed of its feasibility for clinical use of reducing the cost and burden of patients.
Shim, Jae-Hyun,Yoon, Seok-Mann,Shim, Jai-Joon,Kim, Ra-Sun The Korean Neurosurgical Society 2011 Journal of Korean neurosurgical society Vol.50 No.3
Intracranial dural arteriovenous fistulas (DAVFs) are abnormal arteriovenous connections that lie within the dura. Intraosseous DAVFs involving diploic venous system are extremely rare. A 46-year-old woman presented with headache and right pulsatile tinnitus for three weeks. The tinnitus started after yelling. Digital subtraction angiography revealed DAVF within the basal portion of right parietal bone along the middle meningeal artery (MMA) groove. The fistula was fed by frontal branch of right MMA and drained into right transverse sigmoid sinus junction through dilated middle meningeal vein. The intraosseous DAVF involving diploic vein was successfully obliterated with Onyx embolization via transarterial route.
Shim, Hyun Joon,Choi, A Young,Yoon, Sang Won,Kwon, Kee Hwan,Yeo, Seung Geun Korean Society of Otorhinolaryngology-Head and Nec 2010 Clinical and Experimental Otorhinolaryngology Vol.3 No.2
<P><B>Objectives</B></P><P>To evaluate that the cross-sectional area of the air space in the Eustachian tube (ET) on computed tomography (CT) images could be useful for predicting the postoperative aeration of the middle ear.</P><P><B>Methods</B></P><P>The patient group consisted of 80 patients (80 ears) with chronic otitis media and who underwent middle ear surgery from 2006-2007 and who were followed up for more than 1 yr. The control group consisted of 100 ears of 50 individuals with normal tympanic membranes and who underwent CT for other causes (such as tinnitus or hearing loss). The largest cross-sectional areas of the aerated ET were measured on the coronal images of the temporal bone CT by a single otologist using the computer-based 'Region of Interest' picture archiving and communications system. The patient group was divided into two subgroups, 1) those with good postoperative aeration and 2) those with poor postoperative aeration. The largest cross-sectional areas of the aerated ETs were compared between the patients and the controls, and between the patients with good aeration and the patients with poor aeration.</P><P><B>Results</B></P><P>The mean cross-sectional areas significantly differed between the patient group and the control group, and between the good and poor aeration subgroups (<I>P</I><0.05 each). The mean area of the poor aeration subgroup was smaller than that of the control group (<I>P</I><0.05), but the mean area of the good aeration subgroup did not significantly differ from that of the controls.</P><P><B>Conclusion</B></P><P>The cross-sectional area of the aerated ET, as measured on the preoperative coronal images of temporal bone CT scans, may be useful for predicting the postoperative condition of the tympanic cavity.</P>
Shim, Ju Hyun,Park, Joong-Won,Kim, Ji Hoon,An, Min,Kong, Sun-Young,Nam, Byung-Ho,Choi, Joon-Il,Kim, Hyun Beom,Lee, Woo Jin,Kim, Chang-Min Japanese Cancer Association 2008 CANCER SCIENCE Vol.99 No.10
<P>We prospectively investigated the association between a change of serum vascular endothelial growth factor (VEGF) level after transcatheter arterial chemoembolization (TACE) and hepatocellular carcinoma (HCC) patient prognosis. The study involved 147 patients with unresectable HCC treated at the National Cancer Center, Korea, between July and December 2005. Serum samples were collected from each patient before TACE, and 1-2 days and 1 month after TACE. Serum VEGF concentrations were measured using an enzyme-linked immunosorbent assay (ELISA). The log(e)(VEGF/platelets) increased transiently 1-2 days after TACE and declined thereafter. Frequency of previous TACE did not correlate with log(e)(VEGF/platelets). This study found that log(e)(VEGF/platelets) 1-2 days after TACE, but not log(e)(VEGF/platelets) at baseline, was strongly correlated with vascular or nodal invasion and AJCC (American Joint Committee on Cancer)/UICC (International Union Against Cancer) stage, and was significantly greater in men. Relative changes in serum VEGF/platelet levels 1-2 days after TACE (DeltaVEGF) > 0.5 were directly correlated with tumor size, vascular invasion and modified UICC and AJCC/UICC stage (P < 0.05 for each). Additionally, DeltaVEGF > 0.5 was significantly correlated with newly developed extrahepatic metastases one and six months after TACE (P = 0.005 and 0.003, respectively). Progression free survival of patients with DeltaVEGF > 0.5 was significantly worse (P < 0.001) and DeltaVEGF > 0.5 was an independent prognostic factor for PFS (hazard ratio, 3.111; P < 0.001). This study showed that a high increment in serum VEGF level 1-2 days after TACE in HCC patients was associated with distant metastasis and unfavorable outcomes.</P>
P154 : Radiation therapy following keloid excision
( Hyun Chul Shim ),( Joon Won Huh ),( Young In Jeong ),( Geon Kim ),( Mihn Sook Jue ),( Eun Jung Kim ),( Hyang Joon Park ) 대한피부과학회 2013 대한피부과학회 학술발표대회집 Vol.65 No.2
Background: Simple excision of a keloid alone is associated with a high recurrence rate. Thus surgical treatment should be combined with various adjuvant therapies. Objectives: To evaluate postoperative radiation therapy in the recurrence of keloids. Methods: Between March 2007 and March 2013, 24 patients with keloids (n=56) in various site were treated with our protocol consisted of total or subtotal keloidectomy followed by immediate irradiation of 12 Gy in 3 fractions over 3 days with pre- and postoperative steroid injection as an adjuvant therapy. After a year to a year and a half, treatment was terminated at that point. Results: When treated keloids were classified according to degree of flattering, the outcomes were excellent in 48.2% (27/56) of the patients, good in 32.1% (18/56), fair in 14.3% (8/56), and poor in 5.3% (3/56). This treatment protocol showed almost excellent outcomes in earlobe, earhelix, postauricular region and abdomen. Although the sites with high stretch tension such as chest and shoulder showed above good outcomes (72%, 18/25), three poor results were also observed in these sites. The most common complication was postinflammatory hyperpigmentation and the most serious one was full thickness skin necrosis in a chest lesion. Conclusion: Radiation therapy is an effective and safe for the prevention of recurrence of keloids following keloidectomy.
Ramsay Hunt syndrome with multicranial nerve involvement
Shim, Hyun Joon,Jung, Hoon,Park, Dong Choon,Lee, Jong Ha,Yeo, Seung Geun Informa Healthcare 2011 Acta oto-laryngologica Vol.131 No.2
<P><I>Conclusions:</I> Ramsay Hunt syndrome (RHS) with multiple involvement of cranial nerves is more severe and intractable than RHS without such involvement. <I>Objectives:</I> Typically, RHS involves VII and VIII nerves and unilaterally, and RHS accompanied by multiple cranial neuropathy is very rare. We describe 11 patients who developed RHS with multicranial nerve involvement and we analyzed their clinical characteristics and compared them with those of patients with RHS not accompanied by multiple cranial neuropathy. <I>Methods:</I> During the period 1995-??2009, we treated 339 patients with RHS; of these, 11 patients had concurrent multiple cranial neuropathy. We assessed the clinical characteristics of RHS patients with and without multiple cranial neuropathy. <I>Results:</I> The mean age of the 11 patients with multiple cranial neuropathy (6 men, 5 women) was 49.2 ±짹 19.4 years, although 7 were aged 50 years or older. Eight patients had right-sided and three had left-sided facial paralysis. The initial degree of facial paralysis was House-Brackmann (HB) grade IV in four patients (36.4%) and HB grade V in seven (63.6%). Six patients showed improvement in symptoms, whereas five (45.6%) showed no improvement. The recovery rates from facial paralysis in patients with and without multiple cranial neuropathy were 54.5% and 82.9%, respectively, and the complete recovery rates were 27.3% and 67.7%, respectively.</P>
( Hyun Chul Shim ),( Geon Kim ),( Ji Hyun Choi ),( Ji Hye Kim ),( Eun Jung Kim ),( Hyang Joon Park ),( Ok Ja Joh ),( Sook Ja Son ) 대한피부과학회 2014 Annals of Dermatology Vol.26 No.3
A 65-year-old woman with a deeply infiltrating basal cell carcinoma in the right ala underwent full-thickness excision of most of the ala, including the alar rim, crease, and the adjacent cheek, leaving a ‘through-and-through’ defect. Reconstruction was performed by using the reverse nasolabial flap and a cartilage graft across the alar defect, harvested from the concha, to prevent nostril collapse and to maintain the alar shape. The reverse or turnover nasolabial flap is a variant of the conventional nasolabial flap; however, it may be more suited for the repair of a full-thickness, lateral alar defect. The reverse nasolabial flap functions both as an inner liner and an outer cover and the repair is performed as a single-stage procedure. Furthermore, this flap can provide both excellent function and excellent cosmetic outcome. (Ann Dermatol 26(3) 377∼380, 2014)