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전신마취유도 중 발생한 심방세동과 회복중 발생한 발작성 상심실성 빈맥
방윤식,신동욱,이태규,박정현,길현주,이종연 이화여자대학교 의과학연구소 2012 EMJ (Ewha medical journal) Vol.35 No.2
A healthy 35-year-old man who was scheduled for closed reduction of nasal bone fracture developed atrial fibrillation during induction of general anesthesia after intravenous glycopyrrolate injection. During emergence of general anesthesia, atrial fibrillation was suddenly changed to paroxysmal supraventricular tachycardia with 200 beat per minute and lasted for about 10 seconds. Because blood pressure was stable, esmolol was used to reduce ventricular response. At recovery room, ventricular response reduction about 55 beat per minute was observed after intravenous injection of verapamil 5 mg. Thereafter, the rhythm was returned to normal sinus rhythm with bradycardia.
Jong Wook Kim,Kee Wook Jung,Joong Goo Kwon,Jung Bok Lee,Jong Kyu Park,Ki Bae Bang,Chung Hyun Tae,Jung Hwan Oh 대한소화기 기능성질환∙운동학회 2019 Journal of Neurogastroenterology and Motility (JNM Vol.25 No.4
Background/Aims Appropriate interval for performing follow-up endoscopy among dyspeptic patients without abnormal findings on previous endoscopy is unclear. We analyzed the multicenter-collected data from the Korean Society of Neurogastroenterology and Motility. Methods We collected clinical data of the patients who visited the gastroenterology department and underwent 2 or more sessions of upper endoscopy during 2012–2017 at 6 university hospitals in Korea. Patients with endoscopic interval between 90 days and 760 days were included. For those with multiple endoscopic sessions, only the first 2 were analyzed. Positive outcome was defined as adenoma or cancer in the upper gastrointestinal tract. To identify the point of change and estimate the properties of the stochastic process before and after the change, we used Bayesian regression with Metropolis-Hastings algorithm. Results There were 1595 patients. Mean age was 58.8 years (standard deviation, 12.8). Median interval of endoscopy was 437 days (standard deviation, 153). On follow-up endoscopy, there were 12 patients (0.75%) who had neoplasia (4 with gastric cancer and 8 with gastric adnoma). As with the prior hypothesis, we presumed the change point (CP) of increase in frequency of organic lesion as 360 days. After random-walk Metropolis-Hastings sampling with Markov-Chain Monte Carlo iterations of 5000, the CP was 560 days (95% credible interval, 139–724). Estimated average of frequency of dysplastic lesions increased by a factor of 4.4 after the estimated CP. Conclusion To rule out dysplastic lesions among dyspeptic patients who had previously normal endoscopy, a 2-year interval could be offered as follow-up interval for repeat upper endoscopy.
( Jong Wook Bang ),( Jong Hyun Lee ),( Jin Hyoung Kim ),( Do Hyung Lee ) 대한안과학회 2015 Korean Journal of Ophthalmology Vol.29 No.1
Purpose: To analyze healing changes of corneal wounds of different corneal incision sizes with or without stromal hydration in cataract surgery using anterior segment optical coherence tomography. Methods: Cataract surgeries were performed by a single surgeon and 2.2- and 2.8-mm corneal incisions were made using a diamond blade (ME-759; Meyco, Biel-Bienne, Swiss). Patients were divided into four groups according to incision size (2.2 and 2.8 mm), and with/without stromal hydration. Fifteen eyes were assigned to each group and incision wounds were measured using anterior segment optical coherence tomography at 2 hours, 1 day, 1 week, 1 month, and 3 months postoperatively. Corneal thickness, incision length and incision angle were measured and existence of epithelial, endothelial gaping and Descemet’s membrane detachment was evaluated. Results: Incision thickness was greater in the group with stromal hydration than in the group without on operation day (p < 0.05). Stromal hydration exerted greater influence in the 2.2-mm incision group than in the 2.8- mm incision group. Corneal thickness decreased more rapidly in the stromal hydration group than in the group with no hydration (p = 0.022). Endothelial gaping was greater in the 2.2-mm incision group than in the 2.8-mm incision group 1 day, 1 month, and 3 months after surgery (p = 0.035, p = 0.009, and p = 0.008, respectively). No other statistical significance was observed between the two groups (2.2 and 2.8 mm) during follow-up regarding corneal thickness, epithelial gaping and Descemet’s membrane detachment. Conclusions: Corneal wounds with a smaller incision could be more vulnerable to external stimuli such as stromal hydration and are less stable than those with a larger incision.
Jong Wook Kim,Myong Ki Baeg,Chang Seok Bang,Jong-Kyu Park,Jung-Hwan Oh 대한소화기 기능성질환∙운동학회 2023 Journal of Neurogastroenterology and Motility (JNM Vol.29 No.3
Background/AimsThere is growing interest in whether Helicobacter pylori eradication (HPE) can affect body weight. MethodsData from 5 universities between January 2013 and December 2019 were analyzed retrospectively. H. pylori-positive subjects who had body weight measurements taken at least twice at intervals of 3 months or longer were included. Using propensity score (PS)-matched data, changes in body mass index (BMI) and the lipid profile after HPE were compared with the non-HPE group. ResultsAmong 363 eligible patients, 131 HPE patients were PS-matched to 131 non-HPE patients. The median intervals between the measurements were 610 (range, 154-1250) days and 606 (range, 154-1648) days in the HPE and non-HPE groups, respectively. In both groups, the mean BMI increased (from 24.5 kg/m2 to 24.7 kg/m2 in the HPE group, and from 24.4 kg/m2 to 24.5 kg/m2 in the non-HPE group). The 2 groups did not show significantly different changes (P = 0.921). In the lowest baseline BMI quartile, the BMI increased after HPE by 1.23 (standard deviation [SD], 3.72) kg/m2 (P = 0.060), and the non-HPE group showed a decreased BMI at the time of follow-up (by −0.24 [SD, 5.25] kg/m2; P = 0.937) (between-group P = 0.214). Triglyceride levels increased after HPE (mean: 135 [SD, 78] to 153 [SD, 100] mg/dL; between-group P = 0.053). ConclusionThe overall BMI change was not significantly different between the HPE and non-HPE groups, but patients with low BMI showed a tendency to gain weight after HPE. Triglyceride levels increased after HPE with marginal significance.
심혈관 협착에 대한 64Volume Cardiac CT와 Cardiac Angiography의 비교
방순욱(Soon Wook Bang),범희남(Hee Nam Bum),왕태욱(Tae Wook Wang),선종백(Jong Baek Sun),장영일(Yong Il Jang) 대한CT영상기술학회 2007 대한CT영상기술학회지 Vol.9 No.1
Purpose The author evaluated the coronary artery stenosis of using 64 volume cardiac CT angiography(CTA) compared with conventional cardiac angiography(CA) for the assessment of CTA detection accuracy. Materials and Methods This study induded 18(13 men, 5 worren)patients who underwent both CTA and CA to evaluate coronary artery stenosis of January to July 2006, and two study of during the seven days. We used 64 Volume CT(40mrn detector coverage, 0.625mm thickness, 0.2:1~0.24:1 pitch, 120kvp, 650mA), between the intravenous injection of contrast medium 70-90ml(Iopamidol 370, 4 mL/sec). Scan row data are acquired conticuously images can be reconstructed ten grade R-R interval(5-95%) transfer the 4.2 advantage workstation, and obtained 3 dimensional image. One radiologist and one cardiologist report of the classification of LAD, LCX, RCA with assessment of this artery stenosis of CTA detection accuracy.. Results The 64 volume CTA detected coronary artery stenosis of 79.6%(43 of 54) of all 54 cases conventional coronary angiography, with LAD stenosis of 83.3%(15 of 18), LCX stenosis of 77%(14 of 18), RCA stenosis of 77.7%(14 of 18). Conclusion 64 Volurre Cardiac CT Angiography is good noninvasive technique of very useful inspection to evaluated coronary artery stenosis.
Bang, Kyong-Hwan,Jung, Jin-Ho,Kim, Ok-Tae,Chung, Jong-Wook,Ham, In-Hye,Seong, Nak-Sul,Luo, Rong,Zhang, Gui-Jun,Choi, Ho-Young Kyung Hee Oriental Medicine Research Center 2007 Oriental pharmacy and experimental medicine Vol.7 No.1
Genetic polymorphism and molecular authentication were investigated with the commercial medicinal herb, Peony (Paeonia spp.), using random amplified polymorphic DNA (RAPD) markers. To identify the polymorphism of the RAPD patterns among plant origins, 20 different random primers were applied to the genomic DNA extracted from Paeonia spp. plants such as Paeonia (P.) lactiflora, P. officinale and P. japonica. Ten primers out of 20 primers could be used to discriminate the plant species in the same genus and 72 out of 81 scored DNA fragments (88.9%) generated with these primers were polymorphic. Especially, four primers, such as OPA1, OPA3, OP9, and OPA13, were useful to discriminate the plant origins among the species of Peony. In the results of cluster analysis using RAPD data obtained from the 10 primers, Peony (Paeonia spp.) plants used in this study were grouped into the two distinctive clusters, genetically. Herb medicine, especially P. lactiflora, were easily identified, when species-specific primers were applied to the investigation for discriminating herb medicine currently traded in domestic herb market, Kyungdongmart. Consequently, RAPD analysis was useful method to discriminate plant origins and the commercial medicinal herbs, Paeonia spp..
( Jong Hyung Kim ),( Sung Jo Bang ),( Jung Woo Shin ),( Hyung Wook Joo ),( Bo Ryung Park ),( Chang Jae Kim ),( Byung Gyu Kim ),( Seok Won Jung ),( In Du Jeong ),( Neung Hwa Park ) 대한간학회 2012 춘·추계 학술대회 (KASL) Vol.2012 No.1
Background: In patients with an insufficient virologic suppression, i.e., a detectable hepatitis B virus (HBV) DNA during antiviral treatment, a drug change or addition of a more efficacious drug is recommended. However, the clinical courses of patients with insufficient virologic suppression in chronic hepatitis B (CHB) patients with entecavir (ETV) therapy are unclear. Methods: The retrospective cohort study investigated the long-term clinical outcomes of ETV treatment of more than 3 years in 266 nucleos(t)ide-naive CHB patients, particularly those with insufficient virologic suppression. Results: All of the patients were genotype C2. Virologic response (VR) was achieved in 244 patients (91.7%) at 3 years of treatment. Virologic breakthrough was observed in four (1.5%) patients. Of these four patients, only one (0.4%) had genotypic resistance to ETV. The insufficient virologic suppression was defined as primary non-response (PNR), inadequate (IVR), or partial VR (PVR) according to residual HBV DNA levels at 12, 24, and 48 weeks of treatment, respectively. PNR, IVR, and PVR were evident in 5 (1.9%), 20 (7.5%), and 39 (14.7%) patients, respectively. During continuous prolonged ETV therapy, VR of patients with PNR, IVR, and PVR was achieved in five (100%), 10 (50%), and 22 (56.4%) patients, respectively. Conclusions: The vast majority of CHB patients achieved VR through prolonged ETV therapy, with only 0.4% chance of viral resistance up to 3 years of treatment. Furthmore, most patients with the insufficient virologic suppression such as PVR, as well as PNR and IVR could achieve VR without adjustment of antiviral therapy.
( Jong Hyung Kim ),( Sung Jo Bang ),( Jung Woo Shin ),( Hyung Wook Joo ),( Bo Ryung Park ),( Chang Jae Kim ),( Byung Gyu Kim ),( Seok Won Jung ),( In Du Jeong ),( Neung Hwa Park ) 대한간학회 2012 춘·추계 학술대회 (KASL) Vol.2012 No.-
Background: In patients with an insufficient virologic suppression, i.e., a detectable hepatitis B virus (HBV) DNA during antiviral treatment, a drug change or addition of a more efficacious drug is recommended. However, the clinical courses of patients with insufficient virologic suppression in chronic hepatitis B (CHB) patients with entecavir (ETV) therapy are unclear. Methods: The retrospective cohort study investigated the long-term clinical outcomes of ETV treatment of more than 3 years in 266 nucleos(t)ide-naive CHB patients, particularly those with insufficient virologic suppression. Results: All of the patients were genotype C2. Virologic response (VR) was achieved in 244 patients (91.7%) at 3 years of treatment. Virologic breakthrough was observed in four (1.5%) patients. Of these four patients, only one (0.4%) had genotypic resistance to ETV. The insufficient virologic suppression was defined as primary non-response (PNR), inadequate (IVR), or partial VR (PVR) according to residual HBV DNA levels at 12, 24, and 48 weeks of treatment, respectively. PNR, IVR, and PVR were evident in 5 (1.9%), 20 (7.5%), and 39 (14.7%) patients, respectively. During continuous prolonged ETV therapy, VR of patients with PNR, IVR, and PVR was achieved in five (100%), 10 (50%), and 22 (56.4%) patients, respectively. Conclusions: The vast majority of CHB patients achieved VR through prolonged ETV therapy, with only 0.4% chance of viral resistance up to 3 years of treatment. Furthmore, most patients with the insufficient virologic suppression such as PVR, as well as PNR and IVR could achieve VR without adjustment of antiviral therapy.
Bang, Soo-Mee,Lee, Jeong-Ok,Kim, Yu Jung,Lee, Keun-Wook,Lim, Soo,Kim, Jee Hyun,Park, Young Joo,Chin, Ho Jun,Kim, Ki Woong,Jang, Hak-Chul,Lee, Jong Seok Springer International 2013 Annals of hematology Vol.92 No.1
<P>This study was planned to investigate the prevalence and risk factors of anemia and its impact on health-related quality of life and activities of daily living (ADL) in elderly Koreans. Of the 1,118 randomly sampled elderly Koreans aged 65?years or older living in Seongnam, Korea, on Aug. 1, 2005, we estimated the prevalence of anemia from 695 responders. We investigated the risk factors of anemia using a merged sample of this random sample and 270 volunteers enrolled from Seongnam residents aged 85?years or older. We diagnosed anemia according to the World Health Organization criteria. The estimated age- and gender-standardized prevalence of anemia was 8.33?% for the overall random sample (95?% confidence intervals (CI) 6.28-10.39), 10.58?% in men (95?% CI 7.09-14.07), and 6.85?% in women (95?% CI 4.37-9.34). The identified risk factors were age 80?years, male, iron deficiency, history of stroke, renal dysfunction, and metabolic syndrome. Anemia was associated with impairment in physical functioning (p?=?0.031) and instrumental ADL (p?<?0.001). This is the first report about anemia's prevalence in community-dwelling Korean elders, adjusted and standardized according to the city's and nation's population. Timely diagnosis of anemia and correction of its treatable cause may improve QOL and ADL in elderly individuals.</P>