Clinical Features and Hearing Outcomes of Sudden Sensorineural Hearing Loss in Diabetic Patients

Ju Yeo Rim,Park Hyoung-sik,Lee Min Young,Jung Jae Yun,Choi Ji Eun 대한청각학회 2021 Journal of Audiology & Otology Vol.25 No.1

Background and Objectives: This study aimed to evaluate the clinical features and the clinical factors associated with prognosis of sudden sensorineural hearing loss (SSNHL) in diabetic patients.Subjects and Methods: Forty-nine diabetic with unilateral SSNHL were retrospectively included. All patients received systemic high dose steroid therapy within one month after onset and had more than one month of follow-up audiogram. The basic characteristics of the patients, initial and follow-up audiograms, laboratory data, and methods of steroid treatment were collected.Results: Compared to reference values in healthy subjects, 79%, 55%, and 45% of the patients had higher values of mean neutrophil-lymphocyte ratio (NLR), platelet-lymphocyte ratio (PLR), and lymphocyte-monocyte ratio (LMR), respectively. Older patients had significantly less degree of hearing loss, but they also had significantly worse hearing thresholds in the unaffected ear. After steroid treatment, less than half patients (47%) showed hearing recovery. Simultaneous intratympanic dexamethasone (ITD) injections with systemic steroid did not confer an additional hearing gain or an earlier recovery rate in diabetic patients with SSNHL. In the multivariate analysis, initial hearing thresholds of affected ear and timing of steroid treatment were significantly associated with hearing prognosis in diabetic patients with SSNHL.Conclusions: Diabetic patients with SSNHL tended to have increased NLR, LMR, and PLR, which are reported to be associated with microvascular angiopathy. Simultaneous ITD injections to improve hearing recovery in diabetic patients with SSNHL seems unnecessary.

CO2 Laser Microsurgery for Type 1 Posterior Glottic Stenosis Misdiagnosed as Bronchial Asthma: A Case Report

Yeo Rim Ju,Hyoung Sik Park,이상준,우승훈 대한의학레이저학회 2020 MEDICAL LASERS Vol.9 No.1

This paper reports a case of type 1 posterior glottic stenosis in a 60-year-old woman that was misdiagnosed as bronchial asthma. The patient was intubated at another hospital after ingesting herbicide and extubated seven days later. Although her voice changed, she had not received treatment at that time. She visited a local internal medicine clinic when her condition deteriorated to the point of dyspnea, but several months of treatment for bronchial asthma failed to improve her symptoms. Upon admission to the author’s hospital, a laryngoscopic examination revealed a type 1 posterior glottic stenosis, which was removed surgically using a CO2 laser.

Effective parameters of urodynamic study before pelvic organ prolapse surgery and validation of concomitant surgery on urinary outcomes: Retrospective cohort study

( Ju Hyun Cho ),( Soo Rim Kim ),( Yeo Jung Moon ),( Sei Kwang Kim ),( Sang Wook Bai ) 대한산부인과학회 2011 대한산부인과학회 학술대회 Vol.97 No.-

골반장기탈출증 수술 전 시행하는 요역동학 검사에서 수술 후 결과에 영향을 미치는 유용한 지표와 동시수술의 타당성: 후향적 코호트 연구

조주현 ( Ju Hyun Cho ),김수림 ( Soo Rim Kim ),문여정 ( Yeo Jung Moon ),김세광 ( Sei Kwang Kim ),배상욱 ( Sang Wook Bai ) 대한산부인과학회 2012 Obstetrics & Gynecology Science Vol.55 No.4

목적 본 연구는 골반장기탈출증을 가진 환자들의 수술 전에 시행하는 요역동학 검사에서 수술 후 결과 및 합병증과 관련된 유용한 지표를 알아보고, 골반장기탈출증 교정술과 복압성 요실금교정술을 동시에 시행하는 경우 그 타당성을 입증하기 위한 목적으로 시행되었다. 연구방법 2006년 1월부터 2010년 12월까지 연세대학교 세브란스병원에 등록된 수술 전 요역동학 검사 및 골반장기탈출증 수술을 시행한 308명의 환자를 대상으로 후향적 코호트 연구를 시행하였다. 결과 수술 후 복압성 요실금의 유병률은 수술 전 요역동학 검사상 복압성 요실금을 진단받지 않아 골반장기탈출증 수술만 시행한 그룹 2 (3.1%, 4명)에서 복압성 요실금을 진단받아 요실금교정 수술을 동시에 시행한 그룹 1 (1.7%, 3명)보다 높게 나타났으나 통계적으로 유의한 차이는 없었다. 우리는 valsalva 유발 요누출 시 복압, 최대요도 폐쇄압, 최대요속, 최대요속 시 배뇨근압력, 최대 방광용적의 5가지 요역동학 검사 지표를 비교하였다. 수술 후 복압성 요실금에서는 최대요속 시 배뇨근압력(교차비, 1.029; 95% 신뢰구간, 1.001-1.038)이, 절박성 요실금의 경우 최대요도 폐쇄압(교차비, 0.969; 95% 신뢰구간, 0.942-0.996)이 통계적으로 유의한 지표로 나타났다. 결론 수술 후 합병증의 유병률에 중점을 두면, 동시 수술은 골반장기탈출증 수술만 하는 경우보다 더 나은 결과를 나타내며 수술 전 요역동학 검사에서도 의미 있는 지표가 있어 그 시행이 필요하다. Objective To evaluate effective parameters of preoperative urodynamic study (UDS) before performing surgery for pelvic organ prolapse (POP) and to validate effectiveness of concomitant surgery on urinary outcomes. Methods This was a retrospective cohort study of 308 patients who had UDS before POP surgery from January 2006 through December 2010 at Yonsei University Severance Hospital, Seoul, Korea. The patients who were diagnosed with stress urinary incontinence (SUI) by positive result of UDS (group 1) had a concomitant sling operation with POP surgery. And the patients were not diagnosed with SUI by negative result of UDS (group 2) did not. Results The prevalence rate of de novo SUI in group 2 (3.1%, n = 4) higher than group 1 (1.7%, n = 3), but there was no statistically signifi cant difference between the two groups. We checked 5 parameters of UDS (valsalva leak point pressure, maximal urethral closing pressure [MUCP], maximal fl ow rates, detrusor pressure at maximal fl ow [PdetMax], maximal cystometric capacity confi dence). PdetMax and MUCP was statistically signifi cant parameter in postoperative de novo SUI (odds ratio [OR], 1.020; 95% confi dence intervals [CI], 1.001-1.038) and postoperative de novo urgency urinary incontinence (UUI; OR 0.969; 95% CI, 0.942-0.996). Conclusion This study suggests that results of preoperative UDS and concomitant surgery can be associated with prevalence rate of postoperative de novo SUI. Focused on prevalence of postoperative urinary complications, concomitant surgery was better than only prolapse surgery. PdetMax in SUI and MUCP in UUI were statistically signifi cant parameters of UDS related on urinary outcome.

A Case of Bilateral Tension Pneumothorax after the Successful CO2 Laser-assisted Removal of a Bronchial Foreign Body in a Child

In Kwon Mun,Yeo Rim Ju,이상준,우승훈 대한의학레이저학회 2020 MEDICAL LASERS Vol.9 No.1

Bronchial foreign body aspiration (BFA) is a common but emergent condition in infants and children. Furthermore, it can result in various complications such as atelectasis, pneumonia, bronchiectasis, and pneumothorax. Among these, pneumothorax is a very rare complication. However, it can be fatal without the swift implementation of appropriate treatment. We experienced a case of 16-month-old girl with an aspirated peanut. The foreign body was fixed in her left main bronchus. A CO2 laser was used to safely cut and break the foreign body. Removal was successful after breaking it. But after the process, inflammatory tissue of the tracheal mucosa was ruptured. Bilateral tension pneumothorax followed after the rupture. The patient was treated with bilateral chest tube insertion. Here we present this BFA case with a rare and unex-pected complication. We also review the appropriate literature.

관계중독 개념 도출 델파이 연구

김미림(Kim Mi Rim),정여주(Chung Yeo Ju),이도연(Lee Do Yeon),윤서연(Yoon Seo Yeon),김옥미(Kim Ok Mi) 한국열린교육학회 2019 열린교육연구 Vol.27 No.3

본 연구는 상담 및 교육 관련 분야 전문가 15인에게 델파이 조사를 실시하여 지나치게 특정 관계에 집착하거나 부정적인 관계임에도 벗어나지 못하고 심리적 고통을 경험하는 어려움을 겪는 관계적 어려움에 대하여 관계중독이라는 개념으로 사용하는 것에 대한 적합성, 그리고 관계중독의 특성, 관계중독의 하위구인 및 관계중독의 인지적, 정서적, 행동적 특성 및 여타 행동중독과 달리 관계중독만이 가지는 특성을 도출하기 위하여 실시하였다. 전문가들에게 관계중독이라는 용어 사용에 대한 적합성을 확인한 결과, 주로 동의나 매우 동의한다고 응답하였다(M=4.07, SD=0.70, CVR=0.80). 하위구인으로는 ‘집착’, ‘일상생활문제’, ‘현저성’, ‘부적 정서’, ‘갈등’, ‘금단’, ‘조절력 상실’, ‘재발’ 등이 CVR 0.80 이상으로 합의 과정을 통해 도출되었다. 인지적 특성 6가지, 정서적 특성 10가지, 행동적 특성 11가지가 확인되었고 더불어 관계중독은 물질이나 행동의 중독이 아니라 인간에 대한 중독이기 때문에 문화적 특성 및 발달과정상 시기적 특성에 대한 고려가 필요함에 대해 전문가들의 합의가 있었다. 본 연구는 지금까지 명확하게 합의되지 못하여 이성 관계만의 특성이라고 여겨졌던 관계에서의 어려움에 대해 관계중독이라는 개념을 도출하고 하위 영역 및 특징에 대해 체계화를 하였다는 점에서 의의가 있다. The purpose of this study is to define relationship addiction and to find out variables of relationship addiction. For this, Delphi Survey was conducted involving 15 counseling psychology and education experts. We have confirmed that it is appropriate to define the relationship difficulties experienced by people experiencing psychological distress who are unable to escape in spite of their relationship being severely adhered to or negatively affecting individuals, in terms of relationship addiction. We also derived the characteristics of relationship addiction, subordinate of relationship addiction, cognitive, emotional, and behavioral characteristics of relationship addiction and how relationship addiction differs from other behavior addiction. The results of this study are as follows: (1) The use of the term relationship addiction was evaluated by the experts. (M = 4.07, SD = 0.70, CVR = 0.80). The subcontractors consisted of consensus process with CVR of more than 0.80 for obsession , daily life problem , salient , negative emotional , conflict , withdrawal , loss of control . There are 6 cognitive characteristics, 10 emotional characteristics, 11 behavioral characteristics, and addiction is not addiction of substance or behavior but addiction to human. Therefore, cultural characteristics and developmental processes need to be considered. This study confirmed the concept of relationship addiction, which had not been clearly agreed upon previously. It is meaningful that this systematized the sub-areas and characteristics of the difficulties that could arise in a more diverse relationship status.

실내외 미세먼지 농도에 따른 침입계수에 관한 연구

이신혜(Shin Hye Lee),장휴산(Hyu San Jang),주은지(Eun Ji Ju),김희강(Hee Gang Kim),강동화(Dong Hwa Kang),임동현(Dong Hyun Rim),여명석(Myoung Souk Yeo) 대한설비공학회 2019 대한설비공학회 학술발표대회논문집 Vol.2019 No.11

The purpose of this study is to analyze the effect of outdoor particulate matter(PM) on indoors in recent high-rise residential housing unit in Korea by estimation and comparison of penetration coefficient and deposition rate. The experiment was based on natural decay test and was conducted by measuring the particulate matters after generating dusts. Penetration coefficient and deposition rate were estimated using lumped indoor particle model based on the mass conservation, and compared with the result obtained by excluding the effect of infiltration of outdoor particle. There was no significant difference in the deposition rate when the particle infiltration and penetration effect was excluded. The result suggests that recent Korean residential housing is tight and are less susceptible to external fine particle when there are no significantly high concentration of outdoor particles.