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The First Case of Novel Influenza A (H1N1) Fatality in Korea
Seol, Hee-Yun,Eom, Jung-Seop,Kim, Mi-Hyun,Cho, Woo-Hyun,Kim, Ji-Eun,Kim, Ki-Uk,Jeon, Doo-Soo,Park, Hye-Kyung,Kim, Yun-Seong,Lee, Min-Ki,Park, Soon-Kew The Korean Academy of Tuberculosis and Respiratory 2010 Tuberculosis and Respiratory Diseases Vol.68 No.6
Here we report the first fatality caused by H1N1 influenza virus infection with acute respiratory distress syndrome in Korea. A 55-year-old man presented at our emergency department with dyspnea, fever, diffuse myalgia and malaise. Bilateral lung air-space consolidation was detected on his initial chest radiograph combined with severe hypoxemia. He was supported by mechanical ventilation and treated with antibiotics. A nasopharyngeal aspirate was positive for influenza A rapid antigen and oseltamivir was started on day 3 of admission. The nasal swab sample was positive for influenza H1N1 virus by real-time reverse-transcriptase polymerase chain reaction. Despite aggressive treatment, he had refractory hypoxemia and uncontrolled septic shock. On day 5 of admission he went into cardiac arrest and expired.
Case Report : The First Case of Novel Influenza A (H1N1) Fatality in Korea
( Hee Yun Seol ),( Jung Seop Eom ),( Mi Hyun Kim ),( Woo Hyun Cho ),( Ji Eun Kim ),( Ki Uk Kim ),( Doo Soo Jeon ),( Hye Kyung Park ),( Yun Seong Kim ),( Min Ki Lee ),( Soon Kew Park ) 대한결핵 및 호흡기학회 2010 Tuberculosis and Respiratory Diseases Vol.68 No.6
Here we report the first fatality caused by H1N1 influenza virus infection with acute respiratory distress syndrome in Korea. A 55-year-old man presented at our emergency department with dyspnea, fever, diffuse myalgia and malaise. Bilateral lung air-space consolidation was detected on his initial chest radiograph combined with severe hypoxemia. He was supported by mechanical ventilation and treated with antibiotics. A nasopharyngeal aspirate was positive for influenza A rapid antigen and oseltamivir was started on day 3 of admission. The nasal swab sample was positive for influenza H1N1 virus by real-time reverse-transcriptase polymerase chain reaction. Despite aggressive treatment, he had refractory hypoxemia and uncontrolled septic shock. On day 5 of admission he went into cardiac arrest and expired.
S-647 Does size matter in therapeutic outcome of tuberculous lymphadenitis?
( Yun Jae Seol ),( Se Yoon Park ),( Shi Nae Yu ),( Tark Kim ),( Eun Jung Lee ),( Min Huok Jeon ),( Eun Ju Choo ),( Tae Hyong Kim ) 대한내과학회 2016 대한내과학회 추계학술대회 Vol.2016 No.1
Introduction:?There was little data on how lymph node (LN) size is changed during treatment in tuberculous lymphadenopathy (TB LAP). This study aims to provide data on LN changing during treatment.?Methods:?Between Mar 2014 and Dec 2015, 20 patients who were diagnosed with cervical TB LAP were enrolled at the Soonchunhyang University Bucheon Hospital, Bucheon, South Korea. The size of LN was determined by multiplying longest length and breadth. Treatment completion was defined as administration of anti-TB regimens at least 6 months without interruption.?Results:?Of enrolled patients, LN size of eight (40%) patients was 9 cm2 or more. In a half (8/4) of these patients, LN size was increased within 2 month during treatment and 75% (3/4) of patients received LN excision. In 12 patients with LN size less than 9 cm2, only one patient experienced increased LN size during treatment and no one received LN excision. LN was more frequently increased within 2 month (50%, 4/8 vs. 8.3%, 1/12; p=0.04) and excised in patients with initial LN size ≥ 9 cm2 (50%, 4/8 vs. 0%, 0/12; p=0.01).?Conclusions:?In conclusion, initial LN size may be associated with paradoxical response and need of excision during treatment.
고교 검도선수의 심리기술훈련이 정신력과 경기력에 미치는 영향
김윤태 ( Yun Tae Kim ),김기정 ( Ki Jeong Kim ),설영환 ( Young Hwan Seol ),전병덕 ( Byung Duk Jeon ) 대한무도학회 2013 대한무도학회지 Vol.15 No.2
본 연구는 고등학교 검도선수들을 대상으로 24주간의 심리기술훈련과 8주간의 추적조사를 실시하여 정신력 요인과 경기력 효과 및 지속성 차이를 알아 보고자 하였다. 판단표본추출(judgment sampling) 방법을 이용하여 현재 고등학교 3학년에 재학중인 남자 검도선수 4명을 연구 참여자 및 내담자로 선정하였다. 본 연구에서 사용한 측정도구는 질적 분석 방법을 위해 면담과 개방형질문지(open-ended quesiton)를 사용하였으며, 심리기술훈련의 효과 및 지속성을 알아보기 위해 대응표본 t 검증(paired sample t-test)을 실시하여 다음과 같은 결론을 얻었다. 심리기술훈련을 받고난 후 정신력요인이 높아 졌고, 지속성에서도 심리기술훈련의 효과에 지속성이 높아 진 것으로 나타났다. 그리고 심리기술훈련을 받은 선수들은 계속해서 자기 스스로 심리기술훈련을 하고 있다는 것을 입증해주고 있으며, 심리기술훈련 전과 후의 경기 성적 비교에서 개인전 16강 진출을 하여 선수들의 경기력이 향상되었다고 할 수 있다. 단체전에서는 성적 향상을 나타내진 않았지만 모든 시합에서 보다 낳은 성적을 거둘 수 있다는 긍정적인 생각을 갖게 해주는 계기가 되었다고 할 수 있다. The purpose of this study was to investigate the effect of 24 weeks psychological skills training on mental power and performance using the 8 weeks follow-up survey. We selected 4 male high school Kumdo players for the subjects in this study, conducting a judgment sampling method. As measurement tool of this study, interview and questionnaires with open-ended questions were used as a qualitative analysis method, and paired sample t-test was conducted to identify the effectiveness and continuity of psychological skills training. The research findings are as follows. After receiving psychological skills training, the level of mentality factors increased and continuity also increased, which are effects of psychological skills training. In addition, it was demonstrated that athletes who have received psychological skills training continuously engage in the training on their own and their performance increased, since they made it to the individual top 16 events, when their performance was compared before and after their psychological skills training. Although they didn`t show improvements in team events, this study would make athletes hopeful that they could perform better in all games with psychological skills training.
( Young Jeon Sun ),( Jung Eui ),( Joo Seol Hyun ),( Jung Hur Yun ) 대한산부인과학회 2013 Obstetrics & Gynecology Science Vol.56 No.4
Visual disturbances are common among women with pre-eclampsia. The obstetricians should have an understanding of the various conditions associated with visual impairments. We report a case of Purtscher-like retinopathy developed after pre-eclampsia combined with acute pancreatitis. A 33-year-old primigravida with twin pregnancy was admitted to the department of obstetrics and gynecology for preterm labor and pre-eclampsia at 36+4 weeks gestation. After a cesarean section, she complained of abdominal pain and visual acuity loss. She was diagnosed with Purtscher-like retinopathy combined with acute pancreatitis after ophthalmologic examination and an abdominal computed tomography scan. Purtscher-like retinopathy, most often observed after trauma, is very rare in pre-eclampsia. In addition, while visual disturbances from other conditions are transient, it can result in persistent visual impairments. Thus, when a patient with pre-eclampsia complains of visual problems for a long period of time, obstetricians should consider an ophthalmologic evaluation and treatments during the earliest stage of the disease.
증례보고 : 체외순환 없는 관상동맥 우회술 중 발생한 승모판막 전방이동에 의한 좌심실 유출로 폐쇄로 인한 저혈압
설태경 ( Tai Kyung Seol ),이종환 ( Jong Hwan Lee ),윤승주 ( Seung Zhoo Yoon ),전윤석 ( Yun Seok Jeon ),박재현 ( Jae Hyon Bahk ),김기봉 ( Ki Bong Kim ),김종성 ( Chong Sung Kim ) 대한마취과학회 2007 Korean Journal of Anesthesiology Vol.53 No.2
Systolic anterior motion of the mitral valve (SAM) is well known in the concentric left ventricular hypertrophy or post mitral valvuloplasty. However, SAM has not been reported in Off-pump coronary artery bypass surgery (OPCAB). Preoperatively, SAM in combination with a left ventricular outflow tract obstruction leads to severe cardiovascular destabilization. Moreover, a diagnosis of SAM is very important because the administration of conventional therapy to hypotension can aggravate SAM. We report a patient with un-identified left ventricular wall hypertrophy or mitral valve regurgitation, who was diagnosed with SAM by TEE during OPCAB. This report describes the diagnostic and therapeutic strategies for the perioperative management of SAM. (Korean J Anesthesiol 2007; 53: 242~5)