Journal of Yeungnam Medical Science

Volume 22(1); June 2005

Reviews

Short Stature and Growth Hormone Therapy.: Yong Hoon Park; Yeungnam Univ J Med. 2005;22(1):1-12. Published online June 30, 2005; DOI: https://doi.org/10.12701/yujm.2005.22.1.1

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Normal growth and development is of prime concern during childhood. The treatment of children with growth hormone deficiency has been revolutionized by growth hormone therapy. An improved height outcome with a final height within the target height range has been achieved. However, close follow-up with regular clinical and laboratory monitoring is essential for achieving the desirable height outcome. The theoretical unlimited supply of growth hormone has led to its wide spread use in a variety of disorders other than a growth hormone deficiency. Initially used in children with Turner syndrome, growth hormone is now used to treat chronic renal failure, an idiopathic short stature and intrauterine growth restrictions in addition to a wide array of newly emerging indications. This review summarizes the basics for a proper growth assessment, the differentiation of normal and abnormal growth causes of a short stature, and the indications for growth hormone treatment.

Citations

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Height outcomes in Korean children with idiopathic short stature receiving growth hormone treatment
Hyun Wook Chae, Il-Tae Hwang, Ji-Eun Lee, Cheol Hwan So, Young-Jun Rhie, Jung Sub Lim, Eun Byul Kwon, Kyung Hee Yi, Eun Young Kim, Chae-Ku Jo, Kye Shik Shim, Ha-Yeong Gil, Min-Jeong Seong, Chung Mo Nam, Ji-Su Moon, Jin Soon Hwang
Frontiers in Endocrinology.2022;[Epub] CrossRef

Recent Advances in Surgery for Atrial Fibrillation.: Dong Hyup Lee, Tae Eun Jung; Yeungnam Univ J Med. 2005;22(1):13-26. Published online June 30, 2005; DOI: https://doi.org/10.12701/yujm.2005.22.1.13

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Abstract PDF: Atrial fibrillation (AF) is the most common cardiac rhythm disturbance, which carries significant cardiovascular morbidity and mortality. The medical treatment for AF is cumbersome and unsatisfactory, which has highlighted the need to develop alternative treatments for AF. The recent discovery that AF is often initiated by atrial ectopic beats has resulted in treatments designed to target the ectopic sources, particularly those within the pulmonary veins. Building on the pioneering work of Cox et al., a recent reported series demonstrated the feasibility of treating patients undergoing cardiac surgery for other structural heart diseases with limited, left-atrial ablation lesion sets using alternative energy sources. As less complex modifications of the Maze procedure have been developed, a number of energy sources have been introduced to create of electrically isolating lesions within the atria. These sources have been used both endocardially in arrest heart procedures as well as epicardially in a beating heart setting. This review summarizes the recent advances in surgery for AF that will aid in the development of an effective, minimally invasive surgical procedure to cure patients with AF.

Original Articles

The Relationship of Spiritual Well-being and Anxiety, Depression and Quality of Life in Active Old Age.: Hyong Uk Youm, Seung Deuk Cheung, Wan Seok Seo, Bon Hoon Koo, Dai Seg Bai; Yeungnam Univ J Med. 2005;22(1):27-42. Published online June 30, 2005; DOI: https://doi.org/10.12701/yujm.2005.22.1.27

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Abstract PDF

BACKGROUND
This study assessed the mental health, in order to determine the effect of the subject's spiritual well-being on anxiety depression and quality of life in active old people, and to verify whether or not spiritual well-being is a new factor for comprehensive health in old people. MATERIALS AND METHODS: This study selected 184 old people aged over 65 years. The subject's spiritual well-being was assessed by the Korean Spiritual Well-Being Scale (SWS) that was composed of the Religious Well-being Scale (RWS) and Existential Well-being Scale (EWS). The quality of life was assessed using Quality of Life Scale, which was composed of the subjective feeling about life and the subject's satisfaction of their whole life. RESULTS: Among the psychosocial factors, the educational level and physical health, showed significant discriminative score in the SWS. A prior medical history was associated with a significantly low SWS score. Satisfaction with life was associated with a significantly high SWS score. These factors a showed significant discriminative EWS score rather than a RWS. Among the religion factors, the satisfaction with their religion showed significant difference in the SWS. The SWS score especially the EWS affected the anxiety and depression of the Korean Combined Anxiety and Depression Scale (CADS). The subjective feeling of life score was associated with a significantly EWS low score and the subject's satisfaction with their whole life score was associated with a significantly high EWS score. CONCLUSION: Spiritual well being has significantly effects on anxiety depression and the quality of life in active old age people, and the subject; s spiritual well-being might be a new factor for assessing health in old age.

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Cultural involvement and attitudes toward tourism: Examining serial mediation effects of residents’ spiritual wellbeing and place attachment
Jieyi Li, Li Pan, Yaou Hu
Journal of Destination Marketing & Management.2021; 20: 100601. CrossRef
The Mediating Effect of Spirituality between Nurses' Empathy and Elderly Care Performance in the Long Term Care Hospitals
Heeok Park, Eun Kyung Kim, Kyoung Ja Moon, Min Ji Kim
Journal of Korean Academy of Community Health Nursing.2020; 31(1): 34. CrossRef
Effect of Death Education Program on Self-Esteem, Spiritual Well-Being, and Pain of Adults
Bock-Ryun Kim, Chung-uk Oh, Hye-kyung Kang
Journal of the Korea Academia-Industrial cooperation Society.2016; 17(9): 156. CrossRef
Factors Influencing Suicidal Ideation in Male Baby Boomers
Hee Sook Kim, Kwang Za Yu, Gyeong Ran Park
Journal of Korean Public Health Nursing.2014; 28(2): 347. CrossRef
Spiritual Well-Being, Social Support, Life Satisfaction and Depression in the Community Dwelling Elderly
So Nam Kim, Sang Bok Lee
journal of east-west nursing research.2013; 19(2): 186. CrossRef

Radiologic Findings of Cervical Mass Type Cervical Pregnancy.: Jae Ho Cho; Yeungnam Univ J Med. 2005;22(1):43-51. Published online June 30, 2005; DOI: https://doi.org/10.12701/yujm.2005.22.1.43

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Abstract PDF: BACKGROUND
To examine the ultrasonographic and magnetic resonance (MRI) imaging findings of a cervical mass type cervical pregnancy. MATERIALS AND METHODS: The ultrasonographic and MRI findings of 5 patients pathologically confirmed as having a cervical pregnancy were analyzed retrospectively. On ultrasonography, the size and echo pattern of the uterine cervix, the shape and echo pattern of the lesion, the degree and the pattern of blood flow on the color Doppler study and the spectral Doppler pattern were analyzed. The shape, signal intensity, and degree and pattern of enhancement of the lesion were evaluated on MRI. RESULTS: The uterine cervix was enlarged and the size of the lesion was 6.1 to 7.1 (average, 6.5) cm. The endocervical canal was irregularly dilated and showed heterogeneous echogenicity in all 5 cases. Four of the 5 lesions were heterogeneously hyper- or mixed echoic and remaining one was relatively homogeneous echogenic. Doppler ultrasonography revealed an increased vascularity of the peritrophoblastic flow pattern. In all 4 cases where MRI performed, the lesion was irregular in shape and the margin was not sharply demarcated. The T2-weighed image showed that the lesions were mixed signal intensity. Three of the 4 lesions contained high signal intensity nodular portions and a low signal intensity rim was observed along the margin of the nodular portions. The T1-weighted image revealed multiple signal voids along the periphery of the lesions and high signal intensity portions as a result of hemorrhage were noted. The dynamic enhanced study showed that the high signal intensity portions on the T2-weighted image were strongly enhanced similar to the vessels on the early phase and the contrast enhancement gradually decreased with time. CONCLUSION: A cervical mass type cervical pregnancy can be correctly diagnosed using the patient's clinical symptom, the elevation in the serum beta-HCG level, and characteristic ultrasonographic and MRI findings.

Clinical and Electrophysiological Study on Guillain-Barre Syndrome.: Sung Hwan Yun, Jung Sang Hah, Sung Gyun Joo, Yong Kook Cho, Jung Hyun Kim, Ji Yeun Chung; Yeungnam Univ J Med. 2005;22(1):52-61. Published online June 30, 2005; DOI: https://doi.org/10.12701/yujm.2005.22.1.52

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Abstract PDF

BACKGROUND
Guillain-Barre syndrome is defined as a recognizable clinical entity that is characterized by rapidly evolving symmetric limb weakness, the loss of tendon reflexes, absent or mild sensory signs, and variable autonomic dysfunctions. This study evaluated the clinical and electrophysiological findings retrospectively. MATERIALS AND METHODS: Forty-five patients with Guillain-Barre syndrome, who were admitted to the Yeungnam University Hospital for six years from Jan. 1994 to Dec. 1999 were investigated. The correlation between the clinical manifestation and the electrophysiological study was evaluated. RESULTS: The male to female ratio was 1.8: 1 and there was a peak seasonal incidence in the winter. A preceding illness was noted in 66.7% of cases, and an upper respiratory tract infection was the most common one. The most common clinical manifestations were a loss of tendon reflex and ascending muscle weakness and paralysis. The cerebrospinal fluid examinations revealed, albuminocytologic dissociation in 33 cases (73.3%). Intravenous immunoglobulin therapy was performed in 29 cases (64.4%). The sequential electrophysiological abnormalities were most marked at 2 to 4 weeks after onset. At that time the most significant change was a decrease in the compound muscle action potential amplitude. These 45 patients with Guillain-Barre syndrome were subclassified using the clinical and electrophysiological data. CONCLUSION: The result in this study, concured with other research on the clinical and electrophysiological data of Guillain-Barre syndrome. However, an extensive and dynamic investigation is necessary to determine the reason for the peak seasonal incidence in winter.

Citations

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A Case of Combined Korean Medicine Treatment for Recurrent Limb Weakness after Guillain-Barré Syndrome Improvement: Case Report
Song-Mi Park, Sung-Woo Cho
Journal of Korean Medicine Rehabilitation.2019; 29(4): 135. CrossRef

DMFT Index, Periodontal Index and Oral Hygiene Status in Diabetic Patients.: Kyung Dong Lee, Hee Kyung Lee; Yeungnam Univ J Med. 2005;22(1):62-71. Published online June 30, 2005; DOI: https://doi.org/10.12701/yujm.2005.22.1.62

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Abstract PDF

BACKGROUND
This study examined the oral health condition of diabetic patients and evaluated the oral health behavior through a questionnaires survey. In addition, this study provide primary informations for developing a dental health program for diabetic patients. MATERIALS AND METHODS: There were fifty patients with diabetes mellitus or glucose tolerance (controlled by a community health center at Dalsung-Gun in Daegu City and fifty non- diabetic age, gender and location matched control subjects. Data were collected by a direct oral examination and by questionnaires from 100 subjects in July, 2004. RESULTS: The DMFT (Decay, Missing, Filling Teeth) mean values in diabetics were significantly higher than that in non-diabetics (p< 0.05). The decay teeth index and Filling teeth index was similar in the two groups, but the mean Missing teeth index was significantly higher in the diabetics than in non-diabetics. The PI (Periodontal Index) mean values were significantly higher in the diabetics than in the non-diabetics (p< 0.01). There was a significant difference between the diabetics and non diabetics aged in their 50s and 60s, but there was no difference with those aged in their 70s. The oral hygiene status was similar in the two groups. The average number of remaining teeth was significantly lower in the diabetics (16.1+/-10.35) than in the non-diabetics (20.04+/-8.70) (p< 0.05). CONCLUSION: In the diabetic patients, the M component of the DMFT index was found to be higher than the controls. Diabetics lose their teeth mainly due to periodontal disease, which is supported by the increased PI mean values.

Citations

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No Association between Metabolic Syndrome and Periodontitis in Korean Postmenopausal Women
Jeong-In Kim, Choong-Ho Choi, Ki-Ho Chung
International Journal of Environmental Research and Public Health.2021; 18(21): 11110. CrossRef
The effect of general health status, oral health behavior and status on quality of life in Korea adults
Ho Jin Jeong, Ye Hwang Kim, Jung Won Yun, Sang Hwan Oh, Hyun Seo Yoon, Min Kyung Lee, Jung Hwa Lee
Journal of Korean Academy of Oral Health.2020; 44(3): 158. CrossRef
Oral health and behavior by diabetic status: the fifth Korea national health and nutrition examination survey
Yeo-Jung Han, Mi Ah Han
Journal of Korean society of Dental Hygiene.2016; 16(2): 233. CrossRef
The Elders' General Quality of Life and Oral Health-related Quality of Life
Ji-Young Bae
Journal of Korean Clinical Health Science.2015; 3(4): 466. CrossRef
Risk Factors for the Prevalence of Periodontal Diseases among Adult Workers
Min-Hee Hong
Journal of the Korea Academia-Industrial cooperation Society.2014; 15(6): 3706. CrossRef

Clinical Characteristics and Prognostic Factors of Nasopharyngeal Cancer.: Chang Hoon Bai, Young Jung Seo, Sang Baik Ye, Young Ho Choi, Yong Dae Kim, Si Youn Song; Yeungnam Univ J Med. 2005;22(1):72-80. Published online June 30, 2005; DOI: https://doi.org/10.12701/yujm.2005.22.1.72

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Abstract PDF: BACKGROUND
Nasopharyngeal cancer is a rare disease with a relatively poor prognosis because it tends to be diagnosed at an advanced stage. The aim of this study was to establish the clinical characteristics of nasopharyngeal cancer. MATERIALS AND METHODS: The medical records of 54 patients with nasopharyngeal cancer from January 1993 to December 2002 were reviewed retrospectively. Forty one cases were male (75.9%) and thirteen were female (24.1%). The average age was of 46.9 (range 16 to 78 years) years. The majority of patients (79.6%) were diagnosed in the advanced stage. The most common complaints were a neck mass (55.5%) and the WHO type III (53.7%) was the most frequent histological type. RESULTS: The cumulative survival rate for a 5-year period was 46.5% and the T stage, N stage, pathologic type, and clinical stage were not significantly related to the survival rate. Sixteen of 54 (31.5%) cases presented with a distant metastasis of the bone, lung, brain, spine, and liver, and six cases (11.1%) presented with a locoregional recurrence. CONCLUSION: TNM staging is not appropriate for predicting survival rate of nasopharyngeal carcinoma patients. Therefore, a newer staging system, which includes new factors, is needed to predict the prognosis.

A Clinical Usefulness of Office Hysteroscopy.: Min Whan Koh, Tae Hyung Lee, Jeong Suk Kim, Yoon Young Choi, Sang Hoon Jeong; Yeungnam Univ J Med. 2005;22(1):81-89. Published online June 30, 2005; DOI: https://doi.org/10.12701/yujm.2005.22.1.81

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Abstract PDF: BACKGROUND
Hysteroscopy is considered to be the gold standard not only for visualizing the cervical canal and the uterine cavity, but also for treating many different types of benign pathologies localized to those regions. The advent and evolution of endoscopic imaging and surgery during the last two decades has added new dimensions to the armamentarium of a gynecologist to combat intrauterine lesions. Office hysteroscopy is increasingly being used as a first line investigation for abnormal uterine bleeding and other diseases involving the uterine cavity. The aim of our study is to assess the diagnostic and operative efficacy of office hysteroscopy. MATERIALS AND METHODS: In our department, 140 patients underwent a hysteroscopy examination and 18 of these underwent an office based hysteroscopy examination from September 1995 to March 2005. The cases who underwent an office based hysteroscopy examination were reviewed in order to assess the clinical usefulness and significance in the management of intrauterine lesions. RESULTS: Major indication was abnormal uterine bleeding (12 cases, 66.7%). The others were a missed IUD and infertility. The hysteroscopic findings were a normal uterine cavity (6 cases, 33.3%), IUD in situ, polyp, submucosal myoma, endometrial hyperplasia and a placenta remnant. CONCLUSION: Office hysteroscopy is a safe, quick and effective method for making an intrauterine evaluation. In addition, it provides immediate results, offers the capacity of direct targeted biopsies of suspicious focal lesions, and offers the direct treatment of some intrauterine conditions.

Case Reports

Treatment of Coronary Artery Perforation and Tamponade Complicating Balloon Angioplasty by PTFE-Covered Stent. A Case Report.: Jong Seon Park, Gu Ru Hong, Jun Ho Bae, Ihn Ho Cho, Bong Sup Shim, Young Jo Kim, Dong Gu Shin; Yeungnam Univ J Med. 2005;22(1):90-95. Published online June 30, 2005; DOI: https://doi.org/10.12701/yujm.2005.22.1.90

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Abstract PDF: A coronary artery perforation is a rare but often fatal complication of angioplasty. We experienced a coronary artery perforation and cardiac tamponade during balloon angioplasty. A polytetrafluorethylene (PTFE) -covered stent was used to successfully close the perforation.

Evidence of Cortical Reorganization in a Monoparetic Patient with Cerebral Palsy Detected by Combined Functional MRI and TMS.: Yong Hyun Kwon, Sung Ho Jang, Mi Young Lee, Woo Mok Byun, Yoon Woo Cho, Sang Ho Ahn; Yeungnam Univ J Med. 2005;22(1):96-103. Published online June 30, 2005; DOI: https://doi.org/10.12701/yujm.2005.22.1.96

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Abstract PDF: The motor recovery mechanism of a 21-year-old male monoparetic patient with cerebral palsy, who had complained of a mild weakness on his right hand since infancy, was examined using functional Magnetic Resonance Imaging (fMRI) and Transcranial Magnetic Stimulation (TMS). The patient showed mild motor impairment on the right hand. MRI located the main lesion on the left precentral knob of the brain. fMRI was performed on this patient as well as 8 control subjects using the Blood Oxygen Level Dependent technique at 1.5 T with a standard head coil. The motor activation task consisted of finger flexion- extension exercises at 1 Hz cycles. TMS was carried out using a round coil. The anterior portion of the coil was applied tangentially to the scalp at a 1.0 cm separation. Magnetic stimulation was carried out with the maximal output. The Motor Evoked Potentials (MEPs) from both Abductor Pollicis Brevis muscles (APB) were obtained simultaneously. fMRI revealed that the unaffected (right) primary sensori-motor cortex (SM1), which was centered on precentral knob, was activated by the hand movements of the control subjects as well as by the unaffected (left) hand movements of the patient. However, the affected (right) hand movements of the patient activated the medial portion of the injured precentral knob of the left SM1. The optimal scalp site for the affected (right) APB was located at 1 cm medial to that of the unaffected (left) APB. When the optimal scalp site was stimulated, the MEP characteristics from the affected (right) APB showed a delayed latency, lower amplitude, and a distorted figure compared with that of the unaffected (left) APB. Therefore, the motor function of the affected (right) hand was shown to be reorganized in the medial portion of the injured precentral knob.

Ventilation Impairment During Anesthesia in Patients with Anterior Mediastinal Mass.: Kibum Bum Park, Sang Jin Park, Dae Lim Jee, Bo Hyun Lee; Yeungnam Univ J Med. 2005;22(1):104-112. Published online June 30, 2005; DOI: https://doi.org/10.12701/yujm.2005.22.1.104

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Abstract PDF: Because of location, a mediastinal mass may cause complications such as a major airway obstruction, a superior vena caval obstruction, and cardiac compression during general anesthesia. The patient's condition need to be assessed by several methods to predict the risks associated with general anesthesia. The authors took computed tomographs for a preoperative evaluation of two patients with an anterior mediastinal mass, and the risk of perioperative complications was predicted by measuring the tracheal area. The patients were managed according to the preoperative evaluation but severe ventilation impairments were encountered during anesthesia. In one patient, stable ventilation could not be maintained until spontaneous breathing appeared. The operation was cancelled and the patient was brought into the ICU. In the other patient, a tracheal tube was inserted deeper in an attempt to pass the narrowed tracheal portion due to mediastinal tumor compression resulting in improved ventilation

A Case of Jejunal Diverticulitis with Perforation Combined with Intussusception Caused by Inflammatory Fibroid Polyp.: Jae Won Choi, Kook Hyun Kim, Ji Eun Lee, Jun Hwan Kim, Byung Ik Jang, Tae Nyeun Kim, Moon Kwan Chung, Jae Whang Kim; Yeungnam Univ J Med. 2005;22(1):113-118. Published online June 30, 2005; DOI: https://doi.org/10.12701/yujm.2005.22.1.113

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Abstract PDF: Diverticulosis of the small intestine is a rare entity, compared with that of duodenum or colon, and is found in only 1% of autopsied patients. The main complications are diverticulitis with or without a perforation, obstruction and hemorrhage, which are associated with a high mortality. Intussusception is primarily a disease of childhood; with only 5 to 10% of cases occurring in adults. In contrast to childhood intussusception, 90% of adult intussusception cases are had an associated pathologic processes. An inflammatory fibroid polyp is an uncommonly localized non-neoplastic lesion of the gastrointestinal tract. It occurs most often in the stomach and secondly in the ileum. It rarely occurs in other organs such as the colon, jejunum, duodenum and esophagus. We report a case of jejunal diverticulitis with a perforation combined with intussusception caused by an inflammatory fibroid polyp. A 78-year-old female presented with abdominal pain, fever and chill. Contrast CT scan showed intussusception of the ileum. The patient was treated with a small bowel segmental resection. After surgery, the specimen showed jejunal diverticulitis with perforation.

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