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Common peroneal nerve palsy after robotic assisted Laparoscopic colectomy -A case report-
So Jin Park,Sung Uk Choi,Hye Won Shin,Hye Won Lee,Hae Ja Lim,Suk Min Yoon,Seong Ho Chang 대한마취과학회 2009 Korean Journal of Anesthesiology Vol.56 No.3
Common peroneal nerve palsy after surgery with lithotomy position has been widely reported, but it is an unexpected complication after surgery with supine position. We report a patient who developed common peroneal nerve palsy after surgery with supine position. A 55-year old man is planed for robotic assisted laparoscopic right hemicolectomy because of colon cancer. The patient was placed supine with Trendelenburg position at an angle about 5 degrees and tilted left about 15 degrees. The operation is uneventful, but he developed common peroneal nerve palsy on the first postoperative day. The patient was fully recovered with conservative treatment after 2 months. We consider that nerve palsy as a result of compression of common peroneal nerve related to patient positioning. So we should be careful not to develop common peroneal nerve palsy even if the patient was placed in the supine position during robotic assisted surgery. (Korean J Anesthesiol 2009; 56: 328∼9)
( So Yeon Oh ),( Sang Won Shin ),( Sun Jin Sym ),( Sang Young Roh ),( Seung Sei Lee ),( So Young Yoon ),( Sun Kyung Baek ),( Keon Uk Park ),( Sang Cheul Oh ),( Jung Lim Lee ),( Jean No Park ),( Joo Se 대한내과학회 2014 대한내과학회 추계학술발표논문집 Vol.2014 No.1
Background: Diagnosis and management of neuropathic cancer pain (NCP) is diffi cult and complicated. This study investigated current practice in the diagnosis and management of NCP and its impact on quality of life (QoL). Methods: Patients with cancer pain with visual analogue scales (VAS) =1 from 28 hospitals in Korea were enrolled in this cross-sectional observational study. If the patient obtained a score =4 from neuropathic pain diagnostic questionnaire (DN4), he/ she was diagnosed with NCP. The clinical characteristics, pain severity measured by Brief Pain Inventory-Short Form (BPI-SF), and the QoL measured by EuroQoL EQ-5D Health Questionnaire were evaluated. Results: Among 1,505 enrolled patients, 885 patients (58.8%) had moderate to severe pain (VAS=4). Neuropathic cancer pain (when DN4 =4) was identified in 556 patients (36.9%). Among those NCP patients, 254 patients (45.7%) were treated with NCP-targeted therapies (administering opioid or non-opioids analgesics with adjuvant analgesics). Among entire patients, opioids were used in 1,005 patients (66.8%) and 205 patients (13.6%) were not prescribed any analgesic. Anti-depressants and anti- convulsants were prescribed for 91 (6.0%) and 349 (23.2%) patients respectively. Patients with NCP had more severe pain and their pain interference level with daily living was higher than those without NCP. The QoL measured by EQ-5D index score was signifi cantly worse in patients with NCP than those without NCP (Table 1). Conclusions: This large-scaled survey shows that NCP has deteriorative effect on pain and QoL in patients having cancer pain. Current status of management for cancer pain is not satisfactory including NCP in Korea. *This study was partially presented at the MASCC/ISOO International symposium on supportive care in cancer, 26 - 28 June 2014, Miami, USA.
실험연구 : 냉허혈과 재관류 시 허혈성 전처치와 Propofol이 심근기능과 관상동맥 관류량에 미치는 영향
박소진 ( So Jin Park ),최성욱 ( Sung Uk Choi ),최원형 ( Won Hyung Choi ),공명훈 ( Myoung Hoon Kong ),이미경 ( Mi Kyoung Lee ),김난숙 ( Nan Suk Kim ) 대한마취과학회 2006 Korean Journal of Anesthesiology Vol.51 No.5
Background: The interaction between ischemic preconditioning (IPC) and propofol-induced cardioprotective effects during prolonged cold ischemia has now been studied yet. The purpose of this study is to investigate the effects of ischemic preconditioning and propofol on cardiac function and the development of endothelial injury after 4 hours of cold cardioplegia and reperfusion. Methods: After suspension of the isolated heart on the Langendorff perfusion system, we took a stabilizing period for 15 minutes, perfusion period for 15 minutes, global cold (4℃) ischemic period for 4 hours, and then reperfusion period for 60 minutes. There were 4 groups: (1) CONTROL group, no intervention; (2) IPC group, two 2-minute total coronary occlusions interspaced with 5 minutes of normal reperfusion; (3) PROPOFOL group, propofol (2μM) was infused during reperfusion period; (4) BOTH group, ischemic preconditioning and postischemic propofol treatment group. The measurements of cardiac performances, such as left ventricular developed pressure (LVDP), rate of ventricular pressure generation (dp/dt), and heart rate (HR) was obtained at pre- and postischemic periods. For the evaluation of endothelial injury during reperfusion period, coronary flow responses to bradykinin were tested. Infarct size was measured using the triphenyl tetrazolium stain. Results: IPC, PROPOFOL, and BOTH group showed better outcome of LVDP, dp/dt, HR, and flow responses to bradykinin than CONTROL group did. But there is no statistically significant difference in variables among the three groups. Conclusions: Ischemic preconditioning and postischemic propofol have cardioprotective effect respectively but no additive effect after 4 hours cold cardioplegia and reperfusion. (Korean J Anesthesiol 2006; 51; 606~13)
Oh, So Yeon,Shin, Sang Won,Koh, Su-Jin,Bae, Sang Byung,Chang, Hyun,Kim, Jung Han,Kim, Hyo Jung,Hong, Young Seon,Park, Keon Uk,Park, Jeanno,Lee, Kyung Hee,Lee, Na Ri,Lee, Jung Lim,Jang, Joung Soon,Hong Springer Berlin Heidelberg 2017 SUPPORTIVE CARE IN CANCER Vol.25 No.12
<P><B>Purpose</B></P><P>Neuropathic cancer pain (NCP) is a common and potentially debilitating symptom in cancer patients. We investigated the prevalence of NCP, as well as its management and association with QOL.</P><P><B>Methods</B></P><P>Cancer patients with pain ≥1 on the visual analogue scale (VAS) were surveyed with the Douleur Neuropathique (DN4) questionnaire, the Brief Pain Inventory-Short Form (BPI-SF), and the EuroQOL five dimensions (EQ-5D) questionnaire. The associations between NCP and pain severity or NCP and QOL, while controlling for variables relevant to QOL, were then analyzed.</P><P><B>Results</B></P><P>A total of 2003 patients were enrolled in this survey; the prevalence of NCP was 36.0% (<I>n</I> = 722, 95% CI, 32.5–39.5). We found that NCP in cancer patients was closely correlated to a higher pain severity (BPI-SF; 4.96 ± 1.94 versus 4.24 ± 2.02, <I>p</I> < 0.001), and in patients with NCP, pain more severely interfered with daily living, as compared to those without NCP (BPI-SF; 4.86 ± 2.71 versus 4.41 ± 2.87, <I>p</I> < 0.001). Patients with NCP also had worse QOL than those without NCP, as measured by EQ-5D index score (0.47 ± 0.30 vs. 0.51 ± 0.30, <I>p</I> = 0.005), and this was confirmed using multivariate analysis (<I>p</I> < 0.001), even after controlling for other variables such as age, sex, disease stage, cancer duration, radiotherapy, chemotherapy, and comorbidities. Importantly, adjuvant analgesics were used in less than half of patients with NCP (<I>n</I> = 358, 46.4%).</P><P><B>Conclusions</B></P><P>We found that NCP in cancer patients was significantly associated with a worsened QOL, and current management is inadequate. Therefore, future research aimed at developing improved strategies for management of NCP is required.</P><P><B>Electronic supplementary material</B></P><P>The online version of this article (doi:10.1007/s00520-017-3806-5) contains supplementary material, which is available to authorized users.</P>
Park, So Young,Lee, Hyun Uk,Park, Eun Sik,Lee, Soon Chang,Lee, Jae-Won,Jeong, Soon Woo,Kim, Chi Hyun,Lee, Young-Chul,Huh, Yun Suk,Lee, Jouhahn American Chemical Society 2014 ACS APPLIED MATERIALS & INTERFACES Vol.6 No.5
<P>We have developed a simple approach for the large-scale synthesis of water-soluble green carbon nanodots (G-dots) from many kinds of large food waste-derived sources. About 120 g of G-dots per 100 kg of food waste can be synthesized using our simple and environmentally friendly synthesis approach. The G-dots exhibit a high degree of solubility in water because of the abundant oxygen-containing functional groups around their surface. The narrow band of photoluminescence emission (400–470 nm) confirms that the size of the G-dots (∼4 nm) is small because of a similar quantum effects and emission traps on the surfaces. The G-dots have excellent photostability; their photoluminescence intensity decreases slowly (∼8%) under continuous excitation with a Xe lamp for 10 days. We carried out cell viability assay to assess the effect of cytotoxicity by introducing G-dots in cells such as Chinese hamster ovary cells (CHO-K1), mouse muscle cells (C2C12), and African green monkey kidney cells (COS-7), up to a concentration of 2 mg mL<SUP>–1</SUP> for 24 h. Due to their high photostability and low cytotoxicity, these G-dots are excellent probes for in vitro bioimaging. Moreover, the byproducts (not including G-dots) of G-dot synthesis from large food-waste derived sources promoted the growth and development of seedlings germinated on 3DW-supplemented gauze. Because of the combined advantages of green synthesis, high aqueous stability, high photostability, and low cytotoxicity, the G-dots show considerable promise in various areas, including biomedical imaging, solution state optoelectronics, and plant seed germination and/or growth.</P><P><B>Graphic Abstract</B> <IMG SRC='http://pubs.acs.org/appl/literatum/publisher/achs/journals/content/aamick/2014/aamick.2014.6.issue-5/am500159p/production/images/medium/am-2014-00159p_0008.gif'></P><P><A href='http://pubs.acs.org/doi/suppl/10.1021/am500159p'>ACS Electronic Supporting Info</A></P>
급성기 뇌경색 환자에서 뇌경색 아형에 따른 내원 시 혈당과 예후의 연관성
김태원(Tae Won Kim),소정민(Jeong Min So),정성우(Sung Woo Chung),송인욱(In Uk Song) 대한임상노인의학회 2017 대한임상노인의학회지 Vol.18 No.2
Background: Studies evaluating the prognostic value of admission glucose level (AGL) by stroke subtypes are rare. We aimed to evaluate the association between AGL and short-term outcome by each stroke subtype. Methods: We recruited 265 patients with acute infarction who were consecutively admitted to our hospital after acute stroke. We classified the patients into lacunar, large artery artherosclerosis (LAA) or cardioembolic infarction according to the TOAST stroke classification. AGL were measured at admission. The National Institutes of Health Stroke Scale (NIHSS) were evaluated initially and at 5 admission days. Results: Fifty patients were lacunar group, 190 were LAA group and 25 were cardioembolic group. All enrolled patients with higher AGL had significantly worse functional outcomes in acute stage compared to the low AGL group (P=0.005). In respect to stroke suptype, AGL was significantly associated with worse functional outcome in acute stage only in LAA group (P=0.002). There were no association between AGL and functional outcome in lacunar or cardioembolic infarction. Conclusion: The prognostic implication of AGL in acute ischemic stroke was different depending on each stroke subtype. Although AGL predicted worse functional outcome only in LAA group, it did not associate with functional outcome in the lacunar or cardioembolic infarction.
Je, Hyoung Uk,Han, Seungbong,Kim, Young Seok,Nam, Joo-Hyun,Kim, Hak Jae,Kim, Jae Weon,Park, Won,Bae, Duk-Soo,Kim, Jin Hee,Shin, So Jin,Kim, Juree,Lee, Ki-Heon,Yoon, Mee Sun,Kim, Seok Mo,Kim, Ji-Yoon,Y Elsevier 2014 Radiotherapy and oncology Vol.111 No.3
<P><B>Abstract</B></P> <P><B>Purpose</B></P> <P>To develop a nomogram predicting the risks of distant metastasis following postoperative adjuvant radiation therapy for early stage cervical cancer.</P> <P><B>Materials and methods</B></P> <P>We reviewed the medical records of 1069 patients from ten participating institutions. Patients were divided into two cohorts: a training set (<I>n</I> =748) and a validation set (<I>n</I> =321). The demographic, clinical, and pathological variables were included in the univariate Cox proportional hazards analysis. Clinically established and statistically significant prognostic variables were utilized to develop a nomogram.</P> <P><B>Results</B></P> <P>The model was constructed using four variables: histologic type, pelvic lymph node involvement, depth of stromal invasion, and parametrial invasion. This model demonstrated good calibration and discrimination, with an internally validated concordance index of 0.71 and an externally validated c-index of 0.65. Compared to FIGO staging, which showed a broad range in terms of distant metastasis, the developed nomogram can accurately predict individualized risks based on individual risk factors.</P> <P><B>Conclusions</B></P> <P>The devised model offers a significantly accurate level of prediction and discrimination. In clinical practice it could be useful for counseling patients and selecting the patient group who could benefit from more intensive/further chemotherapy, once validated in a prospective patient cohort.</P>
2세 이하 아토피피부염 환아에서 비타민 D 부족과 식품항원 감작의 연관성
백종욱 ( Jong Uk Baek ),황보준원 ( Jun Won Hwangbo ),이혜란 ( Hae Ran Lee ),이소연 ( So Yeon Lee ) 대한소아알레르기호흡기학회 1991 소아알레르기 및 호흡기학회지 Vol.1 No.3
Purpose: Vitamin D levels are known to be associated with development of allergic diseases. However, existing data are controversial. The aim of this study was to investigate whether vitamin D levels are associated with food sensitization (FS) in young children with atopic dermatitis (AD). Methods: We performed a medical record review of all patients under 2 years presenting to pediatric allergic clinic in Hallym University Sacred Heart Hospital for atopic dermatitis between March 1, 2012 and February 28, 2013. Serum 25-hydroxyvitamin D (25(OH)D) levels and six specific immunoglobulin E (IgE) to common food allergens were measured in 132 young children with AD. We defined vitamin D insufficiency was 25(OH)D <30 ng/mL, and FS as specific IgE ≥0.35 IU/mL to any of six common food allergens. Associations between serum 25(OH)D levels and FS were examined by using multiple logistic regression, adjusting for potential risk and confounding factors. Results: The mean age was 10.1 months. Among the 132 children with AD, 65.9% had FS. In this group, there was a negative correlation between 25(OH)D levels and serum eosinophil percentage (correlation coefficient [r]=.0.335, P<0.01), but not correlated with serum total IgE levels. Children with vitamin D insufficiency were more likely to have FS (adjusted odds ratio, 17.1; 95% confidence interval, 1.36 to 215; P=0.028) than those with adequate vitamin D levels. Conclusion: Vitamin D insufficiency is associated with FS in young children with AD. Further research is needed to confirm these findings. (Allergy Asthma Respir Dis 2013;1:211-215)