PubMed | Sacred Heart University at Connecticut, Inje University, St Carollo Hospital, Chosun University and 18 more.
Type: Journal Article | Journal: International journal of medical sciences | Year: 2016
Backgound: This study evaluated whether the hydration status affected health-related quality of life (HRQOL) during 12 months in peritoneal dialysis (PD) patients.The hydration status and the HRQOL were examined at baseline and after 12 months using a bioimpedance spectroscopy and Kidney Disease Quality of Life-Short Form, respectively in PD patients. Four hundred eighty-one patients were included and divided according to the baseline overhydration (OH) value; normohydration group (NH group, -2L OH +2L, n=266) and overhydration group (OH group, OH >+2L, n=215). Baseline HRQOL scores were compared between the two groups. The subjects were re-stratified into quartiles according to the OH difference (OH value at baseline - OH value at 12 months; <-1, -1 - -0.1, -0.1 - +1, and +1L). The relations of OH difference with HRQOL scores at 12 months and the association of OH difference with the HRQOL score difference (HRQOL score at baseline - HRQOL score at 12 months) were assessed.The OH group showed significantly lower baseline physical and mental health scores (PCS and MCS), and kidney disease component scores (KDCS) compared with the NH group (all, P<0.01). At 12 months, the adjusted PCS, MCS, and KDCS significantly increased as the OH difference quartiles increased (P<0.001, P=0.002, P<0.001, respectively). In multivariate analysis, the OH difference was independently associated with higher PCS ( = 2.04, P< .001), MCS (=1.02, P=0.002), and KDCS (=1.06, P<0.001) at 12 months. The OH difference was independently associated with the PCS difference ( = -1.81, P<0.001), MCS difference (=-0.92, P=0.01), and KDCS difference (=-0.90, P=0.001).The hydration status was associated with HRQOL and increased hydration status negatively affected HRQOL after 12 months in PD patients.
Arakawa T.,Fumon in Clinic |
Hwang S.E.,Daejeon Sun Hospital |
Kim J.H.,Chonbuk National University |
Wilting J.,University of Gottingen |
And 4 more authors.
International Journal of Colorectal Disease | Year: 2016
Purpose and methods: The anal sinuses, small furrows above the pectinate line, sometimes form perianal abscesses in adults. We examined the pattern of fetal growth of the anal sinus and sphincters using 22 mid-term (8–18 weeks) and 6 late-stage (30–38 weeks) fetuses. Results: In mid-term fetuses, the external and internal sphincters gradually increased in thickness, depending on specimen size (from 0.2 to 1.5 mm), whereas the anteroposterior diameter of the anal canal at the epithelial junction was relatively stable (0.5–1.0 mm) irrespective of specimen size. Anal canal diameter increased less than twofold between mid-term and late-stage fetuses, from 0.5–1.0 to almost 2 mm, whereas sphincter thickness increased over tenfold, from 0.2–1.5 to almost 3.5 mm. The anal sinus often showed balloon-like enlargement when the sphincter muscle bundles were tightly packed in mid-term, but not in late-stage fetuses. Conclusions: Large concentric mechanical stress from the sphincters in late-stage fetuses apparently prevented the anal sinus from expanding in a balloon-like manner. Conversely, to avoid anal stenosis, the growing sinuses maintained a luminal space of the anal canal in response to stress from rapidly growing sphincters. The inferiorly extending sinus usually provided temporal double canals separated by a thick column. In the presence of double lumens, anal canal duplication is likely to develop without any abnormalities of the anal epithelium and sphincters. © 2015, Springer-Verlag Berlin Heidelberg.
Kim J.H.,Chonbuk National University |
Kinugasa Y.,Sizuoka Cancer Institute |
Hwang S.E.,Daejeon Sun Hospital |
Murakami G.,Iwamizawa Kojin kai Hospital |
And 2 more authors.
Surgical and Radiologic Anatomy | Year: 2015
Although several studies have reported that the peritoneum does not contribute to the formation of a fascia between the urogenital organs and rectum, Denonvilliers’ fascia (DF), a fascia between the mesorectum and prostate (or vagina) in adults, is believed to be a remnant of the peritoneum. Remnants of the peritoneum, however, were reportedly difficult to detect in other fusion fasciae of the abdominopelvic region in mid-term fetuses. To examine morphological changes of the pelvic cul-de-sac of the peritoneum, we examined 18 male and 6 female embryos and fetuses. A typical cul-de-sac was observed only at 7 weeks, whereas, at later stages, the peritoneal cavity did not extend inferiorly to the level of the prostatic colliculus or the corresponding structure in females. The cul-de-sac had completely disappeared in front of the rectum at 8 weeks and homogeneous and loose mesenchymal tissue was present in front of the rectum at the level of the colliculus at 12–16 weeks. We found no evidence that linearly arranged mesenchymal cells developed into a definite fascia. Therefore, the development of the DF in later stages of fetal development may result from the mechanical stress on the increased volumes of the mesorectum, seminal vesicle, prostate and vagina and/or enlarged rectum. Therefore, we considered the DF as a tension-induced structure rather than a fusion fascia. Fasciae around the viscera seemed to be classified into (1) a fusion fascia, (2) a migration fascia and (3) a tension-induced fascia although the second and third types are likely to be overlapped. © 2014, Springer-Verlag France.
PubMed | Complutense University of Madrid, Chonbuk National University, Daejeon Sun Hospital, Iwamizawa Asuka Hospital and 2 more.
Type: Journal Article | Journal: International journal of colorectal disease | Year: 2016
The anal sinuses, small furrows above the pectinate line, sometimes form perianal abscesses in adults. We examined the pattern of fetal growth of the anal sinus and sphincters using 22 mid-term (8-18 weeks) and 6 late-stage (30-38 weeks) fetuses.In mid-term fetuses, the external and internal sphincters gradually increased in thickness, depending on specimen size (from 0.2 to 1.5 mm), whereas the anteroposterior diameter of the anal canal at the epithelial junction was relatively stable (0.5-1.0 mm) irrespective of specimen size. Anal canal diameter increased less than twofold between mid-term and late-stage fetuses, from 0.5-1.0 to almost 2 mm, whereas sphincter thickness increased over tenfold, from 0.2-1.5 to almost 3.5 mm. The anal sinus often showed balloon-like enlargement when the sphincter muscle bundles were tightly packed in mid-term, but not in late-stage fetuses.Large concentric mechanical stress from the sphincters in late-stage fetuses apparently prevented the anal sinus from expanding in a balloon-like manner. Conversely, to avoid anal stenosis, the growing sinuses maintained a luminal space of the anal canal in response to stress from rapidly growing sphincters. The inferiorly extending sinus usually provided temporal double canals separated by a thick column. In the presence of double lumens, anal canal duplication is likely to develop without any abnormalities of the anal epithelium and sphincters.
Lee S.S.,Daejeon Sun Hospital |
Kang S.,Daejeon Sun Hospital |
Park N.K.,Daejeon Sun Hospital |
Lee C.W.,Daejeon Sun Hospital |
And 4 more authors.
Annals of Rehabilitation Medicine | Year: 2012
Objective: To evaluate the effectiveness of initial extracorporeal shock wave therapy (ESWT) for patients newly diagnosed with lateral or medial epicondylitis, compared to local steroid injection. Method: An analysis was conducted of twenty-two patients who were newly confirmed as lateral or medial epicondylitis through medical history and physical examination. The ESWT group (n=12) was treated once a week for 3 weeks using low energy (0.06-0.12 mJ/mm2, 2,000 shocks), while the local steroid injection group (n=10) was treated once with triamcinolone 10 mg mixed with 1% lidocaine solution. Nirschl score and 100 point score were assessed before and after the treatments of 1st, 2nd, 4th and 8th week. And Roles and Maudsley score was assessed one and eight weeks after the treatments. Results: Both groups showed significant improvement in Nirschl score and 100 point score during the entire period. The local steroid injection group improved more in Nirschl score at the first week and in 100 point score at the first 2 weeks, compared to those of the ESWT group. But the proportion of excellent and good grades of Roles and Maudsley score in the ESWT group increased more than that of local steroid injection group by the final 8th week. Conclusion: The ESWT group improved as much as the local steroid injection group as treatment for medial and lateral epicondylitis. Therefore, ESWT can be a useful treatment option in patients for whom local steroid injection is difficult. © 2012 by Korean Academy of Rehabilitation Medicine.
PubMed | Daejeon Sun Hospital, Inha University and Catholic University of Korea
Type: | Journal: Asian journal of surgery | Year: 2016
The aim of this study was to evaluate the technical success rates, primary patency, and complications for TASC C and D aorto-iliac lesions treated by endovascular procedures. Additionally, the influence of the access site and the clinical outcomes were analyzed.Between 2008 and 2014, data from 39 patients with 45 chronic iliac artery stenosis and/or occlusion who were treated with endovascular treatment were retrospectively reviewed.The procedure time was longer for TASC D lesions than for TASC C lesions (16382min vs. 10534min; p=0.002), where there was the more common use of brachial and femoral approach simultaneously. There were two perioperative deaths associated with TASC D lesions caused by one iliac artery rupture and one postoperative hospital-acquired pneumonia. The total perioperative complication rate was higher in the TASC D lesions than in TASC C lesions [five (18.5%) vs. zero; p=0.073]. The corresponding 2-year primary patency rates were 94.9% in TASC C lesions and 88.4% in TASC D lesions. The simultaneous brachial and femoral approach took the longest procedure time (226157min).This study demonstrated that the outcomes of endovascular treatment for TASC C and D aorto-iliac lesions were acceptable, with better technical success in TASC C lesions than in TASC D lesions. Furthermore, the 2-year patency rate for both TASC C and TASC D lesions was acceptable. Additionally, brachial access was useful for complex anatomy, but the failure rate was high.
Kwon S.-C.,Hanyang University |
Song J.,Hanyang University |
Kim Y.-K.,Daejeon Sun Hospital |
Calvert G.M.,U.S. National Institute for Occupational Safety and Health
Allergy, Asthma and Immunology Research | Year: 2014
Purpose: To determine the incidence and epidemiological characteristics of work-related asthma in Korea. Methods: During 2004-2009, the Korea Work-Related Asthma Surveillance (KOWAS) program collected data on new cases of work-related asthma from occupational physicians, allergy and chest physicians, regional surveillance systems, and workers' compensation schemes. The incidence was calculated on the basis of industry, occupation, sex, age, and region. In addition, the distribution of causal agents was determined. Results: During the study period, 236 cases of work-related asthma were reported, with 77 cases from more than 1 source. A total of 22.0% (n=52) were reported by occupational physicians, 52.5% (n=124) by allergy and chest physicians, 24.2% (n=57) by regional surveillance systems, and 43.2% (n=102) by workers' compensation schemes. The overall average annual incidence was 3.31 cases/million workers, with a rate of 3.78/million among men and 2.58/million among women. The highest incidence was observed in the 50-59-year age group (7.74/million), in the Gyeonggi/Incheon suburb of Seoul (8.50/million), in the furniture and other instrument manufacturing industries (67.62/million), and among craft and related trades workers (17.75/million). The most common causal agents were isocyanates (46.6%), flour/grain (8.5%), metal (5.9%), reactive dyes (5.1%), and solvents (4.2%). Conclusions: The incidence of work-related asthma in Korea was relatively low, and varied according to industry, occupation, gender, age, and region. Data provided by workers' compensation schemes and physician reports have been useful for determining the incidence and causes of work-related asthma. © The Korean Academy of Asthma, Allergy and Clinical Immunology.
Choi B.J.,Catholic University of Korea |
Jeong W.J.,Catholic University of Korea |
Kim Y.K.,Daejeon Sun Hospital |
Kim S.-J.,Catholic University of Korea |
Lee S.C.,Catholic University of Korea
International Journal of Surgery | Year: 2015
Background: The aim of this study was to report our initial experience with single-port laparoscopic reversal of Hartmann's procedure (SP-LHR). Methods: Between December 2009 and March 2014, 23 patients underwent single-port laparoscopic reversal of Hartmann's procedure. Single-port laparoscopic surgeries (SPLS) were performed through the preexisting stoma site. A commercially available single port with one 5mm and two 12mm trocars was used with conventional straight and rigid laparoscopic instruments. Patient demographics and operative and postoperative outcomes were analyzed. Results: SP-LHR was successful in 22 patients. No additional incisions for trocars or conversions to open surgery were necessary. In 1 patient, the procedure was aborted. The median operative time and postoperative length of stay were 165min (range, 100-340min) and 8 days (range, 4-31 days), respectively. The median time to the resumption of oral intake was 3 days (range, 1-16 days). No intraoperative complications were noted; there were four postoperative complications including one anastomotic leak. Conclusions: In our experience, SP-LHR via the colostomy site was safe and feasible, and may be considered an additional surgical option for experienced SPLS surgeons in selected patients. © 2015 Surgical Associates Ltd.
PubMed | Daejeon Sun Hospital and Catholic University of Korea
Type: Journal Article | Journal: Asian journal of surgery | Year: 2016
Adventitial cystic disease of the common femoral vein is a rare condition. We herein report the case of a 50-year-old woman who presented with painless swelling in her left lower leg that resembled deep vein thrombosis. She underwent femoral exploration and excision of the cystic wall. The presentation, investigation, treatment, and pathology of this condition are discussed with a literature review.
Lee J.,Daejeon Sun Hospital |
Lee M.S.,Daejeon Sun Hospital |
Nam K.W.,Daejeon Sun Hospital
The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi | Year: 2014
Aloe is one of the leading products used in phytomedicine. Several cases of aloe-induced toxic hepatitis have been reported in recent years. However, its toxicology has not yet been systematically described in the literature. A 21-year-old female patient was admitted to our hospital with acute hepatitis after taking an aloe vera preparation for four weeks. Her history, clinical manifestation, laboratory findings, and histological findings all led to the diagnosis of aloe vera-induced toxic hepatitis. We report herein on a case of acute toxic hepatitis induced by aloe vera.