Soonchunhyang Medical Science最新文献

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Computed Tomography and Magnetic Resonance Imaging Features of a Huge Cavernous Hemangioma in the Pleural Space: A Case Report 胸膜间隙巨大海绵状血管瘤的计算机断层和磁共振成像特征:1例报告
Soonchunhyang Medical Science Pub Date : 2022-12-30 DOI: 10.15746/sms.22.031
Kyung Eun Shin, Susie Chin
{"title":"Computed Tomography and Magnetic Resonance Imaging Features of a Huge Cavernous Hemangioma in the Pleural Space: A Case Report","authors":"Kyung Eun Shin, Susie Chin","doi":"10.15746/sms.22.031","DOIUrl":"https://doi.org/10.15746/sms.22.031","url":null,"abstract":"A 44-year-old male with a huge left pleural mass was admitted due to chest discomfort. Chest computed tomography showed a large pleural mass with punctate calcification and serpentine-shaped enhancement in the left pleural space. Magnetic resonance imaging showed markedly high signal intensity with septa on fat-suppressed T2-weighted imaging (WI) and gradual peripheral delayed enhancement on dynamic-enhancing T1-WI. With hemangioma as the suspected diagnosis, the entire mass was surgically removed carefully and the final histopathological diagnosis was confirmed to be a cavernous hemangioma. Cavernous hemangioma of the pleural space is a rare benign vascular tumor. Precise radiologic diagnosis is important before the surgical operation of hemangiomas because of risk of massive hemorrhage requiring meticulous bleeding control.","PeriodicalId":22016,"journal":{"name":"Soonchunhyang Medical Science","volume":"10 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82974857","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Retrospective Analysis of Bone Marrow Examination Results from a Single Center Institution: In What Situations Is Bone Marrow Examination Helpful? 单中心机构骨髓检查结果的回顾性分析:在什么情况下骨髓检查是有用的?
Soonchunhyang Medical Science Pub Date : 2022-12-30 DOI: 10.15746/sms.22.019
Young-kyu Lee, Min Jung Kim, M. Lee, Kyoungha Kim, N. Lee, J. Won, S. Yoon
{"title":"A Retrospective Analysis of Bone Marrow Examination Results from a Single Center Institution: In What Situations Is Bone Marrow Examination Helpful?","authors":"Young-kyu Lee, Min Jung Kim, M. Lee, Kyoungha Kim, N. Lee, J. Won, S. Yoon","doi":"10.15746/sms.22.019","DOIUrl":"https://doi.org/10.15746/sms.22.019","url":null,"abstract":"Objective: Bone marrow (BM) examinations are performed to evaluate hematological abnormalities. Focusing on patients with cytopenia, we aimed to determine the circumstances under which a BM examination can assist in the diagnosis of hematologic diseases.Methods: The medical records of 738 patients who underwent BM examination from March 2011 to March 2019 at Soonchunhyang University Seoul Hospital were reviewed. In total, 234 patients underwent a BM examination to identify the cause of cytopenia. Excluded from the analysis were BM examinations performed to diagnose specific diseases and evaluate disease status.Results: Results suggesting suboptimal outcome (n=6) or BM invasion of solid tumors (n=13) were excluded. Immune thrombocytopenic purpura patients (n=52) with normal BM examination results were also excluded. One hundred sixty-three patients who underwent BM examination to determine the cause of cytopenia were included in the analysis. A comparison of non-specific results (n=56) to those pointing to an underlying hematologic disease (n=107) showed that patients with severe neutropenia or severe thrombocytopenia were more likely to be diagnosed with a hematologic disease. Specifically, as the number of severe cytopenias increased, the likelihood of a hematologic disease diagnosis was significantly augmented. Patients with end-stage renal disease, autoimmune disease, or liver cirrhosis were more likely to receive non-specific results.Conclusion: In conclusion, seeking the underlying disease or drug should be a primary target for patients with cytopenia. In cases of severe cytopenia in more than one lineage, BM examination should be strongly considered to diagnose an underlying hematologic disease.","PeriodicalId":22016,"journal":{"name":"Soonchunhyang Medical Science","volume":"50 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90575492","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
A Case of Hyperinsulinemic Hypoglycemia in Premature Infant Treated with Oral Diazoxide 口服二氮氧化物治疗早产儿高胰岛素血症性低血糖1例
Soonchunhyang Medical Science Pub Date : 2022-12-30 DOI: 10.15746/sms.22.028
Jeong Eun Pyeon, H. Jeong, J. Koh
{"title":"A Case of Hyperinsulinemic Hypoglycemia in Premature Infant Treated with Oral Diazoxide","authors":"Jeong Eun Pyeon, H. Jeong, J. Koh","doi":"10.15746/sms.22.028","DOIUrl":"https://doi.org/10.15746/sms.22.028","url":null,"abstract":"Neonatal hyperinsulinism, whether permanent or transient, results in prolonged hypoglycemia, which increases the risk of hypoglycemic brain injury. Therefore, prompt diagnosis and management of hyperinsulinemic hypoglycemia is important. Drawing a “critical sample” at the time of hypoglycemia is useful for diagnosis. Genetic testing for defective insulin-regulating genes in pancreatic beta-cells might also be helpful in cases of prolonged hypoglycemia. High-calorie feeding or glucose infusion is necessary to maintain normoglycemia. Diazoxide is the treatment of choice for hyperinsulinism and should be continued until the hypoglycemia resolves. We describe a case of transient neonatal hyperinsulinemia hypoglycemia in a small-for-gestational-age preterm infant who underwent diazoxide treatment and achieved a favorable outcome.","PeriodicalId":22016,"journal":{"name":"Soonchunhyang Medical Science","volume":"796 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79934981","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Possible Association between Differences in Nasalance Scores and Early Spread of COVID-19 Based on Linguistic Analysis 基于语言分析的Nasalance评分差异与COVID-19早期传播的可能关联
Soonchunhyang Medical Science Pub Date : 2022-12-30 DOI: 10.15746/sms.22.020
Kong-Geun Lee, S. Shim, Jae Heon Kim
{"title":"Possible Association between Differences in Nasalance Scores and Early Spread of COVID-19 Based on Linguistic Analysis","authors":"Kong-Geun Lee, S. Shim, Jae Heon Kim","doi":"10.15746/sms.22.020","DOIUrl":"https://doi.org/10.15746/sms.22.020","url":null,"abstract":"Objective: The World Health Organization (WHO) declared a pandemic on March 11, 2020 after more than 118,000 cases of coronavirus disease 2019 (COVID-19) had been reported in 114 countries. Our study analyzed the cumulative incidence rate based on WHO data starting with the first confirmed patient until the peak of transmission. In addition, the numerical values of nasometry from normal subjects were quantified to analyze the linguistic features.Methods: This study consisted of two main methodologies including a meta-analysis based on nasometry data involving normal adults and cumulative incidence rate based on WHO data. In addition, the numerical values of nasometry from normal subjects were quantified to analyze the linguistic features.Results: The pooled overall mean differences (MDs) for oral text nasalance among linguistic families were 14.655 (95% confidence interval [CI], 7.986–21.324) in Arabic, 24.441 (95% CI, 17.920–30.962) in Chinese, 14.964 (95% CI, 13.677–16.251) in European, and 11.437 (95% CI, 9.880–12.994) in Ural-Altaic. The pooled overall MDs for cumulative incidence rate of COVID-19 were 190.3 (95% CI, 56.10–324.60) in Arabic, 283.20 (95% CI, 1.80–564.60) in European, and 5.70 (95% CI, 4.90–6.60) in Ural-Altaic. Correlation between oral nasalance score and cumulative incidence was significant (P=0.0004).Conclusion: Our study showed the possible association between language characteristics and early spread of COVID-19. Further studies are needed to validate our outcomes based on various epidemiologic and behavioral factors including mask wearing.","PeriodicalId":22016,"journal":{"name":"Soonchunhyang Medical Science","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87572353","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Ultrasound-Guided Nerve Hydrodissection for Neuropathic-Like Pain Arising from Hemodialysis: A Case Report 超声引导下神经水解剖治疗血液透析引起的神经性疼痛1例
Soonchunhyang Medical Science Pub Date : 2022-12-30 DOI: 10.15746/sms.22.032
Mungyu Kim, Y. Jang, Keun Her, Chang Bong Lee
{"title":"Ultrasound-Guided Nerve Hydrodissection for Neuropathic-Like Pain Arising from Hemodialysis: A Case Report","authors":"Mungyu Kim, Y. Jang, Keun Her, Chang Bong Lee","doi":"10.15746/sms.22.032","DOIUrl":"https://doi.org/10.15746/sms.22.032","url":null,"abstract":"Peripheral neuropathy is very common in patients with chronic renal failure. The pain arising from hemodialysis can be caused by vascular problems (such as vascular stenosis and steal syndrome) and neuropathy. Hemodialysis patients who need to be dialyzed three times a week should not be told to endure worsening pain every time they are dialyzed. We report that the pain arising from hemodialysis in the lower arm was a concern due to the nerve entrapment in the axillary area, and it was successfully controlled with ultrasound-guided nerve hydrodissection.","PeriodicalId":22016,"journal":{"name":"Soonchunhyang Medical Science","volume":"57 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83432982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Early Postoperative Pulmonary Edema Attributable to Reverse Stress-Induced Cardiomyopathy in a Recently Infected COVID-19 Patient: A Case Report 1例新近感染COVID-19患者可逆应激性心肌病术后早期肺水肿
Soonchunhyang Medical Science Pub Date : 2022-12-30 DOI: 10.15746/sms.22.023
J. Yoo
{"title":"Early Postoperative Pulmonary Edema Attributable to Reverse Stress-Induced Cardiomyopathy in a Recently Infected COVID-19 Patient: A Case Report","authors":"J. Yoo","doi":"10.15746/sms.22.023","DOIUrl":"https://doi.org/10.15746/sms.22.023","url":null,"abstract":"The coronavirus disease 2019 (COVID-19) pandemic has increased the incidence of stress-induced cardiomyopathy (SICMP). A 33-year-old woman without any notable medical history underwent an emergency operation to treat a ruptured ectopic pregnancy. She entered hemorrhagic shock attributable to massive bleeding of the ruptured ectopic sac, followed by rapid transfusion and hydration, and vasopressor therapy. Her COVID-19 rapid antigen test was negative before surgery. After surgery, her vital signs were stable and she was mentally alert. However, about 1 hour later, she developed pulmonary edema, was re-intubated, and was admitted to the intensive care unit. There, echocardiography revealed reverse SICMP, and a COVID-19 polymerase chain reaction test was positive. She recovered well on conservative treatment. After 9 days, her echocardiography profile was normal and she was discharged without any cardiac symptoms or complications. Anesthesiologists should be aware that COVID-19-infected patients may develop postoperative SICMP.","PeriodicalId":22016,"journal":{"name":"Soonchunhyang Medical Science","volume":"48 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89177653","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Difficult Airway and Failed Tracheal Intubation in a Patient with Mucopolaysaccharidoses Type II: A Case Report II型粘多糖中毒患者气道困难和气管插管失败1例报告
Soonchunhyang Medical Science Pub Date : 2022-06-30 DOI: 10.15746/sms.22.015
A. Cho, B. Koo, Y. Chung, Misoon Lee, Jaewoong Jung, Eun Young Ko, Seri Park, Jihun Yu
{"title":"Difficult Airway and Failed Tracheal Intubation in a Patient with Mucopolaysaccharidoses Type II: A Case Report","authors":"A. Cho, B. Koo, Y. Chung, Misoon Lee, Jaewoong Jung, Eun Young Ko, Seri Park, Jihun Yu","doi":"10.15746/sms.22.015","DOIUrl":"https://doi.org/10.15746/sms.22.015","url":null,"abstract":"Mucopolysaccharidoses are rare lysosomal storage diseases resulting from defects in lysosomal enzymes involved in degradation of glycosaminoglycans. Different mucopolysaccharidoses are caused by different enzyme deficiencies The anesthetic complications are related to the organs involved. Patients with mucopolysaccharidoses are rare, and few anesthetists encounter such patients. We experienced a case of mucopolysaccharidoses type II. Several endotracheal intubation attempts were tried, but we experienced failed endotracheal intubation. And we decided to proceed with surgery under bag-mask ventilation because of the short operation time. There’s no desaturation time. And the patient’s spontaneous ventilation was recovered and awakened. We have also briefly discussed the pathophysiology, clinical features, and possible airway management options for patients with mucopolysaccharidoses type II.","PeriodicalId":22016,"journal":{"name":"Soonchunhyang Medical Science","volume":"26 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84564906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comparative Efficacy of Mechanical Patient-Controlled Analgesia Pump Operated in Patient Optimizing Background Infusion Mode and Conventional Nonmechanical Pump after Laparoscopic Surgery 腹腔镜术后患者自控机械式镇痛泵与传统非机械式镇痛泵在患者优化背景输注模式下的疗效比较
Soonchunhyang Medical Science Pub Date : 2022-06-30 DOI: 10.15746/sms.22.002
N. Kim, Sul Ki Park
{"title":"Comparative Efficacy of Mechanical Patient-Controlled Analgesia Pump Operated in Patient Optimizing Background Infusion Mode and Conventional Nonmechanical Pump after Laparoscopic Surgery","authors":"N. Kim, Sul Ki Park","doi":"10.15746/sms.22.002","DOIUrl":"https://doi.org/10.15746/sms.22.002","url":null,"abstract":"Objective: The aim of this study was to evaluate the efficacy and side effects of the mechanical patient-controlled analgesia (PCA), pumps operated in patient optimizing background infusion (POBI) mode, compared with the conventional nonmechanical PCA after laparoscopic gynecologic surgery.Methods: In total, 211 patients were randomized to nonmechanical pump (n=106, group A) or mechanical pump (n=105, group P) postoperative pain treatment groups. A single blinded observer evaluated and recorded postoperative nausea and vomiting (PONV) score as well as the background infusion rate, Numeric Rating Scale (NRS), use of an additional antiemetic or analgesic, degree of sedation, and other side effects at 30 minutes, 2 hours, 8 hours, and 24 hours postoperatively. The degree of patient satisfaction was evaluated at 2 and 24 hours postoperatively.Results: There was no significant difference in the overall NRS score between the two groups. However, the use of rescue analgesics was significantly higher in group A (P=0.007). The incidence of PONV did not significantly differ between the two groups at 0.5 hours postoperatively; however, at 2 hours, it was significantly higher in group P than in group A (P=0.003). In contrast, the incidence of PONV was significantly lower in group P than in group A at 24 hours postoperatively (P=0.033). No significant group difference was observed in patient satisfaction.Conclusion: With an appropriate waiting time, a mechanical pump operating in POBI mode could be an effective PCA pump to reduce postoperative pain and side effects.","PeriodicalId":22016,"journal":{"name":"Soonchunhyang Medical Science","volume":"40 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82299745","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Idiopathic Omental Infarction to Be a Rare Cause of Acute Abdomen: A Case Report 特发性大网膜梗死是一种罕见的急腹症:1例报告
Soonchunhyang Medical Science Pub Date : 2022-06-30 DOI: 10.15746/sms.22.009
G. Song
{"title":"Idiopathic Omental Infarction to Be a Rare Cause of Acute Abdomen: A Case Report","authors":"G. Song","doi":"10.15746/sms.22.009","DOIUrl":"https://doi.org/10.15746/sms.22.009","url":null,"abstract":"Omental infarction is a rare entity, representing hemorrhagic omental necrosis as a result of impaired omental perfusion. It can occur secondary to omental torsion or to inflammatory and neoplastic infiltration of the omental segment from adjacent organs. If the foregoing reasons can be excluded, omental infarction is called primary or idiopathic omental infarction. Occlusions of small omental arteries are rare and may be found in patients with thromboembolic disease, arteriolosclerosis, arteritis, or amyloidosis. The author presents a case of idiopathic omental infarction in a 66-year-old male presenting with abdominal pain. The patients underwent an emergent operation and recovered without any complication after surgery.","PeriodicalId":22016,"journal":{"name":"Soonchunhyang Medical Science","volume":"39 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88422181","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Survey and Proposal of Critical Value Reporting and Management in Clinical Chemistry 临床化学关键值报告与管理的调查与建议
Soonchunhyang Medical Science Pub Date : 2022-06-30 DOI: 10.15746/sms.22.004
Y. A. Yoon
{"title":"Survey and Proposal of Critical Value Reporting and Management in Clinical Chemistry","authors":"Y. A. Yoon","doi":"10.15746/sms.22.004","DOIUrl":"https://doi.org/10.15746/sms.22.004","url":null,"abstract":"Objective: It is one of the major functions of the clinical laboratory to clearly, accurately, and quickly communicate critical values directly to the patient care providers. Laboratory professionals are often confronted with many obstacles in critical value reporting, including establishing critical values, notifying the critical values to provider, and ensuring that the provider understands the severity of a critical result.Methods: A total of 30 laboratory directors voluntarily answered the questionnaire by e-mail. The questionnaire covered demographic characteristics, establishing and updating critical values lists in clinical chemistry, thresholds of critical values, appropriate timeframes for critical results, notification process, and so on.Results: Of the 30 participating institutions, 12 were general hospitals, three were commercial laboratories, and 15 were tertiary hospitals. The tests included in critical value lists are as follows in order of frequency: potassium, glucose, sodium, total calcium, chloride, ionized calcium, creatinine, magnesium, total bilirubin, phosphorus, pH, and so on. Ten of the 30 institutions notified critical value reports to the patient care providers within 1 hour.Conclusion: This study presents the status of critical value reporting policy in Korean hospitals and a literature review on critical value reporting. In addition, this article provides core components and current regulatory requirements for critical value reporting. Critical value reporting systems should be approved, reviewed, and revised periodically.","PeriodicalId":22016,"journal":{"name":"Soonchunhyang Medical Science","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90646984","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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