Objective: The purpose of this study is to garner useful information through a comparative analysis of health behaviors and health status between the low-dose carbon disulfide (CS2) exposure patients and the high-dose CS2 exposure patients. Methods: Among 910 retired workers who were recognized for carbon disulfide poisoning, 702 survived at the research period. A total of 596 people were selected for the study, except 106 people who refused to participate or were unable to express their opinions. We define the low-dose exposure group as those under 5 ppm, and the high-dose exposure group as those over 5 ppm. Results: Compared with the low-dose exposure patient, the high-dose exposure patient had a more frequent awakening during sleep and difficulty of dressing, toileting bathing, and food preparation. The high-dose exposure patient was vulnerable to anxiety and memory. In addition, the high-dose exposure patient felt hopeless more. The high-dose exposure patient lagged behind the low-dose exposure patient in sleep time and sleep quality. Conclusion: The vulnerability of the high-dose exposure patient in terms of mental and sleep health needs to be acknowledged as the various characteristics of the CS2 exposure patient that appears according to an exposure group. A variety of disease prevention and health promotion programs that focus on the health behavior and status of the low-dose exposure and the high-dose exposure patients need to be developed and put into practice.
{"title":"Health Behavior and Health Condition of Patients Exposed to Carbon Disulfide according to Exposure Level","authors":"Hyun Joe","doi":"10.15746/sms.20.015","DOIUrl":"https://doi.org/10.15746/sms.20.015","url":null,"abstract":"Objective: The purpose of this study is to garner useful information through a comparative analysis of health behaviors and health status between the low-dose carbon disulfide (CS2) exposure patients and the high-dose CS2 exposure patients. Methods: Among 910 retired workers who were recognized for carbon disulfide poisoning, 702 survived at the research period. A total of 596 people were selected for the study, except 106 people who refused to participate or were unable to express their opinions. We define the low-dose exposure group as those under 5 ppm, and the high-dose exposure group as those over 5 ppm. Results: Compared with the low-dose exposure patient, the high-dose exposure patient had a more frequent awakening during sleep and difficulty of dressing, toileting bathing, and food preparation. The high-dose exposure patient was vulnerable to anxiety and memory. In addition, the high-dose exposure patient felt hopeless more. The high-dose exposure patient lagged behind the low-dose exposure patient in sleep time and sleep quality. Conclusion: The vulnerability of the high-dose exposure patient in terms of mental and sleep health needs to be acknowledged as the various characteristics of the CS2 exposure patient that appears according to an exposure group. A variety of disease prevention and health promotion programs that focus on the health behavior and status of the low-dose exposure and the high-dose exposure patients need to be developed and put into practice.","PeriodicalId":22016,"journal":{"name":"Soonchunhyang Medical Science","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75612972","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}
A 13-year-old boy had a 5-day history of prodromal symptoms of fever and dry cough followed by two episodes of severe anginal chest pain and substantial transient ST-segment elevation. A subsequent evaluation showed that the chest pain was caused by coronary artery vasospasm complicating acute myocarditis. We report a rare case of coronary artery vasospasm in an adolescent with a medical history of Raynaud’s phenomenon who was successfully treated with intravenous immunoglobulin and a calcium channel blocker. This report exemplifies the need for pediatricians to be aware that anginal pain due to coronary artery spasm can, albeit rarely, occur in children as a complication of myocarditis, sometimes as a concomitant feature in patients with Raynaud’s phenomenon; in suspected cases, serial electrocardiography is important to perform.
{"title":"Coronary Artery Vasospasm with Acute Myocarditis in an Adolescent","authors":"Yoo-ra Jung, Sun Hyang Lee","doi":"10.15746/sms.20.017","DOIUrl":"https://doi.org/10.15746/sms.20.017","url":null,"abstract":"A 13-year-old boy had a 5-day history of prodromal symptoms of fever and dry cough followed by two episodes of severe anginal chest pain and substantial transient ST-segment elevation. A subsequent evaluation showed that the chest pain was caused by coronary artery vasospasm complicating acute myocarditis. We report a rare case of coronary artery vasospasm in an adolescent with a medical history of Raynaud’s phenomenon who was successfully treated with intravenous immunoglobulin and a calcium channel blocker. This report exemplifies the need for pediatricians to be aware that anginal pain due to coronary artery spasm can, albeit rarely, occur in children as a complication of myocarditis, sometimes as a concomitant feature in patients with Raynaud’s phenomenon; in suspected cases, serial electrocardiography is important to perform.","PeriodicalId":22016,"journal":{"name":"Soonchunhyang Medical Science","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76146975","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}
There was an episode of complete recovery of congenital muscular torticollis presenting an ipsilateral neck mass due to the right sternocleidomastoid muscle (SCM) with other symptoms such as contralateral rotation of the head and restricted motion following initial physiotherapy for 6 months in a male infant. Physical examination and neck ultrasonography in the neonate clinic at 6 months revealed that his neck mass had disappeared, so therapy was discontinued. After 12 months of the episode, there was a reoccurrence of congenital muscular torticollis with the only symptom of ipsilateral neck mass and subsequently recovered without restricted motion. After 26 months of the reoccurrence, with no treatment except for 2 months of the second physiotherapy which was proven to be ineffective, spontaneous resolution of the right neck mass was demonstrated on serial ultrasound. Recovery of relapse SCM hypertrophy is extremely rare; therefore, we report the case. We suggest that the case may help clinicians diagnose and treating patients with the recovery of relapse SCM hypertrophy without complications.
{"title":"Spontaneous Resolution of a Relapsed Right Neck Mass due to Sternocleidomastoid Hypertrophy in a Congenital Muscular Torticollis Infant","authors":"M. Sung, Jong-Hyub Lee, Sung Soo Kim, K. Byun","doi":"10.15746/sms.20.018","DOIUrl":"https://doi.org/10.15746/sms.20.018","url":null,"abstract":"There was an episode of complete recovery of congenital muscular torticollis presenting an ipsilateral neck mass due to the right sternocleidomastoid muscle (SCM) with other symptoms such as contralateral rotation of the head and restricted motion following initial physiotherapy for 6 months in a male infant. Physical examination and neck ultrasonography in the neonate clinic at 6 months revealed that his neck mass had disappeared, so therapy was discontinued. After 12 months of the episode, there was a reoccurrence of congenital muscular torticollis with the only symptom of ipsilateral neck mass and subsequently recovered without restricted motion. After 26 months of the reoccurrence, with no treatment except for 2 months of the second physiotherapy which was proven to be ineffective, spontaneous resolution of the right neck mass was demonstrated on serial ultrasound. Recovery of relapse SCM hypertrophy is extremely rare; therefore, we report the case. We suggest that the case may help clinicians diagnose and treating patients with the recovery of relapse SCM hypertrophy without complications.","PeriodicalId":22016,"journal":{"name":"Soonchunhyang Medical Science","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90683789","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}
Erector spinae plane block (ESPB) has been performed as a method of postoperative analgesia for breast, thoracic, and abdominal surgery. Most of those cases were carried out at T4–7 level and the main targets for postoperative analgesia were the thoracic nerves. However, there are few studies on the effect of ESPB on the cervical nerves. We report that ESPB at the T2 level was effective for postoperative pain management of arm surgery due to the blocking effect of thoracic and cervical nerve.
{"title":"Analgesic Effect of Erector Spinae Plane Block at T2 Level in Arm Surgery","authors":"G. Kim, M. Kim","doi":"10.15746/sms.20.028","DOIUrl":"https://doi.org/10.15746/sms.20.028","url":null,"abstract":"Erector spinae plane block (ESPB) has been performed as a method of postoperative analgesia for breast, thoracic, and abdominal surgery. Most of those cases were carried out at T4–7 level and the main targets for postoperative analgesia were the thoracic nerves. However, there are few studies on the effect of ESPB on the cervical nerves. We report that ESPB at the T2 level was effective for postoperative pain management of arm surgery due to the blocking effect of thoracic and cervical nerve.","PeriodicalId":22016,"journal":{"name":"Soonchunhyang Medical Science","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74820592","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}
We report a case of the transradial approach for carotid artery stenting (CAS) as a useful alternative to the traditional transfemoral approach when femoral access is not available. A 50-year-old male visited our emergency room with dysarthria and right-side weakness. Magnetic resonance imaging showed acute cerebral infarction on the left middle cerebral artery territory and carotid stenosis on both sides. CAS for each carotid stenosis was attempted by the usual femoral access, but there was no pulse on either side of the femoral artery, and computed tomography angiogram of the lower extremity revealed Leriche syndrome, which is an aortoiliac occlusive disease. So, we changed the access to the radial artery and was successfully performed.
{"title":"Transradial Carotid Artery Stenting in a Patient with Leriche Syndrome","authors":"S. Kim, D. Yeo, Gwang Su Lee","doi":"10.15746/sms.20.024","DOIUrl":"https://doi.org/10.15746/sms.20.024","url":null,"abstract":"We report a case of the transradial approach for carotid artery stenting (CAS) as a useful alternative to the traditional transfemoral approach when femoral access is not available. A 50-year-old male visited our emergency room with dysarthria and right-side weakness. Magnetic resonance imaging showed acute cerebral infarction on the left middle cerebral artery territory and carotid stenosis on both sides. CAS for each carotid stenosis was attempted by the usual femoral access, but there was no pulse on either side of the femoral artery, and computed tomography angiogram of the lower extremity revealed Leriche syndrome, which is an aortoiliac occlusive disease. So, we changed the access to the radial artery and was successfully performed.","PeriodicalId":22016,"journal":{"name":"Soonchunhyang Medical Science","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89725904","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}
In Sung Choi, Young Woong Choi, S. Han, Ji Heui Lee
Some of the challenges in intensive care, anesthesia, and emergency medicine would be airway management in an actively vomiting patient or a bloody airway. We experienced a patient with an excessively full stomach (at least 3 L) due to gastric outlet obstruction, although he was scheduled for elective surgery. Despite such circumstances, we successfully intubated him using the suctionassisted laryngoscopy assisted decontamination technique with the patient in a head-down tilt position during massive regurgitation while avoiding resultant pulmonary aspiration.
{"title":"Successful Endotracheal Intubation Using Suction-Assisted Laryngoscopy Assisted Decontamination Technique and a Head-Down Tilt Position during Massive Regurgitation","authors":"In Sung Choi, Young Woong Choi, S. Han, Ji Heui Lee","doi":"10.15746/sms.20.019","DOIUrl":"https://doi.org/10.15746/sms.20.019","url":null,"abstract":"Some of the challenges in intensive care, anesthesia, and emergency medicine would be airway management in an actively vomiting patient or a bloody airway. We experienced a patient with an excessively full stomach (at least 3 L) due to gastric outlet obstruction, although he was scheduled for elective surgery. Despite such circumstances, we successfully intubated him using the suctionassisted laryngoscopy assisted decontamination technique with the patient in a head-down tilt position during massive regurgitation while avoiding resultant pulmonary aspiration.","PeriodicalId":22016,"journal":{"name":"Soonchunhyang Medical Science","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84364806","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}
So-young Jang, T. Min, Sujung Park, Jungeun Lee, Sangwun Lee, Y. H. Jeon, Sungroul Kim, B. Pyun
Objective: Atopic dermatitis (AD) is a chronic inflammatory disease of the skin that is diagnosed by clinical characteristics including itchiness, eczema, dry skin, etc. High levels of indoor air pollutants may exacerbate atopic diseases, along with various allergic respiratory diseases, especially for those who spend most of their lives indoors. This study was conducted to evaluate the main components responsible for the aggravation of AD symptoms. Methods: A total of 31 patients with AD aged 6 months and 6 years old were enrolled. The measurement of air quality included particulate matter with a diameter of 2.5 μm or less (PM2.5), temperature, relative humidity, and CO2 in their homes. The symptom severity of AD was assessed by the daily record of symptom scores and the degree of skin hydration. Results: The skin hydration level at the most severe area selected by the patient’s caregiver was decreased by median 1.7% (interquartile range [IQR], 0.4%–3.0%) or median 15% (IQR, 5.3%–24%) with a unit increase of indoor PM2.5 (P= 0.0133) or room temperature (P= 0.0034). CO2 also showed a potentially negative association with the change of skin hydration level but it was not statistically significant. Conclusion: Our study showed that indoor PM2.5 and temperature could impact the aggravation of skin hydration in children. Therefore, further studies including a large number of cases and interventions are necessary.
{"title":"The Impact of Indoor Environmental Factors on Skin Hydration of Children with Atopic Dermatitis: Preliminary Study","authors":"So-young Jang, T. Min, Sujung Park, Jungeun Lee, Sangwun Lee, Y. H. Jeon, Sungroul Kim, B. Pyun","doi":"10.15746/sms.20.016","DOIUrl":"https://doi.org/10.15746/sms.20.016","url":null,"abstract":"Objective: Atopic dermatitis (AD) is a chronic inflammatory disease of the skin that is diagnosed by clinical characteristics including itchiness, eczema, dry skin, etc. High levels of indoor air pollutants may exacerbate atopic diseases, along with various allergic respiratory diseases, especially for those who spend most of their lives indoors. This study was conducted to evaluate the main components responsible for the aggravation of AD symptoms. Methods: A total of 31 patients with AD aged 6 months and 6 years old were enrolled. The measurement of air quality included particulate matter with a diameter of 2.5 μm or less (PM2.5), temperature, relative humidity, and CO2 in their homes. The symptom severity of AD was assessed by the daily record of symptom scores and the degree of skin hydration. Results: The skin hydration level at the most severe area selected by the patient’s caregiver was decreased by median 1.7% (interquartile range [IQR], 0.4%–3.0%) or median 15% (IQR, 5.3%–24%) with a unit increase of indoor PM2.5 (P= 0.0133) or room temperature (P= 0.0034). CO2 also showed a potentially negative association with the change of skin hydration level but it was not statistically significant. Conclusion: Our study showed that indoor PM2.5 and temperature could impact the aggravation of skin hydration in children. Therefore, further studies including a large number of cases and interventions are necessary.","PeriodicalId":22016,"journal":{"name":"Soonchunhyang Medical Science","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79680150","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}
Diabetic ketoacidosis (DKA) is a common complication associated with pediatric type 1 diabetes mellitus (DM). Although cerebral edema is the major cause of death in DKA, there is a possibility of the occurrence of other dangerous complications involving multiple systems, thereby contributing to mortality and morbidity. Herein, we report the case of a 13-year-old girl with new-onset type 1 DM and severe DKA. Her condition was further complicated by the occurrence of diffuse intracranial hemorrhages, acute kidney injury requiring hemodialysis, and peripheral neuropathy. Patients with severe acidosis require careful monitoring of kidney function and neurological complications, and these conditions should be treated appropriately.
{"title":"Diffuse Intracranial Hemorrhages, Acute Peripheral Neuropathy, and Acute Kidney Injury in a Newly Diagnosed Diabetes Patient with Severe Diabetic Ketoacidosis: A Case Report and Literature Review","authors":"Yeon Ju Woo, H. Hong, S. Choi, Young-Lim Shin","doi":"10.15746/sms.20.020","DOIUrl":"https://doi.org/10.15746/sms.20.020","url":null,"abstract":"Diabetic ketoacidosis (DKA) is a common complication associated with pediatric type 1 diabetes mellitus (DM). Although cerebral edema is the major cause of death in DKA, there is a possibility of the occurrence of other dangerous complications involving multiple systems, thereby contributing to mortality and morbidity. Herein, we report the case of a 13-year-old girl with new-onset type 1 DM and severe DKA. Her condition was further complicated by the occurrence of diffuse intracranial hemorrhages, acute kidney injury requiring hemodialysis, and peripheral neuropathy. Patients with severe acidosis require careful monitoring of kidney function and neurological complications, and these conditions should be treated appropriately.","PeriodicalId":22016,"journal":{"name":"Soonchunhyang Medical Science","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91424512","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}
Appendico-vesical fistula (AVF) is rare and occurs secondary to acute or missed acute appendicitis. Early diagnosis of AVF is difficult because the symptoms are ambiguous. The underlying pathology in most cases is acute suppurative appendicitis [1]. We present a case that spontaneously developed non-typical symptomatic AVF after a history of treatment with antibiotics after suspected acute appendicular colic pain 7 years earlier.
{"title":"Non-typical Symptomatic Appendico-Vesical Fistula","authors":"W. Kim","doi":"10.15746/sms.20.007","DOIUrl":"https://doi.org/10.15746/sms.20.007","url":null,"abstract":"Appendico-vesical fistula (AVF) is rare and occurs secondary to acute or missed acute appendicitis. Early diagnosis of AVF is difficult because the symptoms are ambiguous. The underlying pathology in most cases is acute suppurative appendicitis [1]. We present a case that spontaneously developed non-typical symptomatic AVF after a history of treatment with antibiotics after suspected acute appendicular colic pain 7 years earlier.","PeriodicalId":22016,"journal":{"name":"Soonchunhyang Medical Science","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77283553","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}
Jehovah’s Witnesses do not accept blood transfusions, rendering open-heart surgery difficult. A 77-year-old female was scheduled for elective bloodless surgery to replace an aortic valve. When cardiopulmonary bypass concluded, all ultrafiltrated blood was re-infused using a modified ultrafiltration technique. We encountered no intraoperative or postoperative complications. Anesthesiologists should consider modified ultrafiltration when a patient refuses a blood transfusion.
{"title":"Use of a Modified Ultrafiltration Technique during Aortic Valve Replacement Surgery on a Jehovah's Witness","authors":"H. Cho","doi":"10.15746/sms.20.011","DOIUrl":"https://doi.org/10.15746/sms.20.011","url":null,"abstract":"Jehovah’s Witnesses do not accept blood transfusions, rendering open-heart surgery difficult. A 77-year-old female was scheduled for elective bloodless surgery to replace an aortic valve. When cardiopulmonary bypass concluded, all ultrafiltrated blood was re-infused using a modified ultrafiltration technique. We encountered no intraoperative or postoperative complications. Anesthesiologists should consider modified ultrafiltration when a patient refuses a blood transfusion.","PeriodicalId":22016,"journal":{"name":"Soonchunhyang Medical Science","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74805470","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}
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