• The Journal of Internal Korean Medicine
• /
• v.39 no.5
• /
• pp.1061-1067
• /
• 2018

A patient had central fever following pontine hemorrhage. Central hyperthermia caused by stroke is a rare case, and it is difficult to control. There are few case reports about central hyperthermia in Korean medical treatment (KMT). The patient suffered central hyperthermia accompanied by tachycardia, dyspnea, and irritability. However, there was no evidence of infection. Thus, hypnotics, sedatives, and a minor tranquilizer (Lorazepam and Midazolam) was prescribed. Despite a temperature peak of $39.9^{\circ}C$, most of the symptoms were alleviated. The patient's average body temperature was about $37^{\circ}C$, which is higher than most people at $36.5^{\circ}C$. His symptoms were diagnosed as ascendant hyperactivity of liver Yang (肝陽上亢), and the patient was prescribed Shihogayonggolmoryo-tang. During the 44 days of KMT, there was no change in his average body temperature and no central hyperthermia over $39^{\circ}C$. This case report demonstrates the possibility of controlling central hyperthermia caused by pontine hemorrhage using KMT.

• Pediatric Gastroenterology, Hepatology & Nutrition
• /
• v.13 no.1
• /
• pp.75-80
• /
• 2010

Intestinal duplication cysts are characterized by the attachment to some part of the gastrointestinal tract with which a blood supply is shared, and have an epithelial lining resembling some part of the alimentary tract. A 15-month-old female was admitted to our hospital with cyclic irritability, vomiting, and blood-tinged stool. The results of an ultrasound showed an ileocolic intussusception and a 1.3 cm cystic mass had double-wall sign and a Y-configuration with an adjacent ileal loop. She had a past history of two ileocolic intussusceptions. The cystic mass was considered to be a pathologic lead point, so resection and end-to-end anastomosis was performed. The gross and histologic evaluation of the specimen demonstrated a $2.4{\times}2.4$ cm cystic mass containing yellow mucoid fluid and the cyst wall was lined with intestinal and gastric mucosa and enclosed by a layer of muscle, which was shared with the adjacent ileum.

• Pediatric Gastroenterology, Hepatology & Nutrition
• /
• v.17 no.3
• /
• pp.140-146
• /
• 2014

Purpose: The etiology of acute gastroenteritis (AGE) has changed since the introduction of the rotavirus vaccination. The aim of this study was to clarify which common pathogens, both bacterial and viral, are currently causing AGE in infants. Methods: Infants with acute diarrhea were enrolled. We tested for 10 bacterial pathogens and five viral pathogens in stool specimens collected from infants with AGE. The clinical symptoms such as vomiting, mucoid or bloody diarrhea, dehydration, irritability, and poor oral intake were recorded, and laboratory data such as white blood cell count and C-reactive protein were collected. The clinical and laboratory data for the cases with bacterial pathogens and the cases with viral pathogens were compared. Results: Of 41 total infants, 21 (51.2%) were positive for at least one pathogen. Seventeen cases (41.5%) were positive for bacterial pathogens and seven cases (17.1%) were positive for viral pathogens. Staphylococcus aureus (13 cases, 31.7%) and Clostridium perfringens (four cases, 9.8%) were common bacterial pathogens. Norovirus (five cases, 12.2%) was the most common viral pathogen. Fever and respiratory symptoms were common in the isolated viral infection group (p=0.023 and 0.044, respectively), whereas other clinical and laboratory data were indistinguishable between the groups. Conclusion: In our study, S. aureus (41.5%) and norovirus (12.2%) were the most common bacterial and viral pathogens, respectively, among infants with AGE.

• Childhood Kidney Diseases
• /
• v.18 no.2
• /
• pp.106-110
• /
• 2014

Congenital thoracic ectopic kidney is a very rare developmental disorder and the rarest type of ectopic kidney. This condition is usually asymptomatic and detected incidentally on routine chest radiography. Most cases of thoracic ectopic kidney develop in adulthood and during the neonatal period, and congenital thoracic ectopic kidney rarely develops in children. Most patients are asymptomatic, and the treatment depends on the diagnosis. Herein, we report a rare case of ectopic thoracic kidney associated with a diaphragmatic hernia in a 15-month-old male infant, who presented with periodic severe irritability. The thoracic ectopic kidney was detected as a mass in the right base of the chest on routine chest radiography.

• Journal of The Korean Society of Inherited Metabolic disease
• /
• v.6 no.1
• /
• pp.96-107
• /
• 2006

Citrin deficiency resulting from mutations of SLC25A13is associated with two major clinical phenotypes; neonatal intrahepatic cholestasis caused by citrin deficiency (NICCD) and adult-onset type 2 citrullinemia (CTLN2). In Korea, 7 cases of citrin deficiency have been diagnosed based on biochemical and molecular findings. Four NICCD cases were identified by newborn screening using MS/MS or presenting symptoms like cholestatic jaundice. They are all males, presenting with conjugated hyperbilirubinemia, elevated liver enzymes, hypoalbuminemia, mild hyperammonemia, elevated citrullin, methionine and threonine. All of them have been spontaneously recovered from hepatic manifestation by the age of 6-8 months. Mutation analysis has been performed using their genomic & cDNAs obtained from skin fibroblasts. They turned out to be compound heterozygotes carrying each of 851del4, IVS11+1G>A, and IVS13+1G>A. Three CTLN2 patients were identified. Two adult male patients presented with a sudden loss of consciousness, seizure, vomiting, hyperammonemia and citrullinemia in their twenties. They carried an IVS13+1G>A, 851del4, and IVS11+1G>A mutant alleles. The other CTLN2 patient was 52 year old female patient, manifesting lethargy, altered consciousness, irritability and hyperammonemia. Similar clinical symptoms had recurred at the delivery of first and second babies in her past medical history. She was managed by hemodialysis and survived with neurological sequellae. Also, we screened the presence of 9 common mutations in 500 Korean newborns using dried blood spot of filter papers. Only a allele carried 854del4 mutation. In conclusion, the entire picture of citrin deficiency in Korea including incidence, genotype, clinical features and natural courses, is still vague at the present time.

• Journal of the Korean Society of Physical Medicine
• /
• v.15 no.3
• /
• pp.61-68
• /
• 2020

PURPOSE: The purpose of this study was to investigate the current state of rapid weight loss and physical and mental complaints among elite combat athletes who were selected and trained as national representatives. METHODS: A total of 127 combat athletes who had trained at the national training center in 2019 were enrolled. The questionnaire used as the survey tool was interpreted as words that Korean athletes could easily understand based on the Portuguese version of the 'Rapid Weight Loss Questionnaire' (RWLQ). χ² tests was performed to determine the differences in physical and mental changes according to sports and weight loss method. RESULTS: Combat athletes in Korea regularly undergo rapidly weight loss within a short period of time prior to competition. There were statistically similar results in terms of weight loss method, physical and mental changes and information about weight loss according to the sport. Weight loss methods often limit food and water intake and dehydrate. The physical complaints associated with them are symptoms such as "no energy", "dizziness", and "muscle spasms". The mental complaints include "irritability", "concentration loss" and "anxiety". These symptoms can be caused by side effects such as food intake limitation, water restriction and dehydration. Information sources for weight loss were in the order of "senior or colleagues", "supervisor or coach", and "Internet". No information was obtained from a doctor or dietitian. CONCLUSION: These results provide a baseline for predicting proper weight loss in athletes and provide useful information for developing performance enhancement as well as weight loss.

• Journal of Sasang Constitutional Medicine
• /
• v.22 no.1
• /
• pp.1-8
• /
• 2010

1. Objectives: This study was performed to research the relationship between Sasang Constitution and characteristics of tongue diagnosis based on Donguisusebowon's Experience prescriptions(經驗方). 2. Methods: We searched tongue diagnosis factors in Donguisusebowon and classified this. Based on Donguisusebowon's Experience prescriptions(經驗方), we find tongue diagnosis factors in 6 contemporary Oriental medicine prescription books. 3. Results: Most So-eumin has white thin tongue coating and clear redish tongue color. Yellow tongue coatings are found in symptoms for Yinjinho-tang(Yinchenhao-tang), Soseungki-tang(Xiaochengqi-tang), Daeseungki-tang(Dachengqi-tang). Shortened Tongue is found in So-eumin's experience prescription and So-yangin's treat histroy. It didn't shown that So-eumin's Semen Crotonis included 6 prescritions' factors of tongue diagnosis. So-yangin's white tongue coating is found in Hyungbangpaedok-san(Jingfangbaidu-san), Sipjo-tang(Shizao-tang), Sosiho-tang(Xiaocihu-tang), Shinki-hwan(Shenqi-wan). Most of other So-yangin's tongue coatings are Yellowish and tongue color is deep red. Tae-eumin have thin white tongue coating at the Mahuang-tang(Mahuang-tang). Red tongue color and drying tongue are found at Jowiseungki-tang(Tiaoweichengqi-tang)Daesiho-tang(Dacihu-tang)Saengmaek-san(Shengmai-san) 4. Conclusions: Following So-eumin's Experience prescriptions, So-eumin's tongue color is clear red and tongue coatings are thin white and greasy. Following So-yangin's Experience prescriptions, So-yangin's tongue color is deep red and tongue coatings are yellowish and scarce except Exterior cold disease. And So-yangin has specific symptom of irritability, oral sores. Tae-eumin's tongue has two sides of white thin tongue coatings and Red and drying tongue.

• Journal of The Korean Society of Clinical Toxicology
• /
• v.5 no.2
• /
• pp.126-130
• /
• 2007

Metformin is antihyperglycemic, not hypoglycemic. It causes neither insulin release from the pancreas nor hypo glycemia, even when taken in large doses. But, there are several reports of metformin-associated lactic acidosis (MALT). We present a case report of severe lactic acidosis most probably resulting from high doses of metformin in a patient with no known contraindications for metformin. A 43-year-old female was admitted to the emergency department due to a metformin overdose. She had diabetes for 6 years, well-controlled with metformin and novolet. One hour before admission, she impulsively took 50g metformin (100 mg or 100 tablets). Physical examination for symptoms revealed only irritability, and laboratory evaluation revealed only mild leukocytosis. After one hour the patient was drowsy, and arterial blood gas analysis showed severe lactic acidemia Seven hours after ED arrival, she commenced hemofiltration treatment and was admitted to the intensive care unit. Continuous venovenous hemodiafiltration was initiated. Forty-eight hours later, full clinical recovery was observed, with return to a normal serum lactate level. The patient was discharged from the intensive care unit on the third day. A progressive recovery was observed and she was discharged from the general word on the thirteenth day.

• Korean Journal of Human Ecology
• /
• v.21 no.6
• /
• pp.1043-1058
• /
• 2012

The purpose of this study was to identify how attitudes toward menopause and family-related variables (living with a first child, satisfaction with children, and marital satisfaction) were associated with the perceived menopausal symptoms of middle-aged Korean females. Data for the study were based on a community sample of 628 women whose ages ranged from 45 to 60, who were currently married and had at least one child. The respondents reported lower levels of menopausal symptoms, medium levels of marital satisfaction and slightly higher levels of satisfaction with children. Feelings of tiredness, irritability, and nervousness without apparent reason, and aches in the lumbago and joints were common menopausal symptoms reported in this study. Regression analysis was conducted to investigate the effects of monthly income, educational level, employment status, attitudes toward menopause, living with a first child, satisfaction with children, and marital satisfaction on perceived menopausal symptoms. Attitudes toward menopause, living with a first child, satisfaction with children and marital satisfaction were significantly associated with perceived menopausal symptoms. In particular, marital satisfaction had the strongest effect on perceived menopausal symptoms. The results showed that in the face of the developmental challenges experienced during the menopausal transition, family-related variables served as positive reinforcement for married middle-aged women. This finding suggests that in order to improve the menopausal transition, family education programs need to be developed and offered to middle aged females who suffer from severe menopausal symptoms.

• The Journal of the Korea Contents Association
• /
• v.10 no.1
• /
• pp.381-390
• /
• 2010

The study aims to figure the effect quality of perceived education service on service value of student' satisfaction major in physical education students' of college. The subjects of the study are students enrolled in Junior colleges located in Seoul and five major cities (Busan, Daejeon, Incheon, Ulsan and Gwangju) as of May 2008. It adopted purposeful sampling method to sample 443 students, and 409 effective samples were used in the study. SPSS 12.0 was used to conduct factor, reliability, frequent analysis, correlation and regression analyses, and the study reached the following conclusions. First, the tangibles and responsiveness of the quality of education service had positive effected on the value of service. Second, the tangibles, reliability, responsiveness and irritability had positive effected on students' satisfaction. Third, the value of service had positive effected on students' satisfaction.