Journal of Yeungnam Medical Science

Dong Min Kim

4 Articles

Solitary schwannoma of the ascending colon.: Myeong Su Chu, Hyun Mo Kang, Hyeong Ju Sun, Dong Min Kim, Hyong Jong Kwak; Yeungnam Univ J Med. 2016;33(1):37-39. Published online June 30, 2016; DOI: https://doi.org/10.12701/yujm.2016.33.1.37

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Abstract PDF: Schwannomas are uncommon neoplasms arising from Schwann cells of the neural sheath. Gastrointestinal schwannomas are rare, accounting for 1% of all malignant gastrointestinal tumors. Colonoscopic biopsy with immunohistochemical (IHC) staining is useful for confirming this tumor. We report on a patient with schwannoma arising from the ascending colon, which was detected by colonoscopy and endoscopic submucosal dissection was attempted. A 41-year-old man presented with abdominal discomfort. The patient was diagnosed with a subepithelial tumor on colonoscopy. He underwent endoscopic submucosal dissection. Histopathology and IHC staining confirmed that the colonic lesion was a benign schwannoma. However, the resection margin was positive. Therefore, laparoscopic ileocolectomy was performed.

Rectal perforation caused by a sharp pig backbone in a middle-aged patient with mild depression.: Hyeong Ju Sun, Jeonghun Lee, Dong Min Kim, Myeong Su Chu, Kyoung Sun Park, Dong Jin Choi; Yeungnam Univ J Med. 2015;32(1):31-34. Published online June 30, 2015; DOI: https://doi.org/10.12701/yujm.2015.32.1.31

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Abstract PDF: In Korea, cases of direct insertion of foreign bodies into the rectum are rare in the literature. Most cases of rectal insertion of foreign bodies are associated with sexual acts and psychiatric disorder such as schizophrenia. Objects inserted into the anus are usually blunt and shaped like the male genitalia. The removal method can be varied depending on the size and shape of the foreign object, its anatomical location, and the accompanying complications. In cases wherein attempts to remove the object fail or there are rectal perforation and peritonitis complications, immediate laparotomy may be required in order to prevent serious complications such as sepsis. Here, we report on a case of rectal perforation and peritonitis due to insertion of a foreign body in a middle-aged patient, with a literature review. He inserted a sharp pig backbone in his rectum and he only had depression. The patient underwent a Hartmann's operation as well as psychiatric counseling and treatment. Thus, after removal of foreign bodies, psychiatric counseling and treatment should be carried out in order to prevent similar accidents and to minimize the need for trauma medicine.

Diabetic ketoacidosis with pulmonary thromboembolism.: Dong Min Kim, Jeonghun Lee, Soo Min Nam, Yeon Sun Lee, Hee Moon, Kang Woo Lee, In Wook Jang; Yeungnam Univ J Med. 2014;31(2):99-102. Published online December 31, 2014; DOI: https://doi.org/10.12701/yujm.2014.31.2.99

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Abstract PDF: Diabetic ketoacidosis (DKA), a fatal acute diabetic complication, is characterized by severe metabolic decompensation and intravascular volume depletion. These conditions may result in hypercoagulability and prothrombic state. Pulmonary thromboembolism (PTE) could be presented as an uncommon and life-threatening complication of DKA. Reported herein is a case involving a 54-year-old male patient who was admitted with DKA due to chronic alcohol consumption and stopping the intake of oral antidiabetic drugs. After low-molecular-weight heparin and warfarin treatment because of PTE during the DKA treatment, the patient's condition improved over the week that he was discharged on insulin and warfarin.

Sick building syndrome in 130 underground workers.: Ree Joo, Joon Sakong, Jong Hak Chung, Sang Whan Park, Dong Hee Kim, Dong Min Kim, Eun Kyong Choi, Hyun Geon Cho; Yeungnam Univ J Med. 1998;15(2):325-339. Published online December 31, 1998; DOI: https://doi.org/10.12701/yujm.1998.15.2.325

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Abstract PDF

A cross-sectional study was conducted to evaluate the relationship between sick building syndrome(SBS) and the environmental factors affecting SBS on 130 underground workers and 60 controls. The study consisted of 1) a review of environmental condition 2) measurement of temperature, O2, CO2, CO, and formaldehyde and 3) a questionnaire survey of symptom prevalence and perception of environmental conditions using Indoor Air Quality questionnaire by National Institute for Occupational Safety and Health Bronchitis and dust allergy were more prevalent in underground workers significantly(p<0.05). Among the 18 symptoms related to the indoor air pollution, the experience rate of dry, itching or irritated eyes, sore or dry throat, chest tightness, tired or strained eyes and dry or itchy skin symptom is significantly different between the underground workers and controls. The diagnostic criteria of SBS was defined as at least one symptom is experienced 1-3 times a week during the last 1 month among 18 indoor air pollution related symptoms which can be relieved by moving out of the underground. Applying the criteria, the mean symptom score was significant higher in underground workers than controls significantly(p<0.05). These results indicated that underground workers are under inappropriate ergonomic and physical condition and inadequate ventilation. Their experience rate of symptoms related to indoor air pollution and prevalence of SBS was significantly higher than controls. To reduce the prevalence of SBS in underground workers, the surveillance system of indoor air quality, restriction of using fuel in underground and legislative regulations for the environment are needed to establish a better indoor air quality. Early detection, treatment and prevention of SBS through medical attention is also needed.

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