Journal of Yeungnam Medical Science

Original article

Impact of COVID-19 on the development of major mental disorders in patients visiting a university hospital: a retrospective observational study: Hee-Cheol Kim; J Yeungnam Med Sci. 2024;41(2):86-95. Published online February 6, 2024; DOI: https://doi.org/10.12701/jyms.2023.01256

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Abstract PDF: Background
This study aimed to investigate the impact of coronavirus disease 2019 (COVID-19) on the development of major mental disorders in patients visiting a university hospital.
Methods
The study participants were patients with COVID-19 (n=5,006) and those without COVID-19 (n=367,162) registered in the database of Keimyung University Dongsan Hospital and standardized with the Observational Medical Outcomes Partnership Common Data Model. Data on major mental disorders that developed in both groups over the 5-year follow-up period were extracted using the FeederNet computer program. A multivariate Cox proportional hazards model was used to estimate the hazard ratio (HR) and 95% confidence interval (CI) for the incidence of major mental disorders.
Results
The incidences of dementia and sleep, anxiety, and depressive disorders were significantly higher in the COVID-19 group than in the control group. The incidence rates per 1,000 patient-years in the COVID-19 group vs. the control group were 12.71 vs. 3.76 for dementia, 17.42 vs. 7.91 for sleep disorders, 6.15 vs. 3.41 for anxiety disorders, and 8.30 vs. 5.78 for depressive disorders. There was no significant difference in the incidence of schizophrenia or bipolar disorder between the two groups. COVID-19 infection increased the risk of mental disorders in the following order: dementia (HR, 3.49; 95% CI, 2.45–4.98), sleep disorders (HR, 2.27; 95% CI, 1.76–2.91), anxiety disorders (HR, 1.90; 95% CI, 1.25–2.84), and depressive disorders (HR, 1.54; 95% CI, 1.09–2.15).
Conclusion
This study showed that the major mental disorders associated with COVID-19 were dementia and sleep, anxiety, and depressive disorders.

Review article

Pediatric headache: a narrative review: Saeyoon Kim; J Yeungnam Med Sci. 2022;39(4):278-284. Published online September 14, 2022; DOI: https://doi.org/10.12701/jyms.2022.00528

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Headache is one of the most common neurological disorders in children and adults and can cause significant distress and disability in children and their families. The spectrum of pediatric headaches is broad, and the underlying etiology is variable. The symptoms and phenotypes of headaches in children may differ slightly from those in adults. It is important to have a good understanding of headaches in children and to distinguish between primary and secondary headaches through appropriate history assessment and neurological examination. Accurate diagnosis and appropriate drug selection are helpful for effective treatment. This article reviews headaches in children and adolescents, focusing on approaches for diagnosis and management.

Citations

Citations to this article as recorded by

Exploring downstream effects of gender roles in healthcare decision-making and relationships within systems: A cross-sectional analysis of openness to treatment in pediatric headache
Zoë Schefter, Allison M. Smith
Journal of Psychosomatic Research.2024; 179: 111611. CrossRef
Occipital nerve stimulation in pediatric patients with refractory occipital neuralgia
James Mossner, Nour B. Saleh, Maryam N. Shahin, Joshua M. Rosenow, Jeffrey S. Raskin
Child's Nervous System.2024; 40(8): 2465. CrossRef
Multivariate prediction of long COVID headache in adolescents using gray matter structural MRI features
Minhoe Kim, Sunkyung Sim, Jaeseok Yang, Minchul Kim
Frontiers in Human Neuroscience.2023;[Epub] CrossRef

Case reports

The endoscopic transnasal approach to the lesions of the craniocervical junction: two case reports: Baraa Dabboucy, Wissem Lahiani, Damien Bresson, Nouman Aldahak; J Yeungnam Med Sci. 2023;40(1):96-101. Published online July 20, 2022; DOI: https://doi.org/10.12701/jyms.2022.00234

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Abstract PDF: The endoscopic endonasal approach (EEA) to the craniovertebral junction (CVJ) has recently been considered a safer alternative and less invasive approach than the traditional transoral approach because the complications associated with the latter are avoided or minimized. Here, we present two challenging cases of CVJ pathologies. The first case involved os odontoideum associated with anterior displacement of the occipitocervical junction where the EEA was used, followed by C0-C1-C2 fusion using a posterior approach to decompress the CVJ, and was complicated by rhinorrhea and Candida albicans meningitis. The second case involved basilar invagination with syringomyelia previously treated using a posterior approach, where aggravation of neuropathic symptoms required combined treatment with EEA and occipitocervical fusion of C0-C2-C3-C4, with the postoperative course challenged by operative site infection requiring drainage with debridement and antibiotic therapy. The EEA is an alternative approach for accessing the CVJ in well-selected patients. Knowledge of EEA complications is crucial for the optimal care of patients.

Diagnosis and successful visual biofeedback therapy using fiberoptic endoscopic evaluation of swallowing in a young adult patient with psychogenic dysphagia: a case report: Youngmo Kim, Sang Hun Han, Yong Beom Shin, Jin A Yoon, Sang Hun Kim; J Yeungnam Med Sci. 2023;40(1):91-95. Published online January 13, 2022; DOI: https://doi.org/10.12701/yujm.2021.01543

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Abstract PDF

Psychogenic dysphagia is a deglutition disorder characterized by a fear of swallowing, with no structural or functional causes. This report presents the case of a young male patient who had severe malnutrition due to psychogenic dysphagia and was provided visual biofeedback using fiberoptic endoscopic evaluation of swallowing (FEES). A healthy 25-year-old man presented to our clinic with a complaint of throat discomfort when swallowing that had started 6 months prior. As the symptoms worsened, he became fearful of food spreading to his lungs after swallowing and the development of respiratory difficulties. His food intake gradually decreased, resulting in a weight loss of 20 kg within 2 months. Evaluation of organic and other functional causes of dysphagia was performed, but no abnormalities were detected. The sensation of a lump in his throat, fear of swallowing, and anxiety were transformed into somatic symptoms. The patient was diagnosed with psychogenic dysphagia. After visual biofeedback by a physician who performed FEES, the patient resumed eating normally and increased his food intake. If routine tests do not reveal structural or functional causes of dysphagia, assessment of a psychogenic swallowing disorder should be considered. FEES can help in the diagnosis and management of psychogenic dysphagia.

Citations

Citations to this article as recorded by

Endoscopic Biofeedback Training for Cough and Swallowing: The What, Why, and How
James A. Curtis
Perspectives of the ASHA Special Interest Groups.2024; : 1. CrossRef
The role of laryngeal hypersensitivity in dysphagia: A scoping review with embedded stakeholder involvement
Sophie Chalmers, Fiona Gillies, Sarah Wallace
International Journal of Language & Communication Disorders.2024;[Epub] CrossRef

Mega cisterna magna in bipolar mood disorder: a case report: Esra Yazici, Sefanur Kose, Yasemin Gunduz, Elif Merve Kurt, Ahmet Bulent Yazici; J Yeungnam Med Sci. 2022;39(1):58-61. Published online April 15, 2021; DOI: https://doi.org/10.12701/yujm.2020.00864

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Abstract PDF

Mega cisterna magna (MCM), one of the members of the Dandy-Walker complex, is a developmental malformation of the posterior fossa that is larger than 10 mm but morphologically does not affect the vermis and cerebellar hemispheres. Reports of psychiatric disorders associated with this anomaly are rare. We present the case of a patient with MCM who presented with a psychotic manic attack and was diagnosed with bipolar disorder. A 28-year-old female, single housewife, university graduate, presented with irritability, decreased sleep and appetite, distraction, and agitation. The patient also had a delusion of reference. In the clinical follow-up, an increase in energy and an increase in the amount of speech were observed. Her neurological examination was normal, and cranial magnetic resonance imaging revealed an MCM. The relationship and clinical significance of MCM with psychosis and mood disorders have not yet been fully elucidated. It is not known whether this association is accidental or based on etiological commonality. The purpose of this case report is to review the relationship between the cerebellum and psychiatric symptoms and to contribute to the literature.

Citations

Citations to this article as recorded by

Radiological characteristics of the posterior fossa of the fetal skull and presentation of a rare case of antenatal screening for Dandy-Walker malformation using antenatal fetal ultrasound and MRI
Ayoub Amghar, Imane El Abbassi, Jalal Mohammed, Assal Asmaa, Lamrissi Amine, Said Bouhya
International Journal of Surgery Case Reports.2024; 115: 109037. CrossRef
Tic-Related Obsessive–Compulsive and Eating Disorders in Dandy–Walker Variant: A Case Report and Systematic Reappraisal of Psychiatric Profiles
Riccardo Bortoletto, Anna Candolo, Alessandra Nicotra, Luana Saetti, Laura Perini, Matteo Balestrieri, Marco Colizzi, Carla Comacchio
Brain Sciences.2024; 14(4): 362. CrossRef
Benzodiazepines for Treatment-Resistant Major Depressive Disorder and Obsessive-Compulsive Disorder With Comorbid Mega Cisterna Magna
Arifah Ismail, Asrenee Ab Razak, Khairil Amir Sayuti, Picholas Kian Ann Phoa
Cureus.2023;[Epub] CrossRef

Original Article

An Epidemiology Study on Temporo-mandibular Disorders of Employees Residing at Seoul.: Hee Kyung Lee; Yeungnam Univ J Med. 1996;13(2):308-323. Published online December 31, 1996; DOI: https://doi.org/10.12701/yujm.1996.13.2.308

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Abstract PDF

This study tried to find the prevalence and distribution of temporo-mandibulr disorders(TMD) for workers (employee) in Seoul area to investigate the correlation between TMD and possible etiological factors such as general muscle and joint symptoms, headache, unilateral chewing and parafunction. This study was an epidemiological investigation of answers obtained from 282 persons by questionaire from Aug. 1995 to Nov. 1995. The major findings from the questionaire were as follows. (1) 43.26% of the subjects(282 persons) has TMD. (41.88% of man and 43.26% of women) (2) The more often people have general muscle and joint symptoms and -headache, the more susceptible they are to TMD. Their correlation was very significant(p<0.001). (3) The more people have bad oral habits such as bruxism, clenching and biting habit, the more likely they have TMD. The more sensitive people are to stress, the more frequently they have bad oral habits such as bruxism, clenching and biting habit. (4) Unilateral chewing has higher TMD index than bilateral chewing. There is no relationship between ache areas and TMD index.

Citations

Citations to this article as recorded by

Relationship between national exam stress and temporomandibular disorder(TMD) in allied health students
Myung-Eun Kim, Won-Seok Jang
Journal of Korean society of Dental Hygiene.2016; 16(5): 791. CrossRef
The relationship between Oral Habits and the Prevalent Status of Temporomandibular Disorders
Hong-Sik Kim
Journal of Korean Acedemy of Dental Technology.2014; 36(3): 187. CrossRef
Relationship between job-stress and temporomandibular joint disorder in dental hygienists
Eun-Young Jeong, Myung-Rae Kim
Journal of Korean society of Dental Hygiene.2014; 14(3): 381. CrossRef
A Study on the Relationship between Malocclusion and the Prevalence of Temporomandibular Disorder
Hong-Sik Kim, Soo-Chul Park, Myung-Hee Jung
Journal of Korean Acedemy of Dental Technology.2013; 35(3): 231. CrossRef

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