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Search Results: 1 - 10 of 2421 matches for " Byung Hak So "
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The effectiveness of ultrasonography in verifying the placement of a nasogastric tube in patients with low consciousness at an emergency center
Hyung Min Kim, Byung Hak So, Won Jung Jeong, Se Min Choi, Kyu Nam Park
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine , 2012, DOI: 10.1186/1757-7241-20-38
Abstract: The study included 47 patients who were all over 18?years of age. In all patients, tube placement was verified by chest X-rays. Auscultation, pH analysis of gastric aspirates, and ultrasonography were conducted on each patient in random order. The mean patient age was 57.62?±?17.24?years, and 28 males (59.6%) and 19 females (40.4%) were included. The NGT was inserted by an emergency room resident. For pH testing, gastric aspirates were dropped onto litmus paper, and the resulting color of the paper was compared with a reference table. Ultrasonography was performed by an emergency medicine specialist, and the chest X-ray examination was interpreted by a different emergency medicine specialist who did not conduct the ultrasonography test. The results of the auscultation, gastric aspirate pH, and ultrasonography examinations were compared with the results of the chest x-ray examination.The sensitivity and specificity were 100% and 33.3%, respectively, for auscultation and 86.4% and 66.7%, respectively, for ultrasonography. Kappa values were the highest for auscultation at 0.484 compared to chest x-rays, followed by 0.299 for ultrasonography and 0.444 for pH analysis of the gastric aspirate. The ultrasonography has a positive predictive value of 97.4% and a negative predictive value of 25%.Ultrasonography is useful for confirming the results of auscultation after NGT insertion among patients with low consciousness at an emergency center. When ultrasound findings suggest that the NGT placement is not gastric, additional chest X-ray should be performed.
Treatment Outcome of Pelvic Osteosarcoma a 20 Year Experience in a Single Institution  [PDF]
Jae Do Kim, Cheung Kue Kim, So Hak Chung
Journal of Cancer Therapy (JCT) , 2013, DOI: 10.4236/jct.2013.41037
Abstract:

Purpose: Osteosarcoma of limbs shows excellent therapeutic results due to development of diagnostic and treatment methods. However, osteosarcoma of pelvic bone is known to have lower incidence than those of limbs and poorer prognosis. This study is performed to research the diagnosis, treatment, treatment outcomes, and complications of osteosarcoma of pelvic bone and propose standards for adequate treatment. Objective and Method: 16 cases that were diagnosed as osteosarcoma of pelvic bone from January 1988 to October 2010 in Kosin University Gospel Hospital were analyzed. Follow-up periods were at least 2 months up to 60 months. There were 6 cases of male and 10 cases of female, and mean age was 44.3 (14 ~ 74) years old. 5 cases were accompanied by pulmonary metastasis at the time of the diagnosis. Surgical treatment including preoperative and postoperative chemotherapy was performed in 9 cases, and only chemotherapy and radiation were performed in 1 case. Among 9 cases having undergone surgical treatment, 3 cases were performed with biological reconstruction using autogenous bone graft and total hip replacement together, 1 case was performed with extracorporeal irradiated recycled autogenous bone graft, 1 case was performed with reconstruction using tumor prosthesis, and 4 cases were performed with wide excision. Retrospective review was done about diagnostic procedures, treatment methods and results, and complications. Results: Mean period from the onset of symptoms to the time of the diagnosis was 6.3 (3 ~ 12) months, and the symptoms were 7 cases of hip pain, each 3 cases of lumbar pain and radiating pain to lower limbs, pelvic mass, each 2 cases of inguinal pain, and each 1 case of thigh pain, Among the 9 cases performed with preoperative and postoperative chemotherapy and surgical treatment, there were 6 cases of T-10 protocol, 2 cases of T-20 protocol, and 1 case of IA (Intraarterial) Cis protocol. In the 1 case that haven’t undergone surgical treatment, T-10 protocol was performed. 13 of the 16 cases were expired, with the mean time of 15 (2 ~ 47 months) from the time of the diagnosis to death. Complications were 4

Long-Term Results of Ewing’s Sarcoma—In a Single Institution  [PDF]
Jae Do Kim, Tae Hun Kim, So Hak Chung
Journal of Cancer Therapy (JCT) , 2013, DOI: 10.4236/jct.2013.41039
Abstract:

Purpose: This study analyzed oncological and functional outcomes of treatment for Ewing’s sarcoma, as well as its significant risk factors through long-term follow up. Objective and Method: Between September 1990 and April 2009, 20 cases that were diagnosed and treated as Ewing’s sarcoma in Kosin University Gospel Hospital were entered onto the study. Mean follow-up period was 45.4 (12 - 108) months. There were 7 cases of male and 13 cases of female, and mean age was 19.9 (5 - 48) years old. Retrospective review was done about treatment outcomes, complications, and significant risk factors. Results: In terms of oncologic results, there were 9 cases of CDF (continuous disease free), 1 case of NED (no evidence of disease), 4 cases of AWD (alive with disease), 5 cases of DOD (dead of disease), and 1 case of DWOD (dead with other disease). Five-year overall survival rate of all the patients was 70.0% and event-free survival rate was 50.0%. The mean MSTS (Musculoskeletal Tumor Society) score was 15.9 (53%) points at last follow-up. Among prognostic factors of age at diagnosis, Enneking stage, size of tumor, site of primary lesion, and distant metastasis, 5-year survival rate of groups without metastasis were 90.9%, nevertheless 44.4% in other group with the metastasis showing statistical significance (p = 0.020). Postoperative complications were 3 cases of infection, each 2 cases of ankylosis and metal failure, and each 1 case of leg length discrepancy, periprosthetic fracture, and local recurrence. Conclusion: Five-year survival rate of this study was similar to that of multicenter studies in America and Europe. Among the prognostic factors, distant metastasis was proven to be most significant. Enneking stage, size of tumor and site of primary lesion are also important and could be statistically significant if with more cases.

Quality of Life (QOL) in Long-Term Survivors of Osteosarcoma  [PDF]
Jae Do Kim, Jae Man Kwak, So Hak Chung
Journal of Cancer Therapy (JCT) , 2013, DOI: 10.4236/jct.2013.41018
Abstract:

We conducted this study to analyze the quality of life using the SF-36 health questionnaire and the MSTS scores depending on surgical method and the primary site of occurrence. On the surgical method, the limb salvage had more excellent outcomes (60.9) than the amputation (46.3). The tumor prosthetic replacement had notably higher scores (62.5) than any other methods. For the correlation coefficients on the MSTS and SF-36, the Physical Function had the highest degree of correlation. Excellent functions of the extremities would lead to a good quality of life.

Is Osteosarcoma between the Two Peak Ages Different?  [PDF]
Taehun Kim, Hak Sun Chung, Wan-Hyeong Cho, Dae-Geun Jeon, So Hak Chung
Journal of Cancer Therapy (JCT) , 2018, DOI: 10.4236/jct.2018.91008
Abstract: Background: Unlike two known peak age groups (10 - 14 and older than 65 years of age), there was relatively scant attention in osteosarcoma patients between them, and previous reports had analyzed other than Asians. Therefore we conducted this study with Korean patients and focused on 20 - 40 years of age, then investigated age-specific or race-specific meaningful outcomes. Materials and Methods: 379 patients who were newly diagnosed as osteosarcoma in two Korean major cancer hospitals from September 1986 to July 2015 with more than 2-year follow-up were retrospectively studied. There were 290 patients with 20 - 40 years of age, 60 patients aged 19 or younger, and 29 patients aged 41 or older. Age at diagnosis, gender, location of primary lesion, metastasis at diagnosis, histologic subtypes, histologic response were analyzed as prognostic factors by overall survival (OS) and event-free survival (EFS) rates. Results: Primary pelvic lesion and poor histologic response were significantly unfavorable prognostic factors, but not age-specific. However, proportion of metastasis at diagnosis was significantly highest in 20 - 40 years of age group. For the age at diagnosis, older patients presented poorer 5-year OS and EFS rates, but for 10-year, 20
An Iterative Joint Linear-Programming Decoding of LDPC Codes and Finite-State Channels
Byung-Hak Kim,Henry D. Pfister
Mathematics , 2010,
Abstract: In this paper, we introduce an efficient iterative solver for the joint linear-programming (LP) decoding of low-density parity-check (LDPC) codes and finite-state channels (FSCs). In particular, we extend the approach of iterative approximate LP decoding, proposed by Vontobel and Koetter and explored by Burshtein, to this problem. By taking advantage of the dual-domain structure of the joint decoding LP, we obtain a convergent iterative algorithm for joint LP decoding whose structure is similar to BCJR-based turbo equalization (TE). The result is a joint iterative decoder whose complexity is similar to TE but whose performance is similar to joint LP decoding. The main advantage of this decoder is that it appears to provide the predictability of joint LP decoding and superior performance with the computational complexity of TE.
On the Joint Decoding of LDPC Codes and Finite-State Channels via Linear Programming
Byung-Hak Kim,Henry D. Pfister
Mathematics , 2010,
Abstract: In this paper, the linear programming (LP) decoder for binary linear codes, introduced by Feldman, et al. is extended to joint-decoding of binary-input finite-state channels. In particular, we provide a rigorous definition of LP joint-decoding pseudo-codewords (JD-PCWs) that enables evaluation of the pairwise error probability between codewords and JD-PCWs. This leads naturally to a provable upper bound on decoder failure probability. If the channel is a finite-state intersymbol interference channel, then the LP joint decoder also has the maximum-likelihood (ML) certificate property and all integer valued solutions are codewords. In this case, the performance loss relative to ML decoding can be explained completely by fractional valued JD-PCWs.
Joint Decoding of LDPC Codes and Finite-State Channels via Linear-Programming
Byung-Hak Kim,Henry D. Pfister
Mathematics , 2011, DOI: 10.1109/JSTSP.2011.2165525
Abstract: This paper considers the joint-decoding (JD) problem for finite-state channels (FSCs) and low-density parity-check (LDPC) codes. In the first part, the linear-programming (LP) decoder for binary linear codes is extended to JD of binary-input FSCs. In particular, we provide a rigorous definition of LP joint-decoding pseudo-codewords (JD-PCWs) that enables evaluation of the pairwise error probability between codewords and JD-PCWs in AWGN. This leads naturally to a provable upper bound on decoder failure probability. If the channel is a finite-state intersymbol interference channel, then the joint LP decoder also has the maximum-likelihood (ML) certificate property and all integer-valued solutions are codewords. In this case, the performance loss relative to ML decoding can be explained completely by fractional-valued JD-PCWs. After deriving these results, we discovered some elements were equivalent to earlier work by Flanagan on LP receivers. In the second part, we develop an efficient iterative solver for the joint LP decoder discussed in the first part. In particular, we extend the approach of iterative approximate LP decoding, proposed by Vontobel and Koetter and analyzed by Burshtein, to this problem. By taking advantage of the dual-domain structure of the JD-LP, we obtain a convergent iterative algorithm for joint LP decoding whose structure is similar to BCJR-based turbo equalization (TE). The result is a joint iterative decoder whose per-iteration complexity is similar to that of TE but whose performance is similar to that of joint LP decoding. The main advantage of this decoder is that it appears to provide the predictability of joint LP decoding and superior performance with the computational complexity of TE. One expected application is coding for magnetic storage where the required block-error rate is extremely low and system performance is difficult to verify by simulation.
A Comparison of the Clinical and Epidemiological Characteristics of Adult Patients with Laboratory-Confirmed Influenza A or B during the 2011–2012 Influenza Season in Korea: A Multi-Center Study
Seong-Heon Wie, Byung Hak So, Joon Young Song, Hee Jin Cheong, Yu Bin Seo, Sung Hyuk Choi, Ji Yun Noh, Ji Hyeon Baek, Jin Soo Lee, Hyo Youl Kim, Young Keun Kim, Won Suk Choi, Jacob Lee, Hye Won Jeong, Woo Joo Kim
PLOS ONE , 2013, DOI: 10.1371/journal.pone.0062685
Abstract: Background During the 2011/2012 winter influenza season in the Republic of Korea, influenza A (H3N2) was the predominant virus in the first peak period of influenza activity during the second half of January 2012. On the other hand, influenza B was the predominant virus in the second peak period of influenza activity during the second half of March 2012. The objectives of this study were to compare the clinical and epidemiological characteristics of patients with laboratory-confirmed influenza A or influenza B. Methodology/Principal Findings We analyzed data from 2,129 adult patients with influenza-like illnesses who visited the emergency rooms of seven university hospitals in Korea from October 2011 to May 2012. Of 850 patients with laboratory-confirmed influenza, 656 (77.2%) had influenza A (H3N2), and 194 (22.8%) influenza B. Age, and the frequencies of cardiovascular disorders, diabetes, hypertension were significantly higher in patients with influenza A (H3N2) (P<0.05). The frequencies of leukopenia or thrombocytopenia in patients with influenza B at initial presentation were statistically higher than those in patients with influenza A (H3N2) (P<0.05). The rate of hospitalization, and length of hospital stay were statistically higher in patients with influenza A (H3N2) (P<0.05), and of the 79 hospitalized patients, the frequency of diabetes, hypertension, cases having at least one of the comorbid conditions, and the proportion of elderly were significantly higher in patients with influenza A (H3N2) (P<0.05). Conclusions The proportion of males to females and elderly population were significantly higher for influenza A (H3N2) patients group compared with influenza B group. Hypertension, diabetes, chronic lung diseases, cardiovascular disorders, and neuromuscular diseases were independently associated with hospitalization due to influenza. Physicians should assess and treat the underlying comorbid conditions as well as influenza viral infections for the appropriate management of patients with influenza.
Laboratory Surveillance of Influenza-Like Illness in Seven Teaching Hospitals, South Korea: 2011–2012 Season
Ji Yun Noh, Joon Young Song, Hee Jin Cheong, Won Suk Choi, Jacob Lee, Jin-Soo Lee, Seong-Heon Wie, Hye Won Jeong, Young Keun Kim, Sung Hyuk Choi, Seung Baik Han, Byung-Hak So, Hyun Kim, Woo Joo Kim
PLOS ONE , 2013, DOI: 10.1371/journal.pone.0064295
Abstract: Background A well-constructed and properly operating influenza surveillance scheme is essential for public health. This study was conducted to evaluate the distribution of respiratory viruses in patients with influenza-like illness (ILI) through the first teaching hospital-based surveillance scheme for ILI in South Korea. Methods Respiratory specimens were obtained from adult patients (≥18 years) who visited the emergency department (ED) with ILI from week 40, 2011 to week 22, 2012. Multiplex PCR was performed to detect respiratory viruses: influenza virus, adenovirus, coronavirus, respiratory syncytial virus, rhinovirus, human metapneumovirus, parainfluenza virus, bocavirus, and enterovirus. Results Among 1,983 patients who visited the ED with ILI, 811 (40.9%) were male. The median age of patients was 43 years. Influenza vaccination rate was 21.7% (430/1,983) during the 2011–2012 season. At least one comorbidity was found in 18% of patients. The positive rate of respiratory viruses was 52.1% (1,033/1,983) and the total number of detected viruses was 1,100. Influenza A virus was the dominant agent (677, 61.5%) in all age groups. The prevalence of human metapneumovirus was higher in patients more than 50 years old, while adenovirus was detected only in younger adults. In 58 (5.6%) cases, two or more respiratory viruses were detected. The co-incidence case was identified more frequently in patients with hematologic malignancy or organ transplantation recipients, however it was not related to clinical outcomes. Conclusion This study is valuable as the first extensive laboratory surveillance of the epidemiology of respiratory viruses in ILI patients through a teaching hospital-based influenza surveillance system in South Korea.
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