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  1. Article ; Online: A rare presentation of Rapunzel syndrome with multiple small bowel intussusceptions

    Kyoung Jeen Min / Hann Tchah / Seong Min Kim / Jea Yeon Choi

    Pediatric Emergency Medicine Journal, Vol 6, Iss 1, Pp 17-

    2019  Volume 20

    Abstract: Rapunzel syndrome is caused by gastric trichobezoar with extended tail and small bowel obstruction. Patients with gastric trichobezoar can be asymptomatic until the bezoar increases in size. We report a case of a girl who visited the emergency department ...

    Abstract Rapunzel syndrome is caused by gastric trichobezoar with extended tail and small bowel obstruction. Patients with gastric trichobezoar can be asymptomatic until the bezoar increases in size. We report a case of a girl who visited the emergency department with abdominal pain. She was finally diagnosed with Rapunzel syndrome that causes multiple small bowel intussusceptions associated with trichophagia. Surgery was needed to reduce the multiple intussusceptions, and to remove the large trichobezoar. This case highlights to consider the possibility of Rapunzel syndrome when diagnosing the main cause of intussusceptions.
    Keywords bezoars ; intestinal obstruction ; intussusception ; pica ; trichotillomania ; Medicine ; R
    Language English
    Publishing date 2019-06-01T00:00:00Z
    Publisher Korean Society of Pediatric Emergency Medicine
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  2. Article ; Online: Wasting condition as a marker for severe disease in pediatric Crohn's disease

    Wook Jin, MD / Dong-Hwa Yang, MD / Hann Tchah, MD / Kwang-An Kwon, MD / Jung-Ho Kim, MD / Su-Jin Jeong, MD / Ki-Baik Hahm, MD / Mahesh Kathania.

    Medicine, Vol 101, Iss 20, p e

    2022  Volume 29296

    Abstract: Abstract. Several studies have shown an association between sarcopenia and clinical outcomes in patients with Crohn's disease (CD). However, studies have shown different results, and the association between prognosis and wasting conditions in pediatric ... ...

    Abstract Abstract. Several studies have shown an association between sarcopenia and clinical outcomes in patients with Crohn's disease (CD). However, studies have shown different results, and the association between prognosis and wasting conditions in pediatric patients with CD is uncertain. In this study, we evaluated the clinical significance of wasting in pediatric CD patients. We retrospectively analyzed data on wasting syndrome in patients diagnosed with CD at the Pediatric Department of Gachon University Gil Medical Center between January 1995 and January 2018. Of 105 patients diagnosed with CD, 39.0% were classified into the wasting group (weight-for-age z-score ≤−1) and 61.0% into the nonwasting group (weight-for-age z-score >−1). Height-for-age and body mass index-for-age z-scores at the time of diagnosis were significantly associated with wasting (P < .001 and P < .001, respectively). Additionally, wasting was significantly associated with low levels of hemoglobin (P < .001), high levels of inflammatory markers, including C-reactive protein (P = .005) and erythrocyte sedimentation rate (P = .04), and a smaller surface area of the gluteus maximus muscle (P < .001). Interestingly, since the site of CD involvement and other markers for nutrition did not correlate with wasting syndrome, wasting appears to be a marker for the severity of pediatric CD. Lastly, the wasting group tended to have a greater use of biologic therapy after first-line therapy failed to improve wasting syndrome. Wasting syndrome, including sarcopenia, can serve as a marker for the severity of pediatric CD.
    Keywords Medicine ; R
    Subject code 610
    Language English
    Publishing date 2022-05-01T00:00:00Z
    Publisher Wolters Kluwer
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article: Risk factors of delayed diagnosis of acute appendicitis in children: for early detection of acute appendicitis.

    Choi, Jea Yeon / Ryoo, Eell / Jo, Jeong Hyun / Hann, Tchah / Kim, Seong Min

    Korean journal of pediatrics

    2016  Volume 59, Issue 9, Page(s) 368–373

    Abstract: Purpose: This study examined the risk factors of a delayed diagnosis of acute appendicitis in children undergoing an appendectomy.: Methods: This retrospective study involved children aged below 18 years, who underwent an appendectomy. After dividing ...

    Abstract Purpose: This study examined the risk factors of a delayed diagnosis of acute appendicitis in children undergoing an appendectomy.
    Methods: This retrospective study involved children aged below 18 years, who underwent an appendectomy. After dividing them into a delayed diagnosis group and nondelayed diagnosis group according to the time interval between the initial hospital visit and final diagnosis, the risk factors of delayed diagnosis were identified using logistic regression analysis.
    Results: Among 712 patients, 105 patients (14.7%) were classified in the delayed diagnosis group; 92 patients (12.9%) were diagnosed using ultrasonography (US), and both US and computed tomography were performed in 38 patients (5.3%). More patients in the delayed diagnosis group underwent US (
    Conclusion: To decrease the rate of delayed diagnoses of acute appendicitis, symptoms such as fever and diarrhea, seasonal variations, admission course, and CRP levels should be considered and children with a longer duration of symptoms should be closely monitored.
    Language English
    Publishing date 2016-09-21
    Publishing country Korea (South)
    Document type Journal Article
    ZDB-ID 2594966-4
    ISSN 2092-7258 ; 1738-1061
    ISSN (online) 2092-7258
    ISSN 1738-1061
    DOI 10.3345/kjp.2016.59.9.368
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Smart Information System for Gachon University Gil Hospital

    Dong Kyun Park / Eun Young Jung / Byung Hui Jeong / Byung Chan Moon / Hyung Wook Kang / Hann Tchah / Gi Seong Han / Woo Sung Cheng / Young Ho Lee

    Healthcare Informatics Research, Vol 18, Iss 1, Pp 74-

    2012  Volume 83

    Abstract: ObjectivesIn this research, the hospital information system of Gachon University Gil hospital is introduced and a future strategy for hospital information systems is proposed.MethodsThis research introduces the development conditions of hospital ... ...

    Abstract ObjectivesIn this research, the hospital information system of Gachon University Gil hospital is introduced and a future strategy for hospital information systems is proposed.MethodsThis research introduces the development conditions of hospital information system at Gachon University Gil hospital, information about the development of the enterprise resource planning (ERP), a medical service process improvement system, and the personal health record (PHR) system.ResultsThe medical service process and work efficiency were improved through the medical service process improvement system, which is the most common hospital information system at Gachon University Gil hospital and which includes an emergency medical service system, an online evaluation system and a round support system.ConclusionsGachon University Gil hospital developed medical service improvement systems to increase work efficiency of medical team and optimized the systems to prove the availability of high-quality medical services for patients and their families. The PHR-based personalized health care solution is under development and will provide higher quality medical service for more patients in the future.
    Keywords hospital information system ; quality of health care ; electronic medical record ; personal health record ; management information system ; Computer applications to medicine. Medical informatics ; R858-859.7
    Subject code 360
    Language English
    Publishing date 2012-03-01T00:00:00Z
    Publisher The Korean Society of Medical Informatics
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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