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  1. Article ; Online: Association between the CLOCK gene 3111 T > C polymorphism and an irregular menstrual cycle in Korean adolescents.

    Kim, Kye-Hyun / Kim, Yunsin / Ha, Juwon / Shin, Dong-Won / Shin, Young-Chul / Oh, Kang-Seob / Woo, Hee-Yeon / Lim, Se-Won

    Journal of psychosomatic obstetrics and gynaecology

    2015  Volume 36, Issue 4, Page(s) 148–154

    Abstract: The menstrual cycle is an example of a human infradian rhythm, but an altered sleep-wake cycle or a disrupted circadian rhythm can change the regularity of the menstrual cycle. In this study, we investigated whether an irregular menstrual cycle is ... ...

    Abstract The menstrual cycle is an example of a human infradian rhythm, but an altered sleep-wake cycle or a disrupted circadian rhythm can change the regularity of the menstrual cycle. In this study, we investigated whether an irregular menstrual cycle is associated with polymorphisms in the CLOCK (3111T > C) and/or PER3 (variable number tandem repeat, VNTR) genes, which are known to have an impact on the circadian rhythm. One hundred ninety-seven postmenarchal, adolescent girls from two girls' high schools in Seoul, Korea, were studied. All participants were requested to complete the Perceived Stress Scale (PSS), the State-Trait Anxiety Inventory (STAI), and the Beck Depression Inventory (BDI) to assess the emotional distress that might cause menstrual irregularity. Every participant donated a blood sample from which DNA was extracted and genotyped for the CLOCK 3111T > C and PER3 VNTR polymorphisms. A significant association was found between the CLOCK 3111T > C genotype and irregular menstrual cycles. Subjects with the 3111T > C genotype had a high risk of an irregular menstrual cycle compared with 3111T/T homozygous subjects (odds ratio [OR] = 2.88; 95% confidence interval [CI]: 1.26-6.55). When multivariate logistic regression analysis was performed to adjust for age, PSS, STAI, BDI and BMI, subjects with the 3111T > C polymorphism showed a significantly increased OR for irregular menstrual cycles (OR = 3.09; 95% CI: 1.32-7.21). There was no significant association between the PER3 VNTR polymorphism and the irregularity of the menstrual cycle (p > 0.05). The results of this study suggest that the CLOCK 3111T > C polymorphism could be an independent risk factor for irregular menstrual cycles, irrespective of psychological distress and endocrine or metabolic conditions, and could be used as a molecular marker for gynecological studies on this aspect.
    MeSH term(s) Adolescent ; Affective Symptoms/diagnosis ; Affective Symptoms/physiopathology ; CLOCK Proteins/genetics ; Female ; Humans ; Menstrual Cycle/genetics ; Menstrual Cycle/psychology ; Menstruation Disturbances/genetics ; Menstruation Disturbances/psychology ; Period Circadian Proteins/genetics ; Polymorphism, Single Nucleotide ; Republic of Korea
    Chemical Substances PER3 protein, human ; Period Circadian Proteins ; CLOCK Proteins (EC 2.3.1.48) ; CLOCK protein, human (EC 2.3.1.48)
    Language English
    Publishing date 2015
    Publishing country England
    Document type Journal Article
    ZDB-ID 604816-x
    ISSN 1743-8942 ; 0167-482X
    ISSN (online) 1743-8942
    ISSN 0167-482X
    DOI 10.3109/0167482X.2015.1089229
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Failed pelvic arterial embolization for postpartum hemorrhage: clinical outcomes and predictive factors.

    Kim, Young-Joo / Yoon, Chang Jin / Seong, Nak Jong / Kang, Sung-Gwon / An, Seung-Won / Kim, Yun-Sin / Woo, Young-Nam

    Journal of vascular and interventional radiology : JVIR

    2013  Volume 24, Issue 5, Page(s) 703–709

    Abstract: Purpose: To evaluate clinical outcomes of failed pelvic arterial embolization (PAE) and determine predictive factors associated with this failure in the treatment of postpartum hemorrhage (PPH).: Materials and methods: This retrospective study ... ...

    Abstract Purpose: To evaluate clinical outcomes of failed pelvic arterial embolization (PAE) and determine predictive factors associated with this failure in the treatment of postpartum hemorrhage (PPH).
    Materials and methods: This retrospective study included all consecutive patients who underwent PAE for life-threatening PPH between March 2004 and January 2011 at a tertiary-care center. Medical records and imaging studies were reviewed to identify cases of failed PAE and their clinical outcomes. Multiple parameters were compared between the failed and successful PAE groups, and multivariate analysis was performed to determine the predictive factors associated with failed PAE.
    Results: PAE was performed in 257 patients (mean age, 32 y; range, 20-40 y). A total of 24 cases of PAE involved a failure to achieve hemostasis (9.3%). Patients in the failed PAE group experienced more major complications than those in the successful PAE group (37.5% [nine of 24] vs 9.4% [22 of 233]). Factors more frequently found in failed PAE included hemodynamic instability, hemoglobin level lower than 8g/dL, disseminated intravascular coagulation (DIC), and extravasation detected on angiography. After multivariate analysis, DIC emerged as the only significant predictive factor (odds ratio, 6.569; 95% confidence interval, 1.602-26.932; P = .009).
    Conclusions: PAE is an effective treatment for medically intractable PPH. However, PAE failed in a high percentage of patients and was commonly associated with major complications. DIC was the only significant predictor of failed PAE.
    MeSH term(s) Adult ; Disseminated Intravascular Coagulation/epidemiology ; Embolization, Therapeutic/statistics & numerical data ; Female ; Humans ; Incidence ; Postpartum Hemorrhage/therapy ; Prognosis ; Republic of Korea/epidemiology ; Retrospective Studies ; Risk Factors ; Treatment Failure ; Treatment Outcome
    Language English
    Publishing date 2013-05
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1137756-2
    ISSN 1535-7732 ; 1051-0443
    ISSN (online) 1535-7732
    ISSN 1051-0443
    DOI 10.1016/j.jvir.2013.02.013
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Extraskeletal osteochondroma of the buttock.

    Lim, Sung-Chul / Kim, Yun-Sin / Kim, Young-Sook / Moon, Young-Rae

    Journal of Korean medical science

    2003  Volume 18, Issue 1, Page(s) 127–130

    Abstract: Osteochondromas are common and typically arise from the metaphyseal ends of long bones. An osteochondral neoplasm of the soft tissue, which is a lesion of uncertain pathogenesis, is uncommon and usually arises from the synovial tissue in joints and ... ...

    Abstract Osteochondromas are common and typically arise from the metaphyseal ends of long bones. An osteochondral neoplasm of the soft tissue, which is a lesion of uncertain pathogenesis, is uncommon and usually arises from the synovial tissue in joints and tendon sheaths. Rarely, extraskeletal osteochondromas also arise outside of synovial compartments. Most of the reported cases were presented in the hands and feet, especially in the fingers. Here we describe a 44-yr-old female patient who presented with a pain in the left buttock. A well-defined osseous mass was detected in the buttock. It consisted of sharply demarcated, mature hyaline cartilage that was covered with a fibrous capsule, which changed gradually into cancellous bone, more pronouncedly at the center. The diagnosis of an extraskeletal osteochondroma should be considered when a discrete, ossified mass is localized in the soft tissues. A case of pathologically proven extraskeletal osteochondroma of the buttock is presented with a literature review, magnetic resonance imaging, and radiological findings.
    MeSH term(s) Accidental Falls ; Adult ; Buttocks ; Diagnosis, Differential ; Female ; Humans ; Myositis Ossificans/diagnosis ; Osteochondroma/complications ; Osteochondroma/diagnosis ; Osteochondroma/diagnostic imaging ; Osteochondroma/surgery ; Pain/etiology ; Radiography ; Sarcoma/diagnosis ; Soft Tissue Neoplasms/complications ; Soft Tissue Neoplasms/diagnosis ; Soft Tissue Neoplasms/diagnostic imaging ; Soft Tissue Neoplasms/surgery
    Language English
    Publishing date 2003-02
    Publishing country Korea (South)
    Document type Case Reports ; Journal Article
    ZDB-ID 639262-3
    ISSN 1011-8934
    ISSN 1011-8934
    DOI 10.3346/jkms.2003.18.1.127
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Inaccessible postoperative abdominal abscess: percutaneous drainage technique with puncture of a sinus tract.

    An, Seung-Won / Yoon, Chang Jin / Seong, Nak Jong / Kang, Sung-Gwon / Han, Ho-Seong / Cho, Jai Young / Yoon, Yoo-Seok / Kim, Hyung-Ho / Kim, Young-Joo / Woo, Young-Nam / Kim, Yun-Sin

    Journal of vascular and interventional radiology : JVIR

    2013  Volume 24, Issue 4, Page(s) 586–591

    Abstract: The present report describes percutaneous drainage involving puncture of a sinus tract in 14 patients with inaccessible postoperative abdominal abscesses. In eight patients, a sinus tract formed by a previously placed surgical drain was percutaneously ... ...

    Abstract The present report describes percutaneous drainage involving puncture of a sinus tract in 14 patients with inaccessible postoperative abdominal abscesses. In eight patients, a sinus tract formed by a previously placed surgical drain was percutaneously punctured under ultrasound guidance. In six patients, a sinus tract was accessed under fluoroscopic guidance, aiming at an indwelling surgical drain. A drainage catheter was successfully placed into the abscesses in 13 patients (92.9%). Complete resolution of abscesses was documented on follow-up computed tomography. Percutaneous drainage with puncture of a sinus tract may be a feasible and effective treatment for inaccessible postoperative abdominal abscesses.
    MeSH term(s) Abdominal Abscess/diagnostic imaging ; Abdominal Abscess/therapy ; Aged ; Catheterization/adverse effects ; Drainage/adverse effects ; Drainage/methods ; Female ; Fluoroscopy ; Humans ; Male ; Middle Aged ; Postoperative Complications/diagnostic imaging ; Postoperative Complications/therapy ; Punctures ; Radiography, Interventional/methods ; Retrospective Studies ; Time Factors ; Tomography, X-Ray Computed ; Treatment Outcome ; Ultrasonography, Interventional
    Language English
    Publishing date 2013-04
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1137756-2
    ISSN 1535-7732 ; 1051-0443
    ISSN (online) 1535-7732
    ISSN 1051-0443
    DOI 10.1016/j.jvir.2012.12.015
    Database MEDical Literature Analysis and Retrieval System OnLINE

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