1.Prevention and Treatment of Vascular Dementia.
Journal of the Korean Medical Association 2002;45(4):409-414
Vascular dementia is one of the few remediable causes of dementia among the eldery. Prevention of the disease can be best achieved by primary or secondary prevention of controllable risk factors for strokes. Therefore, early and accurate diagnosis of vascular cognitive impairment prior to the dementia stage is essential to the prevention and treatment of vascular dementia. Pharmacological and non-pharmacological methods for prevention of vascular dementia are listed in this article. Recent epidemiologic data, suggesting a direct correlation between vascular risk factors and Alzheimer type dementia, emphasized the importance of controlling vascular risk factors in the prevention of dementia. Treatment strategies for patients diagnosed as vascular dementia are also discussed. Several clinical trials for symptomatic improvement of vascular dementia are ongoing and their success can be a hope to patients with vascular dementia.
Alzheimer Disease
;
Cognition Disorders
;
Dementia
;
Dementia, Vascular*
;
Diagnosis
;
Hope
;
Humans
;
Risk Factors
;
Secondary Prevention
;
Stroke
2.Changes of intercellular adhesion molecule expression and cytogenetic abnormalities during the differentiation process in human neuroblastoma cell lines.
Jong Jae KIM ; Yoon Jung CHOI ; Chul Woo KIM
Journal of the Korean Cancer Association 1993;25(4):563-571
No abstract available.
Cell Line*
;
Chromosome Aberrations*
;
Cytogenetics*
;
Humans*
;
Neuroblastoma*
3.Endoscopic Bone Grafting on the Delayed Union of the Femur
Sung Jae KIM ; Nam Hyun KIM ; Woo Suk LEE
The Journal of the Korean Orthopaedic Association 1994;29(2):598-602
Some of the techniques for bone grafting for delayed union or nonunion of the long bone are used currently. In 1991, at arthroscopy workshop in Phoenix, Arizona, Lanny L. Johnson, M.D. reported a case of endoscopic bone grafting for the delayed union on the humerus. He suggested the possibilities of endoscopic bone grafting such as minimal incision, magnified visualization, accurate debridement, accurate graft placement, vascular preservation, outpatient surgery and reduced cost. The author performed endoscopic bone grafting and extra-articular adhesionlysis on the delayed union of femur with extra-articular ankylosis. The patient was a 28 year old housewife with blood type Rh(-). The duration after initial operation was more than 9 months. The result of the graft was satisfactory. In the future endoscopic bone grafting could be performed for nonunion, delayed union and congenital bone defect.
Ambulatory Surgical Procedures
;
Ankylosis
;
Arizona
;
Arthroscopy
;
Bone Transplantation
;
Debridement
;
Education
;
Femur
;
Humans
;
Humerus
;
Transplants
4.Two Cases of Successful Treatment with Atropine Sulfate in Persistent Vomiting beyond Pyloromyotomy of Infantile Hypertrophic Pyrolic Stenosis .
Won Jung KIM ; Min Jung KIM ; Woo Jae JO ; Jae Young KIM ; Sung Won KIM
Journal of the Korean Pediatric Society 2000;43(5):704-709
Infantile hypertrophic pyloric stenosis (IHPS) is the most common condition requiring abdominal surgery in early infancy, and is caused by hypertrophied pyloric muscle. The development of successful surgical treatment in the early 1900s by Fredet and Ramstedt made it possible for infants worldwide to survive. Modern pediatric anesthetic techniques have virtually eliminated mortality from surgical management. Atropine sulfate is a cholinergic blocking agent with potent antimuscarinic activity that decreases peristaltic contractions by relaxing smooth muscles. We treated two cases of IHPS with incomplete pyloromyotomy in 3-month-old and 5-month-old male infants by administering atropine sulfate intravenously. They were free from vomiting after 5 days of intravenous atropine sulfate treatment. In these rare cases of persistent vomiting or refractory emesis following incomplete pyloromyotomy, there may be a role for atropine sulfate.
Atropine*
;
Constriction, Pathologic*
;
Humans
;
Infant
;
Male
;
Mortality
;
Muscle, Smooth
;
Pyloric Stenosis, Hypertrophic
;
Vomiting*
5.Pediatric Poisoning: Clinical Analysis and Severity Grading.
Haeng Jae KIM ; Won KIM ; Taeg Hwan BAE ; Jae Woo JIN ; Chol KIM ; Dong Jin GWAK
Journal of the Korean Society of Emergency Medicine 1998;9(1):161-168
BACKGROUND: To find out characteristics and classification of toxic agents by clinical analysis of pediatric poisoning and to determine the clinical availability of grading by using MSPC score. METHOD: Subjects were patients under 15 years exposed to toxic agents, who visited Ajou university hospital emergency center from June, 1994 to October, 1997. The study was performed retrospectively. RESULTS: The subjects were 126 cases and male to female sex ratio was 1.2:1. Mean age was 29+/-30 months old. The most common route of exposure was ingestion, following contact, inhalation and bite. The most common reason was mistake by the patient, following mistake by caregiver, suicide attempt and accident. The MSPC score distribution of symptomatic patient was as follows; 1 point: 26 cases(63.4%), 2 point: 12 cases(29.2%), 3 point: 1 case(2.4%), 4 point: 2 cases(4.8%). The classification of exposed poison was as follows; therapeutic drugs: 29 cases(23.0%), non-therapeutic drugs: 97 cases(73.0%). The most common exposed poison was household products: 23 patients(18.3%) were admitted to hospital. CONCLUSION: There was statistically significant difference in the classification of poison, MSPC score, treatment modality at hospital, first follow up period after discharge between admitted group and non-admitted group. There was statistically significant difference in the reason of exposure, route of exposure, MSPC score, admission period according to patient's age. severity grading according to MSPC score is regarded as an available method to determine the modality of management.
Caregivers
;
Classification
;
Eating
;
Emergencies
;
Female
;
Follow-Up Studies
;
Household Products
;
Humans
;
Inhalation
;
Male
;
Poisoning*
;
Retrospective Studies
;
Sex Ratio
;
Suicide
6.Anatomical Study on the Location of the Mental Foramen in Adult Korean Mandibles.
Kyung Won YOON ; Kang Ryune KIM ; Jae Hyung WOO ; Jin Jeong KIM ; Jae Bong KIM
Korean Journal of Physical Anthropology 1989;2(1):11-17
We examined the anatomical position of the mental foramina in mandibles foramen normal adult Koreans. 1. The percentages obtained from the study of the relationships between the mental foramen and the lower teeth showed that the most common location was type lv in which the mental foramen lay at the apex of the second promolar. The foramen between thr apices of ice two premolars (type lll) and the foramen between the second premolar and the first molar (type v) occured often and less often rspectively and find no foramen mesial to the first premolar or at the apex of the first premolar and posterior of the first molar (type l, ll, vl). 2. The study of relationship of the mental foramen to the bo of the mandible revealed that mental foramen was situated closer to the lowed border of the mandibular body. The distance ratio between the mental foramen and the alveolar crest to that between the mental foramen and the lower border was approximately 1.2 : 1. The height of the mandibular body was 31.09±2.80mm on the left side and 30.97±2.48mm on the right. 3. The distance from the mandibular symphysis to the anterior border of the mental foramen measured 29.52±2.01mm on the left, 30.82±2.04mm on the right side, and from the mandibular symphysis to the posterior border of the mandibular ramus was 104.20±4.74mm on the left, 105.44±4.49mm on the right side. It indicates that the mental foramen lies approximately at one-fourth of the distance from the mandibular symphysis to 2017-04-19 the posterior border of the ramus. 4. The distance from the superior border of the mental foramen to the bottom of the lower second premolar socket was found to be positive. It was 5.46±3.09mm on the left, 5.73±3.03mm on the right side. This indicates that the bottom of the lower second premolar socket is slightly higher than the superior border of the mental foramen.
Adult*
;
Bicuspid
;
Humans
;
Ice
;
Mandible*
;
Molar
;
Tooth
7.Sensory Symptoms in Parkinson's Disease.
Sang Woo KIM ; Jae Kwan CHA ; Sang Ho KIM ; Jae Woo KIM
Journal of the Korean Neurological Association 1998;16(3):315-320
BACKGROUND AND PURPOSE: A variety of sensory disturbances such as tingling, numbness, muscle cramp, pain and burning are recognized in Parkinson's disease. There is a hypothesis that sensory symptoms of Parkinson's disease could be related to "release" of sensory centers from extrapyramidal systems. We investigated the characteristic features of sensory symptoms in Parkinsonian patients and the possibilities that sensory symptoms may be related to dopaminergic pathways. METHODS: We included 130 patients with Parkinson's disease. The patients with medical illness such as diabetes, arthritis or musculoskeletal disease were excluded. We studied 38 Parkinsonian patients with sensory complaints using electrophysiologic studies and neuroimaging. RESULTS: 1) Thirty-eight(29.2%) of 130 Parkinsonian patients(mean age ; 57.9 +/- 10.1 ; 13 men, 25 women) had sensory symptoms. 2) Among thirty-eight Parkinsonian patients with sensory symptoms, 19 patients had pain, 10 tingling sensation, 3 burning sense, and 2 muscle cramp. 3) The arm and leg were most common sites for sensory symptoms 4) Sensory complaints preceded motor symptoms in 17 patients(21.1 +/- 19.1 months) and followed in 13 patients(26.7 +/- 41.9 months). 5) In 25 patients(66%), sensory symptoms were improved with levodopa. 6) There was no significant correlation between sensory symptoms and motor disabilities. CONCLUSIONS: Many Parkinsonian patients had various sensory complaints as well as motor symptoms. In some patients, sensory symptoms preceded motor disabilities. It was also suggested that sensory symptoms in some patients with Parkinson's disease be related to dopaminergic pathways.
Arm
;
Arthritis
;
Burns
;
Humans
;
Hypesthesia
;
Leg
;
Levodopa
;
Male
;
Muscle Cramp
;
Musculoskeletal Diseases
;
Neuroimaging
;
Parkinson Disease*
;
Sensation
8.A Case of Congenital Cranial Dermal Sinus.
Jae Min CHOI ; Woo Jung KIM ; Hyeun Chung KIM ; Ha Joo CHOI ; Woo Kap CHUNG
Journal of the Korean Pediatric Society 1989;32(10):1442-1447
No abstract available.
Spina Bifida Occulta*
9.Clinical analysis of Krukenberg tumor: a review of 18 cases.
Yong Wook KIM ; Han Woo LEE ; Jae Seong KANG
Korean Journal of Obstetrics and Gynecology 1991;34(10):1451-1456
No abstract available.
Krukenberg Tumor*
10.Serologic Survey for Syphilis in Seoul.
Chang Woo LEE ; Yoo Shin LEE ; Jae Hong KIM
Korean Journal of Dermatology 1975;13(1):1-4
The prevalence of syphilis was sharply decreased throughout the world since the introduction of penicillin into the treatment of syphilis in 1943, however recent in formations seemed to be increased in incidence of syphilis since about 1960. In Korea, recent trends of syphilis can hardly be assesed because there are few reports of it. In order to know the current incidence of syphilis in Seoul we carried out S.T.S. in 1046 healthy young men living in Seoul. At that we classified the man as syphilitic who has positive serologic test on both VDRL and RPCF and has not recieved regular antisyplulitic treatment in the past. The result reveala that the incidence of syphilitic infection is 1.72%, which is slightiy decreased statistical figure than in 1960s. There are no much differences in incidence between each group of age or educational degree. Among the 653 unmarried men, 62.3% of them had experiences of sexual contact and their sex partners were business girls, students and prostitutes in order of frequency.
Commerce
;
Equidae
;
Female
;
Humans
;
Incidence
;
Korea
;
Male
;
Penicillins
;
Prevalence
;
Seoul*
;
Serologic Tests
;
Sex Workers
;
Single Person
;
Syphilis*