1.Effect of Adriamycin on Lipid Metabolismin Rats.
Chang Beom SHIN ; Sun Jun KIM ; Chan Unng JOO ; Dae Yeol LEE
Journal of the Korean Pediatric Society 1988;31(9):1133-1138
No abstract available.
Animals
;
Doxorubicin*
;
Rats*
2.Comparison Study of Knowledge, Attitude and Motivation Between Blood Donors and Non-donors.
Jae Hack SHIN ; Jun SAKONG ; Seok Beom KIM ; Chang Yoon KIM ; Pock Soo KANG ; Jong Hak CHUNG ; Dal Hyo SONG
Yeungnam University Journal of Medicine 1989;6(2):159-172
This study was conducted to compare the date on knowledge, attitude and motivation toward blood donation between donors and non-donors. The study population included 622 donors and 322 non-donors who visited the mobile blood donation car of Taegu Red Cross Blood Center and participated the group appointed blood donation campaign managed by the center from March 1 to March 31, 1989. The donors and non-donors were questioned above mentioned items with a formulated questionnaire. Among the general characteristics of the subjects in the study, male predominance (84.1% in donors and 73.6% in non-donors) in young age group (16-24 years) was the outstanding feature. As a medium of information about blood donation, “television” was playing a dominant role (donors; 75.2%, non-donors; 78.9%), while “magazine” played more important roles among donors. Of the donors, 70.6% and of the non-donors, 58.1 replied that they had ever been induced to donate blood (p<0.01). Major inducers were friend and personnel of mobile blood donation vehicle. On the measuring of knowledge level, the average rates of correct answer was higher in donors (62.6%) than in non-donors (54.1%) (p<0.01). Higher the education level was presented, higher the knowledge level (p<0.05). There have been noticeable difference between donors and non-donors in blood replying the questionnaire set to measure their attitude toward blood donation, especially in the items such as “impression toward blood”, “selection of transfusion blood source” and “view on the situation of blood shortage.” The major motivation toward blood donation of the groups were “possible future need” and “altruism or humanitarian interest”. The major reasons for not donation blood in both groups were “fear of the needle” and “dread to visit to mobile car or center”.
Blood Donors*
;
Daegu
;
Education
;
Friends
;
Humans
;
Male
;
Motivation*
;
Red Cross
;
Tissue Donors
3.Percutaneous Retrieval of Upper Urinary Tract Foreign Bodies and Calculi.
Tae Beom SHIN ; Chang Kyu SEONG ; Yong Joo KIM
Journal of the Korean Radiological Society 2002;47(1):69-76
PURPOSE: To determine, when extracorporeal shockwave lithotripsy is contraindicated, the usefulness and safety of percutaneous management in the removal from the upper urinary tract of foreign bodies and calculi, or small remnants of these, retained affer percutaneous nephrolithotomy. MATERIALS AND METHODS: Between January 1996 and May 2001, we attempted to retrieve foreign bodies or calculi from the upper urinary tract of 20 patients, using various percutaneous techniques. There were eleven foreign bodies, namely fragmented nephrostomy catheters (n=2), migrated ureteric stents inaccessible to retrograde ureteroscopic management (n=8), and one metallic radiopaque marker which was separated from the pusher of the internal ureteral stent. Nine urinary tract calculi were present. These ranged in radiographically measured size from 4 to 8 mm in their largest diameter, and were found in the renal pelvis or calyx (n=5) and ureter (n=4). After percutaneous nephrostomy, all procedures involved the use of a 7-F to 14-F sheath, inserted under fluoroscopic guidance. Devices used for the retrieval of these objects include a stone basket retriever, loop snare, grasping forceps, and balloon catheter. RESULTS: In all cases except one, it was possible to retrieve calculi or other items from the upper urinary tract. No surgical procedure was required and no significant complications were encountered in any of the cases during or after the procedures. CONCLUSION: The percutaneous technique can be useful and safe in the management of foreign bodies or calculi present in the upper urinary tract.
Calculi*
;
Catheters
;
Foreign Bodies*
;
Hand Strength
;
Humans
;
Kidney Pelvis
;
Lithotripsy
;
Nephrostomy, Percutaneous
;
SNARE Proteins
;
Stents
;
Surgical Instruments
;
Ureter
;
Urinary Tract*
4.Effects of Botulinum Toxin on Reducing the Co-contraction of Antagonists in Birth Brachial Plexus Palsy.
Yong Beom SHIN ; Myung Jun SHIN ; Jae Hyeok CHANG ; Young Sun CHA ; Hyun Yoon KO
Annals of Rehabilitation Medicine 2014;38(1):127-131
Birth brachial plexus palsy (BBPP) is usually caused by plexus traction during difficult delivery. Although the possibility of complete recovery is relatively high, 5% to 25% of BBPP cases result in prolonged and persistent disability. In particular, muscle imbalance and co-contraction around the shoulder and elbow cause abnormal motor performance, osseous deformities, and joint contracture. Physical and occupational therapies have most commonly been used, but these conventional therapeutic strategies have often been inadequate, in managing the residual muscle imbalance and muscle co-contraction. Therefore, we attempted to improve the functional movements, by using botulinum toxin type A, to reduce the abnormal co-contraction of the antagonist muscles.
Botulinum Toxins*
;
Botulinum Toxins, Type A
;
Brachial Plexus Neuropathies
;
Brachial Plexus*
;
Congenital Abnormalities
;
Contracture
;
Elbow
;
Joints
;
Muscles
;
Occupational Therapy
;
Paralysis*
;
Parturition*
;
Shoulder
;
Traction
5.Harris lines observed in human skeletons of Joseon Dynasty, Korea.
Jaewon BEOM ; Eun Jin WOO ; In Sun LEE ; Myeung Ju KIM ; Yi Suk KIM ; Chang Seok OH ; Sang Seob LEE ; Sang Beom LIM ; Dong Hoon SHIN
Anatomy & Cell Biology 2014;47(1):66-72
The Harris line (HL), caused by bone-growth arrest and manifesting on X-rays as a radiopaque transverse line in the metaphysis of the long bones, is an indicator reflecting stress conditions such as disease or malnutrition. HL frequency has been assumed to differ between pre-modern and modern societies, as reflective of increased caloric intake and overall nutritional improvements attendant on industrialization. To determine if such a change occurred in Korea, in the present study we compared the respective HL statuses in medieval Joseon and modern Korean population samples. HLs were found in 39.4% (28/71) of the Joseon Koreans. Whereas only 27.5% (11/40) of the males showed an HL, fully 54.8% (17/31) of the females exhibited it. Notably, HLs were observed in only 16.4% (35/213) of the modern Koreans; more remarkably still, the HL rate was almost the same between the sexes, 16.7% (20/120) for the males and 16.1% (15/93) for the females. The HL frequency was much higher in the Joseon Koreans than in their modern counterparts, reflecting the improvement of nutritional status that had been achieved in the course of South Korea's modernization. This HL-frequency decrease was much more obvious in the female populations. The higher HL frequency among the Joseon females might reflect the relatively poor nutritional condition of females in pre-modern Korean society.
Energy Intake
;
Female
;
Humans*
;
Korea*
;
Male
;
Malnutrition
;
Nutritional Status
;
Republic of Korea
;
Skeleton*
;
Social Change
;
Tibia
6.Clinical study on lipoid pneumonia caused by aspiration of squalene.
Dong Joo SHIN ; Beom Soo PARK ; Moon Sun YANG ; Heon Seok HAN ; Young Yull KOH ; Hyung Ro MOON ; Chang Yeon LEE
Journal of the Korean Pediatric Society 1991;34(5):654-661
No abstract available.
Pneumonia*
;
Squalene*
7.Balloon-Occluded Retrograde Transvenous Obliteration for Gastric Variceal Bleeding patient.
Young Hwan KIM ; Chang Kyu SEONG ; Yong Joo KIM ; Tae Beom SHIN ; Noh Hyuk PARK ; Jin Soo CHOI
Journal of the Korean Radiological Society 2003;48(3):225-233
PURPOSE: To evaluate the technical feasibility and clinical efficacy of balloon-occluded retrograde transvenous obliteration (BRTO) in the treatment of gastric variceal bleeding. MATERIALS AND METHODS: Between September 2001 and March 2002, ten patients with gastric variceal bleeding and gastrorenal shunt, underwent BRTO. Three of the ten also had hepatic encephalopathy. To evaluate the gastrorenal shunt and exclude portal vein thrombosis, all patients underwent pre-procedural CT scanning. An occlusion balloon catheter was inserted from the right internal jugular vein and on ballooning was wedged into the left adrenal vein. A sclerosing agent (5% ethanolamine oleate-lipiodol mixture) was injected until the varices were completely filled. In four patients, the collateral veins seen at balloon-occluded adrenal venography were embolized with coils prior to sclerotherapy. Post-procedural follow-up CT (n=3) or endoscopy (n=8) was performed 1-4 weeks later, and both before and after the procedure, hepatic function was also monitored. RESULTS: Treatment was successful in nine cases: the failure involed rupture of the occlusion balloon during inflation, and a transjugular intrahepatic portosystemic shunt was performed. The cessation of bleeding was confirmed endoscopically or clinically; in three patients, follow-up CT showed complete obliteration of the varices. Hepatic function improved in eight patients, but three weeks after the procedure, one expired due to progressive infiltrative hepatoma. The clinical symptoms of the three patients with hepatic encephalopathy showed remarkable improvement. CONCLUSION: Although more extensive studies and long-term follow up are needed to overcome the limitations of our study, we believe that BRTO is a technically feasible and clinically effective treatment for gastric varices and hepatic encephalopathy.
Carcinoma, Hepatocellular
;
Catheters
;
Endoscopy
;
Esophageal and Gastric Varices*
;
Ethanolamine
;
Follow-Up Studies
;
Hemorrhage
;
Hepatic Encephalopathy
;
Humans
;
Inflation, Economic
;
Jugular Veins
;
Phlebography
;
Portasystemic Shunt, Surgical
;
Rupture
;
Sclerotherapy
;
Tomography, X-Ray Computed
;
Varicose Veins
;
Veins
;
Venous Thrombosis
8.Clinical Characteristics of the Patients Who Died Despite of Low APACHE II Score after Intensive Care.
Chul Ho CHANG ; Kee Young LEE ; Sang Beom NAM ; Jin Woo BAE ; Cheung Soo SHIN
Korean Journal of Anesthesiology 2005;48(6):S34-S37
BACKGROUND: The acute physiology and chronic health evaluation (APACHE) II score is considered to be a precise predictor of mortality and a useful basic research tool. A lower APACHE II score means a better prognosis of patients, which means that these relatively low risk patients are more likely to benefit from the improved patient management than the higher predicted mortality admissions. Therefore, these patients are obvious targets for intensive care and for decreasing the level of intensive care unit (ICU) mortality. METHODS: This study reviewed the medical records of 729 patients, whose APACHE II scores on the ICU admission day were 10 or less, from June 1, 2001 to May 31, 2002 in University Hospital. The data of the patient's age, gender, disease category, first admission or readmission, APACHE II score, length of stay at the ICU and the hospital were reviewed. RESULTS: The average mortality rate of the patients who had an APACHE II score of 10 or less was 4.1%. The mortality of the cancer patients (8%) was significantly higher than the other disease groups. The mortality of the readmitted patients was significantly higher than the mortality of the patients who were admitted to the ICU for the first time. CONCLUSIONS: Among the patients in the ICU with a low APACHE II score, the mortality of cancer patients was high. The mortality of the readmitted patients was significantly higher than in those on the first admission.
APACHE*
;
Humans
;
Intensive Care Units
;
Critical Care*
;
Length of Stay
;
Medical Records
;
Mortality
;
Prognosis
9.The Initial Experience with a Single Incision Laparoscopic Appendectomy.
Jong Won KIM ; Jun Seok PARK ; In Taik CHANG ; Yoo Shin CHOI ; Hyung Jun SONG ; Beom Gyu KIM
Journal of the Korean Society of Coloproctology 2009;25(5):312-317
PURPOSE: A laparoscopic appendectomy (LA) is becoming popular for the treatment of acute and perforated appendicitis. Since it was first described, the LA has been modified many times. We present the result for a new technique of LA, in which the LA is conducted through a single umbilical incision without exteriorizing the appendix to perform the operation. METHODS: A single incision laparoscopic appendectomy was attempted in 25 patients (17 men, 8 women). Under general anesthesia, a wound retractor was inserted through the umbilicus. The appendix was grasped and dissected from surrounding tissues with a single flexible dissector or grasper. After mesenteric dissection with ultrasonic shear, the base of the appendix was ligated with an Endoloop. The appendix was withdrawn into the wound protector and extracted from the abdomen. RESULTS: A single incision laparoscopic appendectomy was completed in 25 patients. No major intraoperative or postoperative complications were encountered. The average duration of the procedure was 50.3+/-21.3 min. The average hospital stay was 4.1+/-2.4 days. CONCLUSION: This new technique, a single incision laparoscopic appendectomy, further improves the minimal invasiveness of a LA because a single incision is used. This procedure is a safe, very minimally invasive procedure with excellent cosmetic results.
Abdomen
;
Anesthesia, General
;
Appendectomy
;
Appendicitis
;
Appendix
;
Cosmetics
;
Hand Strength
;
Humans
;
Length of Stay
;
Male
;
Postoperative Complications
;
Ultrasonics
;
Umbilicus
10.Upper Thoracic Myelopathy Caused by Delayed Neck Extensor Weakness in Myotonic Dystrophy.
Han Kyeong SON ; Young Sun CHA ; Hwi SUH ; Chang Seok KI ; Yong Beom SHIN
Annals of Rehabilitation Medicine 2012;36(4):569-572
Myotonic dystrophy is the most common autosomal dominant myopathy in adults. Our patient, a 41 year-old female suffering from myotonic muscular dystrophy, developed upper thoracic myelopathy due to hypertrophy of the ligamentum flavum and the posterior longitudinal ligament. She had a typical hatchet face and ptosis with "head hanging forward" appearance caused by neck weakness. Motor weakness, sensory changes and severe pain below T4 level, along with urinary incontinence began 3 months ago. Genetic and electrodiagnostic studies revealed myotonic dystrophy type 1. Magnetic resonance imaging of the spine showed loss of cervical lordosis and spinal cord compression due to hypertrophied ligamentum flavum and posterior longitudinal ligament at T1 to T3 level. We concluded that her upper thoracic myelopathy was likely related to the thickness of the ligamentum flavum and posterior longitudinal ligament due to repetitive mechanical stress on her neck caused by neck muscle weakness with myotonic dystrophy.
Adult
;
Animals
;
Female
;
Humans
;
Hypertrophy
;
Ligamentum Flavum
;
Longitudinal Ligaments
;
Lordosis
;
Magnetic Resonance Imaging
;
Muscular Diseases
;
Muscular Dystrophies
;
Myotonic Dystrophy
;
Neck
;
Neck Muscles
;
Spinal Cord Compression
;
Spinal Cord Diseases
;
Spine
;
Stress, Mechanical
;
Stress, Psychological
;
Urinary Incontinence