1.Critical care in Emergency Department.
Sung Woo LEE ; Jeung Min JEUN ; Sung Hyuk CHOI ; Chul Gu MOON ; Yun Sik HONG
Journal of the Korean Society of Emergency Medicine 1997;8(2):172-178
STUDY OBJECT: To date, the study of critical illness in the emergency department has been limited. The purpose of this study was to determine the length of stay and procedures performed on critical care patient in ED, and to be help to establish Emergency physicians' education program. METHOD: We reviewed patient's medical record, who visited ED, Korea Univ. Hospital from Jan. 1996 to Jun. 1996 and admitted to ICU. We analyzed data to age, sex, clinical diagnosis, length of stay, and critical procedures in ED. RESULTS: The 12,721 patients visited ED during the study period, the 441 of 12,721 (3.50%) patients admitted to ICU. 56 patients were excluded whose medical re cords were incomplete. The study populations consisted of 165 women and 220 men. The mean age were 52 year old (median,58 year old). The mean length of stays were 606.1 (1445.9 minutes (median, 180 minutes)). One hundred sixty one of these patients (41.8 %) received one or more critical procedures. The medical critical patients were 252 cases, and surgical critical patients were 133 cases. The mean length of stay of medical critical patients was 738.8 (1748.9 minutes (median, 177.5 minutes)) in medical department,44.0% of them received critical procedures in ED. The surgical critical patients averaged 354.9 (410.7 minutes (median, 190 minutes)) and 37.6% received critical procedures. CONCLUSION: Critical ill patients stay in the ED with a substantial amount of time, before addition to the ICU. Critical ill patients who have hemodynamiccal unstable conditions, compromised cardiopulmonary functions, and neurologic deficities, were managed in ED frequently. Typical critical care procedures are commonly performed by emergency physicians. Therefore, it is important for emergency physician to prepare to critical ill patients.
Critical Care*
;
Critical Illness
;
Diagnosis
;
Education
;
Emergencies*
;
Emergency Service, Hospital*
;
Female
;
Humans
;
Korea
;
Length of Stay
;
Male
;
Medical Records
;
Middle Aged
2.Malignant Synovioma: Report of a case
Chung O KIM ; Myung Chul YOU ; Woo Gu ZEONG ; Moon Ho YANG
The Journal of the Korean Orthopaedic Association 1973;8(4):398-400
A case of malignant synovioma of the right knee joint is presented. Microscopically it showed sarcomatous growth of spindle cells and irregular slit spaces which were lined by tumor cells. A–K amputation has carried out on 10th hospital day and discharged on 30th hospital day without any complications.
Amputation
;
Knee Joint
;
Sarcoma, Synovial
3.A Case of Eosinophilic Granuloma
Mun Seok ZEONG ; Myung Chul YOU ; Woo Gu ZEONG ; Moon Ho YANG
The Journal of the Korean Orthopaedic Association 1973;8(4):375-378
A case of eosinophilic granuloma in 38-year-old male was reported. The patient was admitted with chief complaints of pain on the left thigh, tenderness and limping associated with localized swelling on upper 1/3 of left thigh. The diagnosis was confirmed by radiological evidence and biopsy findings. This case was healed completely by curettage. The review of literature was made briefly.
Adult
;
Biopsy
;
Curettage
;
Diagnosis
;
Eosinophilic Granuloma
;
Eosinophils
;
Humans
;
Male
;
Thigh
4.A Combination of 23-gauge and 20-gauge Transconjunctival Sutureless Vitrectomy.
Sun Young JIN ; Moon Jeong CHOI ; Chul Gu KIM ; Jong Woo KIM
Journal of the Korean Ophthalmological Society 2008;49(1):65-70
PURPOSE: To describe the clinical experience and safety profile of a combination of 23-gauge and 20-gauge transconjunctival sutureless vitrectomy (TSV) METHODS: Thirty-seven eyes of thirty-seven consecutive patients who underwent 23-gauge combined with 20-gauge transconjunctival vitrectomy surgery by a single surgeon from August 2006 through December 2006 were reviewed retrospectively for surgical indications, wound problems, and postoperative complications. RESULTS: Thirty-seven eyes, including eyes with proliferative diabetic retinopathy (n=24), macular hole (n=3), epiretinal membrane (n=3), vitreous hemorrhage due to branch retinal vein occlusion and choroidal neovascular membrane (n=3), vitreous opacity secondary to uveitis (n=1), rhegmatogenous retinal detachment (n=1), and vitreoretinal traction syndrome (n=1), underwent operation. Seven eyes at 23-gauge sclerotomy sites and 15 eyes at 20-gauge sclerotomy sites had subconjunctival hemorrhage. Three eyes required sutures at 20-gauge sclerotomy sites intraoperatively due to wound leakage. One wound hemorrhage occurred at a 23-guage sclerotomy site. Vitreous hemorrhage (4 eyes), hyphema (2 eyes), and vitreous hemorrhage with hyphema (1 eye) occurred postoperatively. Postoperative hypotony, retinal detachment, and other complications did not occur. CONCLUSIONS: A combination of 23-gauge and 20-gauge transconjunctival sutureless vitrectomy which was created by modifying transconjunctival sutureless vitrectomy systems published previously guarded against sclerotomy wounds and a variety of vitreoretinal surgical indications.
Choroid
;
Diabetic Retinopathy
;
Epiretinal Membrane
;
Eye
;
Hemorrhage
;
Humans
;
Hyphema
;
Membranes
;
Retinal Detachment
;
Retinal Perforations
;
Retinal Vein Occlusion
;
Retrospective Studies
;
Sutures
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Traction
;
Uveitis
;
Vitrectomy
;
Vitreous Hemorrhage
5.Transvaginal Doppler Ultrasonography of Uterine Intraendometrial and Intramyometrial Arteries as a Predictor of Pregnancy after In Vitro Fertilization and Embryo Transfer.
Shin Yong MOON ; Young Min CHOI ; Seok Hyun KIM ; Chang Suk SUH ; Jin Yong LEE ; Jung Gu KIM ; Jae Hee KWON ; Byung Chul JEE
Korean Journal of Obstetrics and Gynecology 1999;42(1):109-118
OBJECTIVE: This study was performed to assess whether uterine intraendometrial or intramyometrial arterial blood flow impedance in Doppler sonography is related to the outcomes of IVF-ET cycles. METHODS: A total of 24 patients undergoing IVF-ET was recruited for the study. All patients received controlled ovarian hyperstimulation(COH) with GnRH agonist and gonadotropins. Doppler sonographic examinations were performed by using Combison 530(Medison) with 5.5 MHz transvaginal probe. Pulsatility index(PI) was evaluated for uterine, radial, and spiral arteries on the days of hCG administration, oocyte retrieval, and embryo transfer(ET). Serum E2 level was assayed on the hCG day. RESULTS: The overall pregnancy rate after IVF-ET was 29.2%(7/24). There was no significant difference in PI of uterine artery between pregnant and nonpregnant groups, No pregnancy occurred in 4(16.7%) patients without intraendometrial or subendometrial blood flow. Compared with nonpregnant group, PI of radial artery on the hCG day and PI of spiral artery on the hCG and oocyte retrieval days were significantly lower in pregnant group. There were no significant correlations between Serum E level on the hCG day and Pl of any three arteries. CONCLUSION: This study suggests that the Doppler sonographic parameter, PI, of intraendometrial and intramyometrial arteries are more useful than that of uterine artery not only in predicting the success of IVF-ET, but also in assessing the endometrial receptivity.
Arteries*
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Electric Impedance
;
Embryo Transfer*
;
Embryonic Structures*
;
Fertilization in Vitro*
;
Gonadotropin-Releasing Hormone
;
Gonadotropins
;
Humans
;
Oocyte Retrieval
;
Pregnancy Rate
;
Pregnancy*
;
Radial Artery
;
Serum
;
Ultrasonography
;
Ultrasonography, Doppler*
;
Uterine Artery
6.Non-association Between Polymorphisms of the Frizzled Receptor Genes and Bone Mineral Density in Postmenopausal Korean Women.
Jung Gu KIM ; Hoon KIM ; Byung Chul JEE ; Chang Suk SUH ; Young Min CHOI ; Shin Yong MOON
Journal of Korean Medical Science 2009;24(3):443-447
We investigated the association between single nucleotide polymorphisms (SNPs) in the frizzled (FZD) genes in the Wnt signal pathway and circulating osteoprotegerin (OPG), soluble receptor activator of NF-kappaB ligand (sRANKL) levels, bone turnover markers, and bone mineral density (BMD) in postmenopausal women. The SNPs in the FZD1, FZD5, FZD6, FZD7, and FZD9 genes were analyzed by direct sequencing in 371 postmenopausal Korean women. Levels of serum OPG, sRANKL, osteocalcin, C-telopeptide of type I collagen, calcium, parathyroid hormone and calcitonin, and BMD at the lumbar spine and femoral neck were measured. The SNPs in the FZD1, FZD5, FZD7, and FZD9 genes, and in exon 2 of the FZD6 gene were not observed. No significant differences in the adjusted BMD of lumbar spine and femoral neck and serum levels of OPG, sRANKL, and bone markers were noted among the single or haplotype genotypes of the L345M and E664A SNPs in the FZD6 gene and the distributions of these single or haplotype genotypes were not different according to the bone mass status. In conclusion, the polymorphisms of the FZD genes are not associated with BMD of the lumbar spine and femoral neck, bone turnover markers, or circulating OPG-sRANKL in Korean women.
Alleles
;
Asian Continental Ancestry Group/*genetics
;
Child
;
Child, Preschool
;
Female
;
Gene Frequency
;
Genotype
;
Humans
;
Infant
;
Interleukin-10/blood/*genetics
;
Male
;
Mucocutaneous Lymph Node Syndrome/diagnosis/*genetics
;
Polymorphism, Genetic
;
Promoter Regions, Genetic
;
Taiwan
7.Non-association Between Polymorphisms of the Frizzled Receptor Genes and Bone Mineral Density in Postmenopausal Korean Women.
Jung Gu KIM ; Hoon KIM ; Byung Chul JEE ; Chang Suk SUH ; Young Min CHOI ; Shin Yong MOON
Journal of Korean Medical Science 2009;24(3):443-447
We investigated the association between single nucleotide polymorphisms (SNPs) in the frizzled (FZD) genes in the Wnt signal pathway and circulating osteoprotegerin (OPG), soluble receptor activator of NF-kappaB ligand (sRANKL) levels, bone turnover markers, and bone mineral density (BMD) in postmenopausal women. The SNPs in the FZD1, FZD5, FZD6, FZD7, and FZD9 genes were analyzed by direct sequencing in 371 postmenopausal Korean women. Levels of serum OPG, sRANKL, osteocalcin, C-telopeptide of type I collagen, calcium, parathyroid hormone and calcitonin, and BMD at the lumbar spine and femoral neck were measured. The SNPs in the FZD1, FZD5, FZD7, and FZD9 genes, and in exon 2 of the FZD6 gene were not observed. No significant differences in the adjusted BMD of lumbar spine and femoral neck and serum levels of OPG, sRANKL, and bone markers were noted among the single or haplotype genotypes of the L345M and E664A SNPs in the FZD6 gene and the distributions of these single or haplotype genotypes were not different according to the bone mass status. In conclusion, the polymorphisms of the FZD genes are not associated with BMD of the lumbar spine and femoral neck, bone turnover markers, or circulating OPG-sRANKL in Korean women.
Alleles
;
Asian Continental Ancestry Group/*genetics
;
Child
;
Child, Preschool
;
Female
;
Gene Frequency
;
Genotype
;
Humans
;
Infant
;
Interleukin-10/blood/*genetics
;
Male
;
Mucocutaneous Lymph Node Syndrome/diagnosis/*genetics
;
Polymorphism, Genetic
;
Promoter Regions, Genetic
;
Taiwan
8.Clinical Significance of Endometrial Thickness and Pattern in Ovum Donation and Cryopreserved - Thawed Embryo Transfer Program.
Shin Yong MOON ; Young Min CHOI ; Seok Hyun KIM ; Chang Suk SUH ; Jin Yong LEE ; Jung Gu KIM ; Byung Chul JEE ; Seo Yeong PARK
Korean Journal of Obstetrics and Gynecology 1999;42(2):287-295
OBJECTIVE: To investigate the clinical significance of endometrial thickness and pattan as a predictor of successful implantation of embryos in ovum donation and cryopreserved-thawed embryo transfer program. METHODS: From January, 1996 to March, 1998, 31 cycles of ovum donation and 31 cycles of cryopreserved-thawed embryo transfer were enrolled in this prospective study. Endometrial thickness was measured three times: prior to progesterone administration (P), 1 day and 3 days after P. In cryopreserved-thawed embryo transfer cycles, the measurement at 1 day after P was omitted. Endometrial pattern was observed prior to progesterone, and was considered meaningful when a multi-layered triple-line was seen with prominent outer and central hyperchogenic lines and inner hypoechogenic regions. RESULTS: There were no differences in embryo quality, dose or duration of estrogen, and endometrial thickness or pattern between conception and non-conception cycles in both ovum donation and cryapreserved-thawed embryo transfer pmgram. In ovum donation cycles, no cortelation was observed between estrogen dose and endometrial thickness or pattern. In cryopreserved-thawed embryo transfer cycles, total estrogen dose and endometral thickness at 3 days after P has a inverse correlation, and estrogen dose over 4.3 mg per day can predict expression of a multi-layered triple-line pattern, CONCLUSION: Endometrial thickness or pattern. cannot predict a successful implantaion of embryos in both ovum donation and cryopreserved-thawed embryo transfer cycles.
Embryo Transfer*
;
Embryonic Structures*
;
Estrogens
;
Fertilization
;
Oocyte Donation*
;
Ovum*
;
Progesterone
;
Prospective Studies
9.Problems in the Treatment of Patients with Ankylosing Spondylitis.
Kwan Ho PARK ; Dae Whan KIM ; In Whan KIM ; Dong Rho HAN ; Moon Tae LEE ; Sang Gu LEE ; Jung Chul KIM
Journal of Korean Neurosurgical Society 1995;24(8):924-932
The characteristic pathological lesions in ankylosing spondylitis are vertebral body osteoporosis, ankylosis of the apophyseal joints, intervertebral disc calcification, and ligamentous ossification. Calcification of the annulus fibrosis reduces the movement and elasticity of the intervertebral disc, causing this point to be the site of least resistance when the spine is subjected to trauma. The rigid spine may secondarily develop osteoporosis, further increasing the risk of spinal fracture. The ligamentous fragility and multiple fused vertebral segments cause the fractured ankylosing spondylitic spine to resemble a long-bone fracture. In ankylosing spondylitis patient who have sustained minor trauma, a complete radiological study of the entire spine and not just the symptomatic region must be performed for an accurate diagnosis, so that any fracture possible along the spine can be detected and thus prevent any medicolegal problems. The authors report 4 cases of ankylosing spondylitis including 2 cases with severe neurological abnormalities that had occurred after minor trauma.
Ankylosis
;
Diagnosis
;
Elasticity
;
Fibrosis
;
Humans
;
Intervertebral Disc
;
Joints
;
Ligaments
;
Osteoporosis
;
Spinal Fractures
;
Spine
;
Spondylitis, Ankylosing*
10.Pregnancy Outcomes after Transvaginal Selective Fetal Reduction in Multifetal Pregnancy.
Seok Hyun KIM ; Sang Soo SEO ; Kyung Sil LIM ; Byung Chul JEE ; Chang Suk SUH ; Young Min CHOI ; Jung Gu KIM ; Shin Yong MOON ; Jin Yong LEE
Korean Journal of Obstetrics and Gynecology 2000;43(2):228-236
OBJECTIVE: To evaluate the maternal and fetal outcomes after transvaginal selective fetal reduction(SFR) in multifetal pregnancy. MATERIALS AND METHODS: Transvaginal SFR using fetal intracardiac puncture with KCl injection and aspiration of amniotic fluid was performed in 58 multifetal pregnancies achieved after assisted reproductive technology(ART). After transvaginal SFR, 55 twin and 3 singleton pregnancies were evaluated and analyzed retrospectively with the medical records of mothers and babies. RESULTS: Of 58 cases, abortion within 4 weeks after SFR occurred in 1 case(1.7%). Miscarriage of all fetuses occurred in 8 cases(13.8%) from 4 weeks after SFR until 24 weeks of gestation. Perinatal death occurred in 8 newborns from 5 mothers due to extreme prematurity in 7 cases and anencephaly in 1 case. Take-home baby rate, that is, discharge with at least 1 healthy baby, was 77.6%(45/58). CONCLUSION: Transvaginal SFR is an acceptable and effective management option in the cases of excessive multifetal pregnancy after infertility treatment. The ultimate successful outcomes of reduced multifetal pregnancy may be enhanced by more extensive experience with SFR.
Abortion, Spontaneous
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Amniotic Fluid
;
Anencephaly
;
Female
;
Fetus
;
Humans
;
Infant, Newborn
;
Infertility
;
Medical Records
;
Mothers
;
Pregnancy
;
Pregnancy Outcome*
;
Pregnancy Reduction, Multifetal*
;
Pregnancy*
;
Punctures
;
Retrospective Studies