1.PREVENTION OF POSTOPERATIVE SWELLING AND PAIN BY DEXAMETHASONE AFTER OPERATIVE REMVOVAL OF IMPACTED THIRD MOLARS WITH BONE REDUCTION.
Deog Hyeong CHOI ; Ho Kyun CHUNG
Journal of the Korean Association of Oral and Maxillofacial Surgeons 1997;23(3):535-540
The purpose of the present placebo-controlled double-blind study was to investigate the preventive effect of 5mg dexamethasone on swelling, trismus, and pain after removal of impacted mandibular third molars with bone reduction. The participants were consisted of 20 healthy individuals(9 male, 11 female) with bilaterally symmetrical impacted mandibular third molars. Each patient served as his own control. Immediately after removal of impacted teeth, either 5mg dexamethasone or normal saline was injected intramuscularly. On the first day, 2nd day, and 7th day after operation, facial swelling, trismus, and pain were evaluated. On the first day, the difference in the volumetric change of facial swelling was 45% (p<0.05) as measured by Holland's nine pointers facebow. The trismus was reduced by 28% (p<0.01) in test froup. Pain assessed with Visualanaloguescale(VAS) was reduced by 33% (p<0.001) by dexamethasone. It can be concluded that sterokd treatment is recommended in third molar surgery when pronounced postoperative swelling, trismus, and pain are expected.
Dexamethasone*
;
Double-Blind Method
;
Humans
;
Male
;
Molar, Third*
;
Tooth, Impacted
;
Trismus
2.Flow Cytometric DNA Content Analysis in uterine Cervical Cancer.
Korean Journal of Gynecologic Oncology and Colposcopy 1994;5(3):49-53
The DNA ploidy using fresh tissues from 304 cervial cancer were analyzed by flow cytometry in order to evaluate the correlation between DNA ploidy patterns and prognostic factors of uterine cervical cancer. There were l67 diploid cases(55%) and 137 aneuploid(45%). No significant correlation was noted in stage, age and lymph node metastases between diploid and aneuploid tumor. But S-phase fraction and DNA index were higher slightly in cases of lymph node metastases cornpaired to non-metastases. This results suggest that the DNA ploidy cannot be used as an independent prognostic fac- tor, but further evaluation will be needed in order to conclude definite relationship between prognoseic factor and S-phase fraction or DNA index.
Aneuploidy
;
Diploidy
;
DNA*
;
Flow Cytometry
;
Lymph Nodes
;
Neoplasm Metastasis
;
Ploidies
;
Uterine Cervical Neoplasms*
4.A New Classification of Polydactyly and It s Application to the Treatment
Moon Sang CHUNG ; In Ho CHOI ; Soo Ho LEE
The Journal of the Korean Orthopaedic Association 1984;19(1):23-32
No abstract available in English.
Classification
;
Polydactyly
5.Photoplethysmographic Assessment of Blood Flow after Reanstomosis of the Femoral Artery in Rabbits
Duk Yong LEE ; Moon Sang CHUNG ; In Ho CHOI ; Phil Hyun CHUNG ; Chin Youb CHUNG
The Journal of the Korean Orthopaedic Association 1987;22(1):1-13
Photoplethysmography(PPG) employs an infrared light-emitting diode to transmit light into the skin noninvasively. Light reflected from blood cells is received by a photocell or phototrotransistor which permits recording of the pulsatile cutaneous microcirculation. The use of PPG for vascular measurements in extremities is not new. Since Hertzmann, in 1938, first described the technique to measure skin blood flow, a few investigators have used PPG for clinical application. However, experimental reports on the photoplethysmographic assessment of blood flow after arterial reanastomosis are rare. We assessed the changes of blood flow after reanastomosis of the femoral artery in rabbits using photoplethysmography. We divided 20 rabbits into 3 experimental groups. In Group I, the femoral artery was surgically exposed and clamped for 60 minutes. In Group II, the femoral artery was surgically exposed and clamped, as in Group I, and then severed and anastomosed crudely in order to creat thrombus formation. In Group IU, the femoral artery was prepared as Group II and then anastomosed carefully to ensure patency. Blood flow was measured by photoplethysmography on the anteromedial aspect of the right hind leg, every 15 minutes for the fisrt 2 hours, at the 3rd day, I week, and II weeks post-operatively. The following results were obtained l. After the removal of vascular clamp, the mean time for the pulse wave to return to normal form was 63±24.0 minutes in Group I and 63±18.7 minutes in Group III. There was no statistically significant difference beween the two groups. When the wave form was normalized, it remained so continuously. 2. After the removal of vascular clamp, the mean time for the wave amplitude to return to normal was 108±11.2 minutes in Group I and 102±16.4 minutes in Group III. There was no statistically significant difference between the two groups. 3. The thrombosis which obstructed blood flow was formed within the first 60 minutes(mean time: 49±12.4 minutes) in all the animals in Group II. When the thrombosis was formed, it was readily detected by the change of wave form and by decrease in amplitude. 4. It is concluded from this experiments the changes of blood flow after reanastomosis of the femoral artery in rabbits were accurately assessed by PPG. It is suggested that PPG can be used clinically in monitoring blood flow after arterial reanastomosis.
Animals
;
Blood Cells
;
Extremities
;
Femoral Artery
;
Humans
;
Leg
;
Microcirculation
;
Photoplethysmography
;
Rabbits
;
Research Personnel
;
Skin
;
Thrombosis
6.A Case of Acute Rhenmatic Fever Associated with Acute Poststreptococcal Glomerulonepheitis.
Ho Kyung CHOI ; Dong Seok CHOI ; Jae Ho LEE ; Young Hun CHUNG ; Hyon Soon LEE
Journal of the Korean Pediatric Society 1989;32(12):1744-1748
No abstract available.
Fever*
7.Gender Differences of Susceptibility to Lung Cancer According to Smoking Habits.
Chung Kyoung CHOI ; Kyeong Cheol SHIN ; Kwan Ho LEE
Tuberculosis and Respiratory Diseases 2000;49(5):576-584
BACKGROUND: With the increase of cigarette consumption by women and the young, the incidence of lung cancer is expected to increase during the next three or four decades in Korea. The purpose of this study was to analyze the smoking habits in patients with lung cancer and to identify the gender differences in terms of their susceptibility to cigarette related carcinogens. METHODS: This investigation was a hospital-based case control study, which included the data of 178 case subjects(72 females, 106 males) with lung cancer and 218 control subjects(97 females, 121 males) with diseases unrelated to smoking. The information was obtained through a direct personal interview and a questionnaire related to personal smoking history. RESULTS: The relative frequency of the squamous cell carcinoma was substantially higher in males than in females(61.3% in males, and 29.2% in females), while adenocarcinoma including bronchoalveolar cell carcinoma was higher in females(31.9% in females, 18.9% in males). Keryberg Ilung cancer was of relatively higher frequencies in males and smokers. while Kreyberg IIlung cancer was higher in females and never smokers. The odds ratios(ORs) at each exposure level were consistently higher in females than males. For all cell types, the risk of lung cancer was increased with the quantity of smoked cigarettes, duration of smoking, and depth of inhalation. Odds ratio was distinctly higher in Kreyberg Ilung cancer than in total lung cancer and a steeper gradient of risk with increased smoking was observed in females. CONCLUSION: The ralative risk for lung cancer was consistently higher in females than in males at every level of exposure to cigarette smoke. This is believed to be due to the higher susceptibility of females to tabacco carcinogens, such as gender associated differences of carcinogen activation and/or the elimination of smoking related metabolites.
Adenocarcinoma
;
Carcinogens
;
Carcinoma, Squamous Cell
;
Case-Control Studies
;
Female
;
Humans
;
Incidence
;
Inhalation
;
Korea
;
Lung Neoplasms*
;
Lung*
;
Male
;
Odds Ratio
;
Smoke*
;
Smoking*
;
Tobacco Products
8.A Case of Malignagr Lymphoma.
Young Ja CHOI ; Ho Suk SUNG ; Tae An CHUNG
Korean Journal of Dermatology 1979;17(2):143-147
A 28-year-old male patient is described who developed multiple erythematous nodules and papules on the face, upper chest, back, upper and lower extrimities, leading to extensive ia.filtration of the skin and lymph nodes. Histology from the involved lymph node and skin nodule revealed widely scattered patchy infiltration of abnormal. hyperchromatic polymorphous histiocytes in the dermis. The patient died at about 8 months after onset of the disease, in spite of antineoplastic treatment.
Adult
;
Dermis
;
Histiocytes
;
Humans
;
Lymph Nodes
;
Lymphoma*
;
Male
;
Skin
;
Thorax
9.Reading Agreement of Pneumoconiosis on Simple Chest Films.
Byung Soon CHOI ; Jung Gi IM ; Ho Keun CHUNG
Korean Journal of Occupational and Environmental Medicine 1997;9(3):411-429
No abstract available.
Pneumoconiosis*
;
Thorax*
10.Expression of bcl-2 and p53 Protein, and Apoptosis in Transitional Cell Carcinoma of the Bladder.
Myoung Ja CHUNG ; Sang Su KIM ; Ho Yeul CHOI
Korean Journal of Pathology 2000;34(8):567-573
This study examined the expression of the bcl-2 protein in 59 cases of transitional cell carcinomas (TCCs) of the bladder and evaluated the relationship of bcl-2 and p53 with apoptosis. The cases were divided into 41 low-grade TCCs, 18 high-grade TCCs, 32 superficial TCCs, and 27 invasive TCCs. p53 and bcl-2 protein were detected by the immunohistochemical method and apoptosis was analysed by using hematoxylin-eosin stained slide. The results were as follows: bcl-2 protein was detected in 8 (14%) TCCs and all of these cases were low grade TCCs. Expression of bcl-2 protein was not correlated with clinical stage. There was no correlation between bcl-2 and p53 protein. According to the immunohistochemical results of bcl-2 and p53 protein, the cases were divided 4 groups. Apoptotic index (AI) was higher in p53 positive/ bcl-2 negative group than other groups but the significance was recognized only between p53 positive/bcl-2 negative group and p53 negative/bcl-2 negative group (p<0.05). p53 protein was detected in 20 (36%) TCCs and its expression was correlated positively with histologic grade and clinical stage (p<0.05). AI correlated positively with histologic grade and clinical stage (p<0.01). These data indicate that overexpression of bcl-2 protein is rare in TCC of the bladder and associated with low grade TCCs. Overexpression of p53 is associated with the tumor progression in the TCCs. AI correlates with p53 positivity but does not correlate with bcl-2 positivity.
Apoptosis*
;
Carcinoma, Transitional Cell*
;
Urinary Bladder*