1.Pain on Injection of Propofol: Comparison of the Methods of Alleviation.
Dong Hyun KIM ; Soo Won OH ; Gill Hoi KOO
Korean Journal of Anesthesiology 1997;33(3):436-440
BACKGROUND: Various kinds of methods had been tried to reduce pain on injection of propofol. In this study, the effect of lidocaine pretreatment and that of temperature controlled injections were compared and evaluated its clinical utility. METHODS: One hundred and twenty patients were randomly allocated into 4 groups after permission. Room temperature propofol was used as induction agent in group P,. In group C, cooling (4 degrees C) propofol was used and warming propofol (37 degrees C) in group H. And room temperature propofol following lidocaine (1 mg/kg) was used in group L. Injection dosage of propofol was 2 mg/kg and injection speed was 2 ml/sec in all groups. In each patients, pain score and visual analog scale were measured and tested by ANOVA or Kruskal-Wallis test. RESULTS: There were no statistical significant difference in pain score among the 4 groups. But in visual analog scale analysis, group L markedly reduced values than the other groups by statistically significant manner (in Duncan grouping). CONCLUSION: The alleviating effect of lidocaine pretreatment on painful injection was better than that of changing temperature of propofol itself. More over effectiveness, in view of simplicity, we recommend lidocaine pretreatment.
Humans
;
Lidocaine
;
Propofol*
;
Visual Analog Scale
2.Embryonic Stem Cell.
Berm Seok OH ; Dong Ho CHOI ; Seung Hyun JEE
Journal of Korean Society of Endocrinology 2001;16(6):584-595
No abstract available.
Embryonic Stem Cells*
3.The frequencies of unexpected antibodies in transfusion candidates and selection of cross-matching method.
Hyun Ok KIM ; Dong Il WON ; Oh Hun KWON
Korean Journal of Blood Transfusion 1993;4(1):35-41
No abstract available.
Antibodies*
4.Relationship of Androgen Receptor and p53 Protein Expession to HormonalTherapy in Advanced Prostatic Cancer.
Joo Sung KIM ; Kil Hyun OH ; Dong Soo PARK
Korean Journal of Urology 2000;41(4):486-491
No abstract available.
Prostatic Neoplasms*
;
Receptors, Androgen*
5.Spontaneous Rectus Sheath Hematoma with Hypovolemic Shock.
Sang Hyun PARK ; Dong Rul OH ; Hyung Kook KIM ; Se Kyung KIM ; Seung Hyun PARK
Journal of the Korean Society of Emergency Medicine 2000;11(4):586-591
Rectus sheath hematoma of the abdominal wall is a well-recognized, but uncommon condition, caused by a tear in an epigastric vessel and characterized by sudden onset of severe abdominal pain and palpable mass. In most cases, a precipitating cause can be demonstrated. Causes include external trauma, strenuous activities, coughing, lifting, sneezing, vomiting, straining while urinating or defecating, golfing, pregnancy and the puerperium, anticoagulation therapy, infection, chronic diesase, arteriosclerosis, hypertension, prior paracentesis or laparotomy, inadequate hemostasis or excessive retraction in surgery, and idiopathy. Unfortunately, the correct diagnosis often is missed, and the hematoma is found only during an exploratory laparotomy. Treatment should be conservative in most instances. Although the mortality rate for patients with rectus sheath hematoma is low, the condition may be fatal if the volume of the hemorrhage is large and if treatment is delayed. Hence, it should be included in the differential diagnosis of any patient who presents to the emergency department with acute onset of abdominal pain. Our purpose is to familiarlize emergency physicians with the pathophysiology, the diagnosis, and the treatment of rectus sheath hematoma. We describe a patient with fatal rectus sheath hematoma presenting to the emergency department and give a review of the literature.
Abdominal Pain
;
Abdominal Wall
;
Arteriosclerosis
;
Cough
;
Diagnosis
;
Diagnosis, Differential
;
Emergencies
;
Emergency Service, Hospital
;
Golf
;
Hematoma*
;
Hemorrhage
;
Hemostasis
;
Humans
;
Hypertension
;
Hypovolemia*
;
Laparotomy
;
Lifting
;
Mortality
;
Paracentesis
;
Postpartum Period
;
Pregnancy
;
Shock*
;
Sneezing
;
Vomiting
6.A Case of Leflunomide Induced Vasculitis.
Kyu LEE ; Dong Gyu KIM ; Ji Hyun OH ; Dong Il LEE ; Choong Won LEE
The Journal of the Korean Rheumatism Association 2004;11(4):459-460
No abstract available.
Vasculitis*
7.A study on influence of korea medical insurance and health care delivery system to family practice inpatient care.
Dong Yoon KO ; Hyun Dong YOO ; Young Gyu PARK ; Jung Yul OH ; Myung Ho HONG
Journal of the Korean Academy of Family Medicine 1993;14(4):265-270
No abstract available.
Delivery of Health Care*
;
Family Practice*
;
Humans
;
Inpatients*
;
Insurance*
;
Korea*
8.Evaluation of proximal contact strength by postural changes.
Hee Sun KIM ; Hyun Joon NA ; Hee Jung KIM ; Dong Wan KANG ; Sang Ho OH
The Journal of Advanced Prosthodontics 2009;1(3):118-123
STATEMENT OF PROBLEM: Proper proximal contact is important for maintaining and stabilizing the dental arch. However, the proximal contact strength (PCS) is not a constant value and can be affected by a variety of factors. PURPOSE: This study examined the influences of postural changes on the posterior PCS. MATERIAL AND METHODS: Twelve adults with a normal occlusion and had not undergone prosthetic treatment or proximal restoration were participated in this study. A metal strip was inserted into the proximal surface and removed at a constant velocity. The contact strength was measured in every contact point between canine to second molar in both arches. The PCSs were obtained initially in the upright position, secondly in the supine position and finally in the upright position again. All measurements were repeated after a 2 hour period. Statistical analysis was carried out using the Friedman test (P < .05). RESULTS: Generally, a decrease in PCS occurred when the posture was changed from the initial upright to supine position, while it increased when the posture was changed from the supine to upright position. A significant change was observed in all areas except for between the canine-first premolar in the maxilla and between the first molarsecond molar in the mandible areas. CONCLUSION: The posterior PCS, which dentists generally believe to be a static feature of occlusion, is affected significantly by posture.
Adult
;
Bicuspid
;
Dental Arch
;
Dentists
;
Humans
;
Mandible
;
Maxilla
;
Molar
;
Posture
;
Supine Position
9.Familial Lichen Planus.
Hyo Hyun AHN ; Dong Jun KIM ; Kil Ju LEE ; Hae Jun SONG ; Chil Hwan OH
Korean Journal of Dermatology 1998;36(3):473-476
Familial lichen planus is an uncommon disease, and there are 104 cases reported in the English literature. Several theories regarding the etiopathogenesis of lichen planus have been proposed. However, immunological mechanisms and genetic susceptibility have been emphasized the most. Several reports showed HLA analysis in lichen planus patients, and recently 2 cases have revealed an increased frequency of DR1 antigen in patients with lichen planus compared to a control group. We observed two brothers with typical skin lesions of lichen planus of almost simultaneous onset. We confirmed lichen planus by skin biopsies in both brothers and analyzed HLA typing. We also observed the occurrence of DR1 antigen in both of them.
Biopsy
;
Genetic Predisposition to Disease
;
Histocompatibility Testing
;
Humans
;
Lichen Planus*
;
Lichens*
;
Siblings
;
Skin
10.A Case of Disseminated Candidiasis with Skin Manifestations.
Ho Youn JO ; Dong Jun KIM ; Hyun Chul CHOI ; Chil Hwan OH
Korean Journal of Dermatology 1995;33(4):784-788
Candidiasis is the most common fungal infection complicating the course of patients with hematologic malignant neoplasms. Although widespread organ involvement is characteristic of disseminated candidiasis, reports of skin are rare. Reports describing typical clinical and histopathological finding of cutaneous lesions are very important since it may enable a diagnosis of disseminated candidiasis to be made and thus antifungal therapy can be initiated earlier. A 50-year-old housewife was admitted with a 5-month history of fatigue and easy bruising. She was diagnosed as ha.ving acute myelocytic leukemia and treatment was begun with daunorubicin and cytosin, arabinoside. Eight days after the start of chemotherapy, she developed a fever and generalized tender well demacated erythematous to purplish papulonodular eruption. A biopsy specimen from the skin lesion showed perivascular mononuclear cell infiltration and spore and pseudohypae v,rere found within the dermis and subcutis in PAS stain. Cultures of one skin biopsy specimen and one of four blood sarnples grew Candida tropicalis. The patient was treated with intravenous amphotericin B for disseminated candidiasis. On the tenth day of antifun gal therapy, she developed cardiopulmonary arrest and died.
Amphotericin B
;
Biopsy
;
Candida tropicalis
;
Candidiasis*
;
Daunorubicin
;
Dermis
;
Diagnosis
;
Drug Therapy
;
Fatigue
;
Fever
;
Heart Arrest
;
Humans
;
Leukemia, Myeloid, Acute
;
Middle Aged
;
Skin Manifestations*
;
Skin*
;
Spores