1.Prognostic Indicators in Tibial Shaft Fractures ; Serum Creatine Kinase Acticity
Sae Dong KIM ; Kwang Young JUNG
The Journal of the Korean Orthopaedic Association 1995;30(4):1016-1020
Serum creatine phosphokinase(CPK) levels were measured serially in 20 adults with closed tibial shaft fractures, CPK activity increased significantly after fracture(p < 0.01). High energy and delayed healing fractures had significantly higher levels of CPK than low energy and normally healing fractures, respectively. Thus, CPK determinations could be used to assess the severity of trauma and possible prognosis of the healing in tibial shaft fractures.
Adult
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Creatine Kinase
;
Creatine
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Humans
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Prognosis
2.Family's burden of psychotic in-patient.
Jung Sik LEE ; Kwang Iel KIM ; Dong Yul OH
Journal of Korean Neuropsychiatric Association 1991;30(3):517-531
No abstract available.
3.Treatment of tibial fractures by interlocking intramedullary nailing.
Kwang Yeoung JUNG ; Dong Chul LEE ; Jae Sung SUH ; Se Dong KIM
Yeungnam University Journal of Medicine 1993;10(2):388-399
The adequate treatment of tibia fracture is one of the most difficult due to severe commiuntion, open wound, delayed union, angulation deformity and infection. We treated 38 fractures of the tibia by Interlocking intramedullary nail from Feb. 1983 to Mar. 1993. 35 cases of the tibia fracture were fresh, 13 cases of fracture were open. The other 3 cases were delayed union and nonunion. The Mean follow-up was 14.0 months. The results were as followings. 1. Of the 38 fractures, 37 fractures united and the mean union time was 18.7 weeks. 2. Interlocking intramedullary nail could be used to the majority of fractures of the proximal & distal tibia shaft. fractures. 3. The Im erlocking nail had rigid rotational stability and was appropriate for the treatment in severe unstable fractures, commninution and open-with bone loss. 4. Delayed union or nonunion was a good indication for intramedullary nailling. 5. The major-complication were valgus deformity of 2 cases, varus deformity of 1 case, 1 case deep infection. 6. Interlocking intramedullary nailing provided rigid fixation of . fracture and then made early joint motion exercise and ambulation.
Congenital Abnormalities
;
Follow-Up Studies
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Fracture Fixation, Intramedullary*
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Joints
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Tibia
;
Tibial Fractures*
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Walking
;
Wounds and Injuries
4.A Clinical Study of closed Flexible IM Nail for Fractures of Distal one
Hyung Ku YOON ; Kwang Pyo JEON ; Kuk Hwan OH ; Dong Jun KIM ; Ki Dong JUNG
The Journal of the Korean Orthopaedic Association 1990;25(5):1310-1316
Fractures of the tibia are frequently encountered in mordern civilized society. Especially, those in distal 1/3 of the tibia have so many problems, such as angular deformity, osteomyelitis and nonunion because of anatomically scanty soft tissue. Many modalities of the treatment of fracture of distal 1/3 of the tibia were introduced. Among them, interlocking IM nailings were considered as one of the best modality. But, in interlocking IM nail, reaming of the medullary canal which destroys the endosteal circulation and causes thermal necrosis of the inner aspect of the cortical bone results in delayed union. And also, procedure for distal screw fixation is difficult and time-consuming. As for using flexible IM nails for fractures of distal 1/3 of the tibia, it was considered as not so satisfactory method due to lack of stability of fixation. However, the stability of fixation can be strengthened with fanning of the nails in distal fragment, using more than 3 nails and delay the protected weight bearing. Authors studied 25 cases of fractures of distal 1/3 of the tibia treated with closed flexible IM nailing at Sung Ae General Hospital, from July., 1987 to July., 1989, and obtained following results: 1. Among 25 cases, 4th decades were most common and males were more commonly involved. 2. Traffic accidents were the most common causes of injury and majority of 16 open fractures and 19 comminuted fractures, were caused by high energy mechanism. Among open fractures, type II were most common. 3. Two angular deformities less than 10 degrees, one proximal migration and one checkrein deformity were observed as complications, but, no clinically significant complications were noted. 4. The time for radiological union were 14.5 weeks in group without fibular fracture and 15.1 weeks in group with fibular fracture, and 14.0 weeks in closed fracture group and 17.2 weeks in open fracture group, and average in 15.6 weeks.
Accidents, Traffic
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Clinical Study
;
Congenital Abnormalities
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Fractures, Closed
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Fractures, Comminuted
;
Fractures, Open
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Hospitals, General
;
Humans
;
Male
;
Methods
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Necrosis
;
Osteomyelitis
;
Tibia
;
Weight-Bearing
5.A case report of multifocal gouty bursitis.
Hyung Ku YOON ; Kwang Pyo JEON ; Kuk Whan OH ; Dong Jun KIM ; Ki Dong JUNG
The Journal of the Korean Orthopaedic Association 1991;26(2):544-547
No abstract available.
Bursitis*
6.Wegener' s Granulomatosis.
Soo Jung KIM ; Sang Hoon PARK ; Kwang Hoon LEE ; Dong Sik BANG ; Soo Kon LEE
Korean Journal of Dermatology 1995;33(6):1129-1133
Wegener's granulomatosis is a systemic necrotizing vasculitis of unknown cause. The disease is characterized by the involvement of the upper airway, the lung, and the kidney. Skin lesions are frequent and the most common lesion is purpura distributed on the limbs and trunk. A 34-year-old female showed recurrent purpuric macules on the both lower extremities and buttocks. The patient. showed nasal septal perforation with saddle nose deformity and C-ANCA positivity. Histopathologic findings of purpuric lesion revealed the features of necrotizing vasculitis. The histologic specimen from the nasal cavity showed chronic inflammation with granuloma formation and kidney showed focal necrotizing glomerulonephritis. Therefore, we treated the patient with prednisolone and cyclophosphamide having diagnosed Wegener's granulomatosis.
Adult
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Antibodies, Antineutrophil Cytoplasmic
;
Buttocks
;
Congenital Abnormalities
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Cyclophosphamide
;
Extremities
;
Female
;
Glomerulonephritis
;
Granuloma
;
Humans
;
Inflammation
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Kidney
;
Lower Extremity
;
Lung
;
Nasal Cavity
;
Nasal Septal Perforation
;
Nose
;
Prednisolone
;
Purpura
;
Skin
;
Vasculitis
;
Wegener Granulomatosis
7.Dermatophagoides Farinae-specific IgE and IgG4 Antibodies in Atopic Dermatitis Patients.
Heun Jung CHO ; Hyun Joo CHOI ; Dong Kun KIM ; Kwang Hoon LEE
Korean Journal of Dermatology 1998;36(1):16-22
BACKGROUND: The pathogenesis of atopic dermatitis is still unknown. Many reports have suggested that the house dust mite antigen may play a role in the pathogenesis of atopic dermatitis. The IgG4 allergen-specific subclass has been considered to be involved both in allergic reactions and associated with the appropriate response to allergen-specific immunotherapy. OBJECT: The purpose of this study was to evaluate the positive rate of the allergic prick test to D. farinae and the levels of D. farinae-specific IgE and Ig64. METHODS: We performed the allergy prick test, RAST for D. farinae-specific IgE and ELISA for D. farinae-specific IgG subclasses and compared the values between atopic dermatitis patients and normal controls. RESULTS: 1. D. farinae was the most common allergen in patients with atopic dermatitis and the positive rate of the allergic prick test was 61.0%. The positive rate of the allergic prick test and the positive rate to D. farinae increased as c]inical grading increased. 2. The Positive reaction rate of D. farinae-specific IgE(RAST) in those with atopic dermatitis was 68.8% and increased as the positive reactions of the allergic prick test to D. farinae and chnical grading increased. 3. Among the IgG subclasses, only the level of D. farinae-specific IgG4 was significantly higher in atopic dermatitis than normal controls. 4. The level of D. farinae-specific IgG4 showed a tendency to decrease in accordance with the clinical severity grades. CONCLUSION: These results suggested that D. farinae might play an important role in the development of atopic dermatitis and well-designed studies should continue to be performed in order to delineate the biological significance of IgG4.
Antibodies*
;
Dermatitis, Atopic*
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Enzyme-Linked Immunosorbent Assay
;
Humans
;
Hypersensitivity
;
Immunoglobulin E*
;
Immunoglobulin G*
;
Immunotherapy
;
Pyroglyphidae*
8.Congenital Esophageal Atresia and Tracheoesophageal Fistula.
Kwang Woo KIM ; Kyung Suk CHOI ; Jung Woo KIM ; Dong Hak SHIN ; Seockil ZEON
Journal of the Korean Pediatric Society 1982;25(11):1150-1154
No abstract available.
Esophageal Atresia*
;
Tracheoesophageal Fistula*
9.A Case of Fanconi's Anemia.
Dong Hwan CHA ; Jung Shim CHOI ; Kwang Ho KIM ; Hong Ku LEE ; Sha Sook HAHN
Journal of the Korean Pediatric Society 1983;26(8):808-811
No abstract available.
Fanconi Anemia*
10.Tow Cases of Cerebral Cavernous Hemangiomas in Children.
Jung Keun KIM ; Kwang Kil LEE ; Dong Ik KIM ; Chang Joon KO
Journal of the Korean Neurological Association 1985;3(2):285-290
Recently we experienced two cases of cerebral cavernous hemangioma in children at Pediatric Department of Yonsei Medical School. We are reporting these two cases with literature review.
Child*
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Hemangioma, Cavernous, Central Nervous System*
;
Humans
;
Schools, Medical