1.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*
2.Clinical Eeffects of Ferrocholinate in the Iron Deficiency Anemia of Children.
Dong Hwan LEE ; Jong Gu YOON ; Kwang Wook KO
Journal of the Korean Pediatric Society 1978;21(9):568-572
Ferrocholinate, choline citrate iron salt is a new chelate iron which is synthesized by reacting ferric hydroxide with choline dihydrogen citrate. Ferrocholinate is used in the prevention and treatment of microcytic, hypochromic anemias due to iron deficiency. Ferrocholinate does not release high concentrations of free ionic iron in the gastrointestinal tract and clinical reports, although limited, seem to indicate that this drug is better tolerarated than is ferrous sulfate or ferrous gluconate. Ferrocholinate : syrup was administered to 19 patients of iron deficiency anemia. Ferrocholinate was administered orally. Therapeutic dosage was 1.2cc/kg (elementary iron 6mg/kg) divided three times daily. The results were obtained as follows. (Table 1) 1) In this clinical trials, the over-all effective rate was 84.2% 2) There was no effect on 3 cases who have combined with severe infection and congenital heart disease. 3) Of the 19 patients, 2 patients complained transient nausea and 1 patient mild diarrhea. These symptoms, however, disappeared along with continued therapy.
Anemia, Hypochromic
;
Anemia, Iron-Deficiency*
;
Child*
;
Choline
;
Citric Acid
;
Diarrhea
;
Gastrointestinal Tract
;
Heart Defects, Congenital
;
Humans
;
Iron*
;
Nausea
3.Bile duct necrosis:Complication of transcatheter hepatic arterial embolization.
Tae Hoon KIM ; Yup YOON ; Jae Hoon LIM ; Young Tae KO ; Dong Ho LEE
Journal of the Korean Radiological Society 1993;29(5):1020-1023
Bile duct necrosis and liver abscess are rare complications after transcatheter hepatic arterial embolization (THAE) of hepatocellular carcinoma. Authors report bile duct necrosis and liver abscess occurred in 2 cases as a complication of THAE of hepatocellular carcinoma. In these two patients, lipiodol emulsion mixed with adriamycin and mitomycin was used more than three times as chemoembolic materials.
Bile Ducts*
;
Bile*
;
Carcinoma, Hepatocellular
;
Doxorubicin
;
Ethiodized Oil
;
Humans
;
Liver Abscess
;
Mitomycin
;
Necrosis
4.Reference(cut-off) values of serum total cholesterol for risk groupof atherosclerosis among normal adults in Korea.
Jong Seok PARK ; Dong Yoon KO ; Kyung Hwan CHO ; Myung Ho HONG ; Soon Duck KIM
Journal of the Korean Academy of Family Medicine 1992;13(2):152-163
No abstract available.
Adult*
;
Atherosclerosis*
;
Cholesterol*
;
Humans
;
Korea*
5.Sensory restoration in finger injuries by neurovascular island flap transfer.
Dong Rhyul KWAG ; Yong Hee KIM ; Seong Ho YOON ; Sung Hoon KO
Journal of the Korean Society of Plastic and Reconstructive Surgeons 1993;20(2):385-393
No abstract available.
Finger Injuries*
;
Fingers*
6.CT characterization of bile duct dilatation: differential disgnosis of obstructive jaundice.
Jae Hoon LIM ; Yup YOON ; Young Tae KO ; Dong Ho LEE ; Ik YANG
Journal of the Korean Radiological Society 1992;28(4):601-608
Each Disease affecting the bile ducts tends to produce characteristic pattern of billiary dilatation: recurrent pyogenic cholangitis causes dilatation and straightening of the larger(central) intrahepatic ducts ; clonorchiasis causes dilatation of the smaller (peripheral) intraahepatic ducts; and carcinoma along the extrahepatic ducts causes (proportional) dilatation and tortuosity of both larger and smaller intrahepatic ducts. To evaluate the specificity of the pattern and morphology of the dilated biliary tree on CT scancs (CT characterization) three independent radiologists who were unfamiliar with the cases were asked to classify 62 CT scans in patients with obstructive jaundice. The case population consisted of 14 cases with recurrent pyogenic cholangitis, 18 cases with clonorchiasis and 30 cases with carcinoma along the extrahepatic ducts, which were intermixed randomly. Classification was made only on the basis of CT characterization: those scans showing primary lesions i.t., stone, aggregate of flukes, or tumor mass were excluded or masked. All the scans of every case showing the extrahepatic bile duct were masked. Radiologists correctly classified 54 of the 62 cases (87%): ten of the 14 patients with recurrent pyogenic cholangitis(71%), 17 of the 18 patients with clonorchiasis(94%) and 27 of the 30 patients with carcinoma along the extrahepatic bile cucts(90%). We believe that CT characterization of bile duct dilatation is useful in the differential diagnosis of obstructive jaundice, especially when a primary pathologic lesion is not depicted in CT scans.
Bile Ducts*
;
Bile Ducts, Extrahepatic
;
Bile*
;
Biliary Tract
;
Cholangitis
;
Classification
;
Clonorchiasis
;
Diagnosis, Differential
;
Dilatation*
;
Humans
;
Jaundice, Obstructive*
;
Masks
;
Sensitivity and Specificity
;
Tomography, X-Ray Computed
;
Trematoda
7.Anomalous Position of the Gallbladder.
Young Tae KO ; Dong Ho LEE ; Joo Won LIM ; Tae Il HAN ; Yup YOON
Journal of the Korean Radiological Society 1994;31(6):1107-1112
PURPOSE: To determine the significance of anomalous position of the gallbladder. MATERIALS AND METHODS: Sixteen patients with anomalous position of the gallbladder were evaluated for analysis. The diagnosis was confirmed by ultrasonography(15 patients) and oral cholecystography(1patient). Among those, six patients underwent CT scan and a patient had 99mTc-DISIDA scan. The images were analysed with respect to the location of the GB and configuration and associated abnormality of the liver and hepatobiliary systems. Medical records of each patient were also reviewed. RESULTS: Among 16 patients having an anomalous position of the gallbladder, nine had retrodisplaced gallbladder, four had left-sided gallbaldder, two had suprahepatic gallbladder, and one had floating gallbladder. Except for one patient, fifteen had abnormality in the liver such as focal atrophic or hypoplastic change and liver cirrhosis. Intrahepatic stones were demonstrated in 6 patients. CONCLUSION: Our results showed that anomalous position of the gallbladder was commonly associated with atrophy or hypoplasia of the liver rather than congenital in origin. The possiblity of an anomalous location of gallbladder should be kept in mind when GB is not in its normal location.
Atrophy
;
Diagnosis
;
Gallbladder*
;
Humans
;
Liver
;
Liver Cirrhosis
;
Medical Records
;
Technetium Tc 99m Disofenin
;
Tomography, X-Ray Computed
8.Spiral CT of the Gastric Adenocarcinoma.
Dong Ho LEE ; Young Tae KO ; Yup YOON
Journal of the Korean Radiological Society 1997;37(1):123-128
CT has an important role in the evaluation of gastric adenocarcinoma. It clearly demonstrates the primary tumor itself and reveals the spread of cancer to adjacent or distant structures. It is therefore useful in the staging of gastric carcinoma, and has proved valuable in the differential diagnosis of this and other gastrictumors. Recent advances in technology such as spiral CT with water ingestion, improve the value of CT. This report describes the characteristic findings of gastric adenocarcinomas by spiral CT, and elucidates its role in the staging of gastric carcinoma.
Adenocarcinoma*
;
Diagnosis, Differential
;
Eating
;
Tomography, Spiral Computed*
;
Water
10.Budd-Chiari syndrome by membranous obstruction of inferior vena cava: comparison of sonography and computed tomography.
Dong Ho LEE ; Jae Hoon LIM ; Young Tae KO ; Yup YOON ; Joo Won LIM
Journal of the Korean Radiological Society 1992;28(3):387-392
Membranous obstruction of the hepatic inferior vena cava(MOVC)is one of the common causes of Budd-Chiari syndrome. The aim of this study is to ascertain and compare the characteristic sonographic and CT findings of Budd-Chiari syndrome caused by MOVC. We studied 10 patients of Budd-Chiari syndrome caused by MOVC through sonography and CT. MOVC was confirmed by operation and/or inferior vena cavography. The cases included 9 men and one woman. With sonography. IVC obstruction was diagnosed in 9 cases. The cause of IVC obstruction was web in 5 cases and fibrous cord in 3 cases. The cause was unspecified in on case. Obliteration of the hepatic veins and intrahepatic collateral vessels were delineated in 9 cases. With color doppler sonography, the directions of blood flow of the hepatic veins through the intervenous communication were fairly well demonstrated in all 5 cases. With CT, IVC obstruction was diagnosed in 7 cases. The obliteration of the hepatic segment of the IVC were segmental in 6 cases and diffuse in one case. Ct demonstrated communicating vessels between the hepatic veins in 3 cases. Furthermore. Systemic collateral vessls(azygos and hemiazygos veins. Veins along the abdominal wall, and internal mammary veins)were demonstrated in all cases. Liver cirrhosis was combined in all cases and hepatoma developed in 4 cases. Sonography is useful to detect the MOVC and to demonstrate hepatic venous obstruction and intrahepatic collateral vessels. Color doppler sonography is easily performed to show the direction of the blood flow through interconnecting vessels. CT shows the obliterated segment of the IVC clearly and multiple prominent systemic coliaterals. In conclusion, and Budd-Chiai syndrome caused by MOVC is accurately diagnosed by combined color doppler sonography and CT.
Abdominal Wall
;
Budd-Chiari Syndrome*
;
Carcinoma, Hepatocellular
;
Female
;
Hepatic Veins
;
Humans
;
Liver Cirrhosis
;
Male
;
Ultrasonography
;
Veins
;
Vena Cava, Inferior*