1.Changes of Pulmonary Function after Surgical Correction in Scoliosis
Se Il SUK ; Choon Seong LEE ; Gang Sup YOON
The Journal of the Korean Orthopaedic Association 1984;19(6):1067-1072
This study was performed by the necessity of objective information upon change of pulmonary function after surgical correction of spinal deformity in scoliotic patients. It is relatively well known that deformity of spinal curvature affects the pulmonary functions, especially lung volume or vital capacity, due to restriction of the thoracic cage. It is carried out the comparative study between preoperative and postoperative pulmonary functions in thirty two cases of thoracic scoliosis, all who were treated with Harrington instrumentation and posterior fusion at Department of Orthopedic Surgery, Seoul, National University Hospital from 1969 to 1983. The age distribution of patients was from 6 years to 21 years and female was more involved two times than male. Following observations were obtained: Following observations were obtained: 1. Pre-and postoperative angle of scoliosis were 77.5° and 39.2° with correction rate of 48.2%. 2. Preoperative vital capacity was 64.2% and postoperative value was 74.8%, 2 years and 2 months after operation in average. 3. Postoperative vital capacity was significantly increased compared to preoperative value in patients with scoliosis (p<0.05). 4. Ther was no definite pattern of obstructive pulmonary disease in patients with scoliotic deformity.
Age Distribution
;
Congenital Abnormalities
;
Female
;
Humans
;
Lung
;
Lung Diseases, Obstructive
;
Male
;
Orthopedics
;
Respiratory Function Tests
;
Scoliosis
;
Seoul
;
Spinal Curvatures
;
Vital Capacity
2.Cotrel
Se Il SUK ; Choon Ki LEE ; Choon Seong LEE ; Eung Ha KIM ; Min Gang HUH
The Journal of the Korean Orthopaedic Association 1990;25(1):161-168
Stabilization of the unstable spine created by the posterior decompression is as important as the decompression itself in the treatment of spinal stenosis. The purpose of this study is to evaluate the effectiveness of C-D pedicle screw fixation in stabilization after lumbar decompression, in reduction of spondylolisthesis and in restoration of the lumbar sagittal curvature. C-D pedicle screw fixation was performed in 102 spinal stenosis patients after posterior lumbar decompression and fusion during the period from March 1987 to December 1988. Their age ranged from 15 to 72 years with an average of 49.1 years. There were 34 males and 68 females. The follow up was from 6 to 21 months with an average of 12.5 months. The causes of spinal stenosis were degenerative in 50 patients, spondylolisthesis in 39, iatrogenic in 9 and degenerative lumbar scoliosis in 4. Objective clinical results showed significant improvement of claudication, SLR limitation, motor weakness, sensory and DTR changes in most patients. Following results were obtained from the study of C-D pedicle screw fixation after posterior decompression in lumbar spinal stenosis.1. C-D pedicle screws provide the secure fixation that allows early ambulation and shorter hospital stay. 2. C-D pedicle screws enable the reduction of spodylolisthesis at the time of posterior stabilization. 3. C-D pedicle screw fixation is successful in the restoration and maintenance of sagittal curvature of the lumbar spine. 4. C-D pedicle screw fixation enables the correction of scoliosis at the time of posterior decompression.
Decompression
;
Early Ambulation
;
Female
;
Follow-Up Studies
;
Humans
;
Length of Stay
;
Male
;
Pedicle Screws
;
Scoliosis
;
Spinal Stenosis
;
Spine
;
Spondylolisthesis
3.The effect of epinephrine on full thickness skin grafts.
Gang Ik BAE ; Byung Il PARK ; Young Joong HWANG ; Jong Won LEE
Journal of the Korean Society of Plastic and Reconstructive Surgeons 1992;19(2):205-210
No abstract available.
Epinephrine*
;
Skin*
;
Transplants*
4.A study on thyroid function tests in patients with congestive heart failure.
Myung Hwan NHO ; Do Young GANG ; Ju Il LEE ; Byung Su KIM ; Duk Kyu KIM ; Jong Seong KIM
Korean Journal of Medicine 1993;45(2):228-234
No abstract available.
Estrogens, Conjugated (USP)*
;
Heart Failure*
;
Humans
;
Thyroid Function Tests*
;
Thyroid Gland*
5.Predicting Prognosis using Neurotrauma Motor Index in Spinal Cord Injury.
Gang Mok LEE ; Kyeong Seok LEE ; Hack Gun BAE ; Jae Won DOH ; Il Gyu YUN ; Bak Jang BYUN
Journal of Korean Neurosurgical Society 1994;23(5):522-528
We present a series of 97 patients with spinal cord injury. Those patients were treated at Soonchunhyan University Chonan Hospital during six-year-period(January 1986-December 1992), and followed up for at least 3 months. They were divide into four groups ; complete-surgical, complete-conservative, partial-surgical, and partial-conservative. Male to female ratio was 3.6:1, and the peak age was the fifth decade. Passenger's traffic accident(46%) was the most common cause of injury and fall/slip(39%) followed next. Level of spinal injury was cervical in 51%, thoracic in 29%, lumbar in 13%, and others in 7%. Type of injury was fracture-dislocation in 31%, dislocation in 19%, compression fracture in 19%, burst fracture in 18%, cord injury without bony lesion in 7%, and others in 7%. Cord injury was complete in 36 patients(37%) and partial in 61 patients(63%). Surgery was performed in 20 patients with complete cord injury and 34 patients with partial injury. Majority of operations were performed for spinal stability, and posterior instrumentation was the most commonly used operative method. The mean neurotrauma motor index on admission was 44.1 in the complete-surgical group, 39.5 in complete-conservative group, 70.1 in partial-surgical group, and 63.2 in partial-conservative group. It improved to 52.5, 50.3, 90.4, 80.3 at 3 months, and 53.4, 51.7, 91.8, 82.0 at final examination(mean follow-up period was 182.2 days), respectively. The mean values of the final index were higher in the surgically treated groups than the conservatively treated groups, but these differences were not statistically significant(student t-test p>0.1) The mean recovery rate was 14.2% in the complete-surgical group, 17.7% in complete-conservative group, 66.1% in partial-surgical group, and 46.1% in partial-conservative group at 3 months. It improved to 16.6%, 19.3%, 70.0%, and 48.7% at final examination, respectively. The mean recovery rates were higher in the partially injured groups than the completely injured groups(student t-test, p<0.01), regardless the methods of treatment. The final neurotrauma motor index was significantly(regression analysis, p<0.01) related to the initial index except the partial-surgical group. Neurotrauma motor index was a useful method for assessing the injury severity, comparing the recovery rate and predicting prognosis.
Chungcheongnam-do
;
Dislocations
;
Female
;
Follow-Up Studies
;
Fractures, Compression
;
Humans
;
Male
;
Prognosis*
;
Spinal Cord Injuries*
;
Spinal Cord*
;
Spinal Injuries
6.Present status and Problems of weaning.
Young Le YOON ; Moon Hae BANG ; Hong Kee BANG ; Gang Il LEE ; Hak Joo CHA ; Jae Ock PARK ; Sang Jhoo LEE
Journal of the Korean Pediatric Society 1988;31(7):863-872
No abstract available.
Weaning*
7.Splenic Injury after Colonoscopy in Patient on Anti-Platelet Agents : A Case Study.
Se Jun KIM ; Hyun Taek SEO ; Il Eok JO ; Woo Hyuk KWON ; Hong Min PARK ; Yong Kyu LEE
Keimyung Medical Journal 2015;34(2):192-196
Colonoscopy is frequently used for lower GI tract screening tests. Although rare, splenic injury may develop in the high-risk patients on anticoagulants or antiplatelet agents. A 78-year-old female visited our hospital complaining of chest pain. She had taken antihyperlipidemic and antiplatelet agent with hyperlipidemia and 20%-stenosis in the left anterior descending artery. She was taken polypectomy after colonoscopy 4 years ago. The next day, after a follow-up colonoscopy for polypectomy, she complained epigastric and left upper abdominal discomfort. Pain intensity was not high, but next day, epigastric pain was increased, so coronary angiography was performed 2 days later using anticoagulants. Coronary angiography showed 40~50%-stenosis in the left anterior descending artery. Another antiplatelet agent was added. After 72 hours on colonoscopy, her pain was localized upper left abdominal area. Abdominal CT showed intracapsular bleeding in the spleen with a small amount of hemoperitoneum in the pelvis. Since her vital signs were stable, she was treated with conservative management. Her pain improved and discharged. One month later, she was taken Abdominal CT. CT showed the size of intracapsular fluid collection in the spleen was increased, but the whole fluid collection was liquidized. 2 weeks later, follow-up sonography showed the size of fluid collection conspicuously was reduced. The case reported herein is a splenic Injury after Colonoscopy in patient on antiplatelet agents.
Aged
;
Anticoagulants
;
Arteries
;
Chest Pain
;
Colonoscopy*
;
Coronary Angiography
;
Female
;
Follow-Up Studies
;
Hemoperitoneum
;
Hemorrhage
;
Humans
;
Hyperlipidemias
;
Lower Gastrointestinal Tract
;
Mass Screening
;
Pelvis
;
Platelet Aggregation Inhibitors
;
Spleen
;
Tomography, X-Ray Computed
;
Vital Signs
8.Comparison of Plain X-rays and OMU (Osteo-Meatal-Unit) CT Scans in Children with Chronic Sinusitis.
Ho Jun RYU ; Gang Woo LEE ; Il Kyong KIM ; Ho SEONG ; Chang Hee CHOI ; Seok Tae JUNG
Pediatric Allergy and Respiratory Disease 1998;8(2):273-279
PURPOSE: In general, sinusitis in children is diagnosed by clinical symptom and paranasal sinus x-ray. Sinus plain x-rays in children is simple, inexpensive, and speedy. However, it requires proper interpretative techniques, because different development of each sinus, soft tissues overlying sinuses and bony structure require precise diagnosis. This study was conducted to compare plain x-rays with OMU CT scans. METHODS: From September 1996 through August 1997, thirty nine patients who were diagnosed as sinusitis based on clinical symptoms and plain x-rays at the pediatric department of Seoul Adventist Hospital were studied. Water's view, Caldwell's view and lateral view were taken for the plain x-rays with concurrent OMU CT scans prior to treatments. RESULTS: Ten cases (25.6%) out of 39 patients showed posterior nasal drip and fourteen cases (35.9%) showed nasal obstruction. Twelve cases (30.8%) were related to allergic diseases and seven cases (58.3%) among these 12 cases were bronchial asthma. Sensitivity of plain x-ray were 88.5+/-12.9% for maxillary sinuses, and 59.9+/-13.65% for ethmoidal sinuses. CONCLUSION: When maxillary sinusitis is suspected, plain X-ray for maxillary sinuses is enough to diagnose sinusitis, but for ethmoidal sinuses it may be underestimated or overestimated in comparison with OMU CT scan. Ethmoidal sinusitis requires careful diagnosis and follow-up because it plays important roll for chronic sinusitis due to its structure. Therefore, we recommends OMU CT scan to diagnose paranasal sinusitis of children with plain X-ray.
Asthma
;
Child*
;
Diagnosis
;
Ethmoid Sinusitis
;
Humans
;
Maxillary Sinus
;
Maxillary Sinusitis
;
Nasal Obstruction
;
Seoul
;
Sinusitis*
;
Tomography, X-Ray Computed*
9.Newly Diagnosed Diabetes Mellitus With Pancreatic Cancer Manifested as Hyperglycemic Hyperosmolar State.
Tae Hyung KWON ; Min Seong KIM ; Jun Ho JEON ; Dong Il JEONG ; Sang Seok YUN ; Yong Kyu LEE
Journal of the Korean Geriatrics Society 2013;17(2):95-98
Here, we report a case of newly diagnosed diabetes, with concurrent pancreatic cancer manifested as hyperglycemic crisis, and aggravated by urinary tract infection. We summarize the initial clinical manifestations and pertinent laboratory, radiologic, and clinical findings in an elderly patient with hyperglycemic emergency. A review of the documents involving pancreatic tumors and hyperglycemic hyperosmolar state, which is an acute complication of diabetes mellitus, is presented. In the absence of other identifiable conditions, it is reasonable to speculate that some factor (or factors) produced by the tumor had a role in the metabolic decompensation. In addition, this discussion should be more carefully considered in the aged people group.
Aged
;
Diabetes Mellitus
;
Emergencies
;
Humans
;
Pancreatic Neoplasms
;
Urinary Tract Infections
10.Influence of various photoperiods on stress hormone production, immune function, and hematological parameters in ICR mice.
Seung Hyu PARK ; Il Gyue KIM ; Hyung Chan KIM ; Mi Jeong GANG ; Song Ee SON ; Hu Jang LEE
Korean Journal of Veterinary Research 2015;55(2):111-116
In the present study, the effects of different photoperiods on stress, immunity, and hematological parameters in ICR mice were evaluated. Fifty male ICR mice 7 weeks old (body weight, 27.3 +/- 2.5 g) were divided into five groups: DP-0 (0/24-h light/dark cycle), DP-6 (6/18-h light/dark cycle), DP-12 (12/12-h light/dark cycle), DP-18 (18/ 6-h light/dark cycle), and DP-24 (24/0-h light/dark cycle). During the experimental period, no significant differences in body weight or feed intake were observed between the groups. Hematological analysis revealed that white blood cell, red blood cell, and hemoglobin values for the DP-0 group were significantly different compared to those of the other groups. After 28 days, no significant difference in serum cortisol concentration was observed among the groups, but serum cortisol levels increased in a light exposure-dependent manner. Total serum immunoglobulin G (IgG) concentrations of the DP-0 and PD-6 groups were significantly increased compared to those of the other groups (P < 0.05), and serum total IgG levels decreased in a light exposure-dependent manner. Results of the present study indicated that various photoperiods affect hematological parameters and total serum IgG levels in ICR mice while having no significant effects on body weight, feed intake, or cortisol levels.
Animals
;
Body Weight
;
Erythrocytes
;
Humans
;
Hydrocortisone
;
Immunoglobulin G
;
Leukocytes
;
Male
;
Mice
;
Mice, Inbred ICR*
;
Photoperiod*