1.A case of the inverted papilloma with squamous cell carcinoma in the nose and maxillary sinus.
Chang Gul KO ; Hae Jun HONG ; Dong Soo KIM ; Sung Hak KIM
Korean Journal of Otolaryngology - Head and Neck Surgery 1991;34(4):836-841
No abstract available.
Carcinoma, Squamous Cell*
;
Maxillary Sinus*
;
Nose*
;
Papilloma, Inverted*
2.Clinical Study of Acute Diarrhea in Infants and Children.
Journal of the Korean Pediatric Society 1977;20(12):965-972
Diarrhea is one of the most common symptoms evaluated by pediatrician. In a study of 671 children admitted to the diarrhea from Jan. 1970 to Dec. 1976. The results are summarized as follow 1) Diarrhea patients were total 671 cases(7.7%) among 8711 children who were admitted during last 7 years from Jan. 1970 to Dec. 1976. There was no significant difference in annual incidence. 2) Monthly incidence revealed in summer(Jun. July) and autumn (sep.Oct) frequently. 3) Age incidence showed the highest rate between 6 month to 2 year of age(52.2%). 4) Sex incidence showed that male to female in a proportion of 1.5:1. 5) potential etiologic agents were identified 332 of 671 children with diarrhea: E. coli 21.0%, shigella 7.0%, ameba 7%. In the majority of cases(31.89%) the etiologic agents were not found. 6) Infection in other parts of the body were recorded in 123 cases(18.64%) including common cold, bronchits, pneumonia measles, tonsillits. 7) Initial symptoms of the diarrhea patients were fever, vomiting, abdominal pain, tenesmus, neurologic symptoms. 8) The nature of stool was blood tinged mucoid in shigella, watery and granular stool are associated with enteropathogenic E.coli of Parenteral diarrhea. 9) Most effect chemotherpeufic agent of shigella was ampicillin, and gentamycin was considerable effectiveness against E.coli, with 76.2% showing susceptibility to gentamycin.
Abdominal Pain
;
Amoeba
;
Ampicillin
;
Child*
;
Common Cold
;
Diarrhea*
;
Female
;
Fever
;
Gentamicins
;
Humans
;
Incidence
;
Infant*
;
Male
;
Measles
;
Neurologic Manifestations
;
Pneumonia
;
Shigella
;
Tolnaftate
;
Vomiting
3.Clinical evaluation of lung cancer.
Hae Moon PARK ; Won Sang CHUNG ; Young Hak KIM ; Jung Ho KANG ; Heng Ok JEE
The Korean Journal of Thoracic and Cardiovascular Surgery 1991;24(1):72-82
No abstract available.
Lung Neoplasms*
;
Lung*
4.A Study on the Effect of Waste Anestheic Gases on the Sister Chromatid Exchanges of Peripheral Lymphocytes in Operating Room Personnel.
Young Seok CHOI ; Hak Sik KIM ; Keon KANG
Korean Journal of Anesthesiology 1990;23(6):879-883
The authors examined the induntivity of sister chromatid exchanges (SCE) in peripheral lum-phocytes on the personnel working in the operating room and analyzed the factors associated with it to obtain data for their monitoring health status. The results obtained were as follows; 1) Average inductivity of SCE in peripheral lymphocytes of operating room perssonnel exposed to anesthetic gases was 7.85 per cell; it was significantly higher than in those who were not exposed (p< 0.05). 2) The inductivity of SCE in peripheral lymphocytes by age group and exposure duration was not statically significant (p<0.05). 3) The inductivity of SCE in the subjects with a smoking habit was significantly higher than those without a smoking habit (p<0.05). 4) There was no significant difference in the inductivity of SCE between the subjects with a drinking habit and those without it (p>0.05). 5) It is possible that the high inductivity of SCE in operating room personnel who both with drink and smoke was due to more the influence of their smoking than their drinking.
Anesthetics, Inhalation
;
Drinking
;
Gases*
;
Humans
;
Lymphocytes*
;
Operating Rooms*
;
Siblings*
;
Sister Chromatid Exchange*
;
Smoke
;
Smoking
5.Ultrasonography of thyroid masses
Hae Won PARK ; Sung Hak PARK ; In Kyu PARK ; Yong Joo KIM ; Duk Sik KANG
Journal of the Korean Radiological Society 1984;20(4):789-794
Ultrasound studies of sixty five patients with thyroid mass histologically proven at KyungPook NationalUniversity Hospital from June 1983 to May were retrospectively analized. No specific sonographic characteristicsof thyroid mass lesions was found on the basis of histological diagnosis. Authors consider that ultrasound studymight be mere useful for detection and localization of a lesion, and guide to needle aspiration, monitoring thesize of a mass following therapy as well.
Diagnosis
;
Gyeongsangbuk-do
;
Humans
;
Needles
;
Retrospective Studies
;
Thyroid Gland
;
Ultrasonography
6.Clinical Study of Neonatal Adrenal Lemorrhage.
Gwang Hoon LEE ; Eell RYOO ; Kang Ho CHO ; Sang Hee KIM ; Kil Hyun KIM ; Hak Soo LEE ; Ji Hae KIM
Journal of the Korean Society of Neonatology 1997;4(2):246-252
PURPOSE: Neonatal adrenal hemorrhage is not rare disease which can be caused by such risk factors as sepsis, large baby, birth trauma and asphyxia. The clinical manifestations include jaundice, anemia, abdominal mass and differentiation from neuroblastoma, renal vein thrombosis and adrenal abscess is needed. Through the clinical assessment of presenting features, we hope that this study be of any help to early detection and proper management of neonatal adrenal hemorrhage. METHODS: The 16 subjects out of neonates admitted to our hospital from July 1991 to June 1997 were diagnosed as neonatal adrenal hemorrhage. The risk factors, clinical manifestations, diagnostic methods and prognosis of neonatal adrenal hemorrhage were evaluated in these 16 cases. RESULTS: 1) Among 16 cases, males were 10 (62.5%) and females were 6 (37.5%). Mean birth weight was 3.601.08kg and mean gestational age was 39.82+1.08 week, and all were fullterm babies. In modes of delivery, vaginal deliveries were 12 cases (75.0%) and cesarean sections were 4 cases (25.0%). 2) 13 cases (81.2%) were involved in right side, 2 cases (12.5%) in left side and 1 case (6.3%) bilaterally. 3) The risk factors include sepsis in 6 cases (37.5%), large baby in 5 cases (31.3%), birth trauma in 5 cases<31.3%) and asphyxia in 3 cases (18.8%). 4) The clinical manifestations include jaundice in 7 cases (43.8%), anemia in 7 cases (43.8%), fever in 6 cases (37.5%) and abdominal mass in 3 cases (18.8%). 5) In the time of diagnosis, until 7 days of birth were 9 cases (56.2%), 8-14 days were 3 cases (18.8%), 15-21 days were 2 cases (12.5%) and 22-28 days were 2 cases (12.5%). Follow-up studies were done in 13 cases (81.2%), and tha lesions all decreased without any specific complications or sequelae. CONCLUSION: Neonatal adrenal hemorrhage can be diagnosed by abdominal ultrasono- gram in the presence of suggestive manifestations of jaundice, anemia, fever and abdominal mass, with relatively good prognosis. Differentiation from other conditions as well as avoidance of unnecessary explorations can be achieved by serial follow-up examinations of abdominal ultrasonogram.
Abscess
;
Anemia
;
Asphyxia
;
Birth Weight
;
Cesarean Section
;
Diagnosis
;
Female
;
Fever
;
Follow-Up Studies
;
Gestational Age
;
Hemorrhage
;
Hope
;
Humans
;
Infant, Newborn
;
Jaundice
;
Male
;
Neuroblastoma
;
Parturition
;
Pregnancy
;
Prognosis
;
Rare Diseases
;
Renal Veins
;
Risk Factors
;
Sepsis
;
Thrombosis
;
Ultrasonography
7.A clinical observation on childhood bronchial asthma.
Kwang Tae KIM ; Jin Seog OH ; Hae Youn KIM ; Seog Yong CHOI ; Hee Cheol KANG ; Dong Hak SHIN
Journal of the Korean Academy of Family Medicine 1991;12(1):94-101
No abstract available.
Asthma*
8.A Clinical Study on Fatal Cases within 30 Days Following Surgery.
Choon Hak LIM ; Hye Ja LIM ; Hae Weon LEE ; Byung Kook CHAE ; Nan Sook KIM ; Sung Ho CHANG
Korean Journal of Anesthesiology 1997;33(1):147-153
BACKGROUND: A retrospective study was performed to evaluate postoperative mortality within 30 days following surgery. METHODS: The records of 31,806 patients who received operation under general anesthesia were reviewed. RESULTS: 1) Postoperative deaths were 184 cases, the ratio of which was comprising 0.57% of all surgical operative cases. 2) The highest ratio of the mortality in age group was 51~60 years group which was 24.5%, and in physical status it was ASA class III which was 36.4%. The highest ratio to the mortality rate in postoperative days was 8~30 days which was 45.1%. 3) The most common causes of death was low cardiac output due to heart failure on operating theater, and hypovolemic shock within postoperative 2 days, and intracranial problem within postoperative 7 days, and pulmonary complication within postoperative 30 days. CONCLUSION: We conclude that fatality rate could be decreased by intensive and multidisciplinary care for postoperaive complications as respiratory and renal failure.
Anesthesia, General
;
Cardiac Output, Low
;
Cause of Death
;
Heart Failure
;
Humans
;
Mortality
;
Renal Insufficiency
;
Retrospective Studies
;
Shock
9.Evaluation of Methods for Fetal Weight Estimates Using Ultrsound Formula at Term.
Mi Hae PARK ; Kyung Jin KIM ; Yun Seok YANG ; In Tak HWANG ; Ji Hak JUNG ; Jun Sook PARK
Korean Journal of Obstetrics and Gynecology 1999;42(8):1744-1750
A total of 150women with singleton pregnancies who were delivered between 37 and 42weeks gestation had ultrasound scans on elective cesarean section day. The biparietal diameter(BPD), head circumference(HC), abdominal circumference(AC) and femur length(FL) were measured in all cases. Equations of estimated fetal body weight(BWT) for Korean term fetuses using AC alone, BPD/AC, AC/FL, HC/AC/FL, BPD/AC/FL, BPD/HC/AC/FL were made by stepwise multiple regression analysis and were compared with foreign equations such as Campbell(AC), Shepard(BPD/AC), Hadlock I(AC/FL), Hadlock II(HC/AC/FL), Hadlock III(BPD/AC/FL), and Hadlock IV(BPD/HC/AC/FL). The results were as follows. 1. The equations of BWT by sonographic measurement were Equation1 (AC) logeBWT=6.105936+0.005957X(AC) (R=0.876) Equation2 (BPD,AC)logeBWT=6.53614548+0.00004963X(ACXBPD) (R=0.929) Equation3 (AC,FL) logeBWT=6.25336442+0.00751602X(FL)+0.00005155X(ACXFL) (R=0.950) Equation4(HC,AC,FL) logeBWT=6.39631346+0.00004823X(ACXFL)+0.00002023X(FLXHC) (R=0.953) Equation5(BPD,AC,FL) logeBWT=5.99934074+0.00871394X(BPD)+0.00005132X(ACXFL) (R=0.960) 2. When BPD, AC and FL were measured, the addition of HC didn,t affected to accuracy of EFW 3. The best results of all equations were obtained with our equation 5(Mean error=2.36gm, Mean absolute error=96.39gm, Mean deviation + SD(%)=0.07+0.37) and among foreign equations, the best results were with Hadlock III equation(Mean error=18.35gm, Mean absolute error=107.82gm, Mean deviation + SD(%)=-0.46+0.42) 4. The equations using AC/FL (our equation 3, Hadlock I) are more accurate than those using BPD/AC (our equatione 2, Shepard) when utilizing two parameters. Therefore, equation using AC/FL is recommended when the BPD is unobtainable at term or labor 5. The percentage of cases in which the EFW was within +5% and +200gm of the actual birth weight was highest at our equation 5 for 82% and 89%, Hadlock IV equation for 79%, 88%. 6. Our equations had relatively an equal tendency to under- and overestimate fetal weight, but foreign equations, especially Campbell and Hadlock II equations tended to underestimate. 7. Analysing according to actual birth weight, our all equations gave the most accurate estimates of fetal weigh for birth weight group between 3000-3499gm, but for birth weight group above 3500gm, that was not. At birthweight group above 3500gm, the equations depend on femur length are more accurate than the equations independ on fumr length.
Birth Weight
;
Cesarean Section
;
Female
;
Femur
;
Fetal Weight*
;
Fetus
;
Head
;
Pregnancy
;
Ultrasonography
10.Eosinophilic gastroenteritis associated with food allergy and bronchial asthma.
Hae Sim PARK ; Hak San KIM ; Hee Jin JANG
Journal of Korean Medical Science 1995;10(3):216-219
I n some patients, eosinophilic gastroenteritis(EG) occurs in those with food allergy. We experienced a non-atopic asthmatic who had an EG associated with food allergy to fish and eggs, and blood eosinophilia. A skin prick test and RAST to causative food allergens showed a negative result. A fiber-optic endoscopic biopsy from the gastric mucosa showed an intense eosinophilic infiltration. We could find symptomatic improvement and a disappearance of eosinophilic infiltration in gastric mucosa after complete avoidance from the causative food and oral cortcosteroid. It was suggested that fiber-optic endoscopic biopsy might be needed to identify coexisting EG if an allergic patient with blood eosinophilia complains of severe gastrointestinal symptoms.
Adrenal Cortex Hormones/therapeutic use
;
Asthma/*complications/drug therapy
;
Case Report
;
Endoscopy
;
Eosinophilia/*complications
;
Food Hypersensitivity/*complications
;
Gastric Mucosa/pathology
;
Gastroenteritis/*complications/diagnosis/pathology
;
Human
;
Male
;
Middle Age