1.The Significance of Fluid in the Sphenoid Sinuses in Death by Drowning.
Korean Journal of Legal Medicine 2013;37(3):129-133
The diagnosis of death by drowning is one of the hardest challenges in forensic pathology. Circumstantial factors and physical evidence such as autopsy findings are both important in drowning. However, drowning findings are not specific and no laboratory tests can specifically detect drowning. It has been suggested that fluid in the paranasal sinuses, especially the sphenoid sinuses, is a sign of drowning, in conjunction with other autopsy findings. This study aimed to determine the frequency of detection of fluid in the sphenoid sinuses in cases of death by drowning. From 2003 to 2012, 54 autopsied cases of drowning were selected and reviewed in the Department of Forensic Medicine, Kyungpook National University School of Medicine, Daegu. The most common autopsy findings were foaming at the mouth and nostrils (13%), frothy fluid in the airways (28%), pulmonary edema with overexpansion of lungs (87%), drowning liquid in the stomach and duodenum (52%) and hemorrhages in the petromastoid part of the temporal bone (93%). Fluid in the sphenoid sinuses was detected in 45/54 cases (83%). The plankton test was positive in 33/54 cases (87%), however, in 26 of these cases, plankton was found only in the lung tissue. In conclusion, detection of fluid in the sphenoid sinuses could be a diagnostic sign for death by drowning. The sphenoid sinuses are easily accessible on autopsy, so it is highly recommended to look for fluid in the sphenoid sinuses when performing an autopsy on bodies recovered from water.
Autopsy
;
Cause of Death
;
Drowning
;
Duodenum
;
Forensic Medicine
;
Forensic Pathology
;
Hemorrhage
;
Humans
;
Lung
;
Mouth
;
Paranasal Sinuses
;
Plankton
;
Pulmonary Edema
;
Sphenoid Sinus
;
Stomach
;
Temporal Bone
2.Continuous Axillary Brachial Plexus Block after Upper Extremity Operation.
Korean Journal of Anesthesiology 1998;35(5):965-969
Background: The continuous brachial plexus block brings about the prolongation of surgical anesthesia, postoperative pain relief, and sympathectomy. Methods: The twenty-five patients scheduled for upper extremity operations had been taken the continuous axillary brachial plexus block procedure to relief postoperative pain and, to get the sympathetic block effect. We used local anesthetics less than maximum recommended dose, 0.125% bupivacaine continuously infused at 4 ml/hour via catheter. We adopted the faces pain rating scale to evaluate postoperative pain degree. The faces pain rating scale composed of six faces, based upon the degree of pain. The patients has been asked to choose these rating scale according to their painfulness three times a day for five days. Results: Clinically, we have found the effective decrease in the degree of pain. Systemic toxic reactions, hematoma and infection sign at injected site were not found. Conclusion: The pain of upper extremity after operation was controlled by continuous infusion of 0.125% bupivacaine, 4 ml/hr, usually.
Anesthesia
;
Anesthetics, Local
;
Brachial Plexus*
;
Bupivacaine
;
Catheters
;
Hematoma
;
Humans
;
Pain, Postoperative
;
Sympathectomy
;
Upper Extremity*
3.Clinical study on fetal heart rate and fetal movement reponse to music sound stimulation.
Korean Journal of Obstetrics and Gynecology 1993;36(7):1184-1189
No abstract available.
Female
;
Fetal Heart*
;
Fetal Movement*
;
Heart Rate, Fetal*
;
Music*
;
Pregnancy
4.Chondromyxoid fibroma of iliac bone: Report of a Case
Kwang Zin LEE ; Eun Woo LEE ; Han Koo LEE
The Journal of the Korean Orthopaedic Association 1970;5(3):133-137
A case of chondromyxoid fibroma, which was experienced at Seoul National University Hospital, is presented with a brief review of the literature, because of its relative rarity in incidence, its unusual location and its huze size in demension which seems to be largest in reported series in literatures.
Fibroma
;
Incidence
;
Seoul
5.The results of treatment in femoral neck fracture focusing to complications.
Chang Dong HAN ; Dae Yong HAN ; Jin Woo LEE
The Journal of the Korean Orthopaedic Association 1991;26(6):1720-1726
No abstract available.
Femoral Neck Fractures*
;
Femur Neck*
6.A Case of Achondroplasia.
Han Young LEE ; Seon Ock KHANG ; Woo Gill LEE
Journal of the Korean Pediatric Society 1984;27(12):1234-1238
No abstract available.
Achondroplasia*
7.A case of shigella vaginitis in child.
Sang Won HAN ; Seung Woo LEE ; Kyung Won LEE
Korean Journal of Obstetrics and Gynecology 1991;34(11):1636-1639
No abstract available.
Child*
;
Humans
;
Shigella*
;
Vaginitis*
8.Effect of the Orthopedic Immobilization on Ca, P and Blood Pressure
Han Koo LEE ; Woo Chun LEE ; Kyu Chun HWANG
The Journal of the Korean Orthopaedic Association 1983;18(5):843-849
No abstract available in English.
Blood Pressure
;
Immobilization
;
Orthopedics
9.The effect of different phase maternal serum during menstrual cycle and different sex serum on one cell stage mouse zygotes in vitro.
Hyuck Dong HAN ; Young Kyu LEE ; Seung Woo LEE ; Kyung Woo LEE ; Dae Hyun KIM
Korean Journal of Obstetrics and Gynecology 1992;35(3):412-416
No abstract available.
Animals
;
Female
;
Menstrual Cycle*
;
Mice*
;
Zygote*
10.Effectiveness of Inferior Oblique Myectomy in Unilateral Superior Oblique Palsy Depending on Magnitude of Hyperdeviation
Sukyung LEE ; Jinu HAN ; Seung-han HAN ; Woo Beom SHIN
Journal of the Korean Ophthalmological Society 2021;62(11):1547-1552
Purpose:
To evaluate surgical outcome and effectiveness of inferior oblique (IO) myectomy on unilateral superior oblique palsy (SOP) as a primary treatment.
Methods:
This study is a retrospective review of the medical records of 99 patients who had undergone IO myectomy due to SOP as a first-line treatment. Sixty-five patients with hyperdeviation of 15 prism diopters (PD) or less were categorized into group 1, 22 patients with hyperdeviation between 16 PD to 20 PD into group 2, and 12 patients with hyperdeviation higher than 20 PD into group 3. Preoperative hyperdeviation, postoperative hyperdeviation, and improvement of head tilting were then compared between the 3 groups. Surgery was determined to be successful when the post-op residual hyperdeviation is less than 5 PD, or when the improvement of hyperdeviation and head tilting was noted, for the patients who had preoperative deviation less than 5 PD, and without hypercorrection.
Results:
All groups showed significant improvement of hyperdeviation, and the amount of correction was larger in group with larger preoperative hyperdeviation. 80.3%, 95.0%, and 90.9% of patients showed improvement of head tiling and success rate was 87.7%, 77.3%, and 50.0% in group 1, 2, and 3 respectively. Group 1 and 2, group 2 and 3 had no significant difference in success rate but only group 1 and 3 had significant difference.
Conclusions
Considering success rate with improvement of head position, self-titrating and possibility of overcorrection, IO myectomy could be an effective option as a first-line surgical treatment for unilateral SOP with hyperdeviation of 20 PD or less. However, due to a 50% success rate in patients with hyperdeviation larger than 20 PD, a secondary operation must be considered following IO myectomy, or a two-muscle procedure must be considered as a primary treatment.