1.Comparative Analysis of Acute Drug Intoxication between 1980s and 1990s.
Journal of the Korean Society of Emergency Medicine 1999;10(3):441-446
BACKGROUND: To comparatively analysis the epidemiological changes in the acute drug intoxication between 1980s and 1990s. METHODS: We reviewed retrospectively the medical records of the patients with acute drug intoxication in the emergency department of the Inha hospital from June 1986 to April 1987 and from June 1996 to May 1997. And we performed comparative analysis between two result. RESULTS: The ratio of the acute drug intoxication in the emergency medical center was reduced significantly in 1990s against 1980s. Sexual ratio and prevalent age group has no significant interval changes between 1980s and 1990s. The prevalent seasons were Spring in 1980s and Summer in 1990s but has no significance. The most commonly used drugs was rodentides in 1980s and hypnosedatives in 1990s and shown significant interval changes. The most common motive was suicidal attempts in both 1980s and 1990s, but significantly reduced. After emergency treatment the rate of curative-discharge has improved and the rate of admission has decreased significantly in 1990s against 1980s. The most critical agent was agricultural chemicals in both 1980s and 1990s. The mortality rate has no significant interval changes. CONCLUSION: There were some significant interval changes of the acute drug intoxication in prevalence rate, commonly used drugs, ratio of suicidal attempt and curative-discharge rate between 1980s and 1990s. New education programs far preventing acute drug intoxication and strict legal control of drugs are important and necessary.
Agrochemicals
;
Education
;
Emergencies
;
Emergency Service, Hospital
;
Emergency Treatment
;
Humans
;
Medical Records
;
Mortality
;
Prevalence
;
Retrospective Studies
;
Seasons
2.Central Origin Dizziness Versus Peripheral Origin Dizziness.
Yong Ju LEE ; Jun Hee LEE ; Seung Tae HAN
Journal of the Korean Society of Emergency Medicine 1998;9(3):420-429
BACKGROUND: Dizziness is a common complaint in patients presenting to the emergency room and that has various pathologic causes. This study investigate the clinical differences in dizziness between the central origin and the peripheral origin and to provides the clues far diagnosis and proper treatment. METHODS: We analysed 290 patients with dizziness during 12 months period prospectively, who visited in ED, Inha University Hospital from Jan. 1997 to Dec. 1997. We analysized sex ratio, characteristics of the dizziness, associated past illness, associated symptoms, severity, results of the special radiologic study, nystagmus type, and causes of central origin and peripheral origin dizziness. RESULTS: Male to female ratio was 1:1.4 in central origin(n=165) and 1:2.0 in peripheral origin(n=125). Most common age group was 11th decade in both groups. According to the characteristics of the dizziness, rotation sense was the main complaint of the peripheral origin dizziness. Most common past illness was hypertension in both groups. MRI has diagnostic priority than CT scan in central origin dizziness. Types of nystagmus has some significant differences between two groups. CONCLUSION: Dizziness may represented as a sign of significant pathological neurologic status especially in central origin. So we must precisely evaluate the patient history, neurologic examination of the inner ear and CNS, and special radiologic study incliding MRI.
Diagnosis
;
Dizziness*
;
Ear, Inner
;
Emergency Service, Hospital
;
Female
;
Humans
;
Hypertension
;
Magnetic Resonance Imaging
;
Male
;
Neurologic Examination
;
Prospective Studies
;
Sex Ratio
;
Tomography, X-Ray Computed
3.Pemphigus Foliaceus Complicating Eczema Herpeticum.
Jae Hee HAN ; Chang Jun CHOI ; Chull Wan IHM
Korean Journal of Dermatology 1994;32(1):94-98
Eczema herpeticum occurred in a patient with pemphigus foliaceus and esophageal cancer. The patient's initial skin lesions composed of large flaccid bullaes showed subcorneal bullae with typical acantholytic cells. Subsequent grouped small vesicles appeared widely on the erythematous base were diagnosed herpes simplex virus infection by Tzanck smear and histopathological findings. The patient died one week after the development of the widespread herpes virus infection.
Eczema*
;
Esophageal Neoplasms
;
Humans
;
Kaposi Varicelliform Eruption*
;
Pemphigus*
;
Simplexvirus
;
Skin
4.A Case of Foreign Body Granuloma after Squalene Injection by Non-dermatologists.
Ju Hee HAN ; Ji Hyun LEE ; Jun Young LEE ; Young Min PARK
Korean Journal of Dermatology 2016;54(8):671-672
No abstract available.
Foreign Bodies*
;
Foreign-Body Reaction
;
Granuloma
;
Granuloma, Foreign-Body*
;
Squalene*
5.A case of recurrent Malaria : imported infection.
Se Hwan HAN ; Dong Won BYUN ; Won Seok CHU ; Jun Hee WOO ; Sung Tae HONG
Korean Journal of Infectious Diseases 1991;23(2):125-129
No abstract available.
Malaria*
6.A Study of Pilot-Efficacy.
Korean Journal of Aerospace and Environmental Medicine 2009;19(1):8-13
Pilot's complacency and confidence have been implicated as a contributing factors in numerous aviation accidents and incidents. It is related to ones belief that one is capable of performing in a certain manner to attain certain goals which is called 'Self-Efficacy' as a psychological concept. The purpose of this study was to construct and validate pilot's self-efficacy scale. This study examined the necessity of pilot efficacy in terms of pilot's confidence and complacency, and considered what is components and processes of pilot self-efficacy through the reference to literature. This Study newly defined 'pilot-efficacy' as vocational self-efficacy in flight operation field. Based on literature review and advisory group's review, there made 3 factors of Pilot-Efficacy:Flight-Efficacy, Relational/Communication Efficacy, and physical and psychological Stress-Coping Efficacy. Preliminary pilot-efficacy scale was administered to pilot group analysis Item analysis was conducted to select appropriate items and common factor analysis was done to identify the subcomponents of pilot efficacy scale. In result, 35 items were selected. The measurement of pilot efficacy for individual makes it possible to predict pilots' behavior when they make decision both normal and non-normal situation. This scale is expected to be not only predictable but also useful to enhance aviation safety. Finally, suggestion for following studies were discussed.
Accidents, Aviation
;
Aviation
7.Primary Duodenal Cancer Combined with Gastric Cancer after Treatment of Cervical Cancer -triple primary cancer.
Byoung Hee LEE ; Dong Ho CHOI ; Han Jun KIM ; Kyeong Geun LEE ; Kwang Soo LEE
Journal of the Korean Surgical Society 2003;65(6):576-581
Multiple primary tumors are defined as cases involving primary malignant tumors of different histologic origins in one person. The absolute number of reported cases of double primary malignant tumors has increased in recent years diagnostic procedures. Primary adenocarcinoma of duodenum is a rare disease and represents less than 0.5% of all gastrointestinal malignancies. Therefore, synchronous multiple primary cancers of the stomach and duodenum are very rare. Recently, we experienced a case of triple primary malignant tumors of different site originating from the stomach, duodenum and cervix in 71- year-old woman. She had had radiation therapy and chemotherapy for squamous cell carcinoma of the uterine cervix 8 years previously. We performed subtotal gastrectomy and pancreaticoduodenectomy with radical lymph node dissection. She remained healthy without any evidence of recurrence 12 months after the operation.
Adenocarcinoma
;
Carcinoma, Squamous Cell
;
Cervix Uteri
;
Drug Therapy
;
Duodenal Neoplasms*
;
Duodenum
;
Female
;
Gastrectomy
;
Humans
;
Lymph Node Excision
;
Pancreaticoduodenectomy
;
Rare Diseases
;
Recurrence
;
Stomach
;
Stomach Neoplasms*
;
Uterine Cervical Neoplasms*
8.Bilateral Coronary Artery-Right Ventricular Fistula in Newborn: Associated with Atrial Septal Defect.
Jo Won JUNG ; Jong Kyun LEE ; Jun Hee SUL ; Sung Kyu LEE ; Dong Gwan HAN
Korean Circulation Journal 1991;21(6):1259-1264
Bilateral coronary artery fistula is very uncommon congenital anomaly which occupy small percentage of all congenital coronary artery fistula. About 20% of the cases associated with additional congenital heart disease. And it may cause congestive heart failure, especially severely in neonate. We experienced a case of neonate who was 1 day-old-male with bilateral coronary artery-right ventricular fistula associated with atrial septal defect and congestive heart failure. The Patient was admitted because dyspnea, cyanosis since birth. 2D ecgicardiogram and cardiac catheterization revealed that a fistulous communicating ; forming a large aneurysm, was noted from bilateral coronary artery emptied into the right ventricle, and there was oxygen step-up in right ventricle.
Aneurysm
;
Cardiac Catheterization
;
Cardiac Catheters
;
Coronary Vessels
;
Cyanosis
;
Dyspnea
;
Fistula*
;
Heart Defects, Congenital
;
Heart Failure
;
Heart Septal Defects, Atrial*
;
Heart Ventricles
;
Humans
;
Infant, Newborn*
;
Oxygen
;
Parturition
9.Evoluaotion of Appropriateness of Blood Order Bosed on Quality Indicator of Crossmatching to Transfusion Ratio.
Chang Yup KIM ; Young Soo SHIN ; Kyou Sup HAN ; Sug Jun YOUN ; Byoung Hee OH
Korean Journal of Blood Transfusion 1996;7(2):223-231
In spite of vigorous efforts to enhance appropriateness of blood usage in surgery, it is recognized that there are still not a few overuse and misuse of blood products in Korean hospitals. To assure appropriate use of blood, continuous monitoring and controlfling blood orders, particularly for surgical operations, should be implemented. The indicator of 'ratio of crossmatching to transfusion' (C/T ratio) has been focalized on in this regard. The authors investigated C/T ratio for eight hospitals, evenly distributed in their geographical location as well as size. Only elective surgeries operated from March 1 to May 31, 1995 were included for analysis. Standardized survey format was distributed, and retrospective reviews of medical records were performed by volunteer surveyors from each hospital after two sessions of pre- survey education. The results were as follows. Average C/T ratio, for all hospitals and all surgeries, was 1.76. Differences in C/T ratio by sex, months, clinical departments, blood components were not significant. However, the ratio showed increasing tendency with ages. The C/T ratio on the average was not higher, compared with the recommended guideline. However, due to study' s limitations ini standardization of survey method and verification of data, we could not conclude that current status of appropriateness of blood use is satisfactory. In addition, to pervasively use the C/T ratio as a quality indicator for blood use management, supplementary measures, such as standardization of data, should be adopted.
Surveys and Questionnaires
;
Education
;
Medical Records
;
Quality Indicators, Health Care*
;
Retrospective Studies
;
Volunteers
10.Aortography and Echocardiography by Countercurrent Injection Via Radial Artery in Newborns with PDA.
Jun Hee SUL ; Dong Kwan HAN ; Sung Kyu LEE ; Dong Shick CHIN
Journal of the Korean Pediatric Society 1986;29(11):36-40
No abstract available.
Aortography*
;
Echocardiography*
;
Humans
;
Infant, Newborn*
;
Radial Artery*