1.A case of abdominao-sacral resection of leiomyosarcoma of rectum combined with sacrectomy.
Bong Hwa LEE ; Kyoung Sik KIM ; Hong Moo KIM ; Seong Moon NAM ; Joon Yang NOH ; Ze Hong WOO
Journal of the Korean Society of Coloproctology 1991;7(1):71-76
No abstract available.
Leiomyosarcoma*
;
Rectum*
2.A Case of Branchial cleft fistula.
Seong Ho WEE ; Sung Nam CHANG ; Soo Il CHUN ; Wook Hwa PARK
Korean Journal of Dermatology 2000;38(8):1144-1145
Congenital branchial anomalies are developmental defects resulting from incomplete obliteration of branchial clefts, arches and pouches, and usually found as cysts, fistulas and sinuses. The sinus or fistula is usually noted during infancy and young childhood due to recurrent infection. We have experienced a case of branchial cleft fistula in a 12-year-old male. It was a skin colored, nontender nodule which had mucus secreting from a small opening pore. We performed complete surgical removal and histopathologically the lumen was lined by pseudostratified columnar cells and the stroma was composed of aggregates of lymphocytes with many germinal centers. So we finally diagnosed it as branchial cleft fistula of second type branchial anomaly.
Branchial Region*
;
Child
;
Fistula*
;
Germinal Center
;
Humans
;
Lymphocytes
;
Male
;
Mucus
;
Skin
3.Anesthesia for Thymectomy in Patient with Myasthenia Gravis - Two cases report.
Kyung Soo PARK ; Seong Doo CHO ; Nam Weon SONG ; Keon Hwa LEE
Korean Journal of Anesthesiology 1988;21(4):667-673
Myasthenia Gravis is a neuromuscular disorder manifested by increasing weakness and fatigability of voluntary muscles with exercise, and partial or complete restoration of function following rest or the administration of anticholinesterase drugs. The anesthesiologists may be called upon to assist in the diagnosis of myasthenis, in treating the patient by artificial ventilation during acute exacerbations, to anesthetise the patient for thymectomy or other surgery. Therefore, the anesthesiologists must be familiar with the diagnosis and treatment of myasthnia gravis to carry on the appropriate therapy. Two cases of anesthesia for thymectomy in myasthenia gravis without using muscle relaxants was experienced, and no respiratory problems were encountered postoperatively.
Anesthesia*
;
Cholinesterase Inhibitors
;
Diagnosis
;
Humans
;
Muscle, Skeletal
;
Myasthenia Gravis*
;
Thymectomy*
;
Ventilation
4.The Incidence of Hypoxia Following the Use of Hypnotics and Analgesics during Spinal Anesthesia.
Myung Hwa HA ; In Cheol CHOI ; Young Saeng KIM ; Seong Doo CHO ; Nam Won SONG
Korean Journal of Anesthesiology 2000;39(6):792-797
BACKGROUND: The purpose of this study was to find out the effect of hypnotics and analgesics on oxygen saturation by pulse oximetry in surgery patients under spinal anesthesia. METHODS: Sixty-five patients classified ASA physical status 1 or 2 scheduled for surgery under spinal anesthesia were studied. These patients were divided into three groups. The 22 subjects of the first group did not receive either midazolam or fentanyl. The 22 subjects of the second group received midazolam. The 21 subjects of the third group received midazolam (0.03 mg/kg) and fentanyl (1.0 microgram/ kg). Oxygen saturation was measured with a pulse oximetry. Measurements were made before spinal anesthesia, 5 minutes, and 10 minutes after starting of spinal anesthesia, 5 minutes, 10 minutes, 30 minutes, and 60 minutes after the start of the operation or intravenous injection of drugs. In addition, measurements were made on arrival in the recovery room, and 5 minutes, 10 minutes, 20 minutes, and 30 minutes after arrival in the recovery room. RESULTS: There were statistically significant differences in oxygen saturation at 5 minutes after the start of the operation or intravenous injection of drugs. The mean oxygen saturation for the first group was 98.2 +/- 1.8%, for the second group 97.9 +/- 2.6%, and for the third group 92.4 +/- 2.8%. Hypoxia cases at 5 minutes after the start of the operation or intravenous injection of a drug occurred in 4.5% of the first group, 9.1% of the second group, and 57.1% of the third group CONCLUSIONS: We concluded that oxygen saturation monitoring should be done routinely in patients receiving hypnotics and analgesics during spinal anesthesia, and oxygen should be administered to patients who develope hypoxia during spinal anesthesia.
Analgesics*
;
Anesthesia, Spinal*
;
Anoxia*
;
Fentanyl
;
Humans
;
Hypnotics and Sedatives*
;
Incidence*
;
Injections, Intravenous
;
Midazolam
;
Oximetry
;
Oxygen
;
Recovery Room
5.Familial Occurrence of Moyamoya Disease: Report of Two Families.
Sang Hwa KIM ; Nam Je KANG ; Dae Seong KIM ; Dae Soo JEONG ; Kyu Hyun PARK ; Chang Hwa CHOI
Journal of the Korean Neurological Association 1998;16(4):603-606
BACKGROUND: Whether the changes of risk factors (hypertension, diabetes mellitus, smoking, alcohol) can precipitate stroke remains unknown, and antecedent infection and psychologic stress are described inss case-control study, 113 consecutive patients with acute cerebrovascular disease (38 small vessel disease, 43 large vessel disease, 11 cardiogenic infarction, 4 infarction of undetermined cause, and 17 intracerebral hemorrhage) and 23 control subjects were evaluated. Changes of the risk factors (and their management) were interviewed. A sign/symptom based questionnaire was used to characterize the prevalence of recent prior infection and exposure to coldness. Psychologic stress was measured with the use of Social Readjustment Rating Scale. RESULTS: The negative change of alcohol drinking was significantly higher in the stroke group. However, there was no significant difference between stroke and control groups in the changes of thether risk factors. The prevalence of previous (within 1 month) infection was significantly higher in the stroke group compared with control subjects (p=0.03). However, there were no significant differences among the stroke subtypes in the prevalence of infection(p=0.08). Upper respiratory tract infections constituted the most common type of infection. The exposure to coldness was significantly higher in the stroke group compared with control subjects (p=0.002). The level of stress within the prior 1 month/1 year was significantly higher in the stroke group than control group (p=0.01). CONCLUSION: Our data suggest that preceding infection, exposure to coldness, psychologic stress, and the negative change of alcohol drinking may be comm.
Alcohol Drinking
;
Case-Control Studies
;
Diabetes Mellitus
;
Humans
;
Infarction
;
Moyamoya Disease*
;
Prevalence
;
Surveys and Questionnaires
;
Respiratory Tract Infections
;
Risk Factors
;
Smoke
;
Smoking
;
Stress, Psychological
;
Stroke
6.Localized fibrous tumor of pleural: A report of case.
Nam Hyeuk KIM ; Seong Rin YANG ; Jong Hwa EUN ; Chang Hee KANG ; Oh Chun KWON ; Chung Hee NAM ; Kihl Rho LEE ; So Young JIN
The Korean Journal of Thoracic and Cardiovascular Surgery 1993;26(12):959-961
No abstract available.
7.Pleural lipoma: a case report.
Seong Rin YANG ; Seong Ku SEO ; Hwa Kyun SHIN ; Chang Hee KANG ; Oh Chun KWON ; Chung Hee NAM ; Kihl Rho LEE
The Korean Journal of Thoracic and Cardiovascular Surgery 1993;26(6):505-506
No abstract available.
Lipoma*
8.The MRI Findings of Skull Tuberculosis: A Case Report.
Myongjin KANG ; Jin Han CHO ; Sunseob CHOI ; Seong Kuk YOON ; Ki Nam KIM ; Jin Hwa LEE
Journal of the Korean Radiological Society 2008;58(1):17-20
The incidence of skull tuberculosis is very rare, with only a few cases reported as a result of a simple radiography and computed tomographic findings. In this study, we report the magnetic resonance image (MRI) findings of a case of skull tuberculosis, which was confirmed histologically.
Frontal Bone
;
Incidence
;
Magnetic Resonance Imaging
;
Magnetic Resonance Spectroscopy
;
Skull
;
Tuberculosis
;
Tuberculosis, Osteoarticular
9.Drug-Resistant Tuberculosis in Children.
Seong Hee JANG ; Yoon Hwa CHA ; Young Min AHN ; Sang Jae KIM
Journal of the Korean Pediatric Society 1997;40(6):818-825
PURPOSE: Initial drug resistance of children with tuberculosis is a useful performance indicator of tuberculosis control programme in the concerned country because it represented infection transmitted from adult patients with either primary or acquired drug resistance. But there have been a few studies available. The present study was made to know the incidence of drug-resistant tuberculosis in hopes of selecting effective treatment regimens for the treatment of childhood tuberculosis. METHODS: Tuberculosis patients were selected from those whose cultures had been submitted to drug susceptibility testing in the Korean National Tuberculosis Association from Jan. 1987 to Jun. 1995. We have investigated the drug resistance and reviewed retrospectively the medical records of children. A total of 48 strains were tested for drug susceptibility. Of these cases medical records were available in one half and 22 patients did not have a history of previous antituberculosis therapy. RESULTS: 1) Of the 48 strains, 18 (37.5%) were resistant to 1 or more antituberculosis drugs. The 14 (29.2%) and 8 (16.7%) strains were resistant to isoniazid and rifampin, respectively. The 7 (14.6%) strains were resistant to both isoniazid and rifampin. 2) Of the 22 strains isolated from patients without previous therapy, 4 (18.2%) were resistant to 1 or more antituberculosis drugs. The 2 (9.1%) strains were resistant to isoniazid. There were no resistant strains to rifampin and to both isoniazid and rifampin. CONCLUSIONS: Primary resistance rate for isoniazid was 9.1%. These limited data suggested that four-drug regimens is indicated in childhood tuberculosis patients.
Adult
;
Child*
;
Drug Resistance
;
Hope
;
Humans
;
Incidence
;
Isoniazid
;
Medical Records
;
Retrospective Studies
;
Rifampin
;
Tuberculosis
;
Tuberculosis, Multidrug-Resistant*
10.The characteristics of high caries risk group for 12-years children in Korea.
Yun Sook JUNG ; Seong Hwa JEONG ; Nam Kyu KANG ; Youn Hee CHOI ; Keun Bae SONG
Journal of Korean Academy of Oral Health 2013;37(1):47-52
OBJECTIVES: The aim of this study was to examine the characteristics of the high caries risk group among 12-year-old children in Korea. METHODS: Information on oral health status and interview data were collected from 6,253 children (3,309 male and 2,944 female children) aged 12 years who participated in the Korea National Oral Health Survey in 2010. The subjects were sorted according to the decayed missing filled tooth (DMFT) data. The highest one-third was selected as the significant caries (SiC) group (N=2,184), and the others were classified as the middle group (N=4,466) and the caries-free group (N=7,067). This study also used demographic variables such as gender and area of residence. The variables for the oral health behavior were the number of dental sealants on the first molar, self-perceived oral health, average frequency of tooth brushing per day, and the mean frequency of daily snack consumption. The variables for the oral health status were the mean number of DMFTs and the SiC index. The associations between the high caries risk group and the demographic and social variables, oral health status, and oral health-related consciousness and behavior were evaluated by logistic regression analysis. RESULTS: A significant proportion of the high caries risk group participants had no dental sealant on the first molar (46.4%) and lived in rural areas (38.1%, P<0.05). The determinants of the high-risk group were whether the first molar was sealed ('0', OR=52.67) and the self-perceived oral health ('fair', OR=1.43, 'poor', OR=2.09). CONCLUSIONS: The characteristics of the high caries risk group among 12-year-old Korean children were the absence of dental sealant on the first molar, poor self-perceived oral health, gender, and region.
Aged
;
Child
;
Consciousness
;
Female
;
Humans
;
Korea
;
Logistic Models
;
Male
;
Molar
;
Oral Health
;
Pit and Fissure Sealants
;
Snacks
;
Tooth