1.Liver injury: factors determining postoperative morbidity and mortality.
Dong Hyun KIM ; Dong Shik KIM ; Man Soo RO
Journal of the Korean Surgical Society 1991;40(3):314-320
No abstract available.
Liver*
;
Mortality*
2.The Esthetic Upper Incisor Position in Korean Adult Female.
Bo Young YOO ; Hyun Shik HWANG ; Jong Chul KIM
Korean Journal of Physical Anthropology 1994;7(2):219-229
Esthetic is one of the prime goal of the orthodontic treatment. The upper incisor position in important because it is decisive in balanced smile. This study was attempted to obtain the standards and equations on the esthetic upper incisor position. Lateral cephalometric radiographs of 66 Korean young adult females who were candidates of Miss Korea Beauty Contest were traced, measured and statistically analyzed. The results were as follows ; 1. The mean and standard deviation of the measurement for upper incisor position were obtained in the Korean Beauty. 2. Among the measurements of the axis of upper incisor, 1 to SN and 1 to FH were high1y correlated with FH-MP, ANB, FH-N Pag, Y-axis, but 1 to SN (Is-Pr) to present axial inclination of labial surface of upper Incisor didn't have any correlation with the measurements for dentofacial pattern. 3. Among the measurements for the vertical position of upper incisor, 1 to stom had low correlation with to measurements for dentofacial pattern and 1 to PP(mm) was highly correlated with the measurements for facial growth direction. 4. Sixteen multiple regression equations were established to predict upper incisor position balancing with dentofacial pattern. 5. It does not have much power of persuasion to predict esthetic upper incisor position from the measurements for dentofacial pattern.
Adult*
;
Beauty
;
Female*
;
Humans
;
Incisor*
;
Korea
;
Persuasive Communication
;
Young Adult
3.EXPLOSIVE INJURY OF THE HAND.
Sun Shik SHIN ; Hyun Chul PARK ; Suk Ki LEE ; Koung Tae BAE ; Kwnag Shik KOOK ; Sung Ki KIM
Journal of the Korean Society of Plastic and Reconstructive Surgeons 1997;24(5):1139-1144
No abstract available.
Hand*
4.A Morphological Study of the Branches of the Axillary Artery in Korean Female.
Hyun Shik KIM ; Kyung Yong KIM ; Won Bok LEE ; Dong Chang KIM
Korean Journal of Physical Anthropology 1989;2(2):87-94
The branches of the axillary artery have been studied in 38 Korean female cadavers. 1. The superior thoracic artery arose from the first part and the second part of the axillary artery in 84% of sides. 2. The thoracoacromial artery arose from the axillary artery near the superomedial border of the axillaly artery more often (91%) than from any other source. 3. The lateral thoracic artery was found on 64% of the sides as a main axillary artery, usually arising from the second part of the axillary artery(61%). It arose from the subscapular artery in 28%. 4. The subscapular artery was seen as the lagrgest of the axillary artery. It arose from the second part (42%) and the third (58%) of the axillary artery. 5. The posterior circumflex humeral artery was a direct branch of the third part of axillary artery in 37% of sides. In 21% fo sides the posterior circumflex humeral artery arose by a common stem from the third part of the axillary artery. In 33% of sides the posterior circumflex humeral artery arose from the subscapular artery. 6. The anterior circumflex humeral artery was found more constantly at the third part of the axillary artery than the posterior circumflex humeral artery was. It arose from a direct branch of the third part of the axillary artery in 70% of sides.
Arteries
;
Axillary Artery*
;
Cadaver
;
Female*
;
Humans
;
Thoracic Arteries
5.The Proximal Humeral Fractures Treated by the Primary Prosthetic Replacement: A Report of 3 Cases
Kwang Hoe KIM ; Il Yong CHOI ; Hyun Kee CHUNG ; Shik KIM
The Journal of the Korean Orthopaedic Association 1987;22(3):809-814
Four-part displaced fractures, four-part fracture-dislocations, impression fractures of the articular surface involving greater than 50% of the head, and head-splitting fractures are to be best treated by primary prosthetic replacement. 3 primary prosthetic replacements were performed for the treatment of the proximal humeral fractures(l case of four-part displaced fracture, 2 cases of fracture-dislocation) and all cases were followe( up at least 3 years. Case II had excellent result, case I was satisfactory, and case III failure by Neers numerical ratin method. There were proximal subluxation roentgenologically in case I and III.
Head
;
Methods
;
Prostheses and Implants
;
Shoulder Fractures
6.Clinical Features of Seizures in Patients with Human Immunodeficiency Virus Infection.
Hyun Kyung KIM ; Bum Sik CHIN ; Hyoung Shik SHIN
Journal of Korean Medical Science 2015;30(6):694-699
Patients with human immunodeficiency virus (HIV) infection have a higher burden of seizures, but few studies have examined seizures in HIV-infected individuals in Korea. A retrospective study was conducted to determine the epidemiology and clinical characteristics of seizures in patients with HIV infection. Among a total of 1,141 patients, 34 (3%) had seizures or epilepsy; 4 of these individuals had epilepsy before HIV infection, and the others showed new-onset seizures. Most patients exhibited moderate (200 to 500, n = 13) or low (below 200, n = 16) CD4 counts. The most common seizure etiology was progressive multifocal leukoencephalopathy (n = 14), followed by other HIV-associated central nervous system (CNS) complications (n = 6). Imaging studies revealed brain lesions in 21 patients. A total of 9 patients experienced only one seizure during the follow-up period, and 25 patients experienced multiple seizures or status epilepticus (n = 2). Multiple seizures were more common in patients with brain etiologies (P = 0.019) or epileptiform discharges on EEG (P = 0.032). Most seizures were controlled without anticonvulsants (n = 12) or with a single anticonvulsant (n = 12). Among patients with HIV infection, seizures are significantly more prevalent than in the general population. Most seizures, with the exception of status epilepticus, have a benign clinical course and few complications.
Adult
;
Aged
;
Anticonvulsants/therapeutic use
;
Causality
;
Comorbidity
;
Electroencephalography/*statistics & numerical data
;
Female
;
HIV Infections/diagnosis/*epidemiology
;
Humans
;
Incidence
;
Longitudinal Studies
;
Male
;
Middle Aged
;
Republic of Korea/epidemiology
;
Risk Factors
;
Seizures/*diagnosis/*epidemiology/prevention & control
;
Treatment Outcome
7.Clinical Experience of Ureterolithotomy by Posterior Vertical Incision.
Hyun Woo KIM ; Kyu Shik JUNG ; Jong Byung YOON
Korean Journal of Urology 1981;22(5):378-382
The authors obtained the following results through comparative investigation between experiences from authors clinical study of ureterolithotomy by posterior vertical incision devised by Gil-Vernet and Yoon`s clinical study of ureterolithotomy by posterior vertical incision and his lumbar incision. 1. Operation time was average 62 min. and blood loss was average about 50cc. So operation time and blood loss were similar to Yoon`s result but more or less reduced as compared with lumbar incision. 2. Postoperative urine leakage and ambulation time were 1 day and 2 day that were more or less reduced as compared with Yoon`s result. 3. Ipsilateral lower abdominal wall protrusion was noted postoperatively. We think, this is from subcostal nerve injury. 4. Postoperatively sensation change on subcostal nerve, ilohypogastric nerve and ilioinguinal nerve innervation sites were noted in half of all, but disappeared in several weeks. Considering above results, while posterior vertical incision has merits such as minimal operative invasion and early postoperative ambulation time, but it often notes inevitable nerve damage. So, we think better results would be gained by careful attention to nerve and vascular distribution.
Abdominal Wall
;
Sensation
;
Walking
8.Consensus for the Treatment of Varicose Vein with Radiofrequency Ablation.
Jin Hyun JOH ; Woo Shik KIM ; In Mok JUNG ; Ki Hyuk PARK ; Taeseung LEE ; Jin Mo KANG
Vascular Specialist International 2014;30(4):105-112
The objective of this paper is to introduce the schematic protocol of radiofrequency (RF) ablation for the treatment of varicose veins. Indication: anatomic or pathophysiologic indication includes venous diameter within 2-20 mm, reflux time > or =0.5 seconds and distance from the skin > or =5 mm or subfascial location. Access: it is recommended to access at or above the knee joint for great saphenous vein and above the mid-calf for small saphenous vein. Catheter placement: the catheter tip should be placed 2.0 cm inferior to the saphenofemoral or saphenopopliteal junction. Endovenous heat-induced thrombosis > or =class III should be treated with low-molecular weight heparin. Tumescent solution: the composition of solution can be variable (e.g., 2% lidocaine 20 mL+500 mL normal saline+bicarbonate 2.5 mL with/without epinephrine). Infiltration can be done from each direction. Ablation: two cycles' ablation for the first proximal segment of saphenous vein and the segment with the incompetent perforators is recommended. The other segments should be ablated one time. During RF energy delivery, it is recommended to apply external compression. Concomitant procedure: It is recommended to do simultaneously ambulatory phlebectomy. For sclerotherapy, it is recommended to defer at least 2 weeks. Post-procedural management: post-procedural ambulation is encouraged to reduce the thrombotic complications. Compression stocking should be applied for at least 7 days. Minor daily activity is not limited, but strenuous activities should be avoided for 2 weeks. It is suggested to take showers after 24 hours and tub baths, swimming, or soaking in water after 2 weeks.
Baths
;
Catheter Ablation*
;
Catheters
;
Consensus*
;
Heparin
;
Knee Joint
;
Lidocaine
;
Saphenous Vein
;
Sclerotherapy
;
Skin
;
Stockings, Compression
;
Swimming
;
Thrombosis
;
Varicose Veins*
;
Walking
9.A Case of Eosinophilia with Bronchoalveolar Cell Carcinoma of Lung.
Kyeong Soon KWON ; Young Hyun LEE ; Jae Chun CHUNG ; Chong Suhi KIM ; Myeun Shik KANG
Yeungnam University Journal of Medicine 1987;4(1):165-171
The solid and hematologic cancer are occasionally accompanied by peripheral blood eosinophilia and suggest tumor necrosis or wide dissemination, but the mechanisms underlying this curious relationship remain obscure. The association of this eosinophilic leukemoid reaction with carcinoma seems to occur must frequently with bronchogenic carcinoma. Several mechanisms for this association were considered: eosinophil chemotactic factor, eosinophil mediated by T-lymphocyte, and eosinopoietic hormone. We are here reporting a case of bronchoalveolar cell carcinoma of lung associated with peripheral eosinophilia in a 60-year-old male patient.
Carcinoma, Bronchogenic
;
Eosinophilia*
;
Eosinophils
;
Humans
;
Leukemoid Reaction
;
Lung*
;
Male
;
Middle Aged
;
Necrosis
;
T-Lymphocytes
10.Significance of Microsurgical Varicocelectomy for Non- obstructive Azoospermic Patients.
Sang Hyun KIM ; Joong Shik LEE ; Ju Tae SEO
Korean Journal of Urology 2004;45(3):245-249
PURPOSE: This study attempted to assess the treatment outcomes after microsurgical varicocelectomy in non-obstructive azoospermic patients and correlate the surgical outcomes with the histopathological patterns of their testes. MATERIALS AND METHODS: Fourteen non-obstructive azoospermic men who underwent testicular biopsy and varicocelectomy, between September 2001 and December 2002, were reviewed. Varicocelectomy was unilaterally and bilaterally performed in 12 and 2 patients, respectively, using an inguinal approach with a microsurgical technique. Postoperative semen analyses were performed in each patient four months after the varicocelectomy. RESULTS: In the testicular histology, hypospermatogenesis was identified in three, maturation arrest in five and Sertoli-cell-only syndrome in six of the subjects. After a mean follow-up of 7.4 months, motile sperm in the ejaculate was identified in 6(43%) of the non-obstructive azoospermic patients. These included 2 in hypospermatogenesis, 3 in maturation arrest and 1 in Sertoli-cell-only syndrome, in terms of their histopathology. These six had improvements in their sperm concentration and motility, which were 0.45x10(6)/ml and 51.3%, respectively. However, of these six, with motile sperm after varicocelectomy, 1 with maturation arrest and 1 with Sertoli-cell-only syndrome returned to their previous azoospermic state on their second postoperative semen analyses. A pregnancy was achieved by natural intercourse for 1 of the men(7.1%) with hypospermatogenesis. CONCLUSIONS: Microsurgical varicocelectomy offers non-obstructive azoospermic patients the chance to have sperm in their ejaculate, and therefore, the possibility of natural pregnancy. Microsurgical varicocelectomy may be considered with the initial treatment modality in selective non- obstructive azoospermic patients with varicocele prior to intervention with assisted reproductive technology.
Azoospermia
;
Biopsy
;
Follow-Up Studies
;
Humans
;
Male
;
Oligospermia
;
Pregnancy
;
Reproductive Techniques, Assisted
;
Semen Analysis
;
Spermatozoa
;
Testis
;
Varicocele