2.Analysis of DNA Ploidy Patterns and Nuclear Morphometry in Diethylnitrosamine Induced Hepatocyte Nodules and Hepatocellular Carcinoma of Rats.
Chan CHOI ; Myung Kwan KIM ; Kwan Mook CHAE ; Eun Cheol KIM ; Hyung Bae MOON
Korean Journal of Pathology 1993;27(3):226-234
This study was designed to answer the question; (1) How does the DNA ploidy pattern change in hepatocarcinogenesis? (2) How does the nuclear morphology change in hepatocarcinogenesis? Diethylnitrosamine(DEN) (16.5 mg per kg) was subcutaneously injected to female Sprague-Dawley rats(150~200g) by weekly interval for 30 weeks. DNA ploidy and parameters of nuclear morphology were measured by image analyser(IBAS 200, Kontron, FRG). The DNA ploidy pattern was divided into three basic patterns(diploid, polyploid, and aneuploid modes). In 8 cases of saline-injected control rats, the DNA histograms showed all polyploid pattern. Inhepatocyte nodules(hyperplastic nodules), DNA diploidy was the most frequent pattern, being followed by polyploid and aneuploid DNA patterns, contrast to hepatocelular carcinomas in which polyploid DNA pattern was most frequently noted being followed by diploid and aneuploid DNA pattern. Although the nuclei of hepatocytes in hepatocyte nodules and hepatocellular carcinomas were larger and more pleomorphic than those of normal hepatocytes, they were as same as those of normal hepatocytes in regard to nuclear hyperchromasia. DNA content, which was increased in hepatocarcinogenesis, was significantly related to the nuclear area.
Female
;
Humans
;
Carcinoma, Hepatocellular
3.Biological factors influencing the fate of onlay bone graft on the craniofacial skeleton.
Jun Hyung KIM ; Jin Sung KANG ; Kwan Kyu PARK
Journal of the Korean Society of Plastic and Reconstructive Surgeons 1998;25(4):557-565
The superior volume maintenance of membranous over endochondral bone grafts, which was shown in several studies has provided the basis for its preferred clinical use as an onlay grafting material on the craniofacial skeleton. The scientific rationale for this seeming embryological advantage, however, has never been proven, Since the cortical component of membranous bone is proportionally greater than that of endochondral bone, it follows that membranous grafts would show greater volume maintenance over time. Our hypothesis is that the pattern of onlay bone graft resorption is primarily determined by a graft's micro-architecture (relative cortical and cancellous composition) rather than its embryololgical origin(membranous versus endochondral). Fourty adult New Zealand white rabbits were used for this study. There were 8 animals in each of 4 groups. The rabbits of each group were sacrificed at 3, 8, and 16 weeks. Four types of grafts were placed subperosteally, onto each rabbit's cranium: a hydroxyapatite, a cortical bone graft of membranous origin, a cortical bone graft of endochondral origin and a cancellous bone graft of endochondral origin. Membranous bone grafts were obtained from the lateral mandible and endochondral bone grafts were obtained from the ileum. In order to determine post-sacrifice volume and density of the bone grafts, a caliper technique and bone densitometry(bone densitometer: LUNAR, DPX-L, U.S.A.) were performed on all of the bone grafts. Bone graft specimens were histologically examined at 3, 8, and 16 weeks.The measurement of volume and density show that there is a statistically greater resumption in the cancellous endochondral bone grafts for all parameter, compared to either the endochondral or membranous cortical bone grafts or hydroxyapatite at all time points(p< 0.05). In addition, there is no significant difference in the resorption rates between the endochondral and membranous cortical bone grafts for all parameters at all time points. By placing cortical bone grafts and cancellous bone grafts on the recipient sites separately, we have shown that the former grafts maintain their volumes, widths and projections significantly better than the latter grafts. Futhermore, we found no statistical difference in resorption rates between the two cortical bone grafts of different embryologic origins, a finding which has never been previously shown. Bone volume fraction, measured with bone densitometry, was shown to be higher in cortical bone than in cancellous bone at all time points, further illustrating the differences between cortical and cancellous bone.From our results, we believe cortical bone to be a superior onlay-graftiong material, independent of its embryololgic origin.
Adult
;
Animals
;
Biological Factors*
;
Densitometry
;
Durapatite
;
Humans
;
Ileum
;
Inlays*
;
Mandible
;
Rabbits
;
Skeleton*
;
Skull
;
Transplants*
4.Radiological diagnosis of perinephric abscess
Kun Sang KIM ; Hyung Jin SHIM ; Kwan Seh LEE
Journal of the Korean Radiological Society 1983;19(3):580-584
With conventional radiological approaches, diagnosis of perinephric abscess is difficult in many occasions. CTand ultrasound enable accurate detection of lesions and precise determination of their extent. We review our casesand discuss the usefulness of these new modalities for the diagnosis and follow up of the lesions.
Abscess
;
Diagnosis
;
Follow-Up Studies
;
Ultrasonography
5.Production of monoclona antibody to infectious bursal disease virus as a diagnostic methods.
Hyung Kwan JANG ; Jai Hong KIM ; Chang Seon SONG ; Soon Jae KIM ; Tae Jong KIM
Journal of the Korean Society of Virology 1993;23(2):171-182
No abstract available.
Infectious bursal disease virus*
6.Clinical studies on risk factors of preterm delivery.
Ey Seob SIM ; Tae Hyung KIM ; Myung Jin KIM ; Yong Bong KIM ; Sung Kwan PARK
Korean Journal of Perinatology 1993;4(4):504-511
No abstract available.
Risk Factors*
7.Early Extracorporeal Membrane Oxygenation for Massive Aspiration during Anesthesia Induction.
Namo KIM ; Kwan Hyung KIM ; Jeong Min KIM ; Su Youn CHOI ; Sungwon NA
Korean Journal of Critical Care Medicine 2015;30(2):109-114
Although the incidence is not high in the general surgical population, pulmonary aspiration of gastric contents can result in serious long-term morbidity and mortality. We report a case of early use of extracorporeal membrane oxygenation (ECMO) to correct severe hypoxemia refractory to conventional mechanical ventilation in a patient with massive aspiration of gastric contents immediately followed by acute lung injury during general anesthesia induction. A 64-year-old woman diagnosed with stomach cancer was scheduled for elective diagnostic laparoscopy. Although there was no sign of gastrointestinal tract obstruction and midnight Nil per Os (NPO) was performed before the operation, pulmonary aspiration occurred during the induction of anesthesia. Despite the endotracheal intubation with mechanical ventilation, severe hypoxemia with hypercapnea persisted. Medical team agreed with applying veno-venous (VV) ECMO, and her blood gas analysis results became stable. ECMO was weaned successfully 9 days after the first aspiration event had occurred. Based on this case, early application of extracorporeal life support can have survival benefits.
Acute Lung Injury
;
Anesthesia*
;
Anesthesia, General
;
Anoxia
;
Blood Gas Analysis
;
Extracorporeal Membrane Oxygenation*
;
Female
;
Gastrointestinal Tract
;
Humans
;
Incidence
;
Intubation, Intratracheal
;
Laparoscopy
;
Middle Aged
;
Mortality
;
Pneumonia, Aspiration
;
Respiration, Artificial
;
Stomach Neoplasms
8.Fixed Pupillary Light Reflex due to Peripheral Neuropathy after Liver Transplantation.
Kwan Hyung KIM ; Namo KIM ; Sungwon NA ; Jaewon JANG ; Jeongmin KIM
Korean Journal of Critical Care Medicine 2015;30(3):191-195
A 46-year-old female patient was admitted to the intensive care unit (ICU) after liver transplantation. About an hour later after the ICU admission, she had no pupillary light reflex. Both pupils were also fixed at 5 mm. Patients who undergo liver transplantation are susceptible to neurologic disorders including hepatic encephalopathy, thromboembolism and intracranial hemorrhage. Abnormal pupillary light reflex usually indicates a serious neurologic emergency in these patients; however, benign neurologic disorders such as peripheral autonomic neuropathy or Holmes-Adie syndrome should also be considered. We experienced a case of fixed pupillary light reflex after liver transplantation diagnosed as peripheral autonomic neuropathy.
Adie Syndrome
;
Emergencies
;
Female
;
Hepatic Encephalopathy
;
Humans
;
Intensive Care Units
;
Intracranial Hemorrhages
;
Liver Transplantation*
;
Liver*
;
Middle Aged
;
Nervous System Diseases
;
Peripheral Nervous System Diseases*
;
Pupil
;
Reflex*
;
Reflex, Pupillary
;
Thromboembolism
9.Patellofemoral osteoarthritis and patellar tenderness.
Jung Man KIM ; Sung Soo KIM ; Soon Yong KWON ; Hyung Kwan KIM ; Hwe Sung LEE
Journal of the Korean Knee Society 1992;4(1):47-53
No abstract available.
Osteoarthritis*
10.Clinical aspect of primary carcinoma of the fallopian tube report on 7 cases.
Do Hyung KIM ; Tchan Kyu PARK ; Se Kwan LAN ; Jae Wook KIM ; Dong Hee CHOI
Korean Journal of Obstetrics and Gynecology 1991;34(6):821-827
No abstract available.
Fallopian Tubes*
;
Female