1.A case of successful treatment by artificial pneumothorax in cavitary pulmonary tuberculosis with treatment failure.
Myung Seon RHEE ; Kyung Ho KIM ; Dong Il CHO ; Nam Soo RHU ; Jae Won KIM
Tuberculosis and Respiratory Diseases 1993;40(6):723-729
No abstract available.
Pneumothorax, Artificial*
;
Treatment Failure*
;
Tuberculosis, Pulmonary*
2.2 Cases of Congenital Asplenia Syndrome.
Hyo Sup JOO ; Chung Hye CHU ; Byoung Soo CHO ; Kyoo Hwan RHEE ; Sa Jun CHUNG ; Chang Il AHN
Journal of the Korean Pediatric Society 1984;27(2):191-196
No abstract available.
Heterotaxy Syndrome*
3.Comparison of Apical Z-axis Derotation between Rod Derotation(RD) and Vertebrae to Rod(VTR) Methods in Idiopathic Thoracic Scoliosis.
Dong Soo KIM ; Se Il SUK ; Won Joong KIM ; Ho Cheol RHEE
Journal of Korean Society of Spine Surgery 2000;7(2):253-258
STUDY DESIGN: A prospective study. OBJECTIVE: To compare the derotational effect of the two methods and to determine the effect of the position of axis of the rotation on derotation of the apical vertebrae. SUMMARY OF BACKGROUND DATA: Vertebral derotation about z-axis following a posterior instrumentation and its relation to the position of the rotational axis is still controversial. Rod derotation(RD) method rotates the vertebrae about the axis of the rod curvature located relatively anterior position whereas the vertebrae to rod(VTR) method, reducing the vertebrae to the contoured rod, rotates the vertebrae about the posteriorly located axis. MATERIALS AND METHODS: Eleven consecutive thoracic idiopathic scoliosis subjected to segmental pedicle screw instrumentation were analysed. Six were treated by RD and five by VTR. Average preoperative curve was 46.6 delta in RD and 51 delta in VTR with flexibility of 69% and 71% respectively (p>0.05). Mean preoperative relative apical vertebral rotation(RAVR) measured by computerized tomography were 11.2 delta in RD and 13.8 delta in VTR(p>0.05). RESULTS: Average postoperative curve magnitudes were 11.5 delta in RD and 12 delta in VTR with correction rates of 77% and 74% respectively (p>0.05). Postoperative relative apical vertebral rotation(RAVR) were 3.6 delta in RD and 6.1delta in VTR with correction rates of 68% and 56% respectively (p>0.05). The mean instrumentation time per vertebral segment instrumented was 4.7 minutes in RD and 8.5 minutes in VTR (p<0.05). Screw pullout during operative procedure in 8/51 screws(15%) in VTR and none(0/60) in RD. CONCLUSION: RD and VTR methods were not significantly different, both enabling a significant apical z-axis derotation and frontal curve correction. However, RD was more efficient than VTR with less operative time and intraoperative screw loosening. The position of the axis of rotation did not significantly influence the apical derotation effect of segmental pedicle screw instrumentation.
Axis, Cervical Vertebra
;
Operative Time
;
Pliability
;
Prospective Studies
;
Scoliosis*
;
Spine*
;
Surgical Procedures, Operative
4.A Case of Neonatal Cholestasis with Arthrogryposis Multiplex Congenita and Renal Tubular Insufficiency(ARC Syndrome).
Hi Soo RHEE ; Soon Young KIM ; Nam Sun BAIK ; Il Soo HA ; Jeong Kee SEO
Journal of the Korean Pediatric Society 1996;39(1):126-130
We report a case of ARC syndrome with arthrogryposis multiplex congenita, renal tubular insufficiency and cholestasis. The Patient presented in the early neonatal period with micrognathia, low set ears, high arched palate, multiple joint contracture, conjugated hyperbilirubinemia and failure to thrive. He died at the age of 1 month despite medical therapy. Findings of renal tubular insufficiency included persistent renal tubular acidosis, glucosuria, aminoaciduria, and proteinuria. Liver biopsy revealed intracellular and canalicular cholestasis, ballooning degeneration and giant cell formation of hepatocyte. Kidney sonography revealed medullary nephrocalcinosis. This association was first reported in 1973 by Lutz-Richner and Landolt and again in another family by Nezelof et al in 1979. Until now, 13 cases were reported worldwide. Except one case, all children died in infancy. Autosomal recessive inheritance is the most likely mode of transmission. We have experienced a case of ARC syndrome in a male neonate with signs and symptoms of lethargy, poor oral intake, direct hyperbilirubinemia, acidosis, and multiple joint contracture.
Acidosis
;
Acidosis, Renal Tubular
;
Arthrogryposis*
;
Biopsy
;
Child
;
Cholestasis*
;
Contracture
;
Ear
;
Failure to Thrive
;
Giant Cells
;
Hepatocytes
;
Humans
;
Hyperbilirubinemia
;
Infant, Newborn
;
Joints
;
Kidney
;
Lethargy
;
Liver
;
Male
;
Nephrocalcinosis
;
Palate
;
Proteinuria
;
Wills
5.Utilization of Three-dimensional Reconstruction Computed Tomography as a Diagnostic Tool for Adult Unilateral Primary Cervical Spondylolysis: Report of Two Cases.
Sun Joo RHEE ; Sung Il HA ; Myoung Soo KIM ; Seung Jun LEE
Korean Journal of Spine 2008;5(3):225-229
Primary spontaneous cervical spondylolysis is a rare anomaly, and is often diagnosed as a traumatic lesion such as a fracture or a locked facet; alternatively, it may be overlooked. A literature review revealed one report that addresses the usefulness of three-dimensional reconstruction computed tomography (CT) imaging in the diagnosis of cervical spondylolysis. We have experienced two cases of subaxial cervical spondylolysis. One patient was transferred to our institute due to trauma, and the other patient was referred from a local hospital without trauma history. In this second patient symptoms occurred spontaneously and showed insidious progression. Both cases typically involved the right side of the C6 vertebra. The author utilized three-dimensional (3-D) reconstruction computed tomography (CT) for diagnosis and evaluation. Among those issued in Korea, this is the first report of primary subaxial cervical spondylolysis evaluated using 3-D CT.
Adult
;
Cervical Vertebrae
;
Female
;
Humans
;
Imaging, Three-Dimensional
;
Korea
;
Spine
;
Spondylolysis
6.The Evaluation of Coronary Artery Stenosis by Exercise-Induced Negative U Wave.
Jin Il YOON ; Byong Ok KIM ; Kun Joo RHEE ; Yong Soo LEE ; Suck Koo CHOI ; Won Sang YOO ; Soon Kyu SUH
Korean Circulation Journal 1993;23(4):566-570
BACKGROUND: Negative U wave is frequent maker of systemic hypertension, aortic or mitral regurgitation and myocardial ischemia. This study was undertaken to determine the diagnostic significance of exercise-induced negative U wave in coronary artery stenosis. METHOD: 72 patients(46 men and 26 women ; 24~66 years of age) with chest pain were analysed with exercised-induced negative U wave and coronary angiographic finding. RESULT: Exercise-induced negative U wave was seen in 14 patients(19%). Among 14 patients with exercise-induced negative U wave, the predictive value of significant coronary artery stenosis(> or =75% stenosis of major coronary artery) was 71%, Exercise-induced negative U wave is more prevalent in patients with significant coronary artery stenosis(p<0.05). CONCLUSION: Exercise-induced negative U wave is a good marker of significant coronary artery stenosis.
Chest Pain
;
Constriction, Pathologic
;
Coronary Angiography
;
Coronary Stenosis*
;
Coronary Vessels*
;
Female
;
Humans
;
Hypertension
;
Male
;
Mitral Valve Insufficiency
;
Myocardial Ischemia
7.Clinical Study of Myocardial Bridge.
Kil Hyun CHO ; I L RHEE ; Jun Yong JUNG ; Jin Ho SONG ; Jong Cheol RYU ; Doo Il KIM ; Dong Soo KIM
Korean Circulation Journal 2001;31(3):311-316
BACKGROUND AND OBJECTIVES: Myocardial bridge is congenital coronary anomaly and cause myocardial ischemia by milking effect. The general study of myocardial bridge is to be weak, so we examined a clinical study of myocardial bridge. MATERIALS AND METHOD: This study included 36 bridge cases out of 1048 patients who underwent coronary angiography due to chest pain from Jan. 1993 to Jul. 1998. Angiographic film, medical records and interview by telephone were reviewed retrospectively. Total follow-up duration was mean 27 months (1 month to 62 months). RESULTS: Incidence of myocardial bridges diagnosed by angiography was 3.4%. Angiography showed normal in 32, 1 vessel disease in 3 and 2 vessel disease in one patient. Mean reference diameter was 2.97+/-0.36mm, bridge diameter was 2.75+/-0.33mm in diastole, 1.12+/-0.47mm in systole. Myocardial bridge length was 12.50+/-7.44mm, mean % diameter stenosis was 59.26+/-17.7%. Myocardial bridge location was 80.6% in mid LAD and 13.9% in mid & distal LAD and 5.5% in distal LAD. There was no statistically significant correlation with sex, risk factor of coronary heart disease, resting electrocardigraphy, treadmill test, diameter and angulation of coronary artery, clinical symptom in the severity of myocardial bridge. But the severity of myocardial bridge correlated with bridge length(r=.5033). CONCLUSION: Clinical outcomes of bridge patients were relatively good during the mean follow up periods of 27 months. Myocardial bridge was more severe in younger age and longer bridge length.
Angiography
;
Chest Pain
;
Constriction, Pathologic
;
Coronary Angiography
;
Coronary Disease
;
Coronary Vessels
;
Diastole
;
Exercise Test
;
Follow-Up Studies
;
Humans
;
Incidence
;
Medical Records
;
Milk
;
Myocardial Ischemia
;
Retrospective Studies
;
Risk Factors
;
Systole
;
Telephone
8.Clinical Study of Colonofiberscopic Findings.
Il HONG ; Sung Jun LEE ; Jung In JAE ; Jun Soo HAM ; Jong Chul RHEE ; Dong Hoo LEE ; Choon Suhk KEE ; Kyung Nam PARK
Korean Journal of Gastrointestinal Endoscopy 1986;6(1):5-13
Comparison between Americans colonic diseases are much less prevalence in Korea. But, recent days much increased incidence in these disases caused by changes of food habits and development of diagnostic methods. We studied 1456 cases who complained colonic symptoms and colonofiberscopic biopsy was taken from 1981 to 1985 at Han Yang Univ. Hospital, Age, Sex, elinical symptoms, histopathological findings, location and relation between of barium study were analized for 1002 cases wha confirmed by biopsy. (continue...)
Barium
;
Biopsy
;
Colon
;
Colonic Diseases
;
Food Habits
;
Incidence
;
Korea
;
Prevalence
9.(17)O NMR Study On Water Exchange Rate of Paramagnetic Contrast Agents.
Yong Min CHANG ; Sung Wook HONG ; Moon Jung HWANG ; Il Soo RHEE ; Duk Sik KANG
Journal of the Korean Society of Magnetic Resonance in Medicine 2001;5(1):33-37
PURPOSE: The water exchange rate between bulk water and bound water is an important parameter in deciding the efficiency of paramagnetic contrast agents. In this study, we evaluated the water exchange rates of various Gd-chelates using oxygen-17 NMR technique. MATERIAL AND MEHTODS: The samples (Gd-DTPA, Gd-DTPA-BMA, Gd-DOTA, Gd-EOB-DTPA) were prepared by mixing 5% (17)O-enriched water (Isotech, USA). The pH of the samples was adjusted to physiological value (pH=7.0) by buffer solution. The variable temperature (17)O-NMR measurements were performed using Bruker-600 (14.1 T, 81.3 MHz) spectrometer. Bruker VT-1000 temperature control units were used to stabilize the temperature. The (17)O spin-spin relaxation times (T2) were measured using Carr-Purcell-Meiboom-Gill (CPMG) pulse sequence with 24 echo trains. The variable temperature T2 relaxation data were then fitted into Solomon-Bloembergen equations using least square fit algorithm to estimate the water exchange times. RESULTS: From the measured (17)O-NMR relaxation rates, the determined water exchange rates at 300K are : 0.42 microsecond for Gd-DTPA, 1.99 microsecond for Gd-DTPA-BMA, 0.27 microsecond for Gd-DOTA, and 0.11 microsecond for Gd-EOB-DTPA. The Gd-DTPA-BMA showed slowest exchange whereas Gd-EOB-DTPA had fastest water exchange rate. In addition, it was found that the water exchange rates of all samples had exponential temperature dependence with different decay constant. CONCLUSION: (17)O-NMR relaxation rate measurements, when combined with variable temperature technique, provide a solid tool for studying water exchange rate, which is very important in investigating the detailed mechanism of relaxation enhancement effect of the paramagnetic contrast agents.
Contrast Media*
;
Gadolinium DTPA
;
Hydrogen-Ion Concentration
;
Relaxation
10.Clinical study of cefbuperazone in the gynecologic infections.
Cheol Hoi RHYEU ; Jeong Woo LEE ; Seung Il KIM ; Jung Mi HA ; Hee Sub RHEE ; Soo Kyung HWANG ; Jong Duck KIM
Korean Journal of Obstetrics and Gynecology 1992;35(9):1317-1323
No abstract available.