1.ANALYSIS OF DONOR SITE OF THE COSTOCHONDRAL GRAFT AFTER TOTAL EAR RECONSTRUCTION.
Seong Jun BAEK ; Jae Ho LIM ; Rong Min BAEK ; Kap Sung OH ; Se Min BAEK
Journal of the Korean Society of Plastic and Reconstructive Surgeons 1997;24(5):1214-1216
No abstract available.
Ear*
;
Humans
;
Tissue Donors*
;
Transplants*
2.Injury Severity Scores and Quality Assurance of Traumatic Care.
Journal of the Korean Society of Emergency Medicine 1997;8(3):390-397
BACKGROUND: Trauma is a major cause of death for individuals under the age of 45 years and the third leading cause of death for all ages. So, it has been recognized as an important socioeconomic problem. The purpose of this study was to evaluate the outcome of surgical care of traumatized parients. METHODS: We retrospectively analyzed data of patients who had undergone surgical operation on head, abdomen, or chest trauma from January 1, 1995 to December 31, 1995. TRISS method and W- and Z- statistics were used to evaluate the trauma outcome and the quality assurance of surgical treatment. RESULTS: Two hundred and sixty eight patients were enrolled in this study. Traffic accident in injury mechanisms was the most common(n=185, 69.2%), and severely injured patients with over ISS 16 were 205 of total 268 patients(76.5%). Crude mortality rate was 11.6% (non-survivors/number of patients : 31/268). By TRISS method, predicted mortality rate was 10.1%, excess mortality rate was 14.2%, and W value was - 1.43 indicating less actual survivors than predicted, but absolute Z score was 0.91 and it was statistically not significant. CONCLUSION: These data show that trauma outcome and quality of surgical care in our hospital is adequate. We also suggest that it will provide a valuable data for further studies.
Abdomen
;
Accidents, Traffic
;
Cause of Death
;
Head
;
Humans
;
Injury Severity Score*
;
Mortality
;
Retrospective Studies
;
Survivors
;
Thorax
3.Molecular characterization of genomic DNA and antifungal susceptibility of candida albicans.
Journal of the Korean Society for Microbiology 1992;27(2):173-180
No abstract available.
Candida albicans*
;
Candida*
;
DNA*
4.The management of hypertension by internists and family physicians in general hospital.
Journal of the Korean Academy of Family Medicine 1997;18(8):793-801
BACKGROUND: This study was performed to determine and compare the practice patterns of management of hypertension of the internists and family physicians in general hospitals and to compare them according to the JNC V guidelines. METHODS: Questionnaires were mailed to total 964 of internists and family physicians in general hospitals during May, 1996. 217 of them were returned with the response rate of 23.5%. Chi-square test and Fishers exact test were performed to examine the statistical difference between two groups. RESULTS: The mean age of the respondents was 39.1 and 77.9% of them were male. 65.4 % of hospitals for respondents were located in metropolitan cities. Concerning the number of measurements of blood pressure, 0.5% of the respondents measured just once before confirmation of the diagnosis. Items for physical examinations for initial evaluation were as follows; cardiac auscultation(94.0%), measurements of body weight and height(58.9%), abdominal examination(52.8%), auscultation for carotid bruit(41.7%), fundoscopic examination (25.6%). Regarding the laboratory tests, the frequency of evaluation of all item were higher than that of the physical examinations. For initial drug therapy, calcium channel blockers and ACE inhibitors were the most frequently chosen mediations. No difference was found between two specialties or tertiary and secondary hospitals in this trend. With educations for the life-style modification, 60-80% of the respondents educated the patients. No difference was found between two specialties except one item. CONCLUSIONS: As a whole the JNC V guidelines were not followed faithfully for the management of hypertension.
Angiotensin-Converting Enzyme Inhibitors
;
Auscultation
;
Blood Pressure
;
Body Weight
;
Calcium Channel Blockers
;
Surveys and Questionnaires
;
Diagnosis
;
Drug Therapy
;
Hospitals, General*
;
Humans
;
Hypertension*
;
Male
;
Physical Examination
;
Physicians, Family*
;
Postal Service
;
Surveys and Questionnaires
5.Osseous genioplasty: review of 189 patients.
Tae Il LEE ; Jae Ho LIM ; Rong Min BAEK ; Kap Sung OH ; Se Min BAEK
Journal of the Korean Society of Aesthetic Plastic Surgery 1997;3(1):11-22
The chin plays a decisive role in the contour of the lower face. And harmonious jaw will correspond to good facial profile and positive image. Osseous genioplasty is a widely used method to correct the 3-dimensional(sagittal, vertical, tranverse) deformity of the chin with minimal complications. During an 8 year period from 1988, the authors at the In-Je University Seoul Paik Hospital experienced 198 patients of osseous genioplasty. Results of clinical analysis are as follows : 1) Male to female ratio was 1 : 3 with female being predoniment. The average age was 24.9 years. 2) Horizontal advancement genioplasty in 169 cases was the most common procedure with 7.0mm of average advancement. There was 4 cases of horizontal retrusion with average retrusion of 4.3mm. 52 cases had vertical augmentation with average of 7.5mm increase. 9 cases had vertical reduction with average redution of 4.9mm. 3) Although malocclusion is not necessarilly contraindication to genioplasty alone, genioplasty following surgical with or without orthodontical correction of malocclusion is the way to get better result with patient satisfaction. 4) 77% of the patients had adjunctive procedures simultaneously to acheive a better contour and profile 5) Complications such as hematoma, infection, fracture, nerve damage were minimal.
Chin
;
Congenital Abnormalities
;
Female
;
Genioplasty*
;
Hematoma
;
Humans
;
Jaw
;
Male
;
Malocclusion
;
Patient Satisfaction
;
Seoul
6.Consideration of Rescue Breathing methods during Infant Basic Life Support.
Bum Ju KIM ; Young Ho JIN ; Jae Baek LEE
Journal of the Korean Society of Emergency Medicine 2000;11(1):105-110
BACKGROUND: The current recommendation of rescue breathing techniques in the infant is to blow both the nose and mouth of infants by caregiver's mouth but recent studies suggest some caregivers may have trouble sealing a infant's mouth and nose. The purpose of this study is to estimate the ability of mothers to create a seal to their infants for the provision of rescue breathing according to current recommendation. METHODS: Infants up to 1 year of age(n=98) and their mothers were enrolled from emergency department of Chonbuk National University Hospital. We measured the facial lengths of the infants and the width of mouth in their mothers and compared mouth widths of mothers with their infant's nose-to-mouth lengths. RESULTS: In infants between 0 to 6 months, Mother transverse lengths were significantly larger than mouth, nose and nose-to-mouth lengths of the infants. In infants between 7 to 12 months, Mother transverse lengths were significantly larger than mouth and nose lengths of the infants but there was no statistically significant difference between mother transverse lengths and nose-to-mouth lengths of infants. CONCLUSION: The finding indicate that the present recommendation to cover mouth and nose is partly not possible. We recommend that the mouth-to-nose ventilation of rescue breathing techniques for the infants who have respiratory arrest be taught to mothers.
Caregivers
;
Emergency Service, Hospital
;
Humans
;
Infant*
;
Jeollabuk-do
;
Mothers
;
Mouth
;
Nose
;
Respiration*
;
Ventilation
7.Comparative study od serologic diagnostic tests against Hantaan virus.
Ki Joon SONG ; Luck Ju BAEK ; Ho Wang LEE
Journal of the Korean Society of Virology 1991;21(2):87-103
No abstract available.
Diagnostic Tests, Routine*
;
Hantaan virus*
8.Clinical Considerations of Intoxication Caused by a Herbicide Containing Glufosinate Ammonium: 6 Cases Analysis.
Ji Hun KANG ; Young Ho JIN ; Jae Baek LEE
Journal of the Korean Society of Emergency Medicine 1998;9(4):652-658
Basta(R) is one of the Phospho-amino acid group herbicide. It consist of glufosinate ammonium (18.5%), alkylether sulfate as surfactant (30%) and some solvents. Although it's WHO classification is Bade III, the intoxicated patient appears an serious clinical findings and have a 20% mortality rate. Nowadays, in Korea the ingestion of herbicidal agents for suicidal attempts is Sequent. The literature for intoxication of bipyridilium (Gramoxon(R)) as herbicide is varied, but the information for Basta(R) is poor even though the use of it tends to increase. Recently, We experienced six cases of Basta(R) intoxication and found that the patient expressed a gradually progressed depression of mentation, recent memory disturbances, convulsions, hypotension, or bradycardia because of CNS or cardiovascular effects of Basta(R) We report these cases with literature review.
Ammonium Compounds*
;
Bradycardia
;
Classification
;
Depression
;
Eating
;
Humans
;
Hypotension
;
Korea
;
Memory
;
Mortality
;
Seizures
;
Solvents
9.A Case of Dyke-Davidoff-Masson Syndrome with Infantile Spasm.
Eun Young JANG ; Byung Ho CHA ; Baek Keun LIM
Journal of the Korean Child Neurology Society 1998;5(2):342-345
Dyke-Davidoff-Masson syndrome is a rare clinical syndrome consisting of hemiatrophy of cerebral hemisphere, enlargement of ventricles and prominent pneumatization of petrous pyramid of the temporal bone. Its clinical manifestations are hemiparesis, several types of seizure, mental retardation and other neurologic deficits. We experienced a case of Dyke-Davidoff-Masson syndrome in a four months old boy who visited to our department due to right side upper extremity weakness and infantile spasm. The brain magnetic resonance imaging showed marked hemiatrophy of left cerebral hemisphere and enlargement of left lateral ventricle. So with the review of literatures, we report a case of Dyke-Davidoff-Masson syndrome with infantile spasm.
Brain
;
Cerebrum
;
Humans
;
Infant
;
Infant, Newborn
;
Intellectual Disability
;
Lateral Ventricles
;
Magnetic Resonance Imaging
;
Male
;
Neurologic Manifestations
;
Paresis
;
Petrous Bone
;
Seizures
;
Spasms, Infantile*
;
Temporal Bone
;
Upper Extremity
10.Comparision between Decentration and Tilt of Acrygel? and Acrysof?.
Jong Hoon LEE ; Sung Kun CHUNG ; Nam Ho BAEK
Journal of the Korean Ophthalmological Society 2000;41(12):2560-2564
No Abstract Available.