1.Coompariso of Alcohol Sclerotherpy with Lapaoscopic Surgery in Patients with Simple Renal Cyst.
Yong Ho JEONG ; Hee Su PARK ; Dae Soon JANG
Korean Journal of Urology 2000;41(10):1271-1276
No abstract available.
Humans
2.Placental Site Trophoblastic Tumor(PSTT) with Vaginal Metastasis: A case report.
Yee Jeong KIM ; Kyu Rae KIM ; Soon Hee JEONG ; Ho Geun KIM ; Jang Yeon KWON
Korean Journal of Pathology 1991;25(6):570-575
PSTT has been established as a separate entity distinct from choriocarcinoma since 1983, because of its different morphological features, biologic behavior and response to chemotherapy. Most cases of PSTT have indolent clinical courses, but there have been several reports showing malignant behavior resulted in death of the patient. We report a case of PSTT showing vaginal metastatis. In biopsy specimen, it was difficult to make differential diagnosis from squamous cell carcinoma of uterine cervix due to uniform and mononuclear cytologic characteristics. Immunohistochemical stains for hPL and hCG were not typical for either PSTT or choriocarcinoma. We suggest that poorly differentiated PSTT may synthesize the lesser amount of hPL than typical PSTT and it may behave more aggressively.
Diagnosis, Differential
;
Biopsy
3.Two Cases of Clear Cell Carcinoma of Ovary.
Chang Jin JEONG ; Ki Hong CHANG ; Yoon Ho LEE ; Jang Ho LEE
Korean Journal of Gynecologic Oncology and Colposcopy 1993;4(3):86-91
Clear cell carcinoma of ovary is a rare epithelial ovarian tumor, and increased in its incidence recently. Clear cell carcinoma of ovary was known t,o be highly malignant than other epithelial ovarian tumors. The clinical and pathologic findings of two casea af clear cell carcinoma of ovary are reported and reviewed briefly.
Female
;
Incidence
;
Ovary*
4.Pharyngoesophageal reconstruction.
Gyu Ho CHA ; Jeong Cheol KIM ; Kyung Ho LEE ; Dong Bo SUH ; Jang Su SUH
Yeungnam University Journal of Medicine 1992;9(1):167-174
Microvascular tissue transfers have facilitated primary closure of various complex defects after radical ablation of head and neck cancers. From Oct 1991 to Feb 1992, we used forearm free flap in two patients and delto-pectoral flap in one patient who had preoperative irradiation for pharyngoesophageal reconstruction. The stricture and fistula formation were most troublesome complication in forearm free flap, so we designed as lazy S shape in distal flap margin to prevent circular contraction and longitudinal margin was deepithelialized (5 mm) and sutured double layer to withstand fistular formation and this can be considered useful in place of a free jejuna transfer.
Constriction, Pathologic
;
Fistula
;
Forearm
;
Free Tissue Flaps
;
Head
;
Humans
;
Neck
5.A case of beta-thalassemia minor.
Jeong Ho KIM ; Jeong Soon JANG ; Young Youl LEE ; In Soon KIM ; Tae Jun JEONG ; Il Young CHOI ; Jin Q KIM
Korean Journal of Hematology 1991;26(1):171-175
No abstract available.
beta-Thalassemia*
6.Ketamine Use of Pediatric Sedation in Emergency Room.
Jeong Pill SEO ; Jun Seok PARK ; Tae Sik HWANG ; Seok Joon JANG ; Seung Ho KIM
Journal of the Korean Society of Emergency Medicine 2000;11(3):339-344
BACKGROUND: Ketamine use in emergency room has been increased. It has rapid onset of action and appropriate duration of action. It does not need endotracheal intubation and produces potent analgesia, sedation, and amnesia. The object of this study is to determine the safety and the degree of physician's satisfaction in relation to ketamine use. MATERIALS AND METHODS: This is a prospective study using protocol. Pediatric trauma patients who need sedation were given IM ketamine(4mg/kg) and atropine(0.01mg/kg) in a same syringe. Monitoring of patients was done by EM residents and complications of ketamine use were recorded. Physician's satisfaction was also recorded after the procedure. RESULTS: Intramuscular ketamine was administered 54 times, mainly for laceration repair. Physicians completed protocol for 51 of treated children. The median time for onset of sedation was 6.5+/-2.4 min, and duration of action was 32.4+/-10.8 min. Hypersalivation occurred in 9.8%(n=5); random movement 3.9%(n=2), emesis during procedure(n=1), emesis at home(n=1), and transient oxygen desaturation(n=1). All were quickly identified and treated without specific airway management and sequelae. Of 84% of physicians was satisfied with ketamine use for pediatric sedation. CONCLUSION: Intramuscular ketamine can be administered safely and satisfactorily in emergency room to facilitate pediatric procedures in conjunction with a defined protocol and appropriate monitoring.
Airway Management
;
Amnesia
;
Analgesia
;
Child
;
Emergencies*
;
Emergency Service, Hospital*
;
Humans
;
Intubation, Intratracheal
;
Ketamine*
;
Lacerations
;
Oxygen
;
Prospective Studies
;
Sialorrhea
;
Syringes
;
Vomiting
7.The Clinical Courses of Parkinson's Disease.
Kyung Chun JEONG ; Myung Ho KIM ; Dae Il JANG
Journal of the Korean Neurological Association 1985;3(2):217-224
The thirty-two patients of Parkinson's disease had been followed up at the Department of Neurology, Hanyang University Hospital from 1982 to 1985. The following results were obtained: 1. The age distributions at onset of illness are that the 6th decade in 41%, the 7th decade 35% in male and each of the 6th decade and 5th decade is 35% in female. 2. The mean of the duration of illness is 4.5 years and the mean duration of follow-up is 2.1 years. 3. The causes of Parkinson's diseases are idiopathic 44%, carbonmonoxide intoxication 31%, drugs 6%, and vascular disease 3% in sequence. 4. The common initial symptoms are slowness of movement 31%, tremor 31%, and rigidity 22%. 5. The slowness of movement and tremor are major observable symptoms in idiopathic origin and rigidity in carbomonoxide intoxication one. 6. The overall improvement rate on drug treatment is 75%. Various types of response fluctuation has been observed in 4 patients after 5-10 years of treatment.
Age Distribution
;
Female
;
Follow-Up Studies
;
Humans
;
Male
;
Neurology
;
Parkinson Disease*
;
Tremor
;
Vascular Diseases
8.Microplate Identification System of Enterobacteriaceae.
Young UH ; Jeong Seog SON ; Gyu Yel HWANG ; In Ho JANG ; Kap Jun YOON ; Dong Min SEO
Korean Journal of Clinical Microbiology 1999;2(2):135-143
BACKGROUND: To access the accuracy and clinical usefulness of microplate identification (ID) system for the identification of Enterobacteriaceae, we compared microplate ID system with API 20E(bioMerieux, Etoile, France). METHODS: Ninety-two cultures of Enterobacteriaceae and one isolate of Aeromonas species were simultaneously identified by microplate ID system and the API 20E. Twenty biochemical tests used in microplate ID system were lactose, sucrose, and H2S in Kligler's iron agar media; indole, sucrose, raffinose, arabinose, trehalose, adonitol, dulcitol, sorbitol, cellibiose, methy-red, phenylalanine deaminase, ornithine decarboxylase, lysine decarboxylase, arginine dihydrolase, urease, and citrate in microplate; and oxidase test. The identification was obtained by considering percent likelihood(% ID), modal frequency and ID score method. RESULTS: Among the 92 cultures of Enterobacteriaceae and one isolate of Aeromonas species, agreement rate of identification according to the % ID between microplate ID system and API 20E were 90.3% to the species level and 97.8% to the genus level. CONCLUSIONS: For the identification of clinical Enterobacteriaceae isolates, the microplate ID system compares favorably with API 20E in identification accuracy and have the advantage of costsaving and easy to use.
Aeromonas
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Agar
;
Arabinose
;
Arginine
;
Citric Acid
;
Enterobacteriaceae*
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Galactitol
;
Iron
;
Lactose
;
Lysine
;
Ornithine Decarboxylase
;
Oxidoreductases
;
Phenylalanine
;
Raffinose
;
Ribitol
;
Sorbitol
;
Sucrose
;
Trehalose
;
Urease
9.Clinical Study After Reconstruction of the Posterior Cruciate Ligament: Factors on Posterior Stability.
In Ho SEONG ; Beom Ku LEE ; Young Hun JANG ; Seung Jeong BAEK
Journal of the Korean Knee Society 1999;11(1):62-68
The goals of treatment in the injuries of posterior cruciate ligament(PCL) are restoration of normal tibiofemoral stability and reduction of long term osteoarthrosis of the knee. The purpose of this study is to analyze the factors on posterior stability and functional result after PCL reconstruction. From March 1996 to April 1997, twenty operation on PCL reconstruction were carried out in our hospital. The functional results according to the criteria of the Lysholm knee score and stress radiograph for posterior stability were evaluated. The average functional results evaluated by Lysholm knee score was 87. There was no significant difference in functional result according to selected grafted material, combined knee injury, type of injury and arthrotomy, etc. Difference in posterior tibial translation on average were 2.8mm in acute and 7.7mm in chronic injury. In posterolateral combined injury, average posterior tibial translation in pos- terolateral repair was 3.2mm and in posterolateral reconstruction was 9.4mm. In PCL reconstruction using hamstring with repair of PCL remnant was 2mm. In conclusion, to obtain the good result on posterior sta- bility, early PCL reconstruction using hamstring with repair of PCL remnant, and appropriate treatment on combined posterolateral injury were recommended.
Knee
;
Knee Injuries
;
Osteoarthritis
;
Posterior Cruciate Ligament*
;
Transplants
10.Motion Study in the Fused Lumbar Spine
Sung Keun SOHN ; Jae Do KIM ; Woo Min JEONG ; Jae Ho JANG
The Journal of the Korean Orthopaedic Association 1989;24(2):523-531
In fusion of lumbar spine, every fused motion segments shows varisble limitation of motion in flexion, extension and lateral bending according to their types and level of fusion. The motion segment of lumbar spine is three joint complex which consists of posterior two articular facet joints and an anterior intervertebral disc. Nowadays, orthopedic surgeon prefer anterior fusion due to direct identification and removal of diseased tissue, reduction of fractured fragments, restoration of intrevertebral space, early rehabilitation and no damage of nerve root and cord, and is prefered short Segmental Spinal Instrumentation(e.g. Cotrel Dubousset Instrumentation, etc.) due to short and rigid fusion, no necessity of external support and low limitation of motion. We studied 58 cases of fused lumbar spine which had been operated since Sep.1983, by X-ray overlay method and 20 cases of healthy lumbar spine as eontrol group. In this study, we obtained following results ; 1. Harrington Rod Instrumentation reveals the most remarkable limitation of motion, whereas, C.D.I. and A.I.F. reveal the least limitation of motion. 2. Distinct differencies of motion are repersented by its range of fusion and range of motion in 2 segmental fusion reveals remarkable decreasement from range of motion in single segmental fusion. 3. In single segmental fusion, the most limitation of motion was represented in Harrington Rod Instrumentation and posterior fusion with bone graft. There is remarkable decreasement of flexion at lumbosacral junction by its site of fusion. 4.In double segmental fusion, the most limitation of motion was represented in Harrington Rod Instrumentation and there is no significant difference of motion by its site of fusion.
Intervertebral Disc
;
Joints
;
Methods
;
Orthopedics
;
Range of Motion, Articular
;
Rehabilitation
;
Spine
;
Transplants
;
Zygapophyseal Joint