1.A Minimal-Incision Technique in Total Hip Arthroplasty : Early Postoperative Results and Learning Curve.
Jong Oh KIM ; Hoon JEONG ; Yi Kyoung SHIN ; Young Sam KWON
Journal of the Korean Hip Society 2006;18(1):6-11
Purpose: We hereby would like to compare on the basis of the initial 12 hips and latter 18 hips by analyzing the initial results of the minimal incision total hip arthroplasty of 30 hips we experienced. Materials and Methods: For the period of December 2004 through June 2005, we performed the total hip arthroplasty with minimal incision in 10cm or shorter using the posterolateral approach on 25 patients (30 hips) whose BMI(body mass index) is 30 or lower. We compared by analyzing results of the initial 12 cases and 18 latter cases. Results: The average BMI was 23.7. There weren`t statistically meaningful differences the change in the hemoglobin value of pre-op and post-op, necessity of blood transfusion, position of component, and the Harris hip score 6 weeks after operation. But, the average initial operation time of 124 minutes was remarkably reduced to 65 minutes in average in the latter operation and the length of a skin incision was reduced from the average 9.2 cm in the initial operation to an average of 8.1cm in the latter operation. There wasn't the malposition of acetabular cup and femoral stem. Conclusion: Although we need more statistical data through more cases and the analysis of long-term results, we think that, to surgeons with much experience in the conventional total hip arthroplasty, the total hip anthroplasty using minimal incision for patients with BMI of 30 or below would be a useful approach having the advantage in a cosmetic aspect.
Acetabulum
;
Arthroplasty, Replacement, Hip*
;
Blood Transfusion
;
Hip
;
Humans
;
Learning Curve*
;
Learning*
;
Skin
2.Primary care physicians attitudes and practice for management of osteoporosis in Inchon city.
So Jeong LEE ; Young Oh JANG ; Sang Hyun YI ; In Ho KAWK ; Ji Ho CHOI ; Hun Mo YI
Journal of the Korean Academy of Family Medicine 1998;19(6):437-444
No abstract available.
Hormone Replacement Therapy
;
Humans
;
Incheon*
;
Osteoporosis*
;
Physicians, Primary Care*
;
Primary Health Care*
3.The Coping Experience in Hypertensive Clients.
Jeong Seop LEE ; Sei Young OH ; Hye Sook HAN ; Yeo Jin YI
Journal of Korean Academy of Nursing 2001;31(5):759-769
PURPOSE: To find the experience about clients with hypertension and to help them to care for themselves in the community. METHOD: All data was collected from August 1999 to October 1999, through in-depth interviews, observation, and telephone interview with 7 participants who have been diagnosed with hypertension for 1 to 10 years. According to Strauss and Corbin's Methodology, the data was continuously coded into concepts and categories, and then new data was analyzed simultaneously by a constant comparative method. RESULTS: There are 171 concepts, and then they were grouped into 34 the lower categories and 15 to the upper categories. The course of the coping of fear in hypertensive client consisted of 6 processes. The awareness of seriousness was context, and the fear was core phenomenon about the coping experience. We also found that hypertensive clients have 3 patterns, depending on the awareness degree of seriousness and the fear about hypertension. CONCLUSION: Our nurses should recognize the importance of effective management and seriousness about hypertension, offer clients the importance of family support and the information of etiology, symptoms and signs of hypertension, and provide the correct information on hypertensive medication. We should be able to guide their fear about hypertension to positive self-management, so that they may manage their disease thoroughly and effectively.
Humans
;
Hypertension
;
Interviews as Topic
;
Self Care
4.Malignant Peripheral Nerve Sheath Tumor of the Breast in a Patient without Neurofibromatosis: A Case Report.
Jeong Min YI ; Eun Jeong MOON ; Se Jeong OH ; Ahni LEE ; Young Jin SUH ; Jong Min BAEK ; Seung Hye CHOI ; Sang Seol JUNG
Journal of Breast Cancer 2009;12(3):223-226
Malignant peripheral nerve sheath tumors (MPNSTs) are malignant variants of peripheral nerve sheath tumors that develop at major or minor peripheral nerve branches or at the sheaths of peripheral nerve fibers. These tumors are derived from Schwann cells or pluripotent cells of a neural crest origin. Malignant tumors of the peripheral nerve sheath are most commonly seen in deeper soft tissues, and usually in the proximity of a nerve trunk. MPNSTs of the breast are very uncommon and they have rarely been reported on. We report here on a case of MPNST of the breast in a 59-year-old female who presented with a painless breast lump for two months. The excisional biopsy revealed a malignant peripheral nerve sheath tumor based on the microscopic findings and immunohistochemical staining. We performed wide excision of breast tissue around the biopsy site and thereafter the patient underwent radiation therapy. The patient remains well without signs of recurrence 1 year following surgery.
Biopsy
;
Breast
;
Female
;
Humans
;
Middle Aged
;
Nerve Sheath Neoplasms
;
Neural Crest
;
Peripheral Nerves
;
Recurrence
;
Schwann Cells
5.The Hemodynamic Effects of MgSO4 during Coronary Artery Bypass Surgery with Cardiopulmonary Bypass.
Soon Wook JEONG ; Si Oh KIM ; Kyung Hwa KWAK ; Young Hoon CHEON ; Woon Yi BAIK
Korean Journal of Anesthesiology 2003;45(6):731-736
BACKGROUND: Reperfusion injury often develops after cardiopulmonary bypass (CPB) during coronary artery bypass grafting (CABG), and MgSO4 is known to be related to such injury. The goal of this study was to determine the hemodynamic and oxygen metabolic effects of administering MgSO4 after cessating cardiopulmonary bypass during coronary bypass surgery in control and nicardipine infusion groups. METHODS: After obtaining hospital ethics committee clearance, we studied 29 patients with coronary artery disease scheduled for CABG, who were randomly assigned to receive nicardipine (0.5 microgram/kg/min, n = 11) or placebo (n = 18). All patients were administered MgSO4 (60 mg/kg) after the cessation of CPB. The hemodynamic variables and oxygen parameters were recorded and calculated by continuous cardiac output and mixed venous oxygen saturation monitoring, through a thermodilution Swan-Ganz catheter before and 20 minutes after MgSO4 administration. RESULTS: Heart rate was reduced after administering MgSO4 in both groups, and the mean arterial pressure was also reduced in the nicardipine group. The cardiac index, systemic vascular resistance index, pulmonary vascular resistance index, right and left stroke work indices were well-maintained after administering MgSO4. Mixed venous oxygen saturation and other oxygen parameters were maintained without change after MgSO4 administration. CONCLUSIONS: The present study shows that MgSO4 can be used without inducing any significant oxygen metabolism or hemodynamic derangements during CABG. But further work is needed to elucidate the myocardial protective effects of MgSO4.
Arterial Pressure
;
Cardiac Output
;
Cardiopulmonary Bypass
;
Catheters
;
Coronary Artery Bypass*
;
Coronary Artery Disease
;
Coronary Vessels*
;
Ethics Committees, Clinical
;
Heart Rate
;
Hemodynamics*
;
Humans
;
Metabolism
;
Nicardipine
;
Oxygen
;
Reperfusion Injury
;
Stroke
;
Thermodilution
;
Vascular Resistance
6.Prophylactic Hypogastric Artery Ballooning in a Patient with Complete Placenta Previa and Increta.
Kyong Wook YI ; Min Jeong OH ; Tae Seok SEO ; Kyeong A SO ; Yu Chin PAEK ; Hai Joong KIM
Journal of Korean Medical Science 2010;25(4):651-655
Abnormal attachment of the placenta (Placenta accreta, increta, and percreta) is an uncommon but potentially lethal cause of maternal mortality from massive postpartum hemorrhage. A 33-yr-old woman, who had been diagnosed with a placenta previa, was referred at 30 weeks gestation. On ultrasound, a complete type of placenta previa and multiple intraplacental lacunae, suggestive of placenta accreta, were noted. For further evaluation of the placenta, pelvis MRI was performed and revealed findings suspicious of a placenta increta. An elective cesarean delivery and subsequent hysterectomy were planned for the patient at 38 weeks gestation. On the day of delivery, endovascular catheters for balloon occlusion were placed within the hypogastric arteries, prior to the cesarean section. In the operating room, immediately after the delivery of the baby, bilateral hypogastric arteries were occluded by inflation of the balloons in the catheters previously placed within. With the placenta retained within the uterus, a total hysterectomy was performed in the usual fashion. The occluding balloons were deflated after closure of the vaginal cuff with hemostasis. The patient had stable vital signs and normal laboratory findings during the recovery period; she was discharged six days after delivery without complications. The final pathology confirmed a placenta increta.
Adult
;
Arteries/*surgery
;
*Catheterization
;
Cesarean Section
;
Female
;
Gestational Age
;
Humans
;
Hysterectomy/*methods
;
Placenta/*blood supply/ultrasonography
;
Placenta Accreta/*surgery/ultrasonography
;
Placenta Previa/*surgery/ultrasonography
;
Postpartum Hemorrhage/*prevention & control
;
Pregnancy
;
Treatment Outcome
7.Hospital Workers' Experience with Hospital Evaluation Program: A Focus Group Study.
Myungsun YI ; Ji Hyeon OH ; Hye Min HWANG ; Eun Jin KWON ; Jeong hee LEE ; Eun Young PARK
Journal of Korean Academy of Nursing 2011;41(4):568-579
PURPOSE: The purpose of the study was to understand and describe the hospital workers' experience related to the hospital evaluation program implemented in Korea between 2004 and 2009. METHODS: During 2010, data were collected using focus group interviews. Four focus group interviews were held with a total of 28 hospital workers participating. All interviews were recorded and transcribed as they were spoken, and data were analyzed using qualitative content analysis. RESULTS: Nine themes emerged from the analysis: 1) Positive change in the necessity of the evaluation; 2) Improvement in the hospital system, facilities, and human resources; 3) Unity through cooperation among departments; 4) Nursing work overload; 5) Lack of physicians' awareness and responsibilities; 6) Unfair and unrealistic evaluation items; 7) Lack of credibility of the outcome; 8) Shifting responsibility for negative outcomes to the workers; 9) Lack of pragmatic utility. CONCLUSION: The results of the study demonstrate that the hospital evaluation program played a key role in improving some work environments and communication among departments. At the same time, they show various negative themes resulting from the context of very authoritarian hospital systems and a connection-oriented society in Korea.
Adult
;
Attitude of Health Personnel
;
Female
;
Focus Groups
;
Hospitals/*standards/*statistics & numerical data
;
Humans
;
Interviews as Topic
;
Male
;
Middle Aged
;
Nursing Staff, Hospital/*statistics & numerical data
;
Qualitative Research
;
Tape Recording
8.A Patient with Pulmonary Edema and Cardiac Arrest after Phenobarbital Overdose.
Woon Jeung LEE ; Eun Young RUE ; Dong Rul OH ; Kyu Nam PARK ; Se Kyung KIM ; Kyoung Ho CHOI ; Young Min KIM ; Hwan YI ; Si Kyoung JEONG
Journal of the Korean Society of Emergency Medicine 1999;10(2):294-300
Phenobarbital is a long-acting barbiturate causing generalized depression of neuronal activity in the brain. Its effect is primarily achieved through enhanced GABA-mediated synaptic inhibition. Its use as an antiepileptic agent was first described in 1912. Before the introduction of phenytoin, phenobarbital is used as sedative-hypnotics. It is used for the treatment of epilepsy and status epilepticus. All barbiturates, including phenobarbital, have a high potential far abuse. They were frequently used for suicide attempts in the past, but they have in large part been replaced by benzodiazepines. the onset of symptoms depends on the drug and the route of administration. Mild to moderate barbiturate intoxication resembles ethanol inebriation with slurred speech, ataxia, and lethargy. Severe acute barbiturate intoxication is life threatening. Early deaths are generally cardiovascular-related. Hypotension, shock, pulmonary edema, and cardiac arrest that occurs with large doses are caused by depression of central sympathetic tone and as well as by direct depression of cardiac contractility. The potentially fatal oral dose of phenobarbital is 6-l0g. We describe an 23-year-old woman with pulmonary edema and cardiac arrest after ingestion of 18 grams of phenobarbital. She was completely recovered by successful cardiopulmonary resuscitation and hemoperfusion. We report a case with literature review.
Ataxia
;
Barbiturates
;
Benzodiazepines
;
Brain
;
Cardiopulmonary Resuscitation
;
Depression
;
Eating
;
Epilepsy
;
Ethanol
;
Female
;
Heart Arrest*
;
Hemoperfusion
;
Humans
;
Hypotension
;
Lethargy
;
Neurons
;
Phenobarbital*
;
Phenytoin
;
Pulmonary Edema*
;
Shock
;
Status Epilepticus
;
Suicide
;
Young Adult
9.A Case of Recurrent Seizure following Overdose of Isoniazid.
Woon Jeung LEE ; Dong Rul OH ; Won Jae LEE ; Se Kyung KIM ; Si Kyoung JEONG ; Young Min KIM ; Hwan YI ; Kyoung Ho CHOI
Journal of the Korean Society of Emergency Medicine 1999;10(2):288-293
Isoniazid(Isonicotinic acid hydrazide) is an antimicrobial drug used since 1952 as a fast line agent for the prophylaxis and treatment of tuberculosis. Isoniazid is well known for problems in population having a high prevalence of isoniazid use for prophylaxis or treatment of tuberculosis. But intentional or accidental isoniazid overdose is uncommon. The ingestion of toxic amounts of isoniazid causes recurrent seizures, profound metabolic acidosis, coma and even death. In adults, toxicity can occur with the acute ingestion of as little as 1.5g of isoniazid. Doses larder than 30mg per kg often produce seizures. When ingested in amounts of 80-150mg per kg or more, isoniazid can be rapid fatal. 40-year-old woman having previous pulmonary tuberculosis ingested 7 gram of isoniazid(140mg/kg) to attempt suicide approximately 30 minutes prior to visit to our emergency medical center. She had recurrent generalized tonicclonic seizures and metabolic acidosis. We report one patient treated with pyridoxine, which was equivalent to the amount of isoniazid ingested and administered as a intravenous dose and oral dose.
Acidosis
;
Adult
;
Coma
;
Eating
;
Emergencies
;
Female
;
Humans
;
Isoniazid*
;
Prevalence
;
Pyridoxine
;
Seizures*
;
Suicide
;
Tuberculosis
;
Tuberculosis, Pulmonary
10.Spontaneous Rupture of the Kidney Due to Metastatic Choriocarcinoma during Pregnancy.
In Gon KIM ; Yang Hoo KIM ; Tae Gyeong KIM ; Kwi Ho KANG ; Jeong Oh YI ; Bo Hyun HAN
Korean Journal of Urology 2002;43(8):708-710
A spontaneous rupture of the kidney due to a metastatic choriocarcinoma, which is associated with a normal pregnancy, is very rare. A 33-year-old female patient presented with sudden colicky right flank pain on the 5th day after a Cesarian Section. An abdominal CT scan showed evidence of a right renal rupture with a perirenal hematoma. Under the impression of a spontaneous rupture of right kidney, an exploratory laparotomy with a radical nephrectomy was performed. The pathologic findings revealed a renal parenchymal rupture due to a metastatic choriocarcinoma.
Adult
;
Choriocarcinoma*
;
Female
;
Flank Pain
;
Hematoma
;
Humans
;
Kidney*
;
Laparotomy
;
Nephrectomy
;
Pregnancy
;
Pregnancy*
;
Rupture
;
Rupture, Spontaneous*
;
Tomography, X-Ray Computed