1.Looking Back into the 3 Years' Activity of KONOS.
Journal of the Korean Medical Association 2002;45(10):1174-1177
No abstract available.
2.Comparison of between Live and Dead Fetuses: Efficacy of Intravaginal Misoprostol in Termination of Second Trimester Pregnancy.
Korean Journal of Obstetrics and Gynecology 1999;42(3):464-467
OBJECTIVE: To compare the efficiency, success rate and abortion time between the live and the dead fetus in second trimester pregnancy termination with intravag-inal misoprostol. SUBJECTS AND METHODS: A total of 45 pregnant women between 18-29 weeks of gestation with medical, obstetric, or genetic reasons for termination were recruited to receive 50 ug misoprostol inserted intravaginally (posterior fornix) every 4 hours. RESULTS: The success rate of complete termination(abortion) within 12 and 24 hours in dead fetuses were 78.2% and 95.6%, respectively, while in live fetuses were 36.3% and 90.9%, respectively. The mean abortion time of the dead fetus group (10.31+/-3.43 hours) was significantly less than that of the live fetus group (14.20+/-3.31 hours). No serious complications occurred in terms of hemorrhage, diarrhea, nausea and vomiting. CONELUSION: Intracervicovaginal misoprostol is a safe and effective method for second trimester pregnancy termination. The abortion time is less in dead fetus pregnancy than that in the live fetus pregnancy.We used 50 ug tablets of misoprastol every four hours. But, we suspect that the regimen of 100ug misoprostol inserted intracervicovaginally every eight hours will beis the proper and optimal method for pregnancy termination.
Diarrhea
;
Female
;
Fetus*
;
Hemorrhage
;
Humans
;
Misoprostol*
;
Nausea
;
Pregnancy
;
Pregnancy Trimester, Second*
;
Pregnant Women
;
Tablets
;
Vomiting
3.Prediction of Labor in Term Pregnancy Ising Fetal Fibronectin and Transvaginal Ultrasonography.
Korean Journal of Perinatology 1999;10(1):17-23
OBJECTIVE: We performed the transvaginal ultrasonographic evaluation of uterine cervix and fetal fibronectin in cervicovaginal secretions in women after 37 complete weeks of gestation to predict the onset of labor. METHODS: Total 80 primiparous or multiparous women were divided into two groups on the duration between evaluation and onset of labor. The biometric analysis of uterine cervix(cervical index, endocervical length, funneling, funnel length and width) was done by transvaginal ultrasonography. The cervicovaginal fetal fibronectin was measured by fetal fibronectin immunoassay (ELISA kit, Adeza Biochemical, USA). The efficacy of these method was analyzed with Pearson chi-square test, receiver-operator characteristic curves, and multiple logistic regression test. RESULTS: 1) There were no significant differences in clinical characteristics between two groups. 2) Group 1(onset of labor within 7 days after evaluation) showed significantly shorter endocervical length(Group 1: 2.33+/-0.75cm,Group 2: 2.93+/- 0.42cm, p=0.013), higher value of cervical index(Group 1: 1.27+/-0.67, Group 2: 0.62+/-0.34, p=0.008) and higher level of fetal fibronectin(Group 1: 98.65+/-11.34ng/ml, Group 2: 13.37+/- 2.7ng/ml, p=0.004). 3) The ROC curve analysis showed that a level of endocervical length <2.64mm, cervical index> 0.7, fetal fibronectin> 60ng/ml had the diagnostic performance in predicting group 1. Fetal fibronectin level in cervicovaginal secretion> 60ng/ml showed the highest diagnostic index in predicting the onset of labor within 7 days(p<0,001, odds ratio=21.3). CONCLUSION: Cervicovaginal fetal fibronectin predicts delivery within 7 days more accurately than cervical index, endocervical length. Combine use of these tests improve the diagnostic efficiency and allowed prediction of onset of labor, identifying a subgroup of patients who may require aggressive treatment.
Cervix Uteri
;
Chi-Square Distribution
;
Female
;
Fibronectins*
;
Humans
;
Immunoassay
;
Logistic Models
;
Pregnancy*
;
ROC Curve
;
Ultrasonography*
4.Personality traits and characteristics of the patients recovered from affective disorders.
Journal of Korean Neuropsychiatric Association 1992;31(5):967-978
No abstract available.
Humans
;
Mood Disorders*
5.A Case of "Cri du Chat" Syndrome.
Journal of the Korean Pediatric Society 1981;24(2):181-183
No abstract available.
6.Studies on Plasma Renin and Aldosterone in Essential Hypertension.
Korean Circulation Journal 1974;4(2):1-24
Plasma renin activity (PRA) and aldosterone were measured to evaluate various status of clinical conditions in normal controls and patients with essential hypertension. Fourteen controls and 45 essential hypertensive patients for PRA, and 10 controls and 28 patients with essential hypertension for plasma aldosterone were studied. The results obtained are summarizing as follows. 1. Mean value of PRA of normal subjects was 2.9+/-1.4ng/ml/hr at rest, and 5.9+/-2.3ng/ml/hr by double stimulation, respectively, the latter elevated up to twice the former. 2. Mean value of PRA in the patients with essential hypertension was 3.37+/-3.0ng/ml/hr at rest, and 5.99+/-4.9ng/ml/hr by double stimulation. The latter have increased to 1.8 times the former. 3. The patients with low PRA observed in 33.3%, the normal in 42.2%, and the high in 22.5%, at rest. After double stimulation, the low group was observed in 22.2%, the normal in 60.0%, and the high in 17.8%. 4. Mean age of the patietns with low PRA was 57.2+/-2.6 years. Though it was higher than those of normal and high PRA groups(52.0+/-10.1 years), statistical significances were observed (0.05
Aldosterone* ; Blood Pressure ; Cholesterol ; Electrocardiography ; Furosemide ; Humans ; Hypertension* ; Hypertrophy, Left Ventricular ; Motor Activity ; Plasma* ; Potassium ; Proteinuria ; Renin* ; Sodium ; Triglycerides
7.The treatment of congenital cutis aplasia.
Young Ha KIM ; Gyu Ho CHA ; Jae Ho JUNG ; Kyung Ho LEE ; Jung Hyun SEUL
Yeungnam University Journal of Medicine 1992;9(2):422-426
One case of congenital cutis aplasia is presented. The defect involved includes full-thickness skin defect of scalp and cranium. The patient was treated with debridement of dirty necrosed crust which covered exposed dura mater and with double opposing rotation flap including pericranium for bone regeneration. The donor site was covered with skin graft from right thigh. During operation, the superficial temporal artery was found to be short and weak. And after operation, the margin of flap were congested and finally necrotized. The necrotic wound was treated with conservative management. The vascular impairment is thought to be main course of congenital cutis aplasia. So we conclude that the treatment of choice is conservative management or careful flap surgery for coverage of defect area.
Bone Regeneration
;
Debridement
;
Dura Mater
;
Estrogens, Conjugated (USP)
;
Humans
;
Scalp
;
Skin
;
Skull
;
Temporal Arteries
;
Thigh
;
Tissue Donors
;
Transplants
;
Wounds and Injuries
8.Histological and Histochemical Study of the Acetabular Articular Cartilage in Avascular Necrosis of Femoral Head
Chang Ju LEE ; Soo Jung CHOI ; Won Ho CHO ; Ho Guen CHANG ; Young Ho LEE
The Journal of the Korean Orthopaedic Association 1995;30(6):1579-1588
We studied the degenerative changes of acetabulum, examining the acetabular articular cartilage at weight bearing dome area from the hips of 25 avascular necrosis of femoral head cases. Histological- histochemical studies demonstrated 4 mild, 19 moderate and 2 severe grade of degenerative arthritic change. This has confirm that even in early stage of avascular necrosis of femoral head, there are degenerative arthritis in acetabular cartilage. This may influence the prognosis of bipolar hemiarthro- plasty in avascular necrosis of femoral head patient.
Acetabulum
;
Cartilage
;
Cartilage, Articular
;
Head
;
Hip
;
Humans
;
Necrosis
;
Osteoarthritis
;
Prognosis
;
Weight-Bearing
9.Genetic Causes in Male Infertility and Current Studies on Infertility Genes.
Kyung Ho LEE ; Jung Min LEE ; Kun Soo RHEE
Journal of Korean Society of Endocrinology 2001;16(6):550-561
No abstract available.
Humans
;
Infertility*
;
Infertility, Male*
;
Male
;
Male*
10.Circumscribed Hypertrichosis and Blue Nevus with Spina Bifida Occulta.
Jong Soo CHOI ; Won Ho LEE ; Jung Bock LEE
Korean Journal of Dermatology 1981;19(3):365-369
Spinal dysraphism, first described by Lichtenstein in 1940, is a congenital anom- aly due to incomplete fusion or malformation of the midline dorsal embryonic structures including the ectoderm, mesoderm, and neuroectoderm. Spina bifida occulta is a spinal dystraphism and a manifestation of a midline defect of osseous spine and related structures without cyst formation. Spinal dysraphism may be associated with hypertrichosis, lipoma, dimpling, pigmentation, hemangioma, congenital scar, sinus, cyst, or skin defect in the midline dorsal area. We observed a 23-year-old female patient with spina bifida occulta who had a blue scar surrounded by circumscribed hair growth of the lumbosacral area since 1-montb-old age. Histopathologic finding of the blue scar revealed common blue nevus showing intradermal melanocytes and melanophages. Spine X-ray showed hemivertebra of L5 and spina bifida occulta of Sl. There were no abnormal neurologic signs.
Cicatrix
;
Ectoderm
;
Embryonic Structures
;
Female
;
Hair
;
Hemangioma
;
Humans
;
Hypertrichosis*
;
Lipoma
;
Melanocytes
;
Mesoderm
;
Neural Plate
;
Neurologic Manifestations
;
Nevus, Blue*
;
Pigmentation
;
Skin
;
Spina Bifida Occulta*
;
Spinal Dysraphism*
;
Spine
;
Young Adult