1.Clinical Study for Lateral Condyle Fracture of Humerus in Children
Hyung Ku YON ; Kwang Pyo JEON ; Kuk Whan OH ; Dae Eun JUNG ; Kyung Hoon KANG ; Min Su YOON
The Journal of the Korean Orthopaedic Association 1994;29(2):415-422
From January 1988 to December 1991, 39 fractures of the lateral condyle of humerus in children were treated at the Department of Orthopaedic Surgery, Sung-Ac General Hospital. It was possible to follow up from one year to four years and eleven months. The authors have analyzed the method of treatment on the basis of the degree of displacement in the change of Carrying angle and Baumann's angle. The results were as follows; 1. Of the 39 cases, the age incidence was confined to 2 to 12 years of age and the average age of the patients were 5 years. 2. Most fractures were Milch type II (29 cases) in contrast to Milch type I (10 cases). 3. According to the initial displacement of the fracture, 8 cases were Jokob's stage I, 21 cases of stage II & 10 cases of stage III. 4. There were no significant difference in the range of change of Carrying angle and Baumann's angle according to initial displacement of fracture site. However, significant difference in outcome were noticed from open reduction and internal fixation in comparison to closed reduction and percutaneous pinning. 5. In all 39 cases, lateral condylar overgrowth (10 cases), cubitus varus (1 cases) and cubitus valgus (3 cases) were noticed as complications but clinical significance was not noted. 6. The above results suggest that internal fixation is recommended for firm fixation although displacement is not severe. In case of Jakob's stage III, anatomical reduction is required in order to reduce additional damage on articular surface and epiphyseal plate caused by excessive manipulation.
Child
;
Clinical Study
;
Follow-Up Studies
;
Growth Plate
;
Hospitals, General
;
Humans
;
Humerus
;
Incidence
;
Methods
2.The Diagnosis of pneumoniae following bone marrow transplantation by bronchoscopy.
Tae Yon KIM ; Hyeong Kyu YOON ; Hwa Sik MOON ; Sung Hak PARK ; Chang Ki MIN ; Chun Choo KIM ; Jung Im JUNG ; Jeong Sup SONG
Tuberculosis and Respiratory Diseases 2000;49(2):198-206
BACKGROUND: Pulmonary complications following bonemarrow transplantation(BMT) are common and associated with a high mortality rate, We investigated the yield, safety, and impact of fiberoptic bronchoscopy(FOB) for diagnosis of postBMT pneumoniae. METHODS: From May 1997 to April 2000, 56 FOBs were performed in 52 post BMT patients for clinical pneumoniae. BMT patients with repiratory symptoms and/or pulmonary infiltrates had a thoracic HRCT(high resolution computed tomography) and bronchoscopic examination including BAL(bronchoalveolar lavage), TBLB(transbronchial lung biopsy), PSB(protected specimen brush). RESULTS: The characteristics of the subjects were as follows:37 males, 15 females, mean age of 31.3 years(17-45), 35 sibling donor allogenic BMTs, 15 nonrelated donor allogenic BMTs, and 2 autologous BMTs. Fiftynine percent of FOBs (33 FOBs, 31 patients) were diagnostic. Isolated pathogens included the following:12 cytomegalovirus(CMV) (21.4%), 7 pneumocystis carinii(PC) (12.5%), 11 CMV with PC (19.6%), 2 Mycobacaterium tuberculosis (3.6%), and 1 streptococcus (1.8%). Most of the radiographic findings were diffuse interstitial lesions. CMV pneumoniae had mainly diffuse interstitial nodular lesion, and PC pneumoniae had diffuse, interstitial ground glass opacity(GGO). When CMV was accompanied by PC, a combined pattern of nodular and GGO was present. Of the 56 cases(23.2%), 13 died of CMV pneumoniae(n=2), PCP(n=2), mixed infection with CMV and PC(n=3), underlying GVHD(n=1), underlying leukemia progression(n=1), or respiratory failure of unknown origin(n=4). There was no major complication by bronchoscopy. Only 3 cases developed minor bleedig and 1 episode temporary hypoxemia. CONCLUSION: Based on our findings, CMV and PC are the major causes of postBMT pneumoniae. In addition, BAL can be considered a safe and accurate procedure for the evaluation of pulmonary complications after BMT.
Anoxia
;
Bone Marrow Transplantation*
;
Bone Marrow*
;
Bronchoscopy*
;
Coinfection
;
Diagnosis*
;
Female
;
Glass
;
Humans
;
Leukemia
;
Lung
;
Male
;
Mortality
;
Pneumocystis
;
Pneumonia*
;
Respiratory Insufficiency
;
Siblings
;
Streptococcus
;
Tissue Donors
;
Tuberculosis
3.A Case of Neuro-Behcet's Disease: Comparison of Neurological Symptoms with PET, SPECT, and MRI Findings.
Chang Woon CHOI ; So Yon KIM ; Min Koo CHO ; Sang Moo LIM ; Gwon Jun LEE ; Young Jung KIM ; Sung Woon HONG ; Jin Wook KIM ; Min AN
Korean Journal of Nuclear Medicine 1998;32(6):534-541
We describe a 27-year-old man who developed gait disturbance and dysarthria 2 years after the onset of cardinal symptoms of Behcet's disease. Positron emission tomography with 18F-fluorodeoxyglucose revealed severe hypometabolism in the cerebellum, in accordance wih cerebellar symptoms and sign of the patient. However, single-photon emission tomography with Tc-99m-HMPAO and Tc-99m-ECD did not disclose significant perfusion abnormalities in the brain. Routine brain magnetic resonance imaging did not show signal abnormalities. The findings of imaging studies compared with neurological manifestations of the patient are discussed.
Adult
;
Brain
;
Cerebellum
;
Dysarthria
;
Gait
;
Humans
;
Magnetic Resonance Imaging*
;
Neurologic Manifestations
;
Perfusion
;
Positron-Emission Tomography
;
Tomography, Emission-Computed, Single-Photon*
4.A Case of Congenital Complete Heart Block of Fetus Associated with Anti - SS - A / Ro Antibodies.
Dong Chul OH ; Jung Yeol HAN ; Yon Ju KIM ; Ji Eun KIM ; Hyun Mee RYU ; Moon Young KIM ; Jae Hyug YANG ; Jee Yeon MIN
Korean Journal of Perinatology 2001;12(3):358-361
No abstract available.
Antibodies*
;
Fetus*
;
Heart Block*
;
Heart*
5.A case of Sertoli-Leydig cell tumor with mucinous heterologous element in a postmenopausal woman.
Hyun Seok LEE ; Youn Wha KIM ; Min Hyung JUNG ; Bo Yon LEE ; Chu Yeop HUH
Korean Journal of Obstetrics and Gynecology 2007;50(6):936-939
Ovarian Sertoli-Leydig cell tumors are rare sex cordstromal tumors, and these neoplasms account for less than 0.5% of all ovarian tumors. Those are more often encountered in young women between the ages of 20 and 30 years who usually become virilized. Recently, we experienced an unusual case of Sertoli-Leydig cell tumor with mucinous heterologous elements in a 71-year-old postmenopauseal woman. We present it with brief review of literatures.
Aged
;
Cystadenoma, Mucinous
;
Female
;
Humans
;
Mucins*
;
Postmenopause
;
Sertoli-Leydig Cell Tumor*
6.Pure Acute Subdural Hematoma without Subarachnoid Hemorrhage Secondary to Posterior Communicating Artery Aneurysm Rupture: A Case Report.
Young Jin JUNG ; Chul Hoon CHANG ; Min Soo KIM ; Oh Lyong KIM ; Sang Woo KIM ; Byung Yon CHOI
Korean Journal of Cerebrovascular Surgery 2010;12(1):10-12
There are not many reports of a spontaneous acute subdural hematoma (ASDH) without the presence of a subarachnoid hemorrhage as a result of a ruptured aneurysm. A 66-year-old woman presented with acute subdural hematoma secondary to a ruptured intracranial aneurysm. She was admitted with an acute onset of bursting headache and nausea. There was no past history of head trauma. The CT scan demonstrated a left subdural hematoma with extension along the tentorium in the absence of subarachnoid or intraparenchymal hemorrhage. CT angiography revealed an aneurysm of the left posterior communicating aneurysm, which was directed posterolaterally. Uneventful clipping was performed without any neurological deficits. The possibility of aneurysmal subdural hemorrhage should be considered in all cases of ASDH that present with a sudden bursting headache without any history of trauma. Therefore, CT angiography can be an indispensable tool for detecting the aneurysm that has an unusual pattern of subdural hematoma.
Aged
;
Aneurysm
;
Aneurysm, Ruptured
;
Angiography
;
Craniocerebral Trauma
;
Female
;
Headache
;
Hematoma, Subdural
;
Hematoma, Subdural, Acute
;
Hemorrhage
;
Humans
;
Intracranial Aneurysm
;
Nausea
;
Subarachnoid Hemorrhage
7.Fusiform Aneurysm on the Basilar Artery Trunk Treated with Intra-Aneurysmal Embolization with Parent Vessel Occlusion after Complete Preoperative Occlusion Test.
Young Jin JUNG ; Min Soo KIM ; Byung Yon CHOI ; Chul Hoon CHANG
Journal of Korean Neurosurgical Society 2013;53(4):235-240
Fusiform aneurysms on the basilar artery (BA) trunk are rare. The microsurgical management of these aneurysms is difficult because of their deep location, dense collection of vital cranial nerves, and perforating arteries to the brain stem. Endovascular treatment is relatively easier and safer compared with microsurgical treatment. Selective occlusion of the aneurysmal sac with preservation of the parent artery is the endovascular treatment of choice. But, some cases, particularly giant or fusiform aneurysms, are unsuitable for selective sac occlusion. Therefore, endovascular coiling of the aneurysm with parent vessel occlusion is an alternative treatment option. In this situation, it is important to determine whether a patient can tolerate parent vessel occlusion without developing neurological deficits. We report a rare case of fusiform aneurysms in the BA trunk. An 18-year-old female suffered a headache for 2 weeks. Computed tomography and magnetic resonance image revealed a fusiform aneurysm of the lower basilar artery trunk. Digital subtraction angiography revealed a 7.1x11.0 mm-sized fusiform aneurysm located between vertebrovasilar junction and the anterior inferior cerebellar arteries. We had good clinical result using endovascular coiling of unruptured fusiform aneurysm on the lower BA trunk with parent vessel occlusion after confirming the tolerance of the patient by balloon test occlusion with induced hypotension and accompanied by neurophysiologic monitoring, transcranial Doppler and single photon emission computed tomography. In this study, we discuss the importance of preoperative meticulous studies for avoidance of delayed neurological deficit in the patient with fusiform aneurysm on lower basilar trunk.
Aneurysm
;
Angiography, Digital Subtraction
;
Arteries
;
Basilar Artery
;
Brain Stem
;
Cranial Nerves
;
Female
;
Glycosaminoglycans
;
Headache
;
Humans
;
Hypotension
;
Intracranial Aneurysm
;
Magnetic Resonance Spectroscopy
;
Parents
;
Tomography, Emission-Computed, Single-Photon
8.Health-Related Quality of Life Using the EuroQol 5D Questionnaire in Korean Patients with Type 2 Diabetes.
Woo Je LEE ; Kee Ho SONG ; Jung Hyun NOH ; Yon Jong CHOI ; Min Woo JO
Journal of Korean Medical Science 2012;27(3):255-260
We aimed; 1) to determine the validity of the EuroQol 5D (EQ-5D) for the health-related quality of life (HRQOL) of Korean patients with type 2 diabetes, and 2) to identify associated factors of the HRQOL of these patients. Follow-up surveys were conducted for consecutive patients with type 2 diabetes. HRQOL was assessed using the EQ-5D and the Short Form-36 (SF-36). The validity of EQ-5D was assessed with the perspectives of known group, convergent and discriminant validity. Additionally, a linear mixed model using a backward elimination was used for identify associated factors. Of the 1,072 patients included in the first survey, 858 (80.0%) completed the questionnaires in the follow-up. In the known group validity, the problem rates in each EQ-5D dimension were highest among women, elderly people, and less-educated subjects. The Spearman's rho between the EQ-5D and the SF-36 scales were larger in the comparable dimensions than those in the less comparable dimensions. In the final model, we found that sex, age, education, body mass index, atrial fibrillation, stroke, and retinopathy were statistically significant. Our data suggest that the EQ-5D is a valid tool for Korean patients with type 2 diabetes and that various factors could affect their HRQOL.
Adult
;
Aged
;
Aged, 80 and over
;
Diabetes Mellitus, Type 2/complications/*physiopathology/psychology
;
Female
;
Humans
;
Male
;
Middle Aged
;
*Quality of Life
;
Quality-Adjusted Life Years
;
*Questionnaires
;
Republic of Korea
;
Young Adult
9.Preventive effect of ramosetron on patient-controlled analgesia-related nausea and vomiting after laparoscopic hysterectomy.
Young Sun KIM ; Ki Yeol YANG ; Ok Young SHIN ; Bo Yon LEE ; Min Hyung JUNG
Korean Journal of Gynecologic Endoscopy and Minimally Invasive Surgery 2011;23(2):73-77
OBJECTIVE: Patient-controlled-analgesia (PCA) using intravenous (IV) opioids is recognized a safe and effective method for pain control. However, postoperative analgesia with opioids is associated with a high incidence of postoperative nausea and vomiting (PONV) exceeding 30%. The 5-hydroxytryptamine receptor 3 (5-HT3) antagonists alleviate nausea and vomiting. This study aims to compare the effectiveness of ramosetron and ondansetron in preventing PONV following laparoscopic hysterectomy for benign uterine diseases under general anesthesia. METHODS: The medical records of 1483 patients who underwent laparoscopic hysterectomy between January 2005 and May 2009 were reviewed. Of the 1483 patients, 1184 patients who received IVPCA with ramosetron 0.3 mg (n=761) or ondansetron 8 mg (n=423) were analyzed. Fentanyl-based IVPCA was administered for 48 hours after surgery. The overall incidence of postoperative nausea and vomiting, bowel ileus, Levin tube insertion for severe bowel ileus, additional usage of pain killers and discontinuation of the IVPCA infusion with PCA-related severe nausea and vomiting were assessed for 48 hours after surgery. The amount of time until bowel gas passage resumption after surgery was measured. RESULTS: There was a significant difference between the two groups regarding the duration until post-operative bowel gas passage resumption (1.78+/-0.79 days in the ramosetron group, and 2.23+/-0.83 days in the ondansetron group; p=0.005); however, there were no significant differences found in other aspects. CONCLUSION: Ramosetron is superior to ondansetron in terms of faster recovery in bowel mobility, with similar effects in preventing the incidence of PONV.
Analgesia
;
Analgesia, Patient-Controlled
;
Analgesics, Opioid
;
Benzimidazoles
;
Humans
;
Hysterectomy
;
Ileus
;
Incidence
;
Medical Records
;
Nausea
;
Ondansetron
;
Postoperative Nausea and Vomiting
;
Serotonin
;
Uterine Diseases
;
Vomiting
10.A case of malignant acanthosis nigricans associated with gastric adenocarcinoma.
Jae Kwang SHIM ; Min Ho KIM ; Yon Ju HA ; Sung Gon JUN ; Tae Kyoung KWON ; Hee Seung KIM ; Jung Hoi LEE ; Yoon Shig YANG
Korean Journal of Medicine 2000;59(4):438-441
The new onset of acanthosis nigricans in an adult-especially when the lesions appear on mucosal membranes such as the lips, periocular areas, and anus-may be indicative of an underlying tumor. Adenocarcinoma of the gastrointestinal tract is the most common malignancy-most often cancer of the stomach. A 72 years old female had disseminated, symmetrically distributed, brownish black pigmentation and papillary hypertrophy on the intertriginous and flexural areas for 12 months, and gastric adenocarcinoma was confirmed during the evaluation of internal malignancy. The cutaneous finding of acanthosis nigricans was a significant cutaneous marker of internal malignancy in this case.
Acanthosis Nigricans*
;
Adenocarcinoma*
;
Aged
;
Female
;
Gastrointestinal Tract
;
Humans
;
Hypertrophy
;
Lip
;
Membranes
;
Pigmentation
;
Stomach Neoplasms