2.Extracorporeal Membrane Oxygenation for the Support of a Potential Organ Donor with a Fatal Brain Injury before Brain Death Determination.
Sung Wook CHANG ; Sun HAN ; Jung Ho KO ; Jae Wook RYU
Korean Journal of Critical Care Medicine 2016;31(2):169-172
The shortage of available organ donors is a significant problem and various efforts have been made to avoid the loss of organ donors. Among these, extracorporeal membrane oxygenation (ECMO) has been introduced to help support and manage potential donors. Many traumatic brain injury patients have healthy organs that might be eligible for donation for transplantation. However, the condition of a donor with a fatal brain injury may rapidly deteriorate prior to brain death determination; this frequently results in the loss of eligible donors. Here, we report the use of venoarterial ECMO to support a potential donor with a fatal brain injury before brain death determination, and thereby preserve donor organs. The patient successfully donated his liver and kidneys after brain death determination.
Brain Death*
;
Brain Injuries*
;
Brain*
;
Extracorporeal Membrane Oxygenation*
;
Humans
;
Kidney
;
Liver
;
Tissue and Organ Procurement
;
Tissue Donors*
3.A Case of Primary Optic Nerve Sheath Meningioma.
Journal of the Korean Ophthalmological Society 1988;29(5):989-993
Proptosis of the left eye had developed in a 3-year old girl for 6 months duration. Computed tomogram studies showed a large mass in the retrobulbar space. A frozen section confirmed the presence of meningioma. To the author's knowledge, the patient was the youngest reported patient who has the primary orbital meningioma. We performed en bloc excision of the optic nerve and the tumor mass without enucleation. The patient showed no evidence of the anterior segment necrosis or increased intraocular pressure postoperatively. She had satisfactory cosmetic appearance without recurrence of the tmnor after 8 month.
Child, Preschool
;
Exophthalmos
;
Female
;
Frozen Sections
;
Humans
;
Intraocular Pressure
;
Meningioma*
;
Necrosis
;
Optic Nerve*
;
Orbit
;
Recurrence
4.Accessory jaw bone: report of a case.
Sun Youl RYU ; Hee Kyun OH ; Geon Jung KIM ; Young Soo YUN
Journal of the Korean Association of Oral and Maxillofacial Surgeons 1992;18(4):130-136
No abstract available.
Jaw*
5.Neurilemmoma of the infratemporal fossa: report of a case.
Sun Youl RYU ; Hee Kyun OH ; Geon Jung KIM ; Jae Hyun YUN ; Hong Ran CHOI
Journal of the Korean Association of Oral and Maxillofacial Surgeons 1992;18(4):81-87
No abstract available.
Neurilemmoma*
6.A Clinical Analysis of Unruptured Ectopic Pregnancies with the Treatment of Intramuscular Methotrexate Injiction.
Gyu Hong CHOI ; Hoo Yeon JUNG ; Ryok Ho RYU ; Kyung Sun HUH
Korean Journal of Perinatology 1998;9(4):400-409
The incidence of ectopic pregnancy is a marked increase in both the absolute number and rate in recent years. But dramatic decrease in death from ectopic pregnancies probably due to improved diagnosis and management. The aim of the study was to investigate the effect of intramuscular Methotrexate(MTX) injection on the treatment of ectopic pregnancy. The method of the study was made by the retrospective clinical observations on the 32 cases of unruptured ectopic pregnancies in Chung Goo Sung Sim hospital, department of Obstetrics & Gynecology. The results were as follows: 1) The most frequent age group was 25-29 year group(37.5%). 2) Nullipara was 31.3% and the case who experienced artificial abortion was 75%. 3) A previous history of abdominal or pelvic surgery was in 40.6% and pelvic inflammatory in 6.3%. 4) The mean ectopic gestational week was 6.4 weeks, 5) On symptomatological analysis, lower abdominal pain was encounted 53.1%, vaginal spotting was 40.6%. 6) The resolution of patients was obtained in 29 cases(90.6%)of 32 unruptured tubal pregnancies with intramuscular methotrexate treatment. 7) The mean resolution duration was 23.8 days. 8) The side effects of methotrexate were observed in 10 cases(31.2%)of 32 unruptured tubal pregnancies, but the severity of symptoms was mild. Consequently, tveatment by intramuscular injection of MTX expects to be one of the therapies alternating to surgery. However success rate remained 90.6% with and toxicity rate 31.2% with MTX injection. Therefore patients selection criteria and MTX dosage adjustment are more stricdy required for rising success rate and avoidance of toxic complication.
Abdominal Pain
;
Diagnosis
;
Female
;
Gynecology
;
Humans
;
Incidence
;
Injections, Intramuscular
;
Methotrexate*
;
Metrorrhagia
;
Obstetrics
;
Patient Selection
;
Pregnancy
;
Pregnancy, Ectopic*
;
Pregnancy, Tubal
;
Retrospective Studies
7.A Study on Self-Efficacy and Quality of Life in Schizophrenic Patients.
Eun Sun RHO ; Hye Jin KWON ; Eun Jung RYU
Journal of Korean Academy of Nursing 2001;31(5):912-920
PURPOSE: The purpose of this study is to identify the correlation that exists between quality of life and self-efficacy of schizophrenic patients, focusing on the influence of related factors on these varables. METHOD: The subjects of this study were 151 schizophrenic patients. The data were collected using questionnaires. The instruments used for this study were the general self-efficacy scale developed by Sherer & Maddex (1982), the specific self-efficacy scale modified and complemented by these co-researchers on the basis of the past studies and modified SIP by Voruganti (1996). The period of data collection was from July. 2000 to Jan. 2001. Data analysis was done by SPSS, t-test, ANOVA and the Pearson Correlation Coefficient. RESULT: 1. The level of self-efficacy showed a mean score of 60.0 and the level of quality of life, a mean score of 47.0. 2. The general characteristics affecting the self-efficacy of schizophrenic patients were staying with family (p=0.05) and employment (p=0.00). 3. The general characteristics affecting the quality of life of schizophrenic patients were staying with family (p=0.04), employment (p=0.05) and duration of illness (0.03). 4. A positive correlation was identified between self-efficacy and quality of life (r=-0.469, p=0.000). CONCLUSION: The study suggests that nursing intervention strategy should be worked out to develop a psychiatric rehabilitation program that can promote self-efficacy and thus enhance the quality of life of schizophrenic patients.
Complement System Proteins
;
Data Collection
;
Employment
;
Humans
;
Nursing
;
Quality of Life*
;
Surveys and Questionnaires
;
Rehabilitation
;
Schizophrenia
;
Statistics as Topic
8.Idiopathic Hypercalciuria in Children.
Kyung Ha RYU ; Seung Joo LEE ; Keun LEE ; Jae Sun JUNG
Journal of the Korean Pediatric Society 1989;32(6):809-815
No abstract available.
Child*
;
Humans
;
Hypercalciuria*
9.In vitro ractericidal activity of quinolones against vibrio vulnificus.
Phil Youl RYU ; Jung Inn CHOI ; Joon Haeng RHEE ; Sun Sik CHUNG
Journal of the Korean Society for Microbiology 1992;27(5):449-456
No abstract available.
Quinolones*
;
Vibrio vulnificus*
;
Vibrio*