1.Gluteus Maximus Myocutaneous Flaps for Repair of the Sacral Pressure Sores
Chang Soo KANG ; Sung Won SOHN ; Byung Woo MIN
The Journal of the Korean Orthopaedic Association 1987;22(6):1361-1366
It would be naive to assume that any operative procedure is the solution to the problem of sacral pressure sore in the field of the orthopaedic surgery. The procedures outlined here involve the creation of compound myocutaneous flaps of the gluteus maximus muscle, skin, and the subcutaneous tissue. The myocutaneous flap us- ing the gluteus maximus muscle is a vascular flap instead of a random flap, with better blood supply for healing and advantage of an increased amount of cushion effect. We present an alternative method which will provide satisfactory and substantial soft tissue coverage in sscral pressure sores.
Methods
;
Myocutaneous Flap
;
Pressure Ulcer
;
Skin
;
Subcutaneous Tissue
;
Surgical Procedures, Operative
2.Intellectual impairement in patients with muscular dystrophy.
Min Kyun SOHN ; Jae Ho MOON ; Dong Shik PARK ; Min Jung KANG ; Young Ran HA
Journal of the Korean Academy of Rehabilitation Medicine 1991;15(1):71-76
No abstract available.
Humans
;
Muscular Dystrophies*
3.A case report of hereditary familial spastic paraplegia.
Min Jung KANG ; Jae Ho MOON ; Dong Shik PARK ; Min Kyun SOHN
Journal of the Korean Academy of Rehabilitation Medicine 1991;15(1):128-132
No abstract available.
Muscle Spasticity*
;
Paraplegia*
4.A case of acute megakaryoblastic leukemia with Down syndrome.
Sung Jin CHANG ; Sung Min SOHN ; Heung Sik KIM ; Chin Moo KANG ; Dong Seok JEON
Journal of the Korean Pediatric Society 1991;34(12):1730-1735
No abstract available.
Down Syndrome*
;
Leukemia, Megakaryoblastic, Acute*
5.Clinical Analysis of 62 patients with Rectovaginal Fistula.
Seung Hyun KANG ; Nam Kyu KIM ; Dae Jin LIM ; Seung Kook SOHN ; Jin Sik MIN
Journal of the Korean Society of Coloproctology 1998;14(1):109-114
Rectovagianl fistula(RVF) is a congenital or acquired communication between the two epithelial-lined surface of the rectum and the vagina. We present our experience with 62 patients with RVF. There were various etiologies and repair methods of rectovaginal fistula. The purpose of this study was to retospectively review the clinical course of the patients we treated and to evaluate the efficacy of various treatment options. The mean age was 40.5 yr, The type of RVF was classified to one of two(simple and complex), according to their location, size and etiology. RVF was developed most commonly after radiotherapy due to cervical cancer(n=17), then after pelvic surgery due to malignancy(n=16), obstetric trauma after episiotomy at delivery(n=7), congenital malformation(n=4), inflammatory bowel disease(n=1), Bechet's disease(n=1), infections such as perianal fistula or abscess(n=2), direct invasion of carcinoma(n=3), after chemotherapy(n=1), and idiopathic(n=6). Three cases of them associated with rectovesicovaginal fistula. Surgical therapeutic option was divided to local repair, abdominal approach and tissue transposition by the type of RVF. Most simple RVFs were repaired with local approach through the vagina or rectum. Most complex RVFs were repaired through abdominal approach or tissue transposition. With an average follow up of 20 months, the treatment results were as follows: completely healed(n=36, 58.1%), persistent symptom(n=6, 9.7%), recurrence after repair(n=5, 8.1%), loss of search or death(n=15, 24.1%). Therefore we assist that the management of RVF depends on size, location, and cause. anal sphincter function and overall health status of the patient. Careful preoperative assessment of the fistula, surrounding tissues, and anal sphincter and exclusion of associated disease are essential. With through evaluation, thoughtful consideration of treatment options, and meticulous operative technique, patient can be assured of an optimal outcome.
Anal Canal
;
Episiotomy
;
Female
;
Fistula
;
Follow-Up Studies
;
Humans
;
Radiotherapy
;
Rectovaginal Fistula*
;
Rectum
;
Recurrence
;
Vagina
6.Experimental study for tendon to bone fixation with clinical relevance in limb salvage operation.
Seung Koo RHEE ; Yong Koo KANG ; Jong Min SOHN ; Jai Young CO
The Journal of the Korean Orthopaedic Association 1993;28(3):1261-1268
No abstract available.
Extremities*
;
Limb Salvage*
;
Tendons*
7.Classification and Evaluation of the Clinical Result of the Calcaneal Fracture Based on The Computed Tomography
Kwang Soon SONG ; Chul Hyung KANG ; Byung Woo MIN ; Gook Jin SOHN
The Journal of the Korean Orthopaedic Association 1996;31(3):606-614
The calcaneal fractures, the most common tarsal bone fracture are one of the difficult fractures in diagnosis and treatment because of its anatomic complexity and fracture pattern. The authors had taken pre-operative computed tomographies(CTs) and plain X-rays on calcaneal fractures prospectively since March 1992 and the calcaneal fractures were classified according to fracture patterns and locations. Twenty nine fracture were treated with open reduction and internal fixation. Following open reduction and internal fixation of displaced fractures mostly involving posterior facet of subtalar joint or closed reduction with axial pinning by Essex-Lopresti method, we have taken CT on 32 fractures and analyzed anatomic status and observed the relationship between anatomic status and clinical results. The results were as follows: 1. According to Sanders classification, type II was the most common(69%), and then type III(22%), type IV(6%), type I(3%) in frequently. 2. In the relationship between preoperative CT classification and postoperative reduction state, reduction state was in case of more communication. 3. We can expect excellent or good result when the postoperative displacement is within 2mm. 4. The Sanders classification appears to be helpful in predicting prognosis since preoperative CT significantly influenced the clinical outcome, as noted in the relationship between preoperative CT and clinical results.
Classification
;
Diagnosis
;
Methods
;
Prognosis
;
Prospective Studies
;
Subtalar Joint
;
Tarsal Bones
8.A Case of Adnexal Tumor with Folliculosebaceous-apocrine Differentiation: Literature Review and Nomenclature Clarification.
Jung Eun KIM ; Hong Jin JOO ; Kimin SOHN ; Ki Ok MIN ; Hoon KANG
Korean Journal of Dermatology 2018;56(7):464-465
No abstract available.
9.Association between Body Mass Index and Prevalence of Asthma in Korean Adults
Min KANG ; Seok Joon SOHN ; Min Ho SHIN
Chonnam Medical Journal 2020;56(1):62-67
We evaluated the association between body mass index (BMI) and the prevalence of asthma. Using data from the 2015 Korean Community Health Survey, 214,971 participants aged between 19 and 106 years were included in this study. Asthma was defined based on the self-report of physician diagnosis. BMI was classified as underweight (<18.5 kg/m²), normal weight (18.5 kg/m²≤BMI<23.0 kg/m²), overweight (23.0 kg/m²≤ BMI<27.4 kg/m²), and obese (≥27.5 kg/m²) based on the BMI categories for Asians by the World Health Organization. Multiple logistic regression analysis was performed with sampling weights to evaluate the association between BMI and asthma after adjusting for age, educational level, income, type of residential area, smoking status, alcohol consumption, physical activity, hypertension, and diabetes. In men, BMI had an inverted J-shaped association with the prevalence of asthma, with an odds ratio of 1.88 (95% confidence interval [CI]: 1.89–2.24) for underweight and 1.12 (95% CIs: 0.97–1.29) for obesity. In women, BMI had a J-shaped association with the prevalence of asthma, with an odds ratio of 1.05 (95% CIs: 0.91–1.22) for underweight and 2.29 (95% CIs: 2.06–2.56) for obesity. In conclusion, in a nationally representative sample of Korean adults, the association between BMI and the prevalence of asthma varied between the sexes. This suggests that malnutrition and obesity are involved in the pathophysiology of asthma.
10.School Nurses' Management for Children and Adolescents with Diabetes.
Heesook KANG ; Youngmee AHN ; Ji Eun LEE ; Min SOHN
Child Health Nursing Research 2015;21(2):176-182
PURPOSE: The study purposes were to explore school nurses' experience, perceived barriers, and education needs in diabetes management at school. METHODS: This study was a cross sectional study and the study participants were recruited conveniently at continuing education seminars for school nurses at Incheon Metropolitan City. RESULTS: Data for 101 school nurses were analyzed. The nurses were all women and their mean age was 46.9+/-9.3 years. About 66% of them had experience with children with diabetes at school. The school nurses reported that 74.6% of the students tested their blood glucose by themselves, the school clinic was the most common place for blood glucose tests (47.8%) and insulin injections (50.8%) and the nurses knew students' diagnosis through the student health survey (58.2%). About half of the nurses (53.7%) reported that glucagon should be available at school and 49.2% were willing to inject glucagon when necessary. The most frequently reported barrier in diabetes management was role confusion (6.0+/-1.3) and the most common educational need was emergency responses (5.9+/-1.4). CONCLUSIONS: School health policy for diabetes management and diabetes resources are necessary to minimize role confusion of school nurses, improve emergency response, and facilitate health promotion activities in diabetes management.
Adolescent*
;
Blood Glucose
;
Child*
;
Diabetes Mellitus, Type 1
;
Diagnosis
;
Disease Management
;
Education
;
Education, Continuing
;
Emergencies
;
Female
;
Glucagon
;
Health Promotion
;
Health Surveys
;
Humans
;
Incheon
;
Insulin
;
School Health Services
;
School Nursing