1.THE FREE DEEP INFERIOR EPIGASTRIC ARTERY SKIN FLAP WITHOUT RECTUS ABDOMINIS MUSCLE.
Myong Chul PARK ; Ye Shik SHIN ; Kwan Shik KIM
Journal of the Korean Society of Plastic and Reconstructive Surgeons 1997;24(5):1082-1089
No abstract available.
Epigastric Arteries*
;
Rectus Abdominis*
;
Skin*
2.REPLANTATION OF AN AMPUTATED NOSE.
Ye Shik SHIN ; Myong Chul PARK ; Kwan Shik KIM
Journal of the Korean Society of Plastic and Reconstructive Surgeons 1997;24(5):1077-1081
No abstract available.
Nose*
;
Replantation*
3.A Study on the Development and Growth of the Tibial and Fibular Epiphyses
Jae In AHN ; Sung Kwan HWANG ; Jun Shik KIM
The Journal of the Korean Orthopaedic Association 1985;20(3):427-437
Deformities of the leg and ankle may result from growth abnormalities of the tibia and fibula. The appearance of the secondary ossification center and growth plate closure of the tibial and fibular epiphyses, and the pattern of closure of the epiphyses, were observed in a different age. Normal radiographs were reviewed in one hundred and fifty patients at age from two days after birth to 20 years, who were injured on the contralateral leg, at Wonju Medical College, Yonsei University from Feb., 1980 to May, 1984. The results were as follows: 1. The time of the appearance of secondary ossification center and the closure of growth plates; The proximal tibial epiphysis usually forms secondary ossification center at birth to second postnatal months, the physeal closure occurs from 13 year and 11 months to 18 year 3 months in male, from 13 year 4 months to 15 year 5 months in female. The secondary ossification center of the distal tibial epiphysis appears from 8th postnatal months to one year, and physeal closure occurs from 15 years to 17 year and 4 months in male, from 15 year 2 months to 16 year 8 months in female. The secondary ossification center of the tibial tuberosity appears from 9 year 3month to 12 year 2 months, and closure occurs from 16 year 3 months to 18 year 7 months inmale, from 14 year 10 months to 19 year 1 months in female. The proximal fibular epiphysis forms secondary ossification center from 2 year 5 months to 5 year 4 months, closure occurs from 15year 8 months to 17 year 4 months in male, from 14 year 9 months to 16 year 9 months in female. The secondary ossification center of the distal fibular epiphysis appears from 2 year 5 months to 3rd years, and closure occurs from 13 year 11 months to 17 year 6 months in male, from 13 year 4 months to 16 year 7 months in female. 2. The growth and the pattern of the closure of growth plates of the tibia; The proximal tibial epiphysis is elliptic for the first 3 years of life. The epiphysis is slightly conical centrally as it extends toward the tibial spines, and becomes more prominent from 8 years to adolescence. The closure of the proximal tibial growth plate occurs initially along the anteromedial aspect of the tibia and tibial tuberosity during 12 years and proceeds posterolaterally. Complete closure of the proximal tibial physis occurs about from 13 years to 18 years. The secondary ossification center of the distal tibial epiphysis is oval in shape initially, becomes thicken medially by 3rd year of life, then the tibial plafond is valgoid, and becomes horizontal at age 10 approximately. The distal epiphysis of tibia unites first at about 13 years, starting centrally and proceeding toward anteromedial portion. And the posterolateral portion unites finally by about 15 to 17 years. The tibial tuberosity develops a secondary ossification center by 7 to 9 years, usually in the most distal region, and gradually elongates and extends toward the secondary ossification center of the proximal tibia.From about 12 years, the tuberosity epiphyseal center fuses with the proximal tibial center, and the fusion with the tibial metaphysis extends distally, the tuberosity physis closes completely from about 15 to 19 years. 3. The growth and development of the tibia, fibula and ankle; The growth of the proximal tibial and the distal fibular epiphyses play an important role of the growth rate in lower extremities unber ten years. The distal tibial growth plate inclines laterally and distally prior to the first year of life, the inclination is on the decrease and it finally horizontal at about 12 years. The distal tibia talus angle is about 90° prior to the age one year, becomes mildly valgoid by 12 years.
Adolescent
;
Ankle
;
Congenital Abnormalities
;
Epiphyses
;
Female
;
Fibula
;
Gangwon-do
;
Growth and Development
;
Growth Plate
;
Humans
;
Leg
;
Lower Extremity
;
Male
;
Parturition
;
Spine
;
Talus
;
Tibia
4.Strain, Burden and Depression of Caregivers of Hemiplegic Patients.
Joon MOON ; Kwan Shik SEO ; Joon Shik YOON ; Sei Joo KIM ; Han Young CHUNG ; Young Ok PARK
Journal of the Korean Academy of Rehabilitation Medicine 2003;27(4):507-512
OBJECTIVE: Study was designed preliminarily to observe the accordance of caregivers strain and depression with other factors such as sex of the patient, caregiver, lesion side, Mini Mental Status Examination (MMSE) score and Beck's Depression Index (BDI). METHOD: We composed a questionnaire with BDI, and the Sense of Competence Questionnaire (SCQ) in order to evaluate the amount of stress and depression of caregivers. Evaluation of the patient was done by interviewing them along with reviewing their medical records and obtaining scores such as the MMSE, Functional Inependence Index (FIM) and the Geriatric Depression Scale (GDS). RESULTS: BDI of the caregivers showed a negative correlation with the patients' age. Lesion side nor age, nor the prevalence of hemiplegia of patients did not show statistical relevance with the strain that the caregiver felt. The first subscale of SCQ showed a positive correlation with the caregiving time that the caregiver gave. In accordance to the sex of the caregiver, females showed to spend more time with the patient, showed to be more unsatisfied with the patient but showed a tendency of lesser SCQ score. CONCLUSION: Depression, strain and burden that the caregivers went through showed to have slight correlation with the patient and caregiver factors.
Caregivers*
;
Depression*
;
Female
;
Hemiplegia
;
Humans
;
Medical Records
;
Mental Competency
;
Prevalence
;
Surveys and Questionnaires
5.DEVELOPMENT OF NERVES IN THE UPPER LIMB OF HUMAN EMBRYOS.
Seung Hun LEE ; Eun Young SEOL ; Myong Chul PARK ; Kwan Shik KIM ; Myoung Hee KIM ; Hyoung Woo PARK
Journal of the Korean Society of Plastic and Reconstructive Surgeons 1997;24(5):926-934
No abstract available.
Embryonic Structures*
;
Humans*
;
Upper Extremity*
6.Effect of Teflon Membrane and Nylon Membrane on Guided Bone Regeneraton in Rabbit Tibia.
Kwan Shik KIM ; Byoung Ouck CHO ; Young Chan LEE
Journal of the Korean Association of Oral and Maxillofacial Surgeons 2000;26(2):146-153
The purpose of present study is comparing the effect of Teflon Membrane and Nylon Membrane on bone regeneration in rabbit tibia. The 6 defects of 8x8x5mm size were drilled with dental handpiece in rabbit tibia, which on left side as an order of Control group(no coverage), Group 1(Nylon 5 micrometer size), Group 3(Nylon 10 micrometer size), and on right side Control group, Group 2(5 micrometer Teflon), Group 4(10 micrometer Teflon). Animals were killed at 7, 10, 14, 42 days to make specimens and observed the difference of healing potentials with light microscopy. The results were as follows ; 1. New bone formation has taken place at 14 days in Guided Bone Regeneration (GBR) group comparing to the Control group of massive inflammatory status. 2. Larger pore membrane allows more favorable healing potentials. Bone formation started earlier in larger membrane pore groups than smaller groups, until 14 days. 3. Bone forming potentials of Teflon membrane group was higher than Nylon membrane groups, Control group has the lowest bone forming potentials. 4. New bone formation was almost ended in 42 days, and there was no difference of bone formation between Nylon and Teflon membrane group of different size. There was no difference of bone formation at final stage(42 days) between Nylon membrane and Teflon membrane of same pore size. So nylon membrane may be clinically usable in guided bone regeneration case with further studies.
Animals
;
Bone Regeneration
;
Control Groups
;
Membranes*
;
Microscopy
;
Nylons*
;
Osteogenesis
;
Polytetrafluoroethylene*
;
Tibia*
7.A Case of SVC Obstruction in Behcet's Syndrome.
Chan Hee LEE ; Hong Woo LEE ; Jun Keun JUNG ; Hyeun Young PARK ; Jun Han SHIN ; Jun KWAN ; Hwark Moon KWAN ; Hyeun Soung KIM ; Choon Shik YOUN
Korean Circulation Journal 1993;23(6):946-952
The clinical triad of relapsing iritis, ulcers of the mouth and genitalia was first described in 1939 by Hulusi Behcet. This entity, originally confined to the above triad of symptoms appears to be systemic disease manifested by skin lesion, thrombophlebitis, neurologic, cardiovascular or visceral symptoms. The vascular involvement in Behcet's syndrome has been reported since Mischima first described a case in 1961, four types of vascular lesion are freuqnetly observed most commonly on the inferior or superior vena cava. Treatments consist of anticoagulation and administering oral steroids. We report a case of SVC obstruction in 36 years old female patient with Behcet's syndrome.
Adult
;
Behcet Syndrome*
;
Female
;
Genitalia
;
Humans
;
Iritis
;
Mouth
;
Skin
;
Steroids
;
Thrombophlebitis
;
Ulcer
;
Vena Cava, Superior
8.Antitachycardia Pacemaker PASAR 4172 for Termination of Paroxysmal Tachycardias.
Yun Shik CHOI ; Soon Bae KIM ; Joon Soo KIM ; Chi Jung KIM ; Bong Kwan SEO ; Young Jung KIM ; Young Bae PARK ; Young Woo LEE
Korean Circulation Journal 1985;15(4):561-571
Reentrant tachycardias can often be terminated by discrete pacing stimuli that penetrate the reentrant circuit. Antitachycardia pacemaker PASAR 4172 (Programmable Automatic Scanning Arrhythmia Reversion, Model 4172, Telectronics) is designed to detect tachycardia automatically and subsequently to deliver programmed one or two extrastimuli to revert to sinus rhythm. We experienced two patients, one paroxysmal supraventricular tachycardia and one paroxysmal ventricular tachycardia, who had had frequent and often prolonged episodes of tachycardia that responded poorly to pharmacologic antiarrhythmic therapy. Each patient underwent a detailed preimplantation clinical electrophysiological study in order to determine the number of stimuli required for termination of tachycardia, the most satisfactory site for electrode placement, and the tachycardia termination zone. During the follow-up period of 7 to 11 months after implantation of PASAR 4172, no patient complained of an episode of sustained tachycardia although they experienced symptoms of an impending attack. We conclude that antitachycardia pacemaker PASAR 4172 is a safe, effective, and well tolerated method for the therapy of drug resistant paroxysmal supraventricular tachycardia and paroxysmal ventricular tachycardia.
Arrhythmias, Cardiac
;
Electrodes
;
Follow-Up Studies
;
Humans
;
Tachycardia
;
Tachycardia, Paroxysmal*
;
Tachycardia, Supraventricular
;
Tachycardia, Ventricular
9.Increased carotid intima-media thickness in hypertensive patients is caused by increased medial thickness.
Hee Kwan WON ; Wuon Shik KIM ; Ki Young KIM ; Dae Woo HYUN ; Taek Geun KWON ; Jang Ho BAE
Korean Journal of Medicine 2008;75(2):179-185
BACKGROUNDS/AIMS: It has been suggested that there is a differential response of the vasculature to systemic risk factors for atherosclerosis. We sought to evaluate the impact of hypertension on the carotid arterial wall using new methods that can measure each arterial wall layer. METHODS: The study subjects consisted of 163 patients who underwent carotid arterial scanning using high-resolution ultrasound that could measure the left carotid intima-media, intima, and media separately. The individual carotid arterial wall thickness was measured off-line by a new method using the Canny edge-detection algorithm. RESULTS: Hypertensive patients (n=79, mean age 61.8 years) had a higher prevalence of diabetes (31.6% vs 11.9%, p=0.004) and a lower level of HDL-cholesterol than did normotensive patients (41.8+/-11.0 mg/dL vs 45.7+/-10.0 mg/dL, p=0.019). Hypertensive patients had higher carotid intima-media thickness (CIMT, 0.81+/-0.21 mm vs 0.74+/-0.18 mm, p=0.003) and carotid medial thickness (CMT, 0.46+/-0.12 mm vs 0.42+/-0.09 mm, p=0.007) than did normotensive patients, whereas carotid intimal thickness (CIT) was not significantly different (0.34+/-0.04 mm vs 0.34+/-0.04 mm, p=0.196). Multivariate analysis revealed that the independent factors of CIMT were CMT (beta=0.915, p<0.001), hypertension (beta=0.076, p=0.008), age (beta=0.074, p=0.010), and sex (beta=-0.079, p=0.005). Pearson correlation coefficient between CIMT and CMT was higher (r=0.932, p<0.001 vs r=0.445, p<0.001) than that between CIMT and CIT. The correlation between CIMT and CMT was higher (r=0.940, p<0.001 vs r=0.910, p<0.001) in hypertensive patients than in normotensive patients, whereas that between CIMT and CIT was lower (r=0.344, p=0.002 vs r=0.583, p<0.001) in hypertensive patients. CONCLUSIONS: The increased CIMT is caused by increased CMT in hypertensive patients, and this finding is compatible with the medial hypertrophy seen in hypertension. The carotid medial layer should be the focus of attention in future studies looking at hypertensive patients.
Atherosclerosis
;
Blood Proteins
;
Carotid Arteries
;
Carotid Intima-Media Thickness
;
Humans
;
Hypertension
;
Hypertrophy
;
Multivariate Analysis
;
Prevalence
;
Risk Factors
;
Tunica Media
10.A Case of Diabetes Insipidus with Langerhans Cell Histiocytosis in Adult
Jae Hoon CHUNG ; Kwang Won KIM ; Kyu Jeung AHN ; Yong Ki MIN ; Myung Shik LEE ; Moon Kyu LEE ; Eun Mi KOH ; Choon Kwan KIM ; Mann Pyo JUNG
Journal of Korean Society of Endocrinology 1996;11(3):330-335
In Langerhans cell histiocytosis, diabetes insipidus is the most common endocrinologic complication. We experienced a case of Langerhans cell histiocytosis, involving pituitary stalk and lung. The patient was a 43 year old male with complaint of polyuria and polydipsia. The water deprivation test was carried out to confirm the diagnosis of diabetes insipidus. We found multiple small cysts and nodules in HRCT of lung, and diagnosed Langerhans cell histiocytosis by transbronchial lung biopsy, The patient was managed conservatively with DDAVP nasal spray. The polyuria,polydipsia was relieved completely. After that, we follow up and observe closely the patients lung and pituitary lesion.
Adult
;
Biopsy
;
Deamino Arginine Vasopressin
;
Diabetes Insipidus
;
Diagnosis
;
Follow-Up Studies
;
Histiocytosis, Langerhans-Cell
;
Humans
;
Lung
;
Male
;
Pituitary Gland
;
Polydipsia
;
Polyuria
;
Water Deprivation