1.The Length of postoperative antituberculous therapy in patients with pulmonary tuberculosis.
Eun Su KWON ; Jin Ho SONG ; Sun Dae SONG
Tuberculosis and Respiratory Diseases 2000;49(4):421-431
BACKGROUND: The length of postoperative drug therapy remains controversial in pulmonary tuberculosis. We analyzed our experiences to determine the postoperative duration of chemotherapy after resection. METHODS: A retrospective review was performed in 66 of 95 patients that underwent pulmonary resection for pulmonary tuberculosis between January 1993 and December 1998. We compared the relapse rates according to the length of postoperative chemotherapy in each group, classified by the results of sputum AFB culture before the surgery, the number of resistant durgs, the number of prior treatment and the division of anti-TB drugs used postoperatively. RESULTS: Fifty three of 66(80.3%) were men and 13(19.7%) were women with a median age of 33.5 years(range, 16 to 63). The mean lengths of the pre-and post-operative chemotherapies were 4.9 months, and 12.9 months respectively. Five of 66 patients(7.6%) relapsed during the mean period of follow up(39.7 months). In the group less than three times of the prior treatment, there were two relapses(20%) in Ed-the highlight above-rephrase 10 patients that were medicated for 6 months or less, and one relapse in 43 patients(2.3%) that took medicine for more than 6 months(p=0.03). In the group using second-line drugs postoperatively, there was one relapse(25%) in four patients that were medicated for 12 months or less. No patient in a total of 17 that received medicine for more than 12 months relapsed(p=0.03). CONCLUSION: We recommend that patients with the prior treatment less than three times should be treated for more than 6 months after resection and patients using the second-line drugs postoperatively should be medicated for more than 12 months.
Drug Therapy
;
Female
;
Humans
;
Male
;
Recurrence
;
Retrospective Studies
;
Sputum
;
Tuberculosis, Pulmonary*
2.A Case of Muscle Transplantation in the Lateral Rectus Muscle Paralysis.
Yung Ho KWON ; Do Joon SONG ; Hyung Jean KIM
Journal of the Korean Ophthalmological Society 1969;10(2):23-26
Muscle transplanation surgery is presently widely accepted as a good precedure not only for cosmetic, but also for functional results, a concept to which Marina's observations on the absence of fixed and predetermined functions in the nuclei and associated tracts of the oculomotor system give great support; however, not everyone is in agreement with this concept. This paper report one case in which the total transplantation of the vertical rectus muscles midway between their insertions and the insertion of the lateral rectus muscle were carried out, in addition recession of the medial rectus muscle and resection of the paralyzed lateral rectus muscle. Our case have been followed up during 8 months to rule out late complications, aspecially ocular movement and diplopia. No late complications, however, have been found up to remaining underaction of the right superior and inferior oblique muscles and also medial rectus muscle. The eyes were straight with abduction of the right eye up to 40 prism diopters. Binocular vision was present and there was no diplopia. The cosmetic result was excellent.
Diplopia
;
Muscles
;
Paralysis*
;
Vision, Binocular
3.Treatment of Herpes Simplex Keratitis with IDU and Cryocautery.
Do Joon SONG ; Yong Ho KWON ; Hyung Jeon KIM
Journal of the Korean Ophthalmological Society 1967;8(3):27-29
The effect of IDU and cryocautery in the treatment of Herpes Simplex Keratitis was presented. The cryoapplicator was a model of Krwawlcz probe (2 mm in diameter) which was refrigerated in a mixture of dry ice and methyl alcohol. The applicator was appJied on the lesions 7 seconds each and antibiotics and atropine solutions were instilled. A good result was experienced in the treatment of several cases of dendritic kenititis by freezing the corneal lesions by means of cryoappJicator, which had not been responded to IDU therapy speedy. The deep neovascularization of the cornea in a case of stromal keratitis was disappeared after cryocautery for the treatment of the superficial corneal ulcers.
Anti-Bacterial Agents
;
Atropine
;
Cornea
;
Dry Ice
;
Freezing
;
Herpes Simplex*
;
Keratitis
;
Keratitis, Herpetic*
;
Methanol
;
Ulcer
4.A Case of Congenital Hypothyroidism.
Woo Hyon KWON ; Soon Young SONG ; Chang Ho HAN ; Hyae Ri CHUNG ; Soo Yong KIM ; Young Dae KWON
Journal of the Korean Pediatric Society 1990;33(5):708-713
No abstract available.
Congenital Hypothyroidism*
5.Two cases of Edward syndrome.
Jin Bok HWANG ; Woo Hyun KWON ; Soon Young SONG ; Chang Ho HAN ; Hye Li CHUNG ; Young Dae KWON
Journal of the Korean Pediatric Society 1991;34(2):250-255
No abstract available.
7.Avulsion Rupture of Quadriceps Tendon in Chronic Renal Failure Patients: Two Case Report.
Jae Eung YOO ; Joong Ho KWON ; Jin Ill KIM ; Jong Seok PARK ; Hee KWON ; Joon Min SONG ; Byung Ill LEE
Journal of the Korean Knee Society 2001;13(2):227-231
No Abstract Available.
Humans
;
Kidney Failure, Chronic*
;
Rupture*
;
Tendons*
8.Immediate internal fixation in open fractures of the long bones.
Chang Uk CHOI ; Jae Wook KWON ; Young Ho KIM ; Joon Min SONG ; Hee KWON ; Joo Hwan OH
The Journal of the Korean Orthopaedic Association 1991;26(4):1081-1093
No abstract available.
Fractures, Open*
9.A Study on Noise Induced Hearing Loss of Employees Working for Seoul Metropolitan Subway Cooperation.
Seoung ho RYU ; Young Jun KWON ; Soo Jin LEE ; Jae Choel SONG
Korean Journal of Aerospace and Environmental Medicine 2001;11(1):37-44
Although some employees working for Seoul Metropolitan Subway Cooperation are working at the noisy workplaces, they has been excluded from Special Periodic Health Examination Program. And some workers complained of hearing loss or tinnitus. So, this study was carried out to investigate the prevalence rate of Noise Induced Hearing Loss of employees(10,792) working for Seoul Metropolitan Subway Cooperation. The number of subjects were total 10,792 with 10,355 men and 437 women. A questionnaire survey, otological examination, Rinne test, pure tone audiometric tests were performed and through the first and second screening audiometric examination, 605 workers were selected after excluding employees with past otologic problems, recent exposure to high level noise, and under medications. and the results were as follow; 1. Among 10,792 workers, 4 workers(0.037%) diagnosed as NIHL and 601 workers(5.56%) as early NIHL. As workers grew older, the prevalence rate of NIHL and early NIHL became more rising. 2. The prevalence rate of NIHL and early NIHL was different between work site. After age adjustment, The prevalence rate of NIHL and early NIHL was 23.74% in Train repairmen{80dB(A)}, 3.1% in Station staffs{below 70dB(A)}, 2.53% in Train crew{below 70dB(A)}, 2.1% in Office workers. 3. The perception rate of necessities of ear plug in NIHL and early NIHL was below 55% and wearing rate of ear plug in NIHL and early NIHL was 1.1% In conclusion, some employees who was under working environment in Seoul Metropolitan Subway Cooperation should be monitored to prevent hearing impairment and would be needed health education.
Ear
;
Female
;
Health Education
;
Hearing Loss*
;
Hearing*
;
Humans
;
Male
;
Mass Screening
;
Noise*
;
Prevalence
;
Railroads*
;
Seoul*
;
Tinnitus
;
Workplace
;
Surveys and Questionnaires
10.Relationship between the blood flow patterns of left atrial appendage(LAA) with spontaneous contrast(SC) echogenecity and thrombi in LAA.
Seoung Ho HUH ; Kee Sik KIM ; Young Sung SONG ; Yoon Nyun KIM ; Kwon Bae KIM
Korean Circulation Journal 1993;23(3):331-340
BACKGROUND: Patients with sinus rhythm, the left atrial appendage(LAA) appeared as a vigorously contracting structure and the blood flow patterns of LAA showed biphasic configuration. However, patients with AF rhythm the blood flow showed irregular or no configuration in doppler echocardiographic study. The purpose of this study is to evaluate relationship between the blood flow patterns of LAA with the presence of spontaneous contrast(SC) and thrombi in LAA. METHODS: We performed TEE and TTE simultaneously to 58 consecutive patients who had native mitral valve disease or mitral prosthesis. Spontaneous contrast(SC) and the presence and location of LAA thrombi were evaluated during TEE and left atrial dimension(LAD) & ejection fraction(EF) were evaluated during TTE. We divided the whole subjects into three groups according to the blood flow patterns ; regular pattern(Group 1), irregular pattern(Group 2), no flow pattern(Group 3). RESULTS: 1) Blood flow within the left atrial appendage is divided with three groups among of them, atrial fibrillation have two blood flow patterns. 2) Peak prositive & negative flow velocity within LAA in AF rhythm groups were slower than normal sinus rhythm group.(p<0.01) 3) Left atrial dimension in group 3 is significantly larger than others groups.(p<0.01) 4) Spontaneous contrast(SC) with LAA could be detected in 2(6.8%) of the 29 patients of group 1, 6(31.5%) of the 19 patients of group 2, 10(100%) of the 10 patients of group 3. Incidence of SC within LAA in group 3 is significantly higher than others groups. 5) LAA thrombi could be detected in 1(3.4%) of the 29 patients of group 1, 1(5.2%) of the 19 patients of group 2, 3(30%) of the 10 patients of group 3. Incidence of LAA thrombi is significangly higher than other groups. CONCLUSIONS: We can suggest that blood flow within LAA is divided into three groups according to the blood flow patterns, and spontaneous contrast and thrombi in LAA were closely related with the blood flow pattern.
Atrial Appendage
;
Atrial Fibrillation
;
Echocardiography
;
Humans
;
Incidence
;
Mitral Valve
;
Prostheses and Implants