1.Soft tissue tumor of the trunk and extremities.
Byeong Mun PARK ; Seok Beom LEE ; Dong Sam WOO
The Journal of the Korean Orthopaedic Association 1993;28(5):1783-1794
No abstract available.
Extremities*
2.Fracture of ring apophysis of lumbar vertebral body.
Byeong Mun PARK ; Chong Hyuk CHOI ; Woo Suk LEE
The Journal of the Korean Orthopaedic Association 1993;28(5):1588-1594
No abstract available.
3.A clinical study of congenital hypertropic pyloric stenosis.
Eun Chin MUN ; Hae Jin LEE ; Son Sang SEO ; Jung Woo YANG
Journal of the Korean Pediatric Society 1991;34(5):637-644
No abstract available.
Pyloric Stenosis*
4.Alcohol Related Trauma Patients.
Sung Hyuk CHOI ; Cheul Kyu MOON ; Jun Dong MUN ; Sung Woo LEE ; Yun Sik HONG
Journal of the Korean Society of Emergency Medicine 1999;10(2):266-275
BACKGROUND: We studied the incidence of trauma caused by alcohol related accidents, and the effects that has on the occurrence, the extent, and the outcome to the patient. METHODS: In our study we studied trauma patients excluding pediatric patients(15 years old and under) who came to the Emergency department of Korea University Medical School Anam Hospital from the 1st of january 1996 to 30th of June 1996, looked into their medical records, and studied the records in a retrospective manner. The trauma patients were divided into two groups, a) alcohol-related and b) alcohol-non-related. The two groups were then subdivided according to their sex, age, the time they came in, the anatomical part of the trauma, the mechanism of their injury, the extent of the injury, the length of their hospital stay, the length of their ED stay and were seperately compared and analysed. Statistically, ANOVA and logistic regression analysis using SAS were used in the study and then was assessed in Chi-square analysis methods. RESULTS: The total of the trauma patients, added up to 832 people, 577: male and 255: female. Among this sum, 16 trauma patients were alcohol related(male:127 & female 36). 115 people were in the age group of 21-40. Compared to the non-alcohol related trauma group, the alcohol-related group had more facial & scalp injuries and tended to come in the hours between 0-6 AM. The cause of the injuries were mossy by fast-fighting and suicide, compared to mostly accidental-slipping injuries in the non alcohol-related group. There were no difference in the degree of the injury(ISS) and the length of hospital stay between the two groups, whereas the length of the stay at the ED was longer alcohol-related trauma patients. CONCLUSION: Alcohol related trauma patients were mostly in their 20s and 30s, came to the hospital at a late time it the reason for their visit were mossy because of fist fighting. In the Emergency department, because prompt and correct diagnosis is quite difficult to make in this group, their ED stay tended to be longer. We can conclude that measuring the blood alcohol level of these patients, continuing the psychological therapy and educating people is needed.
Diagnosis
;
Emergency Service, Hospital
;
Female
;
Humans
;
Incidence
;
Korea
;
Length of Stay
;
Logistic Models
;
Male
;
Medical Records
;
Retrospective Studies
;
Scalp
;
Schools, Medical
;
Suicide
5.A Biomechanical Study of Screw Designs of Transpedicular Screw on the Fixation Strength.
Ki Tack KIM ; Sang Un LEE ; Young Woo KIM ; Gyu Pyo HONG ; Mu Sung MUN
The Journal of the Korean Orthopaedic Association 1998;33(2):350-358
INTRODUCTION: The fixation strength of transpedicular screw system in the vertebral hody relied on bone quality and anatomical characteristics of vertebral pedicle, designs of screw and types of connection(rod or plate) with screw. The purpose of this study is to verify the biomechanical nature of the transpedicular fixation in spine under various conditions with porcine vertebrae. MATERIAL AND METHOD: Fresh porcine vertebrae and the custom-made screws were used in this experiment. To reduce the errors caused by vertebral bodies of different size and quality, vertebral bodies having regular range of pedicular width(10.0 to 11.5mm) and hone density(more than 1.0 gm/cm2) were used. The pedicle screws were inserted in the same procedure and axial pull out test was performed with using the Material Testing System(lntron8511, Canton, USA). The experiments were performed in four types to assess the difference of strength accroding to designs of the screw hy using two group of screws. The first group of screw was designed according to the outer and inner diameter and the second group was designed according to the shape, pitch, and thread profile of screw. Experiment I was perfomed to evaluate the effect of screw diameters on the biomechanical pull-out strength hy using the first group of custom-made pedicle screw which fixed all other factors except the diameter of screw. Experiment I was to verify the effect of screw shape, experiment III to verify the effect of pitch and experiment IV to verify the effect of thread profile. RESULTS: The results of experiments were summarized as follows: Experiment I showed that the screw of larger outer diameter had greater holding strength. Experiment II showed that the holding strength of cylindrical shaped screw is superior to that of conical shaped screw. Experiment III showed that there is no statistical significance between different modes of pitch. Experiment IV showed that the holding strength of buttress shape of thread profile is superior to that of V-shape. CONCLUSION: It seemed that the fixation strength of the screw was more powerful with 1 mm increment of outer diameter in 4-7mm of outer diameter, 3mm of pitch and buttress shape of thread of the screw with the same operation technique.
Spine
6.Diagnostic value of computed tomography in pancreatic cancer
Jin Woo KIM ; Young Seok KIM ; Chang Yul HAN ; Pil Mun YU ; Kwan Seh LEE
Journal of the Korean Radiological Society 1986;22(4):552-558
This retrospective study was performed to assess CT scan findings of pancratic cancer and its ability todetermine resectability. CT scans of 41 patients, who were diagnosed to have pancreatic cancer on histological orclinical base, were reviewed. Most common findings were; focal pancreatic enlargement, diffuse pancreaticenlargement, loss of distinct contour, peripancretic fat obliteration, bile duct or pancreatic duct dilatation,vascular invasion, lymph node involvement, direct invasion of adjacent organs and distant metastasis.Resectability was assessed according to generally accepted CT findings such as small pancreatic mass lesion havingnormal lobulated contour of pancreas, no evidence of vascular invasion, no evidence lymph node involvement andfree of distant metastasis. With the criteria, 5 cases among 41 cases deemed to be resectable. However onoperation all cases were found unresectable indicating prediction of tumor resectability is difficult even withhelp of CT. Nonetheless CT would be very helpful in management of patients having pancreatic cancer since CT wouldshorten the diagnostic procedures of pancreatic cancer.
Bile Ducts
;
Humans
;
Lymph Nodes
;
Neoplasm Metastasis
;
Pancreas
;
Pancreatic Ducts
;
Pancreatic Neoplasms
;
Retrospective Studies
;
Tomography, X-Ray Computed
7.A Case of Open - lip Schizencephaly.
Woo Jin KWON ; Sun Kim LEE ; Seung Keun LIM ; Jae Ho HYUN ; Mun Young LEE ; Jin PARK ; Man Kyu YANG
Journal of the Korean Society of Neonatology 1998;5(1):86-89
Schizencephaly, first described by Yakovlev and Wadsworth in 1946, is a rare congenital anomaly characterized by gray matter-lined clefts that extend through the entire cerebral hemisphere, from the ependymal lining of the lateral ventricle to the subarachnoid space. Clinically, patients with schizencephaly present motor dysfunction such as hemiparesis, seizures, and variable developmental delay. Absence of septum pellucidum, gray matter heterotopia, polymicrogyria, and hypoplasia of optic nerves were also frequently found to be associated with schizencephaly. We experienced a case of open-lip schizencephaly in a one-day-old male infant with wide, tense fontanel, which was confirmed by MRI.
Cerebrum
;
Humans
;
Infant
;
Lateral Ventricles
;
Lip*
;
Magnetic Resonance Imaging
;
Male
;
Malformations of Cortical Development*
;
Optic Nerve
;
Paresis
;
Seizures
;
Septum Pellucidum
;
Subarachnoid Space
;
Transcutaneous Electric Nerve Stimulation
8.Control of Postpartum Bleeding by Rectal Misoprostols: A Report of 3 Cases.
Sang Eun LEE ; Seong Ook HWANG ; Seung Kwon KHO ; Sook CHO ; Mun Hwan LIM ; Woo Young LEE
Korean Journal of Obstetrics and Gynecology 1999;42(8):1857-1859
Postpartum hemorrhage is an important cause of maternal mortality and morbidity. Especially uterine atony is the most common cause of postpartum hemorrhage. Conventional method to control postpartum uterine atonic bleeding is based on the use of oxytocin and ergot preparations. Prostaglandin F2alpha analogue such as carboprost can be used to promote contraction when these agents fail to produce uterine contraction. Prostaglandin E1 analogue, misoprostol has uterotonic effect by oral or vaginal administration. They are used to induce labor and first or mid trimester abortion. In postpartum uterine atonic bleeding, misoprostols cannot be used via oral or vaginal route. Recently we have experienced that postpartum uterine atonic bleedings unresponsive to conventional methods were controlled by rectal misoprostols. So we report these cases with a brief review of literatures.
Administration, Intravaginal
;
Alprostadil
;
Carboprost
;
Dinoprost
;
Hemorrhage*
;
Maternal Mortality
;
Misoprostol*
;
Oxytocin
;
Postpartum Hemorrhage
;
Postpartum Period*
;
Uterine Contraction
;
Uterine Inertia
9.The McCune-Albright's syndrome: a case report and review of the literature.
Yeon Hee JANG ; Mun Whan IM ; Jae Chul SHIM ; Sung Ki PARK ; Tae Woo KIM ; Chang Yun LEE
Korean Journal of Obstetrics and Gynecology 1992;35(1):136-143
No abstract available.
10.Comparison of Epidural Ropivacaine and Bupivacaine in Patients Undergoing Lower Extremity Surgery.
Chul Jun MUN ; Sang Gon LEE ; Jong Suk BAN ; Byung Woo MIN
Korean Journal of Anesthesiology 2001;41(4):434-438
BACKGROUND: Ropivacaine is an amide local anesthetic structurally related to bupivacaine. A randomized, double-blind study was performed to compare the clinical effectiveness of ropivacaine and bupivacaine in patients undergoing lower-extremity surgery. METHODS: Forty-nine patients (ASA I-II) were randomized to receive 15 ml of 0.5% ropivacaine or bupivacaine. Twenty patients received 15 ml of ropivacaine and 20 patients received 15 ml of bupivacaine at the L3,4 or L4,5 interspace. Parameters measured were the onset time, duration and spread of sensory block, the onset time, duration and degree of motor block, the quality of anesthesia and the heart rate and blood pressure profile during the block onset. RESULTS: Demographic characteristics were similar among the groups. Seven patients were excluded from the study due to technical failure of the block, two patients were excluded due to insufficient data. The onset and duration of analgesia at T10 dermatome (mean SD) was 18.9 7.0 minutes and 187.5 34.6 minutes respectively for ropivacaine, and was 15.2 8.8 minutes and 187.8 40.0 minutes respectively for bupivacaine. Maximum block height (mean SD) was T6.5 2.0 for ropivacaine and T6.4 2.0 for bupivacaine. The incidence of complete motor block (Bromage scale 3) was low in the ropivacaine group, being 3/20 for ropivacaine and 12/20 for bupivacaine. CONCLUSIONS: The sensory blockade profile of ropivacaine, administered epidurally, is similar to that obtained with an equal dose of bupivacaine. However motor blockade with ropivacaine is less intense, less frequent, and of shorter duration than with bupivacaine.
Analgesia
;
Anesthesia
;
Blood Pressure
;
Bupivacaine*
;
Double-Blind Method
;
Heart Rate
;
Humans
;
Incidence
;
Lower Extremity*