1.Spinal Anesthesia for Sick Sinus Syndrome.
Nam Sik WOO ; Min Sik WON ; Ryung CHOI
Korean Journal of Anesthesiology 1987;20(4):550-554
Sick sinus syndrome(SSS) is an important condition for anesthesiologists to recognize. The clinical manifestations of the SSS may be quite difficult to recognize as they may be intermittent, protracted, and multifared. SSS is defined by severe bradycardia and by sinus pause of arrest with escape. An imp-ulse originating in the sinus sode that is blocked before it can depolarize the atrium is referred to as sinoatrial(SA) lock. Physiologically, most signs and srmptoms result from hrpoperfusion of vital sign. The brain, heart, and kidneys are most prominently affected. While it can be mild, producing syncope, it is a frequent symptom and requires permanent pacemaker implantation. We experienced one case of anesthetic management of SSS using spinal anesthesia.
Anesthesia, Spinal*
;
Bradycardia
;
Brain
;
Heart
;
Kidney
;
Sick Sinus Syndrome*
;
Syncope
;
United Nations
;
Vital Signs
2.A Study of Luteinizing Hormone in Patients with Infertility and Recurrent Spontaneous Abortion.
Yoon Sung NAM ; Yong Seon CHO ; Woo Sik LEE ; Nam Keun KIM ; Se Hyun KIM ; Kwang Yul CHA
Korean Journal of Fertility and Sterility 2002;29(2):91-96
OBJECTIVE: To evaluate luteinizing hormone(LH) in patients with infertility and recurrent spontaneous abortion. MATERIAL AND METHOD: LH was tested by solid phase immunoradiometric assay based on monoclonal and polyclonal anti-LH antibodies. RESULTS: Of 100 infertile patients, the number of less than 5 mIU/ml, 5~10 mIU/ml, greater than 10 mIU/ml in LH level was 67(67%), 22(22%), 11(11%), respectively. Of 100 patients with recurrent spontaneous abortion, the number of less than 5 mIU/ml, 5~10 mIU/ml, greater than 10 mIU/ml in LH level was 79(79%), 18(18%), 3(3%), respectively. There was a significant difference between patients with infertility and recurrent spontaneous abortion only in the group with LH level greater than 10 mIU/ml(p=0.325). CONCLUSIONS: High LH in the follicular phase is known to decrease pregnancy rate and increase abortion rate. But in this study the incidence of high LH in patients with recurrent spontaneous abortion was low. On the contrary, there was a significant increase of LH in infertile patients. So recurrent spontaneous abortion does not seem to be related to high LH level.
Abortion, Induced
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Abortion, Spontaneous*
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Antibodies
;
Female
;
Follicular Phase
;
Humans
;
Immunoradiometric Assay
;
Incidence
;
Infertility*
;
Lutein*
;
Luteinizing Hormone*
;
Pregnancy
;
Pregnancy Rate
3.Clinical experience of Dentocutaneous fistula treatment.
Nam Gyun KIM ; Kyoung Suk LEE ; Jun Sik KIM ; Jae Woo PARK ; Seong Ceun PARK
Journal of the Korean Society of Plastic and Reconstructive Surgeons 1999;26(6):1182-1186
Dentocutaneous fistula of the face neck is an infrequent manifestation of chronic dental infection. A periapical dental abscess may be initiated by disease, trauma, or thermal or chemical injury and develops into an extensive necrosis of surrounding tissue. Diagnostic errors can result in multiple excision, biopsies, and ineffective long-term antibiotic therapy. Awarness that periapical dental abscess is the most common etilolgic factor of cutaneous sinus tracts involves the face & neck will facilitate their early diagnosis and prevent needless treatment or anxiety for the patient. From 1994 to 1998, we have performed 6 cases of dentocutaneous fistula. Among of them, three were men and the others were women, age ranged from 18 to 66-year-old, and morbidity period was from 3 weeks to 3 years, the follow-up period ranged from 5 to 18 months (mean period 11 months). In conclusion, an understanding of the pathogenesis of cutaneous fistulae arising from dental infections will lead to proper early diagnosis and treatment without unnecessary surgery.
Abscess
;
Aged
;
Anxiety
;
Biopsy
;
Cutaneous Fistula
;
Diagnostic Errors
;
Early Diagnosis
;
Female
;
Fistula*
;
Follow-Up Studies
;
Humans
;
Male
;
Neck
;
Necrosis
;
Unnecessary Procedures
4.The Effects of Mixture of Mivacurium and Vecuronium on Neuromuscular Blockade during General Anesthesia.
Wha Joo CHAE ; Yung Gil CHOI ; Jung Ae LIM ; Nam Sik WOO
Korean Journal of Anesthesiology 1999;37(1):6-12
BACKGROUND: This study was designed to examine the interactions between mivacurium and vecuronium when administered during a standardized technique. METHODS: Eighty patients (ASA physical status I or II) were randomly assigned to one of four groups (n=20). Their neuromuscular function was measured in response to ulnar nerve supramaximal square-wave TOF stimulation at 10-sec intervals. After the attainment of a stable baseline neuromuscular response, the patients were randomly assigned to receive a rapid iv bolus of either: (1) 3M group (n=20): mivacurium 0.21 mg/kg. Alone, or (2) 2M1V group (n=20): mivacurium 0.14 mg/kg plus vecuronium 0.05 mg/kg, or (3) 1M2V group (n=20): mivacurium 0.07 mg/kg plus vecuronium 0.10 mg/kg, or (4) 3V group (n=20): vecuronium 0.15 mg/kg alone. The onset time of the neuromuscular block, time of recovery of T1 to 25% and reblock time (the time from the reinjection of vecuronium at the time of recovery of T1 to 25% to the time of recovery of T1 to 25%: T25-25) were measured. The intubating condition was evaluated clinically with a scoring system. RESULTS: The onset of block in the 3M group was 33% slower than in the 3V group. The time durations until 25% recovery in the 2M1V, 1M2V and 3V groups were longer than in the 3M group, and the durations in the 1M2V and 3V groups were longer than in the 2M1V group. The T25-25 reblock times of the 2M1V, 1M2V and 3V groups were prolonged in comparison to that of the 3M group. There was no difference in intubating conditions between any of the groups. CONCLUSIONS: A combination of mivacurium with vecuronium provides rates of onset and duration of block which are more effective than an equivalent dose of mivacuriun alone as an additive reaction.
Anesthesia, General*
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Humans
;
Neuromuscular Blockade*
;
Ulnar Nerve
;
Vecuronium Bromide*
5.Childhood Candidal Vulvovaginitis.
Tchae Sik NAM ; Sung Ho KIM ; Chang Woo LEE ; Jae Hong KIM
Korean Journal of Dermatology 1988;26(2):217-220
Five cases of childhood candidal vulvovaginitis, each having clinical features of vulva erythema, pnuritus, and vaginal discharge, were examined. Circumst. antially, t.he suspected sources of infection and the attributatble factors for the candiclal nfection in these patients were mother of the children who had known candidal vulvovaginitis, and chronic diarrhea of the children. Regarding the treatment of these patients, 3 were given oral ketocanazole and 2 were treated with intravaginal clotrimazole preparations for more than 1 week with successful result. Concern for better hygiene in the anogenital area seems to be important in the prevention of childhood candidal vulvovaginitis.
Child
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Clotrimazole
;
Diarrhea
;
Erythema
;
Humans
;
Hygiene
;
Mothers
;
Vaginal Discharge
;
Vulva
;
Vulvovaginitis*
6.A Case of Hyperprolactinemia Treated by Vaginal Bromocriptine Administration.
Yoon Sung NAM ; Woo Sik LEE ; Chan PARK ; Tae Ki YOON ; Kwang Yul CHA
Korean Journal of Fertility and Sterility 1999;26(3):497-501
OBJECTIVE: To report the efficacy of vaginally administered bromocriptine. MATERIAL AND METHOD: Case report. RESULTS: The prolactin level was significantly decreased after the administration of bromocriptine vaginally. CONCLUSIONS: The vaginal administration of bromocriptine can be an alternative to oral administration in patients with hyperprolactinemia who show severe side effects.
Administration, Intravaginal
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Administration, Oral
;
Bromocriptine*
;
Humans
;
Hyperprolactinemia*
;
Prolactin
7.Acquired Tufted Angioma (A Case of Acquired Tufted Angioma).
Tchae Sik NAM ; Chang Woo LEE ; Moon Hyang PARK ; Jae Hong KIM
Korean Journal of Dermatology 1988;26(6):920-923
Acquired tufted angioma is a benign, slowly progressive angioma with a characteristic histologic pattern, that was first described by Wilson Jones in 1979. We present herein a case of this rare disease developed in a 43 year old healthy woman. Routine biopsy specimens and an immunoenzymatic staining of factor 7IE showed compatible findings with those cases reported previously. The lesions were surgically excised, and during the two months of follow up, there was no sign of recurrence.
Adult
;
Biopsy
;
Female
;
Follow-Up Studies
;
Hemangioma*
;
Humans
;
Rare Diseases
;
Recurrence
8.Atypical Variant of Bullous Pemphigoid: Prolonged Eruptions of Papulourticarial Lesions.
Chang Woo LEE ; Tchae Sik NAM ; Jae Hong KIM ; Joong Hwan KIM
Annals of Dermatology 1989;1(1):33-36
No abstract available.
Pemphigoid, Bullous*
9.Study of Bilirubin Concentration on The Neonatal Jaundice.
Seung Kwon KIM ; Woo Sik CHUNG ; Byung Do NAM ; Kew Taek KIM
Journal of the Korean Pediatric Society 1982;25(11):1089-1096
No abstract available.
Bilirubin*
;
Infant, Newborn
;
Jaundice, Neonatal*
10.Statistical Study for the Reasons of Artificial or Mixed Feeding and Breast Feeding.
Woo Sik CHUNG ; Hong In EUM ; Byung Do NAM ; Jung Hee LEE ; Kew Tae KIM
Journal of the Korean Pediatric Society 1982;25(10):1046-1052
No abstract available.
Breast Feeding*
;
Breast*
;
Statistics as Topic*