1.Treatment of Complete Acromioclavicular Separation by Coracoclavicular Wiring
Jae Do KANG ; Pil Seong HA ; Jun Hee LEE ; Yang Hun LEE
The Journal of the Korean Orthopaedic Association 1988;23(2):535-541
Acromioclavicular joint injuries are frequently seen with the recent increase of traffic and industrial accidents. The treatment of complete separation of the acromioclavicular joint has been, and is still, a subject of controversy. In view of a recent trend, anatomical reduction of acromioclavicular joint, and rigid internal fixation method is preferable, especially in type 3 injury. We operated on 16 cases of complete acromioclavicular separation by the technique of coracoclavicular wiring from March 1983 to Feb. 1987. The following results were obtained. 1. The functional results were excellent; 12 cases(75%), good; 3 cases(19a%), and fair ; 1 cases(6%). 2. The complications include wire reakage ; 1 case(6%), bony erosion ; 3 cases(19%) and subluxation, 1 case(6%). 3. The advantages of coracoclavicular wiring. 1) Avoids violation of acromioclavicular joint but does not restrict rotation of the clavicle. 2) The operation is simple to perform. 3) Postoperative immobilization is minimal. 4) Removal of the wire is easy under local anesthesia. 5) This method corresponds to the coracoclavicular ligment biomechanically. Therefore, coracoclavicular wiring is thought to be a good operative method in the treatment of complete acromioclavicular separation.
Accidents, Occupational
;
Acromioclavicular Joint
;
Anesthesia, Local
;
Clavicle
;
Immobilization
;
Methods
2.Relationship between s-phase fraction and survival time in patients with primary squamous lung cancer.
Byung Hak JUNG ; Jeong Seong KANG ; Keun CHANG ; Eun Taik JEONG ; Hun Taeg CHUNG ; Hyung Bae MOON
Tuberculosis and Respiratory Diseases 1993;40(6):669-676
No abstract available.
Humans
;
Lung Neoplasms*
;
Lung*
3.Delirium after Intertrochanteric Fractures of Femur in Elderly Patients.
Kyu Bok KANG ; Dong Hun SUH ; Seong Rok OH
Journal of the Korean Fracture Society 2011;24(2):131-137
PURPOSE: To evaluate the incidence, risk factors and prognosis of delirium in elderly patients with intertrochanteric fractures of femur. MATERIALS AND METHODS: 162 patients who underwent operation for intertrochanteric fracture of femur from July 2005 to January 2007 were reviewed retrospectively. Delirium was diagnosed by using Confusion Assessment Method (CAM). Medical records were reviewed for the information of the patients, Gross motor function classification of Palisano et al. was used for the evaluation of ambulatory status. Univariate analysis and multivariate analysis were done to find out the risk factors. RESULTS: 2 cases out of 162 (1.2%) met the criteria of delirium at admission, and 39 cases (24.1%) after surgery. Univariate analysis and multivariate analysis identified age, hematocrit, dementia, the duration of opiate use, and pulmonary complication as risk factors. Hospital stay was longer and postoperative ambulatory status was worse in the patients with delirium. CONCLUSION: Delirium is a frequent complication of intertrochanteric fractures of old age and associated with worse results. Cognitive function as well as physical status should be evaluated before and after surgery. Delirium needs more active prevention and treatment for better results.
Aged
;
Delirium
;
Dementia
;
Femur
;
Hematocrit
;
Hip Fractures
;
Humans
;
Incidence
;
Length of Stay
;
Medical Records
;
Multivariate Analysis
;
Prognosis
;
Retrospective Studies
;
Risk Factors
4.Comparative Study on Personality Assessment Inventory and MMPI-2 Profiles of Groups with High and Low Depression and Suicide Ideation in Psychiatry Patients and Discriminant Variables of Depression and Suicide Ideation
Eun Hye HEO ; Seong Hun JEONG ; Hee Yang KANG
Journal of Korean Neuropsychiatric Association 2018;57(1):86-95
OBJECTIVES: The purpose of this study was to compare psychological test profiles of psychiatric outpatients with high and low depression/suicide ideation and to identify predictor variables for depression/suicide ideation. METHODS: Component scores of the Personality Assessment Inventory (PAI) and Minnesota Multiphasic Personality Inventory-2 (MMPI-2) were compared using t-tests. Discriminant analysis was conducted for predictor variables of depression/suicide ideation. RESULTS: Regarding PAI profiles, somatic complaints (SOM), anxiety (ANX), anxiety-related disorder (ARD), depression (DEP), paranoia (PAR), borderline features (BOR), antisocial features (ANT), mania (MAN) drug problems (DRG) scores were significantly elevated in high depression and high suicide ideation groups. Concerning MMPI-2 profiles, the scores of hypochondriasis (Hs), depression (D), hysteria (Hy), psychopathic deviate (Pd), paranoia (Pa), psychasthenia (Pt), schizophrenia (Sc), social introversion (Si) were significantly elevated in these same groups. The PAI and MMPI-2 profile shapes were remarkably similar between high depression and high suicide ideation groups. Therefore, in terms of psychological profile, depression and suicidal ideation seemed to reflect the same construct. However, in discriminant analysis, significant predictors for depression were found to be Pt and D Sc from MMPI-2, while those for suicide ideation were found to be Pa and Sc, suggest subtle differences. CONCLUSION: The superficial characteristics of depression and suicide ideation groups reflected by the psychological test profiles seemed similar, but the determining factors may differ. Thus, the psychological interventions for these two groups may have to follow different routes considering these subtle differences.
Anxiety
;
Bipolar Disorder
;
Depression
;
Discriminant Analysis
;
Humans
;
Hypochondriasis
;
Hysteria
;
Introversion (Psychology)
;
Minnesota
;
Outpatients
;
Paranoid Disorders
;
Personality Assessment
;
Psychological Tests
;
Schizophrenia
;
Suicidal Ideation
;
Suicide
5.Hematogenous Candida Pneumonia in Major Burn Patients: Plain Chest Radiograph and Thin-section CT Findings.
Sin Young CHO ; Ell Seong LEE ; Hyo Heon KIM ; Ik Won KANG ; Kil Woo LEE ; Ji Hun KIM ; Hong Kil SUH ; Ya Seong SHIM ; Dae Sun KIM
Journal of the Korean Radiological Society 1995;33(2):227-231
PURPOSE: To describe plain radiographic and thin-section CT findings of hematogenous candida pneumonia in major burn patients. MATERIAL AND METHOD: We reviewed nine cases of hematogenous candida pneumonia in major burn patients who had positive blood culture for candida and findings of pneumonia on plain chest radiograph. On five of nine cases, thin-section CT was done. We evaluated retrospectively nine cases for onset, the pattern, distribution, and size of lesions on plain chest radiograph and thin-section CT. RESULTS: On plain chest radiograph, randomly distributed 2-10mm nodules were seen in six cases(66%) and randomly distributed 10-15mm consolidations in remaining three cases{33% ). Lesion occured in 11th to 75th post-burn day{average, 34th post-burn day). Other findings were cardiomegaly in three cases, atelectasis in three cases, and pulmonary edema in one case. Thin-section CT showed variable shaped subpleural nodules in all five cases. The size of nodules were 1-5mm in two cases(40%) and 5-10mm(60% ) in three cases. Feeding vessel signs were seen in two cases. Other findings were atelectasis in three cases, cardiomegaly in three cases, ground-glass opacity and interlobular septal thickenings by pulmonary edema in two cases. CONCLUSION: Plain chest radiographic findings of hematogenous candida pneumonia in major burn patients are randomly distributed nodules or consolidations of variable size. Thin-section CT findings are variable shaped subpleural nodules less than 1 cm.
Burns*
;
Candida*
;
Cardiomegaly
;
Humans
;
Pneumonia*
;
Pulmonary Atelectasis
;
Pulmonary Edema
;
Radiography, Thoracic*
;
Retrospective Studies
;
Thorax*
6.Prominent Large V Wave in Mitral Stenosis and It's Clinical Significance.
Sang Wook KIM ; Jae Kwan SONG ; Seung Ho KANG ; Duk Hyun KANG ; Seong Wook PARK ; Jae Joong KIM ; Jong Hun PARK ; Seung Jung PARK
Korean Circulation Journal 2000;30(2):147-152
BACKGROUND AND OBJECTIVES: Although a prominent large V wave in left atrial pressure tracing (PVLAP) has been reported to be associated with significant mitral regurgitation (MR) or decreased left atrial compliance (LAC), it is sometimes observed in patients with tight mitral stenosis (MS). The purpose of this study was to determine the prevalence and the hemodynamic significance of PVLAP in tight MS. MATERIALS AND METHODS: Catheterization data before percutaneous mitral balloon valvuloplasty (PMV) were analyzed in 84 consecutive patients and PVLAP was defined as V wave 10 mm Hg higher than mean left atrial pressure (MLAP). RESULTS: PVLAP was observed in 45% (38/84) and factors associated with PVLAP were younger age (p=0.02), higher MLAP (p<0.01), higher mitral gradient (p=0.04), smaller valve area (p=0.01) and low echo score (p=0.02): among them MLAP was the only independent factor in multivariate analysis. The presence of PVLAP had no effect on the result of PMV and successful PMV abolished PVLAP. CONCLUSION: PVLAP was observed not infrequently in these selected patients with MS referred for PMV. The presence of PVLAP was not associated with MR and had good correlation with MLAP, which suggest that PVLAP be determined by decreased LAC.
Atrial Pressure
;
Balloon Valvuloplasty
;
Catheterization
;
Catheters
;
Compliance
;
Hemodynamics
;
Humans
;
Mitral Valve Insufficiency
;
Mitral Valve Stenosis*
;
Multivariate Analysis
;
Prevalence
7.Slip-Related Changes in Plantar Pressure Distribution, and Parameters for Early Detection of Slip Events.
Seungyoung CHOI ; Hyungpil CHO ; Boram KANG ; Dong Hun LEE ; Mi Jung KIM ; Seong Ho JANG
Annals of Rehabilitation Medicine 2015;39(6):897-904
OBJECTIVE: To investigate differences in plantar pressure distribution between a normal gait and unpredictable slip events to predict the initiation of the slipping process. METHODS: Eleven male participants were enrolled. Subjects walked onto a wooden tile, and two layers of oily vinyl sheet were placed on the expected spot of the 4th step to induce a slip. An insole pressure-measuring system was used to monitor plantar pressure distribution. This system measured plantar pressure in four regions (the toes, metatarsal head, arch, and heel) for three events: the step during normal gait; the recovered step, when the subject recovered from a slip; and the uncorrected, harmful slipped step. Four variables were analyzed: peak pressure (PP), contact time (CT), the pressure-time integral (PTI), and the instant of peak pressure (IPP). RESULTS: The plantar pressure pattern in the heel was unique, as compared with other parts of the sole. In the heel, PP, CT, and PTI values were high in slipped and recovered steps compared with normal steps. The IPP differed markedly among the three steps. The IPPs in the heel for the three events were, in descending order (from latest to earliest), slipped, recovered, and normal steps, whereas in the other regions the order was normal, recovered, and slipped steps. Finally, the metatarsal head-to-heel IPP ratios for the normal, recovered, and slipped steps were 6.1+/-2.9, 3.1+/-3.0, and 2.2+/-2.5, respectively. CONCLUSION: A distinctive plantar pressure pattern in the heel might be useful for early detection of a slip event to prevent slip-related injuries.
Accident Prevention
;
Accidental Falls
;
Foot
;
Gait
;
Head
;
Heel
;
Humans
;
Male
;
Metatarsal Bones
;
Toes
8.A Case of Pneumoperitoneum After Mechanical Ventilation in A Child with Severe Bronchial Asthma.
Seung Man CHO ; Sung Wan HONG ; Seong Hun LEE ; Cheol Ju JUNG ; Dong Jin LEE
Pediatric Allergy and Respiratory Disease 2005;15(2):186-192
Massive pneumopritoneum developing immediately following initiation of artificial ventilation is an unusual sign of lung barotrauma and must be distinguished from pneumoperitoneum following rupture of a hollow abdominal viscus. Besides, pneumoperitoneum occurring in a mechanically ventilated asthmatic patient can present a diagnostic dilemma as the usual signs of an intestinal perforation may be masked by steroid therapy, sedation or paralysis, or combination of all three. We report a case of massive pneumoperitoneum after initiation of mechanical ventilation in a child with severe asthmatic attack.
Asthma*
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Barotrauma
;
Child*
;
Humans
;
Intestinal Perforation
;
Lung
;
Masks
;
Paralysis
;
Pneumoperitoneum*
;
Respiration, Artificial*
;
Rupture
;
Ventilation
9.A Report of Three Cases of Hypercarbia During General Anesthesia.
Young Ho KANG ; Hun CHO ; Hye Won LEE ; Byung Kook CHAE ; Seong Ho CHANG ; Jung Soon SHIN
Korean Journal of Anesthesiology 1992;25(1):187-191
It is common to use semiclosed circle system for general anesthesia because of economy, easy controllability of humidity and temperature, less contamination of operating room with anesthetic gas etc, but in case of malfunction of unidirectional valve, inappropriate absorption of carbon dioxide,leakage or obstruction of circle system the patient may become fatal. During general anesthesia with newly purchased anesthesia machine(Ohmeda Modulus II plus) we experienced three cases of hypercarbia because of malfunction of expiratory valve which could not be easily found due to overlying PEEP valve.
Absorption
;
Anesthesia
;
Anesthesia, General*
;
Carbon
;
Humans
;
Humidity
;
Operating Rooms
10.Delayed Perilesional Ischemic Stroke after Gamma-knife Radiosurgery for Unruptured Deep Arteriovenous Malformation: Two Case Reports of Radiation-induced Small Artery Injury as Possible Cause.
Dong Han KIM ; Dong Hun KANG ; Jaechan PARK ; Jeong Hyun HWANG ; Seong Hyun PARK ; Won Soo SON
Journal of Cerebrovascular and Endovascular Neurosurgery 2015;17(1):36-42
Radiation-induced vasculopathy is a rare occurrence, however, it is one of the most serious complications that can occur after gamma-knife radiosurgery (GKRS). The authors present two cases of incidentally found deep cerebral arteriovenous malformation (AVM), which were treated by GKRS, where subsequently there occurred delayed-onset cerebral infarction (11 and 17 months after GKRS) at an area adjacent to the AVM. In both cases, perforators of the M1 segment of the middle cerebral artery were included in the radiation field and delayed injury to these is suggested to be the mechanism of the ischemic event.
Arteries*
;
Arteriovenous Malformations*
;
Cerebral Infarction
;
Intracranial Arteriovenous Malformations
;
Middle Cerebral Artery
;
Radiosurgery*
;
Stroke*