2.Changes in the Body Mass Index after Total Knee Arthroplasty in Asians
Won-kee CHOI ; Jun-Ho NAM ; Chung-Mu JUN ; Seung Cheol CHOI
The Journal of the Korean Orthopaedic Association 2022;57(3):233-239
Purpose:
This study examined the changes in the body mass index (BMI) and the effects of BMI on the knee function and risk factors for an increase in BMI after total knee arthroplasty (TKA) in Asians.
Materials and Methods:
A prospective observational study was conducted on 100 cases of TKA performed by one surgeon. Obesity was defined as BMI ≥25 kg/m 2 . The BMI and Knee Society Score, consisting of the Knee Score and Function Score, were measured on the day before surgery and one year after surgery.
Results:
The BMI decreased or was maintained in 34 cases (34%) and increased in 66 cases (66%) one year after surgery. An increase in BMI of 5% or more was considered a clinically significant increase in BMI and occurred in 28 cases (28%). The patients with an increased BMI by more than 5% showed a significantly lower knee function score. The age and preoperative function score were significantly associated with an increased BMI by more than 5%. As the age increased by one year, the odds ratio at which the BMI would increase by more than 5% one year after surgery was 0.905. Moreover, as the preoperative function score increased by one point, the odds ratio that the BMI would increase by 5% one year after surgery was 0.902. In other words, a younger preoperative age and a lower preoperative function score mean a higher risk of a more than 5% postoperative increase in BMI.
Conclusion
The BMI increased by more than 5% one year after surgery in 28% of the TKA patients examined. They had a lower functional score. The risk factors for a more than 5% increase in BMI after TKA were young age and a low preoperative function score. Therefore, surgeons should educate patients, particularly those who are young or have a low preoperative function score, so that the patient’s BMI would not increase after surgery.
3.The transfer system of trauma patient to emergency center.
Ok Jun KIM ; Ok Kyung CHOI ; Hong Du GOO ; Seung Whan KIM ; Seung Ho KIM
Journal of the Korean Society of Emergency Medicine 1993;4(1):112-121
No abstract available.
Emergencies*
;
Humans
4.Successful pregnancy in a patient undergoing continuous ambulatory peritoneal dialysis.
Seung Ok CHOI ; Sung Rul KIM ; Kyong Gu YOH ; Hee Seung HONG ; Young Jun WON ; Kwang Hoon LEE ; In Bae CHEONG
Korean Journal of Medicine 1993;45(5):681-685
No abstract available.
Humans
;
Peritoneal Dialysis, Continuous Ambulatory*
;
Pregnancy*
5.Risk Factors for Recurrence of Anterior Shoulder Instability after Arthroscopic Surgery with Suture Anchors.
Chang Hyuk CHOI ; Seok Jun KIM ; Seung Bum CHAE ; Jae Keun LEE ; Dong Young KIM
Clinics in Shoulder and Elbow 2016;19(2):78-83
BACKGROUND: We investigated the risk factors for the recurrence of anterior shoulder instability after arthroscopic surgery with suture anchors and the clinical outcomes after reoperation. METHODS: A total of 281 patients (February 2001 to December 2012) were enrolled into our study, and postoperative subluxation and dislocation were considered as recurrence of the condition. We analyzed radiologic results and functional outcome including the American Shoulder and Elbow Surgeons Evaluation Form, the Korean Shoulder Society Score, and the Rowe scores. RESULTS: Of the 281 patients, instability recurred in 51 patients (18.1%). Sixteen out of 51 patients (31.4%) received a reoperation. In terms of the functional outcome, we found that the intact group, comprising patients without recurrence, had a significantly better functional outcome than those in the recurrent group. The size of glenoid defect at the time of initial surgery significantly differed between intact and recurrent group (p<0.05). We found that the number of dislocations, the time from the initial presentation of symptoms to surgery, and the number of anchor points significantly differed between initial operation and revision group (p<0.05). The functional outcome after revision surgery was comparable to intact group after initial operation. CONCLUSIONS: Eighteen percent of recurrence occurred after arthroscopic instability surgery, and 5.6% received reoperation surgery. Risk factors for recurrence was the initial size of glenoid defect. In cases of revision surgery, good clinical outcomes could be achieved using additional suture anchor.
Arthroscopy*
;
Dislocations
;
Elbow
;
Humans
;
Joint Instability
;
Recurrence*
;
Reoperation
;
Risk Factors*
;
Shoulder*
;
Surgeons
;
Suture Anchors*
;
Sutures*
6.The Effect of Contact Precautions and Active Surveillance Culture on the Methicillin-Resistant Staphylococcus aureus Reduction in an Intensive Care Unit.
Seung Mae CHOI ; Jae Sim JEONG ; Dong Hee WHANG ; Jun Hee WOO
Korean Journal of Nosocomial Infection Control 2010;15(2):112-119
BACKGROUND: This study investigated the effectiveness of reinforced contact precautions and active surveillance cultures (ASCs) in reducing the incidence of methicillin-resistant Staphylococcus aureus (MRSA) and other healthcare-associated infections (HAIs). METHODS: A before- and after-experimental study was performed at the intensive care unit (ICU) in a university-affiliated hospital. Reinforced contact precautions were applied to all patients, and ASCs for MRSA were performed for newly admitted patients at the time of admission and once a week thereafter. The HAIs were investigated in accordance with the National Nosocomial Infections Surveillance (NNIS) definitions and compared before and after the interventions. The data were analyzed using descriptive statistics. RESULTS: The number of HAIs caused by MRSA decreased from 2.2 to 0.5 per 100 patients discharged (P=0.02) and from 3.6 to 1.0 per 1,000 patient-days (P=0.032). The number of overall HAIs decreased from 7.6 to 4.0 per 100 patients discharged (P=0.011) and from 12.7 to 7.3 per 1,000 patient-days (P=0.034). The invasive device-associated infections caused by MRSA and other pathogens decreased, but the decrease was not statistically significant. CONCLUSION: Reinforced contact precautions and ASCs were effective in decreasing both MRSA infections and overall HAIs in the ICU. Further, it was assumed that the incidence of device-associated infections would have decreased if the intervention period was extended.
Cross Infection
;
Humans
;
Incidence
;
Critical Care
;
Intensive Care Units
;
Methicillin Resistance
;
Methicillin-Resistant Staphylococcus aureus
7.Fluid resuscitation in hemorrhagic shock model using 4% modified fluid gelatin(gelofusine) solution.
Ok Jun KIM ; Ok Kyung CHOI ; Seung Ho KIM ; Kyu Chang LEE ; Eui Ho HWANG
Journal of the Korean Society of Emergency Medicine 1991;2(1):70-79
No abstract available.
Resuscitation*
;
Shock, Hemorrhagic*
8.Relationship between Radiation Induced Activation of DNA Repair Genes and Radiation Induced Apoptosis in Human Cell Line A431.
Hee Seung BOM ; Jung Jun MIN ; Keun Hee CHOI ; Kyung Keun KIM
Korean Journal of Nuclear Medicine 2000;34(2):144-153
PURPOSE: The purpose of this study was to evaluate the relationship between radiation-induced activation of DNA repair genes and radiation induced apoptosis in A431 cell line. MATERALS AND METHODS: Five and 25 Gys of gamma radiation were given to A431 cells by a Cs-137 cell irradiator. Apoptosis was evaluated by flow cytometry using annexin V-fluorescein isothiocyanate and propidium iodide staining. The expression of DNA repair genes was evaluated by both Northern and Western blot analyses. RESULTS: The number of apoptotic cells increased with the increased radiation dose. It increased most significantly at 12 hours after irradiation. Expression of p53, p21, and hRAD50 reached the highest level at 12 hours after 5 Gy irradiation. In response to 25 Gy irradiation, hRAD50 and p21 were expressed maximally at 12 hours, but p53 and GADD45 genes showed the highest expression level after 12 hours. CONCLUSION: Induction of apoptosis and DNA repair by ionizing radiation were closely correlated. The peak time of inducing apoptosis and DNA repair was 12 hours in this study model. hRAD50, a recently discovered DNA repair gene, was also associated with radiation-induced apoptosis.
Apoptosis*
;
Blotting, Western
;
Cell Line*
;
DNA Repair*
;
DNA*
;
Flow Cytometry
;
Gamma Rays
;
Humans*
;
Propidium
;
Radiation, Ionizing
9.Modified Akira Yanai's method for correction of cryptotia.
Seung Keun BAEK ; Oh Kyu CHOI ; Jeong Jun PARK ; Jong Hyun LEE
Journal of the Korean Society of Plastic and Reconstructive Surgeons 1991;18(3):499-505
No abstract available.
10.Two Cases of Transient Aplastic Crisis Associated with Human Parvovirus Bl9 Infection in Hereditary Spherocytosis and Hereditary Elliptocytosis.
Young Jin CHOI ; Youn Kyung KIL ; Sung Ran CHO ; Hwi Jun KIM ; Seung Ho BAICK
Korean Journal of Clinical Pathology 1997;17(5):694-702
Among the causes of pure red cell aplasia, human parvovirus B19 has been shown to be cytotoxic to erythroid progenitor cells in the bone marrow associated with chronic hemolytic anemia with rapidly dividing erythroids and persistently to be suppression of erythropoiesis in immunocompromised individuals related with failure to produce neutralizing antibody to the virus. In a patient with hereditary spherocytosis presenting acute onset of reticulocytopenia during hospitalization, who had shown severe anemia and prodromal symptoms including fever, fatigue and dizziness, infection of parvovirus Bl9 was proven by the presence of IgM and IgG antibodies to parvovirus Bl9, the detection of viral DNA using PCR technique in her serum and the decreased erythroid cells, especially late normoblasts in bone marrow, Also in the other who was diagnosed as hereditary elliptocytosis and complained of fever, headache, abdominal pain and diarrhea, an episode of reticulocytopenia and the nearly absence of late normoblasts in the bone marrow were observed. IgM antibodies to parvovirus Bl9 and the viral DNA were detected in her serum, too.
Abdominal Pain
;
Anemia
;
Anemia, Hemolytic
;
Antibodies
;
Antibodies, Neutralizing
;
Bone Marrow
;
Diarrhea
;
Dizziness
;
DNA, Viral
;
Elliptocytosis, Hereditary*
;
Erythroblasts
;
Erythroid Cells
;
Erythroid Precursor Cells
;
Erythropoiesis
;
Fatigue
;
Fever
;
Headache
;
Hospitalization
;
Humans*
;
Immunoglobulin G
;
Immunoglobulin M
;
Parvovirus B19, Human
;
Parvovirus*
;
Polymerase Chain Reaction
;
Prodromal Symptoms
;
Red-Cell Aplasia, Pure