1.Pharmacologic Therapy of Coronary Artery Disease.
Journal of the Korean Medical Association 2001;44(5):556-565
No abstract available.
Coronary Artery Disease*
;
Coronary Vessels*
2.The Comparison of the Plantar Peak Pressure in Diabetic Shoes of Normal Subjects to Diabetic Patients.
Seung Jin HAN ; Sung Ho JANG ; Gyu Hun LEE ; Jae Sun JUNG ; Ki Hun HAN ; Si Bog PARK
Journal of the Korean Academy of Rehabilitation Medicine 2003;27(3):433-437
OBJECTIVE: To compare the plantar peak pressure of diabetic patients without neuropathic and ischemic symptoms to normal subject wearing diabetic shoes and to compare the plantar peak pressures of P.W. minor (B) shoes to Apex (A) shoes. METHOD: Thirty three normal subjects and fourteen diabetic patients were participated. Plantar peak pressures in shoes were measured by pedar(r)during a comfortable gait wearing two types of diabetic shoes, respectively. A shoes and B shoes were used in this study. Plantar pressure was analyzed by pedar C-expert program at T0 (whole foot), M1 (heel), M2 (midfoot), M3 (1st, 2nd metatarsal area), M4 (3rd, 4th, 5th metatarsal area), M5 (great toe), M6 (2nd, 3rd toe area) and M7 (4th, 5th toe area) zones respectively. RESULTS: Plantar peak pressures of diabetic patients without neuropathic and ischemic symptom were not different from normal subjects. In normal subjects, plantar peak pressure of B shoes were lower than A shoes at both T0, M3 and M5 zones and left M6 and M7 zones. Plantar peak pressures of A shoes was lower than B shoes at both M2 zones. In diabetic patients plantar peak pressures of B shoes was lower than A shoes at right M4 and left M5 zones. CONCLUSION: There was no sgnificant difference between plantar peak pressures of normal subjects and diabetic patients without neuproathic and ischemic symptom. B shoes were better than A shoes to reduce plantar peak pressure.
Diabetes Mellitus
;
Gait
;
Humans
;
Metatarsal Bones
;
Shoes*
;
Toes
3.Peripheral Vascular Disease in Patients with Significant Coronary Artery Disease.
Dong Hun CHOI ; Jong Won HA ; Won Heum SHIM ; Moon Hyung LEE ; June KWAN ; Si Hoon PARK ; Yang Soo JANG
Korean Circulation Journal 1995;25(2):477-482
BACKGROUND: Although it is known that patients wth peripheral vascular disease are at high risk for coronary arterial disease, however, it has not been determined that patients with coronary artery disease(CAD) correlates with peripheral vascular disease(PVD). This study was designed to determine the prevalence and clinical characteristics of peripheral vascular disease(PVD) in patients with coronary artery disease(CAD). METHODS: A total of one hundred seventy-eight patients with CAD confirmed by coronary angiogram(145 male, age 58.5+/-10.1) were included in this study from February 1992 to May 1994. Coronary and peripheral angiograms were performed in all patients and the patients were divided into two groups; patients with PVD dand patients without PVD. Clinical characteristics were compared between two groups. RESULTS: Peripheral vascular disease was present in 49 patients(27.5%) among 178 CAD patients. The mean age of patients with PVD was significantly older than that of patients without PVD. The hypertension was statistically significant difference between two groups(P<0.05). There were no major differences in the number of risk factors or number of stenotic coronary arteries in patients with and without PVD. CONCLUSION: The prevalence of PVD in patients with CAD was high and it is reasonable to state that most common risk factors for coronary and peripheral atherosclerosis were age, hypertension and obesity.
Atherosclerosis
;
Coronary Artery Disease*
;
Coronary Vessels*
;
Humans
;
Hypertension
;
Male
;
Obesity
;
Peripheral Vascular Diseases*
;
Prevalence
;
Risk Factors
4.A Clinical Study of Antihypertensive Effect of Fosinopril in Essential Hypertension.
Seung Sik KANG ; Si Wan CHOI ; KI Nam PARK ; Byeng Su KWAK ; Yong Seok CHOI ; Baeg Su KIM ; Eun Seok JEON ; Chong Hun PARK
Korean Circulation Journal 1993;23(5):723-729
BACKGROUND: This study was designed to evaluate the safety and the efficacy of fosinopril(Monopril(R)) in the treatment of mild to moderate essential hypertension. METHOD: Fosinopril(10mg) once a day was administrated as a starting dose in 20 patients with essential hypertension in the morning and a one step upward titration was performed(fosinopril 20mg once a day, after 4 weeks treatment). RESULT: After 2 weeks treatment with dose of 10mg, the systolic blood pressure(SBP) was decreased(183.8+/-28.5 vs, 161.5+/-25.9mmHg, p<0.05) and the diastolic blood pressure(DBP) was also decreased significantly(108.3+/-9.3 vs, 96.6+/-10.3mmHg, p<0.05). The effect of fosinopril were maintained. The SBP an DBP were decreased in 14 out of 20 patients till 8 weeks. There was no significant change in heart rate before and after fosinopril treatment(74.3+/-10 vs, 76.4+/-7.9beats/min). Fosinopril had no significant effects on laboratory findings such as serum creatinin, BUN, AST/ALT, WBC, Platelet and lipid profiles. Mild dry coughing was noticed only in 5 patients and it did not disturb continuing medication. CONCLUSION: Fosinopril is an effective antihypertensive agent, as monotherapy once a day in patients with mild to moderate hypertension.
Blood Platelets
;
Cough
;
Fosinopril*
;
Heart Rate
;
Humans
;
Hypertension*
5.A relationship between conduction disturbance on EKG and left ventricualr regional nonuniformity on echocardiography.
Seung Sik KANG ; Si Wan CHOI ; Ki Nam PARK ; Byeng Su KWAK ; Yong Seok CHOI ; Baeg Su KIM ; Eun Seok JEON ; Chong Hun PARK
Journal of the Korean Society of Echocardiography 1993;1(2):161-168
No abstract available.
Echocardiography*
;
Electrocardiography*
6.Amyloid Deposits in Supratentorial Meningiomas: Clinicopathological and Immunohistochemical Study.
Si Woo LEE ; Eun Ik SON ; Dong Sik SONG ; Man Bin YIM ; In Hong KIM ; Kwan Kyu PARK ; Yoo Hun SUH
Journal of Korean Neurosurgical Society 1995;24(7):794-799
Amyloidosis is the definition for a group of diseases that have, in common, the infiltration of one or more tissues by an abnormal protein material-the amyloid substance, which is detected histologically by their green polarization color after Congo red staining. Despite increased interest on basic nature of amyloidosis by recent immunohistochemical or experimental study, the knowledge about the incidence and neurotoxic effect of cerebral amyloid or concomitant occurrence with brain tumor is still inchoate. We examined the incidence and clinico-pathologic characteristics of the patients with amyloid deposits in supratentorial meningiomas. Particularly about their neurotoxic effect to adjacent brain is considered one of the possible cause of seizure in 33 patients who underwent resection surgery for meningioma at the Keimyung University during the past three years. The pathological review and subgrouping by histologic type were done in all 33 specimens with sufficient size of paraffin block, defined by their morphology and polarization color after Congo red staining for diagnosis of amyloid deposits localized in the tumor. Immunohistochemical studies using monoclonal antibodies for amyloid-A protein(AA) and beta-amyloid(A beta) were evaluated to identify subtypes of amyloidosis. The rate of incidence of amyloid deposit in meningioma was 21%, i.e. seven out of thirty three cases. All laboratory findings and clinical studies did not suggest a systemic form. Seizure occurrence was one out of seven cases(14%), which was of no statistical significance. Immunohistochemical study for AA subtype was all negative, but showed all positive for A beta protein around the vessels. Recent reports has also demonstrated that Amyloid precusor protein(APP) and A beta is related in Alzheimer's disease, hereditary cerebral hemorrhage with amyloidosis-Dutch type(HCHWA-D) and amyloid angiopathy. Our research data indicates that the incidence of amyloid deposit is as high as 21% in supratentorial meningiomas. It seems that it is one of the possible cause of seizure. Nonsystemic microdeposits of amyloid and their subtype and it's relationship to neurotoxic effect in meningiomas remain to be confirmed by immunoelectron microscopic examination or immunohistochemical methods.
Alzheimer Disease
;
Amyloid*
;
Amyloidosis
;
Antibodies, Monoclonal
;
Brain
;
Brain Neoplasms
;
Cerebral Hemorrhage
;
Congo Red
;
Diagnosis
;
Humans
;
Incidence
;
Meningioma*
;
Paraffin
;
Plaque, Amyloid*
;
Seizures
7.Study on the Comparison between Wide Excision and Mohs Micrographic Surgery for the Management of Dermatofibrosarcoma Protuberans: A Single Institution Experience.
Ki Hun SONG ; Jin PARK ; Seok Kweon YUN ; Han Uk KIM ; Si Gyun ROH ; Nae Ho LEE
Korean Journal of Dermatology 2013;51(1):13-20
BACKGROUND: Dermatofibrosarcoma protuberans is a mesenchymal tumor of the skin of intermediate-grade which is a rare condition. The slow growing and aggressive invasion on local tissues are characteristic features of dermatofibrosarcoma protuberans. The treatment for dermatofibrosarcoma protuberans is mainly a surgical excision such as a wide excision and Mohs micrographic surgery. OBJECTIVE: The aim of this study was to compare the result of wide excision and Mohs micrographic surgery for the treatment of dermatofibrosarcoma protuberans at a single institution in Korea. METHODS: A retrospective review was done for 24 patients diagnosed with dermatofibrosarcoma protuberans and treated surgically from 1999 to 2010 at Chonbuk National University Hospital. Patient demographics, tumor features, surgical features, and recurrence during the follow-up period were evaluated. RESULTS: 13 patients were treated with wide excision, and 11 with Mohs micrographic surgery. There was no metastasis for all the cases. Mean operation time for the wide excision group was 83 minutes whereas 182 minutes for the Mohs micrographic surgery group, and it was a statistically significant difference. However, no significant difference was observed in post-operative defect size, advanced surgical repair and local recurrence in our study. CONCLUSION: We suggest that wide excision and Mohs micrographic surgery are both successful modalities for the surgical treatment of dermatofibrosarcoma protuberans. Hence, individualized patient and tumor characteristics should be concerned when determining the surgical options for dermatofibrosarcoma protuberans.
Demography
;
Dermatofibrosarcoma
;
Follow-Up Studies
;
Humans
;
Mohs Surgery
;
Neoplasm Metastasis
;
Recurrence
;
Retrospective Studies
;
Skin
8.Intubation Difficulty in Patient with Pseudoankylosis of Temporo-mandibular Joint after Pterional Craniotomy.
Dong Hun KANG ; Jae Chan PARK ; Si Oh KIM ; In Suk HAMM
Journal of Korean Neurosurgical Society 2004;36(2):166-167
The authors report on a severe case of pseudoankylosis of the temporo-mandibular(TM) joint following a pterional craniotomy and the intubation difficulty encountered in the second surgery. Preventive and therapeutic aspects in addition to the clinical pitfalls of the case are discussed.
Craniotomy*
;
Humans
;
Intubation*
;
Joints*
;
Laryngeal Masks
9.A Case of Superior Mesenteric Artery Syndrome Caused by Anorexia Nervosa.
Cheon Woo LEE ; Moo In PARK ; Seun Ja PARK ; Won MOON ; Hyung Hun KIM ; Bong Joon KIM ; In Kyoung SHIM ; Si Sung PARK
The Korean Journal of Gastroenterology 2011;58(5):280-283
Superior mesenteric artery (SMA) syndrome is a rare disorder, characterized by compression of the third segment of the duodenum by the mesenteric artery at the level of the SMA, resulting in duodenal dilatation. Precipitating factors of the SMA syndrome include prolonged bed rest, weight loss, abdominal surgery, and increased lordosis of the spine. We report a case of SMA syndrome caused by anorexia nervosa in a 15-year-old adolescent girl. CT and an upper gastrointestinal contrast series revealed partial obstruction of the third portion of duodenum and decreased aortomesenteric distance. The patient's symptoms were successfully treated with total parental nutrition and psychiatric treatment including supportive, cognitive behavioral therapy and antidepressant medication. This case shows that SMA syndrome is an unusual gastrointestinal complication that may occur in patients with anorexia nervosa.
Adolescent
;
Anorexia Nervosa/*complications
;
Antidepressive Agents/therapeutic use
;
Cognitive Therapy
;
Endoscopy, Gastrointestinal
;
Female
;
Fluoxetine/therapeutic use
;
Humans
;
Parenteral Nutrition, Total
;
Superior Mesenteric Artery Syndrome/*diagnosis/*etiology/therapy
;
Tomography, X-Ray Computed
10.The Interrater and Intrarater Reliability of Korean Wolf Motor Function Test.
Chang Sik PARK ; Si Woon PARK ; Kyong Mi KIM ; Mi Ok SON ; Jung Hun YOO ; Soon Ja JANG ; Byung Kyu PARK
Journal of the Korean Academy of Rehabilitation Medicine 2005;29(3):317-322
OBJECTIVE: To verify the interrater and intrarater reliability of Korean Wolf Motor Function Test (K-WMFT) for assessing upper extremity function after stroke. METHOD: Twenty patients with chronic hemiparesis after stroke participated in the study. The Wolf Motor Function Test consists of 15 functional tasks. Performances were timed and rated by functional ability scale. The K-WMFT were administered to the subjects by an occupational therapist. All test sessions were videotaped and scored by 2 physiatrists and another occupational therapist to examine interrater reliability. They were reevaluated at a later time by the same occupational therapist to examine intrarater reliability. RESULTS: Intraclass correlation coefficient of the performance time of K-WMFT was 0.94 and that of the functional ability scale of K-WMFT was 0.99. Intrarater correlation coefficient of the performance time of K-WMFT was 1.00 and that of the functional ability scale of K-WMFT was 0.97. CONCLUSION: The interrater and intrarater reliability of K- WMFT were verified. K-WMFT can be used as a reliable tool to measure upper extremity function of the stroke patients in Korea.
Arm
;
Humans
;
Korea
;
Paresis
;
Rehabilitation
;
Stroke
;
Upper Extremity
;
Wolves*