2.Analysis of Intermediate Term Results of Short Vein Bypass Graft in the Patient with Critical Limb Ischemia.
Hyo Sin KIM ; Hong Joo SEO ; Jeong Hwan CHANG
Vascular Specialist International 2014;30(1):26-32
PURPOSE: Since the introduction of short vein bypass (SVB), many have reported its feasibility when long vein bypass (LVB) cannot be performed due to limited vein conduit. However, the presence of inflow-vessel disease may affect graft patency and thus require endovascular treatment prior to surgery. Our study aims to analyze the results between SVB and LVB. MATERIALS AND METHODS: From 2009 to 2013, 27 bypass procedures were reviewed retrospectively. Outcomes such as patency rate, postoperative ankle brachial index (ABI) and limb salvage rate between SVB and LVB were compared. Wound healing time and primary patency rate were analyzed and the former was also analyzed according to the respective angiosome and revascularization type. RESULTS: There were 11 males and 16 females and the mean age was 66.6+/-12.3 years. Twenty four patients had TransAtlantic Inter-Society Consensus (TASC) D and 3 patients had TASC C lesions below knee. The 1-year cumulative patency rate between SVB and LVB were 63% and 66%, P=0.627. The limb salvage rate (100% vs. 73%; P=0.280) and postoperative ABI (0.592 vs. 0.508; P=0.620) were higher in the SVB group than in the LVB group, although the differences were not significant. There was no difference in wound healing time by angiosomal revascularization type. In situ vein graft showed higher patency rate than reversed greater saphenous vein (75% vs. 61%; P=0.00) CONCLUSION: The results of SVB were similar to those of LVB. SVB is feasible in the setting of limited conduit availability, in combination with endovascular treatment in the presence of proximal lesions.
Ankle Brachial Index
;
Consensus
;
Extremities*
;
Female
;
Humans
;
Ischemia*
;
Knee
;
Limb Salvage
;
Male
;
Retrospective Studies
;
Saphenous Vein
;
Transplants*
;
Veins*
;
Wound Healing
3.Unmet dental care needs according to employment status.
Jeong Hee KANG ; Chul Woung KIM ; Cheoul Sin KIM ; Nam Kyu SEO
Journal of Korean Academy of Oral Health 2015;39(1):56-62
OBJECTIVES: This study aimed to investigate differences in unmet dental care needs according to employment status and if factors have relevance to unmet dental care needs due to "economic burden" and "no time to spare for visiting". METHODS: Multivariate logistic regression analysis was performed to examine the factors that affected the prevalence of unmet dental care needs due to "economic burden" and "no time to spare for visiting" in an economically active population comprised of subjects aged 20-64 years. RESULTS: Compared to regular workers, part-time workers experienced 1.28-times more unmet dental care needs, while students experienced 0.64-times fewer unmet dental care needs. With regard to reasons related to "economic burden", the rate of experiencing unmet dental care needs was 1.37-times higher for part-time workers than for regular workers. Regarding reasons related to "no time to spare for visiting", the rate of experiencing unmet dental care needs was 0.51-times lower in part-time workers compared with regular workers. In economically inactive people, these values were 0.51-times lower in the unemployed, 0.37-times lower in students, 0.23-times lower in house workers, 0.20-times lower in subjects with disease and injury, and 0.20-times lower in early retirees compared to regular workers. CONCLUSIONS: Part-time workers experienced more unmet dental care needs compared with regular workers. With regard to "economic burden", a significant difference in unmet dental care needs was observed between regular workers and part-time workers. Additionally, regarding "no time to spare for visiting", people who were economically inactive because of unemployment, student or house-worker status, diseases and injury, and retirement experienced fewer unmet dental care needs compared with regular workers.
Dental Care*
;
Employment*
;
Humans
;
Logistic Models
;
Prevalence
;
Retirement
;
Unemployment
4.A Clinical Analysis of 33 Cases of Congenital Samll Intestinal Atresia.
Hyo Sin KIM ; He Jin IM ; Ock Seung JEONG ; Son Sang SEO ; Jung Woo YANG
Journal of the Korean Pediatric Society 1987;30(3):291-296
No abstract available.
Intestinal Atresia*
5.Follow-up study of Surgical Treatment of Lumbar Spinal Stenosis Using Wiltse Instrumentation.
Byung Jik KIM ; Jeong Gook SEO ; Han Sang JIN ; Dong Hwan SIN ; Lyl Kyu CHOI
Journal of Korean Society of Spine Surgery 1997;4(1):129-135
No abstract available.
Follow-Up Studies*
;
Spinal Stenosis*
6.A Clinical Ovservation of Tetanus Neonatorum.
Gyeong Hye JUNG ; Hyo Sin KIM ; Ock Seung JEONG ; Song Snag SEO
Journal of the Korean Pediatric Society 1988;31(8):992-998
No abstract available.
Tetanus*
7.Factors associated with New Graduate Nurses' Reality Shock.
Kyung Mi SIN ; Jeong Ok KWON ; Eun Young KIM
Journal of Korean Academy of Nursing Administration 2014;20(3):292-301
PURPOSE: The purpose of this study was to identify factors that affect reality shock in new nurses. METHODS: Participants were 216 newly graduated nurses with less than 1 year experience in 5 university and 10 general hospitals in Busan, Ulsan and Gyeongnam, A self-report questionnaire was completed by the nurses between November 18 and December 25, 2013. Data were analyzed using t-test, ANOVA and hierarchial multiple regression analysis with the SPSS/WIN 21.0 Program. RESULTS: Average scores for work environment and environmental reality shock were 2.63+/-0.33 and 2.66+/-0.43 points respectively. Regression analysis showed that with the nurses' demographic and work characteristics controlled, work environment explained 4.2% of the reality shock. Factors significantly affecting reality shock included nurses' changing residence because of job (beta=.21, p=.001), whether they were able to work on the unit of their choice (beta=-.13, p=.031) and whether they had a choice in days off (beta=-.14, p=.038). CONCLUSION: When these factors are considered, reduction in nurses' reality shock requires improvement in work environment, placing new nurses in a department of their choice and allowing them a choice in off-duty days. These measures would also help achieve organizational goals and develop the new nurses as professional nurses.
Busan
;
Hospitals, General
;
Organizational Objectives
;
Surveys and Questionnaires
;
Shock*
;
Ulsan
8.A Case of Lacquer-Thinner Intoxication.
Young Soo BAIK ; Hee Sin KO ; Ktung Bae KWON ; Doo Kwun KIM ; Sung Min CHOI ; Woo Taek KIM ; Jeong Ok CHOI ; Hyun Jong SIN
Journal of the Korean Pediatric Society 1995;38(5):713-718
No abstract available.
9.A Case of Torsed Voluminous Parovarian Cyst.
Eui Joong JEONG ; Jong Sin YOON ; Sung Hee KIM ; Jin Seok HWANG ; Sun Young KIM ; Sang Hun SIN
Korean Journal of Obstetrics and Gynecology 2003;46(5):1069-1072
Parovarian cysts constitute 10% of adnexal masses. They were found in broad ligament and mostly arise from mesothelium and less commonly from paramesonephric element and rarely from mesonephric element. In most cases parovarian cysts were asymptomatic. So, they were found incidentally at surgery for other conditions. Torsion is infrequent and it is difficult to distinguish it from torsion of other adnexal masses, appendicitis, etc. Recently, we experienced a voluminous parovarian cyst undergoing torsion, 25 cm in diameter. The case is presented with a review of literature.
Appendicitis
;
Broad Ligament
;
Epithelium
;
Female
;
Parovarian Cyst*
10.A Development of Triage in the Emergency Department.
Kang Suk SEO ; Jeong Heon LEE ; Jong Kun KIM ; Sin KAM ; Jeong Bae PARK ; Young Kook YUN
Journal of the Korean Society of Emergency Medicine 1998;9(1):25-33
BACKGROUND: To examine whether nonemergency patients can be identified and be safely triaged out of the emergency department. METHODS: Adult patients(16 years or older) who visited to the emergency department were prospectively studied from July 1 to August 31, 1997. Authors developed a new triage composed of vital signs, mental status, chief complaints, etiology, and a mode of transfer. Chi-square test and a discriminant analysis were applied for statistical analysis. RESULTS: In a discriminant analysis, mode of transfer, chief complaint, age, heart rate, mental status, etiology, and body temperature were significant variables in order. In a canonical discriminant value at group mean, a nonemergent value is 0.450 and a emergent value -0.219. CONCLUSIONS: In simply applicable triage method, mode of transfer and chief complaints are more important than vital sign and mental status. This method is useful in disaster situation and non-medical personnel may use this triage method easily. But some patients are not triaged by this triage method, thus more studies and discussions are necessary.
Adult
;
Body Temperature
;
Disasters
;
Emergencies*
;
Emergency Service, Hospital*
;
Heart Rate
;
Humans
;
Prospective Studies
;
Triage*
;
Vital Signs