1.Surgical acute abdomen in children.
Sang Hee KIM ; Kyoung Soo LIM ; Soo Young YOO
Journal of the Korean Surgical Society 1992;42(6):847-855
No abstract available.
Abdomen, Acute*
;
Child*
;
Humans
2.Clinical Significance of Gray-scale Ultrasound in the Diagnosis of Ureteral Stone: Need of the New Diagnostic Modalities for the Ureteral Stone in Emergency Room.
Won KIM ; Young Ju LEE ; Kyoung Soo LIM
Journal of the Korean Society of Emergency Medicine 1999;10(4):654-660
BACKGROUND: Ureteral stone(UTS) and acute pyelonephritis are the most common causes of nontraumatic acute flank pain in adults. Urography(IVU) is known as the most ideal diagnostic modality of obstructive uropathy to date. However, it has many practical limitations in overcrowding Korean emergency department to perform IVU as the diagnostic test of UTS. So we have performed prospective analytic study to compare IVU with its alternative diagnostic modalities. METHOD AND RESULTS: Our study was performed at Asan Medical Center from March, 1998 to July, 1999. We performed urinalysis, KUB, grayscale ultrasonography, and IVU in 243 patients, suspected to have UTS, based on histories, physical examination. After excluding patients with undetermined results(n=7) or spontaneous passage of stone before IVU(n=24), 212 patients were enrolled in our study. All of the other diagnostic tests were performed within one hour after emergency room presentation except IVU (53+/-24 hours). Diagnostic agreement among tests are as follows: Urinalysis shows good agreements with KUB(0.53) and IVU(0.62). KUB shows good agreement with IVU(0.48). Ultrasonography shows good agreement with IVU(0.58). Sensitivity(%), specificity(%), positive predicitive value(%), negative predicitive value(%), accuracy(%), and odds ratio of each diagnostic methods are as follows: Urinalysis is 91, 19, 78, 42, 74, 3.88; KUB is 55, 33, 72, 19, 50, 2.49; ultrasonography is 58, 92, 96, 41, 66, 45.61, and IVU is 81, 96, 98, 62, 84, 107.72. CONCLUSION: Although IVU seems to be the most ideal diagnostic modality for the UTS to date, it takes too long time for emergency physicians to confirm the diagnostic using IVU. We can performed other diagnostic modalities within one hour. However, emergency physicians suffer from poor diagnostic accuracy. Therefore, it is concluded that we are in need of more accurate alternative diagnostic modalities for UTS.
Adult
;
Chungcheongnam-do
;
Diagnosis*
;
Diagnostic Tests, Routine
;
Emergencies*
;
Emergency Service, Hospital*
;
Flank Pain
;
Humans
;
Odds Ratio
;
Physical Examination
;
Prospective Studies
;
Pyelonephritis
;
Ultrasonography*
;
Ureter*
;
Urinalysis
3.Quality assurance of trauma care for severely injured patients by blunt trauma.
Kyong Soo LIM ; Young Sik KIM ; Sung Oh HWANG
Journal of the Korean Society of Emergency Medicine 1993;4(1):106-111
No abstract available.
Humans
4.Effect of Terazosin on Low Compliant Bladder in Patients with Spinal Cord Injury.
Dong Young KIM ; Yong Soo LIM ; Hong Bang SHIM
Korean Journal of Urology 2000;41(4):528-531
No abstract available.
Humans
;
Spinal Cord Injuries*
;
Spinal Cord*
;
Urinary Bladder*
5.A clinical review of frontal sinus fracture.
Jin Soo LIM ; Young Hwan OH ; Sung Pil CHO ; Ki Taek HAN ; Poong LIM
Journal of the Korean Society of Plastic and Reconstructive Surgeons 1991;18(2):274-280
No abstract available.
Frontal Sinus*
6.Evaluation of 51Cr labelled In-vivo Crossmatching Test.
Kap No LEE ; Chae Seung LIM ; Chun Soo LIM ; Young Ki KIM ; Gun LEE
Korean Journal of Blood Transfusion 1995;6(1):1-8
For the evaluation of the 51Cr labelled in-vivo crossmatching test as a transfusion safety test, We examined the viability of the thransfused autologous and heterologous 51Cr labelled red cell at 1 hour and 24 hour in 6 normal volunteers and 4 patients whose RBC had been stored in CPDA-1 media from 1 day to 30 day. In both autologous transfusion control group(n=3) and allogeneic transfusion control group(n=3), the in-vivo RBC survival rate were more than 70% at 1 hour and 24 hour compared to that of basal 3 minute result(percent counted as 100%), and the eluted free radioisotope activity was less than 5% compared to that of whole blood. The crossmatch incompatible patient group also satisfied the safe transfusion criteria. The mean labelling efficiency which was tested in three patients was more than 95% and also satisfactory to reliable test. We concluded that in-vivo crossmatching test using 51Cr radioisotope would give us valuable informations about transfusion safety, especially in serologically incompatible patients.
Healthy Volunteers
;
Humans
;
Survival Rate
7.Correction of Funding information: The incidence and survival of cervical, ovarian, and endometrial cancer in Korea, 1999-2017: Korea Central Cancer Registry
Hyeong In HA ; Ha Kyun CHANG ; Soo Jin PARK ; Jiwon LIM ; Young-Joo WON ; Myong Cheol LIM
Obstetrics & Gynecology Science 2022;65(4):384-384
8.Dispatcher-assisted telephone cardiopulmonary resuscitation.
Boo Soo LEE ; Sung Oh HWANG ; Young Sik KIM ; Moo Eob AHN ; Kyung Soo LIM
Journal of the Korean Society of Emergency Medicine 1992;3(2):75-85
No abstract available.
Cardiopulmonary Resuscitation*
;
Telephone*
9.A Study on the chemotherapy in clonorchiasis. Report 1. An experimental study on chemotherapy with Dithiazanine iodide and Bithionol sulfoxide in clonorchiasis.
Suck Young KANG ; In Kyu LOH ; Yong Soo CHUN ; Do Soo LIM
The Korean Journal of Parasitology 1965;3(1):19-30
Authors carried out experimental study on chemotherapy with oral administration of Dithiazanine iodide (D.I.) and Bithionol sulfoxide(B.S.) in rabbit clonorchiasis. And the following result was obtained. In change of the E.P.G (eggs per gram feces) by D.I. administration, it was rather increased in early stage of the administration than prior to administration, and thereafter decreased gradually. In the change of the C.S. worm body by D.I. administration, there was not only prominent change of supporting tissue but also the change of reproductive organ was found. In considering the wormicidal effect of D.I. from detecting rate of survival worms, the effect was slight in group of 100 mg(80 mg/kg) per day dosage, but the effects were very excellent and almost complete by proper times of administration in groups of 200 mg (130 mg/kg) per day or higher dosage. But the side effect and intoxication sign of D.I. were appearent in groups of 200 mg or higher dosage. By B.S. administration, E.P.G. was decreased gradually. In changes of the C.S. worm body by B.S. administration, prominent inhibitory chnnge was seen in egg formation ability. Slight wormicidal effect of B.S. was observed in groups of 140 mg (100 mg/kg) per day or higher dosage. Side effect and intoxication sign of B.S. were found little in groups of 140 mg or lesser dosage.
parasitology-helminth-trematoda
;
Clonorchis sinensis
;
clonorchiasis
;
chemotherapy
;
Dithiazanine iodide
;
Bithionol sulfoxide
;
rabbit
10.Clinical Characteristics of Elderly Patients in Emergency Department .
Kyoung Soo LIM ; Young Soo LEE ; Won KIM ; Ok Kyoung CHOI
Journal of the Korean Geriatrics Society 1998;2(2):38-45
BACKGROUND : The proportion and absolute number of older patients admitted through the emergency department (ED) are increasing yearly. As people getting older, they are more likely to suffer from emergency situation of disease, disability, and trauma. Combining with the decrease in physiologic reserve, these added burdens make the elderly more vulnerable to any of the additional situations. Understanding the implications of these facts is crucial to one who is providing optimal triage and emergency care to elderly (aged 65 years or older) and adults (between 15year of age and 64 years of age). METHODS : We conducted an observational survey of emergency patients age 15 or older who admitted to emergency department of Asan Medical Center. A convenience sample of 3,481 were divided into 2 groups by 65 years of age, and final results (admission vs. discharge) after emergency care was compared. The admission rate according to between two groups. We calculated odds ratios of important outcomes by pooling data from individual trials using logistic regression analysis. RESULTS : Admission rate of elderly was higher than adults as 59.2% versus 36.4% (odds ratio=2.32) 95% CI=1.21~3.24). Although vital signs were within normal ranges, admission rate of elderly was significantly higher than adults as follows; normal range of systolic blood pressure (56.0% vs. 35.5%), normal range of respiration rate per minute (55.4% vs. 36.4%), alert status of mentality (34.2% vs. 54.7%). CONCLUSION : We could not define the severity of emergency patients only by using vital signs and/or clinical symptoms, especially to the elderly patients. Even though the vital signs of elderly patients. emergency physician should manage them carefully because of the high severity of clinical condition in elderly then we expected. Emergency Geriatric Assessment tools must be developed differently from general triage tools.
Adult
;
Aged*
;
Blood Pressure
;
Chungcheongnam-do
;
Emergencies*
;
Emergency Medical Services
;
Emergency Service, Hospital*
;
Geriatric Assessment
;
Humans
;
Logistic Models
;
Odds Ratio
;
Reference Values
;
Respiratory Rate
;
Triage
;
Vital Signs