1.Cerebral hemorrhage due to electrical burns: a report of one case.
Journal of the Korean Surgical Society 1993;44(6):1061-1065
No abstract available.
Burns*
;
Cerebral Hemorrhage*
2.Decision making for management of acute abdominal pain in children.
Jong Sig YOO ; Nak Jin SUNG ; Ki Heum PARK
Journal of the Korean Academy of Family Medicine 1998;19(6):459-466
BACKGROUND: Acute abdominal pain in children is one of the most common problems encountered in our daily practice. The children often are not able to tell us their exact complain symptoms and differential diagnosis of acute abdominal pain is difficult in its first encounter. When family physicians encounter patients with acute abdominal pain in the ambulatory care settings, they must make an appropriate decision for proper management such as admission, referral, discharge and follow-up without firm diagnosis. If it is possible to predict the course or prognosis of acute abdominal pain by clinical data concerning patient, it will be helpful to make a decision for the management of acute abdominal pain. So we tested for hypothesis that patients with acute intermittent abdominal pain and normal simple abdomen X-ray finding is not serious and shows favorable outcome. METHOD: 82 patients with acute abdominal pain were assessed from Oct. in 1996 to Sep. in 1997 at the emergency department of Kyungju Hospital, Dongkuk University. 69 patients among 82 showed normal simple abdomen X-ray findings. 67 patients were discharged and 2 patients were admitted. 64 patients were contacted by phone call after 1 week and reported their outcome of the previous abdominal pain. RESULTS: Among 64 subjects 36 patients were male and 28 patients female. 57 patients complained of intermittent abdominal pain and 7 patients complained continous abdominal pain. Positive predictive value of intermittent abdominal pain and normal simple abdominal x-ray was 98%. Outcome of patients with intermittent abdominal paln was more favorable than that of continuous pain. CONCLUSIONS: Acute intermittent abdominal pain and normal simple abdomen x-ray findings in children shows favorable outcome and can be managedim ambulatory care settings.
Abdomen
;
Abdominal Pain*
;
Ambulatory Care
;
Child*
;
Decision Making*
;
Diagnosis
;
Diagnosis, Differential
;
Emergency Service, Hospital
;
Female
;
Follow-Up Studies
;
Gyeongsangbuk-do
;
Humans
;
Male
;
Physicians, Family
;
Prognosis
;
Referral and Consultation
3.Decision-making for Management of Acute AMominal Pain.
Ki Haum PARK ; Hyo Sik SHIN ; Nak Jin SUNG
Journal of the Korean Academy of Family Medicine 1997;18(1):13-21
BACKGROUND: Acute abdominal pain is one of the most common problems in the family practice but the differential diagnosis of acute abdominal pain is difficult in first encounter. When family physicians are encountered with patients with acute abdominal pain in the ambulatory care settings, t,hey have to make a decision for management of acute abdominal pain such as admission, referral, discharge or follow-up without any definite diagnosis. If it is possible to predict the course or prognosis of acute abdominal pain by using certain data about patients, it will be helpful to make a decision for the management of acute abdominal pain. So we tested the hypothesis that acute abdominal pain with intermittent pain nature and normal simple abdomen X-ray finding is not serious and shows favorable outcome. METHODS: 126 patients with acute abdorninal pain were enrolled from Feb. to Aug. in 1995 at the emergency department of Kyungju hospital, Dongkuk University. 116 patients showed normal simple abdomen X ray finding and among them 94 patients were discharged and 21 patients were admitted. 92 patients were contacted in 1 week by phone call and they reported the outcome of their acute abdominal pain. RESULTS: Among 92 study populations, 44 patients were male and 48 patients were female. 72 patients complained intermittent abdominal pain and 21 patients complained continous abdominal pain. Frequencies of tentative diagnosis at emergency department were 45 acute gastroenteritis, 26 unknown, 14 functional gastointestinal disorders, 4 acute gastritis, 2 pelvic inflammatory diseases, and 1 ureter stone. Outcomes of patients with intermittent abdominal pain were more favorable than those with continous abdominal pain. CONCLUSIONS: If the patients with acute abdominal pain have intermittent pain nature and normal simple abdomen x ray finding, they will show favorable outcome and can be managed at ambulatory care settings.
Abdomen
;
Abdominal Pain
;
Ambulatory Care
;
Diagnosis
;
Diagnosis, Differential
;
Emergency Service, Hospital
;
Family Practice
;
Female
;
Follow-Up Studies
;
Gastritis
;
Gastroenteritis
;
Gyeongsangbuk-do
;
Humans
;
Male
;
Pelvic Inflammatory Disease
;
Physicians, Family
;
Prognosis
;
Referral and Consultation
;
Ureter
4.A Case of Gougerot-Blum Syndrome with Leukemia.
Ki Bum MYUNG ; Hong Jin KIM ; Sung Nack LEE
Korean Journal of Dermatology 1977;15(4):499-503
Gougerost-Blum syndrome is a rare disease and characterized by lichenoid papules in association with purpuric lesions. So far as we know there has been no report of, in literatures, Gougerot-Blum syndrome with leukemia. We experienced a case of typical Gougerrot_Blum syndrome with acute myeloblastic leukemia in a 30 year-old female patient. This patient complained of rashes on whole body for 2 months, and frequent epistaxis and gum bleeding for 20 days. The skin revealed miliary to rice sized rusty colored lichenoid papules on whole body especially on legs and arms. Histopathologically the skin showed the picture of Gougerot-Blum syndrome. On peripheral blood examination and bone marrow aspiration myeloblastic leukemia was confirmed. The patient was treated with 6-mercaptopurine, cytoxan and prednisolone with slight improvement of skin lesions, but no improvement of leukumia itselt.
6-Mercaptopurine
;
Adult
;
Arm
;
Bone Marrow
;
Cyclophosphamide
;
Epistaxis
;
Exanthema
;
Female
;
Gingiva
;
Granulocyte Precursor Cells
;
Hemorrhage
;
Humans
;
Leg
;
Leukemia*
;
Leukemia, Myeloid, Acute
;
Prednisolone
;
Rare Diseases
;
Skin
5.MR measurement of normal pituitary gland height on midsagittal section: age and sex differentiation.
Myung Soon KIM ; Jin Sook PARK ; Ki Joon SUNG
Journal of the Korean Radiological Society 1992;28(4):523-526
Measurement of the normal pituitary gland height was performed on magnetic resonance (MR) images of 144 subjects with no known or suspected pituitary or hypothalamic diseases. Midsagittal T1 weighted images (T1WI) were used for measurement, and mean vertical height according to age and sex group was obtained. In all age groups, the pituitary height was greater in females than in meles, The group of 0-9 years in both genders showed the minimum mean pituitary height, The maximum mean height was observed in the 10-19 years age group in both genders. The height gradually decreased with increasing age after age 20 years. There was no subject with a height more than 9.0 mm in females or 8.0 mm in males. In conclusion the measurement of the normal pituitary pland height using mid sagittal MR imaging can be used for the evaluation of the pituitary gland lesions.
Female
;
Humans
;
Hypothalamic Diseases
;
Magnetic Resonance Imaging
;
Male
;
Pituitary Gland*
;
Sex Differentiation*
6.The Proportion of misunderstanding about health knowledge in medical and nonmedical group.
Ki Heum PARK ; Nak Jin SUNG ; Suk CHOI
Journal of the Korean Academy of Family Medicine 1997;18(7):752-761
BACKGROUND: There is much harmful influence for health promotion when general publics and medical group misunderstand common health knowledge. Therefore we investigated the proportion of misunderstanding about health knowledge of general publics and medical group. METHODS: The data were collected via questionnaire which consisted of 30 questions (ll health behavior, 5 symptom, 14 treatment knowledge) quoted or revised on the basis of the book ('Misunderstood common health knowledge 100' published by humanism practice medical doctor association, 1994, hanwol company, South korea). The subjects were nonmedical group (third grade elementary school teachers and parents of students in Kyong ju city) and medical group (doctors-specialist, resident, intern, oriental doctor, medical student, nurse, assistant nurse in Kyong-Ju, Pohang city). The score was given 0 for false answer or no answer and 1 for true answer. RESULTS: The dominant subclasses of study subjects were as follows .Sex; female(352:64.5%)/age; 30-40 years old(318 persons : 58.5%) education ; high school graduate group(232: 42.8%)/job; nonmedical group(housewives, 168:36.2%), rnedical group(nurse, 67:36.2%). Medical group acquired higher total average score than non-medical group. There were no differences in the total scores about treatment, symptom, and health behavior in nonmedical group by job. In the medical group, doctors earned significantly higher score than other jobs. The average score per question was 0.53 in nonmedical group and 0.69 in medical group. Non-medical group received average score below 0.5 in 14 questions among 30 questions, while medical group received only in 5 items. CONCLUSIONS: Medical group acquired higher total average score than nonmedical group. Average score per question was 0.53 in non-medical group and 0.69 in medical group.
Education
;
Gyeongsangbuk-do
;
Health Behavior
;
Health Promotion
;
Humanism
;
Humans
;
Parents
;
Students, Medical
;
Surveys and Questionnaires
7.Normal anthropometric values and standardized templates of Korean face and head.
Joon Hyun CHO ; Ki Hwan HAN ; Jin Sung KANG
Journal of the Korean Society of Plastic and Reconstructive Surgeons 1993;20(5):995-1005
No abstract available.
Head*
8.FRONTOTEMPORAL RECONSTRUCTION USING VARIOUS MATERIALS.
Ki Hwan HAN ; Heung Dong KIM ; Jin Sung KANG
Journal of the Korean Society of Plastic and Reconstructive Surgeons 1997;24(2):414-426
Based on our experience with 23 frontotemporal reconstructions performed, this paper attempts to provide guidelines for appropriate selection among the four most commonly employed materials (e.g., autogenous parietal bone, silicone rubber, methylmethacrylate, and porous polyethylene) so that optimal results can be achieved. Clinical follow-up ranged from 6 to 91 months (mean 32 months). Every patient was analyzed clinically by ordinary scale method. The mean defect size was 134.8 cm2 in the silicone rubber, 36.5 cm2 in the methylmethacrylate, 17.4 cm2 in the autogenous bone graft and 7.3 cm2 in the porous polyethylene. The clinical assessment was excellent (mean, 29.3 points) in silicone rubber, excellent (mean, 28.6 points) in autogenous bone, excellent (mean, 26.8 points) in methylmethacrylate, and good (mean, 24.8 points) in polyethylene. To sum up, a large bony defect of congenital calvarial anomaly produced an excellent result using custom-made silicone implant. A relatively small bony defect with a scarred bed produced an excellent result using autogenous parietal bone grafting. Unexpected and medium-sized defect was reconstructed successfully through a simple procedure using methylmethacrylate. Porous Polyethylene was used at an incidental small defect because of its expensiveness.
Cicatrix
;
Follow-Up Studies
;
Humans
;
Methylmethacrylate
;
Parietal Bone
;
Polyethylene
;
Silicone Elastomers
;
Transplants
9.Two Cases of Peutz-Jeghers Syndrome.
Joo Saeng MOON ; Sung Ki JIN ; Doo Sung MOON ; Kyung Sook CHO ; Jong Dase CHO
Journal of the Korean Pediatric Society 1987;30(8):907-915
No abstract available.
Peutz-Jeghers Syndrome*
10.The relationship between depressive tendency, somatic symptoms and drug use in housewives.
Ki Heum PARK ; Nak Jin SUNG ; Suk CHOI ; Sung Soo CHO ; Suk Hyung JUNG
Journal of the Korean Academy of Family Medicine 1997;18(5):490-450
BACKGROUND: In women, the prevalence of depression is known to be more than twice as high as in men. Because many depressive women complain of their somatic symptoms instead of neurovegetative ones, many cases of depression have been misdiagnosed. Women also tend to use medicine more frequently than men do to manage depression. So we investigated the relationship between somatic symptoms and drug use in housewives for better management. METHODS: From 1st. March to 31st. March in 1996, the prepared questionnaires were presented to housewives living in the area of Kyung-ju city, who responded the questionnaires under direct interview. The questionnaire was composed of two parts. One part included demographic data, somatic complaints, drug use, places of drug purchase, current diseases that had been diagnosed by doctors. The other included Korean standard Beck Depression Inventory-questionnaire. The subjects were divided into two groups by BDI score(21 point), which was the cut-off point for depression in Korea. The relationships of somatic symptoms and drug use between the two groups were analyzed. RESULTS: There were 110 housewives who had depressive trends among 569 respondents. In general characteristics, there was significant difference between the two groups except the item of religion. In the items of somatic symptoms, there were more somatic symptoms in the group of high BDI score(>_21) except fatigue(P<0.01). More drug users were found in the group of high BDI score(>_21) (P<0.05). In the group of high BDI score(>_21), there was definite correlation between the items of somatic symptoms and drug use. There was no difference between the two groups in the item of drug purchase site. The most common site of drug purchase was the drug store in both groups. CONCLUSIONS: Depressive housewives complained of more somatic symptoms and more often used drugs as well.
Surveys and Questionnaires
;
Depression
;
Drug Users
;
Female
;
Gyeongsangbuk-do
;
Humans
;
Korea
;
Male
;
Prevalence