1.The Change of Causes of Upper Gastrointestinal Bleeding.
Hyun Jung KIM ; Sam Beom LEE ; Byung Soo DO ; Tae Nyeun KIM ; Moon Kwan CHUNG
Journal of the Korean Society of Emergency Medicine 1999;10(2):227-241
Upper gastrointestinal(UGI) bleeding was critical disease that was commonly found in emergency department and needed more early diagnosis and rapid treatment for decreasing mortality and morbidity. It's causes and frequencies here affected by many factors, but the majorities were caused by peptic ulcers and esophageal-gastric varices. With development of economy and medical services, new drugs and endoscopic interventions, the treatment of patients with UGI bleeding was more improved. So I would like to evaluate the change of causes and frequencies of UGI bleeding and the associated clinical findings. A total of 1,546 patients presented with UGI bleeding in emergency department of Yeungnam university hospital during the five years from Jan. 1991 to Dec. 1995 were clinically reviewed by charts and compared with previous seven years report from Jan. 1984 to Dec. 1990 in the same hospital. The ratio of male to female was 6.1:1 and slightly increased in comparison with previous seven years. The incidences in 6th and 5th decades were highest(54.4%) as like as previous seven years. Age distribution of duodenal ulcer bleeding, Mallory-Weiss tear and acute gastric mucosal lesion were developed in lower decades than the others. The causes of UGI bleeding were caused by esophageal varix(45.4%), peptic ulcer(38.8%), Mallory-Weiss tear(4.3%), gastric cancer(3.8%), others(3.1%), acute gastric mucosal lesion(2.7%), undetermined causes(1.8%) in defending order of frequencies. The proportion of esophageal varices was increased from 36.6% to 45.4%, but that of peptic ulcer was relatively decreased from 47.6% to 38.8%. And the annual distribution of varices was increased, however the annual distribution of peptic ulcers was increased. Although the ranking of annual distribution of gastric ulcers and duodenal ulcers were not changed compared to previous study and the frequency of gastric ulcers was increased since 1992, but additional follow-up was needed. Seasonal variations were found that upper gastrointestinal bleeding was increased in fall and peptic ulcer bleeding was increased significantly in summer and fall, however, varix bleeding was less frequent in summer time as like as previous seven years. Emergency endoscopic examination was performed within 6 hours far 54.5%, 24 hours for 90.8% and this reacts were to be like previous results, 57.5% and 90.7% respectively. Findings of emergency endoscopic examination were active bleeding focus(21.2%), blood clot(7.9%), exposed vessels(13.3%), flat blood spot(6.4%) and lesion without evidence of bleeding(51.3%). Endoscopic findings of active bleeding were easily seton when examination was perfomed within 24 hours. Blood transfusion was performed in 67.3% with average 2.1 units. When the causes of bleeding were due to varix and marginal ulcer, more amounts of blood were transfused than the others. In previous seven years, blood transfusions were performed in 71.2% with average 5 units and more amounts of blood were transfused in gastric cancer and varix bleeding.
Age Distribution
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Blood Transfusion
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Duodenal Ulcer
;
Early Diagnosis
;
Emergencies
;
Emergency Service, Hospital
;
Esophageal and Gastric Varices
;
Female
;
Follow-Up Studies
;
Hemorrhage*
;
Humans
;
Incidence
;
Male
;
Mallory-Weiss Syndrome
;
Mortality
;
Peptic Ulcer
;
Seasons
;
Stomach Neoplasms
;
Stomach Ulcer
;
Varicose Veins
2.The significance of clinical findings on hypertensive disorders in pregnancy.
Seon Tae KIM ; Dong Ho KIM ; Dong Jin KIM ; Hong Kwan KIM ; Hun Jung IM
Korean Journal of Perinatology 1993;4(3):371-381
No abstract available.
Pregnancy*
3.Mouthguard use in Korean Taekwondo athletes - awareness and attitude.
Jung Woo LEE ; Chong Kwan HEO ; Sea Joong KIM ; Gyu Tae KIM ; Deok Won LEE
The Journal of Advanced Prosthodontics 2013;5(2):147-152
PURPOSE: A survey was performed to identify the level of mouthguard use, awareness, wearability issues and attitude toward mouthguard among elite Korean Taewondo athletes. MATERIALS AND METHODS: Survey questionnaires were given to 152 athletes participating in the Korea National Taekwondo team selection event for the 2010 Guangzhou Asian Games. Questionnaires consisted of three sections, mouthguard awareness, reasons for not wearing mouthguard and the last section to test the level of acceptance on current mouthguard and when the identified problems were resolved. For analyzing difference among response, chi2 test was used and significant level (alpha) was set up as 0.05. RESULTS: Responses in each of items showed significant difference (P<.001). Majority of response regarding each question: Majority of respondents believed that mouthguard were effective in preventing injuries (36.4%) but the result suggested that the provision of information on mouthguard to athletes was inadequate (44.0%) and the result showed that respondents were not greatly interested or concerned in relation to the mandatory mouthguard rule (31.6%). Although the responses on the level of comfort and wearability of mouthguard were negative (34.8%), athletes were positively willing to wear mouthguard if the problems rectified (51.2%). CONCLUSION: Considering the high level of willingness to wear mouthguard if the problems rectified, it is thought that together with efforts in providing more mouthguard information, the work of sports dentistry to research and improve mouthguard will be invaluable in promoting mouthguard to more athletes.
Asian Continental Ancestry Group
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Athletes
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Dentistry
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Humans
;
Korea
;
Martial Arts
;
Mouth Protectors
;
Sports
;
Surveys and Questionnaires
4.The Effects of Fentanyl Anesthesia on the Changes of Blood Sugar , Electrolyte and ABGA During Cariopulmonay Bypass.
Tae Kwan KIM ; Jung Un LEE ; Se Jin CHOI
Korean Journal of Anesthesiology 1989;22(1):70-79
The effects of fentanyl anesthesia on the changes of hemodynamic(HR, BP), blood suger, electrolytes and ABGA during induction of anesthesia and cardiopumonary bypass under fentanyl anesthesia were studied in three groups of 30 patients. The results were as follows: 1) The changes of HR & BP were significatly decreased under fentanyl anesthesia compaired to morphine anesthesia. 2) The level of blood sugar was increased during whole procedures in all groups and it was the least in large dose fentanyl group. 3) The changes of electrolyte and arterial blood gas value during CPB were not remakable.
Anesthesia*
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Blood Glucose*
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Electrolytes
;
Fentanyl*
;
Humans
;
Morphine
5.Congenital Adrenal Agenesis Presented with Adrenal Insufficiency.
Hong Kyu PARK ; Eun Jung SHIM ; Kwan Seop LEE ; Il Tae HWANG
Annals of Pediatric Endocrinology & Metabolism 2012;17(1):53-56
We report a very rare case of congenital adrenal agenesis presented with adrenal insufficiency in a 4-day-old female newborn. She was admitted with darkish skin color and seizure. Her external genitalia was normal. Elevated serum level of adrenocorticotropic hormone and increased plasma renin activity were observed. Plasma cortisol level and aldosterone level were decreased. Pelvic ultrasonography revealed bilateral agenesis of adrenal glands. Six exons of the steroidogenic factor-1 (SF-1, NR5A1) gene and their intronic flanking sequences were normal. Now, she is continuously receiving replacement doses of glucocorticoids and mineralocorticoids under adrenal insufficiency. Her growth and development are completely normal. We propose that when a patient presents with 46, XY disorder of sex development or normal female genitalia with adrenal insufficiency, SF-1 gene mutation study should be included in the differential diagnosis.
Adrenal Glands
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Adrenal Insufficiency
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Adrenocorticotropic Hormone
;
Aldosterone
;
Diagnosis, Differential
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Exons
;
Female
;
Genitalia
;
Genitalia, Female
;
Glucocorticoids
;
Growth and Development
;
Humans
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Hydrocortisone
;
Infant, Newborn
;
Introns
;
Mineralocorticoids
;
Plasma
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Renin
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Seizures
;
Sexual Development
;
Skin
6.Clinical and pathological observation on the diagnosis and treatment of cervical intraepithelial neoplasia III(CIN III) of the uterine cervix.
Byung Gyu YOO ; Jung Hyung LEE ; Jae Young LEE ; Eun Kwan LEE ; Ki Tae KIM ; Hyun Chan KIM
Korean Journal of Obstetrics and Gynecology 1993;36(3):366-376
No abstract available.
Cervical Intraepithelial Neoplasia*
;
Cervix Uteri*
;
Diagnosis*
;
Female
7.A case of Malignant Peripheral Nerve Sheath Tumor Near Left Inguinal Region.
Dae Gon KIM ; Chun Kwan LEE ; Hwal LEE ; Houng Gyu SOHN ; Dal Bong HA ; Kyung Seop LEE ; Tae Jung CHANG
Korean Journal of Urology 2000;41(4):566-568
No abstract available.
Peripheral Nerves*
8.Acute ileofemoral artery thromboembolism due to left ventricle thrombi with spontaneous coronary artery dissection.
Heungman JUN ; Cheol Woong JUNG ; Kwan Tae PARK
Annals of Surgical Treatment and Research 2015;88(1):52-54
Spontaneous coronary artery dissection (SCAD) is a very rare cause of peripheral artery thromboembolism. It is especially rare to show symptoms of acute limb ischemia without chest symptoms during a hospital visit. In this case, a rare case of SCAD led to left heart failure and caused left ventricle thrombi, which in turn caused peripheral thromboembolism.
Arteries*
;
Coronary Vessels*
;
Extremities
;
Heart Failure
;
Heart Ventricles*
;
Ischemia
;
Thorax
;
Thromboembolism*
9.Comparison of Jaw Bone Density in Young Adults and Postmenopausal Women
Tae Sung KIM ; Dong Keun LEE ; Byung Do LEE ; Sun Kwan JUNG
Journal of the Korean Association of Maxillofacial Plastic and Reconstructive Surgeons 2001;23(2):107-114
Bicuspid
;
Bone Density
;
Copper
;
Female
;
Femur
;
Femur Neck
;
Humans
;
Jaw
;
Male
;
Mandible
;
Maxilla
;
Molar
;
Young Adult
10.The effects of newly formed synthetic peptide on bone regeneration in rat calvarial defects.
Jung Yoo CHOI ; Ui Won JUNG ; Chang Sung KIM ; Tae Kwan EOM ; Eun Jung KANG ; Kyoo Sung CHO ; Chong Kwan KIM ; Seong Ho CHOI
Journal of Periodontal & Implant Science 2010;40(1):11-18
PURPOSE: Significant interest has emerged in the design of cell scaffolds that incorporate peptide sequences that correspond to known signaling domains in extracellular matrix and bone morphogenetic protein. The purpose of this study was to evaluate the bone regenerative effects of the synthetic peptide in a critical-size rat calvarial defect model. METHODS: Eight millimeter diameter standardized, circular, transosseus defects created on the cranium of forty rats were implanted with synthetic peptide, collagen, or both synthetic peptide and collagen. No material was was implanted the control group. The healing of each group was evaluated histologically and histomorphometrically after 2- and 8-week healing intervals. RESULTS: Surgical implantation of the synthetic peptide and collagen resulted in enhanced local bone formation at both 2 and 8 weeks compared to the control group. When the experimental groups were compared to each other, they showed a similar pattern of bone formation. The defect closure and new bone area were significantly different in synthetic peptide and collagen group at 8 weeks. CONCLUSIONS: Concerning the advantages of biomaterials, synthetic peptide can be an effective biomaterial for damaged periodontal regeneration.
Animals
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Biocompatible Materials
;
Bone Morphogenetic Proteins
;
Bone Regeneration
;
Collagen
;
Extracellular Matrix
;
Osteogenesis
;
Rats
;
Regeneration
;
Skull