1.Complications and patency of internal arteriovenous fistula for hemodialysis
Han Hong YANG ; Won Hyun CHO ; Joong Shin KANG
Journal of the Korean Society for Vascular Surgery 1991;7(1):124-133
No abstract available.
Arteriovenous Fistula
;
Renal Dialysis
2.A case of osteoma of the frontal sinus.
Cheol Min YANG ; Na Kyung WON ; Kang On LEE ; Soo Won LEE
Korean Journal of Otolaryngology - Head and Neck Surgery 1991;34(6):1328-1331
No abstract available.
Frontal Sinus*
;
Osteoma*
3.In vitro effects of some antifungal agents on the chemotaxis and phagocytosis response of human neutrophils.
Jung Hyun CHOI ; Yang Rhee KIM ; Dong Heon KANG ; Won Oh CHOO ; Si Young YANG ; Wan Shik SHIN ; Moon Won KANG
Korean Journal of Infectious Diseases 1991;23(4):265-270
No abstract available.
Antifungal Agents*
;
Chemotaxis*
;
Humans*
;
Neutrophils*
;
Phagocytosis*
4.Susceptibility tests of vancomycin-resistant enterococci.
Ji Won PARK ; Yang Ree KIM ; Wan Shik SHIN ; Moon Won KANG ; Kyong Ja HAN ; Sang In SHIM
Korean Journal of Infectious Diseases 1992;24(2):133-137
No abstract available.
5.Susceptibility tests of vancomycin-resistant enterococci.
Ji Won PARK ; Yang Ree KIM ; Wan Shik SHIN ; Moon Won KANG ; Kyong Ja HAN ; Sang In SHIM
Korean Journal of Infectious Diseases 1992;24(2):133-137
No abstract available.
6.A case of typhoid fever complicated by complete AV block, myocarditis and pancreatitis.
Yoo Bae AHN ; Yang Lee KIM ; Jin Hong YOO ; Wan Shik SHIN ; Moon Won KANG
Korean Journal of Infectious Diseases 1993;25(3):245-248
No abstract available.
Atrioventricular Block*
;
Myocarditis*
;
Pancreatitis*
;
Typhoid Fever*
7.Outbreak of Nosocomial Infections caused by Acinetobacter baumannii resistant to imipenem and Cefoperazone/Sulbactam.
Mi Young KIM ; Yeon Joon PARK ; So Yeon YOO ; Yang Ree KIM ; Moon Won KANG
Korean Journal of Nosocomial Infection Control 1997;2(2):119-130
BACKGROUND: With increase of antibiotics use and invasive procedures, infections caused by multi-resistant Acinetobacter baumannii (MRAB) are increasing. Recently, we experienced the outbreak of- nosocomial infections caused by MRAB resistant to imipenem and cefoperazone/sulbactam in intensive care units (ICU) and general ward. We analyzed the clinical characteristics of the infected patients and antibiotic susceptibility of the organisms. And surveillance cultures and IRS-PCR were performed to find out the transmission route. METHODS: We collected data from physical examination and clinical records. We performed surveillance cultures of environment, patients not infected with MRAB in ICU, and hands of health care workers. RESULTS: Between November 1996 and June 1997, 49 strains of MRAB were isolated from the 26 patients hospitalized in Kangnam St. Mary' s Hospital. The lower respiratory infection (13 cases) was the most common infection and sputum was the most common sources (47.1%). All strains of MRAB showed the same genotype. In disk diffusion test, all strains were resistant to piperacillin, gentamicin, amikacin, ceftazidime, cefoperazone/sulbactam, aztreonam, imipencm, ciprofloxacin. From the surveillance cultures, the genotypically identical strains were isolated from ventilator Y-piece, the floor of ICU, and hands of health care workers. It suggested that this strain was transmitted through ventilatory device or hands of health care workers. We instructed all the health care workers to wash hands, to disinfect hospital environment completely. Since July 1997, no further case has occurred. CONCLUSIONS: Since A. baumannii could be transmitted through ventilatory devices and the hands of health care workers, it is important to wash hands and to disinfect hospital environment completely.
Acinetobacter baumannii*
;
Acinetobacter*
;
Amikacin
;
Anti-Bacterial Agents
;
Aztreonam
;
Ceftazidime
;
Ciprofloxacin
;
Cross Infection*
;
Delivery of Health Care
;
Diffusion
;
Genotype
;
Gentamicins
;
Hand
;
Humans
;
Imipenem*
;
Critical Care Units
;
Patients' Rooms
;
Physical Examination
;
Piperacillin
;
Sputum
;
Ventilators, Mechanical
8.Agenesis of the Dorsal Pancreas: An autopsy case.
Won Sang PARK ; Ki Hwa YANG ; Seok Jin KANG ; Byoung Kee KIM ; Sun Moo KIM
Korean Journal of Pathology 1992;26(1):71-75
Agenesis of the dorsal pancreas is one of the rare congenital anomalies of the pancreas. Six cases of them have been reported. We have experienced an autopsy case of agenesis of the dorsal pancreas associated with fetal death in the uterus. Grossly, the body and tail of the pancreas and uncinate process were not found and those were partially replaced by adipose tissue. No abnormality was noted in the other organs. Microscopically, pancreatic tissue with autolytic change was identified only in the head portion of the pancreas.
9.T-cell Lymphoma of the prostate: Remission with Doxorubicin-Based Combination Chemotherapy.
Taek Won KANG ; Bong Ryoul OH ; Soo Bang RYU ; Yang Il PARK ; Hyeung Joon KIM
Korean Journal of Urology 2001;42(1):120-123
Lymphoma of the prostate is exceedingly rare. Much more common than primary lymphoma of the prostate id secondary involvement of malignant lymphomas originating at other sites. A variety of treatments have bee n used, including prostatectomy, radiotherapy or combinations of chemotherapy and radiotherapy. Generally, the prognosis is very poor, and there is currently no consensus regarding treatment. We report on a patient with T-cell lymphoma who presented with symptoms of bladder neck obstruction. The patient has been asymptomatic and under complete remission after completion of doxorubicin-based chemotherapy for 2 cycles.
Bees
;
Consensus
;
Drug Therapy
;
Drug Therapy, Combination*
;
Humans
;
Lymphoma
;
Lymphoma, T-Cell*
;
Prognosis
;
Prostate*
;
Prostatectomy
;
Radiotherapy
;
T-Lymphocytes*
;
Urinary Bladder Neck Obstruction
10.Effects of Improved Methods of Endotracheal suction and Hand Washing on Incidence of Nosocomial Pneumonia in the Neurosurgical Intensive Care Unit.
so Yeon KIM ; Ji Young LEE ; Kyung Ok CHOI ; Yang Ree KIM ; Moon Won KANG
Korean Journal of Nosocomial Infection Control 2002;7(1):13-24
BACKGROUND: This study aimed at identifying the effects of improved methods of endotracheal suction and hand washing on incidence of nosocomial pneumonia (NP) in the neurosurgical ICU. METHOD: Repeated training of nurses about hand washing and adherence of the single use of suction catheter and sterile normal saline of endotracheal suction was provided. Then hand washing compliance of nurses before and after training was investigated. and the incidence of NP in all patients hospitalized for more than 72 hours in the neurosurgical ICU was investigated from Sep 1, 2000 to Jan 31, 2001 (2nd surveillance). The NP rate of that period was compared with the incidence of the 1st surveillance period, from Sep 1, 1999 to Jan 31, 2000. The data were analyzed with chi-square-test. Fisher's exact test and logistic regression analysis by SAS 8.0. RESULT: The proportion of hand washing performance increased from 15.6% to 46.8%. The rates of NP per patient during 1st surveillance and 2nd surveillance were 10.3%, 3.9%(p=0.01) patient-days rates of NP were 10.0 cases/1,000 patient days, 4.1 cases/1,000 patient days(p=0.04), and ventilator-days rates of NP were 67.6 cases/1.000 ventilator days, 16.2 cases/1,000 ventilator days(p=0.00) respectively. Out of 29 isolates, 18 were methicillin-resistant Staphylococcus aureus, which was the most frequently isolated microorganism. The risk factors associated with incidence of NP were age, length of stay, Glasgow coma scale, diabetes mellitus, duration of intubation, insertion of endotracheal tube, duration of tracheostomy, presence of tracheostomy, duration of ventilator, use of ventilator, and insertion of nasogastric tube. CONCLUSION: These results showed that single use of suction catheters and sterile normal saline and increased compliance of hand washing were important factors to decrease the incidence of NP.
Catheters
;
Compliance
;
Diabetes Mellitus
;
Glasgow Coma Scale
;
Hand Disinfection*
;
Hand*
;
Humans
;
Incidence*
;
Intensive Care Units*
;
Critical Care*
;
Intubation
;
Length of Stay
;
Logistic Models
;
Methicillin-Resistant Staphylococcus aureus
;
Pneumonia*
;
Risk Factors
;
Suction*
;
Tracheostomy
;
Ventilators, Mechanical