1.A case of report of macrodactyly.
Bo Hyun KIM ; Jung Yoon LEE ; Hee Chang AHN ; Yae Sik HAN
Journal of the Korean Society of Plastic and Reconstructive Surgeons 1993;20(1):167-171
No abstract available.
2.Clinical analysis of tourniquet paralysis.
Jae Yong JEON ; Jung Yoon LEE ; Hee Chang AHN ; Yae Sik HAN
Journal of the Korean Society of Plastic and Reconstructive Surgeons 1993;20(1):141-146
No abstract available.
Paralysis*
;
Tourniquets*
3.2 cases of amelantotic melanoma on face.
Bo Hyun KIM ; Jung Yoon LEE ; Hee Chang AHN ; Yae Sik HAN
Journal of the Korean Society of Plastic and Reconstructive Surgeons 1993;20(1):117-123
No abstract available.
Melanoma*
4.Optimizing Outcomes in the Reconstruction of Postburn Scar Hand Deformities.
Dong Chul KIM ; Chi Ho SHIN ; Yae Sik HAN ; Sang Hun CHUNG ; Ji Hyun KIM ; Ryun LEE
Journal of Korean Burn Society 2017;20(1):31-40
PURPOSE: Reconstruction of severe postburn hand deformities with flexion or extension contractures with finger webbing deformities, large hypertrophic scars of dorsal hand are frequently encountered problems in burn hand surgery. To obtain the good results after correction of various type of postburn scar hand deformities, we have used the sophisticated reconstructive procedures such as scar contracture release, skin graft, and use of acellular dermal matrix (ADM). We report reliability and usefulness of these novel updated procedures according the type of postburn hand deformities, and reviewed the literatures. METHODS: We had 82 postburn hand deformities. Among them we selected 7 patients of severe postburn hand deformities, which had different affected sites involving over 1/3 of hand. To reconstruct the finger flexion contractures, the scar contracture release and full thickness skin graft was most frequently performed. For correction of finger webbing deformities, the 5 flap Z-plasty for 1(st) web, dorsal and volar interposition flap for 2, 3 and 4 web, FTSG were used. The diffuse hypertrophic scar of dorsum of hand was reconstructed with total excision of scars, skin coverage with one piece of medium thickness STSG, and postoperative clenched hand position. The postburn palmar contractures was reconstructed with extensive contracture release followed by resurfacing with ADM (AlloDerm™) and thin STSG. The severe postburn abduction contractures of wrist was treated by total excision of scars, ADM (CGDerm™), and thin STSG. RESULTS: After 1 month to 1.6 years follow up, relatively satisfactory results were obtained in all patients. As complications, 1 case of recurrent palmar contractures, which was reconstructed with ADM (AlloDerm™) with thin STSG, were noticed. CONCLUSION: The postburn finger flexion contractures could be managed by the scar contractures release and FTSG. This method is very safe and reliable. For reconstruction of postburn finger webbing deformities, it is mandatory to use 5-flap Z-plasty for 1(st) webbing deformities, and dorsal and volar interposition flap for 2, 3 and 4(th) webbing deformities concomitantly with resurfacing with FTSG. The diffuse hypertrophic scars of dorsum of hand was managed by total excision of scars, resurfacing with one large piece of over medium thickness STSG, and postoperative clenched hand position. After release of scar contractures of hand, acellular dermal matrix (ADM) with thin STSG can be used in case of deficient FTSG donor site.
Acellular Dermis
;
Burns
;
Cicatrix*
;
Cicatrix, Hypertrophic
;
Congenital Abnormalities
;
Contracture
;
Fingers
;
Follow-Up Studies
;
Hand Deformities*
;
Hand*
;
Humans
;
Methods
;
Skin
;
Tissue Donors
;
Transplants
;
Wrist
5.Uremic Pericarditis Accompanying Cardiac Tamponade after Emergency Hemodialysis.
Ha Yeun PARK ; Seong Sik KANG ; Yae Rim KIM ; O Hyun KWON ; Kyu Bok JIN ; Seung Yeup HAN ; Sung Bae PARK ; Woo Yeong PARK
Keimyung Medical Journal 2016;35(1):25-29
Although the incidence of uremic pericarditis was high in the past, it has decreased in recent decades with early and appropriate dialysis. However, cardiac tamponade caused by uremic pericarditis is still a life-threatening emergency and it requires urgent management. Herein we report a case of 38-year-old man with chronic renal disease who represented critical uremic pericarditis followed by cardiac tamponade despite of appropriate hemodialysis. Careful consideration of risk factors and aggressive treatment are very important for effective and safe treatment of uremic pericarditis and cardiac tamponade.
Adult
;
Cardiac Tamponade*
;
Dialysis
;
Emergencies*
;
Humans
;
Incidence
;
Pericardial Effusion
;
Pericardiocentesis
;
Pericarditis*
;
Renal Dialysis*
;
Renal Insufficiency, Chronic
;
Renal Replacement Therapy
;
Risk Factors
6.2009 H1N1 influenza virus infection and necrotizing pneumonia treated with extracorporeal membrane oxygenation.
Suntae JI ; Ok Jeong LEE ; Ji Hyuk YANG ; Kangmo AHN ; Joongbum CHO ; Soo In JEONG ; Woo sik HAN ; Yae Jean KIM
Korean Journal of Pediatrics 2011;54(8):345-349
A 3-year-old girl with acute respiratory distress syndrome due to a H1N1 2009 influenza virus infection was complicated by necrotizing pneumonia was successfully treated with extracorporeal membrane oxygenation (ECMO). This is the first reported case in which a pediatric patient was rescued with ECMO during the H1N1 influenza epidemic in Korea in 2009.
Child
;
Extracorporeal Membrane Oxygenation
;
Humans
;
Influenza, Human
;
Korea
;
Orthomyxoviridae
;
Pneumonia
;
Preschool Child
;
Respiratory Distress Syndrome, Adult
7.Viral Load Kinetics of SARS-CoV-2 Infection in First Two Patients in Korea
Jin Yong KIM ; Jae Hoon KO ; Yeonjae KIM ; Yae Jean KIM ; Jeong Min KIM ; Yoon Seok CHUNG ; Heui Man KIM ; Myung Guk HAN ; So Yeon KIM ; Bum Sik CHIN
Journal of Korean Medical Science 2020;35(7):86-
As of February 2020, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) outbreak started in China in December 2019 has been spreading in many countries in the world. With the numbers of confirmed cases are increasing, information on the epidemiologic investigation and clinical manifestation have been accumulated. However, data on viral load kinetics in confirmed cases are lacking. Here, we present the viral load kinetics of the first two confirmed patients with mild to moderate illnesses in Korea in whom distinct viral load kinetics are shown. This report suggests that viral load kinetics of SARS-CoV-2 may be different from that of previously reported other coronavirus infections such as SARS-CoV.
China
;
Coronavirus
;
Coronavirus Infections
;
Humans
;
Kinetics
;
Korea
;
SARS Virus
;
Severe Acute Respiratory Syndrome
;
Viral Load
8.The Changes in Epidemiology of Imipenem-Resistant Acinetobacter baumannii Bacteremia in a Pediatric Intensive Care Unit for 17 Years
Dongsub KIM ; Haejeong LEE ; Joon-sik CHOI ; Christina M. CRONEY ; Ki-Sup PARK ; Hyo Jung PARK ; Joongbum CHO ; Sohee SON ; Jin Yeong KIM ; Soo-Han CHOI ; Hee Jae HUH ; Kwan Soo KO ; Nam Yong LEE ; Yae-Jean KIM
Journal of Korean Medical Science 2022;37(24):e196-
Background:
Acinetobacter baumannii infections cause high morbidity and mortality in intensive care unit (ICU) patients. However, there are limited data on the changes of longterm epidemiology of imipenem resistance in A. baumannii bacteremia among pediatric ICU (PICU) patients.
Methods:
A retrospective review was performed on patients with A. baumannii bacteremia in PICU of a tertiary teaching hospital from 2000 to 2016. Antimicrobial susceptibility tests, multilocus sequence typing (MLST), and polymerase chain reaction for antimicrobial resistance genes were performed for available isolates.
Results:
A. baumannii bacteremia occurred in 27 patients; imipenem-sensitive A. baumannii (ISAB, n = 10, 37%) and imipenem-resistant A. baumannii (IRAB, n = 17, 63%). There was a clear shift in the antibiogram of A. baumannii during the study period. From 2000 to 2003, all isolates were ISAB (n = 6). From 2005 to 2008, both IRAB (n = 5) and ISAB (n = 4) were isolated. However, from 2009, all isolates were IRAB (n = 12). Ten isolates were available for additional test and confirmed as IRAB. MLST analysis showed that among 10 isolates, sequence type 138 was predominant (n = 7). All 10 isolates were positive for OXA-23-like and OXA-51-like carbapenemase. Of 27 bacteremia patients, 11 were male (41%), the median age at bacteremia onset was 5.2 years (range, 0–18.6 years). In 33% (9/27) of patients, A. baumannii was isolated from tracheal aspirate prior to development of bacteremia (median, 8 days; range, 5–124 days). The overall case-fatality rate was 63% (17/27) within 28 days. There was no statistical difference in the case fatality rate between ISAB and IRAB groups (50% vs. 71%; P = 0.422).
Conclusion
IRAB bacteremia causes serious threat in patients in PICU. Proactive infection control measures and antimicrobial stewardship are crucial for managing IRAB infection in PICU.
9.Viral Load Kinetics of SARS-CoV-2 Infection in First Two Patients in Korea
Jin Yong KIM ; Jae Hoon KO ; Yeonjae KIM ; Yae Jean KIM ; Jeong Min KIM ; Yoon Seok CHUNG ; Heui Man KIM ; Myung Guk HAN ; So Yeon KIM ; Bum Sik CHIN
Journal of Korean Medical Science 2020;35(7):e86-
As of February 2020, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) outbreak started in China in December 2019 has been spreading in many countries in the world. With the numbers of confirmed cases are increasing, information on the epidemiologic investigation and clinical manifestation have been accumulated. However, data on viral load kinetics in confirmed cases are lacking. Here, we present the viral load kinetics of the first two confirmed patients with mild to moderate illnesses in Korea in whom distinct viral load kinetics are shown. This report suggests that viral load kinetics of SARS-CoV-2 may be different from that of previously reported other coronavirus infections such as SARS-CoV.
10.A Comparison of Two Brands of Clopidogrel in Patients With Drug-Eluting Stent Implantation.
Yae Min PARK ; Taehoon AHN ; Kyounghoon LEE ; Kwen Chul SHIN ; Eul Sik JUNG ; Dong Su SHIN ; Myeong Gun KIM ; Woong Chol KANG ; Seung Hwan HAN ; In Suck CHOI ; Eak Kyun SHIN
Korean Circulation Journal 2012;42(7):458-463
BACKGROUND AND OBJECTIVES: Although generic clopidogrel is widely used, clinical efficacy and safety between generic and original clopidogrel had not been well evaluated. The aim of this study was to evaluate the clinical outcomes of 2 oral formulations of clopidogrel 75 mg tablets in patients with coronary artery disease (CAD) undergoing drug-eluting stent (DES) implantation. SUBJECTS AND METHODS: Between July 2006 and February 2009, 428 patients that underwent implantation with DES for CAD and completed >1 year of clinical follow-up were enrolled in this study. Patients were divided into the following 2 groups based on treatment formulation, Platless(R) (test formulation, n=211) or Plavix(R) (reference formulation, n=217). The incidence of 1-year major adverse cardiovascular and cerebrovascular event (MACCE) and stent thrombosis (ST) were retrospectively reviewed. RESULTS: The baseline demographic and procedural characteristics were not significantly different between two treatment groups. The incidence of 1-year MACCEs was 8.5% {19/211, 2 deaths, 4 myocardial infarctions (MIs), 2 strokes, and 11 target vessel revascularizations (TVRs)} in Platless(R) group vs. 7.4% (16/217, 4 deaths, 1 MI, 2 strokes, and 9 TVRs) in Plavix(R) group (p=0.66). The incidence of 1-year ST was 0.5% (1 definite and subacute ST) in Platless(R) group vs. 0% in Plavix(R) group (p=0.49). CONCLUSION: In this study, the 2 tablet preparations of clopidogrel showed similar rates of MACCEs, but additional prospective randomized studies with pharmacodynamics and platelet reactivity are needed to conclude whether generic clopidgrel may replace original clopidogrel.
Blood Platelets
;
Coronary Artery Disease
;
Drug-Eluting Stents
;
Follow-Up Studies
;
Glycosaminoglycans
;
Humans
;
Incidence
;
Myocardial Infarction
;
Retrospective Studies
;
Stents
;
Stroke
;
Tablets
;
Thrombosis
;
Ticlopidine