1.A case of body stalk anomaly antenatally detected by ultrasonogram.
Kwon Hae LEE ; Ho Yong JEON ; Kae Hyun NAM ; So Yeong JIN ; Tai Ho CHO
Korean Journal of Obstetrics and Gynecology 1993;36(1):100-105
No abstract available.
Ultrasonography*
2.Lived Experiences of Life World for Adolescents with Epilepsy.
Yeong Sook PARK ; Eun Nam JEONG ; Jin Hyang YANG
Journal of Korean Academy of Fundamental Nursing 2011;18(1):6-18
PURPOSE: This study was done to explore the meaning and nature of life world for adolescents with epilepsy. The hermeneutic phenomenological method which was developed by van Manen was used. METHODS: Participants were four boys and five girls, ages 13 to 18 being seen in a neurology outpatient department. Data were collected from iterative work with in-depth interviews from during the period from February to September, 2010. Contents of the interviews were tape-recorded with participant consent. RESULTS: Essential themes that fit into the context of the 4 existential grounds of body, time, space and other people were: an illness that makes a hurt in one's heart rather than one's body, a change in the body that is not controllable, a future like thick fog, everyday life trapped in illness, a change of relationships, learning how to live with an illness. CONCLUSION: Findings reveal the life world of the adolescents is affected to varying degrees by the epilepsy. It is important for nurses to identify and address developmental issues and effects of the illness and to support reorientation in a disintegrated life situation. The result of this study will provide nurses with insights into these experiences and should help promote empathetic care.
Adolescent
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Chronic Disease
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Epilepsy
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Heart
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Humans
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Learning
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Life Change Events
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Neurology
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Outpatients
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Qualitative Research
;
Weather
3.Treatment of Freiberg’s Disease Using the Shortening Effect of the Modified Weil Osteotomy
Tae-Hoon LEE ; Yeong-Hyeon LEE ; Gil-Yeong AHN ; Il-Hyun NAM ; Kyung-Jin LEE ; Sang-Won WOO
Journal of Korean Foot and Ankle Society 2021;25(4):165-170
Purpose:
This study sought to evaluate the clinical effectiveness of the shortening effect of the modified Weil osteotomy for the treatment of Freiberg’s disease.
Materials and Methods:
We reviewed 21 cases treated with the modified Weil osteotomy for Freiberg’s disease from November 2005 to June 2019. The average follow-up period was 32.5 months and the mean age of the patients was 38.3 years. The clinical results were analyzed using the American Orthopaedic Foot and Ankle Society (AOFAS) lesser metatarsophalangeal-interphalangeal scale, the visual analogue scale (VAS), and the range of motion (ROM) of the metatarsophalangeal joint. In the radiologic evaluation, the length of preoperative and postoperative metatarsal shortening was compared.
Results:
The average AOFAS lesser metatarsophalangeal-interphalangeal scale showed an improvement from 60.5 preoperatively to 90.9 at the latest follow-up. VAS showed a decrease from 5.4 preoperatively to 0.9 at the latest follow-up. ROM of the affected metatarsophalangeal joint increased from 40.2 degrees preoperatively to 58.6 degrees at the latest follow-up. The mean length of metatarsal shortening was 6.7 mm. There was no transfer metatarsalgia, osteonecrosis, and definite joint space narrowing.
Conclusion
Modified Weil osteotomy with second layer cutting is an effective treatment option to restore the joint surface and painless joint motion for patients with Freiberg’s disease.
4.The Relationship between Juxtapapillary Duodenal Diverticula and Biliary Diseases: An Evaluation by the Use of MDCT Multiplanar Reformation.
Jeong Gun KIM ; Jong Yeong OH ; Jin Han CHO ; Hee Jin KWON ; Kyeong Jin NAM ; Min Chan KIM
Journal of the Korean Radiological Society 2008;59(3):183-189
PURPOSE: This study was designed to assess the CT findings of a juxtapapillary duodenal diverticulum (JPDD) and to determine if there is an association between a JPDD and biliary disease using MDCT multiplanar reformation (MPR). In addition, a study was performed to determine if MPR is more useful than an axial image only for an analysis of duodenal diverticula. MATERIALS AND METHODS: A total of 49 patients who had JPDD as identified on an MDCT image were retrospectively included in this study. Patients were divided into two groups: patients with biliary disease (Group 1) and patents without biliary disease (Group 2). A total of 23 patients (46.9%) had biliary disease. We analyzed the size, location, content of the diverticulum, compression of the biliary duct by a diverticulum and the site of a duodenal papilla with an axial image only and MPR images. RESULTS: The frequency of biliary disease was increased when the papilla was located inside a diverticulum (p = 0.033). The use of an MPR image was more useful than an axial image alone for the evaluation of a site of a duodenal papilla. CONCLUSION: A JPDD is associated with the development of biliary disease and the risk of biliary disease is increased when the papilla is located in a diverticulum. An MPR image can provide more precise information about the site of a papilla than an axial image for the evaluation of a JPDD.
Bile Duct Diseases
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Diverticulum
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Duodenal Diseases
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Humans
;
Retrospective Studies
5.Accuracy Tests of 3D Rapid Prototyping (RP) Medical Models: Its Potential and Clinical Applications.
Jin Young CHOI ; Jung Ho CHOI ; Nam Kuk KIM ; Jong Ki LEE ; Myeng Ki KIM ; Myung Jin KIM ; Yeong Ho KIM
Journal of the Korean Association of Oral and Maxillofacial Surgeons 1999;25(4):295-303
Presented in this paper are the experimental results that measure rapid prototyping (RP) errors in 3D medical models. We identified various factors that can cause dimensional errors when producing RP models, specifically in maxillofacial areas. For the experiment, we used a human dry skull. A number of linear measurements based on landmarks were first obtained on the skull. This was followed by CT scanning, 3D model reconstruction, and RP model fabrication. The landmarks were measured again on both the reconstructed models and the physical RP models, and these were compared with those on dry skull. We focused on major sources of errors, such as CT scanning, conversion from CT data to STL models, and RP model fabrication. The results show that the overall error from skull to RP is 0.64+/-0.36mm(0.71+/-0.66%) in absolute value. This indicates that the RP technology can be acceptable in the real clinical applications. A clinical case that has applied RP models successfully for treatment planning and surgical rehearsal is presented. Although the use of RP models is rare in the medical area yet, we believe RP is promising in that it has a great potential in developing new tools which can aid diagnosis, treatment planning, surgical rehearsal, education, and so on.
Diagnosis
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Education
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Humans
;
Skull
;
Tomography, X-Ray Computed
6.Main Reasons for and Associated Factors of the First Fundus Examination in Diabetic Patients.
Su Jin PARK ; Hye Jin SEO ; Dae Yeong LEE ; Dong Heun NAM
Journal of the Korean Ophthalmological Society 2016;57(7):1080-1086
PURPOSE: To determine the major reasons that diabetics decide to undergo their first fundus examination, and the factors influencing such reasons. METHODS: Of the patients with type II diabetes who presented to the Department of Ophthalmology in Gachon University Gil Medical Center, 164 patients who underwent their first fundus examination after being diagnosed with diabetes were included in the study. Face-to-face and phone interviews with these patients were conducted. RESULTS: The average prevalence period from the diagnosis of diabetes to the first fundus examination was 8.3 ± 7.5 years. Of the diabetics who underwent their first fundus examination, 52.4% had diabetic retinopathy, with no significant difference in prevalence between the male and female patients (p = 0.118). The most common reason for deciding to undergo the first fundus examination was recommendation by a doctor (53.7%). For those patients who received their first fundus examination after recommendation by a doctor, the prevalence period from diabetes was the shortest among all patients (p < 0.001), and the prevalence and severity of diabetic retinopathy were the lowest (p < 0.001 and p = 0.017, respectively). The number of fundus examinations conducted following recommendation by a doctor was significantly higher in secondary and tertiary hospitals than in primary hospitals (p < 0.001). Education on diabetes and knowledge of diabetic ocular complications were found to be significantly correlated (p < 0.001). CONCLUSIONS: For patients who are diagnosed with diabetes and treated in primary hospitals, who are older, or who did not receive education on diabetes, recommendation by a doctor for early fundus examination is particularly important regardless of subjective visual disturbance. Moreover, patient education should be offered and ophthalmic examination should be recommended in primary hospitals.
Diabetic Retinopathy
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Diagnosis
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Education
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Female
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Humans
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Male
;
Ophthalmology
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Patient Education as Topic
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Prevalence
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Tertiary Care Centers
7.Aspirin Resistance May Not Be Associated with Clinical Outcome after Acute Ischemic Stroke: Comparison with Three Different Platelet Function Assays.
Nam Tae YOO ; Hyo Jin BAE ; Ji Eun KIM ; Ri Young GOH ; Jin Yeong HAN ; Moo Hyeon KIM ; Jae Kwan CHA
Korean Journal of Stroke 2012;14(1):35-42
BACKGROUND: Aspirin resistance (AR) in platelet function assays showed substantial variation depending on the methods used to evaluate it. METHODS: In this study, we prospectively compared the results of Multiplate impedance platelet aggregometry (IPA) with those of light transmission aggregometry (LTA) and VerifyNow(R) system in determination of the prevalence of aspirin resistance (AR) and investigated the correlation between its presence and poor outcome (modified Rankin scale >2) in 105 patients with aspirin after acute ischemic stroke (AIS). RESULTS: After 5 days of using aspirin, 15 patients (14.3%) were classified as aspirin-resistance with the use of IPA, 24 patients (22.9%) by the LTA, and 14 patients (13.3%) by VerifyNow. Good agreement between the results of IPA and VerifyNow, was found (R=0.674, P<0.01). The concordance rate of AR detection was high between VerifyNow and IPA (k=0.72, P<0.01), albeit quite low between LTA and IPA. Regarding on its influence on clinical outcome after AIS, there wasn't any significant relationship between occurrence of poor outcome and the presence of AR in three platelet function assays. CONCLUSION: This study reveals that the incidence of AR in AIS might be highly test-specific. IPA seems to be similar to VerifyNow as a platelet function test.
Aspirin
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Blood Platelets
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Electric Impedance
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Humans
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Incidence
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Light
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Platelet Function Tests
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Prevalence
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Prospective Studies
;
Stroke
8.A t(3;3)(q21;q26) Acute Myeloid Leukemia with the Philadelphia Chromosome as a Secondary Change.
Jin Yeong HAN ; Kyeong Hee KIM ; Jae Seok KIM ; Hyo Jin KIM ; Ryung NAM
Korean Journal of Hematology 2000;35(1):67-71
The Philadelphia chromosome (Ph) appears as a secondary change at the onset of disease. However, a late-appearing or secondary Ph has also been observed in rare cases of chronic myeloid leukemia and even more unusual events of acute myeloid leukemia. We recently experienced a 63-year-old female patient with the M1 subtype of acute myeloid leukemia. Cytogenetic studies revealed t(3;3)(q21;q26) as the primary change and the Ph translocation as the additional (secondary) anomaly. These findings further support the conclusion that the Ph plays a role not only in multistep leukemogenesis but also in clonal evolution related to disease progression.
Clonal Evolution
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Cytogenetics
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Disease Progression
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Female
;
Humans
;
Hydrogen-Ion Concentration
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Leukemia, Myelogenous, Chronic, BCR-ABL Positive
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Leukemia, Myeloid, Acute*
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Middle Aged
;
Philadelphia Chromosome*
9.Comparative Analysis of the Results between the Early Period and the Midterm Period of a Single Surgeon’s Experience in the Treatment of Hallux Valgus Using Scarf Osteotomy
Yeong-Hyeon LEE ; Il-Hyun NAM ; Tae-Hun LEE ; Gil-Yeong AHN ; Yong-Sik LEE ; Sung-Hyun HWANG ; Kyung-Jin LEE
Journal of Korean Foot and Ankle Society 2020;24(4):135-141
Purpose:
This study evaluated the results of two groups—the early group and midterm group—comparatively in the treatment of hallux valgus using a scarf osteotomy.
Materials and Methods:
From January 2005 to December 2009 (Group 1) and from January 2010 to December 2013 (Group 2), this study compared hallux valgus cases treated by a scarf osteotomy by a single surgeon with at least a five-year follow-up.
Results:
The average ages of Group 1 and Group 2 were 50.5 and 51.7 years old, respectively. The average follow-up of Groups 1 and 2 were 7.4 and 6.2 years, respectively. Groups 1 and 2 had 86 cases (53 patients) and 93 cases (64 patients) with at least a five-year followup, respectively. The average hallux valgus angle (HVA) and 1-2 intermetatarsal angle (IMA) of Group 1 were improved from 31.3° and 13.9° preoperatively to 11.3° and 6.8° at the final follow-up, respectively (p<0.001). The average HVA and 1-2 IMA of Group 2 were improved from 31.7° and 13.4° preoperatively to 8.9° and 6.6° at the final follow-up, respectively (p<0.001). The mean American Orthopaedic Foot and Ankle Society (AOFAS) score of both groups increased from 48.5 and 45.0 points preoperatively to 73.7 and 82.4 points at the final follow-up, respectively. The numbers of patient-assessed subjective satisfaction of Groups 1 and 2 at the final follow-ups were as follows: excellent, 27 and 36 (31.4%, 38.7%); good, 34 and 49 (39.5%, 52.7%); fair, 13 and 5 (15.1%, 5.4%); poor, 12 and 3 (13.9%, 3.2%);respectively. Neither troughing nor stress fractures occurred in both groups.
Conclusion
Scarf osteotomy for treating hallux valgus is an excellent surgical method with a relatively low incidence of complications.The results in Group 2 were better than those in Group 1, showing that more surgical experience and evolution of the techniques provided better results.
10.Foveal Reattachment After Scleral Buckling vs Vitrectomy for Macula-Off Retinal Detachment.
Myun KU ; Hee Jin SOHN ; Dae Yeong LEE ; Dong Heun NAM
Journal of the Korean Ophthalmological Society 2009;50(3):399-404
PURPOSE: To compare the time course of foveal reattachment after successful surgery for macula-off retinal detachments by scleral buckling or pars plana vitrectomy (PPV). METHODS: We retrospectively examined, using optical coherence tomography (OCT), the cross-sectional retinal images of 28 patients who underwent scleral buckling or PPV for macula-off retinal detachment and whose retinas reattached upon binocular stereoscopic indirect ophthalmoscopy within 4 weeks postoperatively. All eyes underwent clinical examination and OCT scan of the macula at 6 weeks after surgery. If subretinal fluid persisted, repeated OCT was obtained at every 1~2 months until no abnormality was seen on OCT. Demographic data, including detachment characteristics, was also analyzed. RESULTS: On postoperative OCT examination 6 weeks after surgery, complete foveal reattachments were detected in 14 patients (73.7%) in the PPV group (n=19), significantly higher than 3 (33.3%) patients in the buckling group (n=9). Foveal reattachment took a mean 8.31+/-5.25 weeks in the PPV group and a mean 20.89+/-11.37 weeks in the buckling group. CONCLUSIONS: Foveal reattachment after macula-off retinal detachment occurred faster after PPV than after buckle surgery.
Eye
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Humans
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Ophthalmoscopy
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Retina
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Retinal Detachment
;
Retinaldehyde
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Retrospective Studies
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Scleral Buckling
;
Subretinal Fluid
;
Telescopes
;
Tomography, Optical Coherence
;
Vitrectomy