1.The Prevalence of chronic fatigue and chronic fatigue syndrome: A Hospital based study.
Cheol Hwan KIM ; Ho Cheol SHIN ; Yong Woo PAK
Journal of the Korean Academy of Family Medicine 2000;21(10):1288-1298
No Abstract Available.
Fatigue Syndrome, Chronic*
;
Fatigue*
;
Prevalence*
2.Clinical aspects of the preoperative selective angiogrpahy in patients and periampullary tumors.
Jin Woo RYU ; Sang Yong CHOI ; Bum Hwan KOO
Journal of the Korean Surgical Society 1992;42(1):37-42
No abstract available.
Humans
3.Synovial fluid osmolarlity of human knee.
Eun Woo LEE ; Soo Yong KANG ; Jung Hwan SEO
Journal of the Korean Knee Society 1991;3(1):15-18
No abstract available.
Humans*
;
Knee*
;
Synovial Fluid*
4.A Clinical Study of Tibial Plateau Fracture
Yung Khee CHUNG ; Jung Han YOO ; Yong Hwan WOO
The Journal of the Korean Orthopaedic Association 1989;24(5):1330-1336
Tibial Plateau fracture is relatively common injury which often produce major disability, and their treatment has been in controversy. Recent studies suggest that early knee motion and perhaps better surgical techniques have improved clinical end results. Protection from weight bearing and length of immobilization have varied among authors and variable treatment methods. Thirty-eight tibial plateau fractures treated at Kangnam Sacred Heart Hospital from March in 1984 to December in 1988 were analized and the followings were obtained. l. Of 38 patients, 29 patients were male and 9 female. 2. The most common associated injury was an ipsilateral fibular fracture. 3. Average duration of immobilization was 4 to 6 weeks in conservative treatment and 2 to 4 weeks in operative treatment. 4. We started partial weight bearing in 24 patients within 6 weeks and full weight bearing in 28 patients between 8 and 12 weeks, and good end results were obtained.
Clinical Study
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Female
;
Heart
;
Humans
;
Immobilization
;
Knee
;
Male
;
Weight-Bearing
5.Ipsilateral Tibial Shaft Fractures and Knee Ligament Injuries
Eun Woo LEE ; Soo Yong KANG ; Jung Hwan SEO
The Journal of the Korean Orthopaedic Association 1990;25(5):1317-1322
Nine patients with ipsilateral tibial shaft fractures and knee ligament injuries were retrospectively reviewed to determine the methods of the diagnosis and the results of the treatment. The incidence of this combined injuries was 5% in one hundred and eighty two tibial shaft fractures. The injuries of posterior cruciate ligament were combined most freqently. Five of nine patients were open fractures. Bone union was obtained in all cases and the mean duration of bone union was 22.5 weeks. Athroscopy and stress X-ray for the cruciate ligament were helpful to diagnose this combined injures. The ligament injuries were surgically managed in eight and conservatively in one. Better results were obtained when this combined injuries were operated early, but four of nine patients were disabled. The results suggest that the examination of the knee is necessary to document ligamentous injuries that occur with tibial shaft fractures.
Diagnosis
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Fractures, Open
;
Humans
;
Incidence
;
Knee
;
Ligaments
;
Posterior Cruciate Ligament
;
Retrospective Studies
6.Surgical Treatment of Spondyloisthesis Utilizing Variable Spine Plate(VSP) with Pedicle Screw Fixation
Yung Khee CHUNG ; Jung Han YOO ; Baek Yong SONG ; Yong Hwan WOO
The Journal of the Korean Orthopaedic Association 1989;24(5):1296-1306
Thirty-two consecutive patients with spondylolisthesis associated with displacement in varying degrees were operated by the Steffee procedure. Slippings more than Meyerding Grade III were reduced by modified Schollner technique:destabilization of the slipped segement, local distraction with spinal elevator and completion of reduction with a cork screw force pulling backward. Autogenous bone and Pyrost were added to get solid fusion. The authors reviewed thrity-two cases of symptomatic lumbar spondylolisthesis which were operated since March in 1987 at Kangnam Sacred Heart Hospital, Hallym University and the followings were obtained. 1. There were 17 males and 15 females, and the age of the patients was 44.2 years in average ranging from 19 to 66 years. 2. The types of spondylolisthesis were isthmic defect at 19 levels in 18 cases and degenerative in 14 cases. The level of the lesion was L5-Sl in 17 cases, L4-5 in 15 cases and L2-3 in 1 cases. 3. The clinical symptoms were low back pain, radiating pain, intermittent claudication, and motorsensory deficit in order of incidence. 4. Preoperatively, the degree of slinpping was Meyerding Grade I in 18, Grade III in 12 and Grade Ill in 3 cases. The slipping was reduced to nearly anatomic position in 13 cases and Grade I in 20 cases. The average slipping measured by Taillard method was changed from 23.4% preoperatively to 5% postoperatively. 5. Clinically, the results were judged as excellent in 13(13%) cases, good in 16(50%) cases and fair in 3(9%) cases according to Kim's criteria. 6. Postoperative complications were leg pain in 3 cases and "stress transfer" in 1 cases.
Elevators and Escalators
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Female
;
Heart
;
Humans
;
Incidence
;
Intermittent Claudication
;
Leg
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Low Back Pain
;
Male
;
Methods
;
Pedicle Screws
;
Postoperative Complications
;
Spine
;
Spondylolisthesis
7.Treatment of Tibial Medial Bone Defect in Primary TKA.
Woo Shin CHO ; Key Yong KIM ; Soo Sung PARK ; Jung Hwan KIM ; Kwang Hwan JUNG ; Duck Hyun KIM
Journal of the Korean Knee Society 1999;11(1):13-19
There are several rnethods to correct the tibial bony defect including resection, cement filling, autograft or allograft and metal augmentation. The purpose of this study is to find the adequate treatment method of tibia bony defect through analysis of the result with above methods. From Sep. 1993 to Dec. 1997, the authors analyzed 93 cases of tibial medial bony defect corrected by overresection of lateral condyle, allograft and metal wedge or block among 358 cases of primary total knee arthroplasty(TKA) operated at Asan Medical Center. All cases were devided into four groups according to the treatment method; group A(31 cases) with overresection of lateral condyle, group B(37 cases) with metal wedge, group C(21 cases) with metal block and group D(4 cases) with allograft. The mean follow up period was 23.6 months(12 56 months). The results were as follows, 1. There were no definite statistical difference between group A, B, C and D in HSS knee score, ROM, correction of deformity. But in group D, there is one case of loss of the correction. 2. Loosening of the implant was not noted, but 17 cases of mild bony resorption was found just beneath the implant. It was particularly prominent in group B(9 cases) than group A(5 cases) and C(3 cases). 3. Among 4 cases of allograft, one has developed collapse of allograft. 4. 3 cases of deep infection developed only in group C, which were followed by revision TKA. Although further follow up study should be carried out, we concluded that resection of lateral tibial condyle, allograft, metal augmentation is a good substitute to the correction of the tibial bony defect in primary TKA.
Allografts
;
Autografts
;
Chungcheongnam-do
;
Congenital Abnormalities
;
Follow-Up Studies
;
Knee
;
Tibia
8.An Anesthetic Experience for Resection of Pheochromocytoma - 1 cases .
Korean Journal of Anesthesiology 1981;14(2):220-224
The author reports an anesthetic experience of right adrenalectomy. The patient was 38 years old male, having suffered from pheochromocytoma. Thiopental sodium, 300mg of 2.5% was used for induction, followed by N2O, O2, and halothane for maintenance and 0.1% S.C.C. solution in 500 ml of 5% D/W solution, dripped intravenously for muscle relaxation. AS the time of surgical manipulation of the gland, blood pressure was suddenly raised to 250/160mmHg, and a few minutes later massive bleeding, about 1800ml in amount, was detected in the operating and then the heart was arrested. Resuscitation was performed with adequate oxygenation and medications. The patient recovered well without any sequelae. The importance of preoperative preparation, sufficient sedation, smooth anesthetic induction, complete analgesia, good muscle relaxation, adequate ventilation and proper cardiovascular control are discussed together with the choice of anesthetic agents and practices.
Adrenalectomy
;
Adult
;
Analgesia
;
Anesthetics
;
Blood Pressure
;
Halothane
;
Heart
;
Hemorrhage
;
Humans
;
Male
;
Muscle Relaxation
;
Oxygen
;
Pheochromocytoma*
;
Resuscitation
;
Thiopental
;
Ventilation
9.An Anesthetic Experienee with Unilsteral Adrenalectomy for Cushing`s Syndrome due to Adrenocortical Adenama - 1 Case .
Korean Journal of Anesthesiology 1981;14(2):204-207
Anesthesia was induced with intravenous thiopental, followed by succinylcholine, N2O-O2-halothane and pancuronium. An endotracheal semiclosed circle absorption technic with controled ventilation was performed. Under continuous monitoring of blood pressure, pulse, EKG, CVP and urine output, the patient tolerated during the anesthetic period well. And high blood pressure was adequately controlled by increasing the percentage of halothane concentration only.
Absorption
;
Adrenalectomy*
;
Anesthesia
;
Blood Pressure
;
Electrocardiography
;
Halothane
;
Humans
;
Hypertension
;
Pancuronium
;
Succinylcholine
;
Thiopental
;
Ventilation
10.The Efficacy of Emergency Computed Tomography in Patients with Chest Trauma.
Keun Hwa WOO ; Won Yul KIM ; Kyung Hwan KIM ; Hong Yong KIM ; Ghi Jai LEE
Journal of the Korean Society of Emergency Medicine 1999;10(1):91-96
BACKGROUND: Trauma is the third leading cause of death, irrespective of age, and the leading cause of death in persons under 40 years of age. Computed tomography (CT) is an effective technique in the initial emergent evaluation of the abdomen and head following blunt trauma. Most chest indies are not seen on conventional chest radiography, or may be underestimated. But routine use of CT in the initial emergent evaluation of chest trauma is controversial. CT, however, has been shown to be useful in the diagnosis of unsuspected chest injuries and in directing therapeutic interventions. This review discusses the efficacy of emergent CT in patients with blunt trauma on the chest. METHODS: To evaluate the efficacy of CT of the thorax, a retrospective study comparing early thoracic CT scanning with initial chest roentgenogram(CXR) was carried out on 121 patients with blunt trauma on the chest. The interval between CXR and CT was less than 1 hour. RESULTS: Among 121 patients, 42 patients had normal initial chest roentgenogram in whom 19 patients showed normal CT findings. Sensitivities of diagnosing pneumothorax and pleural effusion by CXR were low (49.3%and 45.1%respectively), whereas 65.7% (44/67) of patients had thoracostomy only by CXR. CONCLUSIONS : Although sometimes abused in patients with chest trauma, CT of the thorax is an effective method of detecting thoracic injuries and provides accurate information regarding their pattern and extent in the initial emergent diagnosis.
Abdomen
;
Cause of Death
;
Diagnosis
;
Emergencies*
;
Head
;
Humans
;
Pleural Effusion
;
Pneumothorax
;
Radiography
;
Retrospective Studies
;
Thoracic Injuries
;
Thoracostomy
;
Thorax*
;
Tomography, X-Ray Computed