1.Analysis of stress by korean social rcadjustment rating scale in peptic ulcer patients.
Joon Ha KANG ; Woo Sung CHO ; In Hwa KIM ; Jong Sung CHUNG ; Sung Wook YOON
Journal of the Korean Academy of Family Medicine 1993;14(10):637-646
No abstract available.
Humans
;
Peptic Ulcer*
2.Twin embolization syndrome as a cause of cerebral palsy: case report.
Sae Yoon KANG ; Jeong Lim MOON ; Joon Sung KIM ; Ok Hwa KIM
Journal of the Korean Academy of Rehabilitation Medicine 1992;16(3):302-309
No abstract available.
Cerebral Palsy*
;
Humans
3.Comparison of Functional Electrical Stimulation with Multi-joints Coordinate Movement and Electric Muscle Stimulation on Mono-joint for Arm Recovery in Hemiplegia.
Yong Soon YOON ; Ji Young KANG ; Jeoung Hwa KIM
Journal of the Korean Geriatrics Society 2008;12(2):74-81
BACKGROUND: To assess the efficacy of functional electrical stimulation(FES) with multi-joints coordinate movement compared to electric muscular stimulation for mono-joint movement in enhancing the upper extremity motor and functional recovery of hemiplegic survivors. METHODS: Forty patients with hemiplegia were divided into two groups. The FES group received FES to produce hand grip, elbow flexion, elbow extension and hand release in sequence with voluntary movement. Control group received electrical stimulation to produce wrist extension without voluntary movement. All groups received for 20 minutes per session, twice a day, 5 days a week during 4 weeks and under the same occupational and physical therapies during 4 weeks. Outcomes were assessed in a blinded manner with the upper extremity component of the Fugl-Meyer Motor Assessment, the self-care component of the Modified Barthel Index(MBI), Upper extremity muscle strength, Wolf Motor Function Test(WMFT), spasticity, and Range of motion(ROM) of shoulder before and after treatment. RESULTS: There were significant improvements of the power at shoulder & elbow flexion, WMFT, Fugl-Meyer, hand grip, and MBI in both group(p<0.05). ROM of shoulder, the power of wrist extension, and pinch improved only at the FES group(p<0.05). The FES group had better effects at WMFT, Fugl-Meyer, hand grip, pinch, MBI, shoulder ROM, and spasticity after treatment(p<0.05). CONCLUSION: This study showed that FES and multi-joints coordinate movements are better than electric muscular stimulation for mono-joint movement to enhance the upper extremity functional recovery in hemiplegia.
Arm
;
Elbow
;
Electric Stimulation
;
Hand
;
Hand Strength
;
Hemiplegia
;
Humans
;
Muscle Spasticity
;
Muscle Strength
;
Muscles
;
Self Care
;
Shoulder
;
Upper Extremity
;
Wolves
;
Wrist
4.Analysis of Effectiveness of the Maximum Surgical Blood Order Schedule.
Yoon Hee KANG ; Chun Hwa IHM ; Seog Woon KWON
Korean Journal of Blood Transfusion 2002;13(1):31-42
BACKGROUND: The maximum surgical blood order schedule (MSBOS) is a viable option for reducing unnecessary crossmatching and achieving significant cost savings in the blood bank. In this study, we showed the process establishing MSBOS and through a prospective study, we evaluated the efficacy of MSBOS. METHODS: We organized task force team for transfusion management improvement composed of a director of the blood bank, surgeons and anesthesiologists in the Committee for Quality Improvement (CQI) of Asan Medical Center. In this team, we established MSBOS for most elective surgeries through the review of the previous transfusion and crossmatching data. We introduced MSBOS in April 1998 and prospectively analyzed surgeon's acceptance rate of MSBOS, crossmatch-to-transfusion ratio (C/T ratio), blood wastage rate, and cost savings. RESULTS: During the first 19 months after introducing MSBOS at our hospital, there was gradual increase in the surgeon's compliance rate of MSBOS from 30% to 94.0% through continuous education. The C/T ratio was changed from 3.5 to 1.6 and blood wastage rate was decreased from 4.0% to 1.9%. And also we could save more than 38,400,000 won through not performing the unnecessary crossmatches of 7,680 cases per year. CONCLUSION: Introduction of MSBOS can have a significant impact in reducing C/T ratio, blood wastage rate, and unnecessary crossmatches for the unused blood units. For successful application of MSBOS, cooperation with surgeons and anesthesiologists and continuous education is essential.
Advisory Committees
;
Appointments and Schedules*
;
Blood Banks
;
Chungcheongnam-do
;
Compliance
;
Cost Savings
;
Education
;
Prospective Studies
;
Quality Improvement
5.Appendiceal Polyp: A report of two cases.
Ki Hwa YANG ; Jung Min LEE ; Mi Sook LEE ; Sang Ho PARK ; Young Gun YOON ; Choong Gu KANG
Korean Journal of Pathology 1996;30(11):1045-1049
Varying types of polyps could occur in the vermiform appendix. However, it is very unusual. Collins found 57 cases (0.08%) of benign mucosal polyps in the 71,000 cases of appendectomy specimens. There has been no reported case of appendiceal polyp in the literature in Korea. The authors experienced two cases of polyp in the vermiform appendix. The first case was a 51 year-old male patient who received a left hemicolectomy due to colonic polyposis. The second case was a 71 year-old male patient who was treated by appendectomy under the clinical diagnosis of acute appendicitis. The microscopic type of both cases were hyperplastic polyp.
Male
;
Humans
6.The Significance of Serum Cardiac Troponin I Concentration in the Patients with Acute Myocardial Infarction.
Youg Sun YOON ; Heung Sun KANG ; Chung Whee CHOUE ; Kwon Sam KIM ; Jung Sang SONG ; Jong Hwa BAE
Korean Circulation Journal 1998;28(10):1717-1726
BACKGROUND: The cardiac troponin I (cTnI), one of the subunits of the troponin regulatory complex, binds to actin and inhibits interactions between actin and myosin. cTnI is highly sensitive and specific marker for myocardial injury and is useful in diagnosis and detection of reperfusion in acute myocardial infarction (AMI). In this study, we measured the serum concentration of cTnI according to serial time after chest pain in patients with AMI and compared serum concentration of cTnI with CK-MB and echocardiographic data to evaluate the significance of measuring serum concentration of cTnI in AMI. SUBJECTS AND METHODS: The study was carried out on 16 patients with first attack of AMI within 6 hours of chest pain. All patients were performed thrombolytic therapy and reperfusion was confirmed by coronary angiography. Blood samples for measuring of CK-MB and cTnI were collected at 4-h intervals during the first 24 h, 12-h intervals until 48 h, and 24-h intervals until fourth days after hospitalization. Echocardiography were performed before thrombolytic therapy in all patients. RESULTS: 1) The mean age of subjects was 63.6+/-11.5 years (range:44 - 84 years) and 11 patients were men and 5 patients were women. The site of infarction was anterior in 11 patients and inferior in 5 patients. 2) The peak concentrations of CK-MB and cTnI were reached from 4-h to 12-h after admission in all patients (7.3+/-2.6-h, and 9.0+/-3.1-h, respectively), but there was no significant difference in peak time. 3) Serum concentration of CK-MB was normalized at 72-h after admission, but cTnI was remained in increased state until 96-h after admission. The numbers of the patients with above cutoff value of CK-MB and cTnI at different time after admission were significantly different after 72-h (p<0.05). 4) The peak cTnI and sigma cTnI level were significantly correlated with peak CK-MB and sigma CK-MB level, respectively (r 2 =0.7955, p<0.0001 and r 2 =0.6378, p=0.0002, respectively). 5) The ejection fraction was not correlated with peak cTnI concentration (r 2 =0.0948, p=0.2461) and sigma cTnI (r 2 =0.1867, p=0.0946). 6) The wall motion score index was not correlated with peak cTnI concentration (r 2 =0.2135, p=0.0716), but significantly correlated with sigma cTnI (r 2 =0.2540, p=0.0465). CONCLUSION: The serum concentration of cTnI was useful in late diagnosis of AMI and cTnI release in patients with AMI was correlated with myocardial infarct size.
Actins
;
Chest Pain
;
Coronary Angiography
;
Delayed Diagnosis
;
Diagnosis
;
Echocardiography
;
Female
;
Hospitalization
;
Humans
;
Infarction
;
Male
;
Myocardial Infarction*
;
Myosins
;
Reperfusion
;
Thrombolytic Therapy
;
Troponin I*
;
Troponin*
7.Maturation of cervical vertebrae in relation to menarche.
Jin Hwa LEE ; Yoon Goo KANG ; Ki Soo LEE ; Jong Hyun NAM
Korean Journal of Orthodontics 2009;39(1):28-35
OBJECTIVE: The purpose of this study was to investigate the relationship between menarche and cervical vertebral maturation. METHODS: Lateral cephalograms of 67 young korean girls within the range of 1 year before or after their menarche were gathered. The concavity of the cervical vertebrae base and the ratio of the base length to the 3rd and 4th cervical vertebrae anterior height were measured and analyzed. RESULTS: The mean measured values were as follows; concavity of the 3rd cervical vertebrae base: 1.27 (+/- 0.18) mm, concavity of the 4th cervical vertebrae base: 1.06 (+/- 0.15) mm, ratio of the base length to the 3rd cervical vertebrae anterior height: 0.73 (+/- 0.06) and ratio of the base length to the 4th cervical vertebrae anterior height: 0.70 (+/- 0.05). There was a significant increase in the ratio of the base length to the 3rd vertebrae anterior height and the base concavity of the 3rd and 4th cervical vertebrae during the period of 1 year before to 1 year after their menarche. CONCLUSIONS: These characteristics of the 3rd and 4th cervical vertebrae on the lateral cephalogram can provide useful clues on evaluating the growth stage.
Cervical Vertebrae
;
Female
;
Menarche
;
Spine
8.Correction of Congenital Metacarpal Synostosis with Polypropylene Mesh as an Interpositional Material.
The Journal of the Korean Orthopaedic Association 2013;48(4):314-318
Metacarpal synostosis is an uncommon congenital hand malformation characterized by the coalescence of two or more adjacent metacarpals. Patients visit the hospital due to abduction deformity, which is usually a mild deformity or a minor functional deficit. This is one of the reasons why the patient goes to the hospital late and foregoes proper management with early detection and treatment. A number of surgical procedures ranging from simple to complex have been employed for treatment of this deformity. We describe our experience with a longitudinal osteotomy, realignment of component metacarpals with the metacarpophalangeal joint, and interposition of a non-absorbable polypropylene mesh used for inguinal hernia for correction of the abducted deformity and prevention of recurrence of synostosis while minimizing morbidity.
Congenital Abnormalities
;
Hand
;
Hernia, Inguinal
;
Humans
;
Metacarpal Bones
;
Metacarpophalangeal Joint
;
Osteotomy
;
Polypropylenes
;
Recurrence
;
Surgical Mesh
;
Synostosis
9.Measurement of Subjective Cognitive Decline (SCD) Using Korean-Everyday Cognition (K-ECog) as a Screening Tool: a Feasibility Study
Minji SONG ; Sun Hwa LEE ; Seong Yoon KIM ; Yeonwook KANG
Dementia and Neurocognitive Disorders 2021;20(4):80-88
Background:
and Purpose: Everyday Cognition (ECog) has been widely used to differentiate individuals with mild cognitive impairment (MCI) and dementia from normal elderly individuals. It has also been used to assess subjective cognitive decline (SCD). This study investigated the feasibility of using ECog as a screening measure for SCD in communitydwelling elderly individuals.
Methods:
The participants included 84 older adults with and 93 without SCD living in the community. These 2 groups were classified based on their response (“yes” or “no”) to the question “Do you perceive memory or cognitive difficulties?” All participants were evaluated using the Korean-Mini Mental State Examination (K-MMSE), Short form of the Geriatric Depression Scale (SGDS), and the Korean version of Everyday Cognition (K-ECog).
Results:
The scores of all participants were within the normal range on the K-MMSE and SGDS. The total K-MMSE score did not differ significantly between the 2 groups after controlling for age, education, and depression. The scores of SCD group were significantly higher than those of the non-SCD group for memory, language, and executive function:planning domains, as well as K-ECog total score. Receiver operating characteristic curve analysis revealed that the K-ECog total score was effective in moderately differentiating between subjects with and without SCD (area under the curve: 0.73).
Conclusions
ECog is a feasible and useful screening measure for SCD in older adults living in the community, and can be used to assess the full spectrum of cognitive and functional deficits, ranging from SCD to MCI and dementia.
10.Brain MRI findings in children with developmental motor delay.
Jeong Lim MOON ; Seung Han YANG ; Sae Yoon KANG ; Chan Seok OH ; Young Shin PARK ; OK Hwa KIM
Journal of the Korean Academy of Rehabilitation Medicine 1993;17(4):585-594
No abstract available.
Brain*
;
Child*
;
Humans
;
Magnetic Resonance Imaging*