1.A clinical effect of retreatment by prothionamide, cycloserine, para-aminosalicylic acid, streptomycin(kanamycin or tuberactinomyc-in) on pulmonary tuberculosis.
Cheol Shick SHIN ; Young Jae IM ; Young Jun KIM ; Seok Shin KOH ; Moon Shik KIM
Tuberculosis and Respiratory Diseases 1992;39(2):167-171
No abstract available.
Aminosalicylic Acid*
;
Cycloserine*
;
Prothionamide*
;
Retreatment*
;
Tuberculosis, Pulmonary*
2.Central Venous oxygen Saturation(ScvO2)Monitoring in Hemorrhagic Shock.
Jun Seob SHIN ; Moo Soo KIM ; Koo Young JUNG
Journal of the Korean Society of Emergency Medicine 1998;9(1):56-62
An accurate and relatively simple method for estimating the amount of acute blood loss is essential in the hemorrhagic shock patients. Conventional physiologic parameters, blood pressure, pulse rate and CVP, could not serve for evaluation of the adequate oxygen transport in the tissue. Pulmonary artery catheter is a best tool for evaluating the cardiopulmonary function and the oxygen transport system, and mixed venous oxygen saturation(SvO2) monitoring have made a great advances for early detection of cardiovascular dysfunction and the changes in peripheral tissue oxygenation. But pulmonary artery catheterization is complicated procedure in emergency setting. Although the central venous oxygen saturation(ScvO2) cannot completely replace the SvO2 value, it has a close relation with SvO2 change in variable clinical situations. We testify the usefulness of ScvO2 monitoring in 24 patients of the hemorrhagic shock. Initial resuscitation was performed with ATLS standard and continuous ScvO2 was monitored. Systolic blood pressure and pulse rate were recorded for one hour from initial resuscitation in each 15 minutes. Nineteen patient was traumatic hemorrhagic shock and five was non traumatic. Twelve of 19 patients was blunt trauma, and remains were stab in injury mechanism. Mortality rate was 29.2%. Initial ScvO2 of nonsurvivor was 43.6%, and 51.3% in survivor groups(p>0.05). In the group of stab wound and non-traumatic hemorrhage, the ScvO2 was gradually increase by time. But ScvO2 in survivors of blunt trauma was increased first 30 minutes and decrease afterthen. Continuous monitoring of ScvO2 may by partly useful in resuscitation for hemorrhagic shock. It is more valuable in the blunt trauma than in the penetrating injury or non-traumatic hemorrhage.
Blood Pressure
;
Catheterization, Swan-Ganz
;
Catheters
;
Emergencies
;
Heart Rate
;
Hemorrhage
;
Humans
;
Mortality
;
Oxygen*
;
Pulmonary Artery
;
Resuscitation
;
Shock, Hemorrhagic*
;
Survivors
;
Wounds, Stab
3.Intraoperative Technical Errors and Postoperative Complications of Bone Patellar Tendon Bone ACL Recostruction.
Dong Min SHIN ; Jun Young LEE ; Sang Ho HA
Journal of the Korean Knee Society 1997;9(2):168-172
The most commonly used graft source for anterior cruciate ligament reconstruction is the autogenous bone- patellar tendon-bone graft unit. Despite a good success record, intraoperative technical errors and postoperative complications have been known. Author analyzed intraoperative technical errors and postoperative complications, in 44 patients who were treated at the department of orthopaedic surgery, chosun university hospital from Jan. 1994 to Jun. 1996. The most common intraoperative technical errors was screw graft divergency in 5 cases. Other intraoperative technical errors were too anteriorly location of femoral tunnel in 1 case, too anteriorly location of tibial k femora) tunne.l both in 1 case, graft tunnel mismatching in 1 case, graft pullout in 1 case and partial destruction of posterior cortex of femoral tunnel in 1 case, fracture of the bone plug in 1 case. The most common postoperative complication was patellar tendinitis in 20 cases (45.5%). Other postoperative complications were anterior knee pain in 14 case. (31.8%), patellar crepitation in 12 cases (27.3%), quadriceps atrophy in 9 cases (20.5%), arthrofibrosis in 3 cases and graft failure in 2 cases. Author concluded the causes of intraoperative complications were technical errors, and anteriorly location of graft tunnel is most influenced factor to final fuctional results. To eliminate the postoperative complications, intraoperative technical errors should be avoided and also accelerated rehabilitation should be done.
Anterior Cruciate Ligament Reconstruction
;
Atrophy
;
Humans
;
Intraoperative Complications
;
Knee
;
Patellar Ligament*
;
Postoperative Complications*
;
Rehabilitation
;
Tendinopathy
;
Transplants
4.Anthralin Therapy for Psoriasis.
Jai Il YOUN ; Jun Woo SHIN ; Ai Young LEE ; Yoo Shin LEE
Korean Journal of Dermatology 1988;26(1):68-72
Our Study was performed to evaluate the effect of anthralin for the treatment of psoriasis. Thirty seven patients with mild form of psoriasis were trested with topical anthralin ointment. 1. Twenty patients(54%) showed clearing of lesion within 8 weeks. 2. Treatment with anthalin was failed in 15 patients(40.5%). 3. Side reaction such as staining, pruritus and erythems was noted in 18 patients (48.6%), among them, 8 patients(21.6%) terminated the therapy with anthralin due to marked side reaction.
Anthralin*
;
Humans
;
Pruritus
;
Psoriasis*
5.Left to right ratio of autopneumonectomy state in pulmonary tubercu-losis patients.
Cheol Shick SHIN ; Jae Man JEONG ; Young Jae IM ; Young Jun KIM ; Seok Shin KOH ; Moon Shik KIM
Tuberculosis and Respiratory Diseases 1992;39(4):343-347
No abstract available.
Humans
6.Correlation between the response of multitest@ CMI and CD4+ T cell count in HIV infected persons.
Young Keol CHO ; Kyung Soon CHEONG ; Won Kyung JUN ; Young Bong KIM ; Yung Oh SHIN
Journal of the Korean Society of Virology 1992;22(1):53-59
No abstract available.
Cell Count*
;
HIV*
;
Humans
7.Percutaneous Balloon Mitral Valvuloplasty in Pregnancy.
Young Jun SHIN ; Won Heum SHIM ; Young Sup YOON ; Nam Sik CHUNG
Korean Circulation Journal 1992;22(5):858-862
BACKGROUND: Since percutaneous mitral valvuloplasty(PMV) using balloon was introduced by Inoue in 1984, this procedure has been accepted as a new non-surgical therapeutic modality for the treatment of selected patients with mitral stenosis. Pregnant women with mitral stenosis has suffered from life threatening complication due to altered hemodynamic changes and heart failure. Surgical valvotomy has been performed after failure of medical therapy with high risk of fetal mortality and teratogenicity. PMV can be an adequate alternative to surgical valvotomy in pregnant women. METHODS: After precise echocardiographic examination of mitral valve and its surrounding structures including thrombi in left artrium was performed, antegrade transseptal procedure was done in all 3 cases with abdominal shield using Inoue balloon technique. RESULTS: Mitral valve area increased over 1.5cm2 and hemodynamic variables improved immediately after PMV. Symptoms subsided soon after PMV in all 3 cases. Healthy normal babies were delivered transvaginally without difficulties in all 3 patients. CONCLUSIONS: Percutaneous mitral valvuloplasty is a safe and effective therapeuteic alternative to surgical valvotomy in a pregnant women with mitral stenosis who failed medical therapy, in a high risk or symptomatic pregnant women.
Echocardiography
;
Female
;
Fetal Mortality
;
Heart Failure
;
Hemodynamics
;
Humans
;
Mitral Valve
;
Mitral Valve Stenosis
;
Pregnancy*
;
Pregnant Women
8.Diagnostic study of the Computerized Tomography for the Acetabular fracture
Joon Young KIM ; Woo Shin CHO ; Young Jun KIM ; Byoung Hean KIM
The Journal of the Korean Orthopaedic Association 1986;21(2):251-262
The value of the computed tomography(CT) in the diagnosis of the pelvic bone (especially acetabulum) is being explored. Simple radiographic projections, including specially designed views, although very helpful, often can not provide sufficient information to give a true sense of the fractures.CT,converoly displays the anatomy in a axial plane, thereby providing the missing pieces of information and greatly fascilitating accurate classification of these fractures. In addition, the extent of the soft tissue damage and joint involvement is precisely demonstrated. 10 patients with acetabular fracture, were adimitted to Koryo General Hospital and were taken the CT, were reviewed. Comparing simple radiographic findings with those of the CT, we have made the following conclusions: 1. CT was shown to be useful in the evaluation of the acetabular fractures. 2. CT could detect the pattern of acetabular fracture including degree of fracture fragment, displacement and loose body fragment, and stability of the hip joint. 3. Follow-up of the CT was helful in confirming the extent of bony union of the acetabular fracture. 4. CT was more sensitive than simple radiography in detecting fractures involving the anterior column of the acetabulum.
Acetabulum
;
Classification
;
Diagnosis
;
Follow-Up Studies
;
Hip Joint
;
Hospitals, General
;
Humans
;
Joints
;
Pelvic Bones
;
Radiography
9.A case of Congenital Ectodermal Dysplasia, Hidrotic Type.
Young Seok JUN ; Young Ok SIM ; E NICHOLSON ; Young Sin KWARK
Journal of the Korean Pediatric Society 1979;22(6):471-475
Congenital Ectodermal dysplasia is known to be rare, recently we experienced one case of congenital ectodermal dysplasia of hydrotic tipe in newborn infant due to autosomal dominance. Review of Literatvre was done briefly.
Ectoderm*
;
Ectodermal Dysplasia*
;
Humans
;
Infant, Newborn
10.Study of Prolonged Membrane Rupture with Relationship to Management.
Young Seok JUN ; Young Ok SIN ; Elizabeth NICHOLSON ; Young Shin KWARK
Journal of the Korean Pediatric Society 1979;22(4):320-323
At present there is argument for and against the use of prophylatic antibiotics in simple prolonged ruptured membranes. At Il Sin we studied 96 babies of mothers with prolonged ruptured membranes(58 control, 38 treated). We differentiated between the premature and fullerm babies. The number of premature babies were too small for conparision but in the full term control and prophylactic group, we did not find any difference in complication incidence. The refore, we do not think prophylactic antibiotics are indicated in simple prolonged ruptured membrane of fullterm babies. However further studies are necessary in premature babies.
Anti-Bacterial Agents
;
Humans
;
Incidence
;
Membranes*
;
Mothers
;
Rupture*