No abstract available in English.
Hallux ; Thumb

In paediatric orthopaedic, it has been discovered that the fracture of the epiphyseal plate may cause not only growth disturbances but also progressive deformity upon appendicular skeleton of a growing child. Between 1972 May and 1983 April, 102 inward patients(106 cases) who were 18 years old or younger were treated in the department of orthopaedic surgery of Hanyang University Hospital because of epiphyseal plate fractures. The results were summerized as followings: 1. The peak age was from 5 years to 14 years(average, 10.2 years old). 2. The sex ratio was 4.3 for male to 1 for female. 3. The left side was involved more frequently than the right extremity. 4. The most common cause of fractures was injury on fall down(in 41.4% of all cases). 5. The incidence of epiphyseal fracture was 8.1% of fracture in children. 6. The most common fracture was developed at humeral epiphysis. 7. The most common type of epiphyseal fracture was Salter and Harris type IV. 8. The 50.5% of all cases was treated by closed reduction and cast immobilization, 48.1% by open reduction and internal fixation, and 1.9% by closed reduction and traction. 9. The average period of immobilization was 5.2 weeks. 10. The incidence of complication of all cases was 13.2%, but only 2 cases of them(1.9%) were needed for operation because of their complication.
Child ; Clinical Study ; Congenital Abnormalities ; Epiphyses ; Extremities ; Female ; Growth Plate ; Humans ; Immobilization ; Incidence ; Male ; Sex Ratio ; Skeleton ; Traction

No abstract available.
Child* ; Humans ; Infant*

OBJECTIVE: To present our experience with subintimal angioplasty (SA) for treatment of chronic lower limb ischemia (CLLI) and to assess its effectiveness and durability. MATERIALS AND METHODS: From April 2003 through June 2005, we treated 40 limbs in 36 patients with CLLI by SA. Balloons with or without secondary stent placement appropriate in size to the occluded arteries were used for SA of all lesions, except for iliac lesions where primary stent placement was done. The patients were followed for 1-23 months by clinical examination and color Doppler ultrasound and/or CT angiography. Technical results and outcomes were retrospectively evaluated. The presence of a steep learning curve for performance of SA was also evaluated. Primary and secondary patencies were determined using Kaplan-Meier analysis. RESULTS: Technical success was achieved in 32 (80%) of 40 limbs. There was no statistical difference between technical success rates of 75% (18/24) during the first year and 88% (14/16) thereafter. There were four complications (10%) in 40 procedures; two arterial perforations, one pseudoaneurysm at the puncture site, and one delayed hematoma at the SA site. Excluding initial technical failures, the primary patency rates at six and 12 months were 68% and 55%, respectively. Secondary patency rates at six and 12 months were 73% and 59%, respectively. CONCLUSION: Subintimal angioplasty can be accomplished with a high technical success rate. It should be attempted in patients with CLLI as an alternative to more extended surgery, or when surgical treatment is not recommended due to comorbidity or an unfavorable disease pattern.
Tunica Intima/pathology ; Stents ; Middle Aged ; Male ; Leg/*blood supply ; Ischemia/epidemiology/*surgery ; Intermittent Claudication/surgery ; Humans ; Female ; Feasibility Studies ; Constriction, Pathologic ; Comorbidity ; Chronic Disease ; Angioplasty, Balloon/*methods ; Aged, 80 and over ; Aged

OBJECTIVE: We wanted to evaluate the short-term effects of balloon-occluded retrograde transvenous obliteration (BRTO) for treating gastric variceal bleeding, in terms of the portal hypertensive changes, by comparing CT scans. MATERIALS AND METHODS: We enrolled 27 patients who underwent BRTO for gastric variceal bleeding and they had CT scans performed just before and after BRTO. The pre- and post-procedural CT scans were retrospectively compared by two radiologists working in consensus to evaluate the short-term effects of BRTO on the subsequent portal hypertensive changes, including ascites, splenomegaly, portosystemic collaterals (other than gastrorenal shunt), the gall bladder (GB) edema and the intestinal wall edema. Statistical differences were analyzed using the Wilcoxon signed rank test and the paired t-test. RESULTS: Following BRTO, ascites developed or was aggravated in 22 (82%) of 27 patients and it was improved in two patients; the median spleen volumes increased from 438.2 cm3 to 580.8 cm3, and based on a 15% volume change cut-off value, splenic enlargement occurred in 15 (56%) of the 27 patients. The development of new collaterals or worsening of existing collaterals was not observed in any patient. GB wall edema developed or was aggravated in four of 23 patients and this disappeared or improved in five; intestinal wall edema developed or was aggravated in nine of 27 patients, and this disappeared or improved in five. Statistically, we found significant differences for ascites and the splenic volumes before and after BRTO (p = 0.001 and p < 0.001, respectively) CONCLUSION: Some portal hypertensive changes, including ascites and splenomegaly, can be aggravated shortly after BRTO.
Adult ; Aged ; Aged, 80 and over ; Ascites/diagnosis/etiology ; Balloon Occlusion/adverse effects/*methods ; Cholecystography ; Contrast Media/administration & dosage ; Edema/diagnosis/etiology ; Esophageal and Gastric Varices/complications/*therapy ; Female ; Follow-Up Studies ; Gastrointestinal Hemorrhage/etiology/*therapy ; Humans ; Hypertension, Portal/*diagnosis/etiology ; Intestines/radiography ; Iohexol/analogs & derivatives/diagnostic use ; Liver Cirrhosis/complications ; Male ; Middle Aged ; Observer Variation ; Organ Size ; Retrospective Studies ; Spleen/radiography ; Splenomegaly/diagnosis/etiology ; Time Factors ; Tomography, X-Ray Computed/*methods ; Treatment Outcome

OBJECTIVE: 1) To evaluate the mid-term efficacy and safety of a permanent nitinol inferior vena cava (IVC) filter; 2) to evaluate filter effectiveness, filter stability and caval occlusion. MATERIALS AND METHODS: A prospective evaluation of the TrapEase IVC filter was performed on 42 patients (eight men, 34 women) ranging in age from 22 to 78 years (mean age 66 years). All patients were ill with a high risk of pulmonary embolism (PE). Indications for filter placement were: 1) deep vein thrombosis with recurrent thromboembolism; 2) and/or free-floating thrombus with contraindication to anticoagulation; and 3) complications in achieving adequate anticoagulation. Follow-up evaluations (mean: 15.4 months, range: 2 to 28 months) were performed at 6- and 12-month intervals after the procedure and included clinical histories, chart reviews, plain film, Doppler ultrasounds, and contrasted abdominal CT scans. RESULTS: In follow-up evaluations, the data analysis revealed no cases of symptomatic PE. There were no cases of filter migration, insertion site thrombosis, filter fracture, or vessel wall perforation. During the study, there was one case of filter thrombosis; early symptomatic thrombosis that was successfully treated in the hospital. Of the 42 subjects, eight died. These deaths were not related to the filter device or the implantation procedure, but to the underlying disease. CONCLUSION: This study demonstrates that the TrapEase permanent IVC filter is a safe and an effective device with low complication rates and is best used in patients with thromboembolic disease with a high risk of PE.
Adult ; Aged ; *Alloys ; Equipment Design ; Female ; Follow-Up Studies ; Humans ; Male ; Middle Aged ; Prospective Studies ; Pulmonary Embolism/*prevention & control ; Safety ; Thromboembolism/complications ; Treatment Outcome ; *Vena Cava Filters ; Vena Cava, Inferior ; Venous Thrombosis/*complications

In view of ever rising water pollution problems of river in the vicinity of large urban communities, the author has made an investigation on the pollution of water sampled from Han River (Seoul area) and Nakdong River (Daegu city area) during the period from july to December, 1970. The water samples were taken twice a month during the study period of 6 months from 7 points (locations) along the main stream of Han River at Seoul city and 5 points of Nakdong River at Daegu city. The samples ware measured and analyzed in accordance with the recognized methods in the "Standard Methods or Examination of Water and waste" by American Public Health Association. The obtained results are as follows: I.Han River. 1. Average turbidity was 5.1 units ranging from 1 to 10 units and the turbidity of down stream was higher than that of the upper stream. 2. pH value showed slight alkalinity (mean ; 7.2) except Yunchang-Dong (6.9). 3. The mean value of Dissolved Oxygen contents (D.O) was 7.2 ppm (range of 3.4-10.5ppm). D.O of the upper stream (8.2 ppm. at Walker Hill boating place, 8.0 ppm. at the Gwangzang Bridge and Ddookdo) was higher than that of he downstream (5.6ppm. at Yunchang-Dong. 6.4ppm. at the 2nd Han River Bridge), and D.O in the winter season was higher than that in the summer season, respectively. 4. The mean value of the Biochemical Oxygen Demand (B.O.D.) was 28.3 ppm. (range of 6.2-64.8ppm). The mean value of B.O.D. was 48.7 ppm. at Yunchang-Dong. 42.3ppm. at the 2nd Han River Bridge, 34.0 ppm. at the 1st Han River bridge, 28.5 ppm. at the 3rd Han River Bridge, 19.2 ppm. at Dookdo, 13.2 ppm. at the Gwangzang Bridge, and 10.2 ppm. at the Walker Hill boating place in order of value. B.O.D. in July and August (35.6 and 34.5 ppm.) were the highest and that in November and December (18.6 and 21.2 ppm.) were the lowest. 5. Suspended Solids (SS) were from 15.0 to 667.0 ppm. with the mean of 222.1 ppm "Suspended Solids" of the water samples at Yunchang-Dong and the 2nd Han River Bridge were found to be 378.1 ppm. and 283.9 ppm. respectively which were higher than at the Gwangzang Bridge (134.1ppm.) and at Walker Hill boating place (79.3ppm). 6. Coliform colonies counting of the water samples ranged from 0-2, 500x10/100ml. with the mean value of 205.6x10/100ml. The most contaminated water sample by coliform were from the point of the 2nd Han River Bridge with 640.8x10/100ml while the lowest ones were from Walker Hill boating place with 17.2x10/100ml. There was also a seasonal variation in coliform contamination that is the higher in summer and the lower in winter. II. Nakdong River. 1. The mean value of turbidity was 2.3 units with range of 0 to 9.0 units. The highest point was at Geumho River (7.2 units). and the lowest point was at Gangzung and Moonsan (0.45 and 0.41 units). 2. The mean value of pH was 7.5 (range of 7.1-8.5) and highest point was Geunho River with 8.5. 3. The mean value of D.O was 8.1ppm. (range of 3.4-11.2 ppm.). D.O. of the upper stream showed higher value than that of the down stream, and the winter season than the summer season. 4. B.O.D. ranged from 2.6 to 57.0 ppm. (mean; 20.4 ppm.). The water sample at Geumho River showed the highest value (41.5ppm) while at Moonsan and Gangzung showed the lowest (4.6 and 4.7 ppm.). 5. The mean value of suspended solids was 48.7 ppm. (range of 4.0-182.0 ppm.). The highest month was July (63.7 ppm.) and August (62.1 ppm.) and the lowest month was October (37.0 ppm.) and December (24.4 ppm.). 6. The mean value of the coliform colonies was 22.7x10/100ml. (range of 0-243x10/100ml.). The highest number of the colonies was found in the sample water at the Whawon recreation area (50.5x10/100ml.) followed by the Geumho River (33.9x10/100ml;), the Goryung Bridge (28.3x10/100ml.), Gangzung(0.7x10/100ml), and Moonsan (0.6x10/100ml.).
American Public Health Association ; Daegu ; Hydrogen-Ion Concentration ; Oxygen ; Recreation ; Rivers* ; Seasons ; Seoul ; Ships ; Water Pollution* ; Water*

During the period from July 1st to the end of November 1970, a survey on air pollution and noise level was made in Seoul, Pusan and Taegu, the three largest cities in Korea. Each city was divided into 4-6 areas : the industrial area, the semi-industrial area, the commercial area, the residential area, the park area and the downtown area. Thirty eight sites were selected from each area. A. Method of Measurement : Dustfall was measured by the Deposit Gauge Method, sulfur oxides by PbO2 cylinder method, suspended particles by the Digital Dust Indicator, Sulfur dioxide (SO2) and Carbon Monoxide (CO) by the MSA & Kitakawa Detector and the noise levels by Rion Sound Survey meter. B. Results: 1. The mean value of dustfall in 3 cities was 30.42 ton/km2/month, ranging from 8.69 to 95.44. 2. The mean values of dustfall by city were 33.17 ton/km2/month in Seoul, 32.11 in Pusan and 25.97 in Taegu. 3. The mean values of dustfall showed a trend of decreasing order of semi-industrial area, downtown area, industrial area, commercial area, residential area, and park area. 4. The mean value of dustfall in Seoul by area were 52.32 ton/km2/month in downtown, 50.54 in semi-industrial area, 40.37 in industrial area, 24,19 in commercial area, 16.25 in park area and 15.39 in residential area in order of concentration. 5. The mean values of dustfall in Pusan by area were 48.27 ton/km2/month in semi-industrial area, 36.68 in industrial area 25.31 in commercial area, and 18.19 in residential area. 6. The mean values of dustfall in Taegu by area were 36.46 ton/km2/month in downtown area, 33.52 in industrial area, 20.37 in commercial area and 13.55 in residential area. 7. The mean values of sulfur oxides in 3 cities were 1.52mg SO3/day/100cm2 PbO2, ranging from 0.32 to 4.72. 8. The mean values of sulfur oxides by city were 1.89mg SO3/day/100cm2 PbO2, in Pusan, 1.64 in Seoul and 1.21 in Taegu. 9. The mean values of sulfur oxides by area in 3 cities were 2.16mg SO3/day/100cm2 PbO2 in industrial area, 1.69 in semi-industrial area, 1.50 in commercial area, 1.48 in downtown area, 1.32 in residential area and 0.94 in the park area, respectively. 10. The monthly mean values of sulfur oxides contents showed a steady increase from July reaching a park in November. 11. The mean values of suspended particles was 2.89mg/m3, ranging from 1.15 to 5.27. 12. The mean values of suspended particles by sity were 3.14mg/m3 in Seoul, 2.79 in Taegu and 2.25 in Pusan. 13. The mean values of noise level in 3 cities was 71.3 phon, ranging from 49 to 99 phon. 14. The mean values of noise level by city were 73 phon in Seoul, 72 in Pusan and 69 in Taegu in that order. 15. The mean values of noise level by area in 3 cities showed a decrease in the order of the downtown area, commercial area, industrial area and semi-industrial area, park area and residental area. 16. The mean values of noise level by area in 3 cities indicated that the highest level was detected in the downtown area in Seoul and Taegu and in the industrial area in Pusan. 17. The daily average concentration o sulfur dioxides (SO2) in 3 cities was 0.081 ppm, ranging from 0.004 to 0.196. 18. The daily average concentration of sulfur dioxides by city were 0.092 ppm in Seoul, 0.089 in Pusan and 0.062 in Taegu in that order. 19. the weekly average concentration of carbon monoxides (CO) was 27.59 ppm. 20. The daily average concentration of carbon monoxides by city were 33.37 ppm. in Seoul, 25.76 in Pusan and 23.65 in Taegu in that order. 21. The concentration of SO2 and CO reaches a peak from 6 p.m. to 8 p.m. 22. About 3 times probably the daily average concentration of CO could be detected in the downtown area probably due to heavy traffic emission in comparison with that in the industrial area. 23. As for daily variation of the concentration of SO2 and CO it was found that the concentration maintains relatively higher value during weekdays in the industrial area and on the first part of the week in the downtown area.
Air Pollution* ; Busan* ; Carbon ; Carbon Monoxide ; Daegu* ; Dust ; Korea ; Noise* ; Seoul* ; Sulfur ; Sulfur Dioxide ; Sulfur Oxides

OBJECTIVE: The study aimed to describe portal stenting for postoperative portal occlusion with delayed (≥ 3 months) variceal bleeding in the afferent jejunal loop. MATERIALS AND METHODS: Eleven consecutive patients (age range, 2–79 years; eight men and three women) who underwent portal stenting between April 2009 and December 2015 were included in the study. Preoperative medical history and the postoperative clinical course were reviewed. Characteristics of portal occlusion and details of procedures were also investigated. Technical success, treatment efficacy (defined as disappearance of jejunal varix on follow-up CT), and clinical success were analyzed. Primary stent patency rate was plotted using the Kaplan-Meier method. RESULTS: All patients underwent hepatobiliary-pancreatic cancer surgery except two children with liver transplantation for biliary atresia. Portal occlusion was caused by benign postoperative change (n = 6) and local tumor recurrence (n = 5). Variceal bleeding occurred at 27 months (4 to 72 months) and portal stenting was performed at 37 months (4 to 121 months), on average, postoperatively. Technical success, treatment efficacy, and clinical success rates were 90.9, 100, and 81.8%, respectively. The primary patency rate of portal stent was 88.9% during the mean follow-up period of 9 months. Neither procedure-related complication nor mortality occurred. CONCLUSION: Interventional portal stenting is an effective treatment for delayed jejunal variceal bleeding due to portal occlusion after hepatobiliary-pancreatic surgery.
Biliary Atresia ; Child ; Esophageal and Gastric Varices ; Follow-Up Studies ; Hemorrhage* ; Humans ; Liver Transplantation ; Male ; Methods ; Mortality ; Portal Vein* ; Recurrence ; Stents* ; Treatment Outcome ; Varicose Veins*

OBJECTIVE: We wanted to valuate the mid-term therapeutic results of percutaneous transhepatic balloon angioplasty for portal vein stenosis after liver transplantation. MATERIALS AND METHODS: From May 1996 to Feb 2005, 420 patients underwent liver transplantation. Percutaneous transhepatic angioplasty of the portal vein was attempted in six patients. The patients presented with the clinical signs and symptoms of portal venous hypertension or they were identified by surveillance doppler ultrasonography. The preangioplasty and postangioplasty pressure gradients were recorded. The therapeutic results were monitored by the follow up of the clinical symptoms, the laboratory values, CT and ultrasonography. RESULTS: The overall technical success rate was 100%. The clinical success rate was 83% (5/6). A total of eight sessions of balloon angioplasty were performed in six patients. The mean pressure gradient decreased from 14.5 mmHg to 2.8 mmHg before and after treatment, respectively. The follow up periods ranged from three months to 64 months (mean period; 32 months). Portal venous patency was maintained in all six patients until the final follow up. Combined hepatic venous stenosis was seen in one patient who was treated with stent placement. One patient showed puncture tract bleeding, and this patient was treated with coil embolization of the right portal puncture tract via the left transhepatic portal venous approach. CONCLUSION: Percutaneous transhepatic balloon angioplasty is an effective treatment for the portal vein stenosis that occurs after liver transplantation, and our results showed good mid-term patency with using this technique.
Vascular Patency ; Ultrasonography, Doppler ; Treatment Outcome ; Tomography, X-Ray Computed ; Postoperative Complications ; Portal Vein/*pathology/ultrasonography ; Middle Aged ; Male ; *Liver Transplantation ; Infant ; Humans ; Follow-Up Studies ; Female ; Constriction, Pathologic ; Child ; *Angioplasty, Balloon ; Adult