1.Evaluation of computed tomography of intraventricular hemorrhage
Seon Young YOO ; Young Sik LEE ; Jeong Soo SUH ; Chung Sik RHEE ; Hee Seup KIM
Journal of the Korean Radiological Society 1983;19(4):802-811
Prior to the introduction of CT, the clinical and radiological diagnosis of the intraventicular hemorrhage inliving patients was difficult. C.T. scanning is an invaluable investigation provding the rapid and noninvasivediagnosis of intracerebral and intraventricular hemorrhage. It reliably demonstrated the presence and distributionof fresh blood within the ventricular system. CT is also useful as a surgical guidance and in the evaluation offate of the hematoma by easily performable follow-up studies. We reviewed 3 cases of intraventricular hemorrhagein CT in the departement of radiology of Ewha Womans University hospital during the period from August, 1982 toAugust, 1983. The results were as follows: 1. The most patients were encountered in the 5th decade and the male tofemale ratio was 1.2:1. 2. Hypertension was the main cause of the intraventricular hemorrhage; 18 out of 31patients. Remaning 13 patients were caused by hypoxia, aneurysm, Moya Moya disease, coagulation defect, trauma andundetermined etiology. 3. 18 out of 31 patients showed hemorrhage in the lateral ventricles only and allventricles in 10 patients. 4. 28 out of 31 patients showed associated with intracranial hematoma: Those wereintracerebral hematomas in 16 patients, intracerebral hematoma with subarachnoid hemorrhage in 4 patients andextracerebral hematoma in 2 patients. 5. Outcome was assessed using the Glasgow scale. According to them the totalmortality rate was 54.8%, however, 32.2% of patients retured to normal or minor disablity. Patients, who hadhypertension and markded degree of hemorrhage in the ventricular systems had a poor outcome. Patients with onlyventricular hemorrhage had better outcome than associated intracranial hematoma. 6. 16 out of 31 patients weretreated by surgical methods and 15 out of 31 patients by conservative methods. 75% of patients were died inconservative treatment. 7. Conclusively, causes, degree of intraventricular hemorrhage and associatedintraventricular hematoma play an important role in outcome. And surgical treatment was beneficial in only a smallselective number of cases in intraventricular hemorrhage.
Aneurysm
;
Anoxia
;
Diagnosis
;
Female
;
Follow-Up Studies
;
Hematoma
;
Hemorrhage
;
Humans
;
Hypertension
;
Lateral Ventricles
;
Male
;
Moyamoya Disease
;
Subarachnoid Hemorrhage
2.DNA typing of human papillomavirus in laryngeal papilloma.
Ju Young KIM ; Mun Su JANG ; Mun Sik YOO ; Jang Yuorl YOO ; Chan Il PARK
Korean Journal of Otolaryngology - Head and Neck Surgery 1993;36(3):355-360
No abstract available.
DNA Fingerprinting*
;
DNA*
;
Humans*
;
Papilloma*
3.Congenital cystic adenomatoid malformation
Seung Yon BAEK ; Seon Young YOO ; Young Sik LEE ; Jeong Soo SUH ; Chung Sik RHEE ; Hee Seup KIM
Journal of the Korean Radiological Society 1983;19(4):688-692
The congenital cystic adenomatoid malformation of the lung is an unusual pulmonary entity, and usuallysymptomatic in infancy with sign of resiratory distress. This abnormality consists of enlarged, multicystic lobewith smooth-walled cysts of variable sized, which can communicate with major bronchi through malformed air passagethat usually lacks in cartilage. Roentgenographic findings are three types. First type is multicystic patternshowing various sized of cysts and causing mediastinal shift with pulmonary herniation. Second type is dominantcystic pattern underlying multicystic lesion, Third type is solid homogenous mass. Prompt surgical resection ischoice of treatment. We recently experienced a case of congenital cystic adenomatoid malformation of the lung of27 day female in fant and report with reviwe of literatures.
Bronchi
;
Cartilage
;
Cystic Adenomatoid Malformation of Lung, Congenital
;
Female
;
Humans
;
Lung
4.A Case of Congenital Systemic Cytomegalic Inclusion Disease.
Kong Sik KIM ; Eun Young KWAK ; Ho Seong YOO ; Sang Gi PARK ; Young Bong PARK
Journal of the Korean Pediatric Society 1990;33(2):220-224
No abstract available.
Cytomegalovirus Infections*
5.Treatment of the Tibial Plafond Fractures Using the Ilizarov Method.
Won Sik CHOY ; Kwang Woo LEE ; Whoan Jeong KIM ; Young Sik MIN ; Ha Yong KIM ; Yoo In KIM
The Journal of the Korean Orthopaedic Association 1997;32(4):861-868
An intra-articular fracture of the distal tibia or a fracture of the tibial plafond is a relatively uncommon but the most difficult fracture to manage. There are many treatment options and many authors have reported good results after open reduction and rigid internal fixation to restore the length with articular surface and bone-graft followed by early motion and prolonged non-weight bearing. But in the fractures with severe comminution or with severe soft tissue injury, tries for internal fixation with plate and screws in the distal tibia will result in extensive soft tissue stripping of the wound with precarious blood supply, high rates of wound breakdown, superficial and deep infection, and osteomyelitis. The purpose of this study is to evaluate the results of treatment of severely open (open type III-A and more by Gustilo and Anderson) or comminuted plafond fractures (fracture type III and more by Ovadia and Beals) with an Ilizarov method with a minimum follow up of one year (average: 27.9 months) and we have reviewed 12 cases from December 1990 to October 1995. The results were as follows. 1. The average time of bone union were 17.5 weeks (range: 6-42weeks). 2. The radiological results of the treatment were excellent in 4 patients (33.3%), good in 4 patients (33.3%) and poor in 4 patients (33.3%) by radiological assessment of Crutchfield and the clinical results of the treatment were excellent in 4 patients (33.3%), good in 5 patients (41.7%) and poor in 3 patients (25.0%) by functional rating scaie of Crutchfield. 3. It seems that prognosis depends on severity of comminution at the time of injury. 4. The complications were bony collapse of the distal tibia in 2 patients, nonunion in 1 patient, degenerative arthritis of the ankle joint in 2 patients and chronic osteomyelitis in 2 patients. 5. Ilizarov technique is an useful method in the management of severely open or comminuted plafond fracture of the tibia and it would be preferable to apply buttress plate or bone graft after improvement of skin condition to prevent the late collapse.
Ankle Joint
;
Follow-Up Studies
;
Humans
;
Ilizarov Technique*
;
Intra-Articular Fractures
;
Osteoarthritis
;
Osteomyelitis
;
Prognosis
;
Skin
;
Soft Tissue Injuries
;
Tibia
;
Transplants
;
Wounds and Injuries
6.Effect of Korean red ginseng on the levels of serum p24 antigen, ?-microglobulin, and CD4+T cell counts in HIV infected patients treated with AZT(I).
Young Keol CHO ; Young Bong KIM ; Byung Sun CHOI ; Young Sik JANG ; Young Oh SHIN ; Yoo Kyum KIM
Journal of the Korean Society for Microbiology 1993;28(5):409-417
No abstract available.
Cell Count*
;
HIV*
;
Humans
;
Panax*
7.Outbreak of Imipenemase-1-Producing Carbapenem-Resistant Klebsiella pneumoniae in an Intensive Care Unit.
Jin Young LEE ; Ji Young PARK ; Je Hun KIM ; Young Hee LEE ; Hee Young YANG ; Jung Sik YOO
Korean Journal of Critical Care Medicine 2017;32(1):29-38
BACKGROUND: Carbapenem-resistant Enterobacteriaceae (CRE) with acquired metallo β-lactamase (MBL) resistance have been increasingly reported worldwide and associated with significant mortality and morbidity. Here, an outbreak of genetically related strains of Klebsiella pneumoniae producing the imipenemase (IMP)-1 MBL in a medical intensive care unit (MICU) in Korea is reported. METHODS: Since isolating carbapenem-resistant K. pneumoniae (CRKP) at the MICU of the hospital on August 10, 2011, surveillance cultures for CRE in 31 hospitalized patients were performed from August to September 2011. Carbapenem resistance was determined based on the disk diffusion method outlined in the Clinical and Laboratory Standards Institute guidelines. Polymerase chain reaction (PCR) was performed for genes coding for β-lactamase. Associations among isolates were assessed via pulsed-field gel electrophoresis (PFGE). In addition, a surveillance study of environmental cultures and health-care workers (HCWs) was conducted in the MICU during the same time frame. RESULTS: During the study period, non-duplicated CRKP specimens were discovered in four patients in the MICU, suggestive of an outbreak. On August 10, 2011, CRKP was isolated from the sputum of a 79-year-old male patient who was admitted to the MICU. A surveillance study to detect additional CRE carriers by rectal swab revealed an additional three CRKP isolates. PCR and sequencing of the four isolates identified the presence of the IMP-1 gene. In addition, PFGE showed that the four isolated strains were genetically related. CRE was not identified in specimens taken from the hands of HCWs or other environmental sources during surveillance following the outbreak. Transmission of the carbapenemase-producing Enterobacteriaceae strain was controlled by isolation of the patients and strict contact precautions. CONCLUSIONS: This study shows that rapid and systemic detection of CRE and strict infection controls are important steps in preventing nosocomial transmission.
Aged
;
Clinical Coding
;
Critical Care*
;
Diffusion
;
Disease Outbreaks
;
Drug Resistance, Bacterial
;
Electrophoresis, Gel, Pulsed-Field
;
Enterobacteriaceae
;
Hand
;
Humans
;
Infection Control
;
Intensive Care Units*
;
Klebsiella pneumoniae*
;
Klebsiella*
;
Korea
;
Male
;
Methods
;
Mortality
;
Pneumonia
;
Polymerase Chain Reaction
;
Sputum
8.Pattern of Adenomas after Colorectal Cancer Surgery.
Shin HWANG ; Won Young HWANG ; Chang Sik YOO ; Hee Won CHUNG ; Jin Cheon KIM
Korean Journal of Gastrointestinal Endoscopy 1996;16(2):191-198
Postoperative colonoscopy is an effective tool for management of colonic adenomas. Authors analyzed the pattern of colonic adenomas detected during follow-up colonoscopy after colorectal cancer surgery and evaluated the characteristics of adenornas, risk groups, and effective fo1low-up schedule. Study group were 222 patients and colonoscopy was performed 389 times. Patterns of adenornas were analyzed by variables as age, sex, preoperative serum CEA level, location of primary colorectal cancer, Borrmann type, Duke's stage, histologic differentiation, DNA ploidy, recurrence and histology. Metachronous adenomas were detected in 79 patients(35.6%) and both metachronous and syachronous adenomas were observed in 29 cases(13.1%). High risk variables for adenomas were male, old age and presence of synchronous adenoma. There were 2 patients with maligant change of adenomas. Yearly follow-up by complete colonoscopy over 3 years or more is recommended and follow-up interval should be shortened in the high risk groups.
Adenoma*
;
Appointments and Schedules
;
Colon
;
Colonic Neoplasms
;
Colonoscopy
;
Colorectal Neoplasms*
;
DNA
;
Follow-Up Studies
;
Humans
;
Male
;
Ploidies
;
Recurrence
9.Plasmid Profile and B - Lactamase Type of Multidrug - Resistant Salmonella typhi Isolated from Korea, 1997.
Jung Sik YOO ; Young Hack SHIN ; Kyung Soo OH ; Jeom Kyu LEE ; Ki Sang KIM
Journal of the Korean Society for Microbiology 1999;34(5):445-452
Eight strains of multidrug-resistant (MDR) Salmonella typhi were isolated from Kyonggi area during January-February,1997. They were resistant to ampiciUin, amoxicillin, carbeniciillin, tetracycline, chloramphenicol, trimethoprim/sulfamethoxazole, trimethoprim. Eight strains had one plasmid respectively which size was approximately M.W 220 kb and showed same restriction pattern by endonuclease HindIII. The plasmid was similar to the plasmid in size that was related to multidrug resistant S. typhi isolated from southeast Asia. It were transferred by conjugation to recipient E, coli K-12 in frequency of 2.43 x10-4 - 1.73 x 10-2 and transconjugant showed same drug-resistant pattem with donor cells. All of 8 strains produced B-lactamase that was assummed to TEM-1 type by isoelectric focusing and PCR.
Amoxicillin
;
Asia, Southeastern
;
Chloramphenicol
;
Deoxyribonuclease HindIII
;
Gyeonggi-do
;
Humans
;
Isoelectric Focusing
;
Korea*
;
Plasmids*
;
Polymerase Chain Reaction
;
Salmonella typhi*
;
Salmonella*
;
Tetracycline
;
Tissue Donors
;
Trimethoprim
10.Small Round Structured Virus (SRSV) Outbreak Among Elementary School Students in Wonju Province.
Unyeong GO ; Young Hak SHIN ; Jung Sik YOO ; Youngmee JEE ; Ki Soon KIM ; Jae Deuk YOON
Korean Journal of Infectious Diseases 2001;33(3):210-213
No abstract available.
Gangwon-do*
;
Humans