2.Primary subacute Osteomyelitis in Children: A Retrospective Review
Chung Nam KANG ; Kwon Jae ROH ; Yeo Hon YUN
The Journal of the Korean Orthopaedic Association 1994;29(6):1509-1517
In our review of 36 hematogenous osteomyelitis nine cases were subacute form. Distal tibia was the most commonly involved location(four of nine patients). According to the modified Robert's classification cross-physeal lesions were the most common type(four of nine patients). In most of the cases the clinical findings and laboratory data were not much helpful for current diagnosis. Four patients had radiographic findings similar to those of tumors such as Ewing' s sarcoma, osteoid osteoma or bone cyst. Magnetic resonance imaging was useful in the identification of early lesions. In three patients Staphylococcus aureus was isolated by bacterial culture of biopsy specimen. In the remaining six patients diagnosis was made by histological evaluation. All patients except one were treated by curettage and antibiotics. In the other patient the disease showed a tendency of spontaneous healing without operative intervention and antibiotics. Cross-physeal lesion seemed to be a typical finding of the subacute osteomyelitis.
Anti-Bacterial Agents
;
Biopsy
;
Bone Cysts
;
Child
;
Classification
;
Curettage
;
Diagnosis
;
Humans
;
Magnetic Resonance Imaging
;
Osteoma, Osteoid
;
Osteomyelitis
;
Retrospective Studies
;
Sarcoma
;
Staphylococcus aureus
;
Tibia
3.Percutaneous Transluminal Angioplasty of Subclavian Artery: Case Report.
Heoung Keun KANG ; Jae Kyu KIM ; Hyon De CHUNG ; Yun Hyeon KIM ; Tae Woong CHUNG
Journal of the Korean Radiological Society 1994;30(6):1035-1038
Percutaneous transluminal angioplasty(PTA) were performed in three patients with atherosclerotic stenosis of subclavian arteries. The arteries were successfully dilated without complications during the procedure. All patients were asymptomatic during follow-up periods ranging from eight months to fifteen months after PTA.
Angioplasty*
;
Arteries
;
Constriction, Pathologic
;
Follow-Up Studies
;
Humans
;
Subclavian Artery*
4.Dimension of normal coronary arteries determined by cross-sectional echocardigraphy.
Jung Yun CHOI ; Yong Soo YUN ; Chung Il NOH ; Jong Un CHOI ; I Seok KANG
Journal of the Korean Pediatric Society 1992;35(10):1336-1342
No abstract available.
Child
;
Coronary Vessels*
;
Echocardiography
;
Humans
5.The comparison of coronary arterial dimensions measured by cross-sextional echocardiography with values obtained by coronary angiography in Kawasaki disease.
Mi Jin JUNG ; Jung Yun CHOI ; Chung Il NOH ; Yong Soo YUN ; I Seok KANG
Journal of the Korean Pediatric Society 1992;35(8):1102-1106
No abstract available.
Angiography
;
Coronary Angiography*
;
Coronary Vessels
;
Echocardiography*
;
Mucocutaneous Lymph Node Syndrome*
6.Color doppler echocardiographic evaluation of residual ductal flow after surgical ligation.
I Seok KANG ; Hyun KWACK ; Chung Il NOH ; Jung Yun CHOI ; Yong Soo YUN
Journal of the Korean Pediatric Society 1992;35(5):602-606
No abstract available.
Echocardiography*
;
Echocardiography, Doppler, Color
;
Ligation*
8.Clinical Observation of Neonatal Group B B-Hemolytic Streptococcal Meningitis.
Yeon Chung CHUNG ; Mi Won KIM ; Yong Kyu LEE ; Yun Jong KANG ; Jung Won SEO ; Jin Keun GHANG
Journal of the Korean Pediatric Society 1994;37(3):347-355
Neonatal meningitis caused by the Group B beta-hemolytic streptococcus was first reported in 1958. In recent years this organism has assumed major importance in the etiology of neonatal infection. In Korea, this organism is likely to play an increasing role in neonatal infection. So this investigation was designed to report the 9 cases of Group Bbeta-hemolytic streptococcus infected neonates admitted to the NICU, department of Pediatrics, Hanil Hospital from January 1990 to June 1993. The results were as followings. 1) Onset of disease was between 12days and 32 days of age and male to female ratio is 1:2. 2) Two cases were delivered by c-section, seven cases were by NFSD and all of the infants had normal birth weight with full term at delivery. Maternal obstetric and neonatal complications were not detected in all cases. 3) The common presenting symptoms were fever in all cases, seizure in 6 cases, feeding difficulty, lethargy, vomiting, etc. 4) Group Bbeta-hemolytic streptococcus was isolated in CSF of all cases and in blood of 6 cases. 5) There were abnormal brain CT findings in 4 cases of group Bbeta-hemolytic streptococcal meningitis. 6) The sensitive antibiotics were Cefotaxime, Cefazoline, Erythromycin, Ampicillin, Chloramphenicol, Clindamyucin and Penicillin. 7) All cases were reconvered except one case that expired on the 1st day of admission and 6 cases were followed up for the period of 2months to 33months without neurologic sequelae, of which 1 case revealed decreased wave on Lt. hemisphere in ABR.
Ampicillin
;
Anti-Bacterial Agents
;
Birth Weight
;
Brain
;
Cefazolin
;
Cefotaxime
;
Chloramphenicol
;
Erythromycin
;
Female
;
Fever
;
Humans
;
Infant
;
Infant, Newborn
;
Korea
;
Lethargy
;
Male
;
Meningitis*
;
Pediatrics
;
Penicillins
;
Seizures
;
Streptococcus
;
Vomiting
9.Esophagus, Stomach & Intestine; Adenocarcinoma Arising from Barrett's Esophagus: A case report.
Jin Kyung KANG ; Chung Bae KIM ; Ho Guen KIM ; Jeong Yun SHIM
Korean Journal of Gastrointestinal Endoscopy 1997;17(2):151-154
Barrett's esophagus is a metaplastic process in which the squamous epithelium of the lowet esophagus is replaced by columnar epithelium. Most cases are believed to be related to prolonged gastroesophageal reflux. Detection of Barretts esophagus is important in that it results in adenocarcinoma in about 10% of patients. We report a case of adenocarcinoma arising from Barrett's esophagus in a 56 year-old man, diagnosed incidentally at a physical check-up. Grossly, the esophagogastric junction was irregular and there were two small ulcers in the lower esophagus. Microscopically, ihe squamous epithelium of the lower hagus was replaced by specialized intesinal mucosa with a small focus of adenocarcinona confined to the submucosa in one area. Many separate dysplastic foci were also present in the nearby esophageal mucosa.
Adenocarcinoma*
;
Barrett Esophagus*
;
Epithelium
;
Esophagogastric Junction
;
Esophagus*
;
Gastroesophageal Reflux
;
Humans
;
Intestines*
;
Middle Aged
;
Mucous Membrane
;
Stomach*
;
Ulcer
10.Relationship between HPV Infection and bcl-2 Protein Expression and Apoptosis in Invasive and In Situ Squamous Cell Carcinoma of the Uterine Cervix.
Myoung Ja CHUNG ; Kyu Yun JANG ; Woo Sung MOON ; Myoung Jae KANG ; Dong Geun LEE
Korean Journal of Pathology 1999;33(9):702-708
Human papillomavirus (HPV) 16/18 is a causative agent of uterine cervical carcinoma. HPV 16/18 can alter cell cycle regulation through apoptosis. Bcl-2 is an important regulatory gene of apoptosis. A study was done to evaluate the relation between HPV 16/18 and bcl-2 and apoptosis in 21 cases of carcinoma in-situ (CIS), 5 cases of microinvasive carcinoma and 23 cases of invasive squamous cell carcinoma. HPV 16/18 was detected by hybrid capture system (HCS), bcl-2 protein by immunohistochemical method and apoptosis by using the hematoxylin-eosin stained slide. The results were as follows: Expression of the bcl-2 protein was 43% (9/21) in CIS and 26% (6/23) in invasive carcinoma. Expression of the bcl-2 protein was 42% (5/12) in CIS with HPV 16/18 infection, 44% in CIS without HPV 16/18 infection, 20% (2/10) in invasive carcinoma with HPV 16/18 infection and 31% (4/13) in invasive carcinoma without HPV 16/18 infection. Mean apoptotic index (mAI) was 3.36 in CIS, 5.23 in microinvasive and 6.25 in invasive carcinoma. mAI was 3.66 in CIS with HPV 16/18 infection, 2.86 in CIS without HPV 16/18 infection, 6.18 in invasive carcinoma with HPV 16/18 infection and 6.30 in invasive carcinoma without HPV 16/18 infection. Based on these results, we conclude that there are no correlation between HPV infection and bcl-2, and between HPV infection and apoptosis in invasive and in situ carcinoma of the uterine cervix, and apoptosis is increased according to tumor progression.
Apoptosis*
;
Carcinoma, Squamous Cell*
;
Cell Cycle
;
Cervix Uteri*
;
Female
;
Genes, Regulator
;
Humans