, Sun Young Yi Although
From 22,803 residents, 1000 were randomly recruited from the 1st, 2nd, 5th and 6th clusters of Mokdong apartment complex by multi-stage sampling. In 742 subjects(74.2% of the initial sample)
The overall seroprevalence of
This study is a large cross-sectional, randomly sampled epidemiologic study of
, Sung-Wan Byun There are controversial evidences that children gain weight to a significant extent after adenotonsillectomy, usually associated with a general improvement in health. This study is aimed to evaluate the growth disturbance in children with adenotonsillar hypertrophy and the effect of adenotonsillectomy on subsequent growth in them.
Ninty-one children adenotonsillectomized had their weights recorded preoperatively, and reweighted twelve months after surgery.
The results showed the patients were generally not underweighted before surgery. Their median weight was on the 59.5 percentile. Their weights after surgery had increased by an average of 20 percent over what would have been expected. This increase in weight was not confined to underweight children but to the entire group.
Upper airway obstruction resulting from adenotonsillar hypertrophy might be suspected as a possible cause in the workup of children with suboptimum growth.
, Chun Dong Kim To establish new
Four SCCHN cell lines were used for MTS and raft culture.
All cell lines formed MTS, but only Tu-138 showed a good stratification at the airliquid interface in the raft culture system.
MTS and raft culture system were established successfully from the SCCHN cell lines.
, Kwang Ho Kim While some information about colonic function may be obtained from fluoroscopic assessment, detailed depiction of function of the rectum and anal canal during defecation is not possible with conventional technique. Defecography is a useful technique of examining the rectum and canal in which the patient is studied while sitting down and video recordings could be obtained during the procedure. To evaluate the clinical usefulness of defecography in patients with anorectal dysfunction, defecographic examinations were retrogradely reviewed.
Thirty symptomatic patients performed defecography. The ratio of men : women was 9 : 21, and the age was 8 to 86 years(mean, 36year). Presenting symptoms included a sensation of rectal blockage during straining, rectal prolapse through the anus, anal pain, etc.. While the patient was in the left decubitus position, 250㎖ of a thick barium past was injected into the rectum. The patient was then seated a toilet chair mounted on the footplate of a remote-control stand. And lateral images and video recording centered over the rectum and true pelvis obtained over a period of several minutes, both at rest and during and sqeezing and straining. The defecographaic results were analyzed for the anorectal angle and perineal descent at rest, sqeezing and during straining. Change of rectal configuration and canal width during staining were reviewed.
Defecation was normal in 5 patients(16.6%). Rectocele was seen in 17case(56.6%). Rectal proplase with or without intususception was 11 case(36.3%), 3 cases(10%) of sigmoidcele, and 2 cases(6.6%) of dynsfunction of puborectalis. There was a 1 case(3.3%) of rectal polyp. Seven cases(23%) show combined findings : 2 cases with rectocele, rectal intussusception and sigmoidcele, 4 cases with rectocele, rectal intussusecption and rectal prolapse, rectocele and dynsfunction of puborectalis in 1 case. The measurement of anorectal angel was 65°-125°(mean, 104°) in resting state, 57°-90°(mean, 63°) in sqezzing, and 78°-115°(mean, 103°) in straining state.
Defecography with video recording is a useful study in assessment and diagnosis of various discase causing anorectal dysfunciton. However, the measurement of anorectal angle was wide range without statistical significance.
, Ji Yeong Ryu, Young Jin Cheon To determine the predicting factors related to cardiovascular injuries and To suggest a clinical indication for emergency echocardiography in sternal fractures.
A total mumber of 40 patients with sternal fractures a over 5-year period were retrospectively assessed on clinical, echocardiographic and biochemical status. We analyzed the following 4 factors as predicting factors for cardiovascular injuries in sternal fractures : 1) presence of restraint, 2) presence of associated injuries, 3) presence of a past medical history involving cardiovascular system, 4) Revised Trauma Score(RTS).
We, also, assessed the utility of conventional diagnostic methods for cardiovascular injuries, such as ECG, chest X-ray, and enzyme levels. Based on the methods, we tried to infer an indication for emergency echocardiography in sternal fractures.
The presence of a past medical history involving cardiovascular system and abnormal RTS on admission were significant predicting factors. Emergency echocardiography was performed according to the predicting factors and the results from conventional evaluations. These data can suggest that indications for emergency echocardiography in sternal fractures include as 1) if more than two studies reveal abnormality without any significant predicting factors. 2) if more than one study reveal abnormality with any significant predicting factors.
The past medical history involving cardiovascular system and initial vital signs imply the presence of associated cardiovascular injuries in sternal fractures. And if possible, emergency echocardiography is recommended.
, Sun Young Yi, Naranhi Lee, Jung Eun Shin, Misoon Ju, Sung Ae Jung, Ho-Seong Han, Kwon Yu A case of massive intestinal bleeding from jejunal diverticulum is describe. A 62-year-old man was refered to our hospital because of melena and anemia. After admission, he showed massive hematochezia with unstable vital sign. Esophagogastroduodenocopy and colonoscopy, selective abdominal angiography, and RBC bleeding scanning were performed to seek the cause of the intestinal bleeding, but none of these studies revealed the source of bleeding. The examination of small bowel with methylcellulose showed multiple small jejunal diverticuli and a large diverticulum. Resection of the involved portion of jejunum was performed. On pathological examination, two mucosal loss lesions were detected, but ulcer or arteriovenous malformation were not seen in the resected jejunal diverticulum. The patient showed no more intestinal bleeding after operation. Although jejunal diverticuli are rare, the careful search for this complication in a patient with intestinal bleding is important.
, Ho Seong Han, Young Woo Kim, Eu Gene Kim, Nam Jun Yi, Seong Hoon Park The number of the aged patient who undergo the operation has been increased in recent years. The risk of the operation is formidable in old patient. After general surgery, the morbidity and the mortality are associated with the pre-operative medical illness. And, the old age have more pre-operative medical illnesses than the younger. We experienced multiple postoperative complications in 85 years old patient. He has past history of old myocardiac infarction without other disease. He underwent the total gastrectomy with esophagojejunostomy due to advanced gastric cancer. After surgery, multiple post operative complications have occurred such as arrhythmia, hyponatremia, intraperitoneal abscess, gastrointestinal hemorrhage, pneumonia, heart failure, post operative delirium, phlebitis, hearing disturbance, nephropathy, would seroma, liver dysfunction, glucose intolerance. We summarized this case and give a brief review of the literature.
, Sung Eun Hur, Han Moie Park, Mi Young Park, Young Ju Kim This 31 years old female patient visited our hospital on July 2000, with complaint of painful ulceration on vulvar with withish coated membrane and oral mucosa ulceration at 28 weeks of pragnancy.
Behҫet's disease is an inflammatory disorder of unknown cause, characterized by recurrent oral aphthous ulcers, genital ulcers, uveitis, and skin lesion.
We are present a case of Behҫet's disease in pregnancy with a brief review of literature.
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