• Journal of Chest Surgery
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• 제17권4호
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• pp.593-606
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• 1984

With the ligation of patent ductus arteriosus by Gross in 1938, surgeons first entered the field of congenital heart disease. Interruption of a ductus is one of the most satisfactory and curative operations in the field of surgery for congenital heart disease. 27 cases of isolated patent ductus arteriosus were operated from Jan. 1978 to July 1984 at the Department of Thoracic & Cardiovascular Surgery in Kyung-Hee University Hospital. Retrospective clinical analysis of these patients were: 1. Sex ratio, female: male, was 2:1. 2. Mean age at operation was 9.85\ulcorner.58 years. The youngest patient was a 23 month-old girl and the oldest one was a 24 year-old male. 3. More than half of the patients had less than 50 percentile of growth retardation. 4. Chief complaints of the patients were frequent URI [52%], dyspnea on exertion [33%], generalized weakness [22%], palpitation [7%], but 7 patients [26%] had no subjective symptoms. 5. Continuous machinery murmur could be heard at the 2nd or 3rd intercostal space on the left sternal border in 22 patients [81%]. The other S patients made systolic murmur with accentuation of the second heart sound and those were associated with pulmonary hypertension. 6. Radiologic findings of Chest P-A were cardiac enlargement in 15 patients [55%], enlargement of pulmonary conus and/or increasing density of pulmonary vascularity in 20 patients [74%]. 7. Electrocardiographic findings of the patients were within normal limit in 13 patients [48%], LVH in 4 patients [15%], biventricular hypertrophy in 3 patients [11%]. 8; echocardiogram was obtained from 11 patients. Ductus was directly visualized in 7 patients. Left atrial enlargement is the secondary change of left to right shunt, 10 patients had LA/Ao ratio more than 1.2. 9. Cardiac catheterization performed in 25 patients. The mean value of the results were:SO2[PA-RV]= 14.72\ulcorner6.01%, Qp/Qs=2.22\ulcorner.80, peak systolic pulmonary arterial pressure=48.28\ulcorner1.60 mmHg. 10. 26 patients were operated through the left posterolateral thoracotomy: closure of ductus by double ligation in 14 cases, triple ligation in 5 cases, and division with suture in 8 cases. One patient suffer from aneurysmal rupture of main pulmonary artery, endocarditis, hemopericardium was treated with cardiopulmonary bypass via median sternotomy and closure of ductus through the ruptured main pulmonary artery. 11.There was no death associated with the operation, but 3 cases were experienced with intraoperative rupture around the ductus resulting in massive bleeding. The other complications were transient hoarseness in one patient, atelectasis in left lower lobe in 3 patients, and postoperative systemic hypertension in 4 patients with unknown etiology. 12. Pulse pressure was reduced, 11.47+5.92 mmHg, postoperatively, as compare to preoperative status. 13. Intraoperative wedge lung biopsy from lingular segment for the evaluation of the pulmonary vascular disease was taken in S patients with severe pulmonary hypertension. The result was Heath-Edward grade I in one case, grade II in two cases, and grade III in two cases.

• Journal of Chest Surgery
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• 제17권4호
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• pp.762-774
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• 1984

A clinical analysis was performed on 49 cases of the benign esophageal diseases experienced at Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital during 7 year period from 1977 to 1983. Of 49 cases Of the benign esophageal diseases, there were 19 patients of esophageal stricture, 11 of achalasia, 6 of perforation, 3 of bronchoesophageal fistula, 3 of esophageal perforation, 3 of esophageal leiomyoma and one of esophageal foreign body. Twenty three patients were male and 26 were female. Ages ranged from 4 years to 74 years with the average age of 34.7 years. Of 19 patients of esophageal strictures, 7 patients were male and 12 were female and ages ranged from 6 years to 74 years with the average being 33.8 years. Causes of esophageal strictures were corrosive of esophageal strictures were dysphagia, vomiting, general weakness, weight loss and pain that order and developed on several different parts of esophagus. Operations were performed in 18 cases, of whom 7 patients were performed by esophagocologastrostomy, 4 gastrostomy, 4 esophagogastrostomy, 1 esophageal resection and esophagoesophagostomy, 1 esophagotomy and dilatation and 1 scar revision. Five patients had one or two complications; 2 anastomotic leakage, 1 wound infection, 1 localized empyema, 1 bilateral pneumothorax and 1 respiratory failure. One patient expired due to respiratory failure arising from aspiration pneumonia. The average age of achalasia patients was 33.1 years and symptom durations were from 2 months to 10 years with the average of 3.3 years. Main symptoms were dysphagia, vomiting, weight loss, pain and cough in that order. Modified Hellers myotomy was performed in 11 patients with one complication of restenosis. One patient was operated on by using longitudinal incision and transverse sutures with good result. Of 6 patient of esophageal diverticulum, 2 patients were traction diverticulum on the midesophagus, 2 were pulsion diverticulum on the midesophagus and 2 were pulsion diverticulum on the lower esophagus. Diverticulectomy was performed on 2 cases of traction diverticulum and esophagocardiomyotomy with or without diverticulectomy was erformed on 4 cases of pulsion diverticulum with good results. Of 5 patients of congenital bronchoesophageal fistula, the chief complaints were productive cough in 4 patients and hematemesis without respiratory symptoms in one patient. Two patients were operated on by using fistulectomy only and 3 by fistulectomy with pulmonary lobectomy. Of 3 patients of esophageal perforation, causes were foreign body ingestion, esophageal stricture after ECG and corrosive esophagitis. Two patient were operated on by using drainage and gastrostomy with symptomatic improvement but one patient died due to septic shock after thoracotomy. Three patients of esophageal leiomyoma were all male and 2 patients were operated on by using enucleation and one by distal esophagectomy with esophagogastrostomy. In one patient of esophageal foreign body, it was removed by esophagotomy through the right thoracotomy.

• 대한한방소아과학회지
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• 제15권2호
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• pp.75-83
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• 2001

Background and method : The Cervi cornu parvum for children patients have been widely used nowadays: however, there have been no reports about the children patients' conditions and the parents' responses. To investigate these things, the questionnaires were used for the children patients(the ages between 0 and 15) who took the herbal medication combined with Cervix cornu parvum and their parents from January 1, 2000 to June 31 at the Dong-seo oriental Hospital. The chief complaints such as common cold, dyspepsia of using Cervi cornu parvum were divided into five categories and the changes were observed, scoring each stages. Besides, the quantity of taking herbal medication combined with Cervix cornu parvum, the expectancy, the satisfaction, the continual favor were included in the questionnaires. The result : 1. The trackable sample was 53: male infants 34(64.2%), female infants 19(35.8%). There is no differences between genders in the treating results. The treating results were increased after taking herbal medication combined with Cervi cornu parvum 2. When age is grouped by three categories(0-1, 2-6, 7-14 ages), the statistics shows that the treating results have no differences between each group(P>0.05) Regardless of the ages, the treats have correlated.(P<0.05) 3. When each symptoms made treated one case are analyzed, there have been correlations between the taking herbal medication combined with Cervi cornu parvum and recovery.(P<0.05) 4. The treating result have not affected by the expectancy.(P>0.05) Each group(good, moderate, poor) showed the recovery after the treatment.(P<0.05) 5. When the satisfaction divided into three groups(good, moderate, poor) there existed differences between groups.(P<0.05) Especially, the group with high expectancy increased the treatment. 6. About the recognition of herbal medication combined with Cervi cornu parvum is like this: the health refreshment, ordinary taking whenever turning-point of seasons comes, treatment, disbelieving the overdose of herbal medication combined with Cervi cornu parvum, disbelief about the security of the medicine such as fake medicine, mad cow diseases, the imported medicine, ignorance about the way of taking the medicine.

• 한국도서관정보학회지
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• 제9권
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• pp.241-266
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• 1982

This paper gives a summary and overview of a survey conducted at the catalogues of five universities in Daegu during November 1982. The major objective of this study was to secure information about user needs in order to improve the catalogue in Korean university libraries. Data was collected by a combined method of questionnaire and interview. A total of 379 respondents were taken on a randomly selected sample of catalogue users. Results of the survey can be summarized as follows: 1. Eighty-eight percent of the students answered that they had used the library more than twice a month. Nevertheless the number of students consulting the catalogue with the same frequency was only 220, or a n.0, pproximately 58 percent. Those who used the library most tended to use the catalogue more than those who rarely came to the library. 2. Those who had been shown how to use their own catalogue were only 32.5percent of which the students found the instruction sufficient for them to be able to use the catalogue were only 37.5 percent. In particular, they stated that instructions by printed materials and/or library orientation were so poor that they didn't give much help in using the catalogue. This problem makes many libraries to review their own method of instruction in order to encourage patrons to use the catalogue more effectively. 3. Most of the students consulted the catalogue in order to locate library materials. Known-item searches and subject searches were 84 and 16 percent respectively. While 70.5 percent of the students used the author-title catalogue without any difficulties, only 35.5 percent of those stated that using the classed catalogue was easy. 4. It was surprising that the number of students using title access in the search was far greater than that of students using author access. In contrast with this, other studies conducted by many earlier overseas investigators revealed that the great majority of patrons tended to use the latter first. Therefore, we should put more emphasis on the title entries in the catalogue itself as well as cataloging rules. 5. Most useful bibliographic elements in the entry were author, title, call number, date and publisher whereas edition, series statement and the location of publisher were rarely used compared with the other elements. Content note was the most desirable element in the entry to be involved, for many catalogers were used not to describe it on the note area. 6. The chief reason given for not using the catalogue was "I can manage without it" with "It's difficult to understand contents of the card entry." The other one was "It's useless to search materials by the catalogue because I've failed so many times to obtain them out of the stock." In response to this, circulation and acquisition system should be improved not to make such complaints any more.

• 한국임상수의학회지
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• 제33권4호
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• pp.214-217
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• 2016

A 10-year-old, 24.1 kg, intact female Siberian husky dog (case 1) and 11-year-old, 5.0 kg, intact male Shihtzu dog (case 2) presented with chief complaints of polydipsia, anorexia, vomiting and exercise intolerance (case 1) and stranguria (case 2). Splenic nodule (case 1) and mass (case 2) were identified in these patients through ultrasonographic examination. Laparoscopic splenectomy was conducted for the histopathologic evaluation. In addition, laparoscopic ovariohysterectomy, liver biopsy (case 1) and castration (case 2) were performed for treatment or diagnosis of primary symptoms. Under general anesthesia, 5 mm three-portal access laparoscopic splenectomy was performed using the Sonicision$^{TM}$ equipment. The dogs were rotated onto right lateral recumbency. The spleen was elevated using a fan or goldfinger retractor, which revealed the ventral aspect of the spleen. Resection of vessels was started at the caudal aspect of the spleen using the Sonicision$^{TM}$. The excised spleen was removed from the abdominal cavity using a 12 mm endo-bag via the enlarged instrument portal. There were no post-operative complications in either patient. Histopathologic diagnoses were splenic lymphoid hyperplasia (case 1) and splenic nodular hyperplasia (case 2). Based on our experience, laparoscopic splenectomy is sufficient to replace traditional splenectomy in small animal surgery. The use of the Sonicision$^{TM}$ could be a novel surgical technique for three-portal laparoscopic splenectomy, regardless of patient size.

• Journal of Chest Surgery
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• 제31권12호
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• pp.1206-1211
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• 1998

배경:폐격리증은 흔한 질환이 아니며, 이외 진단을 위하여는 대동맥조영술이나 흉부 CT가 필요하다. 대상 및 방법: 저자는 1990년 1월부터 1997년 9월까지 폐격리증을 가진 13명의 환자를 치험하였다. 결과: 남자가 6명이었고, 여자가 7명이었으며, 그들의 평균 연령은 25.8±14.3세였다. 주증상은 기침과 흉통, 무증상순이었다. 내엽형 폐격리증이 9예이고 외엽형 폐격리증이 3예였으며 한환자의 경우 두가지를 다 가지고 있었다. 내엽형이 외엽형보다 많았으며, 좌측과 우측의 호발차이는 없었다. 그들은 주로 대동맥 촬영술로 진단을 하였으며 영양공급 동맥은 주로 하행 대동맥에서 유래되었다. 치료는 내엽형의 경우는 폐엽 절제술을 하였으며, 외엽형의 경우 격리폐 절제술을 하였다. 결론: 폐격리증을 적절히 치료하기 위하여는 비정상적으로 기시되는 동맥을 발견하기 위하여 대동맥조영술 또는 흉부 CT 촬영을 반드시 해야 한다.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제29권5호
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• pp.330-337
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• 2003

This is a retrospective study on the care of odontogenic infections in admission patients with major bleeding disorders. The study was based on a series of 514 patients treated at Dong San Medical Center, Wonju Christian Hospital and Il San Health Insurance Hospital, from Jan. 1, 2000, to Dec. 31, 2002. The obtained results were as follows : 1. The cardiovascular disease was the most frequent cause of the systemic diseases with major bleeding disorders, and liver disease, cerebrovascular disease and renal failure were next in order of frequency. But, there was the most frequent dental consultation in the liver disease, owing to the many odontogenic infectious diseases. 2. Male prediction (66.3%) was almost existed in the odontogenic infectious patients with major bleeding disorders. But, there was slight female prediction (53.4%) in the cardiovascular disease. 3. The most common age group of the odontogenic infectious patients with major bleeding disorders was the fifty decade(27.2%), followed by the forty, sixty & thirty decade in order. 4. In the contents of chief complaints on the odontogenic infectious patients with major bleeding disorder, peak incidence was occurred as toothache (42.2%), followed by intraoral bleeding, ulcer pain, dental extraction in order. 5. In the diagnosis group of odontogenic infectious diseases, periodontitis, pulpitis and periapical abscess were more common. 6. In the treatment group of odontogenic infectious diseases, the most frequent incidence(44.2%) was showed in primary endodontic drainage(pulp extirpation, occlusal reduction & canal opening drainage) and followed by the incision & drainage, the medications & oral hygiene instruction, scaling, indirect pulp capping in order.

• Journal of Oral Medicine and Pain
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• 제20권1호
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• pp.39-52
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• 1995

Burning mouth syndrome is characterized by a burning sensation in oral cavity without clinical signs. There has b een no established theories about the diagnosis and treatment. The purpose of this article is to examine the clinical feature of BMS patients of Korean and to present a treatment protocol that can be helpful in clinical applications. The subjects chosen for the study were 52 patients who had visited Department of Oral Diagnosis at Yonsei University Dental Hospital and were diagnosed as BMS. We did questionnaires and precise oral exam, laboratory exam, grouping of our patients, individual treatment for the groups and classification of responses to the treatment. The following results were obtained: 1. Chief complaints were throbbing (71.2%), pricking, stinging, tingling (30.8%), burning(25a%). The tongue is the most frequently affected site (82.7%), followed by full mouth, gingiva, palate, buccal mucosa, lips, throat, labial mucosa and floor of mouth. 2. The average age of onset was 48.1 year and the male to female ratio was 1 to 3. The average duration of symptom was 11.69 months for male and 23.07 months for female. 3. 32.7% of patients had appealed continuous pain, which was the most cases. Aggravating factors were peppery food, salty food, hot food, fatigue, tension conversation, sour food, cold food and toothpaste. Reducing factors were cold food, diet, going to sleep and smoking. 4. Associated symptoms were dry mouth, other life problem, altered taste perception, bad taste, throat pain, tingle and difficulty in swallowing. 5. Most of patients had appealed that there was not associated event on onset of symptom, and the order of prevalence is as fallow; dental treatment, stress, denture wearing, an attack of a systemic disease. 92.3% of patient appealed that there was no psychological withering and 7.7% of patients appealed positively. 6. There were eight males and four females that had jobs. 7. There was no family history in 100% of patients in questions about presence of family history. 8. 96.2% of patients appealed that there was no oral habits. 13.5% of patients had dryness of oral mucosa in oral exam. A significant relation to dental prosthesis was not observable, but incidence of diseases due to stress appeared high in BMS which had the clinical characteristics as above. A group having low serum iron was 63.5% and in this group period of potential iron deficiency appeared high in incidence just before move to anemia. A group represented positive response was 38.5% in fungus study for Candida albicans. Since we can expect high treatment response by prescription of iron-contained drug and antifungal drug in these patients, diagnosing patients' condition of BMS can be achieved in more various aspects through study for serum iron and Candida albicans. Furthermore, it is expected that treatment protocol can be made.

• 지역사회간호학회지
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• 제1권1호
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• pp.299-317
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• 1989

This study was attempted to find out the distribution of industrial nurses, analyze job performance by function and utilization state of medical dispensary among workers. The subjects for this study were 32 nurses working at industry located in Kyungpook and Taegu area. The data was collected through questionaire during the period of August 5-31, 1986, and analysed by the method of frequency and percentage. The following is the main findings of the study; 1. 72.2% of respondents was engaged in manufacturing industry, 33.3% in workplace whose regular workers was more than 2,000 workers. 67.7% in occupational health physicians was part-time system. 2. 93.1% of respondents was 20-29 years age group, 93.1% was graduates of junior nursing college, 96.6% was unmarried. 448% had 1-4 years of total working experiences. 3. For the motives which made them becomes industrial health nurse, 'good employment condition' was 62.1%. For the job satisfaction, 'moderate' was 586%. For the interest about the industrial health, 'moderate' was most frequent (58.6%). In the inservice education, 86.2% of the subjects was received education. 4. For the attitude of the dispensary and industrial nursing of employer, 'necessary' was most frequent (72.4%, 62.6%). 5. All establishment had dispensary facilities, 65.5% of them had independent dispensary. 6. In duty shift, 93.1% of respondents was working in one shift system. 41.4% of respondents was received from 250,000 won to 290,000 Won and 41.4% was belong to personnel section and 24.1% was direct controlled by general business section chief. 7. In the main health problem of their factories, 48.3% of respondents was work-environmental state, 24.1% was health education. 8. In the Dispensary budget, 60% of respondents was under 3,000 won per worker. 9. In the job performance rate by function, nursing service 73.1%, industrial health and nursing management 63.7%, environmental hygiene and safety management 54.5%, medical insurance 44.9%, welfare 38.4%. 10. Main health complaints among workers utilizing medical dispensary was 35.9% of respiratory system, 21.5% of gastro-intestinal system, 11.0% of skeletomuscular system.

• 대한소아치과학회지
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• 제44권3호
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• pp.378-383
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• 2017

치아 변색을 일으키는 다양한 원인들이 있다. 혈중 빌리루빈의 증가도 치아변색을 일으킬 수 있는데 이는 드문 경우이나, 대부분 초록색 변색이 보고 되었다. 본 증례는 신생아 고빌리루빈혈증 병력이 있는 환아의 유치의 초록색 변색에 대한 것이다. 16개월, 22개월 두 남아가 맹출한 치아의 비정상적인 색을 주소로 내원하였다. 두 환아의 유치는 법랑질저형성증을 수반한 초록색 변색을 보였다. 두 환아 모두 저체중, 조산아였으며, 신생아 고빌리루빈혈증을 진단받았다. 전신적인 질환은 치아의 형성시기에 경조직에 영향을 줄 수 있으며, 변색도 일으킬 수 있다. 정상적인 치아 발육과 환아의 심미적 요구를 충족시키기 위해 정기적인 관찰이 필요하다. 소아치과의사는 유치열기의 변색을 먼저 관찰 할 수 있다. 이와 같은 증례들을 통해 치과의사는 치아변색에 대해 전신적 질환을 추론할 수 있다.